Untitled Flashcards Set

Initial Planning

Planning performed by the admitting RN right after the nursing history and physical assessment.

Ongoing Planning

Updating the care plan based on patient responses and changing needs.

Discharge Planning

Planning that begins at admission to prepare the patient for release from care.

Measurable Outcome Components

Subject, verb, conditions, performance criteria, target time.

Types of Nursing Outcomes

Cognitive, Psychomotor, Affective, Clinical, Functional, Quality of Life.

Cognitive Outcome Example

'Patient will verbalize 3 signs of infection by discharge.'

Alfaro’s Rule

A guideline for implementation: Assess, Reassess, Revise, Record.

Five Rights of Delegation

Right task, Right circumstance, Right person, Right direction/communication, Right supervision/evaluation.

Difference Between RN, LPN, and UAP Roles

RNs assess/teach/evaluate; LPNs care for stable patients & reinforce teaching; UAPs assist with ADLs.

Independent Nursing Intervention

An intervention performed by a nurse without a physician’s order (e.g., patient education).

Dependent Interventions

Interventions that require a physician's order, such as administering medications.

Collaborative Interventions

Interventions involving other healthcare providers, like working with physical or respiratory therapists.

Purpose of Evaluation in Nursing

To determine if outcomes were met and adjust the care plan as needed.

Five Classic Elements of Evaluation

Identify criteria/standards, collect data, interpret findings, document judgment, update the plan.

Effective Evaluative Statement

An evaluative statement that indicates whether the outcome was met, partially met, or not met, with supporting data.

Maslow's Hierarchy of Needs

Physiological, Safety, Love/Belonging, Self-Esteem, Self-Actualization.

Examples of Physiological Needs

Airway, breathing, circulation, food, water, sleep, pain control.

Prioritized Patient Needs in Nursing Care

Physiological needs (ABCs: Airway, Breathing, Circulation).

Functional Outcome

An outcome related to the patient’s ability to perform Activities of Daily Living (ADLs).

When to Modify a Care Plan

When the patient’s condition changes or responses indicate outcomes aren’t being met.