Outcome criteria for nursing diagnoses are patient-centered, time-specific, and measurable. They are classified into three domains: cognitive, affective, and psychomotor. The focus of the outcome criteria is the patient, not the nurse. While the outcome c
1. Document
2. Reassess the patient
3. Measure vital signs
4. Provide report to the charge nurse
Correct Answer: 1
Documenting interventions is the final component of implementation as well as a legal requirement. Ongoing assessment of the patient is an essential component of implementation, but it is not the final step. Measuring vital signs can be completed at any time and not necessarily at the end of implementing the plan of care. Providing report is an ongoing process and is not necessarily completed after implementing the plan of care.
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The nurse is providing perineal care to an uncircumcised male patient. When providing such care, the nurse should
a. Leave the foreskin alone because there is little chance of infection. b. Retract the foreskin for cleansing and allow it to return on its own. c. Retract the foreskin and keep retracted. d. Retract the foreskin and return it to its natural position when done.
The gastric phase of gastric secretion is triggered by
a. the sight, smell or thought of food b. the entry of food into the stomach c. the entry of chyme into the small intestine d. the entry of chyme into the large intestine e. the release of cholecystokinin