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Does a nurse establish priorities for the nurse's actions?
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What are some classifications of nursing priorities?
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Clin Ex 3 Week 8
Planning Nursing Care Chapter 18
| Question | Answer |
|---|---|
| Does a nurse establish priorities for the nurse's actions? | Yes. Ordering nursing diagnoses or patient problems uses determinations of urgency and/or importance to establish a preferential order for nursing actions. -Helps nurses anticipate and sequence nursing interventions |
| What are some classifications of nursing priorities? | Some Classifications of Nursing Priorities are: 1) High-Emergent 2) Intermediate 3) Low-Affect patients' future well-being |
| What are some characteristics of establishing nursing priorities? | Some characteristics of establishing nursing priorities are: 1) order of priorities changes as a patient's condition changes 2) beings a holistic level when you identify and prioritize a patient's main diagnoses or problems 3) patient-centered care requires the nurse to know a patient's preferences, values, and expressed needs 4) ethical care is a part of priority setting |
| Quick Quiz. Which of the following is a high-priority nursing diagnosis? A. Fatigue B. Stress Incontinence C. Impaired Gas Exchange D. Dysfunctional Grieving | |
| What is the definition of a nursing goal? | A goal is a broad statement that describes the desired change in a patient's condition or behavior. An aim, intent, or end |
| What is the definition of a nursing expected outcome? | A expected outcome is a measurable change that must be achieved to reach a goal. Many times, several must be met to meet a single goal. |
| What is the role of the patient in Goal/Outcome Settings? | The role of the patient in Goal/Outcome Settings is: a) Always partner with patients when setting their individualized goals b) Mutual goal setting includes the patient and family (when appropriate) in prioritizing the goals of care and developing a plan of action. c) act as a patient advocate. |
| What is a Patient-Centered Goal? | A Patient-Centered Goal is a patient's highest possible level of wellness and independence in function, based on patient needs, abilities, and resources. |
| What is a Nursing-Sensitive Patient Outcome? | A Nursing-Sensitive Patient Outcome is a measurable patient, family, or community state, behavior, or perception largely influenced by and sensitive to nursing interventions. |
| What is a Nursing Outcomes Classification (NOC)> | A Nursing Outcomes Classification (NOC) links outcomes to NANDA-I nursing diagnoses. |
| When a nurse writes Goals and Expected Outcomes for a patient what is the SMART acronym used? | SMART must be patient-centered and stands for: a) S Specific b) M Measurable c) A Attainable d) R Realistic e) T Timed |
| What is the definition of a Nursing Intervention? | Nursing Interventions are treatments or actions base don clinical judgment and knowledge that nurses perform to enhance patient outcomes. |
| What do Nurses need to know for Nursing Interventions? | Nurses need to know the following for Nursing Interventions: a) Know the scientific rationale for the intervention b) Possess the necessary psychomotor and interpersonal skills c) Be able to function within a setting to use health care resources effectively |
| Quick Quiz. A patient is suffering from shortness of breath. The correct outcome statement would be written as: A. The patient will be comfortable by the morning. B. The patient will breath 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. | |
| What are the types of Interventions? | The types of Interventions are: 1) NURSE INITIATED-Independent-Actions that a nurse initiates 2) PHYSICIAN INITIATED-Dependent-require an order from a physician or other health care professional 3) COLLABORATIVE-Interdependent-require combined knowledge, skill, and expertise of multiple health care professionals |
| What does nurse consider when preparing for PHYSICIAN-INITIATED or COLLABORATIVE INTERVENTIONS? | When preparing for a PHYSICIAN-INITIATED or COLLABORATIVE INTERVENTIONS, a nurse does not automatically implement the therapy, but determines whether it is appropriate for the patient. The ability to recognize incorrect therapies is particularly important when administering medications or implementing procedures. |
| What are the six factors a nurse considers in the selection of an Intervention? | The six factors that a nurse considers in the selection of an Intervention are: 1) |
| What does a Nursing Care Plan contain? | A Nursing Care Plan contains Nursing Diagnoses, goals, and expected outcomes, and nursing interventions, and a section for evaluation findings so any nurse is able to quickly identify a patient's clinical needs and situation. Reduces the risk for incomplete, incorrect, or inaccurate care. Changes as the patient's problems and status change. |
| What does a Interdisciplinary Care Plan contain? | A Interdisciplinary Care Plan contains contributions from all disciplines involved in patient care. |
| What is Hand-Off Reporting? | Hand-Off Reporting is a critical time, when nurses collaborate and share important information that ensures the continuity of care for a patient and prevents errors or delays in providing nursing interventions. Transferring essential information from one nurse to the next during transitions in care. Ask questions, clarify, and confirm important details about a patient's progress and continuing care needs. |
| What are some characteristics of a Student Care Plan? | Some characteristics of a Student Care Plan are: 1) helps you apply knowledge gained from the nursing and medical literature and the classroom to a practice situation 2) is more elaborate than a care plan used in a hospital or community agency because its purpose is to teach the process of planning care 3) planning care for patients in community-based settings involves-educating the patient/family about care and guiding them to assume more or the care over time |
| What are Critical Pathways? | Critical Pathways are patient care plans that provide the multidisciplinary health care team with activities and tasks to be put into practice sequentially. The main purpose of critical pathways is to delivery timely care at each phase of the care process for a specific type of patient. |
| What are Concept Maps? | Concept Maps provide a visually graphic way to show the relationship between patients' nursing diagnoses and interventions. Group and categorize nursing concepts to give you a holistic view of your patient's health care needs and help you make better clinical decisions in planning care. Help you learn the interrelationships among nursing diagnoses to create a unique meaning and organization of information. |
| Quick Quiz. What are some examples of independent nursing interventions that the nurse may develop for the patient? (Select all that apply) A. Medication administration B. Medication teaching C. Patient positioning D. Family teaching. E. Ordering an Enema. | |
| Does Planning involve Consulting other Health Care Professionals? | Yes. Planning involves consultation with members of the health care team. Consultation is a process by which you seek the expertise of a specialist such as your nursing instructor, a physician, or a clinical nurse educator to identify ways to handle problems in patient management or in planning and implementation of therapies. Consultation occurs at any step in the nursing process, most often during planning and implementation. |
| When doe a Nurse Consult with another Health Care Professional? | A Nurse consults with another Health Care Professional when the exact problem remains unclear. |
Created by:
Megansensky