Question 1

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 review of client care documentation to ensure accuracy and completeness of documentation. Peer review involves evaluation of a nurse's performance by their colleagues, individual audit involves review of a specific individual's work, and concurrent audit involves reviewing documentation as care is being provided to catch and correct errors or issues in real-time.

Question 2

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?
(Select all that apply)

Accepted Answer

A root cause analysis and paperwork about a sentinel event are expected actions following a serious incident like a client's death after a fall. These steps help in understanding what went wrong and in implementing measures to prevent future occurrences.

Question 3

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?
(Select all that apply)

Accepted Answer

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

Question 4

The nurse is evaluating care provided to a client.Which nursing actions indicate that the phases of evaluation were completed by the nurse appropriately?
(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. While notifying the physician of changes in the care plan may be important, it is not necessarily a specific phase of evaluation. Therefore, option E is not included in the correct answer.

Question 5

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

When there are negative client responses, the quality assurance officer should focus on the process component of care. This involves evaluating the steps taken to deliver care, such as communication among staff and with clients, timeliness of care, and adherence to policies and procedures. By identifying areas for improvement in the process of care, the nursing unit can address the underlying causes of the negative feedback and improve the quality of care provided.

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?
(Select all that apply)

Accepted Answer

Evaluation in the nursing process is purposeful, involves nursing accountability, is continuous, and involves making judgments about the client's progress and the effectiveness of nursing care. It is not based on opinions but on objective data and outcomes.

Question 7

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?
(Select all that apply)

Accepted Answer

Before changing a client's plan of care based on new assessment data, the nurse should consider whether the new data are complete, accurate, and require a change in the plan of care. The difficulty of changing the plan of care and the opinions of the primary medical provider are not as important as ensuring that the client receives appropriate and effective care based on accurate and complete assessment data.

Question 8

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 records to ensure correct billing, which is a function of a retrospective audit. The other options (concurrent, peer review, and nursing audit) do not specifically involve reviewing records for billing accuracy.

Question 9

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?
(Select all that apply)

Accepted Answer

During the implementation phase of the nursing process, the nurse should reassess the client, supervise delegated care and implement nursing interventions. Evaluating the outcome of interventions is a part of the evaluation phase, not implementation. Documenting the history and physical is a part of the assessment phase, not implementation.

Quiz 14: Implementing and Evaluating

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?

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? (Select all that apply)

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? (Select all that apply)

The nurse is evaluating care provided to a client.Which nursing actions indicate that the phases of evaluation were completed by the nurse appropriately? (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?

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? (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? (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? (Select all that apply)