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The researchers developing classifications for interventions are also committed to developing a classification of which of the following?
- A. diagnoses
- B. outcomes
- C. goals
- D. data clusters
Correct Answer: B
Rationale: Researchers focus on classifying outcomes alongside interventions to measure the effectiveness of nursing actions and ensure patient-centered care.
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What must occur before physician-initiated interventions can be carried out?
- A. They must be written on the nursing plan of care.
- B. The nurse relinquishes all responsibility for them.
- C. Any healthcare provider may order them.
- D. The physician gives a verbal or written order.
Correct Answer: D
Rationale: Physician-initiated interventions require a verbal or written order from the physician, as they are prescribed based on medical authority.
A nurse is changing a sterile pressure ulcer dressing based on an established protocol. What does this mean?
- A. The nurse is using critical thinking to implement the dressing change.
- B. The patient has specified how the dressing should be changed.
- C. Written plans are developed that specify nursing activities for this skill.
- D. The physician verbally requested specific steps of the dressing change.
Correct Answer: C
Rationale: An established protocol means written plans specify the nursing activities for the procedure, ensuring standardized and evidence-based practice.
What characteristic of a competent nurse practitioner enables nurses to be role models for patients?
- A. sense of humor
- B. writing ability
- C. organizational skills
- D. good personal health
Correct Answer: D
Rationale: Good personal health enables nurses to model healthy behaviors, serving as role models for patients in promoting wellness.
What core value of nursing care is missing when a nursing intervention is delegated to a UAP?
- A. communication
- B. patient teaching
- C. nurse/patient dynamic
- D. competent care
Correct Answer: C
Rationale: Delegating to a UAP may miss the nurse/patient dynamic, as the professional relationship and holistic assessment provided by the nurse are not fully replicated.
What activity is carried out during the implementing step of the nursing process?
- A. Assessments are made to identify human responses to health problems.
- B. Mutual goals are established and desired patient outcomes are determined.
- C. Planned nursing actions (interventions) are carried out.
- D. Desired outcomes are evaluated and, if necessary, the plan is modified.
Correct Answer: C
Rationale: The implementing step involves carrying out planned nursing interventions to address the patient's needs, as outlined in the nursing care plan.