Jen ch 18

Question 1

planning

Answer 1

involves setting priorities, identifying patient-centered goals and expected outcomes, and prescribing individualized nursing interventions

Question 2

priority setting

Answer 2

the ordering of nursing diagnoses or patient problems using determinations of urgency and/or importance to establish a preferential order for nursing actions

Question 3

goal

Answer 3

a broad statement that describes a desired change in a patient’s condition or behavior

Question 4

expected outcome

Answer 4

a measurable criterion to evaluate goal achievement

Question 5

patient centered goal

Answer 5

reflects a patient’s highest possible level of wellness and independence in function

Question 6

short-term goal

Answer 6

an objective behavior or response that you expect a patient to achieve in a short time, usually less than a week

Question 7

long-term goal

Answer 7

an objective behavior or response that you expect a patient to achieve over a longer period, usually over several days, weeks, or months

Question 8

expected outcome

Answer 8

An expected outcome is a specific measurable change in a patient’s status that you expect to occur in response to nursing care

Question 9

nursing-sensitive patient outcome

Answer 9

a measurable patient, family or community state, behavior, or perception largely influenced by and sensitive to nursing interventions

Question 10

goal setting requirements

Answer 10

observable, measurable, time-limited, mutual factors (setting goal w/ patient - are they up for the goal), realistic

Question 11

nursing intervention

Answer 11

treatments or actions based on clinical judgment and knowledge that nurses perform to meet patient outcomes

Question 12

independent nursing interventions

Answer 12

actions that nurse initiates do not require order from another health care professional

Question 13

dependent nursing interventions

Answer 13

physician initiated; actions that require an order from a physician or another health care professional

Question 14

collaborative interventions

Answer 14

interdependent interventions, are therapies that require the combined knowledge, skill, and expertise of multiple health care professionals

Question 15

when choosing interventions six factors

Answer 15

(1) characteristics of the nursing diagnosis, (2) goals and expected outcomes, (3) evidence base (e.g., research or proven practice guidelines) for the interventions, (4) feasibility of the intervention, (5) acceptability to the patient, and (6) your own competency

Question 16

nursing care plan

Answer 16

includes nursing diagnoses, goals and/or expected outcomes, specific nursing interventions, and a section for evaluation findings so any nurse is able to quickly identify a patient’s clinical needs and situation

Question 17

interdisciplinary care plans

Answer 17

include contributions from all disciplines involved in patient care. The interdisciplinary plan is designed to improve the coordination of all patient therapies and communication among all disciplines

Question 18

critical pathways

Answer 18

patient care management plans that provide the multidisciplinary health care team with the activities and tasks to be put into practice sequentially (over time); their main purpose is to deliver timely care at each phase of the care process for a specific type of patient

Question 19

consultation

Answer 19

a process by which you seek the expertise of a specialist such as your nursing instructor, a physician, or a clinical nurse educator to identify ways to handle problems in patient management or the planning and implementation of therapies. The consultation process is important so all health care providers are focused on common patient goals