Foundations Chapter 18 PrepU

the focus of a hospitals current quality assurance program is a comparison between the health status of clients upon admission and at the time of discharge. this form of quality assurance is characteristic of: a. outcome evaluation b. process evaluation c. structure evaluation d. nursing audit

outcome evaluation

a hospital is evaluating its policies and procedure. what type of evaluation is the hospital conducting? a. process b. quality c. structure d. outcome

structure

which client outcome is an example of a psychomotor outcome? a. the client demonstrates stair climbing using a quad cane b. the client identifies signs and symptoms of digoxin toxicity c. the client reports grilling or baking meats rather than frying d. the client reports testing blood sugar before meals

the client demonstrates stair climbing using a quad cane

which client outcome is an example of a cognitive outcome? a. the client demonstrates how to take a radial pulse b. the clients finger stick blood sugar is greater than 70 and less than 110 c. the client identifies three strategies for minimizing leakage of an ileostomy bag d. the clients pulse ranges from 60-100 beats per minute

the client identifies three strategies for minimizing leakage of an ileostomy bag

a mother brings her infant into the clinic for a well baby visit. the mother was concerned when she left the hospital about being able to get the infant to latch on for breast feeding. which of the following is an appropriate evaluative statement? a. 8feb2016. goal met. mother reports that breast feeding is going well with the infant every 2-3 hours and attaching to the nipple easily. infant is gaining weight. b. 8feb2016. goal met. c. goal met. mother reports that breast feeding is going well with the infant every 2-3 hours and attaching to the nipple easily. infant is gaining weight. d. goal met

8feb2016. goal met. mother reports that breast feeding is going well with the infant every 2-3 hours and attaching to the nipple easily. infant is gaining weight.

a mother is bringing her infant into the clinic for a well baby check. the infants weight gain is on target for age. a correctly written evaluation statement is which of the following? a. goal met b. 8feb2016. goal met c. 8feb2016. goal met. the infants weight gain is appropriate for age d. processing well

8feb2016. goal met. the infants weight gain is appropriate for age

which nursing actions reflect the evaluation stage of the nursing process? select all that apply: a. the nurse sets an anxiety level of 3 or less with the client b. the nurse performs tracheostomy care using sterile techniques c. the nurse documents the clients response to suctioning d. the nurse determines the client did not lose the expected 2 lb (.90 kg) e. the nurse identifies that a clients pain is not being adequate treated

-the nurse identifies that a clients pain is not being adequate treated -the nurse documents the clients response to suctioning -the nurse determines the client did not lost the expected 2 lb (.90 kg)

the nurse manager is holding a staff meeting and indicates that the unit is looking at a 3% budget cut for the coming year. the nurse manager asks the staff what they see as priorities for the unit, and solicits suggestions from the staff as to what budget areas might be reduced. which standard for establishing and sustaining health work environments does this action represent? a. effective decision making b. appropriate staffing c. micromanagement d. meaningful recognition

effective decision making

Which nurse is using criteria to determine expected standards of performance? a. the nurse manager provides the staff nurse feedback regarding job performance for the previous year b. the nurse preceptor provides feedback to the new graduate nurse after 6 weeks of orientation c. the new graduate nurse consults the policies and procedures of the institution prior to skill implementation d. the nurse seeks information from the unlicensed assistive personnel (UAP) regarding the family response to the nurse's education

the nurse manager provides the staff nurse feedback regarding job performance for the previous year

Why are quality-assurance programs important in nursing? a. they allow increased retention of qualified nurses b. they enable nursing to be accountable for the quality of care c. they specify how resources are used or not used d. they facilitate increased enrollment in educational programs

they enable nursing to be accountable for the quality of care

one of the outcomes that has been identified in the care of a client with a new suprapubic catheter is that he will demonstrate the correct technique for cleaning his insertion site and changing his catheter prior to discharge. when should this outcome be evaluated? a. when the client is discharged b. throughout the clients hospital admission c. once the primary care physician has written a discharge order d. during the first home health care visit

throughout the clients hospital admission

which client outcome is a cognitive outcome? select all that apply: a. the client lists the side effects of digoxin (Lanoxin) b. the client correctly ambulates with a walker c. the client describes how to perform progressive muscle relaxation d. the client reports 30 minutes three times each week e. the client identifies signs and symptoms

-the client lists the side effects of digoxin (Lanoxin) -the client describes how to perform progressive muscle relaxation -the client identifies signs and symptoms of hypoglycemia

the nurse is collecting data on a client presenting to the medical short-stay unit for colonoscopy. a client reports to the nurse that he quit smoking 6 months ago after being diagnosed with lung cancer. the nurse recognizes this change in behavior is which type of outcome? a. physiologic outcome b. affective outcome c. psychomotor outcome d. cognitive outcome

affective outcome

identifying the kind and amount of nursing services required is a possible solution for: a. nurses who are bored b. clients who fail to communicate their needs c. inadequate staffing d. nurses frustrated with substandard care

inadequate staffing

the nursing stage on a hospital unit uses peer review to improve professional performance. who performs the review? a. visitors b. clients c. unit manager d. nurses

nurses

prior to the first postoperative visit post gastrectomy, the client will have a weight loss of 10 lb (4.50 kg). this is an example of which type of evaluative statement? a. psychomotor b. affective c. physical changes d. cognitive

physical changes

the joint commission is conducting as accreditation visit at the hospital. what is the focus of the evaluation being conducted? a. peer review b. quality improvement c. magnet status d. quality assurance

quality assurance

a nurse must call a health care provider to request a prescription for a client who is experiencing pain unrelieved by the previous medication prescribed. when the nurse makes a call, the provider screams at the nurse and states, "just do what the prescription says! i am not giving you another prescription for pain medication!" what is the best response by the nurse? a. ok. don't give me a prescription, i will just call the chief of staff b. i dont know why you won't give me a prescription for the pain medication. you are so rude! c. speaking to me that way is unacceptable. we should work together for the benefit of the client d. you shouldn't treat the client that way

speaking to me that way is unacceptable. we should work together for the benefit of the client

the health care team has convened to discuss the care of an end-of-life client who is not able to achieve an acceptable level of comfort. the physician asks for the nurses perspective of the situation. which standard for establishing and sustaining healthy work environments does this action represent? a. true collaboration b. skilled communication c. appropriate staffing d. effective decision making

true collaboration

which expected client outcome is an example of a psychomotor outcome? select all that apply: a. reporting increased confidence in testing blood sugar b. safely ambulating using a walker c. accurately drawing up insulin d. identifying signs and symptoms of infection e. rating pain as a 2 on a 10-point scale

-accurately drawing up insulin -safely ambulating using a walker

when the nurse prepares to discharge a client, and subsequently evaluate the effectiveness of the patient care, the nurse should determine whether the: a. physician orders have been completed b. documentation is thorough c. critical pathways are completed d. clients goals have been achieved

clients goals have been achieved

the client identifies three strategies for minimizing leakage of an ileostomy bag. this is an example of what type of outcome? a. affective outcome b. psychomotor outcome c. physiologic outcome d. cognitive outcome

cognitive outcome

which statement related to the evaluation of outcome attainment for a client is correct? a. evaluation of the clients attainment of outcome goals is determined by the nurse and physician b. collecting data related to outcome attainment requires the nurse to know when to collect the dates, based upon established time criteria c. the nurse should initially evaluate the plan of care at the time of the clients discharge d. celebrating outcome achievement with a client often interferes with attainment of future goals

collecting data related to outcome attainment requires the nurse to know when to collect the data, based upon established time criteria

a new graduate nurse has come to your unit to work. she asks the charge nurse what the difference is between collecting data in the patient assessment and in the evaluation phase of the nursing process. the charge nurse bases her response on her knowledge of which of the following statements? a. there is no difference between collecting data for assessment and evaluation in nursing b. data collected in the patient assessment is part of the patients

data collected in the patient assessment identifies patient health issues, whereas collected in the evaluation phase is to determine if patient outcomes are being achieved

the nurse manager on an orthopedic unit has determined that the nurses are not keeping the nursing diagnosis up-to-date on client care plans and, in turn, are not using the plan of care. what is a feasible approach to correcting this problem? a. requesting that a staff development nurse instruct the nurse on concept mapping to use instead of care planning b. provide an in-service on interviews and physical assessment skills; discuss the importance of these skills with the staff c. develop a process for periodic review of care plans that focuses on deleting and updating the nursing diagnosis d. delegate the updating of nursing diagnosis for all clients on the unit to one nurse for each shift

develop a process for periodic review of care plans that focuses on deleting and updating the nursing diagnosis

a client has come into the clinic for a postoperative visit. the client states that the postoperative pain continues to be 6 on a 0 to 10 rating scale. the nurse evaluates the client and the current plan of care. based on the information provided by the client, the nurse should: a. terminate the plan of care b. continue with the current plan of care c. call the pharmacy to determine if the client is taking pain medication d. modify the plan of care

modify the plan of care

a male client has been recently diagnosed with diabetes after receiving emergency treatment for a hyperglycemic episode. which of the clients actions indicates that he has achieved a cognitive outcome in the management of his new health problem? a. the client is able to explain when and why he needs to check his blood sugar b. the client can demonstrate the correct technique for using his new glucometer c. the clients blood sugars have been maintained within acceptable range in the days prior to discharge d. the client expresses a desire to change the way that he eats and the amount of exercise he performs

the client is able to explain when and why he needs to check his blood sugar

which of the following best summarizes the evaluation step of the nursing process? a. the nurse and client identify nursing diagnosis and appropriate interventions b. the nurse completes a health assessment to establish a database c. the client and family have met health care goals and no longer need care d. the nurse and client measure achievement of planned outcomes of care

the nurse and client measure achievement of planned outcomes of care

which of the following nursing actions reflects evaluations? a. the nurse sets a tolerable pain rating with the client b. the nurse auscultates the clients lungs and abdomen c. the nurse identifies that the client does not tolerate activity d. the nurse assesses urine output following administration of a diuretic

the nurse assesses urine output following administration of a diuretic