Chapter 5. Nursing Process: Planning Outcomes

Chapter 5. Nursing Process: Planning Outcomes

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. What do initial, ongoing, and discharge planning have in common?

a)	They are based on assessment and diagnosis.
b)	They focus on the patient’s perception of his needs.
c)	They require input from a multidisciplinary team.
d)	They have specific time lines in which to be completed.

 

 

ANS:  A

All planning is based on nursing assessment data and identified nursing diagnoses. The patient should have input, and multidisciplinary input may be used; however, the planning is based on the nursing assessment. The different types of planning are intertwined and may or may not be done at distinct, separate times. Discharge planning often requires a multidisciplinary team, but initial and ongoing planning may not. Initial planning is usually begun after the first patient contact, but there is no specified time for completion. Ongoing planning is more or less continuous and is done as the need arises. Discharge planning must be done before discharge.

 

Difficulty: Moderate

Nursing Process: Planning

Client Need: Safe and Effective Nursing Care

Cognitive Level: Analysis

 

PTS:   1

 

2. Which client has the greatest need for comprehensive discharge planning?

a)	A woman who has just given birth to her second child and lives with her husband and 18-month-old daughter
b)	A man who has been readmitted for exacerbation of his chronic obstructive pulmonary disease
c)	A 12-year-old boy who had outpatient surgery on his knee and lives with his mother
d)	A woman who was just diagnosed with renal failure and has started peritoneal dialysis

 

 

ANS:  D

Comprehensive discharge planning should be done for patients who have a newly diagnosed chronic disease (e.g., renal failure) or have complex needs (e.g., peritoneal dialysis). The other patients may require discharge planning, but the planning would not be as comprehensive as it would be for someone with a new diagnosis resulting in a complex treatment regimen.

 

Difficulty: Moderate

Nursing Process: Planning

Client Need: Safe and Effective Nursing Care

Cognitive Level: Analysis

 

PTS:   1

 

3. How are standardized (model) care plans similar to unit standards of care? Standardized (model) care plans:

a)	Describe the care needed by patients in defined situations
b)	Include specific goals and nursing orders
c)	Become a part of the patient’s comprehensive care plan
d)	Usually describe ideal nursing care

 

 

ANS:  A

All of the statements are true for standardized care plans, but only one statement is true of both standardized care plans and unit standards of care. Both describe care needed by patients in defined situations, although unit standards usually describe care for groups of patients (e.g., all women admitted to a labor unit), and standardized care plans are often organized around a particular or all nursing diagnoses commonly occurring with a particular medical diagnosis. Unit standards are more general and do not have goals for each patient. Unit standards are kept on file in a central place on the unit and do not become a part of the care plan. Unit standards describe minimal, not ideal, care.

 

Difficulty: Difficult

Requires analysis of text discussion.

Nursing Process: Planning

Client Need: Safe and Effective Nursing Care

Cognitive Level: Analysis

 

PTS:   1

 

4. The nurse is planning care for a patient. She is using a standardized care plan for Impaired Walking related to left-side weakness. Which of the following activities will the nurse perform when individualizing the plan for the patient?

a)	Validating conflicting data with the patient
b)	Transcribing medical orders
c)	Stating the frequency for ambulation
d)	Performing a comprehensive assessment

 

 

ANS:  C

Individualizing the care plan means identifying specific problems, outcomes, and interventions and the frequency of those interventions to meet the patient’s needs. Validating data ensures your assessment is accurate. Transcribing orders is a part of developing and implementing the care plan but not of individualizing the plan. Performing an assessment is the beginning step in developing a care plan. Assessment helps you to know the ways in which a standardized plan needs to be individualized.

 

Difficulty: Moderate

Nursing Process: Planning

Client Need: Safe and Effective Nursing Care

Cognitive Level: Application

 

PTS:   1