Which of the following statements accurately describes a recommended guideline for implementation? Select all that apply
A) When implementing nursing care, remember to act independently, regardless of the wishes of the client/family.
B) Before implementing any nursing action, reassess the client to determine whether the action is still needed.
C) Assume that the nursing intervention selected is the best of all possible alternatives.
D) Consult colleagues and the nursing and related literature to see if other approaches might be more successful.
E) Reduce your repertoire of skilled nursing interventions to ensure a greater likelihood of success.
Ans: B, D
When implementing nursing care, the nurse should act in partnership with the client/family and reassess the client to determine if the nursing action is still needed. The nurse should always question that the nursing intervention selected is the best of all possible alternatives. The nurse should consult colleagues and related nursing literature to see if other approaches might be more successful. The nurse should develop a repertoire of skilled nursing interventions, and check to make sure that the ones selected are consistent with standards of care and within legal/ethical guidelines to practice.
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