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Nursing 300 Exam 2 – Questions With Accurate Solutions

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Nursing 300 Exam 2 – Questions With Accurate Solutions

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Goals/Nsg orders/interventions Review samples in syllabus and examples in class


Setting priorities (Maslow) What would happen if I wait? ID probs w/ simple
solutions? Need multidisciplinary teams?
1. Life threatening: physiological (needs to be met
first like nutrition, hydration, O2, mobility, elimination)
2. Safety/security: fear, environ. hazards
3. Love/Belonging: isolation, loss of loved one
4. Self-esteem
5. Ability to achieve personal long term goals


Essential focus for at least one goal in Desired outcome of nsg intervention, written in terms
plan of nursing care of observable pt responses; if defined broadly must
include specific, measurable outcomes
Purpose: guide planning and evaluation, motivate ns
and pt, measure sticks of care plan, direct nsg
interventions, motivate
at least one goal must demonstrate resolution of
problem, essential pt goals from prob clause, goals
from etiology clause could be achieved without
resolving problem


Examples of goals to critique See notes
- must be SMART: specific, measurable, attainable,
realistic/resources, time frame
do verbalized by pt, how much, time period

, Long-term vs. short-term goals Short term: outcomes can be achieved with in a few
days/hrs; usually must be achieved before pt can
achieve long term goals


Long term: pt outcomes over week or more; ideally
aim at restoring normal functioning in problem area;
if normal not possible describe max/optimum level
of function that can be achieved


Components of goals Subject: patient, characteristic of pt
Action/Verb: one per goal
Performance criteria: standards to evaluate quality of
performance
Target Time: how what when deadline
Special Conditions: modifiers only if needed to
clarify


Goal vs. Outcome Goal: generally more broad
Objective/Outcome: generally more specific


Nsg Orders Activities and behaviors performed to change
present pt responses to desired responses described
in goals
Ns does for pt, ns helps pt do for self, more specific
and physicians orders


Purpose of nsg orders Specific direction for care, consistent individualized
approach, instructions for others to follow, guide
documentation, promote quality care
- primarily target etiology of a nsg dx
- dec or eliminate causal, contributing, or risk factors
or relieve symptoms
- may also address problem cause of nsg dx, review
pt goals

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