Exam 3: Chapter 16: Outcome Identifcaiton and Planning

Question 1

Goal of Outcome Identification and Planning Step

Answer 1

Establish Priorities
Identify and Write Expected Patient Outcomes
Select Evidence-Based Nursing Interventions
Communicate the Plan of Care

Question 2

What is Initial Planning?

Answer 2

Performed by the nurse with the admission nursing history and physical assessment. Comprehensive plan addresses each problem listed in the prioritized nursing diagnoses and identifies appropriate patient goals and the related nursing care.

Question 3

What is Ongoing Planning?

Answer 3

Carried out by any nurse who interacts with the patient. Chief purpose is to keep the plan up to date

Question 4

What is Discharge Planning?

Answer 4

Best carried out by the nurse who has worked most closely with the patient and family, possibly in conjunction with a nurse or social worker with a broad knowledge of existing community resources.

Question 5

Five Maslows Hierarchy Human Needs?

Answer 5

Physiologic Need s–> Safety Needs –> Love and Belonging Needs -> Self-Esteem Needs -> Self-Actualization Needs

Question 6

Four Types of Outcomes?

Answer 6

Cognitive
Psychomotor
Affective
Physiologic

Question 7

What is a Cognitive Outcome?

Answer 7

Increase in patients knowledge or intellectual behaviors

Question 8

What is a Psychomotor Outcome?

Answer 8

Patients achievement of new skills

Question 9

What is aAffective Outcome?

Answer 9

Changes in patients values, beliefs, and attitudes

Question 10

What is Physiologic Outcomes?

Answer 10

Physical changes in the patient

Question 11

A Formal Plan of Care Allows the Nurse To

Answer 11

Individualize care that miaximizes outcome achievement
Set Priorites
Facilitate communication among nursing personnel
Promote continuity of high-quality; cost-effective care

Question 12

Outcome Identification, Planning, and Clinical Reasoning

Answer 12

Be familar with standards and agency policies for setting priorities, identifying, and recording expected patient outcomes
Remember that the goal of patient centered care is ot keep the patient and patients interests and preferences central in every aspect.

Question 13

Three elements on comprehensive planning?

Answer 13

Initial
Ongoing
Discharge

Question 14

Prioritizing Nursing Diagnoses

Answer 14

High Priority: Greatest Threat to patient well being
Medium Priority: Nonthreatening Disease
Low Priority: Diagnoses not specifically related to current health problem

Question 15

Clinical Reasoning and Establishing Priorities

Answer 15

What problems need immediate attention adn which ones can wait?
Which problems are your responsibility and which do you need to refer to someone else?
Which problems can be dealt with by using standard plans

Question 16

Long Term Outcomes

Answer 16

Long-Term outcomes require longer period to be achieed and may be used as discharge goals

Question 17

Short-Term Outcomes

Answer 17

May be accomplished in a specified period of time

Question 18

What are the categories of outcomes?

Answer 18

Cognitive, Psychomotor, Affective

Question 19

What are the parts of a measurable outcome?

Answer 19

Subject (Pt), Verb (What are they doing), Condition(Condition to achieve outcome), Performance Criteria (How measurable will they perform), Target Time (Time Specific)

Question 20

Measurable outcome example

Answer 20

Pt (1) O2 (2) stats will be > 92% (3) within 30 minutes of ordered treatment (5)

Question 21

How to remember all parts of measureable outcome?

Answer 21

SMART

Specific, Measurable, Attainable, Realistic, Time-Bound

Question 22

Common Errors in Writing Patient Outcomes

Answer 22

Expressing patient outcome as nursing intervention
Using verbs that are not observable or measurable
Including more than one patient behavior or manifestation in short-term outcomes
Writing vague outcomes

Question 23

Types of Nursing Interventions

Answer 23

Nurse-Initiated
Physician-Initiated
Collaborative

Question 24

What is a nursing intervention?

Answer 24

Any treatment based upon clinical judgement and knowledge that a nurse performs to enhance patient/client outcomes

Question 25

What is a Nurse-Initiated Intervention

Answer 25

An autonomous action based on scientific rationale that a nurse executed to benefit the patient in a predictable way related to the nursing diagnosis and projected outcomes

Question 26

What is a Physician-Initiated Intervention?

Answer 26

When an interveention is initiated by a physician in response to a medical diagnosis but is carried out by a nurse in response to a doctors order

Question 27

What is a Collaborative Nursing Intervention?

Answer 27

Nurses that carry out treatments initiated by other providers such as pharmacists, respiratory therapists, or physician assistants

Question 28

What is a nursing care plan?

Answer 28

The written guide that directs the efforts of the nursing team working with the patient to meete his or her health goals. Specifies nursing diagnosis, outcomes, and associated nursing interventions

Question 29

Types of institutional Plans of Care

Answer 29

``` Computerized Plans of Care Concept Map Plans of Care Change of Shift Reports Multidisciplinary Plans of Care Student Plans of Care ```

Question 30

What is a Concept Map Care Plan?

Answer 30

Diagram of patient problems and interventions.

Question 31

Five Steps in the Nursing Process?

Answer 31

Assessing -> Diagnosing -> Outcome Identification and PLanning -> Implementing -> Evaluating

Question 32

Steps in Concept Mapping?

Answer 32

1. Develop a basic skeleton diagram 2. Analyze and Categorize Data 3. Analyze Nursing Diagnoses Relationships 4. Identify goals, outcomes, and interventions 5. Evaluate patients responses