Final Exam ) Fundamentals of Nursing Final Exam: Study Guide:Latest Updated: Questions & Answers

What are direct interventions? (Ans- Anything that you do while physically with the patient e.g. administering medications, performing dressing changes What are indirect interventions? (Ans- Anything that you do outside of being with the patient on the patients behalf. e.g. restocking supplies, patient conferences, scheduling tests and treatments What are independent interventions? (Ans- They are nurse driven. Health promotion, teaching, basic comfort care, ADLs. The nurse doesn't need direction to do independent interventions. What are collaborative interventions? (Ans- Interventions carried out in collaboration with other members of the interdisciplinary healthcare team. e.g. physical therapy starting care and the RN continuing it. What are dependent interventions? (Ans- Interventions that are dependent on a prescription from someone with prescribing privileges. i.e. physician, NP, PA. These can include medications, diet, and some treatments. How will the nurse complete the implementation phase? (Ans- Documenting What are some guidelines to help the nurse select appropriate interventions? (Ans- 1. Safe and appropriate based on age and gender. 2. Achievable with available resources. 3. Congruent with other therapies. 4. Based on current evidence-based practice. 5. Within established standards, policies, and laws. 6. Congruent with culture, values, and beliefs of the patient. What is happening during the evaluation phase of the nursing process? (Ans- Collect data related to outcomes Compare data with outcomes Relate nursing actions to patient goals/outcomes Draw conclusions about problem status Continue, modify, or terminate the patients care plan What does a written evaluation statement need to contain? (Ans- 1. Data and time 2. Conclusion statement, whether the goal was met, partially met, or not met. 3. Supporting statement e.g. 12/22/21 0900 goal met; patient consumed 75-100% of meal trays today. During the evaluation phase, the nurse needs to.... (Ans- Continue, modify, or terminate the plan of care. What do the nurse and patient determine together during the evaluation phase? (Ans- 1. The patients progress toward goals 2. The effectiveness of the nursing plan of care (whenever possible) How do you know if the goal was met? (Ans- The goal was met if... -the problem was solved or risks eliminated -the risk is being prevented but some or all risk factors still present -the goals were met but the actual problem still exists How do you know if the goal wasn't met or was just partially met? (Ans- The goal was NOT met or only partially met if... -the problem was only partially resolved and revisions to the care plan are needed -the patient may still reach the goal, maybe they just need more time. or perhaps we evaluated too soon. In delegating, the nurse assigns the ________for a task but not the_______________for the outcome. (Ans- Responsibility and accountability Who is the delegate? (Ans- UAP, CNA, LPN Who is the delegator? (Ans- Nurse What are the five rights of delegation? (Ans- 1. Right Task 2. Right Circumstances 3. Right Person 4. Right Direction/Communication 5. Right Supervision/Evaluation