ch 9 Implementation

Question 1

Which activity occurs during the fourth step of the nursing process?
- Analyzing patient data
- Planning the patient’s care
- Implementing interventions
- Evaluating the patient’s response

Answer 1

Implementing interventions

Question 2

According to the American Nurses Association (ANA) scope of nursing practice, which statements describe an intervention the nurse should be qualified and competent to perform?
- The facilitation of healing
- The prevention of illness and injury
- The advocacy of patients and families
- The optimization of patient health and abilities
- The transfer of evidence-based practice to the clinical setting

Answer 2

• The facilitation of healing
• The prevention of illness and injury
• The advocacy of patients and families
• The optimization of patient health and abilities

Question 3

Which statement describes how nurses use clinical practice guidelines (CPGs) in determining patient care interventions?
- CPGs provide individualized patient care interventions.
- The American Nurses Association (ANA) developed CPGs to describe nursing actions.
- Nurses select interventions that they are qualified and competent to perform by applying CPGs.
- Nurses apply CPGs to implement standardized interventions for a specific clinical situation.

Answer 3

Nurses apply CPGs to implement standardized interventions for a specific clinical situation.

Question 4

Which action occurs after the nurse performs interventions?
- Determining goals
- Assessing the patient
- Resolving the interventions
- Documenting the interventions

Answer 4

Documenting the interventions

Question 5

Which type of intervention benefits the patient but does not involve face-to-face contact with the patient?
- Direct
- Indirect
- Independent
- Prevention-based

Answer 5

Indirect

Question 6

Which intervention category is likely to have the highest priority?
- Direct-care
- Independent
- Problem-oriented
- Prevention-based

Answer 6

Problem-oriented

Question 7

Which activities are direct-care interventions?
- Advocacy
- Research
- Reassessment
- Informal counseling
- Activities of daily living (ADLs)

Answer 7

• Reassessment
• Informal counseling
• Activities of daily living (ADLs)

Question 8

Which action is an indirect-care intervention?
- Informal counseling
- Patient assessment
- Activities of daily living (ADLs)
- Communications with health care providers

Answer 8

Communications with health care providers

Question 9

Which activities are independent nursing interventions?
- Hand hygiene
- Patient ambulation
- Intravenous (IV) fluid management
- Administration of medications
- Teaching use of incentive spirometer

Answer 9

• Hand hygiene
• Patient ambulation
• Teaching use of incentive spirometer

Question 10

Match the intervention category to the intervention.
Collaborative:
- Monitoring a patient’s temperature and skin color for fever
- Administering antibiotics for infection as prescribed by the health care provider
- Delegating bathing and dressing to a nursing assistant

Answer 10

Delegating bathing and dressing to a nursing assistant

Question 11

Match the intervention category to the intervention.
Independent:
- Monitoring a patient’s temperature and skin color for fever
- Administering antibiotics for infection as prescribed by the health care provider
- Delegating bathing and dressing to a nursing assistant

Answer 11

Monitoring a patient’s temperature and skin color for fever

Question 12

Match the intervention category to the intervention.
Dependent:
- Monitoring a patient’s temperature and skin color for fever
- Administering antibiotics for infection as prescribed by the health care provider
- Delegating bathing and dressing to a nursing assistant

Answer 12

Administering antibiotics for infection as prescribed by the health care provider