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| _______ the final step of the nursing process, is crucial to determine whether, after application of the nursing process, the client's condition or well-being improves. |
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| You conduct _____ measures to determine if you met expected outcomes, not if nursing interventions were completed. |
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| ______ evaluations occur when you meet desired outcomes, and they lead you to conclude that the nursing intervention(s) effectively met the client's goals. |
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| The purpose of____ _____ is to assist the client in resolving actual health problems, preventing the occurrence of potential problems, and maintaining a healthy state. |
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| The evaluation process, which determines the effectiveness of nursing care, includes five elements: |
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| (1) identifying evaluative criteria and standards, (2) collecting data to determine whether the criteria or standards are met, (3) interpreting and summarizing findings, (4) documenting findings and any clinical judgment, and (5) terminating, continuing, or revising the care plan. |
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| An outcome defines the _____ _____, and ____ of the results of nursing interventions |
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| effectiveness, efficiency, and measurement |
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| Evaluating a client's response to nursing care requires the use of _____ _____, which are simply assessment skills and techniques |
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| The primary source of data for evaluation is |
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| To objectively evaluate the degree of success in achieving outcomes of care, use the following steps: (5) |
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1. Examine the outcome criteria to identify the exact desired client behavior or response.
2. Assess the client's actual behavior or response.
3. Compare the established outcome criteria with the actual behavior or response.
4. Judge the degree of agreement between outcome criteria and the actual behavior or response.
5. If there is no agreement (or only partial agreement) between the outcome criteria and the actual behavior or response, what is/are the barriers? Why did they not agree? |
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| Determining that each goal and expected outcome is realistic for the___ ____ and , ______ is particularly important. |
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| problem, etiology, and time frame |
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| All goals and expected outcomes are ____ ____, with realistic expectations for client achievement. |
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| the minimum level of care accepted to ensure high quality of care to clients |
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| _____ and _____ are interchangeable terms that describe an approach to the continuous study and improvement of the processes of providing health care services to meet the needs of clients and others |
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| Quality improvement (QI) and performance improvement (PI) |
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| a term for managing the individual clinical outcomes of clients as a result of prescribed treatments. |
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1. A nurse caring for a client with pneumonia sits the client up in bed and suctions the client's airway. After suctioning, the client describes some discomfort in his abdomen. The nurse auscultates the client's lung sounds and provides a glass of water for the client. Which of the following is an evaluative measure used by the nurse?
1. Suctioning the airway
2. Sitting client up in bed
3. Auscultating lung sounds
4. Asking client to describe type of discomfort |
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2. A nurse caring for a client with pneumonia sits the client up in bed and suctions the client's airway. After suctioning, the client describes some discomfort in his abdomen. The nurse auscultates the client's lung sounds and provides a glass of water for the client. Which of the following is an appropriate evaluative criterion used by the nurse? (Choose all that apply.)
1. Client drinks contents of water glass.
2. Client's lungs are clear to auscultation in bases.
3. Client reports abdominal pain on scale of 0 to 10.
4. Client's rate and depth of breathing are normal with head of bed elevated. |
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3. The evaluation process, which determines the effectiveness of nursing care, includes five elements, one being interpreting findings. Which of the following is an example of interpretation?
1. Evaluating the client's response to selected nursing interventions
2. Selecting an observable or measurable state or behavior that will reflect goal achievement
3. Reviewing the client's nursing diagnoses and establishing goals and outcome statements
4. Matching the results of evaluative measures with expected outcomes to determine client's status |
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4. A goal specifies the expected behavior or response that indicates:
1. The specific nursing action was completed
2. The validation of the nurse's physical assessment
3. The nurse has made the correct nursing diagnoses
4. Resolution of a nursing diagnosis or maintenance of a healthy state |
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5. A client is recovering from surgery for removal of an ovarian tumor. It is one day after her surgery. Because she has an abdominal incision and dressing, the nurse has selected a nursing diagnosis of risk for infection. Which of the following is an appropriate goal statement for the diagnosis?
1. Client will remain afebrile to discharge.
2. Client's wound will remain free of infection by discharge.
3. Client will receive ordered antibiotic on time over next 3 days.
4. Client's abdominal incision will remain covered with a sterile dressing for 2 days. |
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6. Unmet and partially met goals require the nurse to do which of the following? (Choose all that apply.)
1. Redefine priorities
2. Continue intervention
3. Discontinue care plan
4. Gather assessment data on a different nursing diagnosis
5. Compare the client's response with that of another client |
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