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 D
Explanation
A. Help the patient understand the objectives of care:
This is a part of the admission process, where the nurse educates the patient about what to expect during their stay, their treatment plan, and the objectives of their care. While important, it's not the primary goal of the admission interview, which is more focused on building rapport and understanding the patient's needs and concerns.
B. Initiate nursing care plan forms:
This task occurs after the admission interview and is based on the information gathered during the interview. Nursing care plans are developed to address the patient's specific needs and concerns, but the initiation of these plans is not the primary goal of the admission interview.
C. Identify the patient's major complaints:
Identifying the patient's concerns and complaints is indeed a part of the admission interview. However, the primary goal of the interview is broader: it's about establishing a connection, ensuring the patient feels heard and understood, and initiating a therapeutic relationship. While identifying complaints is important for addressing immediate concerns, the overall goal is to build trust and rapport.
D. Establish rapport:
Establishing rapport is the fundamental goal of the admission interview. It involves creating a positive and respectful relationship with the patient, which in turn fosters open communication. When rapport is established, patients are more likely to share important information about their health, which is vital for delivering effective and patient-centered care. Building rapport helps in making the patient comfortable, easing anxiety, and creating an environment where the patient feels valued and understood.
Correct Answer is C
Explanation
A. Assessment:
Explanation: Assessment is the first step in the nursing process. It involves gathering information about the patient's health status. This can include a patient's medical history, physical examination, and other vital signs. It's the phase where the nurse collects data to identify the patient's problems or needs.
B. Nursing Diagnosis:
Explanation: Nursing diagnosis is the second step in the nursing process, following assessment. During this step, the nurse analyzes the data collected during the assessment 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.
C. Evaluation:
Explanation: Evaluation is the last step in the nursing process. It involves assessing the patient's response to nursing interventions and determining if the goals and outcomes have been met. In the given scenario, the nurse is evaluating whether the pain medication administered 45 minutes ago has had the desired effect and has relieved the patient's pain.
D. Implementation:
Explanation: Implementation is the third step in the nursing process. During this phase, the nurse carries out the care plan that was designed during the planning phase. This can involve a variety of nursing actions, including administering medications, providing treatments, and educating patients. In the context of the scenario, giving pain medication is part of the implementation phase.
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