Podcast
Questions and Answers
What is the primary focus of the implementing phase in nursing?
What is the primary focus of the implementing phase in nursing?
- Identifying nursing diagnoses
- Assessing patient outcomes
- Planning nursing care
- Performing nursing interventions (correct)
Which level of the Nursing Intervention Classification (NIC) is concerned with general categories of interventions?
Which level of the Nursing Intervention Classification (NIC) is concerned with general categories of interventions?
- Assessment phase
- Level 2 classes
- Level 1 domains (correct)
- Level 3 interventions
How often is the Nursing Intervention Classification (NIC) updated?
How often is the Nursing Intervention Classification (NIC) updated?
- Every year
- Every two years
- Every five years
- Every four years (correct)
What aspect of nursing does the implementing phase NOT focus on?
What aspect of nursing does the implementing phase NOT focus on?
Which component is NOT included within each nursing intervention under the NIC?
Which component is NOT included within each nursing intervention under the NIC?
Why is it important for a nurse to record interventions immediately after implementation?
Why is it important for a nurse to record interventions immediately after implementation?
What is a crucial reason why nursing care must not be recorded in advance?
What is a crucial reason why nursing care must not be recorded in advance?
Which practice is important in the guidelines for implementing nursing interventions?
Which practice is important in the guidelines for implementing nursing interventions?
What should be the nature of the recorded data about the client?
What should be the nature of the recorded data about the client?
What is one aspect that should be respected during nursing interventions?
What is one aspect that should be respected during nursing interventions?
What is a key component of cognitive skills in nursing?
What is a key component of cognitive skills in nursing?
Which of the following best defines technical skills in the context of nursing?
Which of the following best defines technical skills in the context of nursing?
Why is it important to reassess the client during nursing care implementation?
Why is it important to reassess the client during nursing care implementation?
What is an example of a situation where a nurse may need assistance?
What is an example of a situation where a nurse may need assistance?
What aspect is crucial when implementing nursing interventions?
What aspect is crucial when implementing nursing interventions?
In supervising delegated care, what must the nurse ensure?
In supervising delegated care, what must the nurse ensure?
Which of the following is NOT a component of interpersonal skills in nursing?
Which of the following is NOT a component of interpersonal skills in nursing?
Which action is a part of the nursing process when implementing care?
Which action is a part of the nursing process when implementing care?
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Study Notes
Implementing
- Implementing phase: performing nursing interventions and documenting activities
- NIC (Nursing Intervention Classification):
- Taxonomy of nursing interventions
- Developed by the Iowa Intervention Project
- First published in 1992
- Updated every 4 years
- Consists of three levels: Domains, Classes, and Interventions
- NIC includes over 514 interventions, each with a label, definition, and activities
- NIC is linked to NANDA diagnostic labels
- Implementing builds upon Assessment, Diagnosis, and Planning phases
- Evaluating phase examines nursing activities and client responses
- Nurses need cognitive, interpersonal, and technical skills to implement care successfully
Cognitive Skills
- Problem-solving
- Decision-making
- Critical thinking
- Creativity
Interpersonal Skills
- Communication skills used in direct interactions
- Conveying knowledge, attitudes, feelings, interests, and cultural values
- Important for caring, referring, counseling, and supporting clients
Technical Skills
- Hands-on skills, including tasks, procedures, and psychomotor skills
- Require knowledge and manual dexterity
Process of Implementing
- Reassessing the client
- Determining the nurse’s need for assistance
- Implementing nursing interventions
- Supervising delegated care
- Documenting nursing activities
Reassessing the Client
- Ensures the intervention is still needed
- May indicate a need to change care priorities
Determining the Nurse's Need for Assistance
- May be needed for:
- Implementing activities safely
- Reducing client stress
- Lacking the knowledge or skills
Implementing Nursing Interventions
- Explaining the procedure to the patient
- Ensuring patient privacy
- Coordinating client care (scheduling appointments)
Supervising Delegated Care
- Ensuring delegated activities are implemented correctly
- Validating interventions and responding to adverse findings
- Communicating delegated activities through documentation, verbal reporting, or forms
Documenting Nursing Activities
- Recording interventions and client responses in the nursing progress note
- Nursing care should not be recorded in advance
- Routine activities can be recorded at the end of the shift
- Record interventions immediately after implementation
- Recorded data should be accurate, up-to-date, and accessible
Guidelines for Implementing Nursing Interventions
- Evidence-based practice
- Clearly understand the intervention
- Adapt activities to the individual client
- Implement safe care
- Provide teaching, support, and comfort
- Be holistic
- Respect the client’s dignity and enhance self-esteem
- Encourage active client participation
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