Evaluating (PrepU)

A nurse is caring for a client who is recovering from stroke. Which action would the nurse perform in the evaluation phase?

Revise the plan of care

A client has returned to the clinic for a postoperative visit. The nurse reviews the plan of care and could choose to take which action based on the client's previous responses to the current plan of care?

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

A nurse is the plan of care for a client in the clinic. Which actions will be performed as a classic element of evaluation?

- Interpreting and summarizing findings - Identify evaluative criteria or standards are being met - Terminating, continuing, or modifying the plan of care

A nurse is reviewing the plan of care for a client. What might the nurse identify are problems related to the planning phase of the nursing process?

- Nursing orders are superficial - Long-term goal is vague - Outcomes are incorrectly developed

A new graduate nurse is working in a hospital that is utilizing a program to continuously improve every process in every department of the facility. What processes will the graduate determine are being utilized?

- Quality improvement - Continous quality improvement - Total quality improvement

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

For a client with a self-care deficit, the long-term goal is that the client will be able to dress himself by the end of the 6-week therapy. For best results, when should the nurse evaluate the client's progress toward this goal?

As soon as possible

A client is administered an anxiolytic. What is the nursing action that would demonstrate the nurse evaluating the client?

Asking if the client feels less anxious 30 minutes after administering the medicine

After the nursing plan of care has been developed, the nurse knows that...

Each encounter with the client is an opprotunity to reassess and revise the plan of caare if necessary

The nurse in a Burn Intensive Care Unit (BICU) is caring for a 3-year-old boy who was burned with scalding hot water. He has burns covering 75% of his body. His condition is critical but stable. At 1000, the nurse reassesses the client and finds that he is agitated and pulling at his endotracheal tube. What would be the nurses priority?

Ensuring that the endotracheal tube is secure

Once a nurse has collected and interpreted the data on a client's outcome achievement, the nurse will then make a judgement and document a statement summarizing those findings. This is called...

Evaluative statement

Identifying the kind and amount of nursing services required is a possible solution for...

Inadequate staffing

A nurse manager notes an increase in the frequency of client falls during the last month. To promote a positive working environment, how would the nurse manager most effectively deal with this problem?

Investigate the circumstances that contributed to client falls

The focus of a hospital's current quality assurance program is a comparison between the health status of clients upon admission and at the time of discharge. This form of quality assurance is characteristic of...

Outcome evaluation

The nurse is caring for Mr. M., a 48-year-old man with congestive heart failure. The nurse manager informs the nurse that Mr. M. was enrolled in a clinical trial to assess whether a 10-minute walk, 3 times per day, leads to expedited discharge. Which type of evaluation best describes what the researchers are examining?

Outcome evaluation

Before discharge the client will demonstrate aseptic dressing changes. This is an example of which type of evaluative statement?

Psychomotor

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

Quality assurance

The primary purpose for evaluating data about a client's care according to a functional health approach is to...

Revise or modify the patient care plan

A client has just been admitted to the clinical unit. The nurse is providing her with the expectations she may have the health care she will receive. She is told that she will not be harmed by any errors that might be made and she can expect to be safe in the facility. This assurance represents which expectation of the health care environment?

Safety

At the beginning of prenatal care, the goal for the client was to gain 25lbs (11.25kg) by the end of the pregnancy. At 30 weeks of pregnancy, the client has only gained 1lbs (0.45 kg). What statement would help the nurse most appropriately interpret these data?

The client is not achieving the goal. The nurse should determine the reasons the client has not been gaining weight.

The health care team has convened to discuss the care of an end-of-life client who is not able to achiece and acceptble level of comfort. The physician asks for the nurse's perspective of the situation. Which standard for establishing and sustaining healthy work environments does this action represent?

True collaboration

Nurses are involved in many types of evaluation. All of the activities listed are related to evaluation, but which activity is the priority concern for nurses?

Clients and their care

A new mother is having difficulty breastfeeding her newborn infant. A goal was established stating the baby would be nursing every 2-3 hours by age 1 week. The mother presents to the follow-up center at 1 week and reports that she discontinued breast feeding. The nurse evaluates the original goal as....

Completely unmet