A nursing care plan consists of:
orders for diagnostic and therapeutic procedures such as laboratory tests or x-rays
laboratory and x-ray reports, pathology reports, and the medication record
nursing orders for individualized interventions to assist the patient to meet expected outcomes
the physician's history and physical examination, as well as medical diagnoses
The Correct Answer is C
A. Orders for diagnostic and therapeutic procedures such as laboratory tests or x-rays:
This refers to medical orders, which are instructions given by a physician for diagnostic tests or treatments. These orders are not part of the nursing care plan. Nurses execute these orders but do not create them.
B. Laboratory and x-ray reports, pathology reports, and the medication record:
These are patient records and reports. While nurses use this information to inform their care, the reports themselves are not the nursing care plan. Nurses analyze these reports to make informed decisions regarding patient care.
C. Nursing orders for individualized interventions to assist the patient to meet expected outcomes:
This is the correct choice. Nursing care plans involve identifying the patient's nursing diagnoses (health issues that nurses can address), setting specific and measurable outcomes, planning interventions tailored to the patient's needs, and evaluating the outcomes. It's a holistic approach designed to address the patient's unique health challenges.
D. The physician's history and physical examination, as well as medical diagnoses:
This refers to the medical diagnosis and assessment, which are critical for understanding the patient's overall health. While nurses consider this information, the nursing care plan specifically focuses on nursing interventions and care strategies, making it distinct from the medical diagnosis.
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Related Questions
Correct Answer is B
Explanation
A. Developed by an RN:
This option suggests that an RN (Registered Nurse) is solely responsible for creating the initial care plan. While nurses significantly contribute to the care plan, it is often a collaborative effort involving various healthcare professionals, including doctors, nurses, and other specialists.
B. Completed on the day of admission:
This choice means that the initial care plan, outlining the patient's immediate healthcare needs and interventions, is developed and documented on the day the patient is admitted to the healthcare facility. It's essential to establish a plan promptly to ensure the patient receives appropriate and timely care.
C. Used as the basis of care throughout a hospital stay without alteration:
This option suggests that the initial care plan remains unchanged throughout the patient's hospital stay. However, healthcare plans need to be dynamic, adapting to the patient's evolving condition. Care plans are continuously assessed and modified based on the patient's response to treatments and interventions.
D. Developed by the primary care provider and incorporated into the nursing care:
This choice implies that the initial care plan is created by the primary care provider (which could be a doctor) and then integrated into the nursing care. While doctors provide medical diagnoses and orders, nurses play a crucial role in implementing and coordinating the care plan, ensuring the patient's needs are met.
Correct Answer is ["A","C","D","E"]
Explanation
A. Reinforces application of the nursing process: True. The Problem-Oriented Medical Record (POMR) is designed to organize patient data based on specific problems, which aligns well with the nursing process. It emphasizes problem-solving and critical thinking in the context of patient care.
B. Formats documentation into chronological order: This is not entirely accurate for POMR. POMR organizes data by problems, not necessarily in strict chronological order. Information is clustered around specific problems, making it easier to identify relevant data quickly.
C. Promotes the problem-solving approach: Yes, this is correct. POMR emphasizes identifying and solving individual patient problems, encouraging a systematic and problem-oriented approach to patient care.
D. Makes tracking trends in patient care easy: This can be true, especially when it comes to tracking the progress of specific problems over time. POMR allows healthcare providers to see the evolution of each problem, making it easier to track trends related to individual issues.
E. Allows for easy auditing of patient records to evaluate staff performance: POMR does facilitate easier auditing since each problem is documented separately, allowing for clear assessment of how each problem is being managed. This can be valuable for evaluating staff performance.
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