Identification + Planning Exam Study Questions
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Planning + Outcome Identification - Answer - Third step in nursing process (ADPIE)
- ANA Standards of practice 3 + 4
The nurse works with patient + family to:
- Identify + write expected patient outcomes
- Establish priorities
- Select evidence-based nursing interventions
- Communicate the plan of nursing care
Goal - Answer - An aim or an end
- Goal, outcome + objective are used interchangeably
ex. Patient will have normal respirations by the end of shift.
Expected Outcomes - Answer To describe the results achieved.
ex. Patient respirations was 20 bpm. Goal Achieved
Two Questions to Ask to Determining Your Ability to Act Independently - Answer 1.) Are you
QUALIFIED/AUTHORIZED?
- Allowed by Nursing Practice Act policies, procedures + job description
- Allowed by instructor or supervisor?
- Have the required knowledge, skill, experience?
- Passed competency tests, if needed?
- Accept accountability for response/outcomes?
, 2.) Is it SAFE, reasonable + prudent?
- Clarified desired outcomes?
- Checked for contraindications?
- Identified possible harmful patient responses + minimized risks?
- Planned for safety, privacy + comfort?
- Considered ethical implications?
3 Stages of Planning - Answer 1.) Initial Planning
2.) Ongoing Planning
3.) Discharge Planning
Initial Planning - Answer - Performed by the nurse with the admission nursing history + the physical
assessment
- This comprehensive plan addresses each problem listen in the prioritized nursing diagnoses + identifies
appropriate patient goals + the related nursing care
- *Standardized care plans* are prepared plans of care that identify the nursing diagnoses, outcomes +
related nursing interventions common to a specific population or health problem
Standardized Care Plans - Answer - Prepared plans of care that identify the nursing diagnoses, outcomes
+ related nursing interventions common to a *specific population or health problem*
- Often used in the "initial" phase of planning
Ongoing Planning - Answer - Carried out by any nurse who interacts with the patient
- Its chief purpose is to keep the plan up to date, manage risk factors, and promote function
- States nursing diagnosis more clearly
-Develops new diagnoses
-Make outcomes REALISTIC
Discharge Planning - Answer Best carried out by the nurse who has worked most closely with the patient
+ family