Chapter 13 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 13 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

A client is admitted to a comprehensive rehabilitation center for continuing care following a motor vehicle crash. The admitting nurse will develop the initial plan of care, but who will be involved with the ongoing planning of this client’s care?

1. The admitting nurse
2. All nurses who work with the client
3. Everybody involved in this client’s care
4. The client and the client’s support system

Correct Answer: 3

Rationale 1: The continuation of the client’s care plan is not the sole responsibility of the admitting nurse.

Rationale 2: Although this is true, there is another option that better answers the item.

Rationale 3: Planning is basically the nurse’s responsibility, but input from the client and support persons is essential if a plan is to be effective. In this case, therapies from other disciplines (occupational, physical, speech, etc.) would be involved because the client is in a comprehensive rehabilitation center. The client’s support people and caregivers are also going to be involved in the plan of care, but not exclusively.

Rationale 4: Although it is important for the client and the client’s support people and caregivers to be involved in the plan of care, there is an option that better answers this item.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I. A. 1. Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: III. 6. Integrate evidence, clinical judgment, interprofessional perspectives and patient preferences in planning, implementing, and evaluating outcomes of care

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 1. Identify activities that occur in the planning process.

MNL Learning Outcome: 1.4.2. Implement the diagnostic and planning phases of the nursing process.

Page Number: 189

Question 2

Type: MCSA

A client is admitted for complications following a routine diagnostic procedure of the colon. Which type of care plan will most likely be implemented for this client?

1. Informal nursing care plan
2. Formal nursing care plan
3. Standardized care plan
4. Individualized care plan

Correct Answer: 4

Rationale 1: An informal nursing care plan is a strategy for action that exists only in the nurse’s mind; this does not meet the needs expressed in the item.

Rationale 2: A formal nursing care plan is a written or computerized guide that organizes information about the client’s care; this does not meet the needs expressed in the item.

Rationale 3: A standardized care plan is a formal plan that specifies the nursing care for groups of clients with common needs.

Rationale 4: An individualized care plan is tailored to meet a specific client need that is not addressed by the standardized care plan. In this situation, the client had complications following a relatively routine procedure—something that is unplanned and a rare occurrence.

Global Rationale:

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: I. A. 1. Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: III. 6. Integrate evidence, clinical judgment, interprofessional perspectives and patient preferences in planning, implementing, and evaluating outcomes of care

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 3. Explain how standards of care and pre-developed care plans can be individualized and used in creating a comprehensive nursing care plan.

MNL Learning Outcome: 1.4.2. Implement the diagnostic and planning phases of the nursing process.

Page Number: 190

Question 3

Type: MCSA

A client is scheduled for elective hip replacement and will be admitted postoperatively to the orthopedic unit for care. What should the nurses use to help plan this client’s care?

1. Informal nursing care plan
2. Formal nursing care plan
3. Standardized care plan
4. Individualized care plan

Correct Answer: 3

Rationale 1: An informal nursing care plan is a strategy for action that exists in the nurse’s mind.

Rationale 2: A formal nursing care plan is a written or computerized guide that organizes information about the client’s care.

Rationale 3: A standardized care plan is a formal plan that specifies the nursing care for groups of clients with common needs. For example, all clients undergoing hip replacement surgery would have basic, similar needs or problems such as pain, skin integrity disruption, risk for infection, decreased mobility, or risk for fall or injury.

Rationale 4: An individualized care plan is tailored to meet the unique needs of a specific client—needs not addressed by the standardized plan.

Global Rationale:

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: I. A. 1. Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: III. 6. Integrate evidence, clinical judgment, interprofessional perspectives and patient preferences in planning, implementing, and evaluating outcomes of care

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 3. Explain how standards of care and pre-developed care plans can be individualized and used in creating a comprehensive nursing care plan.

MNL Learning Outcome: 1.4.2. Implement the diagnostic and planning phases of the nursing process.

Page Number: 190