UNIT VI. IMPLEMENTING CARE PLAN

Question 1

s the step when the family and or the nurse executive a plan of
action

Answer 1

Implementation

Question 2

is determined by the mutually agreed upon goals and
objectives and the selected courses of action

Answer 2

pattern of implementation

Question 3

Family-related barriers include

Answer 3

apathy and indecision

Question 4

is the next step in the nursing process after the
assessment when health and family nursing problems have been clearly defined

Answer 4

Formulation of the care plan

Question 5

is the blueprint of the care that the nurse designs to systematically minimize or eliminate the identified health and family nursing problems through explicitly
formulated outcomes of care (goals and objectives) and a deliberately chosen set of
interventions, resources, and evaluation criteria, standards, methods, and tools.

Answer 5

family
nursing care plan

Question 6

n. These
characteristics are based on the concept of planning as a process.

Answer 6

1. The nursing care plan focuses on actions that are designed to solve or minimize
   existing problems.
2. The nursing care plan is a product of a deliberate systematic process.
3. The nursing care plan relates to the future.
4. The nursing care plan is based on identified health and nursing problems.
5. The nursing care plan is a means to an end, not an end in itself.
6. Nursing care planning is a continuous process, not a one-shot deal.

Question 7

There are specific qualities of a nursing care plan which help to maximize its
effectiveness

Answer 7

1. It should be based on a clear, explicit definition of the problem(s).
2. A good plan is realistic.
3. The nursing care plan is prepared jointly with the family.
4. The nursing care plan is most useful in written form.

Question 8

Importance of Planning Care

Answer 8

1. They individualize care to clients.
2. The nursing care plan helps in setting priorities by providing information about
   the client as well as the nature of his problems.
3. The nursing care plan promotes systematic communication among those
   involved in the health care effort.
4. Continuity of care is facilitated through the use of nursing care plans.
5. Nursing care plans facilitate the coordination of care by making known to other
   members of the health team what the nurse is doing.

Question 9

Steps in Developing Care Plan

Answer 9

1. The prioritized conditions of the problem
2. Goals and objectives of the nursing care
3. The plan of interventions
4. The plan for evaluating care

Question 10

Four Criteria for Determining Priorities:

Answer 10

Nature of the condition or problem
-Modifiability ofthe condition or problem
-Preventive potential
- Salience

Question 11

categorized into wellness
state/potential, health threat, health deficit of foreseeable crisis

Answer 11

Nature of the condition or problem –

Question 12

refers to the probability of success
in enhancing the wellness state improving the condition minimizing, alleviating,
or eradicating the problem through intervention.

Answer 12

Modifiability ofthe condition or problem -

Question 13

refers to the nature and magnitude of the future problem
that can be minimized or prevented if interventions are done on the condition
or problem under consideration.

Answer 13

Preventive potential-

Question 14

refers to the family’s perception and evaluation of the condition or
problem in terms of seriousness and urgency of attention needed or family
readiness.

Answer 14

Salience -

Question 15

is a general statement of condition or state to be brought about by specific
courses of action

Answer 15

GOAL

Question 16

refers to a more specific statement of the desired results or outcomes of
care. They specify the criteria by which the degree of effectiveness of care is to be measured.

Answer 16

OBJECTIVE

Question 17

A ___ states that goals must be set jointly with the
family. This ensures family commitment to realization. Basic to the establishment of
mutually acceptable goals is the family’s recognition and acceptance of existing health needs
and problems

Answer 17

cardinal principle in goal setting

Question 18

Barriers to Joint Goal Setting Between the Nurse and the Family:

Answer 18

1. Failure on the part of the family to perceive the existence of the problem.
2. The family may realize the existence of the health condition or problem but is
   too busy at the moment.
3. Sometimes the family perceives the existence of the problem but does not see it
   as serious enough to warrant attention.
4. The family may perceive the presence of the problem and the need to take action.
   It may however refuse to face and do something about the situation.
   Reasons for this kind of behavior:
   a. Fear of the consequences of taking action.
   b. Respect for tradition.
   c. Failure to perceive the benefits of action.
   d. Failure to relate the proposed action to the family’s goals.
5. A big barrier to collaborative goal setting between the nurse and the family is
   the working relationship.

Question 19

Focus on Interventions to help the family performs health tasks

Answer 19

1. Help the family recognize the problem
   a. Increasing the family’s knowledge of the nature, magnitude, and cause of the
   problem.
   b. Helping the family see the implications of the situation or the consequences
   of the condition.
   c. Relating the health needs to the goals of the family.
   d. Encouraging a positive or wholesome emotional attitude toward the problem
   by affirming the family’s capabilities/qualities/resources and providing
   information on available actions.
2. Guide the family on how to decide on appropriate health actions to take.
   a. Identifying or exploring with the family courses of action available and the
   resources needed for each.
   b. Discussing the consequences of action available.
   c. Analyzing with the family the consequences of inaction.
3. Develop the family’s ability and commitment to providing nursing care to each
   member.
   Contracting is a creative intervention that can maximize the opportunities
   to develop the ability and commitment of the family to provide nursing care to its
   members.
4. Enhance the capability of the family to provide a home environment conducive to
   health maintenance and personal development.
   The family can be taught specific competencies to ensure such a home
   environment through environmental manipulation or management to minimize
   or eliminate health threats or risks or to install facilities of nursing care.
5. Facilitate the family’s capability to utilize community resources for health care.
   Involves maximum use of available resources through the coordination,
   collaboration, and teamwork provided by an effective referral system.

Question 20

is an important activity in public health but it is misconceived to be
primarily an activity of professional researchers and academicians.

Answer 20

Research

Question 21

Research in community health serves several purposes, among which are:

Answer 21

1. Improve our understanding of clients and their specific contexts
2. Provide data needed for program and policy development and evaluation
3. Improve the delivery of health services and implementation of existing programs
4. Improve the cost-effectiveness of programs
5. Project a good image of nurses

Question 22

can initiate small research on the major concerns in health service delivery
and the management of health facilities.

Answer 22

PHN