Role Of Nursing Second Semester

ADPIE (Ad pie)

The statement "There is no need to document education of the patient" is false. Documenting the education of the patient is important as it provides valuable information about their background, understanding, and ability to comprehend medical instructions and information. It helps healthcare professionals tailor their communication and treatment plans accordingly, ensuring effective and appropriate care for the patient.

THERE IS ONLY ONE RIGHT ANSWER!!!

To accurately diagnose, it is essential to have a good assessment. This is because assessment involves gathering information and evaluating the situation or condition in order to make an accurate diagnosis. Without a thorough assessment, it would be difficult to gather the necessary information and understand the problem at hand, leading to an inaccurate diagnosis. Therefore, a good assessment is crucial for accurate diagnosis.

When you delegate you retain accountability for the outcome.

The nursing process is a systematic problem-solving method that guides nurses in giving patient-centered, goal-oriented care in an effective and efficient manner. It involves a series of steps including assessment, diagnosis, planning, implementation, and evaluation. This process helps nurses to identify the patient's needs, develop a plan of care, and evaluate the outcomes of the interventions provided. By following this process, nurses can ensure that they are providing comprehensive and individualized care to their patients.

When reporting abnormalities to expedite treatment, it is important to document them in the patient's chart for future reference and to ensure continuity of care. This allows healthcare providers to track the progression of the abnormality and make informed decisions regarding treatment. Additionally, informing the physician is crucial as they are responsible for diagnosing and managing the patient's condition. By sharing the information with the physician, they can provide appropriate treatment and make any necessary adjustments to the patient's care plan. Telling management may not be necessary in this context as it is more important to prioritize communication with the physician and proper documentation.

Initial assessments cannot be delegated to an LVN (Licensed Vocational Nurse) or CNA (Certified Nursing Assistant). Initial assessments require the skills and knowledge of a registered nurse or another qualified healthcare professional. LVNs and CNAs can assist with certain aspects of patient care, but they do not have the training and expertise required to perform initial assessments. Therefore, the statement is false.

The evaluation statement is based on the goal because the goal sets the direction and purpose of the evaluation. It provides a clear focus for the evaluation process and helps determine what needs to be assessed and measured. The goal also serves as a benchmark for evaluating the success or effectiveness of the planning and diagnosis stages. Without a clear goal, it would be difficult to determine the relevance and significance of the evaluation findings.

Formulation of a nursing care plan should not be delegated because it requires the expertise and knowledge of a registered nurse. Nursing care plans involve assessing the patient's condition, identifying their needs, setting goals, and developing interventions to meet those goals. These tasks require critical thinking, clinical judgment, and the ability to prioritize and coordinate care. Delegating this responsibility to unlicensed personnel or individuals without the necessary qualifications can compromise patient safety and the effectiveness of the care plan. Therefore, it is true that the formulation of a nursing care plan should not be delegated.

The statement of relationships between the independent and dependent variables that researchers expect to find is called a hypothesis. A hypothesis is a tentative explanation or prediction about the relationship between variables, based on previous research or theoretical reasoning. It serves as a guide for the research study and helps to focus the research question. Data refers to the information or observations collected during the research study, while an instrument is a tool or device used to collect data. Therefore, the correct answer is hypothesis.

This statement is false because these things cannot be delegated. Injectable medications, dosage calculations, and initial doses require the expertise and knowledge of a licensed healthcare professional, such as a nurse or a doctor. Delegating these tasks to someone without the necessary qualifications could lead to serious errors and harm to the patient. Therefore, it is important for these responsibilities to be handled by trained professionals.

The goal statement should be specific because it clearly states what needs to be achieved. It should be measurable because progress towards the goal can be tracked and quantified. It should be timed because there is a specific timeframe attached to the goal. It should be realistic because it is achievable and within the realm of possibility.

Verbal and telephone orders cannot be delegated because they pose a risk of miscommunication or misunderstanding. These types of orders require direct communication between the person giving the order and the person receiving it to ensure accuracy and clarity. Delegating such orders could lead to errors or mistakes in carrying out the instructions, potentially compromising patient safety. Therefore, it is important to follow proper protocols and guidelines by not delegating verbal and telephone orders.

An individualized POC (Plan of Care) should be developed based on evidence-based research. This means that the decisions and interventions included in the plan should be supported by scientific evidence and proven to be effective. Evidence-based research ensures that the POC is based on the best available knowledge and practices in the field, increasing the likelihood of achieving positive outcomes for the individual.

The central theme in theoretical frameworks is the patient. This suggests that the focus and main concern of these frameworks is on the individual who is receiving medical care or treatment. The frameworks likely revolve around understanding and addressing the needs, concerns, and well-being of the patient in order to provide effective and appropriate healthcare. The repetition of the word "patient" in both lowercase and uppercase letters may indicate the significance and emphasis placed on this central theme.

CHIC PAD (I hope this will help to remember all of them)

C – condition of patient
H – harm potential
I – interaction level needed
C – capabilities of the person
P – problem solving necessary for procedure
A – availability of staff to accomplish workload
D – difficulty of activity

Medications administered through a non-permanent tube, such as a nasogastric tube or a feeding tube, require specialized knowledge and skills. These medications need to be given with caution to ensure they are properly administered and do not cause any harm to the patient. Therefore, delegating this task to someone without the necessary training or expertise can pose a risk to the patient's health and safety. Hence, the statement that medications via a non-permanent tube cannot be delegated is true.

Wound care should not be delegated. It is a specialized task that requires knowledge, skill, and expertise. Delegating wound care to someone who is not trained or qualified can lead to improper treatment, increased risk of infection, and delayed healing. It is important for wound care to be performed by healthcare professionals who have the necessary training and experience to provide appropriate care and ensure the best outcomes for patients.

Managed care refers to systems that are designed to provide quality care while controlling costs. It involves the coordination and management of healthcare services, with an emphasis on preventive care, cost-effectiveness, and efficiency. Managed care organizations negotiate contracts with healthcare providers to establish networks, and they often use various strategies such as utilization management, case management, and disease management to ensure appropriate and cost-effective care. By implementing managed care, healthcare systems aim to balance the delivery of high-quality care with cost containment measures.

Maslow's hierarchy of needs is a theory that suggests individuals have a set of hierarchical needs that must be met in order to reach their full potential. The ABCs (airway, breathing, circulation) are a set of priorities in emergency medicine, indicating the order in which critical interventions should be performed. Both Maslow and the ABCs are used to establish priority, as they provide frameworks for identifying and addressing the most urgent needs first. Erickson, on the other hand, is a theory of psychosocial development and is not directly related to establishing priority.

Diagnosis involves the process of identifying and determining the nature and cause of a health problem or condition. It requires clinical judgement to analyze the patient, family, or community responses to actual or potential health problems or life processes. Through assessment and gathering of relevant information, healthcare professionals can make an accurate diagnosis and develop an appropriate plan of care. Planning, on the other hand, involves developing goals and interventions to address the identified health problem, while assessment is the systematic collection and analysis of data to identify the patient's health status.

The verbs "list," "describe," "explain," "discuss," "assemble," and "report" can all be measured as outcomes or goals. These actions involve providing specific information or completing a task that can be observed and evaluated. Verbs like "know," "accept," "feel," and "understand" are not measurable because they refer to internal states or subjective experiences that cannot be directly observed or quantified.

Assessments involve the process of gathering information and evaluating it. Communication is an essential aspect of assessments as it involves exchanging information and understanding the requirements. Validation ensures the accuracy and reliability of the collected data and the assessment process. Collection refers to the gathering of relevant data and information for assessment purposes. Therefore, the correct answer includes communication, validation, and collection as these are all integral components of assessments.

The documentation must include learning needs, teaching interventions planned, teaching interventions implemented, patient outcomes achieved or not achieved, and revisions or changes in teaching methods used. This comprehensive documentation ensures that all aspects of the teaching process are recorded and evaluated. It allows for a thorough analysis of the effectiveness of the teaching interventions and helps in identifying areas for improvement or modification in the teaching methods.

P - Please
T - Take
C – Care
D - During
S - Stay

Diagnosing is an essential step in the nursing process as it helps nurses identify the patient's health problems and develop appropriate interventions. Formulating diagnostic statements involves analyzing the patient's data and identifying the actual or potential health issues. Identifying patterns or clustering data involves recognizing similarities or trends in the data collected, which can help in identifying the underlying health problems. Validating the diagnosis ensures that the identified health problems are accurate and supported by evidence. These three actions are crucial in selecting appropriate nursing interventions and achieving desired patient outcomes.