The nurse giving a patient a back massage is performing an intervention considered to be:
a semi-dependent nursing action.
an independent nursing action
a dependent nursing action
an interdependent nursing action.
The Correct Answer is B
A. A semi-dependent nursing action: This term doesn't have a standard meaning in nursing. Nursing actions are generally categorized as independent, dependent, or interdependent.
B. An independent nursing action: Independent nursing actions are activities that nurses are licensed to initiate on the basis of their knowledge and skills. These actions don't require a physician's order. Giving a back massage, in many cases, falls under the category of independent nursing actions. Nurses often assess the patient's condition and, if appropriate, can provide interventions like massages to enhance comfort and well-being without needing a specific order.
C. A dependent nursing action: Dependent nursing actions are activities that require a physician's order or another healthcare provider's directive. Nurses perform these actions under the physician's supervision or guidance. Giving a back massage might require a specific order in certain situations, for instance, if the patient has a particular condition that necessitates a tailored approach to massage.
D. An interdependent nursing action: Interdependent nursing actions are those that require collaboration with other healthcare team members. These actions involve working together with physicians, therapists, and other professionals to ensure comprehensive patient care. While collaboration is essential in healthcare, giving a back massage is generally not considered primarily interdependent; it's more about the nurse's individual skill unless there are specific medical considerations that require interprofessional collaboration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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
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.
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