Solutions
3 types of comprehensive planning: Correct Answer Initial,
ongoing, discharge
ABC's of nursing Correct Answer airway, breathing,
circulation, disability, exposure
actions based on evaluation Correct Answer do you need to
terminate, modify, or continue the care plan?
affective outcomes Correct Answer describes changes in
patient values, beliefs, and attitudes
Assessment (nursing process) Correct Answer information
gathering phase
as very specific questions
Assessment includes: Correct Answer History-subjective data,
physical exam-objective data, observation-objective data.
categories of nursing interventions Correct Answer
independent, interdependent, dependent
Chief Complaint (CC) Correct Answer The reason the patient
is seeking care
clinical judgement model Correct Answer recognize cues,
analyze cues, prioritize hypotheses, generate solutions, take
action, evaluate outcomes
, Clinical outcomes Correct Answer describe the expected status
of health issues at certain points in time, after treatment is
complete. They address whether the problems are resolved or to
what degree they are improved.
cognitive outcomes Correct Answer describes increases in
patient knowledge or intellectual behaviors
collaborative diagnosis Correct Answer Managed by using
physician-prescribed and nursing-prescribed interventions
collaborative interventions Correct Answer carried out in
collaboration with other healthcare team members
(ex. PT, dieticians, physicians)
delegation of care Correct Answer Refers to the transfer of
responsibility for a task when it is not part of the scope of
practice or scope of employment of the care provider
ONLY THE TASK CAN BE DELEGATED
This accountability requires the RN to monitor the performance
and completion of the delegated tasks.
Physicia to RN
RN to the unregulated care provider
dependent interventions Correct Answer prescribed by primary
care provider and carried out by nurse