Deck 14: Evaluation of Nursing Care

Question 1

What is the primary purpose of the nursing evaluation process?

A) To determine the effectiveness of the nursing care provided
B) To identify interventions that are ineffective in achieving client goals
C) To establish the progress the client is making toward health and wellness
D) To critique the nurse's ability to implement appropriate nursing interventions

Answer 1

A

Question 2

The nurse has determined the following outcome for a client with a skin impairment: "Erythema will be reduced in three days." On what will the evaluation specifically focus?

A) Selection of appropriate wound care
B) Notation of the odour and colour of drainage
C) Inspection of the colour and condition of the area
D) Measurement of the diameter of the ulceration daily

Answer 2

C

Question 3

The goal identified in the nursing care plan is that "The client will be able to wash himself after a four-week therapy session." When should the nurse evaluate the client's progress toward this goal?

A) On an ongoing basis
B) At the end of four weeks
C) Weekly
D) Before the client's discharge

Answer 3

A

Question 4

Which of the following abilities on the part of the client will the nurse evaluate based on the following outcome criterion determined by the nurse: "Client will independently complete necessary assessments before administration of digoxin"?

A) Assessing the respiratory rate
B) Palpating the radial pulse
C) Reviewing dietary habits
D) Inspecting colour of the skin

Question 5

The client smokes two packs of cigarettes per day.The nurse works with the client,and they agree that the client will smoke one cigarette less each week,until he is down to one pack per day.In three weeks,the client is smoking two packs of cigarettes per day.This is an example of which of the following?

A) A realistic goal
B) A compliant client
C) An unmet outcome
D) A nonmeasurable goal

Question 6

The client is seen in the clinic for her first prenatal visit.The nurse formulates a nursing diagnosis of Knowledge deficit related to complications of pregnancy.One outcome criterion is that the client can state five symptoms that indicate a possible problem that should be reported.The client is able to tell the nurse three symptoms.What would the nurse's evaluation statement be?

A) "Goal met; client able to state three symptoms."
B) "Goal partially met; client able to state three symptoms."
C) "Goal not met; client unable to list five symptoms."
D) "Goal not met; client able to list three symptoms."

Question 7

When modifying a care plan to meet a client whose status has changed significantly over the past few days,what should the nurse do?

A) Redevelop the entire client care plan.
B) Focus on changing the nursing diagnoses and goals.
C) Perform a complete reassessment of all client factors.
D) Add more nursing interventions from a standardized plan of care.

Question 8

The client is able to ambulate without signs or symptoms of shortness of breath.Which of the following statements by the nurse is the best example of an objective evaluation of the client's goal attainment?

A) "Client has no pain after ambulating."
B) "Client has no manifestations of nausea while up in hall."
C) "Client has no evidence of respiratory distress when ambulating."
D) "Client walked well and did not have any problem when up."

Question 9

The nurse begins to auscultate the client's lungs.While listening,the nurse notices fresh bloody drainage oozing from the abdominal dressing.The nurse stops auscultating and applies direct pressure to the wound site.Of what is this nursing action an example?

A) Performing a nursing assessment
B) Reorganizing the nursing diagnoses
C) Setting realistic goals and implementing nursing interventions
D) Critically analyzing the data and effectively implementing the safest nursing action

Question 10

For the most part,evaluative measures are equivalent to which of the following?

A) Planning
B) Outcome indicators
C) Assessment skills and techniques
D) Enactment of the entire nursing process

Question 11

Which of the following occurs when the nurse objectively evaluates the degree of success in achieving outcomes of care?

A) A client interview
B) The addition of nursing diagnoses in response to outcomes of care
C) A comparison of established outcome criteria and actual behaviour
D) A revision of the outcome indicators to align with client health progress

Question 12

The client has a nursing diagnosis of Impaired gas exchange as a result of excess secretions.An outcome for the client is that the airways will be free of secretions.A positive evaluation will focus on which of the following client indicators?

A) Ability to perform incentive spirometry
B) Lungs clearing bilaterally on auscultation
C) Complaint of chest pain
D) Respiratory rate

Question 13

Which of the following provides the best example of a nursing-sensitive client outcome?

A) Collaboration
B) Decrease in pain
C) Medication compliance
D) Attending psychiatric outpatient appointments

Question 14

Which of the following is an example of an indicator for the nursing diagnosis of pain?

A) Pain level
B) Pain control
C) Muscle tension
D) Description of disease process

Question 15

What is the primary source of data for evaluation?

A) The chart
B) The client
C) The end-of-shift report
D) Interprofessional team meetings