C HAPTER 18: P LANNING AND O UTCOMES
I DENTIFICATION IN N URSING C ARE
Potter: Fundamentals of Nursing, 11th Edition
MULTIPLE CHOICE
1. The nurse performs an intervention for a collaborative problem. Which
type of intervention did the nurse perform?
a. Dependent
b. Independent
c. Interdependent
d. Physician-initiated
ANS: C
Collaborative interventions, or interdependent interventions, are
therapies that require the combined knowledge, skill, and expertise of
multiple health care professionals. Health care provider -initiated
(HCP) interventions are dependent nursing interventi ons, or actions
that require an order from the HCP. Nurse -initiated interventions are
the independent nursing interventions, or actions that a nurse initiates
without supervision or direction from others.
DIF: Understand (comprehension) OBJ: Discuss the
differences between independent and dependent nursing
interventions. TOP: Implementation MSC: Management of
Care
,2. A registered nurse administers pain medication to a patient suffering from
fractured ribs. Which t ype of nursing intervention is this nurse
implementing?
a. Collaborative
b. Independent
c. Interdependent
d. Dependent
ANS: D
The nurse does not have prescriptive authorit y to order pain
medications, unless the nurse is an advanced practice nurse. The
intervention is therefore dependent. Administering a medi cation,
implementing an invasive procedure (e.g., inserting a Foley catheter,
starting an intravenous [IV] infusion), and preparing a patient for
diagnostic tests are examples of health care provider -initiated
interventions. A collaborative, or an interdep endent, intervention
involves therapies that require combined knowledge, skill, and
expertise from multiple health care professionals. Nurse -initiated
interventions are the independent nursing interventions, or actions that
a nurse initiates without superv ision or direction from others.
DIF: Appl y (application) OBJ: Discuss the differences
between independent and dependent nursing interventions.
TOP: Implementation MSC: Management of Care
3. Which action indicates the nurse is using a P ICOT question to im prove
care for a patient?
a. Practices nursing based on the evidence presented in court.
, b. Implements interventions based on scientific research.
c. Uses standardized care plans for all patients.
d. Plans care based on tradition.
ANS: B
The best answer is implement ing interventions based on scientific
research. Using results of a literature search to a P ICOT question can
help a nurse decide which interventions to use. Practicing based on
evidence presented in court is incorrect. Practice is based on current
research. Using standardized care plans may be one example of
evidence-based practice, but it is not used on all patients. The nurse
must be careful in using standardized care plans to ensure that each
patient’s plan of care is still individualized. Planning care based on
tradition is incorrect because nursing care should be based on current
research.
DIF: Understand (comprehension) OBJ: Examine how critical
thinking influences planning of nursing care. TOP: Planning
MSC: Management of Care
4. A nurse is developi ng a care plan. Which intervention is most appropriate
for the nursing diagnostic statement Risk for loneliness related to
impaired verbal communication?
a. Provide the patient with a writing board each shift.
b. Obtain an interpreter for the patient as soon as possible.
c. Assist the patient in performing swallowing exercises each shift.
d. Ask the famil y to provide a sitter to remain with the patient at all
times.
I DENTIFICATION IN N URSING C ARE
Potter: Fundamentals of Nursing, 11th Edition
MULTIPLE CHOICE
1. The nurse performs an intervention for a collaborative problem. Which
type of intervention did the nurse perform?
a. Dependent
b. Independent
c. Interdependent
d. Physician-initiated
ANS: C
Collaborative interventions, or interdependent interventions, are
therapies that require the combined knowledge, skill, and expertise of
multiple health care professionals. Health care provider -initiated
(HCP) interventions are dependent nursing interventi ons, or actions
that require an order from the HCP. Nurse -initiated interventions are
the independent nursing interventions, or actions that a nurse initiates
without supervision or direction from others.
DIF: Understand (comprehension) OBJ: Discuss the
differences between independent and dependent nursing
interventions. TOP: Implementation MSC: Management of
Care
,2. A registered nurse administers pain medication to a patient suffering from
fractured ribs. Which t ype of nursing intervention is this nurse
implementing?
a. Collaborative
b. Independent
c. Interdependent
d. Dependent
ANS: D
The nurse does not have prescriptive authorit y to order pain
medications, unless the nurse is an advanced practice nurse. The
intervention is therefore dependent. Administering a medi cation,
implementing an invasive procedure (e.g., inserting a Foley catheter,
starting an intravenous [IV] infusion), and preparing a patient for
diagnostic tests are examples of health care provider -initiated
interventions. A collaborative, or an interdep endent, intervention
involves therapies that require combined knowledge, skill, and
expertise from multiple health care professionals. Nurse -initiated
interventions are the independent nursing interventions, or actions that
a nurse initiates without superv ision or direction from others.
DIF: Appl y (application) OBJ: Discuss the differences
between independent and dependent nursing interventions.
TOP: Implementation MSC: Management of Care
3. Which action indicates the nurse is using a P ICOT question to im prove
care for a patient?
a. Practices nursing based on the evidence presented in court.
, b. Implements interventions based on scientific research.
c. Uses standardized care plans for all patients.
d. Plans care based on tradition.
ANS: B
The best answer is implement ing interventions based on scientific
research. Using results of a literature search to a P ICOT question can
help a nurse decide which interventions to use. Practicing based on
evidence presented in court is incorrect. Practice is based on current
research. Using standardized care plans may be one example of
evidence-based practice, but it is not used on all patients. The nurse
must be careful in using standardized care plans to ensure that each
patient’s plan of care is still individualized. Planning care based on
tradition is incorrect because nursing care should be based on current
research.
DIF: Understand (comprehension) OBJ: Examine how critical
thinking influences planning of nursing care. TOP: Planning
MSC: Management of Care
4. A nurse is developi ng a care plan. Which intervention is most appropriate
for the nursing diagnostic statement Risk for loneliness related to
impaired verbal communication?
a. Provide the patient with a writing board each shift.
b. Obtain an interpreter for the patient as soon as possible.
c. Assist the patient in performing swallowing exercises each shift.
d. Ask the famil y to provide a sitter to remain with the patient at all
times.
