The nurse is ready to enter into the process of planning care for a client with paranoid schizo-phrenia. Planning will include:
1. Determining needs and problems
2. Analyzing effectiveness of care
3. Establishing realistic outcome criteria
4. Identifying priorities of care
ANS: 4
Establishing priority nursing diagnoses is part of the process of planning. Option 1 is part of as-sessment. Option 2 is an evaluation activity. Option 3 is part of outcome identification.
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When caring for a patient with multiple traumatic injuries, which of the following should the nurse do after adequately managing the patient's airway, breathing, and circulation?
1. listen to heart sounds 2. administer prophylactic tetanus toxoid 3. assess level of consciousness 4. transfer the patient to a high-acuity unit
The nurse attends an educational program that provides information about the Nursing Intervention Classifications (NIC) system. Which statements made by the nurse indicate that teaching has been effective?
1. "I can look up interventions according to the nursing diagnosis that I've selected." 2. "The interventions connected to a diagnosis are appropriate for any client with that diagnosis." 3. "If there is a NANDA diagnosis, I should be able to find some appropriate interventions." 4. "Care plans are best written when the interventions are broad and flexible." 5. "I find NIC interventions a really good place to start when I'm working on client interventions."
"The purpose of this study was to determine the extent to which sex, age, height, and weight predict selected physiologic outcomes: namely, forced expiratory volume in one second (FEV),
hemoglobin concentration, food intake, serum glucose concentration, total serum cholesterol concentration, and cancer-related weight change (Brown et al., 1997)." In this study, the ____________ variable is the physiologic outcomes. Fill in the blank with correct word
What is the nurse accountable for, according to state nurse practice acts?
A) managing the care team effectively B) making nursing diagnoses C) prescribing PRN (as needed) medications D) mentoring other nurses