HCA100 - PLANNING, REPORTING &
RECORDING CLIENT EXAM WITH
QUESTIONS AND CORRECT ANSWERS
What is the Care Planning Process & What are the Five Steps? - correct
answer--Method used by nurses to plan & deliver nursing care
-Five steps of this process are:
Assessment, Nursing Diagnosis, Planning, Implementation & Evaluation
What Happens during the Assessment Part of the Care-Planning Process?
- correct answer--Collecting info about the client
-Occurs through evaluation of info collected about client through
observation, reflection & communication
-Assessment of client's emotional, social, intellectual & spiritual health
-Team leader gathers as much info as possible from various sources; once
complete, team members set goals
How do Support Works contribute during the Assessment Part of the Care-
Planning Process? - correct answer--Observe & talk with client; responsible
for making basic assessments on clients
-Must report & record findings according to agency policy
-Once assessment is complete, goals are set by client, client's family &
team members
-**Client-centred approach means client is more involved, as are other
health care providers (includes support workers; collaborative approach)
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What is a Nursing Diagnosis & How Do Support Workers Play a Role in it?
- correct answer--RN uses assessment info to make diagnosis
-Support worker observations & basic assessment are very important (must
report all to nurse)
-Client can have many nursing diagnoses
***What Happens during the Planning Part of the Care Planning process? -
correct answer--Sets priorities & goals
-Needs arranged in order of importance
-Goals set; aimed at client's highest level of well-being & function
-Nursing interventions chosen are goals set
(intervention is action or measure taken by nursing team to help client meet
goals)
What is the Nursing Care Plan? - correct answer--written guide about client
care; has nursing diagnosis & goals
-has measures or actions for each goal
-communication tool
-used by nursing staff to see what care to give; ensures care is given
consistently
-not a finished document; continually reviewed & revised based on needs,
condition & progress
**Support Workers input regarding changes is very important