Exam 5: Planning Outcomes

The nurse is creating a comprehensive patient plan of care. Which information does the nurse include?

The nurse is reviewing the goals set on a patient's plan of care. Which description specifically differentiates short-term goals from long-term goals? Short-term goals:

The nurse is planning care for a patient by using a standardized care plan for Impaired Walking, related to left-side weakness. Which activity will the nurse perform when individualizing the plan for the patient?

A client arrives in the emergency department and is pale and breathing rapidly. The client immediately becomes unconscious and collapses to the floor. The nurse rapidly assesses the client and decides the first series of actions needed. Which type of planning is the nurse demonstrating?

The nurse is providing care for a patient following a total-knee replacement. The patient is to remain in acute care for two days. When developing an individualized plan of care for this patient, which goals set by the nurse are considered to be short-term? Select all that apply.

The nurse recognizes which client as having the greatest need for comprehensive formal discharge planning?

A nurse is overheard complaining about the time used to develop patients' plans of care. Which information does the nurse manager share with the nurse about the importance of the process? Select all that apply.

In which manner does the nurse understand that NANDA-I problem labels and Nursing Outcome Classification (NOC) outcome labels are alike?

The nurse is formulating a plan of care for an older client admitted for dehydration. The nurse develops goals from a standardized care plan and the physician's medical orders. Which nurse-sensitive goal is appropriate for this patient?

The nurse is individualizing a client's plan of care for the nursing diagnosis Anxiety. For which reason does the nurse write goals/outcomes on the plan of care?

A nurse is providing care for an older adult patient of Asian heritage. When planning outcomes for this patient, which actions by the nurse would meet the American Nurses Association (ANA) standards for outcomes identification? Select all that apply.

The nurse asks the nurse manager, "What do initial planning, ongoing planning, and discharge planning have in common?" Which information from the nurse manager is correct?

The nurse writes a nursing diagnosis for a patient, which states, "Impaired Memory, related to fluid and electrolyte imbalances, as manifested by (AMB) inability to express knowledge of recent events." Which essential goal/outcome does the nurse include on the care plan?

The nurse is updating a patient plan of care. Which outcome statement, written by the nurse, contains the best example of performance criteria?

The nurse in an acute care facility is preparing to discharge an older client to an extended care facility. Which objectives does the nurse address in preparation for a comprehensive discharge process for this client? Select all that apply.

The nurse is developing a plan of care for a patient following surgery, and plans to include collaborative interventions. Which definition of goal/outcome is applicable for collaborative problems?

The nurse is working on a new nursing unit that utilizes preprinted standardized care plans along with comprehensive care plans developed by the nurse. Which is the most important advantage for the use of both types of care plans?

The nurse is working on development of a plan of care for a patient hospitalized for a respiratory infection. Which is the best example of an outcome statement for this patient?

Newly hired nurses on an acute care unit are encouraged to utilize computerized care planning in providing patient care. Which advantages exist from this process? Select all that apply.