Exam 15: Implementing and Evaluating

A nursing unit's records of client care have been reviewed for accuracy in documentation. This type of review is which of the following?

A nurse has provided routine morning cares to a client, including all the medications and scheduled treatments. The most appropriate action after this is completed is for the nurse to:

A nurse works in an acute psychiatric setting and sees clients as they are admitted for inpatient psychiatric care. Many of the clients exhibit paranoid behaviour. The most important skill this nurse can utilise for these clients is which of the following?

A client is learning how to administer insulin. The nurse makes sure that the client understands how to activate the safety mechanism on the syringe to prevent needlestick injuries. This is an example of which of the guidelines for implementing interventions?

The nurse understands that respect for the dignity of the client is extremely important in providing nursing care. Which of the following is an example of this aspect?

An example of a system that records errors or near misses in client care is ________.

When a nurse determines whether a goal has been met, he/she documents an evaluation statement that consists of two parts. What are they?

A nurse is working in a busy research hospital. One of the clients assigned to the nurse's care is to receive a medication that the nurse is not familiar with and is not listed in the drug reference manual. The best action of the nurse is to:

A client has neurological deficits that are causing tremors, unsteadiness and weakness. An appropriate diagnosis of Risk for Falls related to unsteady gait, secondary to neurological dysfunction has been formulated. A goal for this client is not to sustain any injuries for the next month. The client, however, has fallen several times. In this situation, the nurse should do which of the following?

During the process of implementing cares and treatments for a client, the nurse realises there are several entities included in this phase.

A nursing unit has had a large number of negative client responses about various aspects of their care in the previous quarter. The quality assurance officer is evaluating this unit, paying particular attention to which of the components of care?

A nursing diagnosis of Risk for Deficient Fluid Volume related to excessive fluid loss, secondary to diarrhoea and vomiting was implemented for a home health client who began with these symptoms five days ago. A goal was that the client's symptoms would be eliminated within 48 hours. The client is being seen after a week, and has had no diarrhoea or vomiting for the past five days. The nurse should:

In the nursing process, the implementation phase consists of:

A client with terminal cancer has this nursing diagnosis: Pain related to neuromuscular involvement of disease process. The goal statement is as follows: Client will be free of pain within 48 hours. As an intervention, the nurse will administer narcotic analgesics and titrate to an appropriate level. What is the flaw in this plan?

The written goal statement in a client's care plan is: Client will have clear lung sounds bilaterally within three days. One of the interventions to meet this goal is that the nurse will teach the client to cough and deep breathe and have the client do this several times every two hours. At the end of the third day, the client's lungs are indeed clear. In order to relate the intervention to the outcome, the nurse should:

When undertaking a concurrent audit, the nurse will:

A client had an outcome goal stated as follows: Client will have a decrease in pain level (down to a three) within 45 minutes of receiving oral analgesic. Which statement by the client will the nurse use to evaluate this goal?

The goal statement for a client's care plan reads as follows: Client will be able to state two positive aspects of rehab therapy by the end of the week. Which of the following is an appropriately written evaluation statement?

An ongoing systematic process of evaluating and promoting excellence in health care delivery in Australia is called:

The nurse is teaching a client about his medication that must be taken with food in the morning. The client states that he didn't 'like the idea' of swallowing tablets early. The nurse should: