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14.8.4: Competency-Based Assessments

Fundamentals of Nursing · LibreTexts

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    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.

    This page titled 14.8.4: Competency-Based Assessments was last modified on Tue, 24 Dec 2024 20:59:50 GMT and is shared under a CC BY 4.0 license and was authored, remixed, and/or curated by OpenStax via source content that was edited to the style and standards of the LibreTexts platform.