Nursing Process part 3

Question 1

Outcome ID and Planning:

What is a goal?

Answer 1

broad statement that describes the desired change (the aim, intent, or end)

Question 2

Outcome ID and Planning:

What is an expected outcome?

Answer 2

measurable criteria to evaluate goal achievement

Question 3

Outcome ID and Planning:

What are the 2 purposes of goals and expected outcomes?

Answer 3

• gives clear direction

- evaluates effectiveness

Question 4

Outcome ID and Planning:

What do you know when an outcome has been met?

Answer 4

-at least part of the goal has been achieved

Question 5

Outcome ID and Planning:

Explain a SMART outcome.

Answer 5

specific
measurable 
attainable 
realistic 
time-bound
-usually several SMART outcomes for each ND

Question 6

Outcome ID and Planning:

How should a smart outcome be written?

Answer 6

in a sequential time frame

Question 7

Implementation:

What is a nursing intervention?

Answer 7

any treatment based on clinical judgement and knowledge that a nurse performs to enhance patient outcomes

Question 8

Implementation:

What are the 4 key questions to ask planning nursing interventions?

Answer 8

• how can I prevent or minimize the cause of the problem?
• how can I manage the problem?
• how can I tailor interventions?
• how can I prevent adverse responses and increase beneficial responses?

Question 9

Implementation:

What are 3 skills the nurse needs to have for implementation?

Answer 9

• Cognitive skill: critical thinking in nursing process, and knowing the scientific rationale
• Interpersonal skill: trust, caring, clear communication with patient and family
• Psychomotor: cognitive and motor activities (skills)

Question 10

Implementation:

Explain independent, dependent, and collaborative implementation.

Answer 10

• independent: nurse initiated, require no order and no supervision from others.
• dependent: require an order from Dr.
• collaborative: require multiple health care professionals

Question 11

Implementation:

Explain direct and indirect implementation.

Answer 11

• direct: performed through interactions with patients

- indirect: performed away and on behalf of patients (collaboration, documentation)

Question 12

Implementation:

Explain guideline #1.

Answer 12

• partner with patient/family
• reassess before implementation
• approach with competence and care
• modify accordingly

Question 13

Implementation:

Explain guideline #2.

Answer 13

• be sure interventions are legal, ethical, and consistent
• question if intervention is best
• develop skilled nursing interventions to best support patients