Deck 36: Implementing and Evaluating Care
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Deck 36: Implementing and Evaluating Care
1
Which are examples of the technical skills a nurse uses when implementing client care? Select all that apply.
A) Administering an injection
B) Inserting a urinary catheter
C) Recording fluid intake and urinary output
D) Understanding the physiology of taking a blood pressure
E) Talking with a client about what tends to trigger their depression
A) Administering an injection
B) Inserting a urinary catheter
C) Recording fluid intake and urinary output
D) Understanding the physiology of taking a blood pressure
E) Talking with a client about what tends to trigger their depression
Administering an injection
Inserting a urinary catheter
Talking with a client about what tends to trigger their depression
Inserting a urinary catheter
Talking with a client about what tends to trigger their depression
2
Which nursing action is a component of the implementation phase of nursing care?
A) Analyzing the client's response
B) Identifying factors leading to success or failure
C) Documenting client care
D) Planning future nursing care
A) Analyzing the client's response
B) Identifying factors leading to success or failure
C) Documenting client care
D) Planning future nursing care
Documenting client care
3
When considering the implementation of nursing care, what does the action phrase "share it" mean?
A) Communicating among the healthcare team
B) Implementing dependent nursing actions
C) Performing therapeutic nursing actions
D) Documenting the nursing care completed
A) Communicating among the healthcare team
B) Implementing dependent nursing actions
C) Performing therapeutic nursing actions
D) Documenting the nursing care completed
Communicating among the healthcare team
4
What statement describes the implementation of dependent nursing actions?
A) The primary care provider's orders regarding medication or treatments must be followed explicitly by the nurse
B) This care is performed collaboratively with other healthcare providers
C) Actions can be prescribed by some members of the healthcare team
D) Are generally associated with activities of daily living or stress reduction.
A) The primary care provider's orders regarding medication or treatments must be followed explicitly by the nurse
B) This care is performed collaboratively with other healthcare providers
C) Actions can be prescribed by some members of the healthcare team
D) Are generally associated with activities of daily living or stress reduction.
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5
Which statements accurately describe interdependent nursing actions? Select all that apply.
A) Treatments must be implemented explicitly by the steps described by the prescriber
B) Actions are performed collaboratively with other healthcare providers
C) Primary care provider may be one of several care prescribers
D) Do not require primary care provider's orders
E) Focus on activities of daily living
A) Treatments must be implemented explicitly by the steps described by the prescriber
B) Actions are performed collaboratively with other healthcare providers
C) Primary care provider may be one of several care prescribers
D) Do not require primary care provider's orders
E) Focus on activities of daily living
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6
Which nursing statement is an example of an interpersonal nursing skill?
A) "I'll medicate you for pain relief before you go to physical therapy."
B) "The urinary catheter will be removed first thing tomorrow morning."
C) "Your pain is a result of the fracturing of your arm."
D) "I'll stay with you until your daughter arrives."
A) "I'll medicate you for pain relief before you go to physical therapy."
B) "The urinary catheter will be removed first thing tomorrow morning."
C) "Your pain is a result of the fracturing of your arm."
D) "I'll stay with you until your daughter arrives."
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7
What information accurately describes the intellectual skills required of a professional nurse?
A) Involves safe client care performance
B) Involves competent care by the nurse
C) Involves knowing and understanding essential information
D) Involves believing, behaving, and relating to clients and other staff
A) Involves safe client care performance
B) Involves competent care by the nurse
C) Involves knowing and understanding essential information
D) Involves believing, behaving, and relating to clients and other staff
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8
A nurse performs a sterile dressing change. Which type of skill is the nurse performing?
A) Technical
B) Intellectual
C) Interpersonal
D) Critical thinking
A) Technical
B) Intellectual
C) Interpersonal
D) Critical thinking
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9
What independent actions does the nurse perform when implementing care to the client prescribed an antipyretic for an intermittent fever? Select all that apply.
A) Administering medications based on the client's temperature
B) Documenting when the medication is administered
C) Administering prescribed medication to the client
D) Applying cool compresses to the client
E) Monitoring the client's vital signs
A) Administering medications based on the client's temperature
B) Documenting when the medication is administered
C) Administering prescribed medication to the client
D) Applying cool compresses to the client
E) Monitoring the client's vital signs
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10
A nurse is required to care for a client who is admitted to a healthcare facility. Which steps should the nurse take during the nursing implementation phase of client care? Select all that apply.
A) Identifying future care needs
B) Analyzing the client's responses
C) Continuing the collection of data
D) Documenting care provided to client
E) Communicating information to the healthcare team
A) Identifying future care needs
B) Analyzing the client's responses
C) Continuing the collection of data
D) Documenting care provided to client
E) Communicating information to the healthcare team
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11
Which actions should the nurse take during the evaluation phase of client care? Select all that apply.
A) Weighing the client
B) Changing a client's surgical dressing
C) Determining if client's pain has been managed
D) Recording the client's daily intake and output
E) Noting that the client now needs assistance with walking
A) Weighing the client
B) Changing a client's surgical dressing
C) Determining if client's pain has been managed
D) Recording the client's daily intake and output
E) Noting that the client now needs assistance with walking
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12
Which aspect of a client's plan of care has nursing priority?
A) The plan has to protect the client's safety.
B) The plan is based on problem-solving skills.
C) The plan designates specific interventions.
D) The plan identifies the client's long-term goals.
A) The plan has to protect the client's safety.
B) The plan is based on problem-solving skills.
C) The plan designates specific interventions.
D) The plan identifies the client's long-term goals.
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13
Which nursing intervention should the nurse perform to evaluate the nursing care plan?
A) Hold a conference with the client and client's family.
B) Identify unresolved long-term goals to plan for continued assistance.
C) Identify factors that contribute to success or failure of goals.
D) Communicate all aspects of care to the healthcare team.
A) Hold a conference with the client and client's family.
B) Identify unresolved long-term goals to plan for continued assistance.
C) Identify factors that contribute to success or failure of goals.
D) Communicate all aspects of care to the healthcare team.
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14
Which is the correct sequence for evaluating nursing care?
1) Analyzing the client's responses
2) Planning for future nursing care
3) Identifying factors contributing to success or failure
A) 1, 2, 3
B) 1, 3, 2
C) 2, 1, 3
D) 3, 2, 1
1) Analyzing the client's responses
2) Planning for future nursing care
3) Identifying factors contributing to success or failure
A) 1, 2, 3
B) 1, 3, 2
C) 2, 1, 3
D) 3, 2, 1
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15
Which step should the nurse take in planning for the client's discharge?
A) Change the goals that were unmet.
B) Set new goals after the old ones are met.
C) Note the unresolved problems in the care plan.
D) Review if care has helped the client realize self-care goals.
A) Change the goals that were unmet.
B) Set new goals after the old ones are met.
C) Note the unresolved problems in the care plan.
D) Review if care has helped the client realize self-care goals.
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16
A nurse is required to prepare a discharge plan for a client. Which component should the nurse include in the client's discharge plan?
A) Plans for follow-up visits
B) Resolution of short-term goals
C) Self-evaluation of performance
D) Primary care provider's diet instructions
A) Plans for follow-up visits
B) Resolution of short-term goals
C) Self-evaluation of performance
D) Primary care provider's diet instructions
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17
What steps should a nurse take when engaging in discharge planning? Select all that apply.
A) Assessing the client's current mental and physical status
B) Ensuring that the client or family has the necessary instructions
C) Carefully documenting all instructions that were given to the client
D) Providing client and/or family a copy of the follow-up plan of care
E) Assessing client's perception of the quality of care that was provided
A) Assessing the client's current mental and physical status
B) Ensuring that the client or family has the necessary instructions
C) Carefully documenting all instructions that were given to the client
D) Providing client and/or family a copy of the follow-up plan of care
E) Assessing client's perception of the quality of care that was provided
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18
When initiating the implementation phase of the nursing process, the nurse implements which phase first?
A) Put the nursing care plan into action.
B) Continue the collection of data.
C) Communicate care with the healthcare team.
D) Document care provided to the client.
A) Put the nursing care plan into action.
B) Continue the collection of data.
C) Communicate care with the healthcare team.
D) Document care provided to the client.
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19
When initiating the evaluation phase of the nursing process, who is in the pivotal role?
A) Client
B) Nurse
C) Surgeon
D) Family
A) Client
B) Nurse
C) Surgeon
D) Family
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20
What is the primary purpose of the evaluation phase of the care planning process?
A) Communicating care with the healthcare team
B) Analyzing the client's responses
C) Identifying factors contributing to success or failure
D) Planning for future needs
A) Communicating care with the healthcare team
B) Analyzing the client's responses
C) Identifying factors contributing to success or failure
D) Planning for future needs
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