When a nurse selects interventions to assist the patient in meeting the demonstrated needs, the nurse is in which phase of the nursing process?
Evaluation
Planning
Implementation
Assessment
The Correct Answer is B
A. Evaluation is the step where the nurse determines if the previously selected interventions were successful in meeting the patient's goals. It involves comparing the patient's actual outcomes with the expected outcomes established earlier in the process. This phase occurs after the interventions have been carried out and the patient's response has been assessed.
B. Planning is the phase of the nursing process where the nurse develops a roadmap for care by setting measurable goals and selecting specific nursing interventions. These interventions are chosen based on the nursing diagnoses to address the patient's identified needs. This stage requires clinical prioritization and collaboration with the patient and the interprofessional healthcare team.
C. Implementation is the "action" phase where the nurse actually performs the interventions that were selected during the planning stage. This includes activities such as administering medications, providing patient teaching, or performing wound care. It is the phase where the plan of care is put into motion to achieve the desired patient outcomes.
D. Assessment is the foundational step involving the continuous collection and verification of data from various sources. This information is used to identify the patient's health status and needs, which then informs the rest of the nursing process. Assessment must be completed before a nurse can accurately plan interventions or make clinical diagnoses.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["7.0"]
Explanation
Step 1 is to identify the ordered dose and the available concentration
Ordered Dose: 350 mg
Available Concentration: 250 mg / 5 mL
Step 2 is to calculate the volume to administer in milliliters (mL)
(Ordered Dose ÷ Available Dose) × Available Volume = Result
(350 ÷ 250) × 5 = Result
350 ÷ 250 = 1.4
1.4 × 5 = 7
Volume to administer = 7 mL
Step 3 is to round to the nearest tenth
7 mL = 7.0 mL
Correct Answer is C
Explanation
A.Standards of professional performance describe the competent level of behavior in the professional role, such as ethics, education, and collaboration. While it includes ethics, its primary focus is on the objective behaviors and expectations of the nurse as a professional. It serves as a benchmark for professional accountability rather than a foundational guide for moral principles.
B.Standards of practice consist of the nursing process (assessment, diagnosis, outcomes identification, planning, implementation, and evaluation) to ensure quality care. These standards outline the significant responsibilities that the nurse is expected to perform competently in clinical practice. They are technical and procedural frameworks rather than a philosophical guide for distinguishing right from wrong.
C.A code of ethics is a collective statement of shared values, expectations, and moral obligations that provides a framework for right and wrong. It serves as an articulation of the nurse's commitment to the patient and the public regarding ethical behavior and decision-making. This document guides the nurse in navigating complex moral dilemmas and maintaining professional integrity in all clinical interactions.
D.Quality and safety education for nurses (QSEN) is a framework designed to prepare future nurses with the knowledge, skills, and attitudes necessary to improve healthcare quality. It focuses on competencies like patient-centered care, teamwork, and informatics to enhance systemic safety. While vital for clinical excellence, it is not the primary guide for moral and ethical principles in nursing.
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