Skip to ContentGo to accessibility pageKeyboard shortcuts menu
OpenStax Logo
Fundamentals of Nursing

Competency-Based Assessments

Fundamentals of NursingCompetency-Based Assessments

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.
Citation/Attribution

This book may not be used in the training of large language models or otherwise be ingested into large language models or generative AI offerings without OpenStax's permission.

Want to cite, share, or modify this book? This book uses the Creative Commons Attribution License and you must attribute OpenStax.

Attribution information
  • If you are redistributing all or part of this book in a print format, then you must include on every physical page the following attribution:
    Access for free at https://openstax.org/books/fundamentals-nursing/pages/1-introduction
  • If you are redistributing all or part of this book in a digital format, then you must include on every digital page view the following attribution:
    Access for free at https://openstax.org/books/fundamentals-nursing/pages/1-introduction
Citation information

© Aug 20, 2024 OpenStax. Textbook content produced by OpenStax is licensed under a Creative Commons Attribution License . The OpenStax name, OpenStax logo, OpenStax book covers, OpenStax CNX name, and OpenStax CNX logo are not subject to the Creative Commons license and may not be reproduced without the prior and express written consent of Rice University.