Deck 9: Implementation and Evaluation

Question 1

The nurse manager is creating the patient assignment for today. She has five registered nurses (RNs), two licensed practical nurses (LPNs), and five nurse technicians (NAs) scheduled. When making the assignment, the nurse manager needs to remember which fact of delegation?

A) RNs are responsible for all care delegated to unlicensed nursing personnel.
B) Delegation is considered direct intervention for patient care.
C) LPNs operate independently and may delegate patient care.
D) Nursing practice is clearly delineated and is standard across the country.

Answer 1

RNs are responsible for all care delegated to unlicensed nursing personnel.

Question 2

When implementing research-based interventions, the nurse realizes which concept?

A) Implementing evidence-based care is unique to the nursing profession.
B) Evidence-based practice is based entirely in nursing research.
C) Evidence-based care is focused on practices and not outcomes.
D) Nurses must read recent literature and remain current in practice.

Answer 2

Nurses must read recent literature and remain current in practice.

Question 3

When the nurse is supportive and works of behalf of patients, this role is identified by which term?

A) Advocate
B) Primary care provider
C) Collaborator
D) Delegator

Answer 3

Advocate

Question 4

The nurse recognizes which task that cannot be delegated?

A) Obtaining vital signs
B) Assessing lung sounds
C) Bathing a patient
D) Ambulating a patient

Question 5

The nurse identifies which action as a direct-care intervention?

A) Administration of an injection
B) Making the change-of-shift report
C) Collaborating with members of the health care team
D) Ensuring availability of needed equipment

Question 6

The nurse is providing care for a patient of the Jehovah's Witness faith. Based on the nurse's knowledge of the patient's religious beliefs, the nurse would question which order?

A) Obtain vital signs every shift.
B) Regular diet as tolerated.
C) Activity as tolerated.
D) Infuse 1 unit packed red blood cells.

Question 7

The nurse identifies change-of-shift report, collaboration with other health care members, and ensuring availability of needed equipment are examples of which term?

A) Indirect care
B) Direct care
C) Referrals
D) Delegation

Question 8

The nurse identifies repositioning a patient, providing hygiene, and active listening as examples of what concept?

A) Dependent interventions
B) Independent nursing interventions
C) Standing orders
D) Counseling

Question 9

The nurse correctly identifies which referral as an inappropriate nursing referral?

A) Music therapist
B) Community agencies
C) Adaptive care services
D) Dermatologist

Question 10

The nurse is preparing to administer medications to a patient. When the patient reports new shortness of breath, which action by the nurse is most appropriate?

A) Provide the patient with oxygen since it does not require a provider order.
B) Complete at least three checks to ensure that the proper medication is given.
C) Check the provider orders for all forms of prescription medications.
D) Document that the 6 rights of medication administration were followed.

Question 11

The nurse asks the patient for permission to involve the patient's family members in the teaching plan for the patient. Which response is the best rationale to support this involvement?

A) Involving the family empowers the patients and their support system.
B) Teaching family members decreases the number of questions they may ask.
C) Educated family members ensure the patient will comply with the treatment plan.
D) The family members may be interested in the information.

Question 12

The patient has an order for morphine sulfate 2 mg intravenously prn (as needed) every 2 hours. When the nurse administers this medication, which concept is being provided?

A) Independent nursing intervention
B) Dependent nursing intervention
C) Referral
D) Indirect care procedure

Question 13

The nurse understands which essential fact regarding documentation?

A) It should be completed accurately and in a timely manner.
B) It should not be computerized (EHR) because of disclosure risks.
C) It is not a legal document although they can be helpful in lawsuits.
D) It cannot be used in determining billing and reimbursement issues.

Question 14

The male nurse is caring for a female patient who needs a complete bed bath. The patient requests that a female nurse bathe her. The male nurse recognizes this request as an example of what type of diversity?

A) Gender diversity involving generational norms.
B) Life span diversity
C) Disability diversity
D) Morphology diversity

Question 15

The nurse knows what fact to be the focus of evaluation, the final phase of the nursing process?

A) The focus is recording the care that was implemented.
B) The focus is medical and nursing goals for the welfare of the patient.
C) The focus is long-term goals only.
D) The focus is patient responses to interventions and outcomes.

Question 16

The nurse is learning to identify readiness to learn in patients. Which patient would the nurse identify correctly as ready to learn?

A) The patient requesting pain medication for treatment of severe discomfort
B) The patient reporting nausea and vomiting
C) The patient who was just told the diagnosis of cancer of the pancreas
D) The patient who was recently diagnosed with diabetes mellitus and is scheduled to be discharged in 2 days

Question 17

The nurse recognizes which topic is appropriate teaching content for the patient who is returning from surgery?

A) Signs and symptoms of infection
B) Use of patient-controlled analgesia
C) Activity limitations upon discharge
D) Physical therapy

Question 18

After completing a patient's initial assessment and developing a plan of care, what action by the nurse is most appropriate?

A) Continuously reassess the patient.
B) Restrict changes to the care interventions.
C) Reassess the patient at the start of each shift.
D) Evaluate patient goal attainment at intervals.

Question 19

The registered nurse is providing an independent nursing intervention when completing which action?

A) Administering oral medications
B) Administering oxygen
C) Providing emotional support
D) Administering intravenous medication

Question 20

The nurse is caring for a patient who is blind. When reviewing the care plan, the nurse would modify which goal?

A) The patient will report any drainage from the wound with a foul odor to the primary care provider after discharge.
B) The patient will agree to report pain promptly while hospitalized.
C) The patient will obtain no injuries while in the hospital.
D) The patient will report any purulent wound drainage to the primary care provider after discharge.

Question 21

The nurse identifies that the nursing process is an attempt to meet patient needs, including which concept?

A) Nursing process is linear in nature.
B) Nursing process is dynamic and cyclic.
C) Nursing process requires occasional care plan re-evaluation.
D) Nursing process does not allow care plan modification.

Question 22

The nurse recognizes which interventions to be prevention oriented?

A) Immunization programs
B) Cleansing an incision
C) Cardiac risk factor modification
D) Placing infants prone when they sleep
E) Teaching patients to ask their providers to wash their hands
F) None of above

Question 23

When the nurse realizes that the patient's short-term goals have not been met, the nurse should carry out which task?

A) Revise or adapt the plan of care.
B) Assume that the patient did not want to achieve his goals.
C) Understand that a plan of care is almost never changed.
D) Reassess plans of care only after major patient-nurse interactions.

Question 24

The nurse understands that the five rights of delegation include which components?

A) Right patient
B) Right time
C) Right person
D) Right supervision
E) Right task

Question 25

The nurse considers which skills to be invasive procedures?

A) Administering oral medications
B) Starting an intravenous (IV) line
C) Repositioning the patient
D) Inserting a urinary catheter