Nursing Intro Ch20 – Evaluation

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The purpose of conducting evaluative measures is
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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
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Identify the five elements of the evaluation process
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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
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To objectively evaluate the success in achieving outcomes of care, the nurse should use the following steps
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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?
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Describe Care plan revision
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Determine if your goals have been met, and then adjust the plan of care accordingly
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Describe Discontinuing a Care plan
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If the nurse and the patient agree that the expected outcomes and goals have been met, then discontinue that portion of the care plan.
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Describe Modifying a Care plan
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Identify the factors that interfere with goal achievement or an error in nursing judgment or failure to follow each step of the nursing process.
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Describe Goals and Expected outcomes
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Determine if the goals were appropriate, realistic, and time-appropriate
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Describe Interventions
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The appropriateness of the interventions selected and the correct application of the intervention
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Quality Improvement
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An approach to the continuous study and improvement of the processes of providing health care services to meet the needs of clients and others
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Outcomes management
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Managing the individual clinical outcomes of clients as a result of prescribed treatments
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Measuring the client’s response to nursing interventions and his or her progress toward achieving goals occurs during which phase of the nursing process?
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Evaluation
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(T or F) Evaluation is not integrated, ongoing nursing care activity
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False
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he criteria used to determine the effective-ness of a nursing action are based on the:
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Expected outcomes
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When a client-centered goal has not been met in the projected time frame, the most appropriate action by the nurse would be to:
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Repeat the entire sequence of the nursing process to discover needed changes
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Evaluation is a step of the nursing process that
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that allows nurses to determine whether nursing interventions are successful in improving a client’s condition or well-being
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Evaluation involves what two components
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An examination of a condition or situation and a judgment as to whether change has occurred.
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During evaluation you should apply
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critical thinking to make clinical decisions and redirect nursing care to best meet client needs
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Positive evaluations occur when you meet… and they also lead you to conclude ….
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desired outcomes your interventions were effective
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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
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Met
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Evaluative measures are assessment skills or techniques that you use to
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collect data for evaluation
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It sometimes becomes necessary to collect evaluative measures over time to
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determine if a pattern of change exists
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Documentation of evaluative findings allows all members of the health team to know whether a client is
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progressing or not
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Health care organizations are responsible for
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evaluating and improving the quality of client care services they provide
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When professional nurses think in terms of outcomes management, their actions become
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more purposeful and focused on improving the condition of their client’s health

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