Nursing Process (PREPU Questions) CHP. 18 - EVALUATION

The nurse performs discharge teaching for a client. How would the nurse best evaluate the effectiveness of the discharge teaching? Ask if the client understands the teaching. Ask the client to repeat back to the nurse how care will be conducted at home. Determine if critical pathways were completed. Review it to see if all health care provider prescriptions were covered.

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

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 Affective Physical changes

Physical changes

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 identifies correct insulin injection sites. The client demonstrates administration of insulin. The client reports testing blood sugar before meals. The client identifies signs and symptoms of hypoglycemia.

The client demonstrates administration of insulin.

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

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.

Which characteristic is the most important indicator of high-quality nursing practice? The nurse follows the policies and procedures of the institution. The nurse is organized and efficient in client care. The nurse considers the individual needs of clients. The nurse takes measures to ensure accurate medication administration.

The nurse considers the individual needs of clients.

After the nursing plan of care has been developed, the nurse knows that: the plan of care can only be changed by the nurse who developed it. each encounter with the client is an opportunity to reassess and revise the plan of care, if necessary. the responsibility for the assessment of the client has ended. the plan will be followed by other health care providers and filed with the client's chart upon discharge.

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

The primary purpose for evaluating data about a client's care according to a functional health approach is to: meet accreditation standards. revise or modify the client care plan. determine implementation of medical orders. evaluate the need for health care consultations.

revise or modify the client care plan.

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

Document reassessment of pain after medication administration.

Which statement related to the evaluation of outcome attainment for a client is correct? The nurse should initially evaluate the plan of care at the time of the client's discharge. Celebrating outcome achievement with a client often interferes with attainment of future goals. Collecting data related to outcome attainment requires the nurse to know when to collect the data, based upon established time criteria. Evaluation of the client's attainment of outcome goals is determined by the nurse and physician.

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

Which statement regarding the difference between data collected for assessment and data collected for evaluation is correct? There is no difference between data collected for assessment and data collected for evaluation. Data collected for assessment are part of the client's health record but are not further used for client care. Data collected for assessment identify client health issues, whereas data collected for evaluation determine whether client outcomes are being achieved. Data collected for assessment relate to the client health history, whereas data collected for evaluation identify the actions of physician orders.

Data collected for assessment identify client health issues, whereas data collected for evaluation determine whether client outcomes are being achieved.

All of the activities listed are related to evaluation, but which activity is the priority concern for nurses? Helping targeted groups of clients to achieve their specific outcomes Measuring client outcome achievement Meeting the care needs of clients Measuring the competence of individual nurses

Meeting the care needs of clients

A client has been recently diagnosed with diabetes after receiving emergency treatment for a hyperglycemic episode. Which of the client's actions indicates that the client has achieved a cognitive outcome in the management of this new health problem? The client is able to explain when and why the client needs to check the blood glucose level. The client expresses a desire to change the way that the client eats and exercises. The client can demonstrate the correct technique for using a new glucometer. The client has maintained blood glucose levels within acceptable range in the days prior to discharge.

The client is able to explain when and why the client needs to check the blood glucose level.

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.

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

"Demonstrated steps"

A client comes into the clinic for a routine postoperative visit. While the nurse is assessing the level of pain, the client states that there is occasional discomfort but that pain levels have improved daily since returning home from the hospital. What should the nurse's response be regarding the client's plan of care? Promptly modify the plan of care. Terminate the plan of care. Continue the plan of care. Suggest increasing the pain medication.

Continue the plan of care.

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? Incorporate therapeutic use of self. Encourage the client to ask questions. Help the client with skin care. Coordinate client activities.

Encourage the client to ask questions.

The nursing staff on a hospital unit uses peer review to improve professional performance. Who performs the review? Visitors Unit manager Nurses Clients

Nurses

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

Quality assurance

Which nurse is using criteria to determine expected standards of performance? The new graduate nurse consults the policies and procedures of the institution prior to skill implementation. The nurse seeks information from the unlicensed assistive personnel (UAP) regarding the family's response to the nurse's education. The nurse manager provides the staff nurse feedback regarding job performance for the previous year. The nurse preceptor provides feedback to the new graduate nurse after 6 weeks of orientation.

The new graduate nurse consults the policies and procedures of the institution prior to skill implementation.

Which of the following best summarizes the evaluation step of the nursing process? The nurse and client identify nursing diagnoses and appropriate interventions. 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 measure achievement of planned outcomes of care.

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