NURS 3000: Professional Nursing Clinical Judgment Model, Part 2

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What is the primary purpose of planning in the nursing process?

To formulate client goals and design nursing interventions to prevent, reduce, or eliminate the client's health problems

What is the relationship between planning and assessment data in the nursing process?

The nurse relates to the client's assessment data and diagnostic statements for guidance in planning.

What are the three primary goals of planning in the nursing process?

To prevent, reduce, or eliminate the client's health problems

What is the outcome of planning in the nursing process?

Formulating client goals and designing nursing interventions Signup and view all the answers

What is the role of the nurse in the planning stage of the nursing process?

To make decisions and solve problems related to the client's health problems Signup and view all the answers

What is the significance of planning in the nursing process?

It is an intentional and systematic stage that includes decision making and problem solving Signup and view all the answers

How does planning contribute to the achievement of client goals?

By designing nursing interventions that prevent, reduce, or eliminate the client's health problems Signup and view all the answers

What is the relationship between planning and problem-solving in the nursing process?

Planning involves problem-solving to address the client's health problems Signup and view all the answers

What is the primary focus of discharge planning in a comprehensive healthcare plan?

Anticipating and planning for needs after discharge Signup and view all the answers

When should effective discharge planning begin?

At first client contact Signup and view all the answers

What type of care plan is used to meet the unique needs of a specific client?

Individualized care plan Signup and view all the answers

What is the primary characteristic of a collaborative or multidisciplinary care plan?

Standardized and summarizes the care required for a group of clients with similar conditions Signup and view all the answers

What is the main difference between a standardized care plan and an individualized care plan?

A standardized care plan is for a group of clients with common needs, whereas an individualized care plan meets the unique needs of a specific client Signup and view all the answers

What is the purpose of a protocol in a healthcare setting?

A protocol outlines a specific course of action for a particular situation or condition Signup and view all the answers

How do policies differ from procedures in a healthcare setting?

Policies provide a general framework, whereas procedures outline the specific steps to take Signup and view all the answers

What is the primary difference between a standardized care plan and a collaborative care plan?

A standardized care plan is for a specific group of clients, whereas a collaborative care plan is for a group of clients with similar conditions and is sequenced Signup and view all the answers

What is the primary purpose of consulting with the community health nurse, social worker, and specific agencies in the planning process?

To gather client information and identify necessary equipment to address nursing diagnoses. Signup and view all the answers

Why are teaching and discharge plans sometimes included as addenda in the planning process?

Because they can be lengthy and complex, and require additional documentation. Signup and view all the answers

What is the primary principle guiding the setting of priorities in the planning process, according to Maslow's Hierarchy of Needs?

Addressing life-threatening problems first, followed by health-threatening problems, and then lower-priority needs. Signup and view all the answers

What is the primary goal of establishing client goals or desired outcomes in the planning process?

To define what the nurse hopes to achieve through implementing nursing interventions. Signup and view all the answers

What is the acronym used to ensure that client goals or desired outcomes are achievable and realistic?

S.M.A.R.T. Signup and view all the answers

What is the primary purpose of establishing a preferential sequence for addressing nursing diagnoses and interventions?

To prioritize client needs and allocate resources effectively. Signup and view all the answers

What is the term used to describe the process of establishing a preferential sequence for addressing nursing diagnoses and interventions?

Setting priorities. Signup and view all the answers

What is the term used to describe the outcome criterion or objective of a particular nursing intervention?

Desired outcome or expected outcome. Signup and view all the answers

What factors may influence the degree of participation clients desire in their care?

The severity of the illness, the client's culture, and the client's fear, understanding of the illness, and understanding of the intervention. Signup and view all the answers

What is the first 'Right' of Delegation in nursing?

The right task. Signup and view all the answers

Which tasks may be delegated to unlicensed personnel?

Common tasks such as taking vital signs, basic hygiene, bedmaking, and client transfers, among others. Signup and view all the answers

What is the primary principle of delegating tasks to unlicensed personnel?

The nurse must assess the individual client prior to delegating tasks. Signup and view all the answers

What is the purpose of the Five Rights of Delegation in nursing?

To ensure that tasks are delegated effectively and efficiently, ensuring high-quality client care. Signup and view all the answers

What is an example of a task that requires 'right supervision and evaluation'?

Performing basic life support, such as cardiopulmonary resuscitation (CPR). Signup and view all the answers

Why is it important for nurses to consider the client's culture when delegating tasks?

To ensure that the client's cultural needs and preferences are respected and incorporated into their care. Signup and view all the answers

What is the significance of 'right directions and communication' in the context of delegation?

It ensures that the person delegated to receives clear instructions and guidance on how to perform the task. Signup and view all the answers

What is the purpose of collecting data related to desired outcomes in the evaluation phase of the nursing process?

To determine if the client has improved or deteriorated compared to the previous evaluation. Signup and view all the answers

What is the nurse's role in relating nursing activities to outcomes?

To determine if the nursing interventions have resulted in the attainment of desired outcomes. Signup and view all the answers

What are the implications of a goal being partially met?

Either a short-term outcome was achieved but the long-term goal was not, or the desired goal was incompletely attained. Signup and view all the answers

What is the nurse's responsibility when a client goal is met?

To develop a new goal if the client is still under the care of the nurse. Signup and view all the answers

What is the purpose of comparing data with desired outcomes in the evaluation phase?

To identify what improvements have been made in client care. Signup and view all the answers

What is the significance of drawing conclusions about problem status in the evaluation phase?

To determine what outcomes have been attained. Signup and view all the answers

What is the purpose of evaluating client outcomes in the nursing process?

To determine if the client has met, partially met, or not met their desired outcomes. Signup and view all the answers

What is the role of the evaluation checklist in the nursing process?

To guide the evaluation of client outcomes and inform the revision of the care plan. Signup and view all the answers