EVALUATING (CHAPTER 11)

Which expected client outcome is an example of a psychomotor outcome? Select all that apply. You Selected:

Accurately drawing up insulin Safely ambulating using a walker

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:

standards.

The nurse participates in a quality assurance program and reviewing evaluation data from the previous year. Which of the following does the nurse recognize as an example of outcome evaluation?

A 2% reduction in the number of repeat admissions for clients who underwent hip replacement surgery.

Nurses are involved in many types of evaluation. All of the activities listed are related to evaluation, but which activity is the priority concern for nurses?

Clients and their care

Which component would a nurse know is a part of an evaluative statement? Select all that apply.

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

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

Document reassessment of pain after medication administration.

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:

Evaluative statement

The mother brings her infant into the clinic. The infant is 2 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?

Physical changes

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

The nurse is caring for a client who has a fractured left femur. The client will be discharged home this afternoon. The outcome on the plan of care states "Client will demonstrate cast care prior to discharge" What type of evaluative statement is this?

Psychomotor

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

Quality assurance

A nurse is caring for a client who is recovering from stroke. Which action would the nurse perform in the evaluation phase?

Revise the plan of care.

Which nursing action reflects evaluation?

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

Which nursing action reflects evaluation?

The nurse assesses the client's response to pain medication. The nurse assesses urine output following administration of a diuretic.

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 devises a postdischarge questionnaire to evaluate client satisfaction.

For a client with self-care deficit, the long-term goal is that the client will be able to dress himself by the end of the 6-week therapy. For best results, when should the nurse evaluate the client's progress toward this goal?

as soon as possible

The nurse manager observes one of the unit nurses failing to was her hands upon entering a client room. Hospital protocol is washing hands before and after entering a client room. The nurse manager knows that this is an example of:

quality by inspection.

A client with a recently fractured left femur has been reluctant to comply with his physical therapy for fear of the pain associated with movement. A goal for this client is to attend therapy treatments 3 times each day. The nurse is evaluating the goal for this client. The client states, "I don't like therapy; it hurts, but I have been going twice a day." The client chart has an entry from the last shift nurse stating the client went to therapy 2 times with encouragement. The nurse evaluates the goal as:

goal partially met.

Identifying the kind and amount of nursing services required is a possible solution for:

inadequate staffing.

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.