Chapter 15: Evaluation
A quality-assurance program reveals a higher incidence of falls and other safety violations on a particular unit. A nurse manager states, "We'd better find the folks responsible for these errors and see if we can replace them." This is an example of: a. Quality by inspection b. Quality by punishment c. Quality by surveillance d. Quality by opportunity
a
A client comes into the clinic for a routine postoperative visit. You are assessing the level of pain and the client states that it still hurts some at times but has improved daily since returning home from the hospital. Which of the following should the nurse's response be regarding the client's plan of care? a) Terminate the plan of care b) Continue the plan of care c) Modify the plan of care d) Suggest increasing the pain medication
b
After one nursing unit with an excellent safety record meets to review the findings of the audit, the nurse manager states, "We're doing well, but we can do better! Who's got an idea to foster increased patient well-being and satisfaction?" This is an example of leadership that values: a. Quality assurance b. Quality improvement c. Process evaluation d. Outcome evaluation
b
For a patient with self-care deficit, the long-term goal is that the patient will be able to dress himself by the end of the six-week therapy. For best results, when should the nurse evaluate the patient's progress toward this goal? a) When the patient is discharged b) As soon as possible c) At the end of the 6-week therapy d) Only when the patient shows some progress
b
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? a) Standard b) Evaluative statement c) Evidence-based practice d) Criteria
b
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? a) Cognitive b) Psychomotor c) Affective d) Physical changes
b
Which statement related to the evaluation of outcome attainment for a patient is correct? a) Celebrating outcome achievement with a patient often interferes with attainment of future goals. b) Evaluation of the patient's attainment of outcome goals is determined by the nurse and physician. c) Collecting data related to outcome attainment requires the nurse to know when to collect the data based upon established time criteria. d) The nurse should initially evaluate the plan of care at the time of the patient's discharge.
c
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? a) Modify the plan of care b) Establish a new plan of care c) Continue the current plan of care d) Terminate the plan of care
d
A nurse is collecting evaluative data for a patient who is finished receiving chemotherapy for an osteosarcoma. Which nursing action represents this step of the nursing process? a. The nurse collects data to identify health problems. b. The nurse collects data to identify patient strengths. c.The nurse collects data to justify terminating the plan of care. d. The nurse collects data to measure outcome achievement.
d
A nurse is evaluating the plan of care for the client under her care. Which of the following problems might the nurse note that is associated with the implementation phase of the plan of care? a) Outcomes are incorrectly developed. b) Long-term goal is vague and generalized. c) Nursing orders are superficial. d) Nurses are not aware of client priorities and the plan of care.
d
Which action is appropriate when evaluating a patient's responses to a plan of care? a) Reinforce the plan of care when each expected outcome is achieved. b) Terminate the plan of care upon patient discharge. c) Terminate the plan if there are difficulties achieving the goals/outcomes. d) Continue the plan of care if more time is needed to achieve the goals/outcomes.
d
