222 evaluate outcomes

Match each issue that negatively influences patient outcomes with a potential cause.(omission error, judgement error, ineffective treatment) 1 - Treating patients with similar conditions with an identical plan of care 2 - Recognizing that planned interventions did not occur 3 - Understanding the patient is not reacting as expected to an intervention

1 - judgement error 2 - omission error 3 - ineffective treatment

Which statements describe the process utilized by nurses to evaluate patient outcomes? a) Review of evaluative measures b) Determination of whether goals were met c) Decision regarding the nurse's next action d) Comparison of anticipated outcomes with expected outcomes e) Assessment only when a patient condition's changes

a, b, c

Which activities related to evaluation did the American Nurses Association (ANA) identify as a standard competency for professional nursing practice? a) Continual process b) Collaboration with the patient c) Resolution of patient problems d) Documentation of results e) Use of assessment data to revise plan

a, b, d, e

The American Nurses Association (ANA) links the evaluation standard of professional nursing practice to which related competencies? a) holistic b) sporadic c) individual d) systemic e) criterion based

a, d, e

Which nursing actions reflect critical thinking as the nurse evaluates outcomes during step 6 of the Clinical Judgment Measurement Model? a) Quickly assess patient stability. b) Reflect on the patient's condition. c) Examine results of nursing care. d) Recognize ineffective treatments. e) Compare actual outcomes with expected outcomes.

b, c, d, e

A patient appears restless, turning frequently and moaning in the postoperative care unit. Their blood pressure is stable and heart rate has increased (92 beats/min compared with preoperative rate of 72 beats/min). The health care provider prescribed an analgesic for pain, but the nurse has not administered the medication. Which finding would the nurse associate with the assertion that interventions are not effective? a) Delay in administration of pain medication b) Patient's blood pressure trend c) Symptoms reflecting restlessness d) Patient recovering as expected

c

The patient's goal states, "Patient will demonstrate decreased respiratory distress by the end of the shift." The expected outcome states, "The patient will demonstrate improved breathing within 4 hours (decreased dyspnea, oxygen saturation greater than 94%, and respiratory rate of no more than 16)." Patient findings include decreased dyspnea, oxygen saturation of 93% on 3 L of oxygen via nasal cannula (up from 90% on room air), respiratory rate of 18 (down from 26), and lung sounds clearing (crackles in lower lobes only, instead of in all lobes). Which phrase describes the patient's level of goal attainment? a) Goal met b) Goal unmet c) Goal partially met d) Goal not appropriate

c

When providing care for a patient whose goal is to lose weight, which evaluative measure would the nurse utilize to evaluate the patient's expectations of care? a) Weigh the patient to obtain a current measurement. b) Evaluate the patient's nausea using a numeric rating scale. c) State, "Name three principles of weight management in your plan of care." d) Conduct a patient interview to determine the patient's perspective related to care.

d

Which activity occurs during step 6 of the Clinical Judgment Measurement Model (CJMM)? a)Identification of hypotheses b)Priority ranking of hypotheses c)Develop a patient plan of care d)Determine effectiveness of interventions

d

Which statement describes the process used by the nurse to evaluate outcomes in step 6 of the Clinical Judgment Measurement Model (CJMM)? a) Nurses collect patient cues to determine problems or potential problems. b) The original assessment allows the nurse to focus on whether identified problems have changed. c) Reporting is not a component of the process nurses use to evaluate outcomes. d) The patient interview is one technique nurses use as an evaluative measure.

d