Chapter 13 Outcome Identification and Planning

Chapter 13  Outcome Identification and Planning

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse develops long-term and short-term outcomes for a client admitted with asthma. Which of the following is an example of a long-term goal?
A)
Client returns home verbalizing an understanding of contributing factors, medications, and signs and symptoms of an asthma attack.
B)
By day 3 of hospitalization, the client verbalizes knowledge of factors that exacerbate the symptoms of asthma.
C)
Within one hour of a nebulizer treatment, adventitious breath sounds and cough are decreased.
D)
Within 72 hours of admission, the client’s respiratory rate returns to normal and retractions disappear.
Ans:
A

Feedback:

An example of a long-term outcome is “Patient returns home verbalizing an understanding of contributing factors, medications, and signs and symptoms of an asthma attack.” The other three examples are short-term outcomes that focus on short-term goals related to the period of time during hospitalization.

2.
Nurses make common errors in the identification and development of outcomes. Which of the following is a common error made when writing client outcomes?
A)
The nurse expresses the client outcome as a nursing intervention.
B)
The nurse develops measurable outcomes using verbs that are observable.
C)
The nurse develops a target time when the client is expected to achieve that outcome.
D)
The outcome should include a subject, verb, conditions, performance criteria, and target time.
Ans:
A

Feedback:

A common error made when writing client outcomes includes the nurse expressing the client outcome as a nursing intervention. The other mentioned criteria for writing client outcomes are correct.

3.
Increasingly, health care institutions are implementing computerized plans of nursing care. A benefit of using computerized plans includes which of the following?
A)
Reduction in the time spent on care planning
B)
Increased autonomy related to the nursing care planning process
C)
Enhanced individualization of a care plan
D)
Increased nursing expertise in care planning
Ans:
A

Feedback:

The benefits of using computerized plans include ready access to a large knowledge base; improved record keeping, with resultant improvement in audits and quality assurance; documentation by all members of the health care team; and reduced time spent on paperwork. Research cautions that computerized systems for client care planning contribute to loss of autonomy, loss of individualization of care, and loss of nursing expertise.

4.
The nurse is planning the care of a male client who is receiving treatment for acute renal failure and who has begun dialysis three times weekly. The nurse has identified the following outcome: “Client will demonstrate the appropriate care of his arteriovenous fistula.” This outcome is classified as which of the following?
A)
Psychomotor
B)
Affective
C)
Cognitive
D)
Holistic
Ans:
A

Feedback:

Psychomotor outcomes describe the client’s achievement of new skills, such as the safe and aseptic care of a new fistula. Cognitive outcomes are focused on knowledge and effective outcomes address values, beliefs, and attitudes. Outcomes are not classified as holistic.

5.
The nurse is caring for a client who has been newly diagnosed with diabetes. One of the outcomes the nurse read on the client’s plan of care this morning was: “Client will demonstrate correct technique for self-injecting insulin.” The client required insulin prior to his lunch and successfully drew up and administered his insulin while the nurse observed. How should the nurse follow up this observation?
A)
Record an evaluative statement in the client’s plan of care.
B)
Remove the outcome from the client’s care plan.
C)
Ask the nurse who wrote the plan of care to document this development.
D)
Reassess the client’s psychomotor skills at dinner time.
Ans:
A

Feedback:

The client has successfully met this outcome, and the nurse should note the time and date that it was achieved in the client’s plan of care. The outcome should not be removed from the plan of care and it is unnecessary to have the original author of the plan update it. Further observation may or may not be necessary at dinner time, but an evaluative statement should nonetheless be recorded at the present time.