NUR 209 Ch. 15 Evaluating (Fundamentals of Nursing)

Which of the following actions should the nurse take during the evaluation phase of the nursing process? (page 326)

Document improved pain after pain medication administered

A nurse manager notes an increase in the frequency of client falls during the last month. To promote a positive working environment, how would the nurse manager most effectively deal with this problem? (page 330-332)

Investigate the circumstances that contributed to client falls.

The client identifies three strategies for minimizing leakage of an ileostomy bag. This is an example of what type of outcome? (page 325)

Cognitive outcome

Which statement related to the evaluation of outcome attainment for a client is correct? (page 321)

Collecting data related to outcome attainment requires the nurse to know when to collect the data, based upon established time criteria.

Once a nurse has collected and interpreted the data on a client's outcome achievement, the nurse will then make a judgment and document a statement summarizing those findings. This is called which of the following? (page 326)

Evaluative statement

The nurse is caring for a newborn who is scheduled to be discharged tomorrow. The mother of the newborn expresses concern about being able to properly breast feed her infant. The nurse reviews the plan of care and finds that there is an outcome that states "The mother will express confidence in being able to meet nutritional needs of her infant." This is an example of which type of outcome statement? (page 325)

Psychomotor

The mother brings her infant into the clinic. The infant is two months old and has not been gaining weight appropriately. The outcome statement on the plan of care states "The infant will double birth weight by 6 months of age." This is an example of what type of outcome statement? (page 325)

Physical changes

The Joint Commission is conducting an accreditation visit at the hospital. What is the focus of the evaluation being conducted? (page 333)

Quality assurance

A nurse incorrectly administers digoxin to her client. The nurse admits her actions to the nurse manager and to her peers in an effort to prevent them making the same mistake. This is an example of: (page 333)

Quality by opportunity

A client who was admitted to the acute care unit with angina pectoris is no longer having chest pain. Based on this assessment, which of the following does the nurse decide to do with the plan of care for chest pain? (page 321, 323)

Terminate the plan of care

Which nursing action reflects evaluation? (page 332)

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

The nurse in a Burn Intensive Care Unit (BICU) is caring for a 3-year-old boy who was burned with scalding hot water. He has burns covering 75 percent of his body. His condition is critical but stable. At 10 a.m., the nurse reassesses the client and finds that he is agitated and pulling at his endotracheal tube. What would be the nurse's top nursing priority?

ensuring that the endotracheal tube is secure

The terms "criteria" and "standard" are often used interchangeably but actually have distinct, separate definitions. "The levels of performance accepted by, and expected of, nursing staff or other health team members" is known as: (page 324)

standards.

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? (page 335)

throughout the client's hospital admission