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.
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What part of the nursing diagnosis statement suggests the nursing interventions to be included in the plan of care?
- A. problem statement
- B. defining characteristics
- C. etiology of the problem
- D. outcomes criteria
Correct Answer: C
Rationale: The etiology of the problem (C) guides the selection of nursing interventions by addressing the cause.
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.
Critical thinking is an essential component in all phases of the nursing process. What question might be used to facilitate critical thinking during outcome identification and planning?
- A. How do I best cluster these data and cues to identify problems?
- B. What problems require my immediate attention or that of the team?
- C. What major defining characteristics are present for a nursing diagnosis?
- D. How do I document care accurately and legally?
Correct Answer: B
Rationale: During outcome identification and planning, critical thinking involves prioritizing issues, so asking which problems need immediate attention (B) facilitates this process.
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.
A nurse is using a structured care methodology that follows a set of steps based on a clinicians decision process to help standardize nursing care plans. What is the term for this element of a structured care methodology?
- A. algorithm
- B. national guidelines
- C. standard of care
- D. clinical practice guideline
Correct Answer: A
Rationale: An algorithm (A) is a set of steps based on a clinician's decision process to standardize care plans.
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