NPI: Implementing – Flashcards

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collecting, validating, and communicating of patient data; gathering and examining data to get the necessary facts.
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assessing
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analyzing patient data to identify actual or potential problems and patient strengths
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diagnosing
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carrying out the plan of care
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implementing
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measuring extent to which patient achieved outcomes; Determining if the plan has worked and making necessary changes
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evaluating
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specifying patient outcomes and related nursing interventions; Setting goals and developing a plan of action
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planning
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the primary source of information is the ___
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patient
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the plan of care is best ___ when patients who are willing to participate to have maximum opportunities to engage in self care.
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implemented
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family members and other support may also be involved in successfully implementing the plan of care.
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implementing
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during implementation, the ___ continues to collect and modify the plan of care as needed.
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nurse
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describes the category of nursing behaviors designed to achieve goals and expected outcomes of an individualized plan of care.
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implementation
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describes the process of assisting a client to move toward optimum health. (nursing interventions)
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implementation
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concerned with the patient's response to health and the patient's ability to meet basic human needs.
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nurse
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focus on selected aspects of the patient's treatment regimen.
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health professionals
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concerned with the patient's response to the plan of care in general.
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nurse
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Nursing interventions classification
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NIC
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a report of research to construct a taxonomy of nursing interventions.
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NIC
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help patient achieve valued health outcome promote health
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purpose of implementation
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prevent disease and illness restore health Facilitate coping with altered functioning
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purpose of implementation
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any treatment based upon clinical judgment and knowledge that a nurse performs to enhance patient and client outcomes.
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nursing intervention
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autonomous and does not require a physician's order.
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nurse initiated intervention
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action based on scientific rationale
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nurse initiated intervention
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like patient goals, derived from patient outcomes
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nurse initiated intervention
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Is identified by the nurse after writing the patient outcomes
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nurse initiated intervention
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problem: statement of the diagnosis, suggest patient outcomes
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nurse initiated intervention
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etiology: cause of the problem; suggest the appropriate nursing intervention.
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nurse initiated intervention
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a treatment performed through interaction with patients.
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direct care intervention
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physiological and psychosocial nursing actions
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direct care intervention
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"laying of hands" actions and those that are more supportive and counseling in nature
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direct care intervention
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treatment performed away from the patient but on behalf of the patient or group of patients.
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indirect care intervention
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nursing actions aimed at management of the patient care environment and interdisciplinary collaboration.
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indirect care intervention
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support effectiveness of direct care interventions.
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indirect care intervention
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Reassess the patient for changes in status that might dictate a different set of interventions.
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clinical reasoning
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Be sure that research supports the interventions you have selected and be open to better ways of addressing patient problems and issues.
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clinical reasoning
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Always monitor the patient's responses to your interventions so that you can modify the plan of care if needed
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clinical reasoning
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Alfaro's rule
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assess reassess revise record
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Nursing interventions should be: ___ in terms of the nursing diagnosis and related to patient outcomes, efficient, and safe
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appropriate
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Nursing interventions should be: ___ with research findings and standards of care
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consistent
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Nursing interventions should be: ___ in terms of the abilities, time, and resources available to the nurse
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realistic
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Nursing interventions should be: ___ with the patient's values, beliefs, cultural and psychosocial background
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compatible
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Nursing interventions should be: ___ whenever possible, by both the patient and family
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valued
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Nursing interventions should be: ___ with other planned therapies
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compatible
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targeted to promote and preserve the health of populations
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community or public health
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emphasize the health, maintenance, and disease prevalence of populations and include strategies to address the social and political climate in which the population resides.
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community or public health
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when you carry out the interventions identified in the plan of care, you are ___ the plan of care.
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implementing
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when ___ the plan of care, you function independently and collaboratively.
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implementing
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nurse initiated interventions
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independent nursing action
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carrying out nurse prescribed interventions
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independent nursing action
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protocols and standing orders
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independent nursing action
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physician initiated interventions
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dependent nursing action
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involve carrying out physician prescribed orders
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dependent nursing action
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collaborative interventions
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interdependent nursing action
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jointly performed by nursing and other members of healthcare teams.
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interdependent nursing action
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Which one of the following nursing interventions is an indirect care intervention? A. A nurse explains available birth control measures to a young couple. B. A nurse meets with the collaborative care team to plan nursing measures for a patient. C. A nurse prays with a patient prior to surgery. D. A nurse administers pain medication to a patient with end-stage renal cancer
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B
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Helps demonstrate the impact that nurses have on the system of healthcare delivery Standardizes and defines the knowledge base for nursing curricula and practice Facilitates appropriate selection of a nursing intervention
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Advantages of Nursing Interventions
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Facilitates communication of nursing treatments to other nurses and other providers Enables researchers to examine the effectiveness and cost of nursing care Assists educators to develop curricula that better articulate with clinical practice
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Advantages of Nursing Interventions
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Facilitates the teaching of clinical decision making to novice nurses Assists administrators in planning more effectively for staff and equipment needs Promotes the development of a reimbursement system for nursing services
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advantages of nursing interventions
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Facilitates the development and use of nursing information systems Communicates the nature of nursing to the public (McCloskey Dochterman, & Bulechek, 2008)
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advantages of nursing interventions
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• Identify, label, validate, and classify nursing-sensitive patient outcomes and indicators.
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NOC aims
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Evaluate the validity and usefulness of the classification in clinical field testing.
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NOC aims
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Define and test measurement procedures for the outcomes and indicators.
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NOC aims
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