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Implementation

Implementation is the fourth phase of the nursing process. It involves performing interventions, recording actions and client responses, and reporting and documenting relevant information. The goal of implementation is to assist the client to meet desired outcomes and promote wellness.

There are different types of implementation, such as:

  1. Direct care: involves interaction with the client, such as physical care, emotional support, patient teaching, etc.

  2. Indirect care: involves activities performed away from the client, such as communication, documentation, infection control, etc.

Implementation requires critical thinking skills, such as:

  • Reassessing the client before performing an intervention

  • Reviewing the plan of care and modifying it if needed

  • Applying knowledge, standards, and policies

  • Using evidence-based practices and clinical judgment

  • Collaborating and communicating with other health care providers

  • Considering client preferences and values

  • Using appropriate resources and equipment

Questions on Implementation

Correct Answer is A

Explanation

<p>Documenting the wound appearance and drainage is a vital component of nursing care, but it is not the first step in a direct care intervention. The nurse needs to review the plan of care and the prescribed treatment before documenting any findings or actions. Documenting the wound appearance and drainage is part of the evaluation phase of the nursing process, which comes after assessment, diagnosis, planning, and implementation.</p>

Correct Answer is A

Explanation

<p>The nurse involves the client&#39;s family and significant others in the care plan. This action partially demonstrates the skill of considering client preferences and values because it involves recognizing the role of family and caregivers in the patient&#39;s care. However, involving the client&#39;s family and significant others in the care plan is not sufficient to achieve patient-centered care; the nurse also needs to ensure that the patient&#39;s voice is heard and address any potential conflicts or disagreements that may arise between the patient and their family or significant others.</p>

Correct Answer is B

Explanation

<p>This statement does not reflect the application of knowledge, standards, and policies when performing an intervention for a client who has a urinary catheter. Monitoring the urine for color, clarity, odor, and sediment is a basic assessment skill that does not require any special knowledge or policy. This statement also does not indicate what actions the nurse would take based on the findings or how they would document them.</p>

<p>The client expresses satisfaction with the quality of care received. This is not an appropriate indicator of indirect care outcomes because it reflects the client&#39;s perception of the overall care provided by the nurse or the health care team, which may include both direct and indirect care in

<p>This statement by the nurse demonstrates the use of evidence-based practice and clinical judgment. The nurse is using an open-ended question to elicit the client&#39;s main concerns about the surgery, which shows respect and empathy for the client&#39;s feelings. The nurse is also using clinical
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