ch l6

Question 1

Which nursing action would most likely occur during the
ongoing planning stage of the comprehensive care plan?

A. The nurse collects new data and uses them to update
the plan and resolve health problems.

B. The nurse uses teaching and counseling skills to help
the patient carry out self-care behaviors at home.

C. The nurse who performs the admission nursing history
develops a patient care plan.

D. The nurse consults standardized care plans to identify
nursing diagnoses, outcomes, and interventions.

Answer 1

A. The nurse collects new data and uses them to
update the plan and resolve health problems.

Rationale: In the ongoing planning stage, any nurse
who interacts with the patient updates the plan to
facilitate the resolution of health problems, manage risk
factors, and promote function. Teaching and counseling
are the key to discharge planning. The nurse performing
the admission nursing history consults standardized care
plans during initial planning to formulate the initial care
plan.

Question 2

Which outcome is an affective outcome?

A. By 6/09/19, the patient will correctly demonstrate the
procedure for washing her newborn baby.

B. By 6/09/19, the patient will list three benefits of eating
a healthy diet.

C. By 6/09/19, the patient will use a walker to ambulate
the hallway.

D. By 6/09/19, the patient will verbalize valuing his
health enough to stop smoking.

Answer 2

Answer: D. By 6/09/19, the patient will verbalize valuing
his health enough to stop smoking.

Rationale: An affective outcome describes changes in
patient values, beliefs, and attitudes. Answers A and C
are psychomotor outcomes (learning a new skill) and
Answer B is a cognitive outcome (increase in patient
knowledge).

Question 3

A collaborative intervention is an intervention initiated by
a physician in response to a medical diagnosis but carried
out by a nurse in response to a physician’s order.

A. True
B. False

Answer 3

Answer: B. False

Rationale: A physician-initiated intervention is an
intervention initiated by a physician in response to a
medical diagnosis, but carried out by a nurse in response
to a physician’s order.

Question 4

A protocol prescribes specific therapeutic interventions
for a clinical problem unique to a subgroup of patients
within the cohort.

A. True
B. False

Answer 4

True

Rationale: A protocol prescribes specific therapeutic
interventions for a clinical problem unique to a subgroup
of patients within the cohort.