320 chapter 18 questions

standard

A _____________ of nursing practice is established by authority, custom, or consent, and reflects a level of performance accepted by and expected of nursing staff

A nurse manager is conducting peer reviews of the staff on the critical care unit. Which person would the nurse manager select to evaluate a registered nurse who is certified in critical care? Another nurse manager Another registered nurse with critical care certification One of the staff critical care physicians Another staff nurse from the medical-surgical unit

Another registered nurse with critical care certification

"The client will verbalize appropriate cast care on discharge" represents which type of outcome? Psychomotor Cognitive Affective Physical change

Cognitive

The nurse on a busy acute care floor identifies that several clients with heart failure are being readmitted within 2 weeks of discharge. Which step in performance improvement is the nurse demonstrating? Planning a strategy using indicators Implementing a change Discovering a problem Assessing the change

Discovering a problem

The nurse works as a client advocate for an older adult client admitted with hyponatremia. Which action can the nurse take to help the client advocate for oneself? Encourage the client to ask questions. Help the client with skin care. Coordinate client activities. Incorporate therapeutic use of self.

Encourage the client to ask questions.

concurrent

Evaluation that is conducted by using direct observation of nursing care, patient interviews, and chart review to determine whether the specified evaluative criteria are met is known as ___________ evaluation

outcomes

In the nursing process, evaluative criteria are the patient _______ developed during the planning step.

A nurse is evaluating the outcome of the plan of care after teaching a client how to prepare and administer an insulin pen. Which type of outcome is the nurse addressing? Cognitive Psychomotor Affective Physiologic

Psychomotor

true

T or F: Evaluative criteria are measurable qualities, attributes, or characteristics that specify skills, knowledge, or health status

false

T or F: The following would be considered an example of a psychomotor outcome: "Before discharge, patient will verbalize the need to quit smoking cigarettes

Which are cognitive client outcomes? Select all that apply. The client lists the side effects of digoxin. The client describes how to perform progressive muscle relaxation. The client identifies signs and symptoms of hypoglycemia. The client correctly ambulates with a walker. The client reports cycling 30 minutes three times each week.

The client lists the side effects of digoxin. The client describes how to perform progressive muscle relaxation. The client identifies signs and symptoms of hypoglycemia.

"The levels of performance accepted by and expected of nursing staff or other health team members" defines: criteria. evaluation. standards. evidence-based practice.

standards

The nurse in a burn intensive care unit (BICU) is caring for a 3-year-old child who was burned with scalding hot water. The client has burns covering 75% of the body. The client's condition is critical but stable. At 1000, the nurse reassesses the client and finds that the client is agitated and pulling at the endotracheal tube. Which is the nurse's priority intervention for this client at this time? Providing medication for agitation Repositioning to prevent pressure injuries Ensuring that the endotracheal tube is secure Changing the dressing to prevent infection

Ensuring that the endotracheal tube is secure

The nurse is caring for a postoperative client who reports ineffective pain management with pain rated a 7 on a 0-10 rating scale. Based on the information provided by the client, which step should the nurse take first to modify the care plan? Create a new nursing diagnosis to reflect new goals. Evaluate the use of current pain relief measures. Request a stronger analgesic from the provider. Provide additional relief with non-pharmacologic measures.

Evaluate the use of current pain relief measures.

Prior to the first visit following gastrectomy, the client will have a weight loss of 10 lb (4.5 kg). This is an example of which type of evaluative statement? Cognitive Psychomotor Physical changes Affective

Physical changes

evaluative

T or F: The documentation of a judgment summarizing data interpretation and patient outcome achievement is an _____________ statement

true

T or F: The focus of a process evaluation is the nature and sequence of activities carried out by nurses who are implementing the nursing process

When recording or documenting outcome attainment in the chart, nurses are to be very clear with the descriptions used. Which term is appropriate? "Inadequate skills" "Great response" "Extremely well-mannered" "Demonstrated steps"

"Demonstrated steps" -Judgments about goal attainment are written clearly and concisely. Avoid ambiguous terminology, such as "inadequate," "good," or "extremely well," which can be interpreted differently by different people.

Which action should the nurse take during the evaluation phase of the nursing process? Document reassessment of pain after medication administration. Provide the client with a follow-up appointment after discharge. Have the client give input into plan of care upon admission. Discontinue the indwelling urinary catheter per the provider's order.

Document reassessment of pain after medication administration.

peer

The evaluation of one staff member by another staff member on the same level in the hierarchy of an organization is known as ________ review

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

The nurse and client measure achievement of planned outcomes of care.

Which nursing action reflects evaluation? The nurse identifies that the client has wound drainage. The nurse sets an anxiety level of 3 or less with the client. The nurse performs colostomy irrigation. The nurse assesses the client's response to pain medication.

The nurse assesses the client's response to pain medication.

A nurse is documenting evaluation of the care provided for an infant born with Down syndrome. Which nursing actions exemplify the appropriate documentation process? Select all that apply. After the data have been collected to determine client outcome achievement, the nurse writes an evaluative statement to summarize the findings. The nurse writes a 2-part evaluative statement that includes a decision about how well the outcome was met, along with client data that support the decision. The nurse has three decision options for how goals have been met. The nurse determines whether a client goal has been met or not met. In each case, the goal is discontinued. The nurse does not increase the complexity of a goal after it has been achieved to prevent client anxiety and distrust. If a nurse writes a properly written goal, it is not affected by client, nurse, or health care variables.

After the data have been collected to determine client outcome achievement, the nurse writes an evaluative statement to summarize the findings. The nurse writes a 2-part evaluative statement that includes a decision about how well the outcome was met, along with client data that support the decision. The nurse has three decision options for how goals have been met

A client is administered an anxiolytic. Which nursing action demonstrates the nurse evaluating the client? Asking whether the client feels less anxious 30 minutes after administering the medicine Assigning the client a new nursing diagnosis based on the client's controlled anxiety Devising a plan for the client to practice anti-anxiety exercises at home Collecting data about the client's history with anxiety

Asking whether the client feels less anxious 30 minutes after administering the medicine

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 Quality and Safety Education for Nurses (QSEN) Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) American Association of Critical-Care Nurses (AACN)

Peer review

The Joint Commission is conducting an accreditation visit at the hospital. What is the focus of the evaluation being conducted? Quality assurance Magnet status Peer review Quality improvement

Quality assurance

true

T or F: A national study of more than 1,700 health care professionals found that the majority of physicians and nurses surveyed had seen coworkers take shortcuts that could have been dangerous to patients

false

T or F: Quality by inspection focuses on finding opportunities for improvement and fosters an environment that thrives on teamwork

A nurse is evaluating nursing care and client outcomes by using a retrospective evaluation. Which action would the nurse perform in this approach? The nurse directly observes the nursing care being provided. The nurse reviews the client chart while the client is being cared for. The nurse interviews the client while the client is receiving the care. The nurse devises a postdischarge questionnaire to evaluate client satisfaction.

The nurse devises a postdischarge questionnaire to evaluate client satisfaction.

A nurse evaluates clients prior to discharge from a hospital setting. Which action is the most important act of evaluation performed by the nurse? The nurse evaluates the client's goal/outcome achievement. The nurse evaluates the plan of care. The nurse evaluates the competence of nurse practitioners. The nurse evaluates the types of health care services available to the client

The nurse evaluates the client's goal/outcome achievement.

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

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? throughout the client's hospital admission when the client is discharged during the first home health care visit once the primary care physician has written a discharge order

throughout the client's hospital admission