ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 17 : Outcome Identification and Planning Questions
Question 1 of 5
Nurses identifying outcomes and related nursing interventions must refer to the standards and agency policies for setting priorities, identifying and recording expected patient outcomes, selecting evidence-based nursing interventions, and recording the plan of care. Which of the following are recognized standards? Select all that apply.
Correct Answer: B,C,D
Rationale: State Nurse Practice Acts (
B), The Joint Commission (
C), and the Agency for Health Care Research and Quality (
D) are recognized standards that guide nursing practice and care planning.
Question 2 of 5
A nurse admits a patient to the hospitals short-stay unit and completes a health history and physical assessment. Using these data, the nurse develops a(n) plan of care, based on planning?
Correct Answer: B
Rationale: Upon admission, a nurse develops a comprehensive, initial plan of care (
B) based on the health history and physical assessment.
Question 3 of 5
Although each care plan is individualized, there are certain risks and health problems that, for example, patients undergoing similar medical or surgical treatment have in common. What name is given to this type of care plan?
Correct Answer: D
Rationale: Standardized care plans (
D) address common risks and health problems for patients with similar treatments.
Question 4 of 5
A nurse is discharging a patient from the hospital. When should discharge planning be initiated?
Correct Answer: B
Rationale: Discharge planning should begin at the time of admission (
B) to ensure a smooth transition and continuity of care.
Question 5 of 5
A nurse assesses the vital signs of a patient who is one day postsurgery in which a colostomy was performed. The nurse then uses the data to update the patient plan of care. What are these actions considered?
Correct Answer: C
Rationale: Updating the care plan based on new assessments, such as post-surgery vital signs, is considered ongoing planning (
C).