Nursing Implementation Phase Quiz

Implementation

• Implementation is the fourth phase of the nursing process
• It involves doing and documenting nursing activities or orders
• Not every nursing action is directed by interventions following a nursing diagnosis

Types of Nursing Skills

• Cognitive skills include problem-solving, critical thinking, and creativity
• Interpersonal skills are all activities, verbal or nonverbal, people use when interacting with others
• Technical skills are hands-on skills, such as moving, giving injections, or other procedures/tasks

Process of Implementation

• Reassess the client
• Determine the nurse's need for assistance
• Implement nursing interventions
• Supervise delegated care
• Document nursing activities

Reassessing the Client

• Before implementing an intervention, the nurse must reassess the client to ensure the intervention is still needed
• For example, if a client's nursing diagnosis is "disturbed sleep pattern," and they are now sleeping, the planned "back massage" as a relaxation technique should be deferred

Determining the Nurse's Need for Assistance

• A nurse may need assistance for several reasons:
  • Inability to implement the nursing activity safely alone
  • To reduce stress on the client
  • Lack of knowledge or skills to perform a particular nursing activity

Guidelines for Implementing Nursing Interventions

• Base interventions on scientific knowledge, nursing research, and professional standards of care
• Understand and question orders that are unclear
• Implement safe care
• Provide teaching, support, and comfort
• Be holistic
• Respect the client's dignity and enhance self-esteem
• Encourage client participation

Documentation

• Document nursing interventions

Evaluating

• Evaluation is the fifth and final step in the nursing process
• It's a planned, ongoing, purposeful activity where clients and healthcare professionals determine the client's progress toward goals/outcomes and the effectiveness of the nursing care plan

Process of Evaluation

• Collect data related to outcomes
• Compare data with outcomes
• Relate nursing activities to outcomes
• Draw conclusions about the problem's status
• Continue, modify, or terminate the nursing care plan

Evaluation Statement

• Evaluation statements have two parts:
  • Conclusion
  • Supporting data
• Example: Goal met: oral intake 300 mL, skin turgor is good. (Conclusion) Supporting data (would be specifics to support that claim: e.g., patient's weight, skin turgor assessment findings)

Test your knowledge on the implementation phase of the nursing process, where nursing activities and interventions are put into action. This quiz covers key skills, the process of implementation, and the importance of client reassessment. Assess your understanding of cognitive, interpersonal, and technical nursing skills.