PLANNING

Question 1

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

Answer 1

Planning

Question 2

What are the three types of planning?

Answer 2

1. Initial Planning
2. Ongoing Planning
3. Discharge Planning

Question 3

initiated as soon as possible after the initial assessment

Answer 3

Initial planning

Question 4

Daily planning based on ongoing assessment data

Answer 4

Ongoing planning

Question 5

Anticipating and planning for needs after discharge

Answer 5

Discharge planning

Question 6

Developing Care Plans
* Informal Nursing Care Plan: A strategy for action that exists in the nurse’s mind.
* Formal Nursing Care Plan: A written or computerized guide organizing client care information.
* Standardized Care Plan: Specifies nursing care for groups of clients with common needs.
* Individualized Care Plan: Tailored to meet the unique needs of a specific client.

Question 7

A strategy for action that exists in the nurse’s mind.

Answer 7

Informal nursing care plan

Question 8

A written or computerized guide organizing client care information.

Answer 8

Formal nursing care plan

Question 9

Specifies nursing care for groups of clients with common needs.

Answer 9

Standardized care plan

Question 10

Tailored to meet the unique needs of a specific client.

Answer 10

Individualized care plan

Question 11

What are the standardized approaches to care planning?

Answer 11

• PROTOCOLS indicate actions required for a particular group of clients.
• POLICIES and PROCEDURES govern frequently occurring situations.
• STANDING ORDER are written documents about policies regarding client care.

Question 12

Formats for Nursing Care Plans
1. Problem/Nursing Diagnoses
2. Goals/Desired Outcomes
3. Nursing Interventions
4. Evaluation

Question 13

what are the 4 formats for nursing care plans?

Answer 13

1. Problem/Nursing Diagnoses
2. Goals/Desired Outcomes
3. Nursing Interventions
4. Evaluation

Question 14

Guidelines for Writing Nursing Care Plans
1. Date and sign the plan.
2. Use category headings.
3. Use standardized symbols and key words.
4. Be specific.
5. Refer to procedure books for details.
6. Tailor the plan to the unique characteristics of the client.
7. Incorporate preventive and health maintenance aspects.
8. Ensure ongoing assessment of the client.
9. Include collaborative and coordination activities.
10. Include plans for discharge and home care needs.

Question 15

what are the planning process?

Answer 15

• Setting priorities
• Establishing client goals/desired outcomes
• Selecting nursing interventions and activities
• Writing individualized nursing interventions on care plans.

Question 16

it is the process of establishing a preferential sequence for addressing nursing diagnosis and interventions

Answer 16

Priority Setting

Question 17

What are the four factors in setting priorities?

Answer 17

1. Client’s health values and beliefs.
2. Client’s priorities.
3. Urgency of the health problem.
4. Medical treatment plan.

Question 18

Purpose of Goals/Desired Outcomes
1. Provide direction for planning nursing interventions.
2. Serve as criteria for evaluating client progress.
3. Enable the client and nurse to determine when the problem has been resolved.
4. Help motivate the client and nurse.

Question 19

“Client will raise right arm to shoulder height by Friday.”

Answer 19

Short-term goal

Question 20

“Client will regain full use of right arm in 6 weeks.”

Answer 20

Long-term goal

Question 21

Components of Goal/Desired Outcome Statements

1. Subject
2. Verb
3. Conditions or Modifiers
4. Criterion of Desired Performance

Question 22

A noun, the client.

Answer 22

Subject

Question 23

Specifies an action the client is to perform.

Answer 23

Verb

Question 24

Explain circumstances under which the behavior is to be performed.

They explain what, where, when, or how.

Answer 24

Conditions or Modifiers

Question 25

Indicates the standard by which performance is evaluated. may specify time or speed, accuracy, distance, and quality

Answer 25

Criterion of Desired Performance

Question 26

Guidelines for Writing Goals/Desired Outcomes 1. Write in terms of client responses, not nursing activities. 2. Ensure outcomes are realistic. 3. Ensure compatibility with other therapies. 4. Make sure each goal is derived from one nursing diagnosis. 5. Use observable, measurable terms. 6. Ensure the client values the goals/outcomes.

Question 27

what are the three types of nursing intervention?

Answer 27

1. Independent Interventions 2. Dependent Interventions 3. Collaborative Interventions

Question 28

Activities initiated by nurses based on their knowledge and skills.

Answer 28

Independent interventions

Question 29

Activities carried out under orders from licensed providers

Answer 29

Dependent interventions

Question 30

action scared out in collaboration with other health members

Answer 30

Collaborative interventions

Question 31

Criteria for Choosing Nursing Interventions * Must be safe and appropriate for the individual. * Achievable with available resources. * Congruent with the client's values and beliefs. * Congruent with other therapies. * Based on nursing knowledge and experience. * Within established standards of care.