Fundamentals: Chapter 19

Question 1

When does implementation formally begin?

Answer 1

after the nurse develops a plan of care

Question 2

What is the purpose of interventions?

Answer 2

to achieve the goals and expected outcomes needed to support or improve the patient’s health status

Question 3

What is a nursing intervention?

Answer 3

any treatment based on clinical judgment and knowledge that a nurse performs to enhance patient outcomes

Question 4

What are the two types of interventions?

Answer 4

Direct care

Indirect care

Question 5

What kind of interventions are treatments performed through interactions with patients?

Answer 5

Direct care interventions

Question 6

What kind of interventions are treatments performed away from the patient but on behalf of the patient or group of patients?

Answer 6

Indirect care interventions

Question 7

What are the 7 domains of nursing practice?

Answer 7

1. The Helping Role
2. The Teaching-Coaching Function
3. The Diagnostic & Patient-Monitoring Function
4. Effective Management of Rapidly Changing Situations
5. Monitoring and Ensuring the Quality of Health Care Practices
6. Organizational and Work-Role Competencies

Question 8

What is the term for a systematically developed set of statements that helps nurses, physicians, and other health care providers make decisions about appropriate health care for specific clinical situations?

Answer 8

clinical practice guidelines or protocol

Question 9

What is the term for a preprinted document containing orders for the conduct of routine therapies, monitoring guidelines, and/or diagnostic procedures for specific patients with identified clinical problems?

Answer 9

standing order

Question 10

Who approves and signs standing orders?

Answer 10

Licensed prescribing health care providers in charge of care at the time of implementation

Question 11

What are the 8 purposes of NICs

Answer 11

Standardization of nomenclature

Expanding nursing knowledge

Developing nursing/health care information systems

Teaching decision making

Determining cost

Planning resources

Communication language

Link classification systems

Question 12

What are the 4 preparatory activities for the implementation process?

Answer 12

reassessing the patient

reviewing and revising the existing nursing care plan

organizing resources and care delivery

anticipating and preventing complications

Question 13

What does the reassessment usually focus on?

Answer 13

One primary nursing diagnosis OR one dimension of the patient OR one body system

Question 14

What are the 4 steps to modifying an existing written care plan?

Answer 14

1. Revise data
2. Revise nursing Dx
3. Revise specific interventions
4. Choose method of evaluation of outcomes

NOTE: date any changes to care plan

Question 15

What is the term for a physical care technique that you use when a patient’s physiological state is threatened?

Answer 15

lifesaving measure

Question 16

What is the term for a direct care method that helps a patient use a problem-solving process to recognize and manage stress and facilitate interpersonal relationships?

Answer 16

counseling

Question 17

What are 5 examples of counseling strategies?

Answer 17

Behavior modification

Bereavement counseling

Relaxation exercises

Crisis intervention

Play therapy

Question 18

When is teaching especially important?

Answer 18

with patients who are inexperienced and being asked to manage health problems that they are facing for the first time

Question 19

What is the term for a harmful or unintended effect of a medication, diagnostic test, or therapeutic intervention?

Answer 19

adverse reaction

Question 20

What is the term for actions that promote health and prevent illness to avoid the need for acute or rehabilitative health care?

Answer 20

preventative nursing actions

Question 21

What is patient adherence?

Answer 21

patients and families invest time in carrying out required treatments