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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.
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What is evaluated when conducting a nursing audit?
- A. physical environment
- B. policies and procedures
- C. patient records
- D. patient satisfaction
Correct Answer: C
Rationale: A nursing audit reviews patient records to assess care quality and compliance with standards.
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.
Which of the following best summarizes the evaluating step of the nursing process?
- A. The nurse completes a health assessment to establish a database.
- B. The patient and family have met healthcare goals and no longer need care.
- C. The nurse and patient identify nursing diagnoses and appropriate interventions.
- D. The nurse and patient measure achievement of planned outcomes of care.
Correct Answer: D
Rationale: Evaluation in the nursing process involves assessing whether the planned outcomes of care have been achieved, making option D the best summary.
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.