Nokea
Which of the following types of care plans is most likely to enable the nurse to take a holistic view of the patients situation?
- A. Kardex
- B. case management
- C. critical pathways
- D. concept map care plan
Correct Answer: D
Rationale: A concept map care plan (D) visually connects patient data, promoting a holistic view.
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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 has developed a plan of care with nursing interventions designed to meet specific patient outcomes. The outcomes are not met by the time specified in the plan. What should the nurse do now in terms of evaluation?
- A. Continue to follow the written plan of care.
- B. Make recommendations for revising the plan of care.
- C. Ask another healthcare professional to design a plan of care.
- D. State goal will be met at a later date.
Correct Answer: B
Rationale: If outcomes are not met, the nurse should recommend revising the plan of care (B) based on evaluation.
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.
What is the primary purpose of the outcome identification and planning step of the nursing process?
- A. to collect and analyze data to establish a database
- B. to interpret and analyze data to identify health problems
- C. to write appropriate patient-centered nursing diagnoses
- D. to design a plan of care for and with the patient
Correct Answer: D
Rationale: The outcome identification and planning step focuses on establishing patient-centered goals and designing a plan of care collaboratively with the patient, making D the correct choice.
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.