ADN Nursing Assessment Exam 2 Questions
and Answers
4 main purposes of plan of care
1) directs care and documentation
2) promotes communication among caregivers, thus promoting continuity of care
3) creates a record that can later be used for evaluation, research and legal reasons
4) provides documentation of health care needs for Medicare, Medicaid, and other insurance
reimbursement purposes
four main care plan components
-expected outcomes
-actual/potential problems
-specific interventions
-evaluation/progress notes
step to starting planning process
-detemrine urgent problems before taking time to clarify outcomes
-determine overall expected results (discharge outcomes)
expected outcomes
-descriptions of what the patient will be able to do when plan is terminated
purpose of outcome descriptions
-"measuring stick"
-direct interventions
-motivating factors
key to safety and efficiency
early clarifcation of expected outcomes
goals/objectives vs outcomes/indicators
-intent
-results
principals of patient centered outcomes
-describe specific benefits expected to see after care has been given
-outcome may relate to problems/interventions
-state the problem when stating if outcome was completed or not
components of outcome statements
, -subject: who is person
-verb: what actions must they take to achieve
-condition: under what circumstances
-criteria: how well must they perform
-time: by when must they perform it
affective domain
-attiudes
-feelings
-express
-communicate
-relate
cognitive domain
-acquired knowledge or skills
-discuss
-describe
-identify
psychomotor domain
-motor skills
-perform
-administer
-demonstrate
SMART
Specific, Measurable, Attainable, Realistic, Timely
clinical outcomes
-describe the expected status of health issues at certain points in time, after treatment is complete
-address whether the problems are resolved or to what degree they are improved.
functional outcomes
-describe persons ability to function in relation to desired usual activities
quality of life outcomes
focus on key factors that affect ability to enjoy life and achieve personal goals
purpose of nursing interventions
-monitor health status and response to treatment
-reduce risks
-resolve, prevent, or manage problems
-promote independence with ADL
and Answers
4 main purposes of plan of care
1) directs care and documentation
2) promotes communication among caregivers, thus promoting continuity of care
3) creates a record that can later be used for evaluation, research and legal reasons
4) provides documentation of health care needs for Medicare, Medicaid, and other insurance
reimbursement purposes
four main care plan components
-expected outcomes
-actual/potential problems
-specific interventions
-evaluation/progress notes
step to starting planning process
-detemrine urgent problems before taking time to clarify outcomes
-determine overall expected results (discharge outcomes)
expected outcomes
-descriptions of what the patient will be able to do when plan is terminated
purpose of outcome descriptions
-"measuring stick"
-direct interventions
-motivating factors
key to safety and efficiency
early clarifcation of expected outcomes
goals/objectives vs outcomes/indicators
-intent
-results
principals of patient centered outcomes
-describe specific benefits expected to see after care has been given
-outcome may relate to problems/interventions
-state the problem when stating if outcome was completed or not
components of outcome statements
, -subject: who is person
-verb: what actions must they take to achieve
-condition: under what circumstances
-criteria: how well must they perform
-time: by when must they perform it
affective domain
-attiudes
-feelings
-express
-communicate
-relate
cognitive domain
-acquired knowledge or skills
-discuss
-describe
-identify
psychomotor domain
-motor skills
-perform
-administer
-demonstrate
SMART
Specific, Measurable, Attainable, Realistic, Timely
clinical outcomes
-describe the expected status of health issues at certain points in time, after treatment is complete
-address whether the problems are resolved or to what degree they are improved.
functional outcomes
-describe persons ability to function in relation to desired usual activities
quality of life outcomes
focus on key factors that affect ability to enjoy life and achieve personal goals
purpose of nursing interventions
-monitor health status and response to treatment
-reduce risks
-resolve, prevent, or manage problems
-promote independence with ADL
