fundamentals- chapter 6

Question 1

implementation

Answer 1

• follows assessment, nursing diagnosis, and planning
• nursing interventions (or orders) are carried out

Question 2

priority setting

Answer 2

• change-of-shift report should give clues as to the priority of each action to be implemented
• priorities of care may need to be altered if patient’s condition becomes more acute

Question 3

considerations for care delivery

Answer 3

before carrying out specific interventions listed on the plan of care, identify:
- reason for the intervention
- rationale for the intervention
- usual standard of care
- expected outcome
- potential dangers

some interventions may require an independent nursing action (not requiring a physician’s order)
- check the facility’s policy

Question 4

interdisciplinary care

Answer 4

• it is important to know who is an expert in what
• utilize your resources
• nursing is a TEAM effort
• ask questions

Question 5

implementing care

Answer 5

• employees and students expected to perform at standard of care listed in the procedure manual
• for efficient time use, consider which interventions for a patient can be combined

Question 6

implementation in long-term care

Question 7

implementation in home health care

Question 8

documentation of the nursing process

Answer 8

• ## each intervention must be documented in the patient’s chart

Question 9

evaluation

Answer 9

• based on NFLNP standard 4C
• once interventions have been implemented, they must be evaluated for effectiveness in reaching the patient’s goals or outcomes
• patient should provide feedback on whether expected outcome has been met

Question 9

evaluation

Answer 9

• based on NFLNP standard 4C
• once interventions have been implemented, they must be evaluated for effectiveness in reaching the patient’s goals or outcomes
• patient should provide feedback on whether expected outcome has been met

Question 10

evaluation in long-term care and home health care

Question 11

revision of the nursing care plan

Question 12

quality improvement

Question 13

constructing a nursing care plan

Answer 13

• RN constructs the initial nursing care plan
• if patient is admitted to a long-term facility when RN is not available, LPN may assemble a preliminary nursing care plan that an RN will review and validate as needed the next day
• students must be prepared to care for the patient. a nursing care plan for their assigned patients provides that information

Question 14

constructing a nursing care plan

Answer 14

• collect
• analyze
• choose
• rank
• plan