Fundamentals: Chapter 19,
Implementing Nursing Care Exam
2022
1.Implementation - Correct Answer- The fourth step of the nursing process,(formally
begins after the nurse develops a plan of care) the nurse initiates the interventions
that are most likely to achieve the goals and expected outcomes needed to support
or improve the client's health status.
2.Nursing intervention - Correct Answer- Is any treatment, based on clinical
judgment and knowledge, that a nurse performs to enhance client outcomes.
Ideally the interventions a nurse uses are evidenced based, providing the most
current, up-to-date, and effective approaches for managing patient problems.
Interventions include direct and indirect care aimed at individuals, families, and/or
the community.
3.Direct care (interventions) - Correct Answer- Are treatments performed through
interactions with patient's.
Ex: Medication administration, insertion of an intravenous (IV) infusion, or counseling
during a time of grief.
4.Indirect care (interventions) - Correct Answer- Are treatments performed away
from the patient but on behalf of the patient or group of patient's.
Ex: Actions for managing patient's environment (e.g. safety and infection control),
documentation, and interdisciplinary collaboration.
5.Critical Thinking in Implementation - Correct Answer- Critical thinking is necessary
to consider the complexity of interventions, including the number of alternatives
approaches and the amount of time available to act.
Before implementing a planned intervention, use critical thinking to confirm whether
the intervention is correct and still appropriate for the patient's clinical situation.
6.Identify the factors that should be considered when making decisions about
implementation - Correct Answer- a. Review the set of all possible interventions for
the patient's problem
b. Review all of the possible consequences associated with each possible nursing
action
c. Determine the probability of all possible consequences
d. Make a judgment of the value of that consequence to the patient
7.Standard nursing interventions - Correct Answer- Many patients have common
health care problems; thus standardized interventions for these health problems
make it quicker and easier for nurses to intervene.
->Nurse/Physician initiated standardized interventions- Clinical guidelines or
protocols, Preprinted (standing) orders, and Nursing Interventions Classification
(NIC) interventions.
Implementing Nursing Care Exam
2022
1.Implementation - Correct Answer- The fourth step of the nursing process,(formally
begins after the nurse develops a plan of care) the nurse initiates the interventions
that are most likely to achieve the goals and expected outcomes needed to support
or improve the client's health status.
2.Nursing intervention - Correct Answer- Is any treatment, based on clinical
judgment and knowledge, that a nurse performs to enhance client outcomes.
Ideally the interventions a nurse uses are evidenced based, providing the most
current, up-to-date, and effective approaches for managing patient problems.
Interventions include direct and indirect care aimed at individuals, families, and/or
the community.
3.Direct care (interventions) - Correct Answer- Are treatments performed through
interactions with patient's.
Ex: Medication administration, insertion of an intravenous (IV) infusion, or counseling
during a time of grief.
4.Indirect care (interventions) - Correct Answer- Are treatments performed away
from the patient but on behalf of the patient or group of patient's.
Ex: Actions for managing patient's environment (e.g. safety and infection control),
documentation, and interdisciplinary collaboration.
5.Critical Thinking in Implementation - Correct Answer- Critical thinking is necessary
to consider the complexity of interventions, including the number of alternatives
approaches and the amount of time available to act.
Before implementing a planned intervention, use critical thinking to confirm whether
the intervention is correct and still appropriate for the patient's clinical situation.
6.Identify the factors that should be considered when making decisions about
implementation - Correct Answer- a. Review the set of all possible interventions for
the patient's problem
b. Review all of the possible consequences associated with each possible nursing
action
c. Determine the probability of all possible consequences
d. Make a judgment of the value of that consequence to the patient
7.Standard nursing interventions - Correct Answer- Many patients have common
health care problems; thus standardized interventions for these health problems
make it quicker and easier for nurses to intervene.
->Nurse/Physician initiated standardized interventions- Clinical guidelines or
protocols, Preprinted (standing) orders, and Nursing Interventions Classification
(NIC) interventions.
