Which domain of nursing interventions classification taxonomy includes care that supports the health of the community?

hostile, aggressive, and harmful verbal and nonverbal behavior by a nurse to another nurse via attitudes, actions, words, or behaviors. this behavior includes criticizing, intimidations, blaming, fighting, public humiliation, isolating, withholding assistance, or undermining efforts in completing assignments. this leaves the nurse feeling bullied, inadequate and powerless

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  • Which domain of the nursing interventions classification taxonomy includes care that support the health of the community?
  • Which category is a level of the nursing interventions classification NIC model?
  • What is the purpose of nursing interventions classification Nic quizlet?
  • Which is the main focus of community health nursing?

active listening, sharing observations, sharing empathy, sharing hope, sharing humor, sharing feelings, using touch, using silence, providing information, clarifying, focusing, paraphrasing, validation, asking relevant questions, summarizing, self-disclosure, confrontation; this is a list of what kind of communication techniques?

asking personal questions, giving personal opinions, changing the subject, automatic responses, false reassurance, sympathy, asking for explanations, approval or disapproval, defensive responses, passive or aggressive responses, arguing; this is a list of what kind of communication techniques?

confidence, thinking independently, fairness, responsibility and authority, risk taking, discipline, perseverance, creativity, curiosity, integrity, humility

Sets with similar terms

1. The client's vital signs change, showing a drop in blood pressure.

2. The client expresses concern about pain control.

3. The family comes to visit the client

4. The charge nurse approaches the nurse and requests a report at end of shift.

A change in vital signs is the first priority, and the change could be related to the client's pain. However, because of the nature of surgery, the nurse has to reassess for any bleeding, which lowers blood pressure. Pain control is the next priority , because if it is severe, it affects the client's ability to rest after surgery and be able to perform necessary activities. Attending to the family is important to lend the client needed support, but it is not an initial priority. Finally the nurse must attend to urgent client needs before completing a report.
Text Reference - p. 237

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Terms in this set (44)

b

Which is a responsibility of the nurse in the nurse-client-family team relationship?

a) Coordinate the inputs of the multidisciplinary team into a comprehensive plan of care.
b) Educate the family to be informed and assertive consumers of health care.
c) Support the nursing care given by other nursing and non-nursing personnel.
d) Provide creative leadership to make the nursing unit a satisfying and challenging place to work.

d

Which of the following is a nursing intervention that facilitates life span care?

a) Identify coping strategies for the family that have worked in the past.
b) Explore factors that could motivate adolescent members of the family to engage in risky behaviors.
c) Teach contraceptive options for planned pregnancy.
d) Educate family members about normal growth and development patterns.

c

The nurse is caring for a postoperative client who is receiving morphine sulfate for pain management. The nurse obtains the following vital signs. HR 74 RR 8 BP 114/68. After reviewing the nursing care plan and physician orders, the nurse administers naloxone (Narcan). What would allow the nurse to initiate this action?

a) Order set
b) Algorithm
c) Standing orders
d) Protocol

d

The primary purpose of nursing implementation is to

a) Improve the client's postoperative status
b) Implement the critical pathway for the client
c) Identify a need for collaborative consults
d) Help the client achieve optimal levels of health

a

The nurse is coordinating care for the client with continuous pulse oximetry who requires pharyngeal suctioning. Which staff member should the nurse avoid delegating the task of suctioning?

a) Nursing assistant who is a nursing student
b) Registered nurse
c) A senior nursing student present for clinical
d) Licensed practical nurse

b, c, d

Select all answer choices that apply.
The nursing student asks the nurse about different types of nursing interventions that are implemented with clients. Which response by the nurse would be correct when explaining independent nursing interventions? Select all that apply.

a) "The nurse who has necessary knowledge and skill to carry out a task, such as administering an intravenous medication, is performing an independent nursing intervention."
b) "Independent nursing interventions are directed at the etiology portion of the nursing diagnosis statement."
c) "A nurse-initiated intervention is an autonomous action based on scientific rationale that a nurse executes to benefit the client in a predictable way related to the nursing diagnosis and expected outcomes."
d) "An independent nursing intervention is one that the nurse can initiate without an order from another healthcare provider, such as providing information about local support groups."
e) "Independent nursing interventions require approval from other members of the healthcare team to ensure compatibility with other planned therapies."

b

An elderly patient with a diagnosis of pneumonia is producing large amounts of secretions with his cough and is occasionally gurgling when he breaths. The nurse has responded by increasing the height of the patient's bed and suctioning the patient's mouth. The nurse has most likely performed which of the following?

a) An interdependent nursing action.
b) An independent nursing action.
c) A restricted nursing action.
d) A dependent nursing action.

c

The nurse is assigned a client who had an uneventful colon resection two days ago and requires a dressing change. To which nursing team member should the nurse avoid delegating the dressing change?

a) Registered nurse
b) Licensed practical nurse
c) Nursing assistant
d) A senior nursing student present for clinical

d

The nurse overhears two nursing students talking about nursing interventions. Which statement by one of the nursing students indicates further education is required?

a) "Nursing interventions must be consistent with standards of care and research findings."
b) "Nursing interventions must be compatible with other therapies planned for the client."
c) "Nursing interventions must be culturally sensitive and individualized for the client."
d) "Nursing interventions must be approved by other members of the health care team."

c

The nurse implements coordinating interventions for a client who is admitted to the healthcare facility for eye surgery. Which of the following would the nurse most likely do?

a) Provide group therapy
b) Delegate specific aspects of care
c) Make referrals for follow-up care
d) Role model social skills

c

The nurse ascertains that a client is failing to follow the plan of care that was collaboratively developed. Further investigation determines that the plan of care is not appropriate for this client. What is the nurse's next step in correcting this problem?

a) Asking the client's family to assist the client in following the plan of care
b) Discussing the desired outcomes with the client and the importance of the outcomes
c) Making changes in the plan of care based upon assessment data
d) Providing information to the client on the benefits of complying with the plan of care

implementing

The purpose of ______ is to assist the patient in achieving valued health outcomes: promote health, prevent disease and illness, restore health, and facilitate coping with altered function.

implementation

During the ______ step, the nurse continues to collect data and to modify the plan of care as needed.

NIC (nursing interventions classification)

The _______ is a report of research to construct a taxonomy of nursing interventions. Each intervention listed has a label, a definition, a set of activities that a nurse performs to carry out the intervention, and a short list of background readings.

nursing intervention

The NIC project defines ______ as any treatment based upon clinical judgement and knowledge that a nurse performs to enhance patient/client outcomes.

direct care

Nursing interventions include ______ intervention which is a treatment performed through interaction with the patient. Includes both physiological and psychosocial nursing actions, and include both the "laying of hands" actions and those that are more supportive and counseling in nature.

indirect care

Nursing interventions include ______ intervention which is a treatment performed away from the patient but on behalf of a patient or group of patients. Include nursing actions aimed at management of patient care environment and interdisciplinary collaboration.

community

Nursing interventions include ______ intervention which is targeted to promote and preserve the health of populations. Emphasizes the health promotion, health maintenance, and the disease preventions of populations and include strategies to address the social and political climate in which the population resides.

actual

________ nursing diagnosis, interventions seek to reduce or eliminate contributing factors of the diagnosis, promote higher level wellness, and monitor and evaluate status.

risk

________ nursing diagnosis, interventions seek to reduce or eliminate risk factors, prevent the problem, and monitor and evaluate status.

possible

________ nursing diagnosis, interventions seek to collect additional data to rule out or confirm the diagnosis.

collaborative

________ nursing diagnosis, interventions seek to monitor changes in status, manage changes in status with nurse-prescribed and physician-prescribed interventions, and to evaluate response.

c

Which nursing intervention reflects the nurse who is exhibiting the role of counselor?

a) The nurse supports the 40-year-old client's decision for "Do Not Resuscitate."
b) The nurse provides a handout identifying signs and symptoms of hypoglycemia.
c) The nurse reviews the client's past accomplishments of dealing with adversity.
d) The nurse administers a 360 cc tube feeding via a gastrostomy tube.

d

After learning about a client's limited financial resources and limited insurance benefits, the home care nurse modifies nursing interventions related to a client's care instructions. The nurse modifies the plan of care based upon which client variable?

a) Current Standards of Care
b) Developmental stage
c) Research findings
d) Psychosocial background

b

Educating clients on their diabetic regimen of administering insulin is the implementation of which skill?

a) Interpersonal
b) Technical
c) Visual
d) Intrinsic

b, d, e

Select all answer choices that apply.
Which example reflects client variables that influence outcome achievement? Select all that apply.

a) Nursing interventions are consistent with standards of care.
b) The client engages in activities associated with Ramadan.
c) The nurse works at a hospital in a diverse community.
d) The client is a college graduate and is employed.
e) The client was born with cystic fibrosis.

outcome achievement

Important client variables that influence _______ include the physical health of the client, level of education attained, and cultural practices that impact life and health practices. Nurse variables, such as working in a diverse community, and standards of practice also influence client outcome achievement.

b

The organization of nursing care on a medical unit is structured according to the Nursing Interventions Classification (NIC) taxonomy. According to the NIC, which of a nurse's following actions would be classified as a Domain II (Physiologic: Complex) intervention?

a) Encouraging a patient to drink fluids to prevent constipation
b) Managing a patient's supplementary oxygen
c) Modifying a patient's diet to maximize nutrition
d) Assisting a patient with bed-to-chair transfers

c

A nurse is preparing to educate a client about self-care after a cataract surgery. Which of the following would the nurse do first?

a) Identify changes from the baseline.
b) Instruct the nursing assistant on what to teach the client.
c) Determine the client's willingness to follow the regimen.
d) Ensure physician approval for the education plan.

d

A graduate nurse recently attended a conference on acute coronary syndrome. In preparing a plan of care for a client admitted with acute coronary syndrome, the nurse considers the information she learned at the conference. Which nursing variable is the nurse utilizing in the development of the plan of care?

a) Current standards of care
b) Ethical and legal guides to practice
c) Resources
d) Research findings

b

The nurse is delegating to the unlicensed assistive personnel (UAP). What is the best instruction by the nurse?

a) "If the client's blood pressure falls outside normal limits, come get me."
b) "Notify me right away if the client's systolic blood pressure is 170 or greater."
c) "I need to know if the client's blood pressure changes from his normal baseline."
d) "Let me know if the client's blood pressure becomes elevated."

d

A patient with suspected metastases of her breast cancer is extremely anxious while she awaits the results of her latest computed tomography (CT) scan. The nurse has administered a sublingual benzodiazepine to treat her acute anxiety and has engaged the patient in a therapeutic dialogue in an effort to alleviate her stress. Which of the following Nursing Interventions Classification (NIC) domains has the nurse utilized?

a) Safety; Physiologic: Basic
b) Behavioral; Physiologic: Basic
c) Safety; Health System
d) Physiologic: Complex; Behavioral

d

The nurse administered acetaminophen 650 mg to a patient complaining of a headache after reviewing the medication orders of the patient's chart. This is an example of which type of nursing intervention?

a) Collaborative intervention
b) Independent nursing intervention
c) Nurse-initiated intervention
d) Physician-initiated intervention

a, c, e

Select all answer choices that apply.
Which nursing actions reflect the implementing step of nursing process? Select all that apply.

a) Using evidence-based interventions individualized for the client
b) Determining the client's response to nursing interventions
c) Referring the client to community resources, when necessary
d) Selecting culturally sensitive nursing interventions
e) Providing health education to reduce health risks

implementing

Examples of the _______ step include using evidence-based interventions individualized for the client; providing health education to reduce health risks; and referring the client to community resources, when necessary. Selection of nursing interventions occurs in the planning step. Determining the client's response to nursing interventions occurs in the evaluating step.

b, c, e

Select all answer choices that apply.
Which is an advantage of a standard classification of nursing interventions? Select all that apply.

a) Define and test measurement procedures for client outcomes and indicators.
b) Promote the development of a reimbursement system for nursing services.
c) Enables researchers to examine the effectiveness and cost of nursing care.
d) Identify, label, validate, and classify nursing-sensitive client outcomes and indicators.
e) Facilitate communication of nursing treatments to other nurses and other providers.

NIC

Advantages of ______ include facilitating communication of nursing treatments to other nurses and other providers; promoting the development of a reimbursement system for nursing services; and enabling researchers to examine the effectiveness and cost of nursing care.

NOC

_______ is used to (1) identify, label, validate, and classify nursing-sensitive client outcomes and indicators; (2) evaluate the validity and usefulness of the classification in clinical field-testing; and (3) define and test measurement procedures for client outcomes and indicators.

c, d, e

Select all answer choices that apply.
A registered nurse who provides care in a subacute setting is responsible for overseeing and delegating to unlicensed assistive personnel (UAP). Which of the following principles should the nurse follow when delegating to UAP? Select all that apply.

a) Ensure that UAPs closely follow the nursing process when providing care.
b) Audit the client documentation that UAPs record after they perform interventions.
c) Take frequent mini-reports from UAPs to ensure changes in client status are identified.
d) Know what clinical cues the UAP should be alert for and why.
e) Make frequent walking rounds to assess clients.

d

Many of the homeless clients who are supposed to receive care for HIV/AIDS miss their appointments at a clinic because it is located in a high-rise building on a university campus. Several of the clients state that the clinic is difficult to find and in an intimidating environment. This demonstrates that which of the following variables influencing outcome achievement is being inadequately addressed?

a) Developmental stage of clients
b) Resources
c) Ethical and legal considerations
d) Psychosocial background of clients

d

Which of the following nursing interventions is most likely to be allowed within the parameters of a protocol or standing order?

a) Administering a beta-adrenergic blocker to a new client whose blood pressure is high on admission assessment
b) Changing a client's advance directive after his prognosis has significantly worsened
c) Changing a client's intravenous (IV) fluid from normal saline to 5% dextrose
d) Administering a glycerin suppository to a constipated client who has not responded to oral stool softeners

bowel elimination

Standing orders and protocols often surround the management of _______. Modification of a client's IV fluid or administration of a new antihypertensive are client-specific interventions that are physician initiated. The care team cannot independently change a client's advance directive.

a, c, d

Select all answer choices that apply.
Which are essential components for delegating nursing care? Select all that apply.

a) The unlicensed assistive personnel can verbalize what information is to be reported to the nurse.
b) The unlicensed assistive personnel evaluates the client's response after implementing the task, then reports to the nurse.
c) The task is delegated to a person with sufficient knowledge and skill for completing the task.
d) Instructions have been clearly communicated by the nurse to the unlicensed assistive personnel.
e) The nurse seeks input from the unlicensed assistive personnel in planning the client's care for the shift.

d

of care should be performed first by the nurse?

a) Recording the color and odor of discharge
b) Taking a swab stick sample for culture
c) Changing the dressing of the wound
d) Assessing the condition of the wound

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Which domain of the nursing interventions classification taxonomy includes care that support the health of the community?

Overview of the NIC taxonomy.

Which category is a level of the nursing interventions classification NIC model?

There are three levels of the nursing interventions classification model. These levels are classes, domains, and interventions. Domains are the highest level of the model. At the highest level, domains use broad terms to organize the more specific classes and interventions.

What is the purpose of nursing interventions classification Nic quizlet?

Nursing Interventions Classification (NIC) was developed by a research team at the University of Iowa to provide a standardized language to describe, define, and document nursing interventions.

Which is the main focus of community health nursing?

What is the main focus of community health nursing? Community health nursing is a nursing practice focusing on the healthcare of individuals, families and groups with a community. Its main focus is to improve the quality of life and health of a population by preserving, protecting, promoting, or maintaining health.

Which domain of the Nursing Interventions Classification NIC taxonomy includes care that supports the health of the community quizlet?

Which domain of the Nursing Interventions Classification (NIC) Taxonomy includes care that supports the health of the community? Domain 7 of the Nursing Interventions Classification (NIC) taxonomy includes care that supports the health of the community.

Which domain of the nursing interventions classification taxonomy includes?

The 7 domains are: Physiological: Basic, Physiological: Complex, Behavioral, Safety, Family, Health System, and Community. Each intervention has a unique number (code). The classification is continually updated with an ongoing process for feedback and review.

Which domain of nursing interventions classification taxonomy includes care that supports homeostatic regulation?

The Physiological: Complex Domain is defined as “Care that supports homeostatic regulation” (Bulechek et al, 2013, p.

What are the levels of the nursing interventions classification model?

There are three levels of the nursing interventions classification model. These levels are classes, domains, and interventions. Domains are the highest level of the model. At the highest level, domains use broad terms to organize the more specific classes and interventions.