week 3 planning Flashcards
what are the classifications of priooritites
high
intemediate
low
when do the order of priorities change
as the patients condition changes
what does patient centered care require you to know
a patients preferences, values, and expressed needs
what kind of care is a part of priority setting
ethical care
what are some goals in the planning process
a broad statement that describes the desired change in a patients condition or behavior
what are some expected outcomes in the planning process
measurable criteria to evaluate goal achievments
what is a patient centered goal
a speciific and measurable behavior or response that reflects a patients highest possible level of wellness an independence in function
what is a short term goal
an objective behavior r response expected within hours to a week
what is a long term goal
an objective behavioir or response expected within days, weeks or months
who do you partner with when setting goals
the patients
what is a nursing sensitive patient outcome
a measurable patient, family or community state behavior or perception largely influenced by and sensitive to nursing interventions
what are the 7 guidelines for writing goals
patient centered singular goal or outcome measurable mutual factors observable time limited realistic
a patient is suffering from shortness of breath the correct goat statement would be written as:
A. The patient will be comfortable by the morning.
B. The patient will breathe unlabored at 14 to 18 breaths per minute by the end of the shift.
C. The patient will not complain of breathing problems within the next 8 hours.
D. The patient will have a respiratory rate of 14 to 18 breaths per minute.
B
what are the types of interventions
nurse intiated
physician intitatited
collaborative
what to do when clarifying an order
do not automatically implement the therapy, but determine whether it is appropriate for the patient,
the ability to recognized incorrect therapies is particularly important when administering medication or procedures
Fulmala develops Ms. Skyfall’s plan of care, including writing the goals and expected outcomes. Fulmala knows that the guidelines for writing goals and expected outcomes include which of the following? (Select all that apply.) A. Measurable B. Time-limited C. Observable D. Diagnostic E. Realistic
measurable, time limited, observable, realistic
what are 6 factors to consider when selecting interventions
characteristics of nursing diagnosis goals and expected outcomes evidence base for interventions feasibility of the interventions acceptiablity to the patient nurse competency
what is the NIC
nursing interventions classificaiton
what does the NIC model include
domains, classes and interventions for ease of use
what is the nursing care plan
nursing diagnoses, goals and expected outcomes and nursing interventions and a section for evaluation finding so any nurse is able to quickly identify a patients clinical needs and situation
what is interdisciplinary care plan
contributions from all disciples involved in patient care
what is change of shift
a critical time when nurses collaborate and share important information that ensures the continuous of care for a patients and prevents errors or delays in providing nursing interventions
what are critical pathways
are patients care plans that provide the multidisciplinary health care team with activities and task to be put into practice sequentially
what is the main purpose of critical pathways
to deliver timely care at each phase of the care process for a specific type of patient
What are some examples of independent nursing interventions that Fulmala may develop for Ms. Skyfall? (Select all that apply.) A. Medication administration B. Medication teaching C. Patient positioning D. Family teaching
meidcation teaching, patient positioning, family teaching
when and how to consult
when the exact problem remains unclear
Fumala works with the nutritionist to develop a meal plan for Ms. Skyfall.
True or False: Collaborative interventions are therapies that involve multiple health care professionals.
true