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

c. Adjust time criteria in the goal statement: If the

time period was too short to accomplish the

goal, it may need to be extended.

d.Change nursing interventions: Reevaluate the

nursing interventions and change the ones that

were ineffective; tailor the interventions to the

patient’s needs.

7.Answers will vary with student’s experiences.

8. a.Nurses measure patient outcome achievement.
   b.Nurses measure how effectively nurses help tar-
   geted groups of patients to achieve their specific
   goals.
   c. Nurses measure the competence of individual
   nurses.
   d.Nurses measure the degree to which external fac-
   tors, such as different types of healthcare services,
   specialized equipment or procedures, or socioeco-
   nomic factors, influence health and wellness.
   REFLECTIVE PRACTICE USING CRITICAL
   THINKING SKILLS
   Sample Answers
   1.What should be the focus of an evaluation of Ms.
   Otsuki’s nursing care plan conducted by the home
   healthcare nurse?
   The nurse should evaluate Ms. Otsuki’s understand-
   ing of, and compliance with, the medication
   regime, since she admits to taking a double dose of
   diuretics related to confusion with brand/generic
   prescriptions. A secondary concern would be if Ms.
   Otsuki is capable of living by herself with only a
   daily visit from her daughter.
   2.What would be a successful outcome for this patient?
   By next visit, Ms. Otsuki states the dosages and fre-
   quency of administration of the drugs she is taking.
   By next visit, Ms. Otsuki verbalizes that she feels
   comfortable with the medication administration
   and is receiving help with home management from
   her daughter/social services.

3.What intellectual, technical, interpersonal, and/or

ethical/legal competencies are most likely to bring

about the desired outcome?

Intellectual: ability to incorporate knowledge of

assessment, diagnosing, planning, and implement-

ing nursing care when evaluating care for an elderly

patient taking too much prescribed medication

Technical: ability to use a documentation system

competently to record the patient’s progress toward

outcome achievement

Interpersonal: ability to identify and respond to the

changing needs of patient experiencing different

alterations in health status

Ethical/Legal: commitment to evaluating patient

achievement of outcomes in a timely fashion and

to addressing whatever is interfering with outcome

achievement within the scope of nursing practice

4.What resources might be helpful for Ms. Otsuki?

Social services, community services, printed materi-

als on the drugs she is taking, compartmentalized

pill boxes

CHAPTER 17

PRACTICING FOR NCLEX

MULTIPLE CHOICE QUESTIONS

1.d 2.d 3.c 4.a 5.b

6.b 7.c 8.a 9.c

ALTERNATE-FORMAT QUESTIONS

Multiple Response Questions

1.a, d, f

2.a, b, e

3.c, d, f

4.b, d, e

5.a, b, e, f

6.c, d, e

Hot Spot Question

See figures below.

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing:

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