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A hospital is evaluating its policies and procedures. What type of evaluation is the hospital conducting?
- A. outcome
- B. process
- C. quality
- D. structure
Correct Answer: D
Rationale: Evaluating policies and procedures assesses the organizational framework, which is a structure evaluation.
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Which of the following is a descriptor that helps to define the term criteria?
- A. immeasurable qualities
- B. established by authority
- C. acceptable level of performance
- D. evidence-based practice
Correct Answer: C
Rationale: Criteria are measurable standards, such as an acceptable level of performance, used to evaluate outcomes.
The nursing staff on a hospital unit are using peer review to improve professional performance. Who performs the review?
- A. unit manager
- B. nurses
- C. patients
- D. visitors
Correct Answer: B
Rationale: Peer review is conducted by nurses evaluating each other's performance.
A nurse is evaluating the outcomes of a plan of care to teach an obese patient about the calorie content of foods. What type of outcome is this?
- A. psychomotor
- B. affective
- C. physiologic
- D. cognitive
Correct Answer: D
Rationale: Teaching about calorie content involves knowledge acquisition, which is a cognitive outcome.
Patient lost 2 of the 5 pound/month goal. How should the nurse alter the plan of care in response to this new data?
- A. The nurse should not alter the plan of care.
- B. The nurse should change the diet.
- C. The nurse should delete the nursing diagnosis.
- D. The nurse should modify the time criteria.
Correct Answer: D
Rationale: Since the patient made progress but didn't meet the goal, adjusting the time criteria allows for continued effort toward the outcome.
A nurse is teaching a patient how to administer insulin, with the expected outcome that the patient will be able to self-administer the insulin injection. How would this outcome be evaluated?
- A. asking the patient to verbally repeat the steps of the injection
- B. asking the patient to demonstrate self-injection of insulin
- C. asking family members how much trouble the patient is having with injections
- D. asking the patient how comfortable he or she is with injections
Correct Answer: B
Rationale: Demonstration of the skill (self-injection) directly evaluates the psychomotor outcome of insulin administration.