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

(Barry) #1

CHAPTER 15 IMPLEMENTING 81


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


  1. A nurse meets with a patient’s physician
    to describe what she feels is the patient’s
    lack of response to prescribed therapy.

  2. A nurse prepares a patient for surgery by
    performing a bowel cleansing.

  3. A nurse meets in conference with a patient’s
    physician, social worker, and psychiatrist
    to discuss the patient’s failure to progress.


CORRECT THE FALSE STATEMENTS
Circle the word “true” or “false” that follows
the statement. If you circled “false,” change the
underlined word or words to make the statement
true. Place your answer in the space provided.
1.The physicianis legally responsible for the
assessments nurses make and for their
nursing responses.
True False
2.Nurse-initiated interventionsinvolve
carrying out nurse-prescribed orders written
on the nursing plan of care.
True False
3.Standing ordersare written plans that detail
the nursing activities to be executed in
specific situations.
True False
4.The physicianplays the role of coordinator
within the healthcare team.
True False
5.The nursing teamcarries out the nursing
orders detailed in the nursing plan of care.
True False
6.When working with patients to achieve the
goals/outcomes specified in the plan of care,
it is important to remember that everything
about the plan of care is fixed.
True False
7.When choosing nursing interventions, it is
important to consider the patient’sbackground.
True False
8.Sincere motivation to benefit the patient and
conscientious attempts to implement nursing
orders are sufficientto protect a nurse from
legal action due to negligence.
True False

9.When a patient fails to follow the plan of
care despite the nurse’s best efforts, it is time
to change the patient’s attitude toward his
care.
True False
10.If a plan of care is well written, carrying out
its ordersis the nurse’s most important task
and should receive top priority.
True False
11.All nursing actions for implementing the
plan of caremust be consistent with
standards for practice.
True False

SHORT ANSWER
1.List three duties nurses perform when acting
as coordinator for the healthcare team.
a.
b.
c.
2.Give an example of a nurse variable, a patient
variable, and a healthcare variable that might
influence the implementation of the plan of
care.
a.Nurse variable:
b.Patient variable:
c. Healthcare variable:
3.Explain why the following nursing actions are
important to the continuity of nursing care.
a.Promoting self-care: teaching, counseling,
and advocacy

b.Assisting patients to meet health goals

4.Mr. Franks, a new resident in a nursing home,
is recovering from minor surgery. He shows no
interest in his condition and refuses to partici-
pate in self-care. You suspect an underlying
problem of loneliness and boredom stemming
from his admittance to the home, which was
not mentioned in his original plan of care.
How would you reevaluate the nursing care

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