Health Assessment NRSG 2220 - Module 8 Questions With
Complete Solutions
What is the goal of the outcome identification and planning
step?
- Establish priorities (what are our problems)
- Identify and write expected patient outcomes. (What do we
want to happen to the pt)
- Select evidence-based nursing interventions (Steps that go
towards the goal)
- Communicate the care plan
Care plan allows the nurse to..
- Individualize care that maximizes outcome achievement
- Set priorities
- Facilitate communication
- Promote continuity of high-quality, cost-effective care
- Coordinate care
- Evaluate patient response to nursing care
,- Create a record used for evaluation, research, reimbursement,
and legal reasons
- Promote nurse's professional development
First Element of Comprehensive Planning
Initial Care Plan: done by the nurse who initially gets the patient
and done during the initial assessment
- addresses each problem listed in the prioritized nursing
diagnoses
- identifies appropriate patient goals and related nursing care
Ex. If the nurse notes that pt has a restriction of "limit fluids" but
knows the pt likes their morning coffee - note "allow pt to have
coffee in the AM"
Second Element of Comprehensive Planning
Ongoing Care Plan: done throughout the care (by any nurse) the
POC changes due to improvement, worsening, and or no longer
applicable.
- Keeps care plan up to date, manages risk factors, promotes
function
- States nursing diagnoses more clearly
- Develops new diagnoses
, - Makes outcomes more realistic and develops new outcomes as
needed
- Identifies nursing interventions to accomplish patient goals
Third Element of Comprehensive Planning
Discharge Care Plan: carried out by the nurse who worked most
closely with the patient
- Begins when the patient is admitted for treatment
- Uses teaching and counseling skills effectively to ensure that
home care behaviors are performed compentently
Ex. Pt had hip surgery but lives alone. The nurse is planning if
there is a family member or friend who can be with pt at home if
they need to look into a nursing facility, or if pt need home
health etc.
Prioritizing Nursing Diagnoses
High Priority: greatest threat to patient's well-being
Medium Priority: non-threatening diagnoses
Low Priority: diagnoses not specifically related to current
health problem
Complete Solutions
What is the goal of the outcome identification and planning
step?
- Establish priorities (what are our problems)
- Identify and write expected patient outcomes. (What do we
want to happen to the pt)
- Select evidence-based nursing interventions (Steps that go
towards the goal)
- Communicate the care plan
Care plan allows the nurse to..
- Individualize care that maximizes outcome achievement
- Set priorities
- Facilitate communication
- Promote continuity of high-quality, cost-effective care
- Coordinate care
- Evaluate patient response to nursing care
,- Create a record used for evaluation, research, reimbursement,
and legal reasons
- Promote nurse's professional development
First Element of Comprehensive Planning
Initial Care Plan: done by the nurse who initially gets the patient
and done during the initial assessment
- addresses each problem listed in the prioritized nursing
diagnoses
- identifies appropriate patient goals and related nursing care
Ex. If the nurse notes that pt has a restriction of "limit fluids" but
knows the pt likes their morning coffee - note "allow pt to have
coffee in the AM"
Second Element of Comprehensive Planning
Ongoing Care Plan: done throughout the care (by any nurse) the
POC changes due to improvement, worsening, and or no longer
applicable.
- Keeps care plan up to date, manages risk factors, promotes
function
- States nursing diagnoses more clearly
- Develops new diagnoses
, - Makes outcomes more realistic and develops new outcomes as
needed
- Identifies nursing interventions to accomplish patient goals
Third Element of Comprehensive Planning
Discharge Care Plan: carried out by the nurse who worked most
closely with the patient
- Begins when the patient is admitted for treatment
- Uses teaching and counseling skills effectively to ensure that
home care behaviors are performed compentently
Ex. Pt had hip surgery but lives alone. The nurse is planning if
there is a family member or friend who can be with pt at home if
they need to look into a nursing facility, or if pt need home
health etc.
Prioritizing Nursing Diagnoses
High Priority: greatest threat to patient's well-being
Medium Priority: non-threatening diagnoses
Low Priority: diagnoses not specifically related to current
health problem
