Question 1

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

Question 2

On one of the first days working alone,the new nurse with limited patient teaching experience needs to instruct tracheostomy care to a client and spouse.What action should the nurse take?

Accepted Answer

A) Ask the nurse mentor to assist with the teaching after reviewing the procedure. 
B) Read the policy and procedure manual before the teaching session. 
C) Do the best the nurse can by remembering what was taught in nursing school. 
D) Ask for a different assignment until the nurse feels comfortable with this one.

Question 3

A client recovering from total knee replacement surgery falls out of bed on the night shift and dies.Which quality improvement actions should the nurse manager expect to complete for this client occurrence?
(Select all that apply)

Accepted Answer

A) A root cause analysis 
B) Paperwork about a sentinel event 
C) Analysis of the nurse assigned to the client 
D) Number of times the client was observed on the night shift 
E) Number of hours since the client last received pain medication

Question 4

A client has the goal statement "Client will be able to state two positive aspects of rehab therapy by the end of the week." What statement demonstrates that the nurse appropriately evaluated this goal?

Accepted Answer

A) Goal not met,client able to state one positive aspect by the end of the week. 
B) Goal met,client able to state one positive aspect by the end of the week. 
C) Goal met,client able to state two positive aspects of therapy by week's end. 
D) Goal incomplete,client not able to positively state anything about rehab.

Question 5

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

Question 6

The nurse manager has been appointed to implement a quality assurance program at the hospital.Which components should the manager prepare to evaluate for this program?

Accepted Answer

A) Methods 
B) Structure 
C) Finances 
D) Process 
E) Outcome

Question 7

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?
(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?

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?
(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

Question 9

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

Exam 14: Implementing and Evaluating

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

On one of the first days working alone,the new nurse with limited patient teaching experience needs to instruct tracheostomy care to a client and spouse.What action should the nurse take?

A client recovering from total knee replacement surgery falls out of bed on the night shift and dies.Which quality improvement actions should the nurse manager expect to complete for this client occurrence? (Select all that apply)

A client has the goal statement "Client will be able to state two positive aspects of rehab therapy by the end of the week." What statement demonstrates that the nurse appropriately evaluated this goal?

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?

The nurse manager has been appointed to implement a quality assurance program at the hospital.Which components should the manager prepare to evaluate for this program?

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? (Select all that apply)

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? (Select all that apply)

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