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chapter 14

Pregunta 1 de 10

1

When initiating the implementation phase of the nursing process, the nurse performs which of the following phases first?

Selecciona una de las siguientes respuestas posibles:

  • Carrying out nursing interventions

  • Determining the need for assistance

  • Reassessing the client

  • Documenting interventions

Explicación

Pregunta 2 de 10

1

Under what circumstances is it considered acceptable practice for the nurse to document a nursing activity before it is carried out?

Selecciona una de las siguientes respuestas posibles:

  • When the activity is routine (e.g., raising the bed rails)

  • When the activity occurs at regular intervals (e.g., turning the client in bed)

  • When the activity is to be carried out immediately (e.g., a stat medication)

  • It is never acceptable

Explicación

Pregunta 3 de 10

1

The primary purpose of the evaluating phase of the care planning process is to determine whether

Selecciona una de las siguientes respuestas posibles:

  • Desired outcomes have been met.

  • Nursing activities were carried out.

  • Nursing activities were effective

  • Client’s condition has changed.

Explicación

Pregunta 4 de 10

1

The client has a high-priority nursing diagnosis of Risk for Impaired Skin Integrity related to the need for several weeks of imposed bed rest. The nurse evaluates the client after 1 week and finds the skin integrity is not impaired. When the care plan is reviewed, the nurse should perform which of the following?

Selecciona una de las siguientes respuestas posibles:

  • Delete the diagnosis since the problem has not occurred.

  • Keep the diagnosis since the risk factors are still present

  • Modify the nursing diagnosis to Impaired Mobility.

  • Demote the nursing diagnosis to a lower priority.

Explicación

Pregunta 5 de 10

1

If the nurse planned to evaluate the length of time clients
must wait for a nurse to respond to a client need reported
over the intercom system on each shift, which process does
this reflect?

Selecciona una de las siguientes respuestas posibles:

  • Structure evaluation

  • Process evaluation

  • Outcome evaluation

  • Audit

Explicación

Pregunta 6 de 10

1

Which of the following is true regarding the relationship of implementing to the other phases of the nursing process?

Selecciona una de las siguientes respuestas posibles:

  • The findings from the assessing phase are reconfirmed in the implementing phase.

  • After implementing, the nurse moves to the diagnosing phase.

  • The nurse’s need for involvement of other health care team members in implementing occurs during the planning phase.

  • Once all interventions have been completed, evaluating can begin.

Explicación

Pregunta 7 de 10

1

The care plan calls for administration of a medication plus client education on diet and exercise for high blood pressure. The nurse finds the blood pressure extremely elevated. The client is very distressed with this finding. Which nursing skill of implementing would be needed most?

Selecciona una de las siguientes respuestas posibles:

  • Cognitive

  • Intellectual

  • Interpersonal

  • Psychomotor

Explicación

Pregunta 8 de 10

1

Which of the following demonstrates appropriate use of guidelines in implementing nursing interventions? Select all that apply.

Selecciona una o más de las siguientes respuestas posibles:

  • No interventions should be carried out without the nurse having clear rationales.

  • Always follow the primary care provider’s orders exactly, without variation.

  • Encourage all clients to be as dependent as desired and allow the nurse to perform care for them.

  • When possible, give the client options in how interventions will be implemented.

  • Each intervention should be accompanied by client teaching.

Explicación

Pregunta 9 de 10

1

Which of the following represents application of the components of evaluating?

Selecciona una de las siguientes respuestas posibles:

  • Goal achievement must be written as either completely met or unmet.

  • Data related to expected outcomes must be collected.

  • If the outcome was achieved, conclude that the plan was effective.

  • After determining that the outcome was not met, start over with a new nursing care plan.

Explicación

Pregunta 10 de 10

1

An element of quality improvement, rather than quality assurance, is which of the following?

Selecciona una de las siguientes respuestas posibles:

  • Focus is on individual outcomes

  • Evaluates organizational structures

  • Aims to confirm that quality exists

  • Plans corrective actions for problems

Explicación

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