Chapter 18

Question 0

High priority

Answer 0

Diagnoses that if untreated will result in harm to a patient or others

Question 1

Planning involves.. (3 things)

Answer 1

Setting priorities
Identifying pt goals & outcomes
Prescribing individualized nursing interventions

Question 2

Intermediate priority

Answer 2

Diagnoses involving nonemergent, non life threatening needs of a patient

Question 3

Low priority

Answer 3

Not always related to a specific illness but affects the patients future well-being

Question 4

Factors affecting priority setting

Answer 4

Organization of the nursing unit
Staffing
Interruptions from other health providers
Available resources
Policies/procedures
Supply access
Patients condition

Question 5

Define goal

Answer 5

Broad statement describing a desired change in a patient’s condition

Question 6

Expected outcome

Answer 6

Measurable criterion to evaluate goal achievement

Question 7

Patient-centered goal

Answer 7

Measurable behavior that reflects a patients highest level of wellness

Question 8

Nursing-sensitive patient outcome

Answer 8

Measurable behavior in response to a nursing intervention

Question 9

Choosing correct nursing interventions includes (3)

Answer 9

Knowing the scientific rationale
Possessing the necessary skills
Being able to use other resources effectively

Question 10

Important factors in choosing interventions (6)

Answer 10

1. Characteristics of the diagnosis
2. Goals and expected outcomes
3. Evidence for the intervention
4. Capability of the intervention
5. Patient acceptability
6. Your own competency

Question 11

Nursing Interventions Classifications

Answer 11

Provides standardized level of communication of nursing care across all disciplines

Domains: broad organizational terms
Classes: clinical categories to reference
Interventions: any treatment based on knowledge to enhance patient outcomes

Question 12

Purpose of the nursing care plan

Answer 12

To coordinate nursing care, promote continuity of care & listing outcome criteria

Question 13

Student care plans

Answer 13

Useful for learning problem-solving techniques, the nursing process, written communication, organizational skills and helps to apply knowledge from the literature and the classroom in a practice situation

Question 14

Interdisciplinary care plans

Answer 14

Designed to improve the coordination of all patient therapies and communication among all disciplines

Question 15

Explain the “handoff” process

Answer 15

It’s a critical time where nurses collaborate and share important information that ensures the continuity of careens prevents errors

Question 16

Critical pathways are

Answer 16

Patient care management plans that provide the healthcare team with the activities to be done in a sequential order

They deliver timely care at each phase of the process for each patient

Question 17

Consultations are

Answer 17

Where you seek expertise to identify ways to handle problems in management or planning/implementation

Question 18

Nurses role in seeking consultation

Answer 18

1. Identify the problem area
2. Direct to the correct personnel
3. Provide relevant information
4. Do not prejudice or influence others
5. Be available to discuss the findings ( remember that is still your patient and you need to adhere to their needs)
6. Incorporate the consultants recommendations