Nokea
What is the primary purpose of nursing interventions?
- A. To support health care provider's orders
- B. To provide direction for all caregivers
- C. To provide broad general statements
- D. To clarify nursing principles
Correct Answer: B
Rationale: Nursing orders are necessary to provide instructions for all caregivers.
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In which phase of the nursing process does the nurse select interventions to assist the patient to meet the needs demonstrated?
- A. Assessment
- B. Planning
- C. Implementation
- D. Evaluation
Correct Answer: B
Rationale: During the planning phase, the nurse connects nursing interventions to nursing orders.
What is an important consideration when developing the care plan?
- A. Ensure the number of interventions is limited.
- B. Ensure the patient is involved in the process.
- C. Ensure interventions will be easy to implement.
- D. Ensure evaluation of the patient problems is possible.
Correct Answer: B
Rationale: Plans are more effective when the patient is involved in the process. The care plan is not limited in terms of the number of interventions, nor do they have to be easy. The patient problems are not evaluated; the patient's progress toward the outcome is.
What is a patient problem considered when a problem is suspected but data to support it are lacking?
- A. A syndrome patient problem
- B. An actual patient problem
- C. A "risk for" diagnosis
- D. A possible patient problem
Correct Answer: D
Rationale: A possible patient problem requires additional data to confirm a problem or to complete a data cluster so that it can be related to a NANDA-I label.
A multidisciplinary plan that schedules clinical ____ over an anticipated time frame for high-risk high-volume and high-cost types of cases is known as a critical pathway.
Correct Answer: interventions
Rationale: A critical pathway is a multidisciplinary plan that schedules clinical interventions over an anticipated time frame for high-risk, high-volume, and high-cost types of cases.
The patient is confined to bed rest which contributes to immobility. What is bed rest considered in this situation?
- A. Contributing to the patient's recovery
- B. A risk factor
- C. Difficult to maintain
- D. A nursing responsibility
Correct Answer: B
Rationale: Risk factors are those that increase the susceptibility of a patient to a problem.