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Frequently
Asked Questions
Chapter 13: Outcome Identification and Planning
What
are the purposes of outcome identification and planning?
The purposes of outcome
identification and planning are (1) to provide direction to ensure
quality nursing care, (2) to improve communication within the health
care system, and (3) to provide continuity of care.
What
are the four elements of outcome identification and planning?
The four elements of
outcome identification and planning are (1) establishing diagnosis
priorities, (2) developing expected client outcomes and establishing
outcome criteria, (3) planning nursing strategies, and (4) writing
the nursing care plan and nursing orders.
What
are the components of the expected outcome statement?
Expected
outcome statements include (1) the subject, or client; (2)
a task statement, the hoped-for client behavior or function; (3)
the criteria by which the nurse will determine whether the expected
outcome is met (usually the absence of the defining characteristics
for the nursing diagnosis); (4) the conditions, or qualifying statements
or conditions for meeting the expected outcome; and (5) the time
frame within which that outcome is expected to be reached.
What
is the difference between a short-term and a long-term expected
outcome?
A short-term expected
outcome focuses on the etiology of a problem and covers a short
period of time, hours or days. A long-term expected outcome focuses
on the problem and covers a longer time frame.
What
are the characteristics of an appropriate nursing intervention?
Nursing interventions
should (1) address the “etiology” component of the nursing
diagnosis, (2) be based on clinical guidelines and standards for
nursing care when available, (3) be compatible with the client’s
abilities and value system, and (4) pose minimal risk.
What
are the elements of nursing orders?
The elements of nursing
orders are (1) the date; (2) an action verb stating the nurse’s
action; (3) a detailed description of what, when, where, and how
the nurse will act; (4) a description of when, how often, and how
long the nursing action is in effect; and (5) a signature implying
legal and ethical accountability.
What
are the differences between independent, interdependent, and dependent
nursing interventions?
Independent
nursing interventions are those sanctioned by professional nurse
practice acts. They do not require direction or an order from another
health care professional. Interdependent nursing interventions
are actions that are implemented in a collaboration or consultation
with other health care professionals. Dependent nursing
interventions are those that require an order from other health
care professionals.
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