and CORRECT Answers
What needs to occur for the plan to be terminated? - CORRECT ANSWER - The expected
outcome has been achieved.
What needs to occur for the plan to be modified? - CORRECT ANSWER - Modification is
needed when there are troubles achieving the outcome.
What needs to occur for the plan to be continued? - CORRECT ANSWER - If more time
is needed for the outcome to be achieved.
What are five classic elements of evaluation? - CORRECT ANSWER - 1. Identifying
evaluative criteria and standards (what you are looking for when you evaluate—i.e., expected
patient outcomes)
2. Collecting data to determine whether these criteria and standards are met
3. Interpreting and summarizing findings
4. Documenting your judgment
5. Terminating, continuing, or modifying the plan
What are the general purposes of the evaluating step in the nursing clinical reasoning process? -
CORRECT ANSWER - to allow the patient's achievement of expected outcomes to direct
future nurse-patient interactions
What are the general purposes of the implementing step in the nursing clinical reasoning
process? - CORRECT ANSWER - to help the patient achieve valued health outcomes:
promote health, prevent disease and illness, restore health, and facilitate coping with altered
functioning.
What occurs during the implementing step in the nursing process? - CORRECT
ANSWER - the evidence-based nursing actions planned in the previous step are carried
,out. During the implementation step, the nurse continues to collect data and to modify the care
plan as needed.
List and explain the 5 rights of delegations. - CORRECT ANSWER - Right task
Right circumstances
Right person
Right directions and communication
Right supervision and evaluation
What can be delegated to unlicensed assistive personnel (UAP)? - CORRECT ANSWER -
Stuff
What cannot be delegated to unlicensed assistive personnel (UAP)? - CORRECT
ANSWER - Stuff
A student health nurse is counseling a college student who wants to lose 20 lb. The nurse
develops a plan to increase the student's activity level and decrease her consumption of the
wrong types of foods and excess calories. The nurse plans to evaluate the student's weight loss
monthly. When the student arrives for her first "weigh-in," the nurse discovers that instead of the
projected weight loss of 5 lb, the student has lost only 1 lb. Which is the BEST nursing response?
A. Congratulate the student and continue the care plan.
B. Terminate the care plan since it is not working.
C. Try giving the student more time to reach the targeted outcome.
D. Modify the care plan after discussing possible reasons for the student's partial success. -
CORRECT ANSWER -D
A nurse uses the classic elements of evaluation when caring for patients:
(1) Interpreting and summarizing findings
(2) Collecting data to determine whether evaluative criteria and standards are met
(3) Documenting your judgment
(4) Terminating, continuing, or modifying the plan
, (5) Identifying evaluative criteria and standards (what you are looking for when you evaluate—
i.e., expected patient outcomes)
Which item below places them in their correct sequence? - CORRECT ANSWER - 5, 2, 1,
3, 4
A new nurse who is being oriented to the subacute care unit is expected to follow existing
standards when providing patient care. Which nursing actions are examples of these standards?
Select all that apply.
A. Monitoring patient status every hour
B. Using intuition to troubleshoot patient problems
C. Turning a patient on bed rest every 2 hours
D. Becoming a nurse mentor to a student nurse
E. Administering pain medication ordered by the physician
F. Becoming involved in community nursing events - CORRECT ANSWER - A, C, E
A nurse is collecting evaluative data for a patient who is finished receiving chemotherapy for an
osteosarcoma. Which nursing action represents this step of the nursing process?
A. The nurse collects data to identify health problems.
B. The nurse collects data to identify patient strengths.
C. The nurse collects data to justify terminating the care plan.
D. The nurse collects data to measure outcome achievement. - CORRECT ANSWER -D
A nurse writes the following outcome for a patient who is trying to stop smoking: "The patient
values a healthy body sufficiently to stop smoking." This is an example of what type of
outcome?
A. Cognitive
B. Psychomotor
C. Affective
D. Physical changes - CORRECT ANSWER -C