Question 1

The nurse is preparing to evaluate care provided to a client.What behaviors should the nurse demonstrate that show an understanding of the relationship of evaluation to the other phases of the nursing process?
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse is preparing to evaluate care...

Question 2

A nursing unit has had a large number of negative client responses about various aspects of their care in the previous quarter.When evaluating this care area,on which care component should the quality assurance officer focus?

Accepted Answer

Negative client responses suggest issues with the process of care- how care is delivered. Competency relates to the skills and knowledge of the staff providing care. Structure refers to the physical environment and resources available. Outcome focuses on the end result of care. Therefore, when evaluating the large number of negative client responses, it is recommended to focus on the care process component.

Question 3

The nurse is evaluating care provided to a client.Which nursing actions indicate that the phases of evaluation were completed by the nurse appropriately?
Standard Text: Select all that apply.

Accepted Answer

The phases of evaluation include updating client problems, linking data to NOC indicators, comparing data to desired outcomes, and changing interventions on the care plan based on the evaluation results. Physician notification may be necessary but it is not a specific phase of evaluation. Therefore, options A, B, C, and D indicate appropriate completion of the evaluation phases.

Question 4

The nurse notes that assessment data indicate a change in a client's condition.What should the nurse ask before changing this client's plan of care?
Standard Text: Select all that apply.

Accepted Answer

Before changing a client's plan of care based on a change in assessment data, the nurse should first ensure that the new data are complete, accurate, and require a change in the care plan. Asking how difficult it will be to change the care plan and whether the primary medical provider will agree with the need to alter the care plan is important but not as essential as ensuring the accuracy and completeness of the new data and whether a change in the care plan is necessary.

Question 5

A nursing unit's records of client care have been reviewed for accuracy in documentation.Which type of review is being completed on these records?

Accepted Answer

A nursing audit is a systematic and critical review of nursing care utilizing structured methodology to ensure that nursing practice is consistent with established standards. It involves reviewing documentation, observing care delivery, and evaluating outcomes to identify areas of improvement. In this scenario, the review of the nursing unit's records for accuracy in documentation is an example of a nursing audit.

Question 6

After implementing interventions and reassessing the client's response,the nurse completes the process by evaluating.What attributes of evaluation should the nurse include when completing this step of the nursing process?
Standard Text: Select all that apply.

Accepted Answer

Evaluation in the nursing process should include purposeful activity, nursing accountability, continuous evaluation, and judgments based on objective data. The nurse should avoid forming opinions and making subjective judgments that are not supported by evidence.

Question 7

A client recovering from total knee replacement surgery falls out of bed on the night shift and dies.Which quality improvement actions should the nurse manager expect to complete for this client occurrence?
Standard Text: Select all that apply.

Accepted Answer

A root cause analysis is conducted to understand the underlying reasons for the fall and death. Paperwork about a sentinel event is necessary because the incident resulted in an unexpected death.

Question 8

The nurse is implementing care and treatments for assigned clients.What actions should the nurse prepare to complete during this phase of the nursing process?
Standard Text: Select all that apply.

Accepted Answer

During the implementation phase, the nurse should reassess the client to determine if the intervention is effective, supervise delegated care, and implement the nursing intervention. While documenting the history and physical is important, it typically occurs during the assessment phase. Evaluating the outcome of interventions occurs during the evaluation phase. Therefore, options A and C are not correct.

Question 9

The nurse reviews clients' records and the care they received while in the hospital for an insurance company.Part of the job description requires the nurse to make sure that the client and insurance company were billed for services and treatment/therapies rendered and that there were no errors in billing.Which type of audit is the nurse completing?

Accepted Answer

The nurse is reviewing clients' records and care received after they have been discharged from the hospital, which is referred to as retrospective audit. This type of audit involves looking back at the care provided to determine if appropriate billing practices were followed and if the care provided was consistent with current standards of practice.

Quiz 14: Implementing and Evaluating

The nurse is preparing to evaluate care provided to a client.What behaviors should the nurse demonstrate that show an understanding of the relationship of evaluation to the other phases of the nursing process? Standard Text: Select all that apply.

A nursing unit has had a large number of negative client responses about various aspects of their care in the previous quarter.When evaluating this care area,on which care component should the quality assurance officer focus?

The nurse is evaluating care provided to a client.Which nursing actions indicate that the phases of evaluation were completed by the nurse appropriately? Standard Text: Select all that apply.

The nurse notes that assessment data indicate a change in a client's condition.What should the nurse ask before changing this client's plan of care? Standard Text: Select all that apply.

A nursing unit's records of client care have been reviewed for accuracy in documentation.Which type of review is being completed on these records?

After implementing interventions and reassessing the client's response,the nurse completes the process by evaluating.What attributes of evaluation should the nurse include when completing this step of the nursing process? Standard Text: Select all that apply.

A client recovering from total knee replacement surgery falls out of bed on the night shift and dies.Which quality improvement actions should the nurse manager expect to complete for this client occurrence? Standard Text: Select all that apply.

The nurse is implementing care and treatments for assigned clients.What actions should the nurse prepare to complete during this phase of the nursing process? Standard Text: Select all that apply.