Outcome Identification And Planning. (ch 14)

Question 0

Goal

Answer 0

Aim or an end

Question 1

Outcome Identification and Planning

Answer 1

• Establish priorities.
• Identify and write expected patient outcomes.
• Select evidence-based nursing interventions.
• Communicate the plan of nursing care.

Question 2

Patient outcomes

Answer 2

An expected conclusion to a patient health problem, or in the event of the wellness diagnosis- an expected conclusion you patient’s health expectations.

Question 3

Expected outcomes

Answer 3

Measurable criteria used to evaluate the extent to which a goal has been met.

Question 4

Initial planning

Answer 4

Developed by the nurse who performs the admission nursing history and physical assessment.
Addresses each problem listed in the prioritized nursing diagnoses and identifies appropriate patient goals and the related nursing care.

Question 5

Standardized care plans

Answer 5

Prepared plans of care that identify the nursing diagnosis, outcomes, and related nursing interventions common to a specific population/health problem

Question 6

Ongoing planning

Answer 6

Keeps the plan up to date to facilitate the resolution of health problems, manage risk factors, and promote function.

Carried out by the nurse who interacts with the patient.

Question 7

Discharge planning

Answer 7

Begins when the patient is admitted for treatment.
Nurse uses teaching and counseling skills effectively to help the patient/family carry out self care behaviors at home competently

Question 8

Establishing priorities

Answer 8

High: life threatening
Medium: non life threatening
Low: not specifically related to the current health problems.

Question 9

Maslow’s Hierarchy of Needs

Answer 9

1. Physiologic needs
2. Safety needs
3. Love and belonging
4. Self esteem needs
5. Self actualization needs

Question 10

Nursing Outcomes classification

Answer 10

Describes the patient outcomes that are responsive to nursing interventions.

Question 11

Nursing intervention

Answer 11

Any treatment based on clinical judgement and knowledge that a nurse performs to enhance patient outcomes

Question 12

Nursing intervention classification. NIC

Answer 12

List of nursing interventions applicable to all settings that can be used by nurses in multiple specialties and facilitates the work of identifying appropriate interventions.

Question 13

Consultation

Answer 13

Two or more individuals with varying degrees of experience and expertise discuss problems and solutions - often proves helpful

Question 14

Plan of nursing care

Answer 14

Written guide that directs the efforts of the nursing team as nurses work with patients to meet their health goals.

Specifies nursing diagnoses, outcomes, and associated nursing interventions.

Question 15

Kardex care plan

Answer 15

Nursing care plan that specifies the nursing diagnosis or health problems and related outcomes of nursing interventions.
Stored in a central Kardex file and eventually placed in patients record.

Question 16

Benefits of : Computerized plans of care

Answer 16

Ready access to large knowledge base, improved record keeping, documentation by all healthcare team with printouts for the patient’s record and for change of shift reports.

Question 18

Clinical pathways. aka CareMaps

Answer 18

Tools used in case management to communicate the standardized, interdisciplinary plan of care for patients.
Clearly states expected patient outcomes and the specific reasonable times

Question 19

Formal plan of care allows nurses to:

Answer 19

individualize care that maximizes outcome achievement
set priorities
facilitate communication among nursing personnel and their colleagues
promote continuity of high quality, cost effective care
coordinate care
evaluate the patient’s responses to nursing care
create a record that can be used for evaluation, research, reimbursement, and legal purposes
promote the nurse’s professional development

Question 20

informal planning

Answer 20

link between identifying a patient’s strength or problem and providing an appropriate nursing response

Question 21

Nursing’s broad aims

Answer 21

promote wellness
prevent disease and illness
promote recovery
facilitate coping with altered functioning

Question 22

In acute care, three basic stages of planning

Answer 22

initial, ongoing, discharge

Question 23

Outcomes are derived from?

Answer 23

problem statement of nursing diagnosis

Question 24

Following factors should be considered when selecting outcomes:

Answer 24

type of health concern
nursing or medical diagnoses and health problems 
patient characteristics
patient resources
patient preferences
patient capacities
treatment potential

Question 25

Institute of Medicine in its report “Crossing the Quality Chasm” highlights six aims to be met by healthcare system with regard to quality of care

Answer 25

safe
effective
patient centered
timely
efficient 
equitable

Question 26

Cognitive outcomes

Answer 26

describe increases in patient knowledge or intellectual behaviors

Question 27

Psychomotor outcomes

Answer 27

describe the patient’s achievement of new skills

Question 28

Affective outcomes

Answer 28

describe changes in the patient’s beliefs, values, and attitude

Question 29

To be measurable, outcomes should have the following

Answer 29

subject, verb, conditions, performance criteria, target time

Question 30

Nurse-initiated intervention

Answer 30

an autonomous action based on scientific rationale that a nurse executes to benefit the patient in a predictable way related to the nursing diagnosis and projected outcomes

Question 31

Nursing interventions are actions preformed by the nurse to:

Answer 31

monitor health status
reduce risk
resolve, prevent, or manage a problem
facilitate independence or assist with activities of daily living
promote optimal sense of physical, psychological, and spiritual well being

Question 32

Nursing-initiated interventions do not need a physician’s order. TRUE OR FALSE

Answer 32

TRUE

Question 33

Each nursing intervention should include

Answer 33

Date, verb, subject, descriptive phase

Question 34

Evaluative statements include?

Answer 34

a statement about achievement of the desired outcome and list actual patient behavior as evidence supporting the statement

Question 35

Nursing care related to basic human need

Answer 35

the plan should concisely communicate to caregivers the data about the patient’s usual health habits and patterns obtained during the nursing history, that are needed to direct daily care

Question 36

Nursing care related to nursing diagnosis

Answer 36

the plan contains outcomes and nursing interventions for every nursing diagnosis, as well as a place to note the patient’s responses to care

Question 37

Nursing care related to the medical and interdisciplinary plan of care

Answer 37

the plan of care also records current medical orders for diagnostic studies and treatment and specified related nursing care

Question 38

Concept map care plan

Answer 38

diagram of patient problems and interventions. ideas about the patient problems and treatments are the concepts that are diagrammed