Fundamentals of Nursing Theory Concepts and
Applications 4th Edition Wilkinson Test Bank
Chapter 6: Planning Interventions
1. Which of the following groups of terms best describes a nurse-initiated
intervention?
A) dependent, physician-ordered, recovery
B) autonomous, clinical judgment, patient outcomes
C) medical diagnosis, medication administration
D) other healthcare providers, skill acquisition
2. What part of the nursing diagnosis statement suggests the nursing interventions
to be included in the plan of care?
A) problem statement
B) defining characteristics
C) etiology of the problem
D) outcomes criteria
3. What is true of nursing responsibilities with regard to a physician-initiated
intervention (physicians order)?
A) Nurses do not carry out physician-initiated interventions.
B) Nurses do carry out interventions in response to a physicians order.
C) Nurses are responsible for reminding physicians to implement orders.
D) Nurses are not legally responsible for these interventions.
4. A nurse is using a structured care methodology that follows a set of steps based
on a clinicians decision process to help standardize nursing care plans. What is
the term for this element of a structured care methodology?
A) algorithm
B) national guidelines
C) standard of care
D) clinical practice guideline
5. What name is given to tools that are used to communicate a standardized
interdisciplinary plan of care for patients within a case management healthcare
delivery system?
A) Kardex care plans
B) computerized plans of care
C) clinical pathways
D) student care plans
6. A nurse has developed a plan of care with nursing interventions designed to
meet specific patient outcomes. The outcomes are not met by the time specified
in the plan. What should the nurse do now in terms of evaluation?
A) Continue to follow the written plan of care.
B) Make recommendations for revising the plan of care.
, C) Ask another healthcare professional to design a plan of care.
D) State goal will be met at a later date.
7. A nurse records patient data on a folded card and places it in a central file, where
it is easily accessible to staff. Which system of care is this nurse using?
A) critical pathways
B) case management
C) Kardex care plan
D) concept map care plan
8. Which of the following types of care plans is most likely to enable the nurse to
take a holistic view of the patients situation?
A) Kardex
B) case management
C) critical pathways
D) concept map care plan
9. Which of the following is an example of a well-stated nursing intervention?
A) Patient will drink 100 mL of water every 2 hours while awake.
B) Offer patient 100 mL of water every 2 hours while awake.
C) Offer patient water when he complains of thirst.
D) Patient will continue to increase oral intake when awake.
10. What common problem is related to outcome identification and planning?
A) failing to involve the patient in the planning process
B) collecting sufficient data to establish a database
C) stating specific and measurable outcomes based on nursing diagnoses
D) writing nursing orders that are clear and resolve the problem
11. Which of the following statements accurately describe the impact on nursing of
using NIC/NOC standardized languages? Select all that apply.
A) They demonstrate the impact that nurses have on the system of
healthcare delivery.
B) They standardize and define the knowledge base for nursing curricula
and practice.
C) They limit the number of appropriate nursing intervention to be selected.
D) They hinder the teaching of clinical decision making to novice nurses.
E) They enable researchers to examine the effectiveness and cost of nursing
care.
F) They slow the development and use of nursing information systems.
Answer Key
1. B
2. C
3. B
4. A
5. C
6. B
7. C
8. D
, 9. B
10. A
11. A, B, E
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