The nurse developed a care plan for a patient to help prevent ...

[jc611]

The nurse developed a care plan for a patient to help prevent Impaired Skin Integrity. She has made sure that nursing assistive personnel change the patient's position every 2 hours.
 
  In the evaluation phase of the Nursing Process, which of the following would the nurse do first?
  a. Determine whether she has gathered enough assessment data
  b. Judge whether the interventions achieved the stated outcomes
  c. Follow up to verify that care for the nursing diagnosis was given
  d. Decide whether the nursing diagnosis was accurate for the patient's condition

Question 2

A nurse who has been practicing for 3 years in an acute care facility is caring for a posthip surgery patient. The nurse observes an abnormal change in vital signs and associates these changes with a postoperative bleeding problem.
 
  The nurse is demonstrating which proficiency level?
  a. Advanced beginner
  b. Competent
  c. Proficient
  d. Expert

[Ahernandez18]

Answer to Question 1

B
The evaluation phase judges whether the interventions were effective in achieving the desired outcomes and helped to alleviate the nursing diagnosis. This must be done before examining the Nursing Process steps and revising the care plan.

Answer to Question 2

B
The nurse is demonstrating competency (competent) level as evidenced by associating abnormal changes in vital signs with postoperative bleeding. Additionally, this nurse has been practicing for 3 years, which is within the range needed for the competency proficiency level. The advanced beginner can distinguish abnormal findings but cannot readily understand their significance. The proficient nurse recognizes problems but will immediately gather resources to initiate treatment; there is no evidence in the scenario that the nurse took any actions. The expert can often recognize a problem in the absence of signs and symptoms.

[jc611]

TYSM

[ghepp]

Excellent