Planning client outcomes

Question 1

what are the two types of planning

Answer 1

formal and informal

Question 2

what is formal planning

Answer 2

Formal planning is a conscious, deliberate activity involving decision making, critical thinking, and creativity”

Question 3

what is informal planning

Answer 3

Making mental notes or plans

Question 4

what is initial planning

Answer 4

Begins with first client contact
Written as soon as possible after initial assessment
Development of the initial comprehensive care plan

Question 5

what is ongoing planning

Answer 5

Changes made in the plan as you evaluate the client’s responses to care

Question 6

what is discharge planning

Answer 6

Planning for self-care and continuity of care after client leaves health-care setting
Begins with initial assessment
All clients need discharge planning
Requires collaboration

Question 7

what is a comprehensive nursing care plan

Answer 7

the central source of information needed to
Guide holistic, goal-oriented care
Address each client’s unique needs

Question 8

why is a written nursing care plan so important

Answer 8

Ensures care is complete
Provides continuity of care
Promotes efficient use of nursing efforts
Provides a guide for assessing and charting
Meets requirements of accrediting agencies

Question 9

what is contained in the comprehensive nursing care plan

Answer 9

Basic needs and activities of daily living
Medical/multidisciplinary treatment
Nursing diagnoses and collaborative problems
Special discharge needs or teaching needs

Question 10

what are unit standards of care

Answer 10

General guides; describe the care that nurses are expected to provide for all clients in defined situations

Question 11

what are standardized care plans

Answer 11

Detail nursing care for a particular nursing diagnosis; for all nursing diagnoses that commonly occur with a certain medical condition

Question 12

what are critical pathways

Answer 12

Outcome-based, interdisciplinary plans that sequence client care based on case type

Question 13

what is an individualized nursing care plan

Answer 13

Used to address nursing diagnoses unique to a particular client

Question 14

what is a computerized care plan

Answer 14

Enter diagnosis or desired outcome
Computer generates list of suggested interventions
Choose appropriate interventions
Individualize by typing in own interventions as needed

Question 15

process for writing an individualized nursing care plan

Answer 15

Make a working problem list
Decide which problems can be managed with standardized care plans or critical pathways
Individualize the standardized plan as needed
Transcribe medical orders to appropriate documents

Question 16

what are client goals

Answer 16

Describe the changes in client health status you hope to achieve

Question 17

what are client outcomes

Answer 17

Those that can be influenced by nursing interventions

Question 18

what are long-term goals

Answer 18

To be achieved over a longer period of time (week, month, or more)

Question 19

what are short term goals

Answer 19

To be achieved within a few hours or days

Question 20

what are the components of a goal statement

Answer 20

Subject 
Action
Performance criteria 
Target time
Special conditions

Question 21

how do goals relate to nursing diagnosis

Answer 21

Expected outcomes derive directly from the nursing diagnosis
Problem statement describes the response/health status to be changed
Desired outcome states the opposite of the problem response

Question 22

what are non-essential goals

Answer 22

derive from the etiology

Question 23

what are essential goals

Answer 23

derive from the problem

Question 24

for every nursing diagnosis you must state

Answer 24

one goal that, if achieved, would demonstrate resolution or improvement of the problem.

Question 25

what is standardized terminology for outcomes

Answer 25

ANA has approved several standardized vocabularies for describing client outcomes

Question 26

what are teaching objectives

Answer 26

Describe what the client is to learn
Describe the behaviors that will demonstrate learning
State whether learning is to be cognitive, psychomotor, or affective