Deck 5: Nursing Process: Planning Outcomes

Question 1

Which of the following outcome statements contains the best example of performance criteria? The patient will:

A) Turn herself in bed frequently while awake
B) Understand how to use crutches by day two
C) State that pain is decreased after being medicated
D) Eat 75% of each meal without complaint of nausea

Answer 1

Eat 75% of each meal without complaint of nausea

Question 2

The nurse is planning care for a patient.She is using a standardized care plan for Impaired Walking related to left-side weakness.Which of the following activities will the nurse perform when individualizing the plan for the patient?

A) Validating conflicting data with the patient
B) Transcribing medical orders
C) Stating the frequency for ambulation
D) Performing a comprehensive assessment

Answer 2

Stating the frequency for ambulation

Question 3

How are standardized (model)care plans similar to unit standards of care? Standardized (model)care plans :

A) Describe the care needed by patients in defined situations
B) Include specific goals and nursing orders
C) Become a part of the patient's comprehensive care plan
D) Usually describe ideal nursing care

Answer 3

Describe the care needed by patients in defined situations

Question 4

Which client has the greatest need for comprehensive discharge planning?

A) A woman who has just given birth to her second child and lives with her husband and 18-month-old daughter
B) A man who has been readmitted for exacerbation of his chronic obstructive pulmonary disease
C) A 12-year-old boy who had outpatient surgery on his knee and lives with his mother
D) A woman who was just diagnosed with renal failure and has started peritoneal dialysis

Question 5

The nurse is individualizing Mr.Wu's plan of care by writing a plan for his nursing diagnosis of Anxiety.The nurse needs to write goals/outcomes on the plan of care because outcomes describe:

A) Desirable changes in the patient's health status
B) Specific patient responses to medical interventions
C) Specific nursing behaviors to improve a patient's health
D) Criteria to evaluate the appropriateness of a nursing diagnosis

Question 6

Which of the following is true for goals/outcomes for collaborative problems?

A) They are monitored only by other disciplines.
B) They are usually sensitive to nursing interventions.
C) They state that a complication will not occur.
D) They state only broad performance criteria.

Question 7

The nursing diagnosis is: Impaired Memory related to fluid and electrolyte imbalances AMB inability to Knowledge recent events.Which of the following goals/outcomes must be included on the care plan?

A) Checks current medications for mind-altering side effects
B) Demonstrates use of techniques to help with memory loss
C) Drinks at least 1,500 mL of fluid per day
D) Takes electrolyte supplements with meals

Question 8

Which of the following is the best example of an outcome statement? The patient will:

A) Use the incentive spirometer when awake
B) Walk two times during day and evening shift
C) Maintain oxygen saturation above 92% while performing ADLs each morning
D) Tolerate 10 sets of range-of-motion exercises with physical therapy

Question 9

How are short-term goals different from long-term goals? Short-term goals:

A) Can be met within a few hours or a few days
B) Flow from the problem side of the nursing diagnosis
C) Must have target times with dates
D) Specify desired client responses to interventions

Question 10

A client arrives in the emergency department.He is pale and breathing rapidly.He immediately becomes unconscious and collapses to the floor.The nurse rapidly assesses the patient and decides the first series of actions that are needed.This scenario demonstrates:

A) Formal planning
B) Informal planning
C) Ongoing planning
D) Initial planning

Question 11

A nurse is caring for an 80-year-old patient of Chinese heritage.When planning outcomes for this patient,which actions by the nurse would meet the American Nurses Association standards for outcomes identification? Select all that apply.

A) Developing culturally appropriate outcomes
B) Using the standardized outcomes on the clinical pathway
C) Choosing the best outcome for the patient, regardless of the cost
D) Involving the patient and family in formulating the outcomes

Question 12

How is NOC different from the Omaha System?

A) NOC can be used to write health restoration outcomes.
B) NOC can be used in all specialty and practice areas.
C) NOC can be used for individuals, families, or groups.
D) NOC formulates goals based on nursing diagnoses.

Question 13

How are NANDA-I problem labels and NOC outcome labels alike? Both describe:

A) Health status in terms of human responses
B) Patient response before interventions are done
C) Patient response in positive terms
D) A pattern of related cues

Question 14

What do initial,ongoing,and discharge planning have in common?

A) They are based on assessment and diagnosis.
B) They focus on the patient's perception of his needs.
C) They require input from a multidisciplinary team.
D) They have specific time lines in which to be completed.

Question 15

How are critical pathways and standardized nursing care plans similar? Both:

A) Specify daily, or even hourly, outcomes and interventions
B) Prescribe minimal care needed to meet recommended lengths of stay
C) Describe care common to all patients with a certain condition or situation
D) Emphasize medical problems and interventions