Exam 3: Chapter 17: Implementing

Question 1

Purpose of Implementing?

Answer 1

Help the patient achieve valued health outcomes, promote health, prevent disease and illness, restore health, and facilitate coping with altered functioning

Question 2

Clinical Reasoning and Implementing

Answer 2

Reassess the patient for changes in status that might dictate a different set of interventions
Be sure that research supports the interventions tyou have selected
Always monitor the patients responses
Assess, Reassess, Revise, Record

Question 3

What is a nursing intervention?

Answer 3

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

Question 4

Types of Nursing Interventions

Answer 4

Those providing direct and indirect care
Those aimed at individuals, family and community
Those for nurse-initiated and other provider-initated treatments

Question 5

What are direct care interventions?

Answer 5

Treatment performed through interaction with the patient

Question 6

What are indirect care interventions?

Answer 6

treatment performed away from the patient but on behalf of a patietn or a group of patients

Question 7

What is a community intervention?

Answer 7

targeted to promote and preserve the health of populations.

Question 8

Implementing the Care Plan

Answer 8

Determine the patients new or continuing need for assistance
Promote Self Care
Assist the patient to achieve valued health outcomes

Question 9

Implementing the PLan of Care

Answer 9

Reassessing the patient and reviwing the plan of care
Antipating unexpected outcomes/situaitons
Preventing erros and omissions
Promoting Self Care
Assisting patietns to meet outcomes

Question 10

Patient Variables Influencing Outcome Achievement

Answer 10

Developmental Stage

Psychosocial Background

Question 11

Nurse Variables Influencing Outcome Achievement

Answer 11

Resources
Current Standards of Care
Research Findings
Ethical and Legal Guides To Practice

Question 12

Common Reasons for Noncompliance

Answer 12

Lack of Family Support
Lack of Understanding about the benefits
Low Value attached to outcomes
Adverse physical or emotional effects of treatment
Inability to afford/limited access to treatment

Question 13

Essentials of Effective Delegation

Answer 13

Know your building policies
Be clear on difference between nursing process and nursing tasks
Know the training and background of unlicensed personnel
Know the patients needs
Have UAP repeat instructions
Take frequent mini-reports for the UAP