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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.
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