Ch. 6: Planning Interventions (nurse centered)-MJ

Question 1

Evidence based practice is an approach that uses firm ____ rather than anecdote, tradition, intuition, or folklore in making decisions about medical and nursing practice.

Answer 1

Scientific data

Question 2

T/F: You feel more confident about an intervention if several studies have supported it.

Answer 2

True

Question 3

What are 6 key steps to the EBP Process?

Answer 3

• Questioning the way things are done
• Reviewing published evidence
• Evaluating and grading the quality of evidence obtained
• Compile and analyze data
• Translating the evidence into guideline
• Integrating the guidelines and evidence

Question 4

Is this strong or weak evidence for making an intervention based on EBP: expert opinion

Answer 4

Weakest evidence

Question 5

Is this strong or weak evidence for making an intervention based on EBP: meta-analysis of randomized clinical trials

Answer 5

Strongest evidence

Question 6

What is the purpose of nursing interventions?

Answer 6

To achieve client outcomes

Question 7

Nursing interventions are based on ____ and ____.

Answer 7

Clinical judgement and nursing knowledge

Question 8

What do nursing interventions reflect?

Answer 8

Direct and indirect care

Question 9

Direct or indirect care interventions: Preformed through interaction with the client

Answer 9

Direct care intervention

Question 10

Direct or indirect care interventions: Preformed away from the client but on behalf of a client or group of client

Answer 10

Indirect care intervention

Question 11

Direct or indirect care interventions: Physical care, emotional support, patient teaching

Answer 11

Direct care intervention

Question 12

Direct or indirect care interventions: Advocacy, managing the environment, consulting with other members of a health care team, making referrals

Answer 12

Indirect care intervention

Question 13

T/F: Nursing interventions may be independent, dependent, or collaborative.

Answer 13

True

Question 14

What intervention is this: one that a RN is licensed to prescribe, perform, or delegate based on their knowledge and skills

Answer 14

Independent

Question 15

Does an independent intervention require a providers order?

Answer 15

No

Question 16

Independent interventions: Knowing how, when, and why to perform an activity makes the action ______. As a rule, nurses prescribe and perform independent interventions in response to a nursing diagnosis. Understand you are _____ for your decisions and actions with regard to nursing diagnoses and indented interventions.

Answer 16

Autonomous; accountable

Question 17

What intervention is this: One that is prescribe by a physician or advanced practice nurse but carried out by the bedside nurse.

Answer 17

Dependent

Question 18

What are examples of dependent interventions?

Answer 18

Orders for diagnostic tests, meds, treatments, IV therapy, diet, and activity

Question 19

What intervention is this: One that is carried out in collaboration with other healthcare team members (PT, dietitians, physicians)

Answer 19

Interdependent (collaborative) intervention

Question 20

For planning interventions, what phrase is used: “the nurse will….” or “the patient will…..”

Answer 20

“The nurse will”

Focus on the action verb and times & limits b/c the action verb tells the nurse what action to take and states when and how often each activity is to be done

Question 21

What are nursing orders?

Answer 21

Instructions that describe how and when nursing interventions are to be implemented

Question 22

What does a nursing order contain?

Answer 22

Date: date order was written

Subject: Nursing orders are instructions to nurses; you don’t have to write “the nurse will….”. It is understood already that this is the order for the nurse and is not necessary to write out those words (“the nurse will”)

Action verb: examples=ausculate, bathe, demonstrate, explain, give, teach, turn

Times and limits: state when, how often, and how long the activity is to be done

Signature: Signing means you accept legal and ethical accountability for your order and allows others to contact you if they have questions or comments about the order

Question 23

When we outline rationale for intervention we use _____ format.

Answer 23

APA