Recording Client Care (QUIZ 3) with
100% Correct Answers
What is the Care Planning Process & What are the Five Steps? ✔️✔️-Method used by nurses to
plan & deliver nursing care
-Five steps of this process are:
Assessment, Nursing Diagnosis, Planning, Implementation & Evaluation
What Happens during the Assessment Part of the Care-Planning Process? ✔️✔️-Collecting info
about the client
-Occurs through evaluation of info collected about client through observation, reflection &
communication
-Assessment of client's emotional, social, intellectual & spiritual health
-Team leader gathers as much info as possible from various sources; once complete, team
members set goals
How do Support Works contribute during the Assessment Part of the Care-Planning Process?
✔️✔️-Observe & talk with client; responsible for making basic assessments on clients
-Must report & record findings according to agency policy
-Once assessment is complete, goals are set by client, client's family & team members
-**Client-centred approach means client is more involved, as are other health care providers
(includes support workers; collaborative approach)
What is a Nursing Diagnosis & How Do Support Workers Play a Role in it? ✔️✔️-RN uses
assessment info to make diagnosis
-Support worker observations & basic assessment are very important (must report all to nurse)
-Client can have many nursing diagnoses
, ***What Happens during the Planning Part of the Care Planning process? ✔️✔️-Sets priorities
& goals
-Needs arranged in order of importance
-Goals set; aimed at client's highest level of well-being & function
-Nursing interventions chosen are goals set
(intervention is action or measure taken by nursing team to help client meet goals)
What is the Nursing Care Plan? ✔️✔️-written guide about client care; has nursing diagnosis &
goals
-has measures or actions for each goal
-communication tool
-used by nursing staff to see what care to give; ensures care is given consistently
-not a finished document; continually reviewed & revised based on needs, condition & progress
**Support Workers input regarding changes is very important
What is the Implementation Part of the Care Planning? ✔️✔️-Performing or carrying out the
actions in the care plan
-Ranges from simple to complex (nurse delegates nursing tasks within your legal limits & job
descript.)
-Four main functions:
providing care, observing client during care, report/record the care & record/report observations
during care
What role do Support Workers play in Implementation? ✔️✔️-Report & record actions &
observations to nurse;
done after giving care, not before
-Report & record observations (this is part of assessment; new observations may change nursing
diagnoses)