Nursing Process Implementation - Chapter 14

Implementation Phase of Nursing Process

• Reassessing the client is the first step when initiating the implementation phase.
• The need for assistance is determined after reassessment.
• Nursing interventions are carried out after evaluation and assistance determination.
• Documentation of interventions occurs last.

Documentation Practices

• Documenting nursing activities prior to carrying them out is never acceptable.
• Unsafe prior charting can lead to inaccuracies and potential dangers.
• Routine or frequent activities can be documented after completion, but not before.

Evaluating Phase of Care Planning

• The primary purpose is to determine if desired outcomes have been met.
• Success is measured by specific changes in the client's condition, not merely through activity completion.

Nursing Diagnoses and Risk Factors

• A nursing diagnosis of Risk for Impaired Skin Integrity should remain if risk factors are still present, even if skin integrity is currently intact.
• Modifying or deleting the diagnosis isn't necessary when risk factors persist.

Process Evaluation in Nursing

• Evaluating the response time of nurses to a client need reported via intercom reflects process evaluation.
• Structure evaluations focus on the setting, while outcome evaluations assess changes in client status.

Relationship Between Phases of Nursing Process

• Implementing phase validates findings from the assessing phase.
• Evaluation occurs immediately after interventions, not waiting until all are completed.
• Mobilization of healthcare team members is integrated into the implementation phase.

Skills Required in Nursing Interventions

• In situations like a distressed client with elevated blood pressure, interpersonal skills are crucial for effective implementation of care and education.

Test your knowledge on the implementation phase of the nursing process with this quiz. Focused on Chapter 14, this quiz covers critical steps such as reassessment and documentation, essential for nursing practice.