Questions and Answers
Define the term nursing intervention.
Nursing interventions are actions, based on clinical judgments and nursing knowledge, that nurses perform to achieve client outcomes.
What type of intervention does NOT require a provider's (Doctor's) order?
Explain how theories and research influence the choice of nursing interventions.
A theory influences your perspective, which determines what you choose to do about a problem.
How are nursing interventions determined by problem status?
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What is the difference between a prevention and intervention diagnosis?
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Describe a process for generating nursing interventions for a client.
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How is standardized vocabulary used for nursing interventions?
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Give one example of a standardized wellness intervention and one individualized nursing order for that intervention.
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Provide an example of nursing orders.
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Give examples of questions for reflecting critically about nursing orders you have written.
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Study Notes
Nursing Interventions
- Nursing interventions are actions performed by nurses based on clinical judgments and knowledge to achieve client outcomes.
- Alternative terms for interventions include nursing actions, measures, strategies, and activities.
Types of Nursing Interventions
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Independent Interventions:
- Performed by registered nurses (RNs) based on knowledge and skills without needing a physician's order.
- Examples include responding to nursing diagnoses and performing nursing orders.
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Dependent Interventions:
- Ordered by physicians or advanced practice providers but carried out by nurses.
- Examples include administering IV medications, ordering diagnostic tests, and managing treatment plans.
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Interdependent (Collaborative) Interventions:
- Involve collaboration with other health team members.
- Responsibilities overlap among various professionals such as physicians, dietitians, and physical therapists.
Influence of Theories and Research
- Theoretical frameworks shape nurses' perspectives on defining and addressing client problems.
- Evidence-based practice stems from rigorous scientific research, guiding nurses to make informed intervention choices.
- The American Nurses Association (ANA) emphasizes the importance of utilizing research findings to guide nursing practice and participate in evidence-based practice development.
Determining Nursing Interventions
- Actual nursing diagnoses indicate a change in client status requiring observation, prevention, and treatment.
- Potential nursing diagnoses signal an increased risk of problems, necessitating observation and preventive measures.
- Possible diagnoses indicate unclear status, requiring further data for evaluation.
Prevention vs. Intervention Diagnoses
- Prevention Diagnosis: Aimed at preventing problems from worsening and maintaining disease states by implementing medical and nursing orders.
- Nursing Interventions: Encompass all activities related to observation, prevention, treatment, and health promotion.
Generating Nursing Interventions
- Review nursing diagnoses and desired patient outcomes.
- Identify multiple interventions or actions to address the issues.
- Select the most appropriate and personalized interventions for the patient.
Standardized Vocabulary in Nursing
- The Nursing Interventions Classification (NIC) provides a standardized vocabulary applicable across various nursing specialties and settings.
- Each NIC intervention includes a label, a definition, and a specific list of activities associated with the intervention.
Examples of Wellness Interventions
- Standardized wellness intervention: Educating clients on high-fiber diets.
- Individualized nursing order example: Assist patients with menu choices to increase fiber intake and encourage family involvement in meal preparation.
Example of Nursing Orders
- Date: 1/29/2015
- Goal/Outcome: Patient to consume 100 mL of fluids per hour during the day shift.
- Nursing Order: Offer 100 mL of water or juice hourly between 0700 and 1900.
Critical Reflection on Nursing Orders
- Questions for reflection might include evaluating the appropriateness, effectiveness, and expected outcomes of the nursing orders crafted.
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Description
Test your knowledge with these flashcards covering learning outcomes from Foundations Chapter 6. This quiz focuses on key concepts such as nursing interventions and their classifications. Perfect for nursing students to reinforce their understanding.
