A nurse is teaching the staff about the benefits of Nursing ...

[codyclark]

A nurse is teaching the staff about the benefits of Nursing Outcomes Classification. Which information should the nurse include in the teaching session? (Select all that apply.)
 
  a. Includes seven domains for level 1
  b. Uses an easy 3-point Likert scale
  c. Adds objectivity to judging a patient's progress
  d. Allows choice in which interventions to choose
  e. Measures nursing care on a national and international level

Question 2

A nurse is planning care for a patient with a nursing diagnosis of Impaired skin integrity. The patient needs many nursing interventions, including a dressing change, several intravenous antibiotics, and a walk.
 
  Which factors does the nurse consider when prioritizing interventions? (Select all that apply.)
  a. Rank all the patient's nursing diagnoses in order of priority.
  b. Do not change priorities once they've been established.
  c. Set priorities based solely on physiological factors.
  d. Consider time as an influencing factor.
  e. Utilize critical thinking.

[marict]

Answer to Question 1

ANS: C, E
Nursing Outcomes Classification (NOC) links outcomes to NANDA International nursing diagnoses. Such a rating system adds objectivity to judging a patient's progress. Using standardized nursing terminologies such as NOC makes it more possible to measure aspects of nursing care on a national and international level. The indicators for each NOC outcome allow measurement of the outcomes at any point on a 5-point Likert scale from most negative to most positive. This resource is an option you can use in selecting goals and outcomes (not interventions) for your patients. The Nursing Interventions Classification model includes three levels: domains, classes, and interventions for ease of use. The seven domains are the highest level (level 1) of the model, using broad terms (e.g., safety and basic physiological) to organize the more specific classes and interventions.

Answer to Question 2

ANS: A, D, E
By ranking a patient's nursing diagnoses in order of importance and always monitoring changing signs and symptoms (defining characteristics) of patient problems, you attend to each patient's most important needs and better organize ongoing care activities. Prioritizing the problems, or nursing diagnoses, will help the nurse decide which problem to address first. Symptom pattern recognition from your assessment database and certain knowledge triggers help you understand which diagnoses require intervention and the associated time frame to intervene effectively. Planning requires critical thinking applied through deliberate decision making and problem solving. The nurse avoids setting priorities based solely on physiological factors; other factors should be considered as well. The order of priorities changes as a patient's condition and needs change, sometimes within a matter of minutes.