Planning

Question 1

Classification of priorities

Answer 1

High-emergent
Intermediate-non life threatening
Low- affect pts future well-being

Question 2

Establishing a preferential order for nursing interventions

Answer 2

urgency

Question 3

High classification example

Answer 3

safety, oxygen, adequate circulation

Question 4

Intermediate

Low example

Answer 4

p! depending on pt

health promotion, a potential

Question 5

Priority setting begins at

Answer 5

Holistic level when you identify & prioritize pts main diagnosis or problems

Question 6

Priorities in practice (8 things)

Answer 6

a. Experience & expertise of nurse
b. Pt acuity
c. Philosophies & models of care
d. Priority setting strategies & frameworks
e. Ward Organization
f. Nurse-pt relationship
g. Availability of resources
h. Interruptions from care providers

Question 7

Pts highest possible level of wellness & independence in function, based on needs, abilities, and resources

Answer 7

Patient-centered goal

Question 8

Measurable pt, family, or community state, behavior or perception largely influenced by & sensitive to nursing interventions

Answer 8

Nursing-sensitive patient outcome

Question 9

SMART

Answer 9

Specific
Measurable
Attainable
Realistic
Timed

Question 10

Example of Specific in SMART

Answer 10

“Patient will administer a self-injection by discharge”

Question 11

example of measurable in SMART

Answer 11

“Apical pulse will remain between 60 and 100 beats/min”

Question 12

Measurable

Answer 12

Quality, quantity, frequency, length, or weight

Question 13

Short term goal

Long-term goal

Answer 13

within 12 hours

anything after 12 hours

Question 14

Nurses need to know

Answer 14

scientific rationale for intervention

Question 15

Type of interventions

Answer 15

Nurse-initiated
HC provider initiated
Collaborative

Question 16

Nurse-initiated intervention

Answer 16

aka independent
Actions that nurse initiates
Don’t require medical order
ADLs-bathing, ROM

Question 17

HC provider intitated

Answer 17

aka dependent
Requires order
Labs, Meds, Wound care

Question 18

Collaborative initiated intervention

Answer 18

aka interdependent

combo knowledge/skill of multiple hc professionals

Question 19

Initiated & collaborate interventions DO NOT

Answer 19

automatically implement the therapy-but determine whether its appropriate

Question 20

Six factors to consider for interventions

Answer 20

i. Desired pt outcomes
ii. Characteristics of the nursing diagnosis
iii. Research-based knowledge for intervention
iv. Feasibility of the interventions
v. Acceptability to the pt
vi. Nurse’s competency

Question 21

Gives the nurse the ability to quickly identify a pt’s clinical needs/situation

Answer 21

Nursing care plan

Question 22

contributions from all disciplines involved in pt care

Answer 22

interdisciplinary care plan

Question 23

Hand-off Reporting

Answer 23

transferring info to nurse prior to leaving shift

Question 24

Patient care plans that provide the multidisciplinary hc team with activities & tasks to be put into practice sequentially

Answer 24

Critical pathway

Question 25

Main purpose of critical pathways

Answer 25

deliver timely care at each phase of the care process for a specific type of pt

Question 26

Critical pathways are

Answer 26

the same for every patient
hip replacement-done every time)
kind of like standards

Question 27

Purpose of concept maps

Answer 27

help critically think & judgement skills

Question 28

Consultation occurs at

Answer 28

any step of nursing process