Evaluating

Which of the following are physiologic goals? (Select all that apply.) a. By 4/6/12, the baby will demonstrate adequate sleep-wakefulness patterns. b. Before discharge, the parents of the baby will verbalize decreased anxiety about taking care of a newborn. c. By 4/6/12, the parents will list appropriate resources in case questions arise after discharge. d. By 4/6/12, the baby will show an adequate comfort level indicating satisfactory parenting. e. Before discharge, the baby will have reached a target weight gain of 8 lb (birthweight: 7 lb, 6 oz). f. Before discharge, the parents will demonstrate confidence in bathing and feeding their baby.

a. By 4/6/12, the baby will demonstrate adequate sleep-wakefulness patterns. d. By 4/6/12, the baby will show an adequate comfort level indicating satisfactory parenting. e. Before discharge, the baby will have reached a target weight gain of 8 lb (birthweight: 7 lb, 6 oz).

Which of the following actions is the most important act of evaluation performed by the nurse? a. Evaluating the patient's goal/outcome achievement b. Evaluating the plan of care c. Evaluating the competence of nurse practitioners d. Evaluating the types of healthcare services available to the patient

a. Evaluating the patient's goal/outcome achievement

Which of the following patient goals would be considered a psychomotor goal? a. By 8/18/12, patient will value his health sufficiently to quit smoking. b. By 8/18/12, patient will have full motion in left arm. c. By 8/18/12, patient will list three foods that are low in salt. d. By 8/18/12, patient will learn three exercises designed to strengthen leg muscles.

b. By 8/18/12, patient will have full motion in left arm.

Which of the following actions should the nurse take when patient data indicate that the stated goals have not been achieved? a. Collect more data for the database. b. Review each preceding step of the nursing process. c. Implement a standardized plan of care. d. Change the nursing orders.

b. Review each preceding step of the nursing process.

The nurse collects data in the evaluation step to determine which of the following? a. Patient health problems b. Assessment of the patient's underlying health problems c. Solution of health problems through goal achievement d. The effect of medical diagnosis

c. Solution of health problems through goal achievement

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 6-week therapy. For best results, the nurse should evaluate the patient's progress toward this goal at which of the following times? a. When the patient is discharged b. At the end of the 6-week therapy c. Only when the patient shows some progress d. As soon as possible

d. As soon as possible

Which of the following actions would be an appropriate nursing action 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 if there are difficulties achieving the goals/outcomes. c. Terminate the plan of care upon patient discharge. d. Continue the plan of care if more time is needed to achieve the goals/outcomes.

d. Continue the plan of care if more time is needed to achieve the goals/outcomes.

The quality assurance model of the ANA identifies three essential components of quality care. Which one of these components does the nurse use when determining whether a patient has met the goals stated on the care plan? a. Structure b. Process c. Retrospect d. Outcome

d. Outcome

Which of the following statements concerning quality improvement is accurate? a. Quality improvement is externally driven. b. Quality improvement follows organizational structure rather than patient care. c. Quality improvement focuses on individuals rather than processes. d. Quality improvement has no endpoints.

d. Quality improvement has no endpoints.