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Exam 13: Outcome Identification and Planning

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Question 1

Multiple Choice

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What is the primary purpose of the outcome identification and planning step of the nursing process?

A) To collect and analyze data to establish a database
B) To interpret and analyze data so as to identify health problems
C) To write appropriate client-centered nursing diagnoses
D) To design a plan of care for and with the client

E) A) and B)
F) None of the above

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Question 2

Multiple Choice

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During outcome identification and planning, from what part of the nursing diagnoses are outcomes derived?

A) The defining characteristics
B) The related factors
C) The problem statement
D) The database

E) None of the above
F) A) and D)

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Question 3

Multiple Choice

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The nursing student asks the nurse about nurse-initiated and physician-initiated interventions. Which of the following is a physician-initiated intervention?

Which of the following is a correctly written client goal? Select all that apply.

Which intervention does the nurse recognize as a collaborative intervention?

Which of the following client outcomes best describes the parameters for achieving the outcome?

Which of the following types of care plans is most likely to enable the nurse to take a holistic view of the client's situation?

Which of the following groups of terms best describes a nurse-initiated intervention?

The nurse is planning the care of a male client who is receiving treatment for acute renal failure and who has begun dialysis three times weekly. The nurse has identified the following outcome: "Client will demonstrate the appropriate care of his arteriovenous fistula." This outcome is classified as which of the following?

In which of the following clients has the order of priorities for nursing diagnoses changed? Select all that apply.

A nurse has developed a plan of care with nursing interventions designed to meet specific client outcomes. The outcomes are not met by the time specified in the plan. What should the nurse do now in terms of evaluation?

The nursing diagnosis Impaired Gas Exchange, prioritized by Maslow's hierarchy of basic human needs, is appropriate for what level of needs?

Which of the following statements accurately describes the impact on nursing of using NIC/NOC standardized languages? Select all that apply.

A resident of a long-term care facility refuses to eat until she has had her hair combed and her make-up applied. In this case, what client need should have priority?

A male client is scheduled to be fitted with a prosthesis following the loss of his nondominant hand in a farm accident several weeks earlier. Nurses have documented the following outcome during this stage of his care: "After attending an educational session, client will demonstrate correct technique for applying his prosthesis." Which of this client's following statements would signal a need to amend this outcome?

Which of the following is not appropriate in writing client-centered measurable outcomes?

A nurse is assigned to care for a client diagnosed with asthma who has just been admitted to the health care facility. The nurse determines the client's priorities for care using which of the following?

A nurse is developing outcomes for a specific problem statement. What is one of the most important considerations the nurse should have?

Which of the following is a correctly written client goal?

While developing the plan of care for a new client on the unit the nurse must identify expected outcomes that are appropriate for the new client. What is a resource for identifying these appropriate outcomes?