Questions and Answers
What characterizes a short-term goal in patient care?
Which of the following is NOT a part of the SMART criteria for goal setting?
What is a patient-centered goal primarily focused on?
When should a nurse consult with other health care professionals?
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Which statement best describes measurable goals?
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What is the purpose of forming hypotheses when setting goals?
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How should goals of care be described?
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Which factor is essential for collaborative goal setting with patients?
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What is critical to the nursing process when planning patient care?
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Which of the following describes a key characteristic of clinical decision making?
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What differentiates goals from expected outcomes in patient care?
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When developing a nursing care plan, what actions should a nurse prioritize?
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In the context of discharge planning, which aspect is vital to consider?
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What is the first step a nurse should take when generating solutions in patient care?
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What is an important consideration when selecting nursing interventions?
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Which of the following statements is true regarding nursing interventions?
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What is necessary before implementing a physician's order for treatment?
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Which of the following best describes interdependent interventions?
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When should transition care/discharge planning begin?
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What should be included when assessing the learning needs of a patient for discharge?
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Which of the following accurately summarizes the ADPIE process in transition care?
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What is a vital aspect of providing medication instructions to patients?
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What type of orders require clarification and collaboration with a physician?
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What is a key responsibility of competent nurses regarding physician orders?
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What is an essential method to verify a patient's understanding of discharge instructions?
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When planning for a patient's discharge, which factor is NOT important to assess?
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Which of the following medications instructions should a patient receive upon discharge?
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What is one of the safety guidelines to consider for a patient's home environment after discharge?
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What role does a dietician play in transition planning for a patient?
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During transition care, which information should be included in the medication list?
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Which of these statements about nutrition guidelines for a patient during transition care is accurate?
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What should healthcare providers do to ensure the patient understands the transition instructions?
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What is the highest priority nursing diagnosis?
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Which factor does NOT influence priority setting in patient care?
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What type of priority is associated with interventions affecting a patient's future well-being?
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Why is critical thinking important in determining nursing priorities?
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At what level does priority setting begin in nursing practice?
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How do Erikson's stages of psychosocial development relate to patient priorities?
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Which nursing diagnosis would typically have intermediate priority?
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What must the nurse consider when prioritizing care for multiple patients?
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Study Notes
Nursing Process and Planning
- The nursing process involves assessment, diagnosis, planning, implementation, and evaluation (ADPIE).
- Planning is the third step of the nursing process, necessitating critical thinking and decision-making skills.
- Effective planning requires setting priorities and identifying patient-centered goals along with expected outcomes.
Clinical Decision Making
- Clinical decision-making examines and selects the best actions for achieving desired patient goals.
- It involves recognizing and prioritizing patient problems to minimize adverse effects on health.
Prioritization in Nursing
- Nursing priorities are classified into three categories: High (emergent), Intermediate (non-life threatening), and Low (affects future well-being).
- High-priority diagnoses require immediate attention to prevent harm, while low-priority ones address long-term wellness.
Goal Setting and Expected Outcomes
- Goals must be specific, measurable, observable, attainable, relevant, and time-limited (SMART).
- Patient-centered goals reflect the highest level of wellness and function, with short-term goals expected within days and long-term goals expected within weeks to months.
Transition Care and Discharge Planning
- Discharge planning begins at patient admission and needs to consider post-facility care logistics to ensure patient safety.
- It includes assessing patient learning needs and providing clear instructions on self-care and follow-up.
Communication and Collaboration
- Effective nursing requires collaboration with other healthcare professionals to address patient needs comprehensively.
- Consultation with interprofessional teams helps outline appropriate interventions and clarify treatment orders.
Safety Guidelines for Transition
- Safety assessments should include the patient’s home environment, support systems, and medication management to facilitate recovery.
- Patients should understand their discharge medications, possible side effects, and know whom to contact for further assistance.
Erikson’s Stages of Development
- Patient priorities may vary according to their psychosocial stage, such as intimacy vs isolation in young adulthood (late teens to 35 years).
Importance of Critical Thinking
- Critical thinking in nursing aids in prioritizing care, selecting interventions, and evaluating patient readiness for discharge.
- The TEACH BACK method is vital to ensure patient understanding of discharge instructions and care requirements.
Continuous Evaluation
- Transition plans require ongoing evaluation and adjustments based on patients' changing conditions and feedback from patients and families.
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Description
This quiz assesses your understanding of the nursing process, including planning and generating solutions for patient care. It emphasizes the importance of safe, patient-centered, and evidence-based nursing principles. Additionally, it covers critical thinking strategies vital for making clinical judgments.
