Nursing Intro Ch20 – Evaluation – Flashcards

question
The purpose of conducting evaluative measures is
answer
To determine if you met the expected outcomes, not if the nursing interventions were completed. They are the standards against which the nurse judges if goals have been met and if care is successful
question
Identify the five elements of the evaluation process
answer
1. identifying evaluative criteria and standards 2. collecting data to determine whether the criteria or standards are met 3. interpreting and summarizing findings 4. documenting findings and any clinical judgment 5. terminating, continuing, or revising the care plan
question
To objectively evaluate the success in achieving outcomes of care, the nurse should use the following steps
answer
1. examine the outcome criteria to identify the exact desired client behavior 2. assess the client's actual behavior or response 3. compare the established outcome criteria with the actual behavior 4. judge the degree of agreement between outcome criteria and the actual behavior 5. if there is no agreement between the outcome criteria and the actual behavior, what are the barriers?
question
Describe Care plan revision
answer
Determine if your goals have been met, and then adjust the plan of care accordingly
question
Describe Discontinuing a Care plan
answer
If the nurse and the patient agree that the expected outcomes and goals have been met, then discontinue that portion of the care plan.
question
Describe Modifying a Care plan
answer
Identify the factors that interfere with goal achievement or an error in nursing judgment or failure to follow each step of the nursing process.
question
Describe Goals and Expected outcomes
answer
Determine if the goals were appropriate, realistic, and time-appropriate
question
Describe Interventions
answer
The appropriateness of the interventions selected and the correct application of the intervention
question
Quality Improvement
answer
An approach to the continuous study and improvement of the processes of providing health care services to meet the needs of clients and others
question
Outcomes management
answer
Managing the individual clinical outcomes of clients as a result of prescribed treatments
question
Measuring the client's response to nursing interventions and his or her progress toward achieving goals occurs during which phase of the nursing process?
answer
Evaluation
question
(T or F) Evaluation is not integrated, ongoing nursing care activity
answer
False
question
he criteria used to determine the effective-ness of a nursing action are based on the:
answer
Expected outcomes
question
When a client-centered goal has not been met in the projected time frame, the most appropriate action by the nurse would be to:
answer
Repeat the entire sequence of the nursing process to discover needed changes
question
Evaluation is a step of the nursing process that
answer
that allows nurses to determine whether nursing interventions are successful in improving a client's condition or well-being
question
Evaluation involves what two components
answer
An examination of a condition or situation and a judgment as to whether change has occurred.
question
During evaluation you should apply
answer
critical thinking to make clinical decisions and redirect nursing care to best meet client needs
question
Positive evaluations occur when you meet... and they also lead you to conclude ....
answer
desired outcomes your interventions were effective
question
By comparing the client's actual response (e.g., behaviors and physiological signs and symptoms) to nursing interventions with expected outcomes established during planning, you determine if goals of care are
answer
Met
question
Evaluative measures are assessment skills or techniques that you use to
answer
collect data for evaluation
question
It sometimes becomes necessary to collect evaluative measures over time to
answer
determine if a pattern of change exists
question
Documentation of evaluative findings allows all members of the health team to know whether a client is
answer
progressing or not
question
Health care organizations are responsible for
answer
evaluating and improving the quality of client care services they provide
question
When professional nurses think in terms of outcomes management, their actions become
answer
more purposeful and focused on improving the condition of their client's health
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question
The purpose of conducting evaluative measures is
answer
To determine if you met the expected outcomes, not if the nursing interventions were completed. They are the standards against which the nurse judges if goals have been met and if care is successful
question
Identify the five elements of the evaluation process
answer
1. identifying evaluative criteria and standards 2. collecting data to determine whether the criteria or standards are met 3. interpreting and summarizing findings 4. documenting findings and any clinical judgment 5. terminating, continuing, or revising the care plan
question
To objectively evaluate the success in achieving outcomes of care, the nurse should use the following steps
answer
1. examine the outcome criteria to identify the exact desired client behavior 2. assess the client's actual behavior or response 3. compare the established outcome criteria with the actual behavior 4. judge the degree of agreement between outcome criteria and the actual behavior 5. if there is no agreement between the outcome criteria and the actual behavior, what are the barriers?
question
Describe Care plan revision
answer
Determine if your goals have been met, and then adjust the plan of care accordingly
question
Describe Discontinuing a Care plan
answer
If the nurse and the patient agree that the expected outcomes and goals have been met, then discontinue that portion of the care plan.
question
Describe Modifying a Care plan
answer
Identify the factors that interfere with goal achievement or an error in nursing judgment or failure to follow each step of the nursing process.
question
Describe Goals and Expected outcomes
answer
Determine if the goals were appropriate, realistic, and time-appropriate
question
Describe Interventions
answer
The appropriateness of the interventions selected and the correct application of the intervention
question
Quality Improvement
answer
An approach to the continuous study and improvement of the processes of providing health care services to meet the needs of clients and others
question
Outcomes management
answer
Managing the individual clinical outcomes of clients as a result of prescribed treatments
question
Measuring the client's response to nursing interventions and his or her progress toward achieving goals occurs during which phase of the nursing process?
answer
Evaluation
question
(T or F) Evaluation is not integrated, ongoing nursing care activity
answer
False
question
he criteria used to determine the effective-ness of a nursing action are based on the:
answer
Expected outcomes
question
When a client-centered goal has not been met in the projected time frame, the most appropriate action by the nurse would be to:
answer
Repeat the entire sequence of the nursing process to discover needed changes
question
Evaluation is a step of the nursing process that
answer
that allows nurses to determine whether nursing interventions are successful in improving a client's condition or well-being
question
Evaluation involves what two components
answer
An examination of a condition or situation and a judgment as to whether change has occurred.
question
During evaluation you should apply
answer
critical thinking to make clinical decisions and redirect nursing care to best meet client needs
question
Positive evaluations occur when you meet... and they also lead you to conclude ....
answer
desired outcomes your interventions were effective
question
By comparing the client's actual response (e.g., behaviors and physiological signs and symptoms) to nursing interventions with expected outcomes established during planning, you determine if goals of care are
answer
Met
question
Evaluative measures are assessment skills or techniques that you use to
answer
collect data for evaluation
question
It sometimes becomes necessary to collect evaluative measures over time to
answer
determine if a pattern of change exists
question
Documentation of evaluative findings allows all members of the health team to know whether a client is
answer
progressing or not
question
Health care organizations are responsible for
answer
evaluating and improving the quality of client care services they provide
question
When professional nurses think in terms of outcomes management, their actions become
answer
more purposeful and focused on improving the condition of their client's health
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