Chapter 15: Evaluating

A 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?

A 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]

A 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?

A 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?

A 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?

A 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?

A 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?

A 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?

A 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

After 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

Patient [blank_start]outcomes[blank_end] are the core of evaluation.

Nurses should evaluate patient outcome achievement as [blank_start]early[blank_end] as possible.

When 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.

Interpreting evaluative data requires [blank_start]clinical[blank_end] [blank_start]reasoning[blank_end].

The 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.

A 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?

The 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?

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. The form of quality assurance is characteristic of what?

The ANA defines components of quality care: structure evaluation, process evaluation, and outcome evaluation. Which of the following best describes structure evaluation?

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

Which nurse is using criteria to determine expected standards of performance?

The 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?

One 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?

When the nurse prepares to discharge a client, and subsequently evaluate the effectiveness of the nursing care, the nurse should determine whether the

Why are quality-assurance programs important in nursing?

The nursing staff on a hospital unit are using peer review to improve professional performance. Who performs the review?

Which nursing action reflects the evaluation stage?

The 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?

Which expected client outcome is an example of a psychomotor outcome?

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

Which client outcome is an example of cognitive outcome?

Which statement related to the evaluation of outcome attainment for a client is correct?

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

The client identifies 3 strategies for minimizing leakage of an ileostomy bag. This is an example of what type of outcome?

Which client outcome is a cognitive outcome?

Which of the following nursing action reflects evaluation?

The 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?

The 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?