Ch.19 evaluating PREPU
A mother brings an infant into the clinic for a well-infant visit. The mother reports being concerned at discharge from the hospital after giving birth about being able to get the infant to latch on for breastfeeding. Now, however, the mother reports success with breastfeeding and the nurse finds that the infant is gaining weight appropriately. Which is an appropriate evaluative statement for this client?
"8FEB2016. Goal met. Mother reports that breastfeeding is going well with the infant eating every 2-3 hours and attaching to the nipple easily. Infant is gaining weight."
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
Another registered nurse with critical care certification
The nurse performs discharge teaching for a client. How will the nurse best evaluate the effectiveness of the discharge teaching?
Ask the client to describe how care will be conducted at home.
A nurse is evaluating the plan of care for a client and determines that the achievement of goals is difficult to evaluate. What should the nurse do when evaluating the plan to ensure that the outcomes are achievable? Select all that apply.
Be sure that the criteria for appropriate response are clearly specified. Be certain that the subject is the client or some part of the client. Make sure the client's expected behavior is written in observable, measurable terms. Specify time limits in the plan.
Which is a psychomotor client goal?
By 18AUG2015, the client will demonstrate improved motion in the left arm.
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 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?
Evaluate the use of current pain relief measures
Priority setting is based on the information obtained during reassessment and is used to rank nursing diagnoses. Each factor contributes to priority setting except which?
Finances of the client
Which are cognitive client outcomes? Select all that apply.
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.
A mother brings an 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 which type of outcome statement?
Physical changes Explanation: Physical changes are related to actual body changes in the infant. Psychomotor outcomes are those that are related to new skill attainment. Cognitive outcomes are related to achieving greater knowledge. Affective outcomes are related to feelings and attitudes.
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
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.
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.
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 characteristic is the most important indicator of high-quality nursing practice?
The nurse considers the individual needs of clients.
A nurse evaluates clients prior to discharge from a hospital setting. Which action is the most important act of evaluation performed by the nurse?
The nurse evaluates the client's goal/outcome achievement.
A new parent is having difficulty breastfeeding a newborn. A goal was established stating that the newborn would be nursing every 2 to 3 hours by age 1 week. The parent presents to the follow-up clinic at 1 week and reports having discontinued breastfeeding 4 days ago. How will the nurse characterize the original goal?
Unmet
The nursing staff on a hospital unit uses peer review to improve professional performance. Who performs the review?
nurses
"The client will verbalize appropriate cast care on discharge" represents which type of outcome?
cognitive
The client identifies three strategies for minimizing leakage of an ileostomy bag. This is an example of:
cognitive outcome
A hospital is evaluating its policies and procedures. What type of evaluation is the hospital conducting?
structure
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?
throughout the client's hospital admission
