Planning
3 elements of comprehensive planning
What is "Initial", "Ongoing", "Discharge"?
Patient Variables
What is "developmental stages", "psychosocial background"?
Outcome categories
What is "cognitive", "psychomotor", "affective"?
What is "patient", "nurse", "heath care system"?
ADPIE
What is "assess", "diagnose", "plan", "implement", "evaluate"?
Initial Planning
What is "addressing each problem in the nursing diagnoses", "identify patient goal related to care"?
Nurse Variables
What is "resources", "current standards of care", "research", "ethical and legal guides to practice"?
Long Term & Short Term outcomes
What is "longer than 24 hours and may be used as discharge goals", "can be worked through during the day/shift and may be accomplished in a specified period of time"?
Elements of a healthy work environment
What is "skilled communication", "true collaboration", "effective decision making", "appropriate staffing", "meaningful recognition", "authentic leadership"?
Maslow's Hierarchy of Needs
What is "physiological needs", "safety needs", "social needs", "esteem needs", "self-actualization"?
Ongoing Planning
What is "develop new diagnoses", "keep plan up to date/manage risk factors", "state nursing diagnoses", "make outcomes more realistic and develop new ones as needed", "identify nursing interventions to accomplish goals"?
Nursing Interventions
What is "direct care" and "indirect care"?
6 standards that apply to outcome identification
What is "the law", "joint commission", "national practice standards", "AHRQ", "your employer"?
Subjective data with 4 examples
What is "my leg hurts", "I feel dizzy when I stand up", "I am going to throw up", "I do not feel happy"?
S.M.A.R.T
What is "specific", "measurable", "attainable", "relevant", "time based"?
Discharge Planning
What is "begins when patient is admitted for treatment", "teach and counsel to ensure home care behaviors are performed completely"?
Reasons for noncompliance
What is "lack of family support", "lack of understanding about benefits", "low value attached to outcomes", "adverse physical or emotional effects of treatment", "inability to afford treatment", "limited access to treatment"?
Errors in writing patient outcomes
What is "swapping goals and interventions", "using verbs that are not observable or measurable", "include more than one patient behavior in a short outcome", "writing vague comments"?
Objective data with 4 examples
What is "weight", "vitals", "labs", "imaging"?
Six Aims of nursing
What is "safe", "effective", "patient-centered", "timely", "efficient", "equitable"?
What is "establish priorities", "identify and write goals", "evidence-based nursing interventions", "communicate care plan"?
Clinical reasoning of implementation
What is "reassess the patient for changes and the need for changes", "research support the intervention", "monitor patient responses and modify care plan if needed", "KEEP PATIENT SAFE"?
*(Alfaro's rule: assess, reassess, revise, record)*
Long term and short term outcome example (1 of each)
What is "disease" and "sliced open hand"?
Evaluate outcomes
What is "cognitive: asking to repeat information and apply new knowledge", "psychomotor: asking to demonstrate new skill", "affective: observing behavior and conversation", "physiologic: use physical assessment skills to collect and compare data"?
Actions in Nurse initiated interventions
What is "monitor health status", "reduce risk", "resolve, prevent, manage a problem", "facilitate independence or assist with ADL's", "promote optimum sense of physical, psychological, and spiritual well being"?