A review of a patient's nursing care plan before beginning care allows the nurse to:
make revisions in the plan as indicated by the shift report.
skip the shift report and begin with the initial assessment.
begin nursing interventions without needing an initial assessment.
use critical thinking skills to organize care for the patient.
The Correct Answer is D
A. Make revisions in the plan as indicated by the shift report.
Reviewing the nursing care plan before beginning care allows the nurse to integrate the information from the shift report into the plan. If there are necessary revisions based on the shift report, the nurse can make informed adjustments to the care plan.
B. Skip the shift report and begin with the initial assessment.
Skipping the shift report is not advisable. Shift reports are crucial for continuity of care. The nurse needs to receive information about the patient's condition and ongoing care before starting the shift.
C. Begin nursing interventions without needing an initial assessment.
Starting interventions without an initial assessment can be unsafe and ineffective. Assessments provide the foundation for understanding the patient's current condition and planning appropriate care.
D. Use critical thinking skills to organize care for the patient.
Reviewing the care plan before starting care enables the nurse to utilize critical thinking skills. By understanding the existing care plan and the patient's current status, the nurse can organize and prioritize care effectively, making informed decisions based on the patient's needs and the provided care plan.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Here's the breakdown of each step:
Assessment: This is the first step in the nursing process. It involves gathering information about the patient's health status. Assessment can include collecting data through interviews, physical examinations, and reviewing medical records.
Nursing Diagnosis: After assessing the patient, the nurse analyzes the data to identify nursing diagnoses or issues. Nursing diagnoses are clinical judgments about individual, family, or community responses to actual or potential health problems or life processes.
Planning: Based on the nursing diagnosis, the nurse develops a plan of care. This plan outlines the goals and outcomes the nurse hopes to achieve. It also includes interventions, which are the actions the nurse will take to address the nursing diagnoses.
Implementation: During this phase, the nurse puts the plan into action. This can include administering medications, providing treatments, educating patients, and other nursing interventions.
Evaluation: Evaluation is the final step. The nurse assesses the patient's response to nursing interventions and determines if the goals and outcomes have been met. If the goals have not been met, the nurse may need to revise the plan of care.
Correct Answer is A
Explanation
A. Stroke Rehabilitation:
Explanation: Stroke rehabilitation is a long-term goal because it involves a process of recovery and adaptation over an extended period. Stroke survivors often need ongoing therapy, medical management, and support to regain lost functions and improve their quality of life. Achieving the maximum possible recovery can take months or even years, making it a long-term goal in healthcare.
B. Adequate Fluid Intake:
Explanation: Adequate fluid intake is essential for maintaining good health, but it is generally considered a short to medium-term goal. While ensuring a patient's proper hydration is crucial, it is typically resolved within a short timeframe by encouraging the patient to drink more fluids. Health professionals can monitor this relatively easily and make adjustments accordingly, making it a shorter-term goal compared to stroke rehabilitation.
C. Treatment of a Urinary Tract Infection (UTI):
Explanation: Treating a UTI is typically a short-term goal. Once diagnosed, UTIs can be effectively treated with antibiotics. Patients are usually prescribed a course of antibiotics, and symptoms generally improve within a few days. Monitoring the effectiveness of the treatment and ensuring the infection is completely resolved are parts of the short-term care plan.
D. Treatment of Pneumonia:
Explanation: Similar to a UTI, treating pneumonia is usually a short to medium-term goal. Pneumonia often requires a course of antibiotics and supportive care. Patients can experience improvement within a few days to a couple of weeks, depending on the severity of the infection. Monitoring the patient's response to treatment and ensuring complete resolution are essential short to medium-term objectives in pneumonia management.
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