A nurse is caring for an 80-year-old patient of Chinese heritage. When planning outcomes for this patient, which actions by the nurse would meet the American Nurses Association standards for outcomes identification? Select all that apply
a. Developing culturally appropriate outcomes
b. Using the standardized outcomes on the clinical pathway
c. Choosing the best outcome for the patient, regardless of the cost
d. Involving the patient and family in formulating the outcomes
ANS: A,D
ANA standard 3 includes the following: “derives culturally appropriate expected outcomesfrom the diagnosis” and “involves the healthcare consumer, family . . . in formulatingexpected outcomes. . . .” It is acceptable for the nurse to use outcomes on a clinical pathway,but these are not individualized; ANA standard 3 says that the nurse “defines . . . outcomes interms of the healthcare consumer. . . culture, values, and ethical considerations” The standardalso says that the nurse should consider “associated risks, benefits, and costs. . . .”
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