Questions and Answers
What are the main points of this chapter?
Nursing interventions are treatments performed in response to nursing diagnoses to achieve client outcomes. They include teaching, counseling, and physical care. Independent interventions are nurse-initiated treatments. RNs are responsible for choosing interventions. Theories influence the choice of interventions, which should be research-based.
How does theory influence your choice of nursing interventions?
Theories influence what you notice, what you consider a problem, how you define the problem, and what actions you choose.
Why does a clinical practice guideline provide better support for an intervention than does a single study?
A clinical practice guideline provides better support because it includes more data and multiple studies, reducing bias.
Why does a clinical practice guideline provide better support for an intervention than an agency's critical pathway?
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For which type(s) of problems would you write nursing orders for observation/assessments?
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For which type of problems would you write nursing orders for treatments?
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For which type of problems would you write nursing orders for health promotion interventions?
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For which type of problems would you write preventive nursing orders?
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Describe a five-step process for generating and choosing nursing interventions.
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Name and describe three standardized intervention vocabularies recognized by the ANA.
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Study Notes
Nursing Interventions
- Nursing interventions are treatments performed by nurses in response to nursing diagnoses aimed at achieving client outcomes.
- Activities include teaching, counseling, emotional support, referrals, physical care, and environmental management.
- Independent interventions, initiated by nurses, can be performed or delegated based on their knowledge and skills.
- Interventions assess health status, prevent/treat disease, and promote overall health.
- Registered Nurses (RNs) choose interventions and write nursing orders but may delegate tasks to nursing assistive personnel (NAP) and LPN/LVNs.
Influence of Theory on Nursing Interventions
- Theoretical frameworks shape what nurses observe, identify as problems, define issues, and decide on interventions.
- Sound research underpins effective nursing interventions, and critical-thinking skills are utilized to develop treatment plans.
Clinical Practice Guidelines vs. Single Studies
- Clinical practice guidelines are superior as they aggregate data from multiple studies, providing reliable support for interventions.
- Single studies may lack comprehensive data and reliability due to small sample sizes or methodological weaknesses.
Clinical Practice Guidelines vs. Critical Pathways
- Critical pathways are often not evidence-based, while clinical practice guidelines are consistently grounded in evidence.
- Pathways may reflect traditional practices and omit potentially effective interventions deemed too costly.
Writing Nursing Orders
- Nursing orders for observation/assessments should be prepared for all types of problems.
- Treatment-focused nursing orders primarily apply to actual nursing diagnoses and collaborative problems.
- Health promotion interventions are specifically relevant for wellness diagnoses.
- Preventive nursing orders are applicable for actual, potential nursing diagnoses, and collaborative problems.
Five-Step Process for Nursing Interventions
- Review the nursing diagnosis to guide the creation of nursing orders based on etiology and problems.
- Review desired patient outcomes to tailor strategies specific to individual patients.
- Identify multiple interventions that could achieve the desired outcomes.
- Select the most effective interventions expected to help meet client goals.
- Individualize standardized interventions to suit the unique needs of each patient.
Standardized Nursing Intervention Vocabularies
- Nursing Interventions Classification (NIC) includes 542 interventions applicable across specialties but omits nursing diagnoses and patient outcomes.
- Clinical Care Classification (CCC) is specifically designed for home healthcare, comprising 198 interventions.
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Description
Test your knowledge on the key concepts from Chapter 6 of Fundamentals of Nursing. This chapter delves into various nursing interventions and their significance in achieving patient outcomes. Understand the difference between independent and collaborative interventions and how they contribute to effective nursing care.
