320 Ch. 18-20

Question 1

Short term goal is acheivable in 1-2 days.

Accepted Answer

False

Question 2

Evaluation is an ongoing process.

Accepted Answer

True

Question 3

Maslow's Hierachy of Needs is the best way to determine priority.

Accepted Answer

True

Question 4

Measurable change (behavior, physical, state, or perception) that mus be achieved to reach a goal: outcomes.

Accepted Answer

True

Question 5

Independent (Nurse-initiated)

Accepted Answer

Ambulation, Elevating BLE on pillows, Education, Meals

Question 6

Methods for prioritizing:

Accepted Answer

Low, Intermediate, High

Question 7

If gols are met, the overall outcomes are also met.

Accepted Answer

False

Question 8

Priorities are established in relation to:

Accepted Answer

Clinical importance

Question 9

Which of these is NOT included in SMART goals?

Accepted Answer

Rational

Question 10

How to ensue the patient understand what they have been taught:

Accepted Answer

Listing strategies, Teach-back

Question 11

Long term goals: are typically set to be acheived by discharge, or over days, weeks, or months.

Accepted Answer

True

Question 12

Goals:

Accepted Answer

Brod statements that describe a desired change., Patient-family centered.

Question 13

Nursing care plans:

Accepted Answer

Bluprint for nursing, Promotes continuity of care & better communication, Communicates priority

Question 14

Implementation Skills:

Accepted Answer

Psychomotor, Cognitive, Interpersonal

Question 15

Provides an evidence-based road map for best practices with clinical guidelines that set time-frames for aspects of care

Accepted Answer

Critical Pathway

Question 16

Nursing Scope of Practice is enforced by the federal government.

Accepted Answer

False

Question 17

Standing orders are preprinted, coatining medical orders for routine therapies.

Accepted Answer

True

Question 18

üdesigned to achieve goals & outcomes needed to support or improve the patient’s health status:

Accepted Answer

Interventions

Question 19

Preparatory activities to ensure safe nursing care

Accepted Answer

Review and revise the existing nursing care plan, Anticipate and prevent complications, Implement nursing interventions, Organize resources and care delivery, Reassess the patient

Question 20

One goal being met allows the care plan to be discontinued.

Accepted Answer

False

Question 21

Evaluation:

Accepted Answer

Observe what is happenng to YOUR patient, Compare achieved effect with goals and outcomes, Recognize errors or unmetoutcomes

Question 22

Dependent:

Accepted Answer

Placing a foley, Giving medications, Starting an IV, Dressing changes

Question 23

Is a visual representation of all the client’s nursing diagnosis and the relationships to the interventions for each.

Accepted Answer

Concept map

Question 24

Hand off reporting:

Accepted Answer

Prevents errors and delays, Transfer essential information, question, clarify, confirm

Question 25

Dependent interventions are nurse-initiated.

Accepted Answer

False

Question 26

Care Bundles

Accepted Answer

Improve quality of care while preventing the most common complications, Implemented together > better patient outcomes, A group of interventions related to a disease process/condition

Question 27

Selection of interventions:

Accepted Answer

Feasability of the interventions, Acceptability to the patient, nurses competency., Desired pt outcomes, characteristics of the diagnosis, research baed knowledge fo the intervention

320 Ch. 18-20

Questions 27

320 Ch. 18-20

Questions 27