Nursing Process- Evaluating- Chapter 18
Which statement related to the evaluation of outcome attainment for a client is correct?
Collecting data related to outcome attainment requires the nurse to know when to collect the data, based upon established time criteria.
A nurse caring for an older adult client who has dementia observes another nurse putting restraints on the client without a physician's order. The client is agitated and not cooperating. What would be the best initial action of the first nurse in this situation?
Confront the nurse and explain how this could be dangerous for the client
While evaluating a client's plan of care, the nurse would be most likely to identify which problem as being associated with the implementation phase?
Nurses are not aware of client priorities and the plan of care.
A group of nurses on the orthopedic floor of a hospital wish to improve their clinical performance. The nurse manager suggests a program in which the nurses will evaluate each other and provide feedback for improved performance. This program is termed:
Peer review
The Joint Commission is conducting an accreditation visit at the hospital. What is the focus of the evaluation being conducted?
Quality assurance
A hospital is evaluating its policies and procedures. What type of evaluation is the hospital conducting?
Structure -focuses on the environment in which care is provided
Quality by inspection
an approach to quality assurance in which nurses watch for deficient workers and remove them in an effort to prevent harm to clients
"Measurable qualities, attributes, or characteristics that identify knowledge or health status" defines:
criteria
Physical changes
related to actual body changes in the individual.
Affective outcomes
related to feelings and attitudes
AACN
strives to provide safe work environments
Psychomotor outcomes
those that are related to new skill attainment
Which client outcome is an example of a physiologic outcome?
The client's pulse oximetry reading is 97% on room air 30 minutes after removal of a nasal cannula. -physical changes in the client, such as pulse oximetry
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)
measures client satisfaction with health care
A large university hospital has commissioned a multidisciplinary group to review client records following discharge to evaluate client outcomes and the character and quality of nursing care that clients receive. Which type of evaluation process will take place?
A nursing audit -method of evaluating nursing care that involves reviewing client records to assess the outcomes of nursing care, or the process by which these outcomes were achieved.
A nurse is evaluating a client to determine outcome achievement. The nurse determines that the client's outcome was partially met. When documenting the evaluative statement, the nurse records which other information?
Data that support the decision of the outcome being partially met
The nurse participates in a quality assurance program and reviews evaluation data for the previous month. The data indicates a nursing plan was developed within 8 hours of admission for 97% of all admissions. The nurse recognizes this as which type of evaluation?
Process evaluation -Quality assurance programs focus on three types of evaluation: structure, process, and outcome. Process evaluation focuses on the nature and sequence of activities carried out by nurses implementing the nursing process, such as the timing of nursing care plan creation. Outcome evaluation focuses on measurable changes in the health status of clients. Structure evaluation focuses on the environment in which care is provided.
Quality as opportunity
focuses on finding opportunities for improvement and fosters an environment that thrives on teamwork, with people sharing the skills and lessons they have learned.
Structure evaluation
focuses on the environment in which care is provided
QSEN (Quality and Safety Education for Nurses)
has as its goal the preparation of nurses with the knowledge, skills, and attitudes necessary to improve the quality and safety of health care systems.
The nurse is assessing the client's behavioral response to a nursing intervention. This type of evaluation is known as:
outcome evaluation
process evaluation
performance expectations during the various stages of the nursing process
Cognitive outcomes
related to achieving greater knowledge
