Sherpath Ch 18: Generate Solutions

Question 1

fourth step of the Clinical Judgment Measurement Model

Answer 1

generate solutions. This step is critical in developing a patient-centered plan of care that promotes the highest level of health and wellness possible for the patient
-component of layer 3 and supports the layer 2 function of refining hypotheses

Question 2

To generate solutions, the nurse will

Answer 2

-Consider a variety of patient care options as part of the clinical decision-making process.
-Connect previously identified and prioritized patient needs to potential courses of action (the plan of care).
-Consider goals and expected outcomes that are possible for the patient.
-Identify nursing interventions that are appropriate for the individual patient’s unique situation.

Question 3

The nurse should consider several factors when establishing goals and outcomes, such as

Answer 3

-Best available clinical evidence
-Patient’s values, expectations, and physical condition
-Collaborative approaches to care, including family participation
-Health care team’s clinical expertise

Question 4

There are two basic tasks the nurse must complete when generating solutions

Answer 4

-Identify expected outcomes using hypotheses
-Define interventions for the expected outcomes

Question 5

To accomplish these tasks, there are three questions the nurse should ask

Answer 5

What are the desired outcomes for the patient related to the hypotheses, or identified patient problems?

What interventions can help the patient achieve those outcomes?

What interventions are contraindicated and should be avoided to promote safety and prevent further complications?

Question 6

Nurses should develop goals and outcome statements using

Answer 6

the acronym SMART (specific, measurable, attainable, realistic, timed)

Question 7

Selection of interventions involves

Answer 7

-Critical-thinking skills to make clinical decisions
-Application of the best evidence for the patient’s situation
-Consideration of individualized patient needs
-Cultural considerations

Question 8

Nurses consider a variety of factors when selecting interventions:

Answer 8

-Patient safety
-Patient preference
-Etiology, or cause, of the patient problem
-Evidence (scientific literature, standards, policies, guidelines)
-Potential for achievement of the goals and outcomes
-Expertise and competence of health care team members