AHChapters 14 & 15 Q's

Which action should the nurse take when a patient has achieved each expected outcome in the plan of care? A. Terminate the plan of care. B. Modify the plan of care. C. Continue the plan of care.

A. Terminate the plan of care Rationale: The plan of care is terminated when the patient has achieved all of its goals. The plan of care is modified when there are difficulties achieving outcomes. The plan of care is continued if more time is needed to achieve the outcomes.

Tell whether the following statement is true or false. An outcome evaluation focuses on measurable changes in the health status of the patient or the end result of nursing care. A. True B. False

A. True Rationale: An outcome evaluation focuses on measurable changes in the health status of the patient or the end result of nursing care.

Tell whether the following statement is true or false. One of the advantages of using Nursing Intervention Classifications in nursing practice is to ensure appropriate reimbursement for nursing services. A. True B. False

A. True Rationale: One of the advantages of using Nursing Intervention Classifications in nursing practice is to ensure appropriate reimbursement for nursing services.

Tell whether the following statement is true or false. The purpose of evaluation is to allow the patient's achievement of expected outcomes to direct future nurse-patient interactions. A. True B. False

A. True Rationale: The purpose of evaluation is to allow the patient's achievement of expected outcomes to direct future nurse-patient interactions.

Which one of the following nursing interventions is an indirect care intervention? A. A nurse explains available birth control measures to a young couple. B. A nurse meets with the collaborative care team to plan nursing measures for a patient. C. A nurse prays with a patient prior to surgery. D. A nurse administers pain medication to a patient with end-stage renal cancer.

B. A nurse meets with the collaborative care team to plan nursing measures for a patient. Rationale: An indirect care intervention is treatment performed away from the patient but on behalf of a patient or group of patients, such as the example in answer B, consulting with the collaborative care team. The remaining answer options are direct care interventions or treatment performed through interaction with the patient.

Which example is a psychomotor outcome? A. A patient learns how to control his weight using the MyPyramid food guide. B. A patient is able to test for glucose levels and inject insulin as needed. C. A patient values his health enough to decide to quit smoking. D. A patient is able to ambulate the hallway following knee surgery.

B. A patient is able to test for glucose levels and inject insulin as needed. Rationale: Psychomotor outcomes involve the patient's achievement of a new skill, such as controlling diabetes. Cognitive outcomes involve an increase in patient knowledge (Answer A). Affective outcomes pertain to changes in patient values (Answer C). Physiologic outcomes target physical changes in the patient (Answer D).

Tell whether the following statement is true or false. Asking a patient to plan an exercise program to lower blood pressure based on information provided to the patient in an A/V presentation is an excellent method to evaluate a physiologic outcome. A. True B. False

B. False Rationale: Asking a patient to plan an exercise program to lower blood pressure based on information provided in an A/V presentation is an excellent method to evaluate a cognitive outcome.

Tell whether the following statement is true or false. When a patient fails to cooperate with the plan of care despite the nurse's best efforts, it is time to reassign the patient to another caretaker. A. True B. False

B. False Rationale: When a patient fails to cooperate with the plan of care despite the nurse's best efforts, it is time to reassess the strategy.

Which example illustrates a nurse variable influencing patient outcomes? A. A patient in a nursing home refuses to take his medications. B. A low-income family is unable to afford formula for their newborn infant. C. An alcoholic patient is unwilling to participate in AA meetings. D. A rape victim does not receive counseling in the emergency department because a counselor is not available.

D. A rape victim does not receive counseling in the emergency department because a counselor is not available. Rationale: Nurse variables that influence the plan of care include resources (answer D), current standards of care, research findings, and ethical and legal guides to practice. The remaining answer options are patient variables, which include the patient's changing ability and willingness to participate in the plan of care and personal responses to the nursing interventions implemented.

1. A new nurse who is being oriented to the sub acute care unit is expected to follow existing standards when providing patient care. Which nursing actions are examples of these standards? Select all that apply. a. Monitoring patient status every hour b. Using intuition to troubleshoot patient problems c. Turning a patient on bed rest every 2 hours d. Becoming a nurse mentor to a student nurse e. Administering pain medication ordered by the physician f. Becoming involved in community nursing events

a. Monitoring patient status every hour, c. Turning a patient on bed rest every 2 hours, e. Administering pain medication ordered by the physician.

1. A nurse is using the implementation step of the nursing process to provide care for patients in a busy hospital setting. Which nursing actions best represent this step? Select all that apply. a. The nurse carefully removes the bandages from a burn victim's arm. b. The nurse assesses a patient to check nutritional status. c. The nurse formulates a nursing diagnosis for a patient with epilepsy. d. The nurse turns a patient in bed every 2 hours to prevent pressure ulcers. e. The nurse checks a patient's insurance coverage at the initial interview. f. The nurse checks for community resources for a patient with dementia.

a. The nurse carefully removes the bandages from a burn victim's arm, d. The nurse turns a patient in bed every 2 hours to prevent pressure ulcers, f. The nurse checks for community resources for a patient with dementia.

2. An RN working on a busy hospital unit delegates patient care to unlicensed assistive personnel (UAPs). Which patient care could the nurse most likely delegate to a UAP safely? Select all that apply. a. Performing the initial patient assessments b. Making patient beds c. Giving patients bed baths d. Administering patient medications e. Ambulating patients f. Assisting patients with meals

b. Making patient beds, c. Giving patients bed baths, e. Ambulating patients, f. Assisting patients with meals

2. A nurse writes the following outcome for a patient who is trying to lose weight... "The patient can explain the relationship between weight loss, increased exercise, and decreased calorie intake." This is an example of what type of outcome? a. Cognitive b. Psychomotor c. Affective d. Physical changes

c. Affective