Competency-Based Assessments
The nurse is considering the following nursing interventions:
- Administering oral medications to a patient with hypertension
- Assisting a postoperative patient with ambulation
- Educating a patient about proper wound care techniques
- Monitoring a patient's blood glucose levels and administering insulin as prescribed
- Performing sterile dressing changes on a surgical wound
- Collaborating with the dietitian to develop a customized nutrition plan for a patient with diabetes
- Providing emotional support to a patient experiencing anxiety
- Initiating intravenous (IV) fluid therapy for a dehydrated patient
- Facilitating family communication and decision-making during end-of-life care discussions
- Assessing a patient's pain level and administering pain medication as prescribed
1
.
Identify if the interventions are direct or indirect.
2
.
Identify if the interventions are independent, dependent, or interdependent.
3
.
Identify if the interventions are based on actual or potential problems.
4
.
Identify which interventions can be delegated to a CNA.
Markie, a nurse on a medical-surgical unit, is caring for a patient recovering from a surgical procedure. The goal of pain management is established, with the aim of achieving a pain level of 3 or below on a scale of 0 to 10. After administering pain medication as prescribed and implementing nonpharmacological pain relief measures, Markie assesses the patient's pain level and finds it consistently at a level of 2.
5
.
How does the evaluation of interventions determine a patient’s progress?
6
.
How would the nurse evaluate the plan of care in this situation?
7
.
Is the goal met or unmet? How do you know?
8
.
Should the plan of care be continued, revised, or terminated? Why?
Take a look at the following HCAHPS sample questions and then answer the questions:
- How often did nurses communicate well with you?
- How often did hospital staff respond quickly to your requests for help?
- Did you receive information about what to do during your recovery at home?
- Did the hospital staff explain the purpose of your medications in a way you could understand?
9
.
How do these questions assess quality of care?
10
.
Determine strategies that could be used to provide quality care for each of the survey questions.
11
.
Write a SOAP note documenting a nursing intervention for a patient experiencing impaired mobility following surgery.