question

Evaluation focuses on the ____________ and the patient's ____________ to nursing interventions and outcome ____________

answer

patient response attainment

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Evaluation examines: (1.) The ____________ of the interventions elected and (2.) The correct ____________ of the intervention

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appropriateness application

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Evaluation involves the nurse ____________ the patient's ____________ established in the patients plan of care

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reviewing achievement of goals

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Once you deliver an ____________, you continuously ____________ results by gathering subjective and objective data from a patient, family, and health care team members. This is known as ____________

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intervention examine reflection-in-action

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You examine the results of care by using ____________

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evaluative measures

question

Evaluative measures are ____________ skills or techniques that you use to ____________ for determining if ____________ were met

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assessment collect data outcomes

question

It's sometimes necessary to collect evaluative measures over time to determine if a ____________ exists

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pattern of change

question

You conduct evaluative measures to determine if your patients met ____________, NOT if ____________ were completed.

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expected outcomes nursing interventions

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The Nurse Outcomes Classification (NOC) is used during the ____________ step of the nursing process to select ____________ The classifications offers a ____________ for the ____________ step of the nursing process

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planning outcomes language evaluation

question

The purposes of the NOC are to (1.) identify, label, validate, and classify ____________ outcomes, (2.) To ____________ and ____________ the classification, and (3.) To define and test ____________ procedures for the outcomes and indicators using ____________

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(1.) NURSE-SENSITIVE PATIENT outcomes (2.) FIELD TEST, VALIDATE (3.) MEASUREMENT procedures, CLINICAL DATA

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The NOC taxotomy can be used to select specific, nurse-sensitive outcomes for ____________ diagnoses - For each outcome, there are specific ____________, called ____________

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NANDA-I evaluative measures evaluative indicators

question

EXs of evaluative indicators include: - The patients ____________, ____________, or ____________ ; These are measures of outcome achievement

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physical condition, behavior, perceptions

question

The nurse uses ____________ to determine whether a patient's ____________ and ____________ goals were met, as well as whether ____________ were achieved

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critical thinking short and long-term goals desired outcomes

question

Positive evaluations occur when the patient meets ____________

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desired outcomes and goals

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Monitoring whether the patient's goals were attained is ____________ and ____________in the decision

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collaborative involves the patient

question

You examine the results of care by using ____________, which are assessment skills and techniques

answer

evaluative measures

question

EXs of evaluative measures: - ____________ - ____________ measurements - use of ____________ - Patient ____________

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- OBSERVATIONS - PHYSIOLOGICAL measures - Use of MEASUREMENT SCALES - Patient INTERVIEW

question

The evaluation process begins by asking the question: "____________?"

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"Has the patient's goal been met?"

question

3 Possible Evaluation Outcomes: (1.) Goal ____________, (2.) Goal ____________, and (3.) Goal ____________

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(1.) Goal MET (2.) Goal PARTIALLY MET (3.) Goal UNMET

question

When a goal is MET, the nurse decides if the goal should be ____________ or ____________, based on patient preference and the nurse's clinical judgment

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continued, discontinued

question

When a goal is PARTIALLY MET, the nurse tries to figure out why and ____________ the care plan - The goal may be continued with a new ____________ or ____________

answer

revise timeframe modified

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When the goal is UNMET, the nurse should ____________ in order to decide whether to continue, revise, or discontinue the goal

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consider what went wrong

question

Evaluation statements, pieces of information documented in the patient's plan of care, indicate the level of ____________

answer

goal attainment

question

Evaluation statements include evidence of ____________ to the goal being met, partially met, or unmet Evaluation statements also indicate ____________ needed in the plan of care

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contributing factors revisions

question

____________ may be necessary due to the deterioration or improvement of a patient's condition

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Care plan modifications

question

Making modifications to care plans as a patient's status changes is a necessary component of providing ____________ patient care

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safe

question

The ____________ requires patient care plans to be evaluated on a continual basis

answer

Joint Commission

question

What information is contained in the evaluation statement? (Select all that apply) A. Level of goal attainment. B. Factors contributing to the goal being met or not. C. Revisions needed in the plan of care D. Date when the goal will be reevaluated E. The name of the person evaluating the goal.

answer

A, B, C

question

____________ is a formal way to look at patient and treatment outcomes and to determine what can be done differently to yield positive results in given situations

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Quality Improvement (QI)

question

QI processes benefit ____________ and ultimately affect ____________

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patients patient care

question

QI Research is a ____________-based approach that contributes to developing and implementing ____________ guidelines, thereby supporting ____________ in patient care

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performance evidence-based practice excellence

question

What is a formal way to analyze patient and treatment outcomes? A. Quality improvement B. Nursing process C. Care planning D. Evaluation

answer

A. Quality improvement

question

Why is it important to make modifications to a patient's care plan when the status changes? A. It is a necessary component to providing safe patient care. B. Because the Joint Commission requires care plan modification. C. So the hospital can get reimbursed for the interventions provided. D. To facilitate communication among providers.

answer

A. It is a necessary component to providing safe patient care.

question

Providing ____________, ____________ care and evaluating whether that care has helped to achieve ____________ are essential processes for ensuring a safe, professional nursing practice

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individualized, patient-centered positive patient outcomes

question

EX: Diagnosis - Anxiety What are the suggested outcomes and indicators?

answer

Suggested outcomes - Anxiety level Indicators - (1.)Ability to attend or concentrate, (2.) Ability to learn, (3.) Level of verbalized anxiety

question

EX: Diagnosis - Deficient knowledge What are the suggested outcomes and indicators?

answer

Suggested outcomes - (1.) Knowledge treatment procedures, and (2.) Adherence behavior Indicators - (1.) Description of treatment procedures, (2.) Description of prescribed activity, (3.) Use of strategies to optimize health, and (4.) Performance of ADLs consistent with energy and tolerance

question

Standard of care

answer

Minimum level of care accepted to ensure high quality of patient care

question

____________ standard for evaluation are the physiologicall, emotional, and behavioral responses that are a patient'ss goals and expected outcomes

answer

CRITERION-BASED standards for evaluation

question

When interpreting findings, you ____________ a patient's behavioral responses and the physiological signs and symptoms that you ____________ to see with those ____________ from your evaluation and judge the ____________

answer

compare expect actually seen degree of agreement

question

____________ of evaluative findings allows all members of the health care team to know whether or not a patient is progressing

answer

Documentation

question

For the nursing diagnosis of Deficient Knowledge, a nurse selects an outcome from the Nursing Outcome Classification (NOC) of patient knowledge of arthritis treatment. Which of the following are examples of an outcome indicator for this outcome? (Select all that apply.) 1. Nurse provides four teaching sessions before discharge. 2. Patient denies joint pain following heat application. 3. Patient describes correct schedule for taking antiarthritic medications. 4. Patient explains situations for using heat application on inflamed joints. 5. Patient explains role family caregiver plays in applying heat to inflamed joint.

answer

3, 4

question

A nurse in a community health clinic has been caring for a young teenager with asthma for several months. The nurse's goal of care for this patient is to achieve self-management of asthma medications. Identify appropriate evaluative indicators for self-management for this patient. (Select all that apply.) 1. Quality of life 2. Patient satisfaction 3. Use of clinic services 4. Adherence to use of inhaler 5. Description of side effects of medications

answer

1, 3, 4

question

From the following list of indicators, determine which indicators are goals (G) and which indicators are outcomes (O). 1. _____ Will achieve pain relief 2. _____ Ambulates 10 feet down hallway 3. _____ Will remain free of infection 4. _____ Will be afebrile 5. _____ Reports pain severity reduced from 6 to a 4 on scale of 0 to 10 6. _____ Will gain improved mobility

answer

1. Goal 2. Outcome 3. Goal 4.Goal 5. Outcome 6.Goal

question

A nurse has been caring for a patient over 2 consecutive days. During that time the patient has had an intravenous (IV) catheter in the right forearm. At the end of shift on the second day, the nurse inspects the catheter site, observes for redness, and asks if the patient feels tenderness when the site is palpated. This is an example of which indicator reflecting the nurse's ability to perform evaluation: 1. Examining results of clinical data 2. Comparing achieved effects with outcomes 3. Recognizing error 4. Self-reflection

answer

1. Examining results of clinical data

question

A nurse caring for a patient with heart failure instructs the patient on foods to eat for a low-sodium diet. The nurse will perform which of the following evaluation measures to determine success of her instruction? 1. Patient weight 2. Asking patient to identify three low-sodium foods to eat for lunch 3. A calorie count of food 4. Patient description of how food selections are made

answer

2. Asking patient to identify three low-sodium foods to eat for lunch

question

A patient has been febrile and coughing thick secretions; adventitious lung sounds indicate rales in the left lower lobe of the lungs. The nurse decides to perform nasotracheal suction because the patient is not coughing. The nurse inspects the mucus that is suctioned, which is minimal. The nurse again auscultates for lung sounds. Auscultation and mucus inspection are examples of: 1. Evaluative measures. 2. Expected outcomes. 3. Reassessments. 4. Reflection.

answer

1. Evaluative measures.

question

After caring for a young man newly diagnosed with diabetes, a nurse is reviewing what was completed in his plan of care following discharge. She considers how she related to the patient and whether she selected interventions best suited to his educational level. It was the nurse's first time caring for a new patient with diabetes. The nurse's behavior is an example of which of the following? 1. Reflection-in-action 2. Reassessment 3. Reprioritizing 4. Reflection-on-action

answer

4. Reflection-on-action

question

A nurse has been caring for a patient over the last 10 hours. The patient's plan of care includes the nursing diagnosis of Nausea related to effects of postoperative anesthesia. The nurse has been asking the patient to rate his nausea over the last several hours after administering antiemetics and using comfort measures such as oral hygiene. The nurse reviews the patient's responses over the past 10 hours and notes how the patient's self-report of nausea has changed. This review an example of: 1. Comparing outcome criteria with actual response. 2. Gathering outcome criteria. 3. Evaluating the patient's actual response. 4. Reprioritizing interventions.

answer

1. Comparing outcome criteria with actual response.

question

A faculty member is reviewing a nursing student's plan of care, including the interventions the student provided for a patient with dementia. The student reviewed clinical guidelines on a professional website to identify interventions successful in reducing wandering in patients with dementia. The faculty member should evaluate which of the following? (Select all that apply.) 1. Number of interventions 2. Appropriateness of the intervention for the patient 3. The prior use of interventions by other nursing staff 4. Correct application of the intervention for the patient care setting 5. The time it takes to provide interventions

answer

2. Appropriateness of the intervention for the patient 4. Correct application of the intervention for the patient care setting

question

A nurse enters a patient's room and begins a conversation. During this time the nurse evaluates how a patient is tolerating a new diet plan. The nurse decides to also evaluate the patient's expectations of care. Which statement is appropriate for evaluating a patient's expectations of care? 1. On a scale of 0 to 10 rate your level of nausea. 2. The nurse weighs the patient. 3. The nurse asks, "Did you believe that you received the information you needed to follow your diet?" 4. The nurse states, "Tell me four different foods included in your diet."

answer

3. The nurse asks, "Did you believe that you received the information you needed to follow your diet?"

question

A nurse checks an intravenous (IV) solution container for clarity of the solution, noting that it is infusing into the patient's left arm. The IV solution of 9% NS is infusing freely at 100 mL/hr as ordered. The nurse reviews the nurses' notes from the previous shift to determine if the dressing over the site was changed as scheduled per standard of care. While in the room the nurse inspects the condition of the dressing and notes the date on the dressing label. In which ways did the nurse evaluate the condition of the IV site? (Select all that apply.) 1. Checked the IV infusion rate 2. Checked the type of IV solution 3. Confirmed from nurses' notes the time of dressing change 4. Inspected the condition of the IV dressing at the site 5. Checked clarity of IV solution

answer

1. Checked the IV infusion rate 4. Inspected the condition of the IV dressing at the site

question

A patient is being discharged after treatment for colitis (inflammation of the colon). The patient has had no episodes of diarrhea or abdominal pain for 24 hours. Following instruction, the patient identified correctly the need to follow a low-residue diet and the types of food to include if a bout if diarrhea develops at home. These behaviors are examples of: 1. Evaluative measures. 2. Expected outcomes. 3. Reassessments. 4. Standards of care.

answer

2. Expected outcomes.

question

Which of the following does a nurse perform when discontinuing a plan of care for a patient? 1. Confirms with the patient that expected outcomes and goals have been met 2. Talks with the patient about reprioritizing interventions in the plan of care 3. Changes the frequency of interventions provided 4. Reassesses how goals were met

answer

1. Confirms with the patient that expected outcomes and goals have been met

question

Purposes of the Nursing Outcomes Classification (NOC) include which of the following? (Select all that apply.) 1. To identify and label nurse-sensitive patient outcomes 2. To test the classification in clinical settings 3. To establish health care reimbursement guidelines 4. To identify nursing interventions for linked nursing diagnoses 5. To define measurement procedures for outcomes

answer

1, 2, 5

question

Which of the following statements correctly describes the evaluation process? (Select all that apply.) 1. Evaluation is an ongoing process. 2. Evaluation usually reveals obvious changes in patients. 3. Evaluation involves making clinical decisions. 4. Evaluation requires the use of assessment skills. 5. Evaluation is only done when a patient's condition changes.

answer

1, 3, 4

The Nursing Process – EVALUATION (Exam 4) – Flashcards

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