Ccbc nursing
fundamental exam 1
with complete verified
solutions
List advantages of using a standard
classification of nursing interventions and
outcomes - answer Advantages:
• Helps demonstrate the impact that nurses
have on the system of healthcare delivery
• Standardizes and defines the knowledge
base for nursing curricula and practice
• Facilitates the appropriate selection of a
nursing intervention
• Facilitates communication of nursing
treatments to other
nurses and other providers
Describe the rationale for standardized
outcomes (NOC) and interventions (NIC) for
nursing - answer NOC - first comprehensive
,standardized language used to describe the
patient out- comes that are responsive to
nursing intervention
NIC - first comprehensive, validated list of
nursing interventions applica- ble to all
settings that can be used by nurses in
multiple spe- cialties, greatly facilitates the
work of identifying appropriate interventions
Describe how patient goals/expected
outcomes and nursing orders are derived
from nursing diagnoses - answer Initial
Planning
1. Developed by the nurse who performs the
nursing history and physical assessment
2. Addresses each problem listed in the
prioritized nursing diagnoses
3. Identifies appropriate patient goals and
related nursing care
Ongoing Planning
1. Carried out by any nurse who interacts
with patient
2. Keeps the plan up to date
,3. States nursing diagnoses more clearly
3. Develops new diagnoses
4. Makes outcomes more realistic and
develops new outcomes as needed
5. Identifies nursing interventions to
accomplish patient goals
Discharge Planning
1. Carried out by the nurse who worked most
closely with the patient
2. Begins when the patient is admitted for
treatment
3. Uses teaching and counseling skills
effectively to ensure home care behaviors are
performed competently
Describe how patient goals/expected
outcomes and nursing orders are derived
from nursing diagnoses? - answer From the
problem statement you get the goals,
outcomes, objectives. Etiology we get our
interventions.
, Patient goals/expected outcomes- nursing
orders are derived from nursing Dx.
Cognitive- describing increases in Pt
knowledge or intellectual behaviors.
Psycho motor- describes pts. achievements
of new skills.
Affective- describes changes in pt values,
beliefs and attitudes.
Prioritize patient health problems and
nursing responses. - answer High priority—
greatest threat to patient well-being
Medium priority—nonthreatening diagnoses
Low priority—diagnoses not specifically
related to current health problem
Take into account all of the patient's health
needs for general problem list when
prioritizing care (medical problems are 1st)
Consider the following:
fundamental exam 1
with complete verified
solutions
List advantages of using a standard
classification of nursing interventions and
outcomes - answer Advantages:
• Helps demonstrate the impact that nurses
have on the system of healthcare delivery
• Standardizes and defines the knowledge
base for nursing curricula and practice
• Facilitates the appropriate selection of a
nursing intervention
• Facilitates communication of nursing
treatments to other
nurses and other providers
Describe the rationale for standardized
outcomes (NOC) and interventions (NIC) for
nursing - answer NOC - first comprehensive
,standardized language used to describe the
patient out- comes that are responsive to
nursing intervention
NIC - first comprehensive, validated list of
nursing interventions applica- ble to all
settings that can be used by nurses in
multiple spe- cialties, greatly facilitates the
work of identifying appropriate interventions
Describe how patient goals/expected
outcomes and nursing orders are derived
from nursing diagnoses - answer Initial
Planning
1. Developed by the nurse who performs the
nursing history and physical assessment
2. Addresses each problem listed in the
prioritized nursing diagnoses
3. Identifies appropriate patient goals and
related nursing care
Ongoing Planning
1. Carried out by any nurse who interacts
with patient
2. Keeps the plan up to date
,3. States nursing diagnoses more clearly
3. Develops new diagnoses
4. Makes outcomes more realistic and
develops new outcomes as needed
5. Identifies nursing interventions to
accomplish patient goals
Discharge Planning
1. Carried out by the nurse who worked most
closely with the patient
2. Begins when the patient is admitted for
treatment
3. Uses teaching and counseling skills
effectively to ensure home care behaviors are
performed competently
Describe how patient goals/expected
outcomes and nursing orders are derived
from nursing diagnoses? - answer From the
problem statement you get the goals,
outcomes, objectives. Etiology we get our
interventions.
, Patient goals/expected outcomes- nursing
orders are derived from nursing Dx.
Cognitive- describing increases in Pt
knowledge or intellectual behaviors.
Psycho motor- describes pts. achievements
of new skills.
Affective- describes changes in pt values,
beliefs and attitudes.
Prioritize patient health problems and
nursing responses. - answer High priority—
greatest threat to patient well-being
Medium priority—nonthreatening diagnoses
Low priority—diagnoses not specifically
related to current health problem
Take into account all of the patient's health
needs for general problem list when
prioritizing care (medical problems are 1st)
Consider the following:
