FON Chapter 17 Implementing
A school nurse notices that a student is losing weight and decides to perform a focused nutritional assessment to rule out
an eating disorder. What is the nurse's best action?
a. Perform the focused assessment as this is an independent nurse-initiated intervention.
b. Request an order from Jill's physician since this is a physician-initiated intervention.
c. Request an order from Jill's physician since this is a collaborative intervention.
d. Request an order from the nutritionist since this is a collaborative intervention. (Taylor, 12/3/18, p. 431)
a. Performing a focused assessment is an independent nurse-initiated intervention; thus the nurse does not need an order
from the physician or the nutritionist. (Taylor, 12/3/18, p. 432)
Taylor, C., Lynn, P., Bartlett, J. L. (12/3/18). Lippincott CoursePoint for Taylor: Fundamentals of Nursing, 9th Edition
[VitalSource Bookshelf version]. Retrieved from vbk://9781975101336
Always check citation for accuracy before use.
A nurse is using the implementation step of the nursing process to provide care for patients in a busy hospital setting.
Which nursing actions best represent this step? Select all that apply.
a. The nurse carefully removes the bandages from a burn victim's arm.
b. The nurse assesses a patient to check nutritional status.
c. The nurse formulates a nursing diagnosis for a patient with epilepsy.
d. The nurse turns a patient in bed every 2 hours to prevent pressure injuries.
e. The nurse checks a patient's insurance coverage at the initial interview.
f. The nurse checks for community resources for a patient with dementia. (Taylor, 12/3/18, p. 431)
, a, d, f. During the implementing step of the nursing process, nursing actions planned in the previous step are carried out.
The purpose of implementation is to assist the patient in achieving valued health outcomes: promote health, prevent
disease and illness, restore health, and facilitate coping with altered functioning. Assessing a patient for nutritional status
or insurance coverage occurs in the assessment step, and formulating nursing diagnoses occurs in the diagnosing step.
(Taylor, 12/3/18, p. 433)
Taylor, C., Lynn, P., Bartlett, J. L. (12/3/18). Lippincott CoursePoint for Taylor: Fundamentals of Nursing, 9th Edition
[VitalSource Bookshelf version]. Retrieved from vbk://9781975101336
Always check citation for accuracy before use.
Nurses use the NIC Taxonomy structure as a resource when planning nursing care for patients. What information is found
in this structure?
a. Case studies illustrating a complete set of activities that a nurse performs to carry out nursing interventions
b. Nursing interventions, each with a label, a definition, and a set of activities that a nurse performs to carry it out, with a
short list of background readings
c. A complete list of nursing diagnoses, outcomes, and related nursing activities for each nursing intervention
d. A complete list of reimbursable charges for each nursing intervention (Taylor, 12/3/18, p. 432)
b. The NIC Taxonomy lists nursing interventions, each with a label, a definition, a set of activities that a nurse performs to
carry it out, and a short list of background readings. It does not contain case studies, diagnoses, or charges.
(Taylor, 12/3/18, p. 433)
A new RN is being oriented to a nursing unit that is currently understaffed and is told that the UAPs have been trained to
obtain the initial nursing assessment. What is the best response of the new RN?
A school nurse notices that a student is losing weight and decides to perform a focused nutritional assessment to rule out
an eating disorder. What is the nurse's best action?
a. Perform the focused assessment as this is an independent nurse-initiated intervention.
b. Request an order from Jill's physician since this is a physician-initiated intervention.
c. Request an order from Jill's physician since this is a collaborative intervention.
d. Request an order from the nutritionist since this is a collaborative intervention. (Taylor, 12/3/18, p. 431)
a. Performing a focused assessment is an independent nurse-initiated intervention; thus the nurse does not need an order
from the physician or the nutritionist. (Taylor, 12/3/18, p. 432)
Taylor, C., Lynn, P., Bartlett, J. L. (12/3/18). Lippincott CoursePoint for Taylor: Fundamentals of Nursing, 9th Edition
[VitalSource Bookshelf version]. Retrieved from vbk://9781975101336
Always check citation for accuracy before use.
A nurse is using the implementation step of the nursing process to provide care for patients in a busy hospital setting.
Which nursing actions best represent this step? Select all that apply.
a. The nurse carefully removes the bandages from a burn victim's arm.
b. The nurse assesses a patient to check nutritional status.
c. The nurse formulates a nursing diagnosis for a patient with epilepsy.
d. The nurse turns a patient in bed every 2 hours to prevent pressure injuries.
e. The nurse checks a patient's insurance coverage at the initial interview.
f. The nurse checks for community resources for a patient with dementia. (Taylor, 12/3/18, p. 431)
, a, d, f. During the implementing step of the nursing process, nursing actions planned in the previous step are carried out.
The purpose of implementation is to assist the patient in achieving valued health outcomes: promote health, prevent
disease and illness, restore health, and facilitate coping with altered functioning. Assessing a patient for nutritional status
or insurance coverage occurs in the assessment step, and formulating nursing diagnoses occurs in the diagnosing step.
(Taylor, 12/3/18, p. 433)
Taylor, C., Lynn, P., Bartlett, J. L. (12/3/18). Lippincott CoursePoint for Taylor: Fundamentals of Nursing, 9th Edition
[VitalSource Bookshelf version]. Retrieved from vbk://9781975101336
Always check citation for accuracy before use.
Nurses use the NIC Taxonomy structure as a resource when planning nursing care for patients. What information is found
in this structure?
a. Case studies illustrating a complete set of activities that a nurse performs to carry out nursing interventions
b. Nursing interventions, each with a label, a definition, and a set of activities that a nurse performs to carry it out, with a
short list of background readings
c. A complete list of nursing diagnoses, outcomes, and related nursing activities for each nursing intervention
d. A complete list of reimbursable charges for each nursing intervention (Taylor, 12/3/18, p. 432)
b. The NIC Taxonomy lists nursing interventions, each with a label, a definition, a set of activities that a nurse performs to
carry it out, and a short list of background readings. It does not contain case studies, diagnoses, or charges.
(Taylor, 12/3/18, p. 433)
A new RN is being oriented to a nursing unit that is currently understaffed and is told that the UAPs have been trained to
obtain the initial nursing assessment. What is the best response of the new RN?
