The nurse recognizes that identifying outcomes/goals must include:

Involvement of the client and family

Involvement of the nurse manager and other staff nurses

Input from the multidisciplinary team

Which statement correctly describes a nurse-initiated intervention?

Nurse-initiated interventions are derived from the nursing diagnosis

Nurse-initiated interventions are actions performed to diagnose a medical problem

Nurse-initiated interventions are actions deemed to have a low risk of harm to the client

Nurse-initiated interventions require a physicians order

An older adult female client has been admitted to the hospital for the treatment of exacerbation of chronic obstructive pulmonary disease (COPD). Which statement constitutes a long-term outcome?

The client will return home able to conduct her activities of daily living (ADLs) without experiencing shortness of breath

The client will express an understanding of strategies for managing fatigue and SOB

The client will ambulate 100 feet without supplementry oxygen or mobility aids

The client will demonstrate the correct use of her metered dose inhaler

The nurse has identified the following outcome for the client: The client will have a soft formed stool. Which error has the nurse made in writting the outcome?

The nurse has omitted the time frame

The nurse has not made any error in writing the outcome

The outcome should indicate what the nurse will do

The nurse omitted the defining characteristics

The nursing student asks the nurse for guidance in selecting nursing interventions for the client's plan of care. Which response by the nurse would be inappropriate?

"Nursing interventions are pretty much the same for the clients that have the same medical diagnois."

"Nursing interventions should be consistent with standards of nursing care and research findings."

Nursing intervetions are selected based on the etiology in the nursing diagnosis and must be compatible with other therapies planned for the client."

"The client's developmental level, valuses, beliefs, and cultureal and psychosocial background should be considered when selecting nursing interventions."

The nurse, in collaboration with the client's family, is assigning priorities related to the care of the client. The nurse explains that when setting priorities it is important to look at the urgency of specific problems. What provides the best framework for prioritizing client problems?

Availability of hospital resources

The expected outcome for a client with a new diagnosis of diabetes mellitus is : "client will describe appropriate actions when implementing the prescribed medication routine." Which statement by the client indicates the outcome expectation has been met?

"I will test my glucose leve before meals and use sliding scale insulin."

"I will mix insulin glargline with insulin lispro at bedtime."

"I will take my medications between meals for maximum effect."

"I will take insulin until my blood sugar levels are normal."

The nurse is caring for a 48-year-old male patient with a new colostomy. Which patient goal for Mr. Conner is written correctly?

Mr. Conner will demonstrate proper care of stoma by 6/29/19

Explain to Mr. Conner the proper care of the stoma by 6/29/19

Mr. Conner will be able to care for stoma and cope with psychological loss by 6/29/19

Mr. Conner will know how to care for his stoma by 6/29/19

When planning nursing interventions, the nurse must review the etiology of the problem statement. The etiology:

Identifies factors causing undesirable response and preventing desired change

Identifies the unhealthy response preventing desired change

Suggest patient goals to promote desired change

Chapter 16 Outcome Identification and Planning

Chapter 16

Chapter 16 Statehood

Chapter 16 Part II - The Autonomic Nervous System

Chapter 16 Lesson 1 and 2 Review

Chapter 16 Security Strategies and Documentation

Chapter 16 Vocab quiz

Chapter 16 Terms

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