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What is the unique focus of nursing implementation?
- A. patient response to health and illness
- B. patient response to nursing diagnosis
- C. patient compliance with treatment regimen
- D. patient interview and physical assessment
Correct Answer: A
Rationale: The unique focus of nursing implementation is addressing the patient's response to health and illness, as it involves carrying out interventions to promote health, prevent illness, or manage health problems.
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A student is ambulating a patient for the first time after surgery. What would the student do to anticipate and plan for an unexpected outcome?
- A. Take the patients vital signs after ambulation.
- B. Ask the patients wife to assist with ambulation.
- C. Delay ambulation until the following shift.
- D. Ask another student to help with ambulation.
Correct Answer: D
Rationale: Asking another student to help anticipates potential complications (e.g., falls) by ensuring additional support is available during ambulation.
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.
Which of the following statements accurately describe a recommended guideline for implementation? Select all that apply.
- A. When implementing nursing care, remember to act independently, regardless of the wishes of the patient/family.
- B. Before implementing any nursing action, reassess the patient to determine whether the action is still needed.
- C. Assume that the nursing intervention selected is the best of all possible alternatives.
- D. Consult colleagues and the nursing and related literature to see if other approaches might be more successful.
- E. Reduce your repertoire of skilled nursing interventions to ensure a greater likelihood of success.
- F. Check to make sure that the nursing interventions selected are consistent with standards of care.
Correct Answer: B,D,F
Rationale: Recommended guidelines include reassessing the patient (B), consulting colleagues and literature for better approaches (D), and ensuring interventions align with standards of care (F). Acting independently without patient input (A), assuming interventions are the best (C), or reducing skills (E) are not recommended.
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.
Each time a nurse administers an insulin injection to a patient with diabetes, she tells the patient what she is doing and demonstrates each step of preparing and giving the injection. What is the nurse promoting?
- A. self-care
- B. dependence
- C. coping with disability
- D. nursepatient relationship
Correct Answer: A
Rationale: By explaining and demonstrating the injection process, the nurse is teaching the patient how to manage their condition, promoting self-care.