Deck 5: Planning Outcomes

Question 1

The nurse is individualizing the plan of care for a patient's nursing diagnosis of Anxiety.Why should the nurse write goals/outcomes on the plan of care?

A) Identifies desired changes in the patient's health status
B) Lists specific patient responses to medical interventions
C) Highlights specific nursing behaviors to improve a patient's health
D) Provides criteria to evaluate the appropriateness of a nursing diagnosis

Answer 1

Identifies desired changes in the patient's health status

Question 2

A client who arrives in the emergency department,pale and breathing rapidly becomes unconscious and collapses to the floor.The nurse rapidly assesses the client and decides the first series of actions that are needed.What does this scenario demonstrate?

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

Answer 2

Informal planning

Question 3

Which client has the greatest need for comprehensive discharge planning?

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

Answer 3

A woman who was just diagnosed with renal failure and has started peritoneal dialysis

Question 4

Which statement best describes standardized care plans and unit standards of care?

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

Question 5

What is a benefit of standardized care plans?

A) Specify patient outcomes for each day
B) Include both medical and nursing orders
C) Apply to every patient on a particular unit
D) Help ensure that important interventions are not overlooked

Question 6

The nurse designs goals to address a client's risk for health issues.What should the nurse include when creating these goals?

A) Methods to prevent complications
B) Strategies to prevent the health issues
C) Approaches to resolve the health issue
D) Actions to rule out potential health issues

Question 7

The nurse utilizes the computer to create a care plan for a client.What is an advantage of the nurse using this approach for planning care?

A) Limits intuition to reduce errors
B) Encourages a linear thinking process
C) Requires minimal expertise to plan care
D) Ensures a variety of interventions are selected

Question 8

Which phrase differentiates a short-term goal from a long-term goal?

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

Question 9

The nurse uses a standardized care plan for Impaired Walking related to left-sided weakness when planning care for a patient.Which activity will the nurse perform when individualizing care for this patient?

A) Transcribe medical orders.
B) State the frequency for ambulation.
C) Perform a comprehensive assessment.
D) Validate conflicting data with the patient.

Question 10

The nurse prepares an educational program to address a health need for a community.What should the nurse include when identifying the goals for these community members?

A) Scale to determine when the goals are achieved
B) Outcome labels to plan for the expected health status
C) Indicators to evaluate each community member's status
D) Actions to promote health behaviors across all life stages

Question 11

For which patient would it be most important to perform a comprehensive discharge plan?

A) A teen who is a first-time mother and single and lives with her parents
B) An older adult who has had a stroke affecting the left side of his body and lives alone
C) A middle-aged man who has had outpatient surgery on his knee and requires crutches
D) A young woman who was admitted to the hospital for observation following an accident

Question 12

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

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

Question 13

Which phrase is the best example of an outcome?

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

Question 14

The nurse selects the nursing diagnosis of Impaired Memory related to fluid and electrolyte imbalances as evidenced by inability to recall recent events.Which goal/outcome 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 1500 cc of fluid per day
D) Takes electrolyte supplements with meals

Question 15

The nurse begins discharge planning for an older adult with left-side weakness.Which action is most important in ensuring that the discharge plan is successful?

A) Start planning at admission
B) Involve the family members
C) Involve the multidisciplinary team
D) Get patient input when making the plan

Question 16

A client asks for suggestions to improve a current state of health.What should the nurse include when creating goals for this client's health status?

A) Actions to manage chronic health problems
B) Strategies to improve health over the life span
C) Behaviors that demonstrate health maintenance
D) Methods to meet an identified timeline for goal achievement

Question 17

Which statement 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 18

Which phrase describes a characteristic of both standardized and individualized nursing care plans?

A) Reflect critical thinking for a specific patient
B) Are preprinted to apply to needs common to a group of patients
C) Address a patient's individual needs
D) Provide detailed nursing interventions

Question 19

Which outcome statement contains the best example of performance criteria?

A) Turns self in bed frequently while awake
B) Understands how to use crutches by day 2
C) States that pain is decreased after being medicated
D) Eats 75% of each meal without complaint of nausea

Question 20

How are critical pathways and standardized nursing care plans similar?

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

Question 21

The nurse prepares a comprehensive plan of care for a new admitted client.For which reason should the nurse include protocols within the plan of care? Select all that apply.

A) The client needs a specific treatment.
B) The client is prescribed a particular diet.
C) The client has a particular medical diagnosis.
D) The client needs assistance with routine activities.
E) The client is scheduled for a specific diagnostic test.

Question 22

The nurse is caring for an older client 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 outcomes preprinted on the clinical pathway
C) Choosing the best outcome for the patient,regardless of the costs involved in bringing it about
D) Involving the patient and family in formulating the outcomes
E) Identifying outcomes with the least amount of nursing interventions

Question 23

The nurse cares for a newly admitted client.What will the nurse include when creating a comprehensive plan of care for this client? Select all that apply.

A) Teaching needs
B) Basic care needs
C) Medical treatment
D) Nursing diagnoses
E) Insurance coverage

Question 24

The nurse determines goals for a client's plan of care.What should the nurse ensure is included in each of the goals? Select all that apply.

A) Indicators
B) Outcome label
C) Health promotion
D) Disease prevention
E) Measurement scale

Question 25

The nurse decides to create a computerized care plan for a client.What should the nurse keep in mind when creating this plan of care? Select all that apply.

A) Select outcomes for the client.
B) Determine indicators for the client.
C) Identify the target time for each outcome.
D) Permit the computer to make client care decisions.
E) Ensure protocols are included for basic care needs.