Deck 6: Planning Interventions

Question 1

The nurse reviews orders written to a client prior to implementation.What should the nurse analyze to ensure that the orders are complete?

A) Whether they are concise
B) The etiology
C) Whether they are prioritized
D) Whether they are individualized

Answer 1

The etiology

Question 2

Who is the primary decision maker when caring for healthy adult clients?

A) Physician
B) Family
C) Client
D) Nurse

Answer 2

Client

Question 3

The nurse identifies the diagnosis of Acute Pain related to the postoperative abdominal incision and writes a nursing order to reposition the client in a comfortable position using pillows to splint or support the painful areas.What type of nursing intervention did the nurse write?

A) Collaborative
B) Interdependent
C) Dependent
D) Independent

Answer 3

Independent

Question 4

The nurse reviews orders to address a client's health problems and then edits out words and phrases after writing them.Why did the nurse reduce the length of the written orders?

A) Ensures clarity
B) Measures etiology
C) Supports prioritization
D) Assesses for completeness

Question 5

The nurse instructs a client scheduled for surgery on deep breathing and coughing exercises even though the client has no history of respiratory problems.Which type of nursing intervention did the nurse perform?

A) Health promotion
B) Treatment
C) Prevention
D) Assessment

Question 6

The nurse refers to the Omaha System when identifying interventions.For which client population is the nurse providing care?

A) Pediatrics
B) Maternity
C) Home care
D) Aggregates

Question 7

The nurse constructs orders to address a client's health problems.Which statement is an appropriately written nursing order?

A) Walk 100 feet twice a day.
B) Discuss signs and symptoms of postoperative complications.
C) State the reasons to take pain medication before physical therapy.
D) Demonstrate correct technique to self-administer insulin injection.

Question 8

Which standardized intervention vocabulary was designed specifically for community health nurses?

A) Omaha System
B) Clinical Care Classification
C) Nursing Interventions Classification
D) International Classification for Nursing Practice

Question 9

Which definition best describes a critical pathway?

A) Standardized plan of care for frequently occurring conditions
B) Systematically developed statement to assist practitioners and patients in making decisions
C) Systematic review of clinical evidence for an intervention
D) Set of interrelated concepts that describes or explains something

Question 10

A client,newly diagnosed with cancer,questions the existence of God.Which action should the nurse take to help this client with Spiritual Distress?

A) Ask the client to explain his feelings about God.
B) Encourage the client to talk more about his feelings.
C) Suggest to the client that his previous beliefs have been wrong.
D) Remind the client that everyone has a different perception of God.

Question 11

Which nursing intervention is considered an independent intervention?

A) Administering 1 L of dextrose 5% in normal saline solution at 100 mL/hour
B) Encouraging the postoperative client to perform coughing and deep breathing exercises
C) Explaining his diet to the client; then communicating the teaching with the dietitian
D) Administering morphine sulfate 2 mg IV to the client with postoperative pain

Question 12

The nurse identifies the diagnosis of Ineffective Breathing Pattern related to inability to maintain adequate rate and depth of respirations for a client with an acute respiratory problem resulting from lung disease.Which nursing intervention should be listed first on the care plan?

A) Determine airway adequacy hourly and as needed.
B) Administer oxygen as needed.
C) Monitor arterial blood gas values.
D) Place the client in a high Fowler's position.

Question 13

The staff development trainer prepares an educational program on selecting client care interventions.What should the trainer explain as the goal of using evidence-based practice for client care?

A) Select the best care provider to address a client's needs.
B) Choose strategies that reduce the length of hospitalization.
C) Implement approaches that have been proved to improve a client's health.
D) Identify effective and cost-efficient treatments for a particular health issue.

Question 14

When using electronic care planning,the nurse enters the nursing diagnoses,chooses desired outcomes,and validates data,diagnosis,and goals.What should the nurse do if the computer generates interventions that are not appropriate for the client's needs?

A) Reject them all and type in appropriate interventions.
B) Select the interventions from the program that are most suitable.
C) Ask another nurse to assess the patient and give a recommendation.
D) Restart the computer; it is probably a program malfunction.

Question 15

The nurse prepares a care plan for a newly admitted client.Why should the nurse review the status of problems prior to writing the interventions?

A) Ensures interventions are concise
B) Identifies the priority of interventions
C) Determines the types of activities needed
D) Validates that all problems have been addressed

Question 16

A patient returns to the medical-surgical unit after having a right hemicolectomy (abdominal surgery)for colon cancer.Which statement is an appropriate,correctly written nursing order for this patient?

A) 7/12/13 Encourage use of the incentive spirometer every hour while the client is awake-D.Goodman,RN
B) By 7/12/13,uses incentive spirometer 10 times every hour while awake to 1000 mL
C) Incentive spirometer hourly while awake
D) Offer incentive spirometer to the client-J.Smith,RN

Question 17

Which nursing intervention is an indirect-care intervention?

A) Emotional support
B) Teaching
C) Consulting
D) Physical care

Question 18

The nurse identifies the diagnosis of Ineffective Breathing Pattern related to inability to maintain adequate rate and depth of respirations for a client with an acute episode of chronic obstructive pulmonary (lung)disease.After establishing care goals,what should the nurse do first when selecting nursing interventions?

A) Identify several interventions likely to achieve the desired outcomes.
B) Review the problem and etiology of the nursing diagnosis.
C) Choose the best interventions for the patient.
D) Review the goals she has written.

Question 19

The nurse uses Nursing Interventions Classification (NIC)to select interventions for a client's care.Which part of the listing will the nurse analyze to understand the meaning of the label?

A) Time
B) Label
C) Activities
D) Definition

Question 20

A client is admitted for control of diabetes.Which statement is an appropriate direct-care intervention for this client?

A) Consulting the diabetic nurse educator for help with a teaching plan
B) Making arrangements for the client to join a diabetic support group
C) Demonstrating blood glucose monitoring and insulin administration to the client
D) Consulting with the dietician about the client's dietary concerns

Question 21

Which statement about nursing interventions is true?

A) The responsibility of writing nursing orders cannot be delegated to the LPN/LVN.
B) The best nursing interventions are based on tradition.
C) Nursing interventions should be individualized and culturally sensitive.
D) Standardized nursing interventions improve care for a specific client.
E) Computerized interventions are the most succinct and individualized.