100% SOLVED -GRADED A+ VERIFIED 2025 - 2026 UPDATE
-The order of priorities changes as a patient's condition changes.
-Priority setting begins at a holistic level when you identify and prioritize
a patient's main diagnoses or problems.
-Patient-centered care requires you to know a patient's preferences,
values, and expressed needs.
-Ethical care is a part of priority setting - correct answer-
-When preparing for physician-initiated or collaborative interventions,
do not automatically implement the therapy, but determine whether it is
appropriate for the patient.
--The ability to recognize incorrect therapies is particularly important
when administering medications or implementing procedures - correct
answer- types of interventions
1. identify risks to patient
2. adapt interventions to the situation
3. evaluate the relative benefit of a treatment vs the risk
4. initiate risk-prevention measures - correct answer- preventing
complications
,a clinical judgment concerning a human response to health
conditions/life processes, or vulnerability for that response by an
individual, family, or community that a nurse is licensed and competent
to treat - correct answer- nursing diagnosis
nursing diagnoses are constantly changing
a clinical judgment concerning a patient's motivation and desire to
increase well being and actualize human health potential
-patient expresses readiness (will say "readiness")
-only have defining characteristics, no related factor - correct answer-
health promotion nursing diagnosis
A critical time, when nurses collaborate and share important information
that ensures the continuity of care for a patient and prevents errors or
delays in providing nursing interventions - correct answer- Hand off
reporting
a measurable patient, family, or community state, behavior, or
perception largely influenced by and sensitive to nursing interventions -
correct answer- Nursing-sensitive goals
a preprinted document containing orders for routine therapies,
monitoring guideline, and/or diagnostic procedures for specific patient
with identified, clinical problems - correct answer- standing order
,--> ex: CRITICAL CARE nurse compares assessment data to the protocol
criteria and implements the protocol without first notifying the
physician. The physician's initial standing order cover the nurse's actions.
After completing the standing order, the nurse notifies the physician in
case further treatment is needed
a principle of rational though - correct answer- intellectual standards
a set of signs or symptoms that you group together in a logical way
because they share a similar pattern; has to do with interpretation of
data - correct answer- data clusters
a systematic approach for collecting subjective info from patients about
the presence or absence of health-related issues in each body system;
ask patient about the normal functioning of each body system and any
noted changes; conduct a physical exam - correct answer- Review of
systems (ROS)
a systematically developed set of statements that helps nurses,
physicians, and other health care providers make decisions about
appropriate health care for specific clinical situations - correct answer-
clinical practice guideline or protocol
a way of working with clients who may not seem ready to make behavior
changes that are considered necessary by their health care provider;
nonjudgmental guided communication to understand clients
, motivations; used to identify differences between a client's health goals
and behaviors - correct answer- motivational interviewing
actions that support the effectiveness of direct care interventions -
correct answer- delegating, supervising, and evaluating
affects patients future well-being; not always directly related to a
specific illness or prognosis - correct answer- low priority
Allows you to validate a patient's nursing diagnoses, review the care
plan, and determine whether the nursing interventions remain the most
appropriate for the patient's needs - correct answer- reviewing and
revising the existing nursing care plan
always ask why - correct answer- curiosity
any treatment, based on clinical judgment and knowledge that a nurse
performs to enhance patient outcomes - correct answer- nursing
intervention
apply this through all steps of the nursing process; when considering a
patient problem, apply_________ of preciseness, accuracy, and
consistency to make sure you have all the data you need to make a
sound clinical decision - correct answer- intellectual standards