DIAGNOSTIC, OUTCOME IDENTIFICATION, PLANNING

Question 1

The nurse analyzes the strength and weaknesses of the patient, the patient’s family, the nursing personnel, the health care facility and available resources

Answer 1

outcome identification

Question 2

In this phase, the nurse develops outcomes for the patient to achieve showing an optimum or improved level of functioning in the problem areas identified in the nursing diagnoses

Answer 2

outcome identification

Question 3

The resulting outcomes and plan of nursing care are designed to help patients and their families

Answer 3

make informed decisions about their health and health care
maintain their current level of health and functioning if they identified as being at risk for developing problems
avoid injury or disease

Question 4

Outcome identification formula

Answer 4

outcome identification=setting priorities +establishing outcomes

Question 5

ordering the delivery of nursing care so that more important or life threatening problems are treated before the less critical problems are treated

Answer 5

setting priorities

Question 6

What are the classifications of setting priorities?

Answer 6

high
middle
low

Question 7

What are the guidelines for setting priorities?

Answer 7

-Maslow’s Hierarchy of meeds
-focus on the problems the patient feels are most important
-consider the patient’s culture, values, and beliefs when setting priorities
-consider the effect of potential problems when setting priorities
consider cost resources available, personnel, and time needed to plan for and established for each of the patient’s identified problem
-consider state laws, hospital policy statement, and outcome criteria established for the particular setting

Question 8

is a measurable, expected client goal to be achieved at some specified time in the future

Answer 8

an outcome

Question 9

the desired result of nursing care; that which you hope to achieve with your patient and which is designed to prevent, remedy, or lessen the problem identified in the nursing diagnosis

Answer 9

patient outcome

Question 10

Why is outcome identification needed?

Answer 10

-guidance in the selection of nursing interventions
-gives standard against which to compare the patient’s hourly, daily, weekly, monthly, yearly, and lifelong efforts to maintain and improve health functioning
-gives a sense of where this particular patient started from and where the individual and nurse hope to end up
-criteria used to evaluate the success of nursing intervention
-it helps motivate the nurse, the patient, and the family to continue their efforts

Question 11

What are the components of an outcome statement?

Answer 11

Outcome Statement= patient behavior (verb) + criteria of performance + conditions or modifier + time frame

Question 12

it can be seen, heard, felt, or measured by the nurse or reported by the patient

Answer 12

patient behavior

Question 13

For risk nursing diagnosis, the outcome should not deal with the etiology but address

Answer 13

lessening or elimination of the problem

Question 14

it is a stated level or standard for the patient behavior stated in the outcome

Answer 14

criterion of performance

Question 15

it clarifies and individualizes the outcome based on the patient’s abilities and realistic expectations for the level of functioning in the future

Answer 15

criterion of performance

Question 16

the level at which the patient will perform the behavior

Answer 16

criterion of acceptable performance

Question 17

can be thought as specific aids that will help the patient perform a behavior at the level specified in the criteria portion of the outcome statement

Answer 17

condition

Question 18

the circumstances, if necessary, under which the behavior is performed

Answer 18

conditions

Question 19

What are the different types of time frame?

Answer 19

Intermediate outcomes
Long-term or Final Outcomes
Discharge outcomes
health promotion or wellness outcomes

Question 20

identify behavior a patient can achieve fairly quizkly

Answer 20

intermediate outcomes

Question 21

under intermediate outcome is

Answer 21

progressive intermediate outcome

Question 22

give directions for nursing care over time

Answer 22

long-term or final outcomes

Question 23

this can be though of as an eventual destination

Answer 23

long term or final outcomes

Question 24

what are the considerations of long term or final outcomes?

Answer 24

prognosis of the patient health problems
resources available
strength and weaknesses of the patient function
nursing care abilities of the personnel

Question 25

often appear at the end in critical pathways used with hospitalized patients

Answer 25

discharge outcomes

Question 26

these outcomes identify the behavior the patient is expected to achieve to be safely discharged from the institution

Answer 26

discharge outcomes

Question 27

What are the examples of health promotion or wellness outcome

Answer 27

physical well-being psychosocial well-being balance of life roles:personal, family career

Question 28

are specific activities that the nurse plans and implement to help a patient achieve identified outcome

Answer 28

nursing interventions

Question 29

nursing interventions is also called

Answer 29

nursing actions nursing strategies nursing treatment plan nursing orders

Question 30

What are the four types of nursing interventions?

Answer 30

Environmental Management Physician-Initiated and Ordered Interventions Nurse-Initiated and Physician-ordered interventions Nurse-initiated and Ordered Intervention

Question 31

Example is intravenous fluid

Answer 31

Physician Initiated and Ordered Intervention

Question 32

What are the independent nursing interventions?

Answer 32

health teaching and health promotion health counseling to help patients make informed choices referrals to other nurses or health care professionals

Question 33

what are specific nursing treatments

Answer 33

ambulating repositioning suctioning cleaning dressing wound ROM exercises optimum nutrition

Question 34

What are the 6 domains

Answer 34

Physiological Basic Physiological Comex Behvaioral Ir Behavior Safety Family Health Care system

Question 35

Carrying out the planned nursing interventions

Answer 35

Implementation

Question 36

Statement of the client response (NANDA label)

Answer 36

Problem

Question 37

Factors contributing to or probable cause of the reponse

Answer 37

Etiology

Question 38

Defining characteristics manifested by the client

Answer 38

Signs and symptoms

Question 39

How to avoid error in diagnostic reasoning

Answer 39

-Verify -Build a good knowledge on what is normal -Have a working knowledge on what is normal -Consult resources -base diagnosis on patterns -improve critical thinking dkills

Question 40

A process of determining the relatedness of facts and deteemining whether any patterns are present

Answer 40

Analyzing data

Question 41

Is generally acceptable measure, rule, model or pattern

Answer 41

Standard or norm

Question 42

Words that have been added to some NANDA labels

Answer 42

Qualifiers

Question 43

Inadequate amount, quantity,or degree not sufficient incomplete

Answer 43

Deficient

Question 44

Made worse, weakened, damaged, reduced, Deteriorated

Answer 44

Impaired

Question 45

Lesser in size, amount or degree

Answer 45

Decreased

Question 46

Not producing the desired effect

Answer 46

Ineffective

Question 47

To make vulnerable to threat

Answer 47

Compromised

Question 48

It is a condition that necessitates intervention

Answer 48

Health problem

Question 49

is a deliberative, systematic phase of the nursing process that involves decision making and problem solving

Answer 49

Planning

Question 50

What is the end product of planning phase?

Answer 50

Client care plan

Question 51

What are the types of planning?

Answer 51

Initial Ongoing Discharge

Question 52

the process of anticipating and planning for needs after discharge, is a crucial part of a comprehensive health care plan and should be addressed in each client’s care plan

Answer 52

Discharge planning

Question 53

strategy for action that exists in the nurse’s mind

Answer 53

Informal nursing care plan

Question 54

is a written or computerized guide that organizes information about the client’s care. The most obvious benefit of a formal written care plan is that it provides for continuity of care.

Answer 54

Formal nursing care plan

Question 55

is a formal plan that specifies the nursing care for groups of clients with common needs

Answer 55

Standardized care plan

Question 56

is tailored to meet the unique needs of a specific client—needs that are not addressed by the standardized plan

Answer 56

Individualized care plan

Question 57

describe nursing actions for clients with similar medical conditions rather than individuals, and they describe achievable rather than ideal nursing care.

Answer 57

Standards of care

Question 58

are developed to govern the handling of frequently occurring situations

Answer 58

Policies and procedures

Question 59

is a written document about policies, rules, regulations, or orders regarding client care.

Answer 59

Standing order

Question 60

Care of plan is organized jnto four sections, what are these?

Answer 60

Problem/nursing diagnoses Goals or desired outcomes Nursing interventions Evaluation

Question 61

is the evidence-based principle given as the reason for selecting a particular nursing intervention.

Answer 61

Rationale

Question 62

is a visual tool in which ideas or data are enclosed in circles or boxes of some shape, and relationships between these are indicated by connecting lines or arrows

Answer 62

Concept map

Question 63

What are the components of goal or desired outcome statements?

Answer 63

Subject Verb Conditions or modifiers Cruterion of desired performance

Question 64

Freedom from injury, illness, and disease

Answer 64

Physical well-being

Question 65

Strong self-esteem and social support system

Answer 65

Psychosocial well-being

Question 66

Personal, family care

Answer 66

Balance of life roles

Question 67

4 areas in reviewing the Care Plan

Answer 67

Safety Appropriateness Effectiveness Individualized nursing care

Question 68

4 areas of reviewing the care plan

Answer 68

Safety Appropriateness Effectiveness Individualized nursing care

Question 69

Are instructions for specific individualized activities the nurse performs to help the client meet established health care goals

Answer 69

Nursing orders