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A nurse is using a structured care methodology that follows a set of steps based on a clinicians decision process to help standardize nursing care plans. What is the term for this element of a structured care methodology?
- A. algorithm
- B. national guidelines
- C. standard of care
- D. clinical practice guideline
Correct Answer: A
Rationale: An algorithm (A) is a set of steps based on a clinician's decision process to standardize care plans.
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A nurse is developing outcomes for a specific problem statement. What is one of the most important considerations the nurse should have?
- A. that the written outcomes are designed to meet nursing goals
- B. to encourage the patient and family to be involved
- C. to discourage additions by other healthcare providers
- D. why the nurse believes the outcome is important
Correct Answer: B
Rationale: Involving the patient and family (B) is crucial for developing patient-centered outcomes.
Which of the following are verbs that are helpful in writing measurable outcomes? Select all that apply.
- A. know
- B. define
- C. hear
- D. verbalize
- E. feel
- F. list
Correct Answer: B,D,F
Rationale: Verbs like define (B), verbalize (D), and list (F) are measurable and action-oriented, suitable for writing outcomes.
A nurse assesses the vital signs of a patient who is one day postsurgery in which a colostomy was performed. The nurse then uses the data to update the patient plan of care. What are these actions considered?
- A. initial planning
- B. comprehensive planning
- C. on-going planning
- D. discharge planning
Correct Answer: C
Rationale: Updating the care plan based on new assessments, such as post-surgery vital signs, is considered ongoing planning (C).
A nurse has developed a plan of care with nursing interventions designed to meet specific patient outcomes. The outcomes are not met by the time specified in the plan. What should the nurse do now in terms of evaluation?
- A. Continue to follow the written plan of care.
- B. Make recommendations for revising the plan of care.
- C. Ask another healthcare professional to design a plan of care.
- D. State goal will be met at a later date.
Correct Answer: B
Rationale: If outcomes are not met, the nurse should recommend revising the plan of care (B) based on evaluation.
From what part of the nursing diagnoses are outcomes derived during outcome identification and planning?
- A. problem statement
- B. defining characteristics
- C. etiology of the problem
- D. outcomes criteria
Correct Answer: C
Rationale: Outcomes are derived from the etiology of the problem (C), as addressing the cause helps formulate measurable goals.