Quiz
Chapter 15: Evaluating
Dieses Quiz enthält Fragetypen, die sich im gewohnten Player öffnen.
Fragen in diesem Quiz (38)
1A student health nurse is counseling a female college student who wants to lose 20 pounds. The nurse develops a plan to increase the student's activity level and decreased the consumption of the wrong types of foods and excess calories. The nurse plans to evaluate the student's weight loss monthly. When the student arrives for her first "weigh-in", the nurse discovers, the student has lost only 1 pound. Which is the best nursing response?
- ACongratulate the student and continue the plan of care
- BTerminate the plan of care since it is not working
- CTry giving the student more time to reach the targeted outcome
- DModify the plan of care after discussing possible reasons for the student's partial success
2A nurse uses the following classic elements of evaluation when caring for patients. Which item below places them in their correct sequence?
1. [blank_start]Identify evaluative criteria/standards[blank_end]
2. [blank_start]Collecting data[blank_end]
3. [blank_start]Interpreting/summarizing findings[blank_end]
4. [blank_start]Documenting one's judgement[blank_end]
5. [blank_start]Terminating/continuing/modifying plan[blank_end]- AIdentify evaluative criteria/standards
- BCollecting data
- CInterpreting/summarizing findings
- DDocumenting one's judgement
- ETerminating/continuing/modifying plan
3A new nurse who is being oriented to the subacute care unit is expected to follow existing standards when providing patient care. Which nursing actions are examples of these standards?
- AMonitoring patient status every hour
- BUsing intuition to troubleshoot patient problems
- CTurning a patient on bed rest every 2 hours
- DBecoming a nurse mentor to a student nurse
- EAdministering pain medication ordered by the physician
- FBecoming involved in community nursing events
4A nurse is collecting evaluative data for a patient who is finished recovering chemotherapy for an osteosarcoma. Which nursing action represents this step of the nursing process?
- AThe nurse collects data to identify health problems
- BThe nurse collects data to identify patient strengths
- CThe nurse collects data to justify terminating the plan of care
- DThe nurse collects data to measure outcome achievement
5A nurse writes the following outcome for a patient who is trying to stop smoking: The patient appreciates or values a healthy body sufficiently to stop smoking. This is an example of what type of outcome?
- ACognitive
- BPsychomotor
- CAffective
- DPhysical changes
6A nurse writes the following outcome for a patient who is trying to lose weight: The patient can explain the relationship between weight loss, increased exercise, and decreased calorie intake. This is an example of what type of outcome?
- ACognitive
- BPsychomotor
- CAffective
- DPhysical change
7A nurse is writing an evaluative statement for a patient who is trying to lower her cholesterol through diet and exercise. Which evaluative statement is written correctly?
- AOutcome not met
- B1/21/15 - Patient reports no change in diet
- COutcome not met. Patient reports no change in diet or activity level
- D1/21/15 - Outcome not met. Patient reports no change in diet or activity level
8A nurse is attempting to improve care on the pediatric ward of a hospital. Which nursing improvements might the nurse employ when following the recommendations of the Institute of Medicine's Committee on Quality of Health Care in America?
- ABasing patient care on continuous healing relationships
- BCustomizing care to reflect the competencies of the staff
- CUsing evidence-based decision making
- DHaving a charge nurse as the source of control
- EUsing safety as a system priority
- FRecognizing the need for secrecy to protect patient privacy
9A 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
- AQuality by inpection
- BQuality by punishment
- CQuality by surveillance
- DQuality by opportunity
10After 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
- AQuality assurance
- BQuality imrovement
- CProcess evaluation
- DOutcome evaluation
11Patient [blank_start]outcomes[blank_end] are the core of evaluation.
- Aoutcomes
12Nurses should evaluate patient outcome achievement as [blank_start]early[blank_end] as possible.
- Aearly
13When failure to meet designated outcomes is detected [blank_start]early[blank_end], the plan of care can be [blank_start]modified[blank_end] to remedy the failure.
- Aearly
- Bmodified
14Interpreting evaluative data requires [blank_start]clinical[blank_end] [blank_start]reasoning[blank_end].
- Aclinical
- Breasoning
15The object of [blank_start]reflective[blank_end] practice is to look at an experience, [blank_start]understand[blank_end] it, and [blank_start]learn[blank_end] from it.
- Areflective
- Bunderstand
- Clearn
16A male client has been recently diagnosed with diabetes after receiving emergency treatment for a hyperglycemic episode. Which of the client's actions indicates that he has achieved a cognitive outcome in the management of his new health problem?
- AThe client is able to explain when and why he needs to check his blood sugar
- BThe client expresses a desire to change the way that he eats and the amount of exercise he performs
- CThe client's blood sugars have been maintained with acceptable range in the days prior to discharge
- DThe client can demonstrate the correct technique for using his new glucometer
17The nurse is collecting data on a client presenting to the medical short-stay unit for colonoscopy. A client reports to the nurse that he quit smoking six months ago after being diagnosed with lung cancer. The nurse recognizes this change in behavior is which type of outcome?
- APsychomotor outcome
- BCognitive outcome
- CAffective outcome
- DPhysiologic outcome
18The 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. The form of quality assurance is characteristic of what?
- AProcess evaluation
- BStructure evaluation
- COutcome evaluation
- DNursing audit
19The ANA defines components of quality care: structure evaluation, process evaluation, and outcome evaluation. Which of the following best describes structure evaluation?
- AThe nature/sequence of activities carried out by nurses implementing the nursing process
- BMeasurable changes in the health status of the client or the end results of the nursing care provided
- CDemonstrable changes in a client's health status that consider the environment for care and the nursing actions provided
- DStandards that describe physical facilities and equipment; organizational characteristics, policies, and procedures; fiscal resources; and personnel resources
20The Joint Commission is conducting an accreditation visit at the hospital. What is the focus of the evaluation being conducted?
- AMagnet status
- BQuality assurance
- CPeer review
- DQuality review
21Which nurse is using criteria to determine expected standards of performance?
- AThe nurse seeks information from the unlicensed nursing personnel regarding the family's response to the nurse's education
- BThe new graduate nurse consults the policies and procedures of the institution prior to skill implementation
- CThe nurse manager provides the staff nurse feedback regarding job performance for the previous year
- DThe nurse preceptor provides feedback to the new graduate nurse after 6 weeks of orientation
22The nurse observes a nursing colleague enter an isolation room w/out appropriate personal protective equipment. According to the study Science Kills: The Seven Crucial Conversations for Healthcare, of which type of crucial conversation category is this an example?
- ABroken rules
- BPoor teamwork
- CIncompetence
- DMistakes
23One of the outcomes that has been identified in the care of a client with a new suprapubic catheter is that he will demonstrate the correct technique for cleaning his insertion site and changing his catheter prior to discharge. When should this outcome be evaluated?
- AOnce the primary care physician has written a discharge order
- BThroughout the client's hospital admission
- CWhen the client is discharged
- DDuring the first home health care visit
24When the nurse prepares to discharge a client, and subsequently evaluate the effectiveness of the nursing care, the nurse should determine whether the
- Aclient's goals have been achieved
- Bphysician's orders have been completed
- Ccritical pathways are completed
- Ddocumentation is thorough
25Why are quality-assurance programs important in nursing?
- AThey specify how resources are used or not used
- BThey enable nursing to be accountable for the quality of care
- CThey allow increased retention of qualified nurses
- DThey facilitate increased enrollment in educational programs
26The nursing staff on a hospital unit are using peer review to improve professional performance. Who performs the review?
- AUnit manager
- BVisitors
- CNurses
- DClients
27Which nursing action reflects the evaluation stage?
- AThe nurse documents the client's response to suctioning
- BThe nurse performs tracheostomy care using sterile technique
- CThe nurse sets an anxiety level of 3 or less with the client
- DThe nurse determines the client did not loose the expected 2 pounds
- EThe nurse identifies that the client has developed a pressure ulcer
28The nurse manager on an orthopedic unit has determined that the nurses are not keeping the nursing diagnoses up to date on client care plans and, in turn, the nurses are not using the plan of care. What is a feasible approach to correcting this problem?
- ADelegate the updating of nursing diagnoses for all clients on the unit to one nurse for each shift
- BDevelop a process for periodic review of care plans that focuses on deleting and updating the nursing diagnoses
- CProvide an in-service on interviewing and physical assessment skills; discuss the importance of these skills with the staff
- DRequest that a staff development nurse instruct the nurses on concept mapping to use instead of care planning
29Which expected client outcome is an example of a psychomotor outcome?
- ARating pain as a 2 on a 10-point scale
- BIdentifying signs and symptoms of infection
- CAccurately drawing up insulin
- DSafely ambulating using a walker
- EReporting increased confidence in testing blood sugar
30A hospital is evaluating its policies and procedures. What type of evaluation is the hospital conducting?
- AOutcome
- BQuality
- CStructure
- DProcess
31Which client outcome is an example of cognitive outcome?
- AThe client identifies 3 strategies for minimizing leakage of an ileostomy bag
- BThe client demonstrates how to take a radial pulse
- CThe client's pulse ranges from 60 - 100 beats per minute
- DThe client's finger stick blood sugar is greater than 70 and less than 110
32Which statement related to the evaluation of outcome attainment for a client is correct?
- AEvaluation of the client's attainment of outcome goals is determined by the nurse and the physician
- BThe nurse should initially evaluate the plan of care at the time of the client's discharge
- CCollecting data related to outcome attainment requires the nurse to know when to collect the data based upon established time criteria
- DCelebrating outcome achievement with a client often interferes with attainment of future goals
33Identifying the kind and amount or nursing services required is a possible solution for
- ANurses who are bored
- BClients who fail to communicate their needs
- CNurses frustrated with substandard care
- DInadequate staffing
34The client identifies 3 strategies for minimizing leakage of an ileostomy bag. This is an example of what type of outcome?
- APsychomotor outcome
- BCognitive outcome
- CPhysiologic outcome
- DAffective outcome
35Which client outcome is a cognitive outcome?
- AThe client describes how to perform progressive muscle relaxation
- BThe client correctly ambulates with a walker
- CThe client identifies signs and symptoms of hypoglycemia
- DThe client lists the side effects of digoxin (Lanoxin)
- EThe client reports cycling 30 minutes 3x each week
36Which of the following nursing action reflects evaluation?
- AThe nurse sets a tolerable pain rating with the client
- BThe nurse assesses urine output following administration of a diuretic
- CThe nurse identifies that the client does not tolerate activity
- DThe nurse auscultates the client's lungs and abdomen
37The administrators of a community hospital have determined that the number of client falls has increased over the last year. Nurse managers are invited from each hospital unit to evaluate fall risk assessment tools for use on their units. What step does this represent in the performance improvement process?
- AImplement a change
- BDiscovery of the problem
- CPlanning a strategy using indicators
- DAssessing the change
38The nurse manager is holding a staff meeting and indicates that the unit is looking at a 3% budget cut for the coming year. The nurse manager asks the staff what they see as priorities for the unit, and solicits suggestions from the staff as to what budget areas might be reduced. Which standard for establishing and sustaining healthy work environments does this action represent?
- Atrue collaboration
- Beffective decision making
- Cappropriate staffing
- Dmeaningful recoginition
Informationen
- Beschreibung
- UNIT III: Person-Centered Care and the Nursing Process Chapter 15: Evaluating
- Autor
- Alexandra Bozan
- Sprache
- English
- Aufrufe
- 135
- Schlagwörter
- Bewertung
- Noch keine Bewertungen Bewerte dieses Quiz