Q: What are the three types of planning in nursing care?
A: Initial, Ongoing, and Discharge planning
Q: Who performs initial planning and when?
A: The admitting RN, right after the nursing history and physical assessment
Q: What is the focus of ongoing planning?
A: Updating the care plan based on patient responses and changing needs
Q: When does discharge planning begin?
A: At admission
Q: What are the components of a measurable outcome?
A: Subject, verb, conditions, performance criteria, target time
Q: What are the 6 types of nursing outcomes?
A: Cognitive, Psychomotor, Affective, Clinical, Functional, Quality of Life
Q: Give an example of a cognitive outcome.
A: "Patient will verbalize 3 signs of infection by discharge."
Q: What is Alfaro’s Rule in implementation?
A: Assess, Reassess, Revise, Record
Q: What are the Five Rights of Delegation?
A: Right task, Right circumstance, Right person, Right direction/communication, Right supervision/evaluation
Q: What’s the difference between RN, LPN, and UAP roles?
A: RNs assess/teach/evaluate; LPNs care for stable patients & reinforce teaching; UAPs assist with ADLs
Q: What is an independent nursing intervention?
A: One the nurse can perform without a physician’s order (e.g., patient education, repositioning)
Q: What are examples of dependent interventions?
A: Administering medications, following physician orders
Q: What are collaborative interventions?
A: Interventions involving other healthcare providers (e.g., working with PT or respiratory therapy)
Q: What is the purpose of evaluation in the nursing process?
A: To determine if outcomes were met and adjust the care plan as needed
Q: What are the five classic elements of evaluation?
A: Identify criteria/standards, collect data, interpret findings, document judgment, update the plan
Q: What makes an evaluative statement effective?
A: It says whether the outcome was met, partially met, or not met, and includes supporting data
Q: What is Maslow's Hierarchy of Needs (in order)?
A: Physiological, Safety, Love/Belonging, Self-Esteem, Self-Actualization
Q: What are examples of physiological needs?
A: Airway, breathing, circulation, food, water, sleep, pain control
Q: What kind of patient need should be prioritized first in nursing care?
A: Physiological needs (ABCs: Airway, Breathing, Circulation)
Q: What’s a functional outcome?
A: An outcome related to the patient’s ability to perform ADLs (e.g., ambulating, feeding)
Q: When should a care plan be modified?
A: When the patient’s condition or response changes, or outcomes aren’t being met
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