Planning, IMPLEMENTATION, and Evaluation of Interventions-Sherpath – Flashcards
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Independent nursing interventions
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Independent nursing interventions are initiated and conducted by the nurse. Independent nursing interventions are interventions that a nurse initiated and carries out independently (without an order from a provider).
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Dependent nursing interventions
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Dependent nursing interventions are initiated by a provider in the form of an order, and conducted by the nurse.
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Collaborative nursing interventions
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Collaborative nursing interventions are initiated by the nurse or through consult with other healthcare team members, and conducted by other healthcare team members.
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Direct-care interventions
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Direct-care interventions involve direct personal contact with the patient.
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Indirect-care interventions
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Indirect-care interventions benefit the patient, but do not involve face-to-face contact with the patient.
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The nurse is performing patient care interventions and documenting interventions in the chart. Which step of the nursing process is this?
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Implementation.
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Which is the type of intervention that benefits the patient but does not involve face-to-face contact with the patient?
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Indirect care.
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Which statement about indirect-care interventions is true?
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Delegation is an indirect-care intervention.
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Which statement about nursing documentation is true?
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Documentation conveys interventions and outcomes to other care providers.
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Which is a comprehensive, research-based, standardized collection of interventions and activities that nurses often reference when documenting interventions?
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Nursing-Interventions Classification (NIC).
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What was Nursing Interventions Classification (NIC) developed to do?
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Provide a standardized language to document nursing interventions.
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Documentation of interventions is provided to insurance companies for billing and reimbursement. Which Federal guidelines do health care facilities follow when providing patient information to other agencies?
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Health Insurance Portability and Accountability Act (HIPAA)
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What are the highest-priority interventions?
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Problem-oriented.
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Match the intervention category with the intervention
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Monitoring a patient's temperature and skin color for fever: Independent Administering antipyretic medication for fever as ordered by the provider: Dependent Nursing assistant providing bathing and dressing assistance to a patient.
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Which is an example of a collaborative nursing intervention?
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Nursing assistant providing range-of-motion on the patient.
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Which is an example of an indirect-care intervention?
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Communication with providers.
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Which are the indirect-care interventions?
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-Collaboration. -Referrals. -Delegation.
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Which are the direct-care interventions?
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-Informal counseling. -ADLs. -Reassessment.
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The nurse has assessed the patient and established a nursing diagnosis of Risk for Impaired Skin Integrity related to immobility. She has determined the interventions are to reposition the patient every two hours and maintain meticulous skin hygiene so that skin integrity is maintained. What is the next step of the nursing process?
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Implement the interventions.
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Why should the nurse reference Nursing Interventions Classification (NIC) when documenting interventions?
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It is useful for clinical documentation.
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The nurse performs patient care interventions according to the individualized care plan. What is the next step in the process?
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Document the interventions.
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Nurses coordinate many types of interventions when initiating a care plan. How are nursing interventions categorized?
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-By purpose. -By who initiates or conducts them. -By type of patient contact.
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The nurse is caring for a postoperative patient in the medical-surgical unit. Which interventions are considered to be independent nursing interventions?
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-Use of incentive spirometer. -Hand hygiene. -Ambulating the patient.
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The nurse is caring for a patient receiving anticoagulant therapy. Which intervention is considered to be a dependent intervention?
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Holding dose due to abnormal lab value.
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The nurse is caring for a post-operative patient. Which intervention is considered to be prevention-oriented?
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-Post-operative ambulation.
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The nurse is caring for a post-operative patient following hip repair. Which intervention is considered to be collaborative?
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Ambulation with physical therapy.
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Nurses conduct change-of-shift reports to communicate assessment findings and outstanding nursing interventions. What type of intervention is this?
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Indirect-care.
