Nokea
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.
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Which of the following is an example of a well-stated nursing intervention?
- A. Patient will drink 100 mL of water every 2 hours while awake.
- B. Offer patient 100 mL of water every 2 hours while awake.
- C. Offer patient water when he complains of thirst.
- D. Patient will continue to increase oral intake when awake.
Correct Answer: B
Rationale: A well-stated nursing intervention is nurse-focused and specific, such as offering water every 2 hours (B).
A nurse is discharging a patient from the hospital. When should discharge planning be initiated?
- A. at the time of discharge from an acute healthcare setting
- B. at the time of admission to an acute healthcare setting
- C. before admission to an acute healthcare setting
- D. when the patient is at home after acute care
Correct Answer: B
Rationale: Discharge planning should begin at the time of admission (B) to ensure a smooth transition and continuity of care.
Which of the following outcomes is correctly written?
- A. Abdominal incision will show no signs of infection.
- B. On discharge, patient will be free of infection.
- C. On discharge, patient will be able to list five symptoms of infection.
- D. During home care, nurse will not observe symptoms of infection.
Correct Answer: C
Rationale: A correctly written outcome is specific, measurable, and patient-centered, such as the patient listing five symptoms of infection (C).
Which of the following illustrates a common error when writing patient outcomes?
- A. Patient will drink 100 mL of fluid every 2 hours from 6 a.m. to 9 p.m.
- B. Patient will demonstrate correct sequence of exercises by next office visit.
- C. Patient will be less anxious and fearful before and after surgery.
- D. On discharge, patient will list five symptoms of infection to report.
Correct Answer: C
Rationale: Less anxious and fearful' (C) is vague and not measurable, a common error in outcome writing.
Critical thinking is an essential component in all phases of the nursing process. What question might be used to facilitate critical thinking during outcome identification and planning?
- A. How do I best cluster these data and cues to identify problems?
- B. What problems require my immediate attention or that of the team?
- C. What major defining characteristics are present for a nursing diagnosis?
- D. How do I document care accurately and legally?
Correct Answer: B
Rationale: During outcome identification and planning, critical thinking involves prioritizing issues, so asking which problems need immediate attention (B) facilitates this process.