PLANNING, IMPLEMENTATION, EVALUATION

Question 1

3 types of planning

Answer 1

initial, ongoing, discharge

Question 2

the planning process (4)

Answer 2

• setting priorities
• establishing client goals or desired outcomes
• selecting nursing interventions
• writing individualized nursing intervention on care plans

Question 3

life-threatening problems

Answer 3

high priority

Question 4

health- threatening problems, i.e. acute illness and decreased coping ability because they may result in delayed development or cause destructive physical or emotional change

Answer 4

medium priority

Question 5

arise from normal developmental needs or that requires only minimal nursing support

Answer 5

low priority

Question 6

3 guides for setting priorities

Answer 6

• hierarchy of needs
• ABCs
• life preservation

Question 7

describes a change in the patient’s health status or functioning

Answer 7

goal

Question 8

outcomes in patient’s status or behavior that can be achieved fairly quickly in a matter of hours or days

Answer 8

short term goals

Question 9

• give direction for nursing care over time, usually more than a week.
• often used for clients who have chronic health problems

Answer 9

long term goals

Question 10

goals should be SMART, what does smart stand for?

Answer 10

• specific
• measurable
• attainable
• realistic
• time bounded

Question 11

the goal statement is a patient behavior that demonstrates reduction of the problem identified in the nursing diagnosis

Answer 11

specific

Question 12

write goals in observable or measurable terms whenever possible

Answer 12

measurable

Question 13

all goals include a time at which point the patient is to be evaluated for goal achievement

Answer 13

time bounded

Question 14

formula for writing a goal statement

Answer 14

• patient’s behavior
• criteria of performance
• time
• conditions

Question 15

an observable activity that the patient will demonstrate

Answer 15

patient’s behavior

Question 16

the level at which the patient will perform the behavior

Answer 16

criteria of performance

Question 17

designated time or date when the patient should be able to achieve the behavior

Answer 17

time

Question 18

the circumstances, if important, under which the behavior will be performed

Answer 18

condition

Question 19

activities the nurse plans and implement to help a patient achieve identified goal

Answer 19

nursing interventions

Question 20

any treatment based on clinical judgment and knowledge that the nurse performs to enhance patient outcomes

Answer 20

nursing interventions

Question 21

involves carrying out actions that nurses initiate without the direction or supervision of another health care professional and that the result from their assessment of patient needs

Answer 21

independent / nurse-initiated interventions

Question 22

involves carrying out physician prescribed orders which commonly direct the nurse to provide medications, IV therapy, diagnostic tests, treatments, diets, and activity

Answer 22

dependent / physician-initiated interventions

Question 23

actions that the nurse carries out in collaboration with other health team members, such as physical therapists, social workers, dieticians, and physicians; those performed jointly by nurses and other members of the health care team

Answer 23

interdependent / collaborative interventions

Question 24

components of nursing intervention (3)

Answer 24

PDx - diagnostics
PTx - therapeutics
PEd - education / health teaching

Question 25

• putting the nursing care plan into action to achieve the expected outcome
• doing phase of the nursing process

Answer 25

implementation

Question 26

components of nursing implementation (4)

Answer 26

• giving
• delegating
• documenting and validating
• continuing

Question 27

completion of the implementing phase

Answer 27

documenting

Question 28

true or false: routine or recurring activities may be recorded at the end of a shift

Answer 28

true

Question 29

• a planned, ongoing, purposeful activity
• determining the client’s response to nursing interventions using the goals of care as criteria whether they were met, partially met, or not met

Answer 29

evaluation

Question 30

the client’s response is the same as the desired outcome

Answer 30

goal met

Question 31

either the short term goal was achieved but the long term goal was not, or the desired outcome was only partially attained

Answer 31

goal partially met