Nursing Interventions and Implementation Process

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Questions and Answers

What is the primary function of the implementing phase in nursing?

To develop care plans

To document nursing diagnoses

To assess client needs

To perform nursing interventions (correct)

How often is the Nursing Intervention Classification (NIC) updated?

Every 2 years

Every 4 years (correct)

Every 5 years

Every 10 years

Which of the following is NOT included in each nursing intervention within the NIC?

Assessment findings (correct)

A list of activities

A label (name)

A definition

In relation to the nursing process, how does the implementing phase connect with other phases?

It provides nursing activities based on prior phases Signup and view all the answers

What type of actions does the nurse perform during the implementing phase?

Executing and documenting nursing interventions Signup and view all the answers

What is the primary reason a nurse should not document nursing care in advance?

To allow for real-time assessment of the client's needs. Signup and view all the answers

Why is immediate documentation of nursing interventions considered crucial?

It prevents the occurrence of duplicate medication doses. Signup and view all the answers

In what manner should nursing activities be communicated during shift changes?

Both verbally and in writing to ensure clarity. Signup and view all the answers

Which guideline emphasizes the importance of adapting nursing activities?

Adapt activities to the individual client. Signup and view all the answers

What should recorded data about a client be prioritized for?

It should be accurate, up to date, and accessible. Signup and view all the answers

Which of the following skills are included in cognitive skills for nursing care?

Creativity Signup and view all the answers

What is the primary goal of interpersonal skills in nursing?

To communicate effectively with clients Signup and view all the answers

Which aspect is essential when implementing nursing interventions?

Explaining the procedure to the patient Signup and view all the answers

What is the purpose of reassessing the client during the nursing process?

To ensure that the intervention is still needed Signup and view all the answers

When might a nurse need assistance during the implementation of care?

When unable to safely implement the activity alone Signup and view all the answers

What do technical skills in nursing primarily involve?

Physical actions controlled by the mind Signup and view all the answers

In the process of supervising delegated care, what is a nurse responsible for?

Ensuring the care plan is followed Signup and view all the answers

Which of the following is NOT a characteristic of interpersonal skills in nursing?

Providing physical care Signup and view all the answers

Study Notes

Implementing Nursing Interventions

The implementing phase of the nursing process is where the nurse carries out nursing interventions.
This involves performing and documenting specific nursing actions.
The Nursing Interventions Classification (NIC) is a taxonomy of nursing interventions that helps organize and standardize nursing practice.
The NIC was developed by the Iowa Intervention Project and first published in 1992.
It is updated every four years and consists of three levels: domains, classes, and interventions, with over 514 interventions listed.
Each intervention includes a label, definition, and list of activities.
The NIC is linked to NANDA diagnostic labels to help nurses select appropriate interventions.
The implementing phase is built upon the assessment, diagnosis, and planning phases of the nursing process.
It provides the actual nursing care that was planned for in the previous steps.
The nurse's actions and the client's responses to those actions are then evaluated in the next phase.
Assessment is a continuous process, even during implementation.
Nurses need cognitive, interpersonal, and technical skills to successfully implement nursing interventions.

Cognitive Skills

Problem-solving, decision-making, critical thinking, and creativity are needed for effective nursing practice.

Interpersonal Skills

These are verbal and nonverbal behaviors used during interactions with others.
Effective communication is crucial.
Interpersonal skills are necessary for caring, referring, counseling, and supporting clients.

Technical Skills

These are considered "hands-on" skills involving tasks, procedures, and psychomotor actions.
Psychomotor skills are physical actions controlled by the mind.
Technical skills require knowledge and often manual dexterity.

Reassessing the Client

The nurse reassesses the client to ensure the intervention is still needed and to identify any changes in care priorities.

Determining the Nurse's Need for Assistance

The nurse may need assistance for reasons like safely implementing activities, reducing stress for the client, or lacking the required knowledge or skills.

Implementing the Nursing Interventions

Explain the procedure or intervention to the client before implementation.
Ensure patient privacy, as needed.
Coordinate client care by scheduling appointments with other departments.

Supervising Delegated Care

Nurses ensure delegated care is completed according to the care plan.
Other caregivers should communicate their activities through documentation, verbal reports, or written forms.
The nurse can validate the intervention and respond to any adverse findings or client responses.

Documenting Nursing Activities

After implementing activities, the nurse documents the interventions and client responses in the nursing progress note.
Documenting should be done after interventions are performed to reflect the most current information.
Routine or recurring activities can be documented at the end of a shift.
It is crucial to record interventions immediately after implementing them to prevent duplicating interventions or missed information.
Nursing activities are communicated verbally as well as in writing.

Guidelines for Implementing Nursing Interventions

Practice evidence-based care.
Understand the chosen intervention clearly.
Adapt activities to the individual client's needs.
Ensure safe care.
Provide teaching, support, and comfort to clients.
Offer holistic care addressing all aspects of the client's well-being.
Respect the dignity of the client and enhance their self-esteem.
Encourage active client participation in their care.

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Description

This quiz explores the implementing phase of the nursing process, focusing on nursing interventions and the Nursing Interventions Classification (NIC). Understand the purpose and components of NIC, including its link to NANDA diagnostic labels and how it standardizes nursing practice. Test your knowledge on the practical application of nursing interventions.