Deck 7: Implementation Evaluation

Question 1

Which type of client-centered evaluation is performed at specific,scheduled times?

A) Intermittent
B) Ongoing
C) Terminal
D) Process

Answer 1

Intermittent

Question 2

A client is prescribed oral aripiprazole 10 mg daily; however,the nurse is unfamiliar with the medication and cannot find it in the hospital formulary.Which action should the nurse take?

A) Administer the medication as prescribed.
B) Hold the medication and notify the prescriber.
C) Consult with a pharmacist before administering it.
D) Ask the client's nurse for information about the medication.

Answer 2

Consult with a pharmacist before administering it.

Question 3

Which statement is a client outcome criterion?

A) Central venous catheter site infection does not occur (90% of cases).
B) Client will sit out of bed in a chair for 20 minutes three times per day.
C) Postoperative phlebitis does not occur (95% of cases).
D) Falls will decrease by 2% between January 1 and March 30.

Answer 3

Client will sit out of bed in a chair for 20 minutes three times per day.

Question 4

Which task can be delegated to nursing assistive personnel (NAP)?

A) Turn and reposition the client every 2 hours.
B) Assess the client's skin condition.
C) Change pressure ulcer dressings every shift.
D) Apply hydrocolloid dressing to the pressure ulcer.

Question 5

The nurse reviews a client's care plan.What should the nurse keep in mind when evaluating the outcomes of care?

A) Data are collected after interventions are performed.
B) Data are collected before interventions are performed.
C) Documentation occurs after evaluation is completed.
D) Evaluation involves prioritizing implementation tasks.

Question 6

The nurse documents that a client's nasogastric tube has been removed.Which is the next logical step in the nursing process?

A) Assessment
B) Planning
C) Evaluation
D) Diagnosis

Question 7

Which criterion might be used in structure evaluation?

A) Staff refrains from sharing computer password.
B) Healthcare provider washes hands with each client contact.
C) A defibrillator is accessible on each client care area.
D) Nurse verifies client identification before initiating care.

Question 8

Which intervention depends almost entirely on the client's adhering to the therapy?

A) Inserting an IV catheter
B) Turning a client every 2 hours
C) Shortening a surgical drain
D) Following a low-fat,low-calorie diet

Question 9

Which statement accurately describes delegation?

A) Transferring authority to another person to perform a task in a selected situation
B) Collaborating with other caregivers to make decisions and plan care
C) Scheduling treatments and activities with other departments
D) Performing a planned intervention from a critical pathway

Question 10

The nurse reviews a client's care plan,goals,and outcomes prior to discharge.Which type of evaluation is the nurse conducting?

A) Process
B) Ongoing
C) Terminal
D) Intermittent

Question 11

The nurse needs to insert an indwelling urinary catheter into a client who is confused and combative.Which action should the nurse take first?

A) Ask a colleague for help,because the nurse cannot safely perform the procedure alone.
B) Gather the equipment and prepare it before informing the client about the procedure.
C) Obtain an order to restrain the client before inserting the urinary catheter.
D) Inform the provider that the nurse cannot perform the procedure because the client is confused.

Question 12

The nurse is caring for a client who was newly diagnosed with type 2 diabetes mellitus.Which intervention by the nurse best promotes client cooperation with the treatment plan?

A) Teaching the client that he must lose weight to control his blood sugar
B) Informing the client he must exercise at least three times per week
C) Explaining to the client that he must come to the diabetic clinic weekly
D) Determining the client's main concerns about his diabetes

Question 13

A client recovering from colon surgery refuses to look at the site of a newly placed ostomy.What should the nurse do about teaching this client self-care as identified on the critical pathway?

A) Postpone the teaching session until the patient is more receptive.
B) Follow the critical pathway for patient teaching about ostomy care.
C) Administer a prescribed antidepressant and notify the physician.
D) Explain to the patient the importance of skin care around the ostomy site.

Question 14

Who is responsible for evaluating the outcome of a task delegated to the nursing assistive personnel (NAP)?

A) Nurse who delegated the task
B) Licensed practical nurse working with the NAP
C) Unit nurse manager
D) Charge nurse for the shift

Question 15

Before inserting a nasogastric tube,the nurse reassures the client.Which type of skill did the nurse use to help this client?

A) Psychomotor
B) Interpersonal
C) Cognitive
D) Critical thinking

Question 16

The nurse works with the respiratory therapist to administer a patient's breathing treatments.He reports the patient's breathing status and tolerance of the treatment to the primary care provider.The nurse then discusses with the patient the options for further treatment.What does this scenario demonstrate?

A) Delegation
B) Collaboration
C) Coordination of care
D) Supervision of care

Question 17

Which statement by the nurse best demonstrates clear communication to nursing assistive personnel (NAP)about delegating a task?

A) "Record how much the patient drinks today,please."
B) "Take the patient's vital signs every 2 hours today."
C) "Take the patient's temperature every 4 hours; notify me if it is greater than 100.5°F (38.1°C)."
D) "Assist the patient with all of her meals."

Question 18

When should the nurse collect evaluation data for this expected outcome: Patient will maintain urine output of at least 30 mL/hour?

A) At the end of the shift
B) Every 24 hours
C) Every 4 hours
D) Every hour

Question 19

Which behavior provides the most valid criterion for determining the status of a patient's anxiety at discharge?

A) Has a relaxed facial expression
B) States feeling more relaxed today
C) Shows no physiological signs of anxiety
D) Has no further questions about home care

Question 20

Which nursing intervention is best individualized to meet the needs of a specific client?

A) Suction the client every 2 hours per unit policy.
B) Use incentive spirometry every hour while awake per postoperative protocols.
C) Institute swallowing precautions.
D) Move client out of bed to the chair daily; client prefers to be out of bed for dinner.