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Chapter 11: Problem 157

Criteria for the nurse to use when setting priorities in the nursing care plan are all of the following except: 1\. the nurse's perception of the basis of severity or physiological importance. 2\. the patient's desires. 3\. the physician's orders. 4\. the patient's safety.

Short Answer

Expert verified
The exception is option 3: the physician's orders.

Step by step solution

01

Understanding the Requirement

The exercise asks for the criteria that are not generally considered when setting priorities in a nursing care plan. We need to identify which option does not align with standard practices.
02

Analyze Option 1

Option 1 states "the nurse's perception of the basis of severity or physiological importance." This is a standard criterion since nurses often assess severity and physiological needs to prioritize care.
03

Analyze Option 2

Option 2 is "the patient's desires." Patient-centered care often considers the patient's preferences when developing a care plan, making this a valid criterion.
04

Analyze Option 3

Option 3 refers to "the physician's orders." While physician's orders are important, they are generally incorporated into nursing care rather than being a primary nursing-led priority criterion.
05

Analyze Option 4

Option 4 is "the patient's safety." Ensuring patient safety is a critical priority in nursing care, making it a valid criterion for setting priorities.
06

Identify the Exception

Upon review, option 3, "the physician's orders," is the least fitting choice as a nursing-led criterion for setting priorities because it reflects external direction rather than nursing assessment.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Patient Safety in Nursing
In the realm of nursing, patient safety is a fundamental concern that underlies all care activities. Ensuring the safety of patients involves preventing harm and minimizing the risk of adverse events. This priority is critical because even minor oversights in nursing care can lead to significant consequences and affect a patient's recovery and overall health outcomes.

Some key strategies to enhance patient safety include:
  • Implementing effective infection control measures to prevent the spread of diseases.
  • Ensuring all equipment and medical devices are properly maintained and functioning.
  • Adhering to medication administration protocols to prevent errors.
  • Promoting a culture of safety where staff feel encouraged to report any safety concerns.
Patient safety focuses on creating an environment where patients can receive the highest quality of care without exposure to unnecessary risks. This involves continuous assessment and mitigation of potential hazards in the healthcare setting.
Patient-Centered Care
Patient-centered care is a holistic approach that places the patient's needs, preferences, and values at the forefront of the healthcare experience. It is characterized by a partnership between patients and healthcare providers, where communication and collaboration are key.

This approach includes:
  • Listening actively and empathetically to the patient鈥檚 concerns and needs.
  • Involving patients in their care planning and decision-making processes.
  • Respecting the patient's emotional and cultural perspectives and incorporating these into their care.
  • Providing personalized education tailored to the patient's level of understanding.
By prioritizing patient-centered care, nurses can enhance patient satisfaction and improve health outcomes. It encourages dignity and respect in healthcare interactions, reinforcing the importance of the patient's voice in their own care.
Nursing Assessment
Nursing assessment is a systematic process that is essential for understanding the healthcare needs of a patient. It involves collecting comprehensive data about the patient's physical condition, psychological status, lifestyle, and health history.

Key components of a thorough nursing assessment are:
  • Conducting a detailed patient interview to gather subjective information.
  • Performing physical examinations to obtain objective data on the patient's condition.
  • Evaluating laboratory and diagnostic test results for a clearer health picture.
  • Reviewing the patient's health history to understand their medical background.
All this information is critical for nurses to develop appropriate care plans tailored to individual patient needs. Proper nursing assessment ensures that interventions are evidence-based, relevant, and likely to succeed, thereby optimizing patient outcomes.

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Most popular questions from this chapter

Mrs. Gee is planning to be admitted to the hospital for elective surgery on Monday. When should her discharge planning begin? 1\. when her physician writes the discharge order 2\. at the time of admission 3\. after surgery during the discharge planner's rounds 4\. once the nurse is able to assess her postoperative status

During a routine health screening, a client's bp \(=\) \(180 / 120\). What is the nurse's priority response to this finding? 1\. Arrange to have the client admitted to the hospital. 2\. Emphasize to the client the importance of follow-up with a physician. 3\. Call 9-1-1. 4\. Assess the client for stressors.

A new manager does not seem to trust that assignments will be completed as delegated without much supervision and direction. This style of management is called: 1\. laissez-faire. 2\. autocratic. 3\. democratic. 4\. diplomatic.

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Your 85-year-old patient who is preparing for chronic dialysis asks you about how this will affect his quality of life. He has always been active in travel activities and socializing and wonders about who will help him make decisions as he progresses through the disease. You discuss with him the following regarding his healthcare: 1\. need for a last will and testament. 2\. need for a living will and/or durable power of attorney for healthcare. 3\. no further written documentation needs at this time. 4\. need for designation of his physician as his decision maker.
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