Test
chapter 14
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Preguntas del test (10)
1When initiating the implementation phase of the nursing process, the nurse performs which of the following phases first?
- ACarrying out nursing interventions
- BDetermining the need for assistance
- CReassessing the client
- DDocumenting interventions
2Under what circumstances is it considered acceptable practice for the nurse to document a nursing activity before it is carried out?
- AWhen the activity is routine (e.g., raising the bed rails)
- BWhen the activity occurs at regular intervals (e.g., turning the client in bed)
- CWhen the activity is to be carried out immediately (e.g., a stat medication)
- DIt is never acceptable
3The primary purpose of the evaluating phase of the care planning process is to determine whether
- ADesired outcomes have been met.
- BNursing activities were carried out.
- CNursing activities were effective
- DClient’s condition has changed.
4The client has a high-priority nursing diagnosis of Risk for Impaired Skin Integrity related to the need for several weeks of imposed bed rest. The nurse evaluates the client after 1 week and finds the skin integrity is not impaired. When the care plan is reviewed, the nurse should perform which of the following?
- ADelete the diagnosis since the problem has not occurred.
- BKeep the diagnosis since the risk factors are still present
- CModify the nursing diagnosis to Impaired Mobility.
- DDemote the nursing diagnosis to a lower priority.
5If the nurse planned to evaluate the length of time clients
must wait for a nurse to respond to a client need reported
over the intercom system on each shift, which process does
this reflect?- AStructure evaluation
- BProcess evaluation
- COutcome evaluation
- DAudit
6Which of the following is true regarding the relationship of implementing to the other phases of the nursing process?
- AThe findings from the assessing phase are reconfirmed in the implementing phase.
- BAfter implementing, the nurse moves to the diagnosing phase.
- CThe nurse’s need for involvement of other health care team members in implementing occurs during the planning phase.
- DOnce all interventions have been completed, evaluating can begin.
7The care plan calls for administration of a medication plus client education on diet and exercise for high blood pressure. The nurse finds the blood pressure extremely elevated. The client is very distressed with this finding. Which nursing skill of implementing would be needed most?
- ACognitive
- BIntellectual
- CInterpersonal
- DPsychomotor
8Which of the following demonstrates appropriate use of guidelines in implementing nursing interventions? Select all that apply.
- ANo interventions should be carried out without the nurse having clear rationales.
- BAlways follow the primary care provider’s orders exactly, without variation.
- CEncourage all clients to be as dependent as desired and allow the nurse to perform care for them.
- DWhen possible, give the client options in how interventions will be implemented.
- EEach intervention should be accompanied by client teaching.
9Which of the following represents application of the components of evaluating?
- AGoal achievement must be written as either completely met or unmet.
- BData related to expected outcomes must be collected.
- CIf the outcome was achieved, conclude that the plan was effective.
- DAfter determining that the outcome was not met, start over with a new nursing care plan.
10An element of quality improvement, rather than quality assurance, is which of the following?
- AFocus is on individual outcomes
- BEvaluates organizational structures
- CAims to confirm that quality exists
- DPlans corrective actions for problems
Información
- Descripción
- asdfasdf
- Autor
- SN15
- Idioma
- English
- Visitas
- 171
- Etiquetas
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