Questions and Answers
Which tool can the novice nurse refer to when writing nursing outcomes?
Which criterion is essential when the nurse plans nursing interventions designed to meet a specific goal? (Select all that apply)
The primary source for data collection during a psychiatric nursing assessment is the
client's own words and actions
What three structural components comprise a nursing diagnosis?
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The mental status examination aids in the collection of what type of data?
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What principle forms the basis of nursing outcome planning?
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Before beginning the interview, which nursing intervention will best facilitate data collection?
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The nurse best assesses the client's spiritual life by asking which question?
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Which nursing diagnosis for a psychiatric client is correctly structured and worded?
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Study Notes
Nursing Outcomes and Assessments
- Nursing Outcomes Classification (NOC) is used to evaluate the effectiveness of nursing interventions in the U.S.
- NOC provides a standardized list of nursing outcomes.
Criteria for Nursing Interventions
- Key criteria for planning nursing interventions include:
- Safety
- Evidence-based practices
- Individualization to the patient’s needs
- Realistic goals
- Economic considerations are secondary to the other criteria in selecting interventions.
Data Collection in Psychiatric Nursing
- The primary source for data during psychiatric assessments is the client's own words and actions.
- Family, friends, nonverbal responses, and medical records may provide supplementary information.
Nursing Diagnosis Components
- A nursing diagnosis consists of:
- Problem
- Related factors
- Defining characteristics
Mental Status Examination
- The mental status examination primarily collects objective data about the patient's condition.
Principles of Outcome Planning
- Outcome planning is based on the principle that individuals have the right to outcomes reflective of their abilities.
- Desired outcomes should represent the highest attainable level of patient health through nursing interventions.
Facilitating Client Interviews
- For clients with impaired sight or hearing, assisting in using their glasses and hearing aids is crucial for effective communication during interviews.
Assessing Spiritual Life
- The best question to assess a client's spiritual life is, "What role does religion play in your life?" This invites broader discussions on spirituality.
Structuring Nursing Diagnoses
- A correctly structured nursing diagnosis for psychiatric clients includes all required components:
- Example: "Imbalanced nutrition: less than body requirements related to poor self-concept as evidenced by reporting 'I'm not worthy of eating'." This follows proper format and evidentiary support.
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Description
Explore the key concepts of the nursing process and the standards of care with this quiz. Test your knowledge on important classifications and tools used in nursing, such as NANDA and Nursing Outcomes Classification. Perfect for nursing students and professionals alike.
