27 Noteworthy Free CNA Practice Exam Questions and Answers on Planning Nursing Care
27 Noteworthy Free CNA Practice Exam Questions and Answers on Planning Nursing Care is a collection of multiple choice questions with instant answers on nursing to assist candidates in revising all the knowledge before important CNA state exams. Not only explaining the core concepts, this free CNA practice exam with detailed explanation also give the real examples illustrated in the concise questions to help you sharply understand what’s needed to highlight in the actual exam. Hurry to test right now and explore the result you expected!
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27 Noteworthy Free CNA Practice Exam Questions and Answers on Planning Nursing Care
this model includes 3 levels: domains, classes, and interventions for ease of use. Domains are the highest level-using broad terms to organize the more specific classes and interventions. The second level includes 30 classes which offer useful clinical categories to reference when selecting interventions. The third level includes 542 interventions, defined as any treatment based on clinical judgement and knowledge that a nurse performs to enhance pt outcomes. NIC interventions are also linked with NANDA-I n
Nursing Interventions Classified (NIC)
Nursing care plan
Types of Interventions
Dependent nursing interventions (physician-initiated)
the change of shift report is the standard practice used for off going nurses leaving a shift to communicate information about the pts plan of care to oncoming pt care personnel. At the end of the shift you discuss your pts plans of care and their overall progress with the next caregivers. Thus all nurses are able to discuss current and relevant info about each pts plan of care. Now called nursing handoff.
Concept maps
Goals of Care
When to consult
Change of shift
There are 3 categories of nursing interventions: nurse-initiated, physician- initiated, and collaborative interventions. Some pts require all 3 while others just need 2.
Choosing Nursing Interventions
Types of Interventions
Priority Setting
Goals of Care
includes nursing diagnoses, goals and/or expected outcomes, specific nursing interventions, and a section for eval findings so any nurse is able to quickly identify a pts clinical needs and situation.
Student care plans
Goals of Care
Nursing care plan
interdisciplinary care plans
1. have info ready before calling. EX; medical record, notes2. assess the pt yourself before calling3.understand why you are calling and think of some possible solutions4. Be prepared to summarize what you think the problem is.
Consultation
Types of Interventions
Choosing Nursing Interventions
Tips for making phone consultations
Consultation occurs when you identify a problem that you are unable to solve using personal knowledge, skills, and resources.
Planning
Change of shift
How to consult
When to consult
include contributions from all disciplines involved in pt care. this is designed to improve the coordination of all pt therapies and communication among all disciplines. A nursing care plan reduces risk for incomplete, incorrect, or inaccurate care. As the pts problems and status change, so does the plan.
Student care plans
Critical pathways
Nursing care plan
interdisciplinary care plans
actions that a nurse initiates. These are autonomous actions based on scientific rationale. EX: decreasing pain by making a pt comfortable in bed and instructing pts in side effects of meds. According to the Nurse practice acts in a majority of states, independent nursing interventions pertain to activities of daily living, health education, and promotion and counseling.
Independent nursing interventions(nurse-initiated)
Choosing Nursing Interventions
Dependent nursing interventions (physician-initiated)
Nursing Interventions Classified (NIC)
offers you a visual representation of all pt nursing diagnoses and allows you to diagram interventions for each. You see the relationship between the diagnoses and often how a single intervention often applies to more than one health problem. They group and categorize nursing concepts to give you a holistic view of your pts health care needs and help you make better clinical decisions in planning care.
Concept maps
Consultation
Goals of Care
goal
are therapies that require the combines knowledge, skill, and expertise of multiple health care professionals. When preparing for physician-initiated or collaborative interventions, do not automatically assume what they are having you do is correct. Put some thought into there intervention to make sure it is correct for this pt. EX: make sure the pt can have the medicine your suppose to give them by making sure it mixes with what meds they are already taking.
Choosing Nursing Interventions
Nursing Interventions Classified (NIC)
Collaborative Interventions (interdependent interventions)
Dependent nursing interventions (physician-initiated)
involves setting priorities, identifying pt centered goals, and expected outcomes, and prescribing individualized nursing interventions. Ultimately during implementation you interventions resolve the pts problems and achieve the expected goals and outcomes.
goal
Goals of Care
Consultation
Planning
a measurable pt, family, or community state, behavior, or perception largely influenced by and sensitive to nursing interventions. For the nursing profession to become a full participant in clinical eval research, policy department, and interdisciplinary work, nurses need to identify and measure pt outcomes influenced by nursing interventions. The Iowa Intervention Project has done just that. These outcomes have labels for describing the focus of nursing care and include indicators to use in evaluating the
Nursing-sensitive pt outcome
Expected outcomes
expected outcome
Nursing care plan
actions that require an order from a physician or another health care professional. These are based on the physicians or health care providers response to treat or manage a medical diagnosis. EX; inserting a catheter.
Dependent nursing interventions (physician-initiated)
Choosing Nursing Interventions
Nursing Interventions Classified (NIC)
Independent nursing interventions(nurse-initiated)
Goals and expected outcomes are specific statements of pt behavior or physiological responses that you set to resolve a nursing diagnosis or collaborative problem. During planning you select goals and outcomes for each nursing diagnosis to provide a clear focus for the type of interventions needed to care for your pt and to then evaluate the effectiveness of these interventions.
Critical thinking in planning nursing care
Critical thinking in setting goals and expected outcomes
Guidelines for writing goals and expected outcomes
Nursing-sensitive pt outcome
is a measurable criteria to evaluate a goal achievement. Once an outcome is met, you then know that a goal has been at least partially achieved. Sometimes several expected outcomes must be met for a single goal.
Goals of Care
Expected outcomes
expected outcome
When to consult
a specific measurable change in a pts status that you expect to occur in response to nursing care. Expected outcomes direct nursing care because they are the desired physiological, psychological, social, developmental, or spiritual responses that indicate resolution of a pts health problems. A pts willingness and capability to reach an expected outcome improves his or her likelihood of achieving it. Taken from both short and long term goals, outcomes determine when a specific pt-centered goal has been met.
Concept maps
Expected outcomes
expected outcome
Goals of Care
Always partner with pts when setting their individualized goals. Mutual goal setting includes the pt and family in prioritizing the goals of care and developing a plan of action. For pts to part-take in goal setting, they need to be alert and have some degree of independence in completing activities of daily living, problem solving, and decision making.
Priority Setting
Role of the pt in goal setting
Types of Interventions
Priorities in Practice
are useful for learning the problem solving technique, the nursing process, skills, or written communication, and organizational skills needed for nursing care. This helps you apply knowledge gained from the nursing and medical literature and the classroom to practice situations. Once EX of a form of care plan developed by students is the 6 column format. Starting from left to right the 6 columns include: 1. assessment data relevant to corresponding diagnosis 2. goals 3. outcomes identified for the pt 4. im
Critical pathways
Concept maps
Student care plans
Nursing care plan
begin with your own understanding of a pts clinical problems. First step is to identify the general problem area. Second direct the consultation to the right professional such as another nurse. Third provide the consult with relevant info about the problem area. Fourth, do not influence consultants. Fifth, be available to discuss the consultants findings and recommendations. Finally incorporate the consultants recommendations into the care plan.
Change of shift
How to consult
Goals of Care
When to consult
a process by which you seek the expertise of a specialist such as your nursing instructor, a physician, or a clinical nurse educator to identify ways to handle problems in pt management or the planning and implementation of therapies.
Planning
Consultation
goal
Concept maps
Choosing suitable nursing interventions involves critical thinking and your ability to be competent in 3 areas:1. knowing the scientific rationale for the intervention 2. possessing the necessary psychomotor and interpreted skills3. being able to function within a particular setting to use the available health care resources effectively.
Role of the pt in goal setting
Critical thinking in planning nursing care
Priorities in Practice
Critical thinking in setting goals and expected outcomes
is a broad statement that describes a desired change in a pts condition or behavior.
Consultation
Goals of Care
goal
Planning
pt care management plans that provide the multidisciplinary health care team with the activities and tasks to be put into practice sequentially (over time); their main purpose is to deliver timely care at each phase of the care process for a specific type of pt. This clearly defines transition points in pt progress and draws a coordinated map of activities by which the health care team can help to make these transitions as efficient as possible.
Concept maps
Consultation
Critical pathways
Priority Setting
1. Pt-centered goal: reflects a pts highest possible level of wellness and independence in function. It is realistic and based on pt needs and resources. Time frame depends on the nature of the problem, etiology, overall condition of the pt, and treatment setting.2. Short term goal: an objective behavior or response that you expect a pt to achieve in a short time, usually less than a week. In an acute care setting you often set goals for over a course of just a few hours. 3. Long-term goal: is an objective
Change of shift
Goals of Care
goal
Concept maps
the pt/family unit must be able to independently provide the majority of health care. You design a plan to 1. educate the pt/family about the necessary care techniques and precautions 2. teach the pt/family how to integrate care within family activities 3. guide the pt/family on how to assume a greater % of care over time. Finally the plan includes nurses and pt/family eval of expected outcomes.
Care plans for community based settings
Priority Setting
Types of Interventions
Role of the pt in goal setting
Many factors within the health care environment affect your ability to set priorities. EX: available resources, staffing levels, policies and procedures, and interruptions of other health care providers all can change the order in which things are done. Also pts conditions are always changing which means the priorities are always changing. The nature of nursing work challenges your ability to cognitively attend to a given pts priorities when you care for more than one pt. Often you complete an assessment an
Priorities in Practice
Priority Setting
Goals of Care
Critical pathways
Intervention-Environmental management: Comfort EX of activities:1. create a clam and supportive environment2. provide a safe and clean environment3. adjust room temp to that most comfortable setting for pt4. avoid drafts, heating, cooling5. prevent unnecessary interruptions of rest6. monitor skin7. provide prompt attention to call bells.
Nursing Interventions Classified (NIC)
Dependent nursing interventions (physician-initiated)
EX of an intervention and associated nursing activities
Critical thinking in planning nursing care
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