Question 1

A nursing unit's records of client care have been reviewed for accuracy in documentation.Which type of review is being completed on these records?

Accepted Answer

A) Nursing audit 
B) Peer review 
C) Individual audit 
D) Concurrent audit 
A) Nursing audit 
B) Peer review 
C) Individual audit 
D) Concurrent audit

Question 2

The nurse is reviewing the difference between evaluation and assessment with a new graduate nurse.What should the nurse emphasize as the major difference between these two steps in the nursing process?

Accepted Answer

A) Assessment is done at the beginning of the process. 
B) Evaluation is completed at the end of the process. 
C) They are the same and there is no need to differentiate. 
D) The difference is in how the data are used. 
A) Assessment is done at the beginning of the process. 
B) Evaluation is completed at the end of the process. 
C) They are the same and there is no need to differentiate. 
D) The difference is in how the data are used.

Question 3

The nurse is preparing to provide care planned for a client.What actions should the nurse complete during this phase of client care?

Accepted Answer

A) Evaluating the outcome of the interventions 
B) Reassessing the client 
C) Documenting the history and physical 
D) Supervising delegated care 
E) Implementing the nursing interventions 
A) Evaluating the outcome of the interventions 
B) Reassessing the client 
C) Documenting the history and physical 
D) Supervising delegated care 
E) Implementing the nursing interventions

Question 4

The nurse is caring for a new mother and infant.Which action should the nurse take that allows the new parents to feel in control when being taught how to bathe their infant?

Accepted Answer

A) Telling the parents everything the nurse is doing and why 
B) Letting the parents watch a video after the bath 
C) Letting the parents bathe the baby with direction and guidance from the nurse 
D) Giving lots of advice and suggestions about different methods 
A) Telling the parents everything the nurse is doing and why 
B) Letting the parents watch a video after the bath 
C) Letting the parents bathe the baby with direction and guidance from the nurse 
D) Giving lots of advice and suggestions about different methods

Question 5

The nurse is providing care to an assigned client.Which action indicates that the nurse supports the client's respect for dignity?

Accepted Answer

A) Allowing the client to complete hygienic care when possible 
B) Providing all care to the client whenever possible 
C) Telling the other staff that the client is demanding,so they are able to meet the client's needs 
D) Presenting information to the client's family about the client's condition 
A) Allowing the client to complete hygienic care when possible 
B) Providing all care to the client whenever possible 
C) Telling the other staff that the client is demanding,so they are able to meet the client's needs 
D) Presenting information to the client's family about the client's condition

Question 6

The nurse notes that assessment data indicate a change in a client's condition.What should the nurse ask before changing this client's plan of care?
Standard Text: Select all that apply.

Accepted Answer

A) How difficult will it be to change the care plan? 
B) Are the new data complete? 
C) Are the new data accurate? 
D) Do the new data require a change in the care plan? 
E) Will the primary medical provider agree with the need to alter the care plan? 
A) How difficult will it be to change the care plan? 
B) Are the new data complete? 
C) Are the new data accurate? 
D) Do the new data require a change in the care plan? 
E) Will the primary medical provider agree with the need to alter the care plan?

Question 7

The home health nurse uses creativity and critical thinking to devise a way for a client to receive intravenous medication while sitting outside on the porch.Which skill did the nurse use for this situation?

Accepted Answer

A) Technical 
B) Interpersonal 
C) Creativity 
D) Cognitive 
A) Technical 
B) Interpersonal 
C) Creativity 
D) Cognitive

Question 8

The nurse is preparing to evaluate care provided to a client.What behaviors should the nurse demonstrate that show an understanding of the relationship of evaluation to the other phases of the nursing process?
Standard Text: Select all that apply.

Accepted Answer

A) Effectively assessing the client's needs 
B) Selecting the appropriate nursing diagnosis related to the client's needs 
C) Collecting client-focused data with a specific need in mind 
D) Evaluating by using assessment data to determine effective achievement of goals and outcomes 
E) Basing evaluation on assessment data collected during the admission phase 
A) Effectively assessing the client's needs 
B) Selecting the appropriate nursing diagnosis related to the client's needs 
C) Collecting client-focused data with a specific need in mind 
D) Evaluating by using assessment data to determine effective achievement of goals and outcomes 
E) Basing evaluation on assessment data collected during the admission phase

Question 9

Upon entering a room,a client and spouse are found crying.The nurse decides to sit with both of them,offering presence and listening to their fears instead of providing the planned education.What action did the nurse perform?

Accepted Answer

A) Implementing nursing intervention 
B) Determining the nurse's need for assistance 
C) Supervising delegated care 
D) Reassessing the client 
A) Implementing nursing intervention 
B) Determining the nurse's need for assistance 
C) Supervising delegated care 
D) Reassessing the client

Exam 14: Implementing and Evaluating

A nursing unit's records of client care have been reviewed for accuracy in documentation.Which type of review is being completed on these records?

The nurse is reviewing the difference between evaluation and assessment with a new graduate nurse.What should the nurse emphasize as the major difference between these two steps in the nursing process?

The nurse is preparing to provide care planned for a client.What actions should the nurse complete during this phase of client care?

The nurse is caring for a new mother and infant.Which action should the nurse take that allows the new parents to feel in control when being taught how to bathe their infant?

The nurse is providing care to an assigned client.Which action indicates that the nurse supports the client's respect for dignity?

The nurse notes that assessment data indicate a change in a client's condition.What should the nurse ask before changing this client's plan of care? Standard Text: Select all that apply.

The home health nurse uses creativity and critical thinking to devise a way for a client to receive intravenous medication while sitting outside on the porch.Which skill did the nurse use for this situation?

The nurse is preparing to evaluate care provided to a client.What behaviors should the nurse demonstrate that show an understanding of the relationship of evaluation to the other phases of the nursing process? Standard Text: Select all that apply.

Upon entering a room,a client and spouse are found crying.The nurse decides to sit with both of them,offering presence and listening to their fears instead of providing the planned education.What action did the nurse perform?

Assessing

Diagnosing

Planning

Documenting and Reporting

Health Promotion

Health, Wellness, and Illness

Culture and Heritage

Complementary and Alternative Healing Modalities

Concepts of Growth and Development

Promoting Health From Conception Through Adolescence

Promoting Health in Young and Middle-Aged Adults

Promoting Health in Elders

Promoting Family Health

Caring

Communicating

Teaching

Delegating, Managing, and Leading

Vital Signs

Health Assessment

Asepsis

Safety

Hygiene

Diagnostic Testing

Medications

Skin Integrity and Wound Care

Perioperative Nursing

Sensory Perception

Self-Concept

Sexuality

Spirituality

Stress and Coping

Loss, Grieving, and Death

Rest

Activity and Exercise

Pain Management

Nutrition

Urinary Elimination

Fecal Elimination

Oxygenation

Circulation

Fluid, Electrolyte, and Acid-Base Balance

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