Nursing Process: Evaluation of Individual Plan of Care Quiz

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Questions and Answers

What types of communication are considered nonverbal?

Gestures and facial expressions (correct)

Written words

Rate of speech

Spoken words

What is the purpose of maintaining privacy during an interview?

To interpret words and gestures effectively

To ensure interruptions

To assess breath and body odors

To create a conducive environment for communication (correct)

Which factor is an internal factor that can affect communication?

Physical setting of interview

Empathy (correct)

Dress

Ensure privacy

At what distance does social distance communication occur?

4 to 12 feet Signup and view all the answers

Which factor is part of the intimate zone in communication?

Physical assessment Signup and view all the answers

What is the purpose of gathering subjective data during an assessment?

To collect information based on the client's perspective, feelings, and concerns Signup and view all the answers

Which type of data includes observable and measurable information obtained through physical examination?

Objective data Signup and view all the answers

When should time-lapsed reassessment be performed by nurses?

After substantial periods of time where no assessment has occurred Signup and view all the answers

Which source of data includes information from the client's family members or healthcare providers?

Secondary source data Signup and view all the answers

What does the term 'objective data' refer to in a health assessment?

Data obtained through physical examination and diagnostic testing Signup and view all the answers

Why is it important for nurses to verify the accuracy of the information gathered during an assessment?

To prevent errors in the assessment process Signup and view all the answers

What is the purpose of an interview in the nursing process?

To gather organized, complete, and accurate data about patient's health state Signup and view all the answers

During an interview, what type of data is the nurse trying to elicit?

Subjective data Signup and view all the answers

What is one of the goals of establishing rapport during an interview?

To build trust between the nurse and the patient Signup and view all the answers

How does communication take place during the nursing process?

Verbally and nonverbally Signup and view all the answers

What does the nurse try to achieve through communication during an interview?

Building rapport for nurse-patient relationship Signup and view all the answers

What is NOT a purpose of an interview in the nursing process?

Perform surgery on the patient Signup and view all the answers

Study Notes

Communication

Nonverbal communication includes gestures, facial expressions, posture, body movement, voice tone, and volume, which are under less conscious control and provide a more accurate expression of one's inner thoughts and feelings.
Verbal and nonverbal communication must be interpreted in a specific context to have meaning.

Factors Affecting Communication

Internal factors: liking others, empathy, and ability to listen.
External factors: physical setting, ensuring privacy, refusing interruptions, physical environment, dress, note-taking, tape and video recording, and intimate zone (0-1.5 feet).

Health Assessment

Health teaching in a community focuses on few essential health patterns and is not comprehensive.
It takes place after the initial assessment to evaluate any changes in the client's functional health.
Time-lapsed reassessment is performed when substantial periods of time have elapsed between assessments.

Activities During Assessment

Collecting data involves gathering information about the patient, considering physical, psychological, emotional, sociocultural, and spiritual factors that may affect their health status.
Verifying data involves making sure the information is accurate and validating it.

Types of Data

Subjective data comes from the client's point of view, including feelings, perceptions, and concerns, obtained through interviews.
Objective data, also called signs, is observable and measurable data obtained through physical examination and laboratory and diagnostic testing.

Sources of Data

Primary sources: the client, the client's family members, or health care providers.
Secondary sources: medical records.

Evaluation

Evaluation of the individual plan of care involves determining outcome achievement, identifying variables affecting outcome achievement, and deciding whether to continue, modify, or terminate the plan.
Purpose: to appraise the extent to which goals and outcome criteria of nursing care have been achieved.

Methods of Data Collection

Interview is a purposeful conversation between the nurse and the patient to gather subjective data, establish rapport, and teach the client about their health state.
Purpose of interview: to gather organized, complete, and accurate data about the patient's health state, establish rapport, and teach the client about their health state.

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Description

This quiz assesses knowledge on evaluating individual plan of care in nursing, including determining outcome achievement and deciding whether to continue, modify, or terminate the plan. It also covers variables affecting outcome achievement and measuring client's response to nursing actions and progress towards goals.