Ch 15 evaluating

A mother is bringing her infant into the the clinic for a well baby check. The infant's weight gain is on target for age. A correctly written evaluative statement is which of the following?

"8/2/2014. Goal met. The infant's weight gain is appropriate for age."

When the nurse prepares to discharge a client, and subsequently evaluate the effectiveness of the nursing care, the nurse should determine whether the ...

...client's goals have been achieved

Nurses formulate different types of goals for patients when planning patient care. What is considered a psychomotor patient goal?

By 8/18/15, patient will demonstrate improved motion in left arm.

The mother of an infant comes to the clinic and asks the nurse if the infant can eat bananas now. The outcome statement on the infants plan of care states "The mother will explain proper nutrition for infants." this is an example of what type of outcome statement?

Cognitive

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

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

The nurse manager is dedicated to creating a healthy work environment for the nursing unit. She secures funding to display a plaque on the unit identifying all unit nurses who have earned certification. Which standard for establishing and sustaining healthy work environments does this action represent?

Meaningful recognition

A nurse manager attempts to achieve performance improvement in the emergency department of a busy inner-city hospital. Which nursing actions follow Haase and Miller's recommended steps in performance improvement? (Select all that apply.)

Nurses committed to healthier patients, quality care, reduced costs, and the personal satisfaction of knowing that they are actually making a difference versus merely wishing things were different value performance improvement. The four steps, according to Haase & Miller, that are crucial in improving performance include: 1. Discover a problem. 2. Plan a strategy using indicators. 3. Implement a change. 4. Assess the change; if the outcome is not met, plan a new strategy.

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 which of the following?

Standards are the "levels of performance accepted by and expected of nursing staff or other health team members." Criteria are "measurable qualities, attribute, or characteristics that identify skill, knowledge, or health status." Evidence-based practice incorporates delivering nursing care that evidence supports as likely to result in meeting the expected patient outcomes. Evaluation involves measuring how well the patient has achieved the outcomes that were set forth in the plan of care.

A male client has been recently diagnosed with diabetes after receiving emergency treatment for a hyperglycemic episode. Which of the client's actions indicates that he has achieved a cognitive outcome in the management of his new health problem?

The client is able to state why he should check his blood sugar.

A nurse is evaluating nursing care and patient outcomes by using a retrospective evaluation. Which action would the nurse perform in this approach?

The nurse devises a post-discharge questionnaire to evaluate patient satisfaction.

Which of the following does a nurse recognize is among the rules suggested by the Institute of Medicine's (IOM) Committee on Quality of Health Care in America to improve health care?

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

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

cognitive outcome

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

quality assurance

Client satisfaction is an important part of the evaluation process for hospitals. Nurses should be aware that clients may be asked questions that can provide data that can lead to quality improvement. Which of the following are questions that clients may be asked? (Select all that apply)

• "How often did nurses listen to your concerns?" • "How often did nurses treat you with respect?" • "How often did nurses explain things to you in a way that you could understand?" • "After pressing the call button, did you did the care that you needed?"

A client has returned to the clinic for a postoperative visit. The nurse reviews the plan of care and could choose to do which of the following based on the client's previous responses to the current plan of care? Select all that apply.

• Terminate the plan of care if outcomes have been achieved • Modify the plan of care if difficulty has been encountered with achieving outcomes • Continue the plan of care if more time could result in achievement of outcomes