Nursing Process - 3

Question 1

Types of Outcomes

Answer 1

Expected outcome
Predicted outcome
Outcome criterion
Objective

Question 1

• Nurses hope to achieve by implementing nursing interventions

Answer 1

Goals or desired outcomes

Question 2

are broad statements of client status

Answer 2

Goals

Question 3

___ outcomes as more specific, observable criteria used to evaluate whether the goals have been met



Answer 3

Desired

Question 4

For a client who requires health care for a short time usually achieved in less than one week

Answer 4

Short term goal

Question 5

Are often used for clients who have a chronic health problem usually take more than one to two weeks to achieve

Answer 5

Long term goal

Question 6

are any treatments, that a nurse performs to improve a patient’s health

Answer 6

Nursing interventions

Question 7

are those activities that nurses are licensed to initiate on the basis of their knowledge and skills.

Answer 7

Independent interventions

Question 8

Examples of Independent interventions

Answer 8

Teaching
Physical care
Counseling
Emotional support
Ongoing assessment
Making referrals to another healthcare professional

Question 9

Purposes of desired goals and outcomes

Answer 9

• Provide direction for planning nursing interventions
• Serve as a criterion for evaluating client progress
• Enable the client and nurses to determine when the problem has been resolved
• Help to motivate the client and nurse by providing a sense of achievement

Question 10

Dependent interventions are activities carried out under the orders or supervision of a licensed physician.

Answer 10

• Medications
• Treatments
• Intravenous therapy
• Diagnostic tests
• Diet and activity

Question 11

___ interventions are actions the nurse carries out in collaboration with other health team members
Refer to dietitian

Answer 11

Collaborative

Question 12

It is a comprehensive standardized classification of interventions that nurses perform.

Answer 12

Nursing intervention classification (NIC) taxonomy

Question 13

Four classification systems have been recognized by the ANA

Answer 13

The North American Nursing Diagnosis Association -NANDA
Home Health Care Classification.
The Omaha System
Nursing Interventions Classification

Question 14

When selecting an intervention 6 factors should be considered:

Answer 14

1. The desired patient outcome
2. Characteristics of the Nursing Diagnosis
3. Research Base for the Intervention
4. Feasibility for Performing the Intervention
5. Acceptability to the Patient
6. Compatibility of the nurse

Question 15

is a planned, ongoing, purposeful activity in which clients and health care professionals determine
a) The client’s progress toward the achievement of goals and outcomes
b) The Effectiveness of the nursing care plan
c) Conclusions can be drawn about whether goals have been met
d) Data must be recorded concisely and accurately to facilitate the next part of the evaluating process

Answer 15

Evaluating

Question 16

Evaluating
is a planned, ongoing, purposeful activity in which clients and health care professionals determine the following:

Answer 16

a) The client’s progress toward the achievement of goals and outcomes
b) The Effectiveness of the nursing care plan
c) Conclusions can be drawn about whether goals have been met
d) Data must be recorded concisely and accurately to facilitate the next part of the evaluating process

Question 17

Both the nurse and client play an active role in comparing the clients actual responses with the desired outcome

Question 18

Three possible conclusions for desired outcomes:

Answer 18

The goal was met
The goal was partially met
The goals was not met