NUR 321 Foundations Test 2 Questions and Complete Solutions
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Course
NSG 321
Institution
NSG 321
Implementation the fourth step of the nursing process, formally beings after you develop a plan of care
Nursing intervention any treatment, based on clinical judgment and knowledge, that a nurse performs to enhance patient outcomes; ideally nursing interventions are evidence based providing the mo...
NUR 321 Foundations Test 2 Questions
and Complete Solutions
Implementation ✅the fourth step of the nursing process, formally beings after you
develop a plan of care
Nursing intervention ✅any treatment, based on clinical judgment and knowledge, that
a nurse performs to enhance patient outcomes; ideally nursing interventions are
evidence based providing the most current, up-to-date and effective approaches for
delivering patient centered care. Include include direct, and indirect care measured at
individuals, families, and/or communities
Direct care interventions ✅treatments performed through interaction with the patient.
For example, a patient may require medication administration, insertion of an
intravenous infusion, or counseling during a time of grief.
Indirect care interventions ✅treatments performed away from the patient but on behalf
of the patient or group of patients (managing a patients environment [ safety and
infection control], documentation, interdisciplinary collaboration
Both direct and indirect care measures fall under which intervention categories?
✅nurse initiated, health care provider initiated, and collaborative
Domains of nursing practice ✅• the helping role
• the teaching-coaching function
• the diagnostic and patient-monitoring function
• effective management of rapidly changing situations
• administering and monitoring therapeutic interventions and regimens
• monitoring and ensuring the quality of health care practices
• organizational and work-role competencies
Standard nursing interventions ✅clinical practice guidelines and protocols,
standing(reprinted) orders, (nursing interventions classification) nic interventions.
Professional level- ana standards of professional practice, and the quality and safety
education for nurses (qsen)
Clincal practice guideline or protocol ✅is a systematically developed set of statements
that helps nurses, physicians, and other health care providers make decisions about
appropriate health care for specific clinical situations
What provides the basis for sound clinical practice guidelines and associated
recommendations that often improves quality or care? ✅evidenced-based research.
,(ncg) national guidelines clearninghouse -public resource. Linked and derived from us
national library of medicine (nlm) medical subject headings (mesh)- a controlled
vocabulary for disease/condition/treatment/intervention and health services
administration
Standing order ✅is a preprinted document containing orders for routine therapies,
monitoring guidelines, and/or diagnostic procedures for specific patients with identified
clinical problems.
Ex. Diltiazem (cardizem), amidarone (cordarone) for irregular heart rhythm. Nurse can
compare assessment data to protocol criteria and implement the protocol without
notifying the md first . Md initial standing order covers the nurse action. Gives nurses
the best legal protection
Nic system ✅differentiates nursing practice from that of other health care disciplines by
offering a language that nurses can use to describe sets of actions in delivering nursing
care
Standards of practice ✅nurses us the ana standards of professional nursing practice
as evidence of the standard of care provided to patients
Quality and safety education for nurses (qsen) ✅standard competencies in knowledge,
skill, and attitudes for the preparation of future nurses.
-provide patient-centered care with sensitivity and respect for the diversity of human
experience
- initiation effective treatments to relieve pain and suffering
- participating in building consensus or resolving conflict in the context of patient care
Implementation process ✅(preparation for implementation ensures efficient, safe, and
effective nursing care)
Reassessing the patient
Reviewing and revising the existing nursing care plan
Organizing resources and care delivery
Anticipating and preventing complications
Reassessing a patient ✅a continuous process that occurs each time you interact with
a patient
You collect new data, identify a new patient need, and modify the care plan.
Reassessment often focus on one primary nursing diagnosis or one dimension of a
patient such as level of comfort, or one system such as the cardiovascular system.
Gathering of additional information to ensure that the plan of care is still appropriate
, Reviewing and revising the existing nursing care plan ✅enable you to provide timely
nursing interventions to best meet a patients needs. Modification of an existing written
care plan includes 4 steps
4 steps of modifying a care plan ✅1. Revise data in assessment column to reflect that
patients current status. Date any new data to inform other members of the health care
team of the time that the change occurred
2. Revise the nursing diagnoses. Delete nursing diagnoses that are no longer relevant
and add and date any new diagnoses. Revise related factors and the patients goals,
outcomes, and priorities. Date any revisions
3. Revise specific interventions that correspond to the new nursing diagnoses and
goals. Be sure that revisions reflect the patients present status
4. Choose the method of evaluation for determining whether the patient received his or
her outcomes
Preparing for implementation ✅a nurse organizes time and resources in preparation
for nursing care. Always be sure that a patient is physically and psychologically ready
for any interventions or procedures.
Time management ✅your focus of providing individualized patient care can compete
with a focus of standardization, efficiency, and cost control of the organization.
Time devoted to nursing care has three components: ✅-physical (the physical amount
of time consumed in the completion of nursing activities),
-psychological (what nursing care patients experience and how they experience it),
-sociological (the sequential ordering of events within the daily routines of a practice
setting).
Equipment ✅before performing intervention, decide which supplies you need and
determine their availability. Is the equipment in working order and safe, do you know
how to use it ? Place supplies in a convenient location to provide easy access during
procedure. Keep extra supplies available in case of mistakes. Don't open unless you
need to. Return unopened supplies after procedure.
Personnel ✅as a nurse you are responsible for deciding whether to perform an
intervention, delegate it to an unlicensed person of the nursing team, or have an rn
assist you. When interventions are complex or physically difficult, you will need
assistance from other colleagues.
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