Study Guide for Fundamentals of Nursing The Art and Science of Nursing Care

80 UNIT III THE NURSING PROCESS

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c.Performing an initial assessment of the

patient

d.Developing patient outcomes and goals

e.Measuring how well the patient has

achieved patient goals

f.Collecting a database to enable an effective

plan of care

2.Which of the following are goals of the

research behind the Nursing Outcomes Classi-

fications (NOCs)? (Select all that apply.)

a.To identify, label, and validate nursing-

sensitive patient outcomes and indicators

b.To teach decision making

c.To ensure appropriate reimbursement for

nursing services

d.To communicate nursing to non-nurses

e.To evaluate the validity and usefulness of

the classification in clinical field testing

f.To define and test measurement procedures

for the outcomes and indicators

3.Which of the following are advantages of hav-

ing standard Nursing Interventions Classifica-

tions (NIC)? (Select all that apply.)

a.Limiting the amount of reimbursement

allowed for nursing services.

b.Teaching decision making

c.Allocating nursing resources

d.Allowing the use of multiple systems of

nomenclature

e.Developing information systems

f.Communicating nursing to non-nurses

4.Which of the following are listed in the ANA’s

Nursing: Scope and Standards of Practicefor Stan-

dard 5: Implementation? (Select all that apply.)

a.The nurse demonstrates quality by

documenting the application of the

nursing process in a responsible,

accountable, and ethical manner.

b.The nurse incorporates new knowledge to

initiate changes in nursing practice if the

desired outcomes are not achieved.

c.The nurse develops expected outcomes that

provide direction for the continuity of care.

d.The nurse documents implementation and

any modifications, including changes or

omissions, of the identified plan.

e.The nurse utilizes community resources

and systems to implement the plan.

f.The nurse utilizes evidence-based interven-

tions and treatments specific to the diagno-

sis or problem.

DEVELOPING YOUR

KNOWLEDGE BASE

FILL-IN-THE-BLANKS

1.When a nurse administers medications that

were prescribed by the patient’s doctor, he/she

is carrying out a(n) intervention.

2. are written plans that detail the
   nursing activities to be executed in specific
   situations.


3. are interventions targeted to pro-
   mote and preserve the health of populations.
   4.A(n) intervention is a treatment
   performed away from the patient but on
   behalf of a patient or group of patients.
   5.McCloskey and Bulechek published a report of
   research to construct a taxonomy of nursing
   interventions known as
   6.Interventions that are performed jointly by
   nurses and other members of the healthcare
   team are known as

MATCHING EXERCISES

Match the examples in Part B with the types of

nursing interventions listed in Part A. Answers

may be used more than once.

PART A

a.Nurse-initiated independent intervention

b.Physician-initiated dependent intervention

c.Collaborative interdependent intervention

PART B

1. A nurse notices that her patient is
   extremely anxious before surgery and rec-
   ommends psychiatric evaluation by the
   psychiatric nurse specialist.


2. A nurse administers the prescribed dosage
   of pain medication for a patient recover-
   ing from knee surgery.


3. A nurse teaches the daughter of a patient
   who has leg ulcers how to apply the
   dressings.

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