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What is true of nursing responsibilities with regard to a physician-initiated intervention (physicians order)?
- A. Nurses do not carry out physician-initiated interventions.
- B. Nurses do carry out interventions in response to a physicians order.
- C. Nurses are responsible for reminding physicians to implement orders.
- D. Nurses are not legally responsible for these interventions.
Correct Answer: B
Rationale: Nurses are responsible for carrying out physician-initiated interventions (B) as part of their role.
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What name is given to tools that are used to communicate a standardized interdisciplinary plan of care for patients within a case management healthcare delivery system?
- A. Kardex care plans
- B. computerized plans of care
- C. clinical pathways
- D. student care plans
Correct Answer: C
Rationale: Clinical pathways (C) are tools used to communicate standardized interdisciplinary care plans.
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.
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.
The nursing diagnosis Impaired Gas Exchange, prioritized by Maslows hierarchy of basic human needs, is appropriate for what level of needs?
- A. physiologic
- B. safety
- C. love and belonging
- D. self-actualization
Correct Answer: A
Rationale: Impaired Gas Exchange relates to breathing, a physiologic need (A), which is the most basic level in Maslow's hierarchy.
A nurse is developing outcomes for a specific problem statement. What is one of the most important considerations the nurse should have?
- A. that the written outcomes are designed to meet nursing goals
- B. to encourage the patient and family to be involved
- C. to discourage additions by other healthcare providers
- D. why the nurse believes the outcome is important
Correct Answer: B
Rationale: Involving the patient and family (B) is crucial for developing patient-centered outcomes.