NUR152-PrepU- CH.18: Evaluating

When recording or documenting outcome attainment in the chart, nurses are to be very clear with the descriptions used. Which term is appropriate?

"demonstrated steps"

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 registered nurse with critical care certification

he nurse performs discharge teaching for a client. How would the nurse best evaluate the effectiveness of the discharge teaching?

Ask the client to repeat back to the nurse how care will be conducted at home.

Which action should the nurse take during the evaluation phase of the nursing process?

Document reassessment of pain after medication administration.

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.

Which are major premises of a quality-improvement (QI) program? Select all that apply.

QI determines whether nursing standards are being upheld. QI programs may be mandated by some governmental agencies. QI focuses on processes rather than individuals. QI focus is on ensuring excellence in care.

Which of the following best summarizes the evaluation step of the nursing process?

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

Which nursing action reflects evaluation?

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

Which statement related to the evaluation of outcome attainment for a client is correct?

Which statement related to the evaluation of outcome attainment for a client is correct?

A new mother is having difficulty breastfeeding a newborn. A goal was established stating that the infant would be nursing every 2 to 3 hours by age 1 week. The mother presents to the follow-up center at 1 week and reports having discontinued breastfeeding 4 days ago. The nurse evaluates the original goal as:

completely unmet

After the nursing plan of care has been developed, the nurse knows that:

each encounter with the client is an opportunity to reassess and revise the plan of care, if necessary.

A nurse is evaluating the plan of care for a client in the clinic. Which actions should the nurse perform, as classic elements of evaluation? Select all that apply.

identifying evaluative criteria and standards. collecting data to determine whether criteria and standards are being met. interpreting and summarizing findings. Terminating, continuing, or modifying the plan of care.

The nursing staff on a hospital unit uses peer review to improve professional performance. Who performs the review?

nurses

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?

physical changes

The Joint Commission is conducting an accreditation visit at the hospital. What is the focus of the evaluation being conducted?

quality assurance

The nurse manager observes one of the unit nurses failing to wash hands on entering a client room. Hospital protocol is to wash hands before and after entering a client room. This scenario is an example of which approach to quality assurance?

quality by inspection

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

While auscultating a client's lung sounds, the nurse notes crackles in the left lower lobe, which were not present at the start of the shift. The nurse is engaged in which type of nursing intervention?

surveillance

Which are cognitive client outcomes? Select all that apply.

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

Which characteristic is the most important indicator of high-quality nursing practice?

the nurse considers the individual needs of the clients

Which statements are true of factors that influence client responses and outcome achievement and of how the nurse should use them? Select all that apply.

the nurse should draw on positive factors to deal with other variables in the future. a clients strong motivation to learn appropriate health behaviors is an example of a positive factor. the nurse should identify which factors are helpful to attaining outcomes and manipulate to achieve goals