chapter 19

Question 1

Implementation

Answer 1

A deliberate action performed to achieve a goal, such as carrying out a plan in caring for a patient. It is the fourth step, or phase, of the nursing process.

Question 2

Counseling

Answer 2

A nursing intervention from the Nursing Interventions Classification (NIC) defined as use of an interactive helping process focusing on the needs, problems, or feelings of the patient and significant others to enhance or support coping, problem-solving, and interpersonal relationships.

Question 3

Indirect Care Interventions

Answer 3

Treatments performed away from the patient but on behalf of the patient or groups of patients.

Question 3

Nursing Intervention

Answer 3

Any act by a nurse that implements the nursing care plan or any specific objective of the plan such as turning a comatose patient to avoid the development of decubitus ulcers or teaching insulin injection technique to a patient with diabetes before discharge from the hospital. The patient may require intervention in the form of support, limitation, medication, or treatment for the current condition or to prevent the development of further stress.

Question 3

clinical Practice Guidelines

Answer 3

Systematically developed practice statements designed to assist clinicians about health care decisions for specific conditions or situations.

Question 3

Standing Order

Answer 3

A written document containing rules, policies, procedures, regulations, and orders for the conducts of patient care in various stipulated clinical situations. Standing orders usually name the condition and prescribe the action to be taken in caring for the patient, including the dosage and route of administration for a drug or the schedule for the administration of a therapeutic procedure.

Question 3

Adverse Reaction

Answer 3

Any harmful or unintentional effect of a medication, diagnostic test, or therapeutic intervention.

Question 3

Activities of Daily Living (ADLs)

Answer 3

The activities usually performed in the course of a normal day in the person’s life, such as eating, toileting, dressing, or brushing the teeth. The ability to perform ADL may be compromised by a variety of causes, including chronic illness and accidents. The limitation may be temporary or perminant; rehabilitation may involve relearning the skills or learning new ways to accomplish ADLs.