question

Planning involves:

answer

Setting priorities, Identifying patient-centered goals and expected outcomes, and Select interventions for the nursing care plan.

question

Priority setting

answer

The ordering of nursing diagnoses or patient problems using determinations of urgency and/or importance to establish a preferential order for nursing actions.

question

Nurse established "high" priority...

answer

If untreated, result in harm to a patient or others (those related to airway status, circulation, safety, and pain)

question

Nurse established "Intermediate" priority...

answer

Involve nonemergent, non-threatening needs of patients. Ex: deficient knowledge, impaired physical mobility

question

Nurse established "Low" priority...

answer

Are not always directly related to a specific illness or prognosis but affect the patient's future well-being.

question

Maslow's Hierarchy of Needs (High-to lowest priority)

answer

Listed Most Important - Least important but can change depending on the circumstance. Physiological: Basic Human Needs< Oxygen-Fluids-Nutrition-Body Temperature-Elimination-Shelter-Sex Safety and Security: Physical and Psychological safety Love and belonging needs Self-esteem Self-actualization

question

Goals and Expected outcomes are:

answer

Specific statements of patient behavior or physiological responses that you set to resolve a nursing diagnosis or collaborative problem. During planning you select goals and outcomes for each nursing diagnosis to provide a clear focus for the type of interventions needed to care for your patient and then to evaluate the effectiveness of these interventions. The goals and outcomes need to meet established intellectual standards by being relevant to patient needs, specific, singular, observable, measurable, and time limited.

question

Goal

answer

A broad statement that describes a desired change in a patient's condition or behavior. Time-limited Ex: Diagnoses (deficient knowledge, regarding postoperative care) A goal of care for this diagnosis ("Patient expresses understanding of postoperative risks") The goal requires making Mr. Jacobs aware of the risks associated with his type of surgery.

question

Expected outcome

answer

A measurable criterion to evaluate goal achievement. A specific measurable change in a patient's status that you expect to occur in response to nursing care. -Outcomes determine when a specific patient-centered goal has been met. -Sometimes several expected outcomes must be met for a single goal.

question

Patient-centered goal

answer

Specific and measurable behavior or response that reflects a patient's highest possible level of wellness and independence in function.

question

Short-term goal

answer

Objective behavior that you expect the client wilt achieve in a short time, usually less than one week.

question

Long-term goal

answer

Objective behavior or response that you expect a patient to achieve over a long period, usually over several days, weeks, or months.

question

In setting goals the time frame depends on

answer

The nature of the problem, etiology, overall condition of the client, and treatment setting

question

Nursing-sensitive patient outcome

answer

An individual, family, or community state, behavior, or perception that is measurable in response to a nursing intervention

question

There are seven guidelines to follow when writing goals and expected outcomes. List them:

answer

1. Patient centered, 2. Singular goal/outcome, 3.Observable, 4. Measurable, 5. Time limited, 6. Mutual, 7.Realistic

question

1. Patient-centered goal

answer

Outcomes and goals reflect the patient behavior and responses expected as a result of nursing interventions

question

2. Singular goals/outcomes

answer

Precise in evaluating a patient response to a nursing action; addresses only one behavior or response per goal

question

3. Observable

answer

The nurse should be able to observe if a change takes place in a patient's status.

question

4. Measurable

answer

Terms describing quality, quantity, frequency, length, or weight allow the nurse to evaluate outcomes precisely.

question

5. Time-limited

answer

A time-limited outcome is written so it indicates when the nurse expects the response to occur.

question

6. Mutual

answer

A mutual goal or outcome is one in which the patient and nurses agree on the direction and time limits of care.

question

7. Realistic

answer

A realistic goal or outcome is one that a patient is able to achieve.

question

Critical Thinking in planning nursing care

answer

Includes the next 5 slides, Nursing interventions, Independent, Dependent, and Collaborative nursing interventions, and the 6 factors nurses use to select nursing diagnoses.

question

Nursing Interventions

answer

Treatments or actions based on clinical judgement and knowledge that nurses perform to meet patient outcomes. --Choosing suitable nursing interventions involves critical thinking and your ability to be competent in 3 areas: 1. Knowing the scientific rationale for the intervention 2. Possessing the necessary psychomotor and interpersonal skills 3. Being able to function within a particular setting to use the available health care resources effectively.

question

Types of Interventions

answer

Independent nursing interventions- Nurse-initiated intervention Dependent nursing interventions- Physician-initiated interventions Collaborative interventions- Interdependent interventions

question

-Independent nursing interventions

answer

Actions that a nurse initaites that do not require direction or an order from another health care professional

question

-Dependent nursing interventions

answer

Physician-initiated interventions that require an order for a physician or other health care professional.

question

-Collaborative interventions

answer

Require the combined knowledge, skill, and expertise of multiple health care professionals

question

The six factors that nurses use to select nursing interventions for a specific patient.

answer

1. Characteristics of the nursing diagnosis 2. Goals and expected outcomes 3. Evidence-based interventions 4. Feasibility of the interventions 5. Acceptability to the patient 6. Your own competency

question

Nursing care plan

answer

Includes nursing diagnoses, goals and/or expected outcomes, specific nursing interventions, and a section for evaluation findings so any nurse is able to quickly identify a patient's clinical needs and situation. --Sometimes takes several forms- nursing Kardex, standardized care plans, and computerized plans.

question

Define the purpose of the nursing care plan

answer

The nursing care plan should direct clinical nursing care and decrease the risk of incomplete, incorrect, or inaccurate care; identifies and coordinates resources for delivering care; lists the interventions needed to achieve the goals of care

question

Interdisciplinary care plans

answer

Include contributions from all disciplines involved in patient care. Designed to improve the coordination of all patient therapies and communication among all disciplines.

question

Describe a Student care plan

answer

Student written care plan (SWCP) Useful for learning the problem-solving technique, nursing process, skills of written communication, and organizational skills needed for nursing care.

question

How do SWCP differ from care plans used in hospitals?

answer

- A student care plan helps you apply knowledge gained from the nursing and medical literature and the classroom to a practice situation. -Students typically write a plan of care for each nursing diagnosis. -The student care plan 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.

question

What are the components of a well written nursing intervention?

answer

Actions, Frequency, Quantity, Method, or person to perform them.

question

Describe Critical Pathways

answer

Patient care management plans that provide the multidisciplinary health care team with the activities and tasks to be put into practice sequentially (over time); their main purpose is to deliver timely care at each phase of the care process for a specific type of patient. Clearly defines transition points in patient progress and draws a coordinated map of activities by which the health care team can help to make these transitions as efficient as possible. Improve continuity of care because they clearly define the responsibility of each health care discipline.

question

Concept maps

answer

A concept map provides a visually graphic way to show the relationship between patient's nursing diagnoses and interventions. - When planning care for each nursing diagnosis, analyze the relationships among the diagnoses. Draw dotted lines between nursing diagnoses to indicate their relationship to one another.

question

Consultation

answer

Is a process in which you seek the expertise of a specialist to identify ways to handle problems in client management or the planning and implementation of therapies

question

List six responsibilities of the nurse when seeking consultation

answer

1.Identify the general problem area 2. Direct the consultation to the right professional 3. Provide the consultant with relevant information about the problem area 4. Do not prejudice or influence the consultants 5. Be available to discuss the findings and recommendations 6. Incorporate the recommendations into the plan of care

question

The Nursing Interventions Classification (NIC) taxonomy

answer

Provides a standardization to assist nurses in selecting suitable interventions for clients' problems

Potter/Perry Ch18 – Planning Nursing Care – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards