Chapter 6 Fundamentals

Question 0

Clinical pathway or care map

Answer 0

A step-by-step approach to the total care of the patient.

Question 1

Chart

Answer 1

Documents on each patient

Question 2

Dependent nursing action

Answer 2

requires a physician’s order.

Question 3

Documentation

Answer 3

Recording of pertinent data on the clinical record

Question 4

Evaluation

Answer 4

Is a judgment of the effectiveness of the intervention or plan and is a collaborative process.

Question 5

Implementation

Answer 5

Means to be giving care

Question 6

Independent nursing action

Answer 6

Does not require a physician order but it does require critical thinking and nursing judgment

Question 7

Interdependent action

Answer 7

Assisting the speech therapist by helping the patient practice speech excises is interdependent action.

Question 8

Interventions

Answer 8

Also known as nursing orders actions listed on the nursing care plan are carried out

Question 9

Nursing audit

Answer 9

Is examination of a series of patient records to determine whether nursing care for this patient met particular standards and particular outcomes

Question 10

Outcome based quality improvement OBQI

Answer 10

Improvement of the quality of performance programs are used to evaluate nursing care delivered to patients.

Question 11

Quality improvement

Answer 11

Identifying specific areas that need changes

Question 12

Time fixed

Answer 12

Must be done at a set time task

Question 13

Time flexible

Answer 13

Can be done at any time task