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What role of the nurse is crucial to the prevention of fragmentation of care?
- A. advocate
- B. teacher
- C. counselor
- D. coordinator
Correct Answer: D
Rationale: The coordinator role is crucial to prevent fragmentation of care, as it involves organizing and integrating services from multiple healthcare providers to ensure continuity.
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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.
What is one advantage of having a standard classification of nursing interventions?
- A. to standardize nomenclature (names or terms)
- B. to legitimize the use of the nursing process
- C. to classify indicators of patient outcomes
- D. to facilitate documentation of expected goals
Correct Answer: A
Rationale: A standard classification of nursing interventions standardizes nomenclature, ensuring consistent terminology across healthcare settings, which improves communication and documentation.
A nurse is changing a sterile pressure ulcer dressing based on an established protocol. What does this mean?
- A. The nurse is using critical thinking to implement the dressing change.
- B. The patient has specified how the dressing should be changed.
- C. Written plans are developed that specify nursing activities for this skill.
- D. The physician verbally requested specific steps of the dressing change.
Correct Answer: C
Rationale: An established protocol means written plans specify the nursing activities for the procedure, ensuring standardized and evidence-based practice.
A nurse documents the following diagnosis for a hospitalized patient: Risk for Imbalanced Nutrition: More Than Body Requirements. What is the major goal of interventions for a risk diagnosis?
- A. reduce or eliminate contributing factors
- B. prevent the problem
- C. collect additional data
- D. promote higher-level wellness
Correct Answer: B
Rationale: The major goal for a risk diagnosis is to prevent the problem from occurring by addressing risk factors and implementing preventive measures.
What must occur before physician-initiated interventions can be carried out?
- A. They must be written on the nursing plan of care.
- B. The nurse relinquishes all responsibility for them.
- C. Any healthcare provider may order them.
- D. The physician gives a verbal or written order.
Correct Answer: D
Rationale: Physician-initiated interventions require a verbal or written order from the physician, as they are prescribed based on medical authority.