Nursing Interventions Chapter Quiz
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Questions and Answers

What is a nurse-initiated intervention primarily aimed at enhancing?

  • Patient outcomes (correct)
  • Hospital efficiency
  • Patient financial stability
  • Doctor-patient communication

Which of the following is NOT a category of nursing interventions?

  • Collaborative interventions
  • Clinical trials initiated (correct)
  • Physician-initiated
  • Nurse-initiated

Which of the following best describes effective nurse-initiated interventions?

  • Limit patient participation in care
  • Promote stringent medical protocols
  • Focus solely on monitoring patient diet
  • Facilitate independence and assist with daily living activities (correct)

What is an essential step after writing patient outcomes?

<p>Identifying appropriate nursing interventions (C)</p> Signup and view all the answers

Which of the following is an important aspect of individualizing evidence-based interventions?

<p>Explaining the choice of intervention to the patient (A)</p> Signup and view all the answers

What does the Nursing Intervention Classification (NIC) provide for nurses?

<p>A comprehensive list of applicable nursing interventions (C)</p> Signup and view all the answers

Which characteristic is essential for nursing interventions to be suitable for patients?

<p>Compatible with patient values and beliefs (B)</p> Signup and view all the answers

When identifying nursing interventions, which factor should be assessed?

<p>Risks associated with the proposed interventions (C)</p> Signup and view all the answers

What type of information is considered factual and accurate in data collection?

<p>Patient frequently is observed lying with his face to the wall (C)</p> Signup and view all the answers

Which of the following is considered the primary and often the best source of information about a patient?

<p>The patient (B)</p> Signup and view all the answers

What is a common misconception when diagnosing a patient based solely on emotional cues?

<p>Tears always indicate a need for counseling. (A), Patients do not vary in their emotional responses. (B), Emotional signs are more important than physical signs. (D)</p> Signup and view all the answers

When might family members and significant others be especially helpful in collecting patient data?

<p>When the patient is a child or has limited capacity to share information (A)</p> Signup and view all the answers

In determining a patient's strengths, which factor is typically considered most significant?

<p>History of diet and nutrition. (B)</p> Signup and view all the answers

What is the primary focus of medical records prepared by healthcare professionals?

<p>Identifying pathologic conditions and medical regimens (C)</p> Signup and view all the answers

What role do consultations play in patient data collection?

<p>They focus on identifying findings for medical diagnosis and treatment planning (C)</p> Signup and view all the answers

Which of the following is NOT one of the basic conclusions a nurse may reach after analyzing patient data?

<p>Psychological Disorder. (B)</p> Signup and view all the answers

What could be indicated by slurred speech following a surgical procedure?

<p>Serious complication. (A)</p> Signup and view all the answers

Which source of data records findings from laboratory studies and diagnostic tests?

<p>Patient records (D)</p> Signup and view all the answers

Why might a nurse need to consult nursing and other healthcare literature?

<p>To obtain a comprehensive patient database for uncommon conditions (B)</p> Signup and view all the answers

When a nurse identifies a patient with signs of a wound infection, which is the nurse's primary action?

<p>Determine if this is a normal body defense. (A)</p> Signup and view all the answers

What type of reports may be included in the patient’s record from other healthcare professionals?

<p>Reports indicating progress made in specific therapeutic areas (B)</p> Signup and view all the answers

What are the five types of nursing diagnoses as described by NANDA?

<p>Actual, risk, possible, wellness, and syndrome. (D)</p> Signup and view all the answers

What is essential to avoid when making a nursing diagnosis?

<p>Making assessments based on singular cues. (D)</p> Signup and view all the answers

Which complication should a nurse monitor as potentially life-threatening?

<p>Inability to move an extremity. (A)</p> Signup and view all the answers

What is considered a high-priority nursing diagnosis?

<p>A diagnosis that poses the greatest threat to the patient’s well-being. (D)</p> Signup and view all the answers

When must physiologic needs be prioritized in patient care?

<p>Before the patient can focus on higher-level needs according to Maslow's hierarchy. (D)</p> Signup and view all the answers

In discharge planning, what type of information is essential to educate the patient about?

<p>What to do, how to do it, and what not to do regarding their care. (A)</p> Signup and view all the answers

Which factor should be considered when prioritizing patient care effectively?

<p>The patient's preference regarding their care if it does not interfere with vital therapies. (C)</p> Signup and view all the answers

What outcome can be expected within one week after applying wound care interventions?

<p>Signs of healing like reduced redness and swelling. (A)</p> Signup and view all the answers

Which of the following guides is NOT used for prioritizing patient problems?

<p>Patient’s hobbies and interests. (A)</p> Signup and view all the answers

Which organization developed the Nursing Outcomes Classification (NOC)?

<p>Iowa Outcomes Project. (A)</p> Signup and view all the answers

What could be a potential consequence of ignoring a diagnosis that may lead to future problems?

<p>Nursing negligence that can harm the patient. (A)</p> Signup and view all the answers

What should a nurse do to prepare a patient physically and psychologically for a procedure?

<p>Consult with the patient regarding the presence of visitors (D)</p> Signup and view all the answers

When planning for an intervention, why is it important to identify whether assistance will be needed?

<p>To determine the independence of the nurse (D)</p> Signup and view all the answers

How should equipment be organized for a successful intervention?

<p>Equipment should be arranged so it is easily accessible (A)</p> Signup and view all the answers

What role does the patient's developmental stage play in nursing care?

<p>It helps identify specific developmental needs to address (C)</p> Signup and view all the answers

Why is it important to respect a patient's psychosocial background in nursing interventions?

<p>Ignoring psychosocial factors can lead to noncompliance (B)</p> Signup and view all the answers

What should a nurse do to promote a patient's self-care?

<p>Encourage independence in meeting basic human needs (A)</p> Signup and view all the answers

What is a key factor to consider when implementing a plan of care?

<p>The patient's developmental stage and psychosocial needs (C)</p> Signup and view all the answers

How can a nurse ensure a respectful environment during an intervention?

<p>By ensuring the patient's dignity and privacy are maintained (D)</p> Signup and view all the answers

What should a student do if they doubt their ability to implement a plan of care?

<p>Consult with a healthcare peer or superior (C)</p> Signup and view all the answers

Which category of nursing interventions can a nurse perform independently?

<p>Educating a patient about medication adherence (B)</p> Signup and view all the answers

What is an example of a dependent nursing intervention?

<p>Physician prescribing medication for a patient (D)</p> Signup and view all the answers

How should nurses ensure successful implementation of a plan of care in chaotic environments?

<p>By maintaining a high level of organization and efficiency (C)</p> Signup and view all the answers

What should be considered when reassessing a patient before a nursing intervention?

<p>The patient's current condition and any changes (B)</p> Signup and view all the answers

What is the purpose of promoting self-care in nursing?

<p>To foster patient independence and recovery (A)</p> Signup and view all the answers

In which scenario would an interdependent nursing intervention occur?

<p>A nurse administering medication ordered by a physician and coordinating with a physical therapist (C)</p> Signup and view all the answers

Which step is NOT a part of implementing the plan of care?

<p>Ignoring the patient's feedback on care (B)</p> Signup and view all the answers

Flashcards

Data Interpretation

Analyzing data from different sources to identify patterns and trends.

Clustered Data

A nursing diagnosis should be based on multiple pieces of information rather than a single observation.

Patient Strengths

Identify a patient's positive attributes and skills.

Potential Problems

Identify potential issues a patient may face based on their condition and history.

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Potential Complications

Recognize and address potential complications arising from a patient's condition.

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Nursing Diagnosis

A conclusion reached after analyzing patient data.

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NANDA Nursing Diagnoses

A structured way to categorize and describe patients' health problems.

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Types of Nursing Diagnoses

Types of nursing diagnoses include Actual, Risk, Possible, Wellness, and Syndrome.

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Nursing Intervention

Any actions or treatments a nurse takes based on knowledge and clinical judgment to improve patient outcomes.

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Types of Nursing Interventions

Nurse-initiated, doctor-initiated, or collaborative interventions.

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Nurse-Initiated Interventions

Actions performed by a nurse to monitor a patient's health, reduce risks, resolve problems, help with daily activities, and promote well-being.

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Nursing Intervention Classification (NIC)

A comprehensive and validated list of nursing interventions used across various healthcare settings.

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Selecting Appropriate Nursing Interventions

When choosing nursing interventions, consider if they are realistic, compatible with the patient's values and beliefs, and fit with other treatments.

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Individualizing Evidence-Based Interventions

Nurses should be able to explain why they choose one intervention over another and understand the potential benefits and risks.

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Outcome-Based Nursing Interventions

Focusing on specific and measurable actions that the patient will perform after receiving teaching.

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Specific Nursing Intervention Language

Instead of general statements like "Patient will cope better," use specific and observable behaviors to measure success.

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Factual and Accurate Data

Data must be factual, accurate, and based on observable behaviors. Avoid subjective opinions or assumptions. For example, stating a patient is 'depressed' is subjective, while 'patient frequently lies with his face to the wall' is objective and factual.

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Patient as Primary Source

The patient is the primary source of information about their health status, experiences, and needs.

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Family and Significant Others as Sources

Family, friends, and caregivers can provide valuable insights, especially when the patient is unable to communicate fully, such as children or those with cognitive impairments.

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Medical Records: Physician Notes

Medical history, physical exams, and progress notes document the physician's assessments and treatment plans, focusing on identifying medical conditions and their causes.

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Medical Records: Consultations

Consultations with specialists provide additional insights and expertise, helping to establish a diagnosis or plan treatment.

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Medical Records: Diagnostic Studies

Laboratory test results, radiographs, and other diagnostic studies provide objective evidence of the patient's health status.

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Medical Records: Other Healthcare Professionals

Records from other healthcare professionals, such as nutritionists, physical therapists, or speech therapists, document their interventions and the patient's progress in their specific areas.

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Independent Nursing Intervention

A nurse can perform this intervention without needing orders or assistance from other healthcare professionals. An example is educating a patient about their medication.

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Nursing Literature for Comprehensive Understanding

Consult nursing and related literature to gain knowledge about specific health problems, especially when unfamiliar with a condition. For example, learn about Paget's disease before assessing a patient with it.

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Dependent Nursing Intervention

A nurse cannot perform this intervention without a specific order from a physician, such as prescribing a new medication.

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Interdependent Nursing Intervention

This intervention involves collaboration between the nurse and other members of the healthcare team, like a physician and physical therapist.

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Determining the Patient's Need

When carrying out a plan of care, nurses use their skills to determine if the patient still needs assistance or if their condition requires new interventions.

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Organizing Resources

To successfully implement a plan of care, nurses need to be organized and efficient in today's busy healthcare environment.

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Reassessing the Patient

Before starting any nursing intervention, nurses should carefully assess the patient to ensure the plan of care is still appropriate and safe.

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Promoting Self-Care

Nurses help patients manage their own health and well-being, promoting self-care.

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Achieving Valued Health Outcomes

Nurses work to help patients reach their desired health goals.

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Prioritizing Nursing Diagnoses

Prioritizing patient care based on the most urgent needs, considering factors like the patient's well-being and potential future risks.

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Maslow's Hierarchy of Needs

A structured approach to prioritizing patient needs, focusing on basic physiological needs first, followed by safety, love, self-esteem, and self-actualization.

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Patient Preference in Prioritization

Determining the patient's preferences for the order of care, ensuring their wishes are respected as long as it doesn't compromise essential medical treatment.

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Anticipating Future Health Problems

Anticipating potential future health issues and prioritizing interventions to prevent them, even if the patient doesn't acknowledge them.

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Nursing Outcomes Classification (NOC)

A standardized language system that defines and measures patient outcomes in response to nursing interventions.

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Discharge Planning

A nursing plan that ensures the patient's well-being and smooth transition home after their hospital stay, including education, support, and resources.

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Client Education

Providing comprehensive education about the patient's condition, their needs, and what to do (and not do) for self-care.

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History of Hospitalization

Documenting the patient's hospitalization experience, including tests and procedures, for a complete record of care.

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Variables Influencing Outcome Achievement

Factors that influence a patient's ability to achieve desired health outcomes.

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Patient Developmental Stage

Understanding the patient's developmental stage (infant, child, adult, etc.) is crucial for tailoring care and interventions appropriately.

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Psychosocial Background

Considering the patient's socioeconomic background and culture ensures interventions are culturally sensitive and respectful.

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Patient Preparation

Preparing the patient physically and emotionally before each intervention.

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Personnel

Ensuring all necessary staff are available to provide safe and efficient care.

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Equipment

Gathering and making available all necessary equipment for the intervention.

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Environment

Creating a safe, respectful, and private environment for the intervention.

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