ADN 001 PrepU Ch 18

Which are components of an evaluative statement?

Description of how the client outcome was met Client data that support how the outcome was met

Standards

"levels of performance accepted by and expected of nursing staff or other health team members."

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 healthy work environments does this action represent?

Effective decision making Explanation: Effective decision making ensures nurses are active, valued partners in making policy, directing and evaluating clinical care, and leading organizational operations. Appropriate staffing ensures that client needs are effectively matched with nurse competencies

Written documentation of the subjective and objective data Terms to avoid:

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.

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 client will demonstrate cast care prior to discharge" is which type of evaluative statement?

Psychomotor

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?

Psychomotor

Before discharge the client will demonstrate aseptic dressing changes. This is an example of which type of evaluative statement?

Psychomotor

Structural evaluations have to do with

the physical structure of the unit (i.e. lack of a door on the unit's diet kitchen and difficulty moving beds through doors)

Which precepts are among the rules suggested by the Institute of Medicine's (IOM) Committee on Quality of Health Care in America to improve health care?

The client as the source of control Safety as a system priority Anticipation of clients' needs Cooperation among clinicians

A client with a new diagnosis of diabetes will be discharged on insulin therapy. Which client psychomotor outcome does the nurse expect after client education?

The client demonstrates administration of insulin. Explanation: Psychomotor outcomes describe the client's achievement of new skills, such as demonstration of administration of insulin. An affective outcome involves changes in the client's values, beliefs, and attitudes, such as testing blood sugar before meals.

Why are quality-assurance programs important in nursing?

They enable nursing to be accountable for the quality of care.

Psychomotor outcomes

those that are related to new skill attainment

Learning exercises to strengthen leg muscles is an

affective goal

Valuing health by quitting smoking is an example of an

affective goal

Cognitive outcomes

are related to achieving greater knowledge.

Affective outcomes

are related to feelings and attitudes

"Measurable qualities, attributes, or characteristics that identify knowledge or health status" defines:

criteria

Quality-assurance (QA) programs

enable nursing to be accountable to society for the quality of nursing care. They are a response to the public mandate for professional accountability. QA programs do not facilitate increased enrollment in education programs, specify how resources are to be used, or increase retention of nurses.

Meaningful recognition

highlights the value each nurse brings to the work for the organization, such as certification.

The focus of a hospital's current quality assurance program is a comparison of the health status of clients on admission and with that at the time of discharge. This form of quality assurance is characteristic of:

outcome evaluation.

demonstrating improved motion in the left arm is an example of a

psychomotor goal

The primary purpose for evaluating data about a client's care according to a functional health approach is to:

revise or modify the client care plan.

The nursing supervisor is evaluating how many clients each of the department nurses has been assigned for the shift. This type of evaluation would be considered:

structure