When the nurse encourages a patient with heart failure to alternate rest and activity periods to reduce cardiac workload, which phase of the nursing
... [Show More] process is being used?
Planning
Diagnosis
Evaluation
Implementation
D. Implementation
Carrying out a specific, individualized plan constitutes the implementation phase of the nursing process. The nurse's action of encouragement and instruction to the patient is part of carrying out a plan of action.
When planning care for a patient, the nurse may use a visual diagram of patient problems and interventions to illustrate the relationships among pertinent clinical data. This format is called a
concept map.
critical pathway.
clinical pathway.
nursing care plan.
A. concept map
A concept map is another method of recording a nursing care plan. In a concept map, the nursing process is recorded in a visual diagram of patient problems and interventions. A clinical (critical) pathway is a prewritten plan that directs the entire interprofessional care team in the daily care goals for select health care problems.
A nurse is providing care for a patient who had a transurethral resection of his prostate this morning. The patient is receiving continuous bladder irrigation, and the urinary catheter is now occluded. The nurse is planning to contact the patientts health care provider and communicate using the SBAR (Situation-Background-Assessment- Recommendation) format. Which statement is a component of communication using SBAR?
"What do you think could be causing this occlusion?"
"I think that we should manually irrigate his catheter."
"What do you know about this patient and his history?"
"Could you please provide some direction for his care?"
B."I think that we should manually irrigate his catheter."
Proposing a recommendation is a component of the "R" component of SBAR communication. Asking the health care provider for possible contributing factors to the problem or for general direction may be appropriate in some circumstances, but these are not explicit components of SBAR. The nurse should briefly identify the patient and his circumstances, not ask an open-ended question regarding the health care provider's familiarity.
What factor has been most clearly identified as an influence on the future of nursing practice?
Aging of the American population and increases in chronic illnesses Correct
Increasing birth rates coupled with decreased average life expectancy
Increased awareness of determinants of health and improved self-care
Apathy around health behaviors and the relationship of lifestyle to health
A. Aging of the American population and increases in chronic illnesses
The American population is aging at the same time that the incidence of chronic health conditions is increasing. There is no noted increase in the overall awareness of the determinants of health, but at the same time, observers have not identified apathy as a predominant attitude. Life expectancy is increasing, not decreasing.
A registered nurse (RN) has delegated the administration of IV medications to a licensed practical/vocational nurse (LPN/LVN). Which statement accurately describes delegation?
The RN must teach the LPN how to administer the IV medications.
Ultimate responsibility for administering the medication lies with the LPN..
The RN is responsible for observing the LPN administer the IV medication
The RN is the one accountable for the quality of care that the patient receives.
D. The RN is the one accountable for the quality of care that the patient receives.
Delegation entails a redistribution of nursing work, but the RN remains ultimately responsible and accountable for the execution of the task. It would be inappropriate to delegate if the LPN was unfamiliar with the task. The RN is not obliged to observe the LPN's execution of the task.
In which patient care delivery model does the nurse plan and coordinate the aspects of patient care with other disciplines focusing on continuity of care and interprofessional collaboration even if the nurse is absent?
Team nursing model
Primary nursing model
Total patient care model
Case management nursing model
B. Primary nursing model
The primary nursing model includes planning the patient's care and coordinating and communicating all aspects of care
with other disciplines and those providing care in the nurse's absence. The focus is on continuity of care and interprofessional collaboration. Team nursing uses the RN as the team leader to organize and manage the care for a group of patients with other ancillary workers. The RN has authority and accountability for the quality of care delivered by the team only during the work period. In a total patient care model, the nurse is accountable for the complete care of the patient during the assigned shift. Case management is not a model of care delivery but a collaborative process that involves assessing, planning, facilitating, and advocating for health services with a variety of resources to promote cost- effective outcomes.
A nurse with an associate or baccalaureate degree who meets licensing requirements is qualified to practice as
a nurse practitioner.
a certified specialist.
an entry-level generalist.
an advanced practice nurse.
C. an entry-level generalist
Entry-level nurses with an associate or baccalaureate degree are prepared to function as generalists. With experience and continued study, nurses may specialize in an area of practice and may obtain certification in nursing specialties.
Certification usually requires clinical experience and successful completion of an examination. A nurse practitioner is an example of an advanced practice nurse. An advanced practice nurse has a minimum of a master's degree with advanced education in pharmacology and physical assessment as well as expertise in a specialized area of practice.
When nurses disagree about the effectiveness of a commonly practiced nursing intervention, the best evidence for determining which intervention to use is
A. a systematic review of randomized controlled trials. B. a qualitative research study with a large sample size
C. a methodological Internet search using key medical terms.
D. anecdotal evidence retrieved from two or more case studies.
A. a systematic review of randomized controlled trials.
Systematic reviews of randomized controlled trials (RCTs) are considered the strongest level of evidence to answer questions about interventions (i.e., cause and effect).
The nurse establishes priorities and determines outcomes for an individual patient during which phase of the nursing process?
Analysis
Planning
Evaluation
Assessment
B. Planning
During the planning phase of the nursing process, patient outcomes or goals are developed and nursing interventions are identified to accomplish the outcomes. The assessment phase of the nursing process includes the collection of subjective and objective patient information on which to base the plan of care. The evaluation phase of the nursing process determines if the patient outcomes have been met as a result of nursing interventions. Nursing diagnosis is the act of analyzing the assessment data and making a judgment about the nature of the data.
A nurse is monitoring all of the patients in an outpatient procedure area for complications of administering IV fluids. What type of nursing function is being demonstrated by the nurse?
Dependent
Independent
Autonomous
Collaborative
D. Collaborative
A collaborative nursing function is demonstrated when the nurse monitors patients for complications of acute illness, administers IV fluids and medications per health care provider's orders, and implements nursing interventions such as providing emotional support or teaching about specific procedures. Nursing functions may be dependent, collaborative, or independent. The nurse functions dependently when carrying out medical orders. Physician-initiated nursing functions may include administering medications, performing or assisting with certain medical treatments, and assisting with diagnostic tests and procedures. Independent nursing functions include interventions such as promotion and optimization of health, prevention of illness, and patient advocacy.
A patient is being prepared for discharge home after a laparoscopic cholecystectomy. Which team member can be assigned to complete a discharge assessment and provide patient teaching for post-discharge care?
Registered nurse (RN)
Nursing technician (NT)
Unlicensed assistive personnel (UAP)
Licensed practical/vocational nurse (LPN/LVN)
A. Registered nurse (RN)
Nursing interventions that requ [Show Less]