Chapter 10 Evaluation

Chapter 10  Evaluation

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The nurse is engaging in the evaluation step of the nursing process. During this step, the nurse will:
a.
bring closure to the nursing process.
b.
measure a client’s progress toward achievement of expected outcomes.
c.
delegate care responsibilities.
d.
plan for a client’s discharge.

ANS: B
Evaluation, the fifth step in the nursing process, includes determining the effectiveness of nursing care to help a client achieve goals and expected outcomes. Evaluation is not an end to the nursing process but an ongoing mechanism. The nurse will not delegate care responsibilities during evaluation. Planning for a client’s discharge may or may not be done during the evaluation phase of the nursing process.

PTS: 1 DIF: Application REF: Evaluation of Client Care

2. The nurse is going to evaluate a client’s status. This will include which of the following?
a.
Success of interventions to address a client’s health problem
b.
Turning and repositioning a client
c.
Assist the client to a sitting position
d.
Providing medications as prescribed

ANS: A
Evaluation is the step where the nurse determines whether interventions provided have been successful in achieving the goals and expected outcomes for a client’s health problem. The other choices are specific nursing interventions.

PTS: 1 DIF: Application REF: Evaluation of Client Care

3. A health care organization is preparing to measure the adequacy of meeting the needs of clients in the facility. Which of the following would NOT be a source of data at this time?
a.
Policy and procedure manuals
c.
Client interviews
b.
Staffing patterns
d.
Written care plans

ANS: C
Organizational evaluation examines the facility’s overall ability to deliver quality care. Sources of data for this evaluation include policy and procedure manuals, staffing patterns, and written care plans. Client interviews are not a source of data for this type of evaluation.

PTS: 1 DIF: Analysis REF: Elements in Evaluating the Quality of Care

4. The nurse is planning to compare a client’s progress with expected outcomes. The best source of data for this comparison would be:
a.
chart audits.
c.
staffing patterns.
b.
procedure manuals.
d.
credentials of staff.

ANS: A
An audit of the client’s medical record is a process of collecting and analyzing data to evaluate the effectiveness of nursing interventions on the client’s expected outcomes. Procedure manuals will not provide this information. Staffing patterns will not provide this information. Staff credentials also will not provide this information.

PTS: 1 DIF: Application REF: Nursing Audit

5. The nurse is participating in a process evaluation. The major focus of this type of evaluation is:
a.
comparing the client’s progress to the expected outcomes.
b.
measuring the adequacy of the facility to meet the needs of clients
c.
measuring the adequacy of nursing activities in implementing the nursing process.
d.
measuring the cost-effectiveness of nursing care.

ANS: C
Process evaluation is the measurement of nursing actions by examining each phase of the nursing process. Process evaluation does not compare the client’s progress to expected outcomes nor does it measure the adequacy of the facility to meet the needs of clients. Process evaluation does not measure the cost-effectiveness of nursing care.

PTS: 1 DIF: Analysis REF: Elements in Evaluating the Quality of Care