Nokea
Which of the following are verbs that are helpful in writing measurable outcomes? Select all that apply.
- A. know
- B. define
- C. hear
- D. verbalize
- E. feel
- F. list
Correct Answer: B,D,F
Rationale: Verbs like define (B), verbalize (D), and list (F) are measurable and action-oriented, suitable for writing outcomes.
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A nurse is discharging a patient from the hospital. When should discharge planning be initiated?
- A. at the time of discharge from an acute healthcare setting
- B. at the time of admission to an acute healthcare setting
- C. before admission to an acute healthcare setting
- D. when the patient is at home after acute care
Correct Answer: B
Rationale: Discharge planning should begin at the time of admission (B) to ensure a smooth transition and continuity of care.
Which of the following is an example of a well-stated nursing intervention?
- A. Patient will drink 100 mL of water every 2 hours while awake.
- B. Offer patient 100 mL of water every 2 hours while awake.
- C. Offer patient water when he complains of thirst.
- D. Patient will continue to increase oral intake when awake.
Correct Answer: B
Rationale: A well-stated nursing intervention is nurse-focused and specific, such as offering water every 2 hours (B).
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.
Nurses identifying outcomes and related nursing interventions must refer to the standards and agency policies for setting priorities, identifying and recording expected patient outcomes, selecting evidence-based nursing interventions, and recording the plan of care. Which of the following are recognized standards? Select all that apply.
- A. professional physicians organizations
- B. state Nurse Practice Acts
- C. The Joint Commission
- D. the Agency for Health Care Research and Quality
- E. the Patient Health Partnership
- F. the Patient Bill of Rights
Correct Answer: B,C,D
Rationale: State Nurse Practice Acts (B), The Joint Commission (C), and the Agency for Health Care Research and Quality (D) are recognized standards that guide nursing practice and care planning.
A nurse records patient data on a folded card and places it in a central file, where it is easily accessible to staff. Which system of care is this nurse using?
- A. critical pathways
- B. case management
- C. Kardex care plan
- D. concept map care plan
Correct Answer: C
Rationale: A Kardex care plan (C) involves recording patient data on a folded card for staff access.