Solutions
A patient is suffering from shortness of breath the correct goal
statement would be written as
A. The patient will be comfortable by the morning
B. the patient will breath unlabored at 14 to 18 breaths per
minute by the end of shift
C.The patient will not complain of breathing problems within
the next 8 hours
D. The patient will have a respiratory rate of 14 to 18 breaths per
minute
B.
Characteristics of nursing diagnosis
-desired patient outcomes
-evidence base for interventions
-Feasibility of the interventions
- acceptability to the patient
- nurse's competency
Nursing Interventions
treatments or actions based on clincial judgement and
knowledge that nurses perform to meet patient outcome
nursing care plan
develop nursing diagnoses, goals and expected outcomes, and
nursing interventions and a section for evaluation findings
,Nursing Intervention
any treatment based on clinical judgement and knowledge that a
nurse performs to enhance patient outcomes
Indirect interventions
consulting, charting, interdisciplinary collaboration
direct interventions
changing a dressing, assessment, help with hygiene
critical thinking in implementation
-review the set of all possible nursing interventions
-review all possible consequences
- determine the probability of all possible consequences
-Make a judgment of the value of that consequence to the patient
Nurse-initiated interventions are
A. determined by state nurse practice acts
B. supervised by the entire health care team
C. Made in concert with the plan of care initiated by the
physician
D. Developed after interventions for the recent medical
diagnoses are evaluated
A.
Implementation Skills (3)
- cognitive skills- application of critical thinkinng in the nursing
process
-Interpersonal skills- developing a trusting relationship,
expressing a level of caring and communicating clearly with a
, patient and his or her family
-psychomotor skills- integration of cognitive and motor
activities
Direct Care
- activities of daily living
- instrumental activities of daily living
-physical care techniques
- lifesaving measures
- counseling
- teaching
- controlling for adverse reactions
-preventive measures
Mr. Bagley is placed on isolation precautions
-isolation precaustions as a treatment intervention are an
example of which type of care?
A. direct
B. indirect
C. Prevention
D. safety
B. indirect
You are writing a care plan for a newly admitted patient. hih one
of these outcome statements is written correctly?
A. the patient will eat 80% of all meals
B. The nursing assistant will set the patient up for a bath every
day
C. The patient will have improved airway clearance by June 5