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A nurse is evaluating an established plan of care. After identifying the evaluative criteria and standards (expected patient outcomes), what must the nurse do next?
- A. Interpret and summarize findings.
- B. Document his or her judgment.
- C. Collect data about patient responses.
- D. Formulate a new plan of care.
Correct Answer: C
Rationale: After setting criteria, the nurse collects data on patient responses to assess whether outcomes are met.
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A nurse has developed a plan of care for the nursing diagnosis Risk for Loneliness for a recently widowed man. When evaluating the plan, the man tells the nurse new information about his active social life. What would the nurse do next?
- A. Continue with the plan.
- B. Delete the nursing diagnosis.
- C. Tell the patient he is lonely.
- D. Adjust the time criteria.
Correct Answer: B
Rationale: New information indicating an active social life negates the risk for loneliness, so the diagnosis should be removed.
What is the purpose of evaluation in the nursing process?
- A. to direct future nursing interventions
- B. to formulate a database of nursing diagnoses
- C. to complete an initial plan of care
- D. to transfer medical orders to the plan of care
Correct Answer: A
Rationale: Evaluation determines the effectiveness of the care plan, guiding future interventions based on patient responses.
A nurse evaluates nursing care and outcomes for a current patient by using direct observation of nursing care, patient interviews, and chart review to determine whether the specified evaluative criteria are met. This practice is known as:
- A. a nursing audit
- B. a concurrent evaluation
- C. a retrospective evaluation
- D. an evaluation of patient satisfaction
Correct Answer: B
Rationale: Concurrent evaluation occurs during care delivery using real-time data collection methods like observation and interviews.
A nurse is counseling a novice nurse who gives 150% effort at all times and is becoming frustrated with a healthcare system that provides substandard care to patients. Which of the following advice would be appropriate in this situation? Select all that apply.
- A. Tell the new nurse to help other nurses perform their jobs to ensure quality patient care is being delivered.
- B. Encourage the new nurse to leave her problems at work behind, instead of rehashing them at home.
- C. After establishing a reputation for delivering quality nursing care, have her seek creative solutions for nursing problems.
- F. Have her focus on patient advocacy to improve care standards.
Correct Answer: B,C,D,F
Rationale: Advising to leave work stress behind (B), seek creative solutions after establishing credibility (C), modify unrealistic expectations (D), and focus on advocacy (F) supports the novice nurse's well-being and professional growth.
Which of the following are major premises of a quality-improvement program? Select all that apply.
- A. It focuses on organizational structure.
- B. It is driven by external factors.
- C. It focuses on processes rather than individuals.
- D. It has no end points.
- E. Its outcome is focused on assuring quality.
- F. It focuses on data and statistical thinking.
Correct Answer: C,D,F
Rationale: Quality-improvement programs emphasize processes (C), continuous improvement without endpoints (D), and data-driven decision-making (F).