Prep U 18

Structure

A hospital is evaluating its policies and procedures. What type of evaluation is the hospital conducting?

c

After incorrectly administering digoxin to a client, a nurse admits the error to the nurse manager and peers to prevent them from making the same mistake. This is an example of which approach to quality assurance? a. Quality by inspection b. Quality as repetition c. Quality as opportunity d. Quality by supervision

d

The Joint Commission is conducting an accreditation visit at the hospital. What is the focus of the evaluation being conducted? a. Magnet status b. Quality improvement c. Peer review d. Quality assurance

a

The nurse and client have written the following outcome measure: "The client will eat at least 80% of each meal offered by 3/2." When should the nurse collect information to evaluate this outcome? a. At the completion of each meal b. On 3/2 c. On 3/3 d. At the client's direction

c

The nurse in a burn intensive care unit (BICU) is caring for a 3-year-old child who was burned with scalding hot water. The client has burns covering 75% of the body. The client's condition is critical but stable. At 1000, the nurse reassesses the client and finds that the client is agitated and pulling at the endotracheal tube. Which is the nurse's priority intervention for this client at this time? a. Providing medication for agitation b. Repositioning to prevent pressure injuries c. Ensuring that the endotracheal tube is secure d. Changing the dressing to prevent infection

d

Which action is appropriate when evaluating a client's responses to a plan of care? a. Terminate the plan of care upon client discharge. b. Reinforce the plan of care when each expected outcome is achieved. 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

Which action should the nurse perform in the evaluation phase? a. Carry out treatment procedures. b. Set priorities for care. c. Record interventions. d. Revise the plan of care.

b

Which nursing action would be most effective in helping a client learn self-care behaviors? a. Check with the client to ensure that personal self-care goals are being met. b. Model self-care behaviors for the client. c. Collect data on the number of self-care activities the client has performed that day. d. Ask client to discuss the client's goals for the day at the start of the shift.

Standards

"The levels of performance accepted by and expected of nursing staff or other health team members" defines:

a

A client reports to the nurse quitting smoking 6 months ago after being diagnosed with lung cancer. The nurse recognizes this change in behavior is which type of outcome? a. Affective b. Cognitive c. Psychomotor d. Physiologic

c

A new mother is having difficulty breastfeeding a newborn infant. A goal was established stating that the baby would be nursing every 2 to 3 hours by age 1 week. The mother presents to the follow-up center at 1 week and reports having discontinued breastfeeding. The nurse evaluates the original goal as: a. met. b. partially met. c. completely unmet. d. inappropriately chosen for this client.

c

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? a. Report the nurse applying the restraints to the supervisor. b. File an incident report and have the second nurse sign it. c. Confront the nurse and explain how this could be dangerous for the client. d. Contact the physician for an order for the restraints.

c

A nurse is evaluating nursing care and client outcomes by using a retrospective evaluation. Which action would the nurse perform in this approach? a. The nurse reviews the client chart while the client is being cared for. b. The nurse interviews the client while the client is receiving the care. c. The nurse devises a postdischarge questionnaire to evaluate client satisfaction. d. The nurse directly observes the nursing care being provided.

c

All of the activities listed are related to evaluation, but which activity is the priority concern for nurses? a. Measuring client outcome achievement b. Measuring the competence of individual nurses c. Meeting the care needs of clients d. Helping targeted groups of clients to achieve their specific outcomes

d

Before discharge the client will demonstrate aseptic dressing changes. This is an example of which type of evaluative statement? a. Affective b. Physical changes c. Cognitive d. Psychomotor

d

The client identifies three strategies for minimizing leakage of an ileostomy bag. This is an example of: a. an affective outcome. b. a psychomotor outcome. c. a physiologic outcome. d. a cognitive outcome.

c

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. A 4% increase in the number of baccalaureate-prepared nurses employed in the facility b. Bed occupancy rates of 97% in the critical care areas and 92% in the non-critical care areas c. A 2% reduction in the number of repeat admissions for clients who underwent hip replacement surgery d. A rate of 98% of clients admitted to the hospital who had a nursing history completed within 24 hours after admission

c

When the nurse prepares to discharge a client, and subsequently evaluates the effectiveness of the patient care, the nurse should determine whether the: a. physician orders have been completed. b. documentation is thorough. c. client's goals have been achieved. d. critical pathways are completed.

b

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

a

Which client outcome is an example of a physiologic outcome? a. The client's pulse oximetry reading is 97% on room air 30 minutes after removal of a nasal cannula. b. The client reports walking for 30 minutes each day. c. The client demonstrates active range-of-motion exercises with left upper extremity. d. The client explains how to administer a vaginal cream.

b

Which is a psychomotor client goal? a. By 18AUG2015, the client will value health sufficiently to quit smoking. b. By 18AUG2015, the client will demonstrate improved motion in the left arm. c. By 18AUG15, the client will list three foods that are low in salt. d. By 18AUG2015, the client will learn three exercises designed to strengthen leg muscles.

c

Which nurse is using criteria to determine expected standards of performance? a. The nurse manager provides the staff nurse feedback regarding job performance for the previous year. b. The nurse seeks information from the unlicensed assistive personnel (UAP) regarding the family's response to the nurse's education. c. The new graduate nurse consults the policies and procedures of the institution prior to skill implementation. d. The nurse preceptor provides feedback to the new graduate nurse after 6 weeks of orientation.

d

Which nursing action reflects evaluation? a. The nurse identifies that the client does not tolerate activity. b. The nurse sets a tolerable pain rating with the client. c. The nurse auscultates the client's lungs and abdomen. d. The nurse assesses urine output following administration of a diuretic.

a

Which purpose of the evaluation phase of the nursing process is a priority during client care? a. To examine the client's behavioral response to the care received b. To provide basis for the revision of plan of care c. To limit assessment to only the beginning phase of the nursing process d. To appraise the collaboration of the client and family

b

Which statement related to the evaluation of outcome attainment for a client is correct? a.Evaluation of the client's attainment of outcome goals is determined by the nurse and physician. b. Collecting data related to outcome attainment requires the nurse to know when to collect the data, based upon established time criteria. c. Celebrating outcome achievement with a client often interferes with attainment of future goals. d. The nurse should initially evaluate the plan of care at the time of the client's discharge.

c

Why are quality-assurance programs important in nursing? a. They facilitate increased enrollment in educational programs. b. They specify how resources are used or not used. c. They enable nursing to be accountable for the quality of care. d. They allow increased retention of qualified nurses.