Chapter 5. Nursing Process: Planning Outcomes

Chapter 5. Nursing Process: Planning Outcomes

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.         For which patient would it be most important to perform a comprehensive discharge plan?

1)

A teen who is a first-time mother, single, and lives with her parents

2)

An older adult who has had a stroke affecting the left side of his body and lives alone

3)

A middle-aged man who has had outpatient surgery on his knee and requires crutches

4)

A young woman who was admitted to the hospital for observation following an accident

 

ANS:   2

A comprehensive discharge plan should be developed for older adults and anyone who has complex needs, including self-care deficits. The other patients do not have the complex needs of the older adult patient who has had a stroke that affects body function.

 

PTS:    1          DIF:    Moderate         REF:    p. 83

KEY:   Nursing process: Planning | Client need: PHSI | Cognitive level: Analysis

 

 

 

____    2.         The nurse is beginning discharge planning for an older adult with left-side weakness. All of the following are important, but which action is most important in ensuring that the discharge plan is successful?

1)

Start planning at admission.

2)

Involve the family members.

3)

Get patient input when making the plan.

4)

Involve the multidisciplinary team.

 

ANS:   3

The discharge plan may be developed in a timely manner and involve the family and a multidisciplinary team, but if the patient does not agree with the plan, it will not be successful.

 

PTS:    1          DIF:    Moderate         REF:    pp. 83|  p. 87

KEY:   Nursing process: Planning | Client need: SECE | Cognitive level: Analysis

 

 

 

____    3.         What do initial, ongoing, and discharge planning have in common?

1)

They are based on assessment and diagnosis.

2)

They focus on the patient’s perception of his needs.

3)

They require input from a multidisciplinary team.

4)

They have specific timelines in which to be completed.

 

ANS:   1

All planning is based on nursing assessment data and identified nursing diagnoses. The patient should have input, but 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.

 

PTS:    1          DIF:    Moderate         REF:    p. 81-82

KEY:   Nursing process: Planning | Client need: SECE | Cognitive level: Analysis

 

 

 

____    4.         Which client has the greatest need for comprehensive discharge planning?

1)

A woman who has just given birth to her second child and lives with her husband and 18-month-old daughter

2)

A man who has been readmitted for exacerbation of his chronic obstructive pulmonary disease

3)

A 12-year-old boy who had outpatient surgery on his knee and lives with his mother

4)

A woman who was just diagnosed with renal failure and has started peritoneal dialysis

 

ANS:   4

Comprehensive discharge planning should be done for patients who have a newly diagnosed chronic disease or have complex needs. The other patients may require discharge planning but not as comprehensive as someone with a new diagnosis with complex treatment.

 

PTS:    1          DIF:    Difficult          REF:    p. 83

KEY:   Nursing process: Planning | Client need: SECE | Cognitive level: Analysis

 

 

 

____    5.         Which of the following is a benefit of standardized care plans, as defined in your text? Standardized care plans

1)

Apply to every patient on a particular unit

2)

Include both medical and nursing orders

3)

Specify patient outcomes for each day

4)

Help ensure that important interventions are not overlooked

 

ANS:   4

Standardized care plans help promote consistency of care and ensure that important interventions are not forgotten. They are not likely to apply to every patient on a unit because they are usually single-problem plans or are used with a particular medical diagnosis. Unlike protocols, they do not include medical orders. Unlike critical pathways, they do not specify predicted patient outcomes for each day.

 

PTS:    1          DIF:    Moderate         REF:    p. 86

KEY:   Nursing process: Planning | Client need: SECE | Cognitive level: Recall