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What common problem is related to outcome identification and planning?
- A. failing to involve the patient in the planning process
- B. collecting sufficient data to establish a database
- C. stating specific and measurable outcomes based on nursing diagnoses
- D. writing nursing orders that are clear and resolve the problem
Correct Answer: A
Rationale: A common problem is failing to involve the patient (A), which can lead to non-patient-centered plans.
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Although each care plan is individualized, there are certain risks and health problems that, for example, patients undergoing similar medical or surgical treatment have in common. What name is given to this type of care plan?
- A. initial
- B. ongoing
- C. discharge
- D. standardized
Correct Answer: D
Rationale: Standardized care plans (D) address common risks and health problems for patients with similar treatments.
A nurse admits a patient to the hospitals short-stay unit and completes a health history and physical assessment. Using these data, the nurse develops a(n) plan of care, based on planning?
- A. intermittent, focused
- B. comprehensive, initial
- C. single-use, ongoing
- D. standard, emergency
Correct Answer: B
Rationale: Upon admission, a nurse develops a comprehensive, initial plan of care (B) based on the health history and physical assessment.
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.
Which of the following groups of terms best describes a nurse-initiated intervention?
- A. dependent, physician-ordered, recovery
- B. autonomous, clinical judgment, patient outcomes
- C. medical diagnosis, medication administration
- D. other healthcare providers, skill acquisition
Correct Answer: B
Rationale: Nurse-initiated interventions are autonomous, based on clinical judgment, and aimed at patient outcomes (B).
Which of the following types of care plans is most likely to enable the nurse to take a holistic view of the patients situation?
- A. Kardex
- B. case management
- C. critical pathways
- D. concept map care plan
Correct Answer: D
Rationale: A concept map care plan (D) visually connects patient data, promoting a holistic view.