module 9: implementing & evaluating

Question 1

purpose of implementation

Answer 1

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

Question 2

Alfaro’s rule

Answer 2

assess, reassess, revise, record

Question 3

direct intervention

Answer 3

intervention performed with interaction with patient; nurse is physically in room and involved in intervention

Question 4

indirect intervention

Answer 4

intervention performed away from patient but on behalf of pt.

Question 5

protocols

Answer 5

written plans that detail nursing activities to be done based on pt. condition; can start these interventions without provider

Question 6

standing orders

Answer 6

nurse may initiate actions that normally require a provider order

Question 7

care bundles

Answer 7

set of evidence based practices from institute for health improvement that improve pt. outcomes; best practice for a situation; based on what the pt. has, not their diagnosis, ex. feeding tube, catheter, ect.

Question 8

motify nursing interventions based on,

Answer 8

developmental and psychosocial background, ability and willingness to participate, responses to previous nursing measures and progress toward goal achievementc

Question 9

common reasons for noncompliance

Answer 9

lack of family support,
lack of understanding about the benefits,
low value attached to outcome,
adverse effects of treatment,
inability to afford or access treatment

Question 10

delegation

Answer 10

transfer of responsibility for the performance of an activity to another person while retaining accountability for the outcome

Question 11

do not delegate:

Answer 11

assessment, planning, interpreting data

Question 12

five rights of delegation

Answer 12

right task, right circumstances, right person, right directions and communication, right supervision and evaluation

Question 13

plan after evaluating

Answer 13

terminating, continuing, or modifying the plan

Question 14

4 types of outcomes

Answer 14

cognitive, psychomotor, affective, physiologic

Question 15

cognitive outcome

Answer 15

increase in pt. knowledge; ask pt. to repeat information or apply knowledge

Question 16

psychomotor outcome

Answer 16

patient’s achievement of new skills; asking pt. to demonstrate new skill

Question 17

affective outcome

Answer 17

changes in pt. values, beliefs and attitudes; observing pt. behavior and conversation; ex. change in worries or anxieties

Question 18

physiologic outcome

Answer 18

physical changes in the pt.; using physical assessment skill to collect and compare data

Question 19

factors that affect outcome

Answer 19

patient, RN, healthcare system