Nursing Care Plan Development and Interventions Revision
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Questions and Answers

What is the purpose of an initial assessment in nursing?

  • To identify life-threatening problems
  • To evaluate the success of implemented care/actions
  • To gather data about a specific problem already identified (correct)
  • To compare a client's current status to baseline data

    • Which type of nursing assessment is performed to gain the most important information needed first?

  • Quick priority assessment (correct)
  • Emergency assessment
  • Focused assessment
  • Time-lapsed assessment

    • According to Taylor et al. (2023), what does the nursing process ensure nurses are?

  • Task-oriented rather than person-centered
  • Focused on technology over patient care
  • Task-centered and efficient
  • Person-centered rather than task-oriented (correct)

    • When is an emergency assessment typically performed in nursing?

    <p>To identify life-threatening problems during a physiologic or psychologic crisis</p> Signup and view all the answers

    In the context of nursing assessments, what is the purpose of a time-lapsed assessment?

    <p>To compare a client's current status to baseline data</p> Signup and view all the answers

    Which QSEN competency involves incorporating patient/family preferences and values for the delivery of optimal health care?

    <p>Patient-centered care</p> Signup and view all the answers

    What is the acronym used to remember the steps of the Nursing Process?

    <p>AAPIE</p> Signup and view all the answers

    What is the main focus of Evidence-Based Practice in nursing?

    <p>Integrating current evidence with clinical expertise</p> Signup and view all the answers

    Which of the following is NOT one of the QSEN competencies mentioned in the text?

    <p>Professionalism</p> Signup and view all the answers

    At which step of the Nursing Process does the nurse analyze the collected data?

    <p>Planning</p> Signup and view all the answers

    What is the purpose of the Nursing Process?

    <p>To direct the nurse and patient in assessing, identifying problems, planning interventions, implementing, and evaluating outcomes</p> Signup and view all the answers

    Which of the following is NOT a benefit of the Nursing Process?

    <p>Opportunity to work in isolation</p> Signup and view all the answers

    What is a key Professional Implication of the Nursing Process according to the text?

    <p>It identifies the consumer of care</p> Signup and view all the answers

    How many steps are typically involved in the Nursing Process?

    <p>5 steps</p> Signup and view all the answers

    Which competency in nursing does the Nursing Process primarily aim to address?

    <p>QSEN competencies</p> Signup and view all the answers

    Which skill is NOT part of the NCJMM model for nursing clinical judgement?

    <p>Planning</p> Signup and view all the answers

    In the NCJMM model, what is the next step after nurses Analyze Cues?

    <p>Prioritize Hypothesis</p> Signup and view all the answers

    What is the primary focus of Assessing in the Nursing Process?

    <p>Identify the client’s/patient’s needs</p> Signup and view all the answers

    Which step in the Nursing Process involves creating a plan of care for the client?

    <p>Implementing</p> Signup and view all the answers

    How does the NCJMM model differ from the Nursing Process in terms of prioritizing hypotheses?

    <p>Nursing Process focuses on Maslow's Hierarchy of needs for prioritization</p> Signup and view all the answers

    What is the purpose of triage assessment in nursing practice?

    <p>To determine the extent and severity of client's problems</p> Signup and view all the answers

    Which activity is NOT part of the assessment phase of the Nursing Process?

    <p>Dispensing medications to the client</p> Signup and view all the answers

    When does the communication and documentation of data occur in the Nursing Process?

    <p>Throughout all steps of the Nursing Process</p> Signup and view all the answers

    Which healthcare professionals might a nurse collaborate with in the context of collecting data during patient care?

    <p>Physiotherapists and Occupational therapists</p> Signup and view all the answers

    What is the main goal of updating, organizing, and validating data in nursing assessment?

    <p>To ensure accuracy and reliability of collected data</p> Signup and view all the answers

    What type of planning involves updates of care based on reassessment?

    <p>Ongoing planning</p> Signup and view all the answers

    What is classified as a low priority in setting priorities for addressing client problems?

    <p>Developmental needs</p> Signup and view all the answers

    When setting priorities for addressing client problems, what should nurses consider in collaboration with the patient?

    <p>Client's health values &amp; beliefs</p> Signup and view all the answers

    Which term is used in the text to describe what the nurse hopes to achieve in the patient through nursing interventions?

    <p>Desired outcome</p> Signup and view all the answers

    What factors are included in Maslow's Hierarchy of Needs when setting priorities?

    <p>Client's physiological needs</p> Signup and view all the answers

    What is the primary focus of nurses in managing collaborative problems?

    <p>Monitoring client conditions and preventing complications</p> Signup and view all the answers

    In the nursing process, what is the purpose of prioritizing hypotheses?

    <p>To identify the main problem the nurse can treat</p> Signup and view all the answers

    Which formal functions of the body are included in physiological problems?

    <p>Acute peripheral tissue perfusion, decreased, and pain</p> Signup and view all the answers

    What is the purpose of using Maslow's Hierarchy of needs in prioritizing client problems?

    <p>To determine the urgency of each problem</p> Signup and view all the answers

    What is the main goal of the AAPIE approach in nursing?

    <p>Analyze cues and identify priority problem for assessment</p> Signup and view all the answers

    Which action is NOT part of the nursing process steps?

    <p>Dispensing medication</p> Signup and view all the answers

    'Identify the client’s strengths and health problems that can be prevented or resolved by independent nursing interventions' falls under which step of the nursing process?

    <p>Assessment</p> Signup and view all the answers

    'Document problem statement' is associated with which step of the nursing process?

    <p>Planning</p> Signup and view all the answers

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