Exam 20: Evaluation

A patient was recently diagnosed with pneumonia.The nurse and the patient have established a goal that the patient will not experience shortness of breath with activity in 3 days with an expected outcome of having no secretions present in the lungs in 48 hours.Which of the following is an appropriate evaluative measure demonstrating progress toward this goal?

A nurse is getting ready to discharge to home a patient who has a nursing diagnosis of Impaired physical mobility.Before discontinuing the patient's plan of care,what does the nurse need to do?

The nurse is caring for a patient who has an open wound.When evaluating the progress of wound healing,what is the nurse's priority action?

A goal for a patient with a diagnosis of Ineffective coping is to demonstrate effective coping skills.Which of these patient behaviors indicates that interventions performed to meet this outcome have been successful?

The nurse is caring for a patient who has an order to change a dressing twice a day,at 0600 and 1800.At 1400,the nurse notices that the dressing is saturated.What is the nurse's next action?

A new nurse states that she is confused about using evaluative measures when caring for patients and asks the charge nurse for examples and an explanation.Which of the following is the most accurate response from the charge nurse?

The nurse is evaluating whether patient goals and outcomes have been met.Which option below is an expected outcome for a patient with Impaired physical mobility?

A nurse administrator is at a meeting with nurses on the quality council.Several new members are sitting on the council.They ask the nurse administrator to clarify what a nursing-sensitive outcome is.Which response by the nurse administrator best defines nursing-sensitive outcomes?

After completing a thorough database and carrying out nursing interventions based on priority diagnoses,the nurse proceeds to which step of the nursing process?

What is the primary goal of outcomes management for professional nurses?

In which step of the nursing process does the nurse determine if the patient's condition has improved and whether the patient has met expected outcomes?

Which of the following are examples of evaluative measures that a nurse should utilize when determining the patient's response to nursing care?

After assessing the patient and identifying the need for headache relief,the nurse administers acetaminophen (Tylenol)for the patient's headache.What is the nurse's next priority action for this patient?

Which of these options is a patient outcome indicating positive progress toward resolving the nursing diagnosis of Acute confusion?

The nurse is evaluating whether a patient's turning schedule was effective in preventing the formation of pressure ulcers.Which finding indicates success of the turning schedule?

A nurse is providing education to a patient about self-administering subcutaneous injections.Which of these patient statements indicates that the patient understands the instructions?

Identify elements of the evaluation process.

Which of these statements made by a patient who has Disturbed body image is the best indicator of the patient's patient early acceptance of body image?

A nurse identifies a nursing diagnosis of Risk for falls when assessing a patient upon admission.The nurse and the patient agree that the goal is for the patient to remain free from falls.However,the patient fell just before shift change.What is the nurse's priority action when evaluating the patient's plan of care?

A nursing student asks her nursing instructor to describe the primary purpose of evaluation.Which of the following statements made by the nursing instructor is most accurate?