Which items are contained in all comprehensive plans of care?

Which items are contained in all comprehensive plans of care?

• A. Key patient assessment data
• B. Medication administration records
• C. Discharge summaries
• D. Insurance information

Answer: (A)

The main idea here is that a comprehensive plan of care is built around the patient’s current assessment data. This information identifies problems, priorities, and patient needs, and it drives the goals, nursing interventions, and evaluation criteria that make up the plan. Without up-to-date assessment data, the plan wouldn’t accurately reflect what the patient requires now or how to measure progress. Key patient assessment data provide the foundation for formulating individualized goals and selecting appropriate interventions, as well as for tracking outcomes over time. In contrast, a medication administration record focuses on what has already been given, not what needs to be done next; discharge summaries pertain to transfer of care and summarize what occurred and what’s needed after discharge, rather than guiding ongoing daily care; and insurance information is administrative and does not influence clinical care decisions.

The main idea here is that a comprehensive plan of care is built around the patient’s current assessment data. This information identifies problems, priorities, and patient needs, and it drives the goals, nursing interventions, and evaluation criteria that make up the plan. Without up-to-date assessment data, the plan wouldn’t accurately reflect what the patient requires now or how to measure progress.

Key patient assessment data provide the foundation for formulating individualized goals and selecting appropriate interventions, as well as for tracking outcomes over time. In contrast, a medication administration record focuses on what has already been given, not what needs to be done next; discharge summaries pertain to transfer of care and summarize what occurred and what’s needed after discharge, rather than guiding ongoing daily care; and insurance information is administrative and does not influence clinical care decisions.