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Taylor's Fundamentals of Nursing Ch. 13: Outcome Identification + Planning Exam Study Questions 100% Solved

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Planning + Outcome Identification - Answer - Third step in nursing process (ADPIE) - ANA Standards of practice 3 + 4 The nurse works with patient + family to: - Identify + write expected patient outcomes - Establish priorities - Select evidence-based nursing interventions - Communicate the plan of nursing care Goal - Answer - An aim or an end - Goal, outcome + objective are used interchangeably ex. Patient will have normal respirations by the end of shift.

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Taylor's Fundamentals of Nursing Ch. 13: Outcome
Identification + Planning Exam Study Questions
100% Solved

Planning + Outcome Identification - Answer - Third step in nursing process (ADPIE)

- ANA Standards of practice 3 + 4



The nurse works with patient + family to:

- Identify + write expected patient outcomes

- Establish priorities

- Select evidence-based nursing interventions

- Communicate the plan of nursing care



Goal - Answer - An aim or an end

- Goal, outcome + objective are used interchangeably

ex. Patient will have normal respirations by the end of shift.



Expected Outcomes - Answer To describe the results achieved.



ex. Patient respirations was 20 bpm. Goal Achieved



Two Questions to Ask to Determining Your Ability to Act Independently - Answer 1.) Are you
QUALIFIED/AUTHORIZED?

- Allowed by Nursing Practice Act policies, procedures + job description

- Allowed by instructor or supervisor?

- Have the required knowledge, skill, experience?

- Passed competency tests, if needed?

- Accept accountability for response/outcomes?

, 2.) Is it SAFE, reasonable + prudent?

- Clarified desired outcomes?

- Checked for contraindications?

- Identified possible harmful patient responses + minimized risks?

- Planned for safety, privacy + comfort?

- Considered ethical implications?



3 Stages of Planning - Answer 1.) Initial Planning

2.) Ongoing Planning

3.) Discharge Planning



Initial Planning - Answer - Performed by the nurse with the admission nursing history + the physical
assessment

- This comprehensive plan addresses each problem listen in the prioritized nursing diagnoses + identifies
appropriate patient goals + the related nursing care

- *Standardized care plans* are prepared plans of care that identify the nursing diagnoses, outcomes +
related nursing interventions common to a specific population or health problem



Standardized Care Plans - Answer - Prepared plans of care that identify the nursing diagnoses, outcomes
+ related nursing interventions common to a *specific population or health problem*

- Often used in the "initial" phase of planning



Ongoing Planning - Answer - Carried out by any nurse who interacts with the patient

- Its chief purpose is to keep the plan up to date, manage risk factors, and promote function

- States nursing diagnosis more clearly

-Develops new diagnoses

-Make outcomes REALISTIC



Discharge Planning - Answer Best carried out by the nurse who has worked most closely with the patient
+ family

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