Planning

Question 1

An intentional, systematic phase of the nursing process that involves decision-making and problem-solving.

Answer 1

Planning

Question 2

Any treatment, based upon clinical judgement and knowledge, that a nurse performs to enhance patient/client outcomes.

Answer 2

Nursing Intervention

Question 3

• The nurse performs the admission assessment
• Should be initiated as soon as possible after the initial assessment

Answer 3

Initial Planning

Question 4

• The nurse works with the client
• The nurse obtains new information and evaluate the client’s responses to care
• Occurs at the beginning of a shift as the nurse plans the care to be given that day

Answer 4

Ongoing Planning

Question 5

Using ongoing assessment data, the nurse carries out daily planning for the following purposes:

1. To determine whether the client’s __________ has changed
2. To set _________ for the client’s care during the shift
3. To decide which __________ to focus on during the shift
4. To coordinate the __________ so that more than one problem can be addressed at each client contact

Answer 5

(1) health status
(2) priorities
(3) problems
(4) nurse’s activities

Question 6

• The process of anticipating and planning for needs after discharge
• Crucial part of a comprehensive healthcare plan and should be addressed in each client’s care plan

Answer 6

Discharge Planning

Question 7

• A strategy for action that exists in the nurse’s mind
• “Mrs. Phan is very tired. I will need to reinforce her teaching after she is rested.”

Answer 7

Informal Nursing Care Plan

Question 8

• A written or computerized guide that organizes information about the client’s care
• Provides for continuity of care

Answer 8

Formal Nursing Care Plan

Question 9

• Is a formal plan that specifies the nursing care for groups of clients with common needs
• e.g., all clients with myocardial infarction

Answer 9

Standardized Care Plan

Question 10

• Tailored to meet the unique needs of a specific client
• Needs that are not addressed by the standardized plan

Answer 10

Individualized Care Plan

Question 11

During the planning phase, the nurse must:

(a) Decide which of the client’s problems need (1) __________ which problems can be addressed by standardized plans and routine care
(b) Write (2) __________ and nursing interventions for client problems that require nursing attention beyond preplanned, routine care

Answer 11

(1) individualized plans
(2) individualized desired outcomes

Question 12

Standards of care, standardized care plans, protocol, policies, and procedures are developed and accepted by the nursing staff in order to:

(a) Ensure that (1) __________ are met
(b) Promote efficient use of nurses’ (2) __________ by removing the need to author _________ done repeatedly on clients

Answer 12

(1) minimially acceptable criteria
(2) time / common activities

Question 13

• Describe nursing actions for clients with similar medical conditions rather than individuals
• Describe achievable rather than ideal nursing care

Answer 13

Standards of Care

Question 14

TRUE OR FALSE
The standards of care do not contain medical interventions

Answer 14

TRUE

Question 15

Standards of care are written from the perspective of the nurse’s __________

Answer 15

responsibilities

Question 16

• Are predeveloped guides for the nursing care of a client who has a need that arises frequently in the agency
• Are written from the perspective of what care the client can expect

Answer 16

Standardized Care Plans

Question 17

• Are predeveloped to indicate the actions commonly required for a particular group of clients
• Include both the primary care provider’s orders and nursing interventions

Answer 17

Protocols

Question 18

• Are developed to govern the handling of frequently occuring situations
• Do not become part of the care plan or permanent record

Answer 18

Policies and Procedures

Question 19

• A written document about policies, rules, regulations, or orders regarding client care
• Give nurses authority to carry out specific actions under certain circumstances, often when a primary care provider is not presently available

Answer 19

Standing Order

Question 20

The nurse uses (1) __________ for predictable, commonly occuring problems, and creates an (2) __________ for unusual problems

Answer 20

(1) standardized care plans
(2) individualized plan

Question 21

The care plan is often organized into four sections:
1. __________
2. __________
3. __________
4. __________

Answer 21

(1) Problem or nursing diagnoses
(2) Goals or desired outcomes
(3) Nursing interventions
(4) Evaluation

Question 22

Is the evidence-based principle given as the reason for selecting a particular nursing intervention

Answer 22

Rationale

Question 23

A visual tool in which ideas or data are enclosed in circles or boxes of some shape, and relationships between these are indicated by connecting lines or arrows

Answer 23

Concept Map

Question 24

• Is a standardized care plan that outlines tha care required for clients with common, predictable (usually medical) conditions
• Includes both nursing interventions and medical treatments

Answer 24

Multidisciplinary Care Plan / Collaborative Care Plans / Critical Pathways