Chapter 18: Evaluation
Which action is appropriate when evaluating a client's responses to a plan of care
Continue the plan of care if more time is needed to achieve the goals/outcomes.
When recording or documenting outcome attainment in the chart, nurses are to be very clear with the descriptions used. Which term is appropriate?
Demonstrated steps"
The nurse on a busy acute care floor identifies that several clients with heart failure are being readmitted within 2 weeks of discharge. Which step in performance improvement is the nurse demonstrating?
Discovering a problem
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.
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
Why are quality-assurance programs important in nursing
They enable nursing to be accountable for the quality of care.
The nurse participates in a quality assurance program and reviewing evaluation data from the previous year. Which should 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
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 who is certified in critical care?
Another registered nurse with critical care certification
A nurse has been providing discharge teaching to a client with type 1 diabetes. Which outcome indicates that the teaching has been effective
By a certain date, the client will verbalize signs and symptoms of hypoglycemia
A nurse caring for an older adult client who has dementia observes another nurse putting restraints on the client without a physician's order. The client is agitated and not cooperating. What would be the best initial action of the first nurse in this situation?
Confront the nurse and explain how this could be dangerous for the client.
Which are components of an evaluative statement? Select all that apply
Description of how the client outcome was met Client data that support how the outcome was met
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
The nursing staff on a hospital unit uses peer review to improve professional performance. Who performs the review?
Nurses
The Joint Commission is conducting an accreditation visit at the hospital. What is the focus of the evaluation being conducted?
Quality assurance
While auscultating a client's lung sounds, the nurse notes crackles in the left lower lobe, which were not present at the start of the shift. The nurse is engaged in which type of nursing intervention?
Surveillance
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 demonstrates administration of insulin
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 demonstrates administration of insulin.
The client identifies three strategies for minimizing leakage of an ileostomy bag. This is an example of:
a cognitive outcome
Which nursing action reflects evaluation
The nurse assesses urine output following administration of a diuretic.
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
To improve quality care for clients, there are four steps that the nurse recognizes as being crucial for the process. Place them in the correct order. Use all options.
Discover a problem. Plan a strategy using indicators. Implement a change. Evaluate a change
An older adult client who is recovering from a stroke is scheduled to be transferred to the rehabilitation unit in the morning. The client is tearful and reports feeling lonely and abandoned in the hospital unit. The family visits daily, and flowers and cards are in the room. Documentation in the chart indicates that the client's pastor has been by twice in the past week to visit. Which nursing diagnosis and outcome criteria need to be addressed immediately for this client?
Ineffective Coping; verbalizes support systems.
A nurse is participating as a team member involved in the facility's evaluation process. The facility is conducting a retrospective evaluation. Which methods should the nurse expect to use to collect data? Select all that apply.
Post-discharge client questionnaires Chart review Telephone interviews of discharged clients
Which characteristic is the most important indicator of high-quality nursing practice?
The nurse considers the individual needs of clients.
The focus of a hospital's current quality assurance program is a comparison of the health status of clients on admission and with that at the time of discharge. This form of quality assurance is characteristic of:
outcome evaluation.