The nurse is revising the care plan. In which order will the ...

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The nurse is revising the care plan. In which order will the nurse perform the tasks, beginning with the first step?
 
  1. Revise specific interventions.
  2. Revise the assessment column.
  3. Choose the evaluation method.
  4. Delete irrelevant nursing diagnoses.
  a. 2, 4, 1, 3
  b. 4, 2, 1, 3
  c. 3, 4, 2, 1
  d. 4, 2, 3, 1

Question 2

A staff development nurse is providing an inservice for other nurses to educate them about the Nursing Interventions Classification (NIC) system.
 
  During the inservice, which statement made by one of the nurses in the room requires the staff development nurse to clarify the information provided?
  a. This system can help medical students determine the cost of the care they provide to patients.
  b. If the nursing department uses this system, communication among nurses who work throughout the hospital may be enhanced.
  c. We could use this system to help organize orientation for new nursing employees because we can better explain the nursing interventions we use most frequently on our unit.
  d. The NIC system provides one way to improve safe and effective documentation in the hospital's electronic health record.

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Answer to Question 1

ANS: A
Modification of an existing written care plan includes four steps:
1. Revise data in the assessment column to reflect the patient's current status. Date any new data to inform other members of the health care team of the time that the change occurred.
2. Revise the nursing diagnoses. Delete nursing diagnoses that are no longer relevant and add and date any new diagnoses. Revise related factors and the patient's goals, outcomes, and priorities. Date any revisions.
3. Revise specific interventions that correspond to the new nursing diagnoses and goals. Be sure that revisions reflect the patient's present status.
4. Choose the method of evaluation for determining whether you achieved patient outcomes.

Answer to Question 2

ANS: A
NIC does not help determine the cost of services provided by nurses. The staff development nurse would need to correct this misconception. Because this system is specific to nursing practice, it would not help medical students determine the costs of care. The NIC system developed by the University of Iowa differentiates nursing practice from that of other health care disciplines. All the other statements are true. Benefits of using NIC include enhancing communication among nursing staff and documentation, especially within health information systems such as an electronic documentation system. NIC also helps nurses identify the nursing interventions they implement most frequently. Units that identify routine nursing interventions can use this information to develop checklists for orientation.

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