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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.
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Which of the following would not be part of the nurses decision about care after evaluating the patients responses to the plan of care?
- A. terminate the plan of care
Correct Answer: D
Rationale: The options are incomplete, but based on standard nursing practice, transferring medical orders (D) is not part of evaluation decisions, which focus on continuing, modifying, or terminating the plan.
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 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.
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.
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.