Question 1

Which of the following best summarizes the evaluating step of the nursing process?&#10;A) The nurse completes a health assessment to establish a database.&#10;B) The patient and family have met healthcare goals and no longer need care.&#10;C) The nurse and patient identify nursing diagnoses and appropriate interventions.&#10;D) The nurse and patient measure achievement of planned outcomes of care.

Accepted Answer

The evaluating step of the nursing process involves measuring the achievement of planned outcomes of care. Option A refers to the assessment step, option B refers to the termination of care phase, and option C refers to the planning step.

Question 2

What is the purpose of evaluation in the nursing process?&#10;A) to direct future nursing interventions&#10;B) to formulate a database of nursing diagnoses&#10;C) to complete an initial plan of care&#10;D) to transfer medical orders to the plan of care

Accepted Answer

The purpose of evaluation in the nursing process is to determine whether the goals and outcomes of nursing care have been achieved and to direct future nursing interventions accordingly. It involves comparing the actual outcomes to the expected outcomes and making adjustments as necessary to the plan of care. Formulating a database of nursing diagnoses, completing an initial plan of care, and transferring medical orders to the plan of care are all important steps in the nursing process, but they are not the primary purpose of evaluation.

Question 3

Which of the following would not be part of the nurse's decision about care after evaluating the patient's responses to the plan of care?&#10;A) terminate the plan of care&#10;B) modify the plan of care&#10;C) continue the plan of care&#10;D) begin the plan of care

Accepted Answer

Beginning a plan of care would not be part of the nurse's decision after evaluating the patient's responses, as the plan of care would have already been initiated. The nurse's decision would be focused on whether to terminate, modify, or continue the existing plan of care based on the patient's responses.

Question 4

Nurses evaluate many aspects of the healthcare delivery system. Which of the following is always the primary concern when performing the evaluating step of the nursing process?&#10;A) the nurse&#10;B) the patient&#10;C) the healthcare system&#10;D) outcome achievement

Accepted Answer

The patient is always the primary concern when performing the evaluating step of the nursing process. Evaluating the patient's response to interventions and their overall healthcare experience is essential for improving the quality of care and promoting positive outcomes. While the healthcare system and outcome achievement are important considerations, they are secondary to the patient's well-being. The nurse's role in the evaluation process is to advocate for the patient and ensure that their needs are being met.

Question 5

A nurse is evaluating an established plan of care. After identifying the evaluative criteria and standards (expected patient outcomes), what must the nurse do next?&#10;A) Interpret and summarize findings.&#10;B) Document his or her judgment.&#10;C) Collect data about patient responses.&#10;D) Formulate a new plan of care.

Accepted Answer

After identifying the evaluative criteria and standards, the next step for the nurse is to collect data about the patient's responses to the care provided. This involves assessing whether the expected outcomes are being met by observing and measuring the patient's health status.

Question 6

Which of the following is a descriptor that helps to define the term criteria?&#10;A) immeasurable qualities&#10;B) established by authority&#10;C) acceptable level of performance&#10;D) evidence-based practice

Accepted Answer

Criteria can be defined as an acceptable level of performance that needs to be met. It helps to establish a standard for measuring and assessing something. Option A is incorrect as criteria should be measurable to be effective in determining success. Option B is partially correct as some criteria can be established by authority, but not all. Option D is incorrect as evidence-based practice is a method of decision-making that utilizes research rather than a descriptor of criteria.

Question 7

A plan of care for a patient with a low potassium level includes providing information about the effect of medications and dietary intake of foods high in potassium. How would a nurse measure achievement of an outcome for this plan?

A) physical assessment
B) health history
C) laboratory data
D) patient statements

Accepted Answer

The level of potassium in the blood is measured through laboratory data. Therefore, measuring the patient's potassium level through lab results will determine if the outcome of the plan of care has been achieved. Physical assessment or health history may provide information about potential causes for low potassium levels or symptoms, but it does not actually measure the level. Patient statements may be useful in determining if the patient understands the information provided, but they do not provide concrete evidence of the outcome being achieved.

Question 8

Patient lost 2 of the 5 pound/month goal. How should the nurse alter the plan of care in response to this new data?&#10;A) The nurse should not alter the plan of care.&#10;B) The nurse should change the diet.&#10;C) The nurse should delete the nursing diagnosis.&#10;D) The nurse should modify the time criteria.

Accepted Answer

If the patient is not meeting the goal of losing 5 pounds/month, it may be necessary to modify the time criteria and extend the time frame for achieving the weight loss goal. This could involve setting a new goal of losing 2-3 pounds/month instead. The nurse should also evaluate if there are any barriers to weight loss and consider modifying the diet or exercise plan accordingly. Deleting the nursing diagnosis or not altering the plan of care may not be appropriate responses.

Question 9

A nurse has developed a plan of care for the nursing diagnosis Risk for Loneliness for a recently widowed man. When evaluating the plan, the man tells the nurse new information about his active social life. What would the nurse do next?

A) Continue with the plan.
B) Delete the nursing diagnosis.
C) Tell the patient he is lonely.
D) Adjust the time criteria.

Accepted Answer

If the patient has shared new information indicating he does not meet the criteria of the nursing diagnosis, the diagnosis should be deleted from the plan of care as no longer applicable. Continuing with the plan or adjusting the time criteria would not be appropriate since the diagnosis is no longer relevant. Telling the patient he is lonely would be inaccurate and potentially harmful to the therapeutic relationship.

Question 10

The nursing staff on a hospital unit are using peer review to improve professional performance. Who performs the review?&#10;A) unit manager&#10;B) nurses&#10;C) patients&#10;D) visitors

Accepted Answer

Peer review involves colleagues evaluating each other's professional performance. Therefore, it is appropriate for nurses to perform the review for their peers on the same hospital unit. The unit manager may oversee the process or provide guidance, but it is not their role to perform the review. Patients and visitors do not have the necessary knowledge and expertise to evaluate the professional performance of nurses.

Question 11

Why are quality-assurance programs important in nursing?&#10;A) They enable nursing to be accountable for the quality of care.&#10;B) They facilitate increased enrollment in educational programs.&#10;C) They specify how resources are used or not used.&#10;D) They allow increased retention of qualified nurses.

Accepted Answer

The answer of Why are quality-assurance programs important in nursing?&#10;A)...

Question 12

Which of the following are major premises of a quality-improvement program? Select all that apply.&#10;A) It focuses on organizational structure.&#10;B) It is driven by external factors.&#10;C) It focuses on processes rather than individuals.&#10;D) It has no end points.&#10;E) Its outcome is focused on assuring quality.&#10;F) It focuses on data and statistical thinking.

Accepted Answer

The answer of Which of the following are major premises...

Question 13

A hospital is evaluating its policies and procedures. What type of evaluation is the hospital conducting?&#10;A) outcome&#10;B) process&#10;C) quality&#10;D) structure

Accepted Answer

The answer of A hospital is evaluating its policies and...

Question 14

What is evaluated when conducting a nursing audit?&#10;A) physical environment&#10;B) policies and procedures&#10;C) patient records&#10;D) patient satisfaction

Accepted Answer

The answer of What is evaluated when conducting a nursing...

Question 15

A nurse evaluates nursing care and outcomes for a current patient by using direct observation of nursing care, patient interviews, and chart review to determine whether the specified evaluative criteria are met. This practice is known as:

A) a nursing audit
B) a concurrent evaluation
C) a retrospective evaluation
D) an evaluation of patient satisfaction

Accepted Answer

The answer of A nurse evaluates nursing care and outcomes...

Deck 12: Evaluating