Which statement describes the evaluation step of
the nursing process?
c. The nurse determines whether the goals are
a. Evaluation is the fourth step of the nursing achieved
process
b. Evaluation is NOT a collaborative process Rationale: During the evaluation step the nurse
c. The nurse determines whether the goals are determines whether the patient's goals were
achieved met.
d. This step facilitates the selection of nursing
diagnoses
Which action would the nurse take when the
patient's goal states, "Skin will remain intact while
c. Reflect on factors that prevented goal
in the hospital," and the nurse notices a new stage
achievement
2 pressure injury?
Rationale: The nurse and patient should
a. Document the goal as being me
consider underlying causes as to why the goal
b. Delete the goal and write a new one
was NOT met to determine whether to continue,
c. Reflect on factors that prevented goal
revise, or discontinue the goal.
achievement
d. Document the goal as being met once the skin
has healed
a. Level of goal attainment
(SELECT ALL THAT APPLY) What information
b. Revisions needed in the plan of care
would the nurse include in an evaluation
e. Factors contributing to goal achievement
statement?
Rationale: Evaluation statements include level
a. Level of goal attainment
of goal attainment (goal met, partially met, or
b. Revisions needed in the plan of care
unmet). They include revisions needed in the
c. Data when the goal will be re-evaluated
plan of care. Evaluation statements include
d. Name of the person evaluating the goal
evidence of factors contributing to the goal
e. Factors contributing to goal achievement
being met, partially met, or unmet.
Which process occurs when the nurse uses data d. Quality improvement
and specific methods to systematically increase the
quality of patient care? Rationale: Quality improvement involves the
use of data to monitor outcomes and
a. Planning improvement methods to implement change,
b. Evaluation with the ultimate goal of continuously
c. Nursing process improving the quality of patient care and health
d. Quality improvement care systems.
the nursing process?
c. The nurse determines whether the goals are
a. Evaluation is the fourth step of the nursing achieved
process
b. Evaluation is NOT a collaborative process Rationale: During the evaluation step the nurse
c. The nurse determines whether the goals are determines whether the patient's goals were
achieved met.
d. This step facilitates the selection of nursing
diagnoses
Which action would the nurse take when the
patient's goal states, "Skin will remain intact while
c. Reflect on factors that prevented goal
in the hospital," and the nurse notices a new stage
achievement
2 pressure injury?
Rationale: The nurse and patient should
a. Document the goal as being me
consider underlying causes as to why the goal
b. Delete the goal and write a new one
was NOT met to determine whether to continue,
c. Reflect on factors that prevented goal
revise, or discontinue the goal.
achievement
d. Document the goal as being met once the skin
has healed
a. Level of goal attainment
(SELECT ALL THAT APPLY) What information
b. Revisions needed in the plan of care
would the nurse include in an evaluation
e. Factors contributing to goal achievement
statement?
Rationale: Evaluation statements include level
a. Level of goal attainment
of goal attainment (goal met, partially met, or
b. Revisions needed in the plan of care
unmet). They include revisions needed in the
c. Data when the goal will be re-evaluated
plan of care. Evaluation statements include
d. Name of the person evaluating the goal
evidence of factors contributing to the goal
e. Factors contributing to goal achievement
being met, partially met, or unmet.
Which process occurs when the nurse uses data d. Quality improvement
and specific methods to systematically increase the
quality of patient care? Rationale: Quality improvement involves the
use of data to monitor outcomes and
a. Planning improvement methods to implement change,
b. Evaluation with the ultimate goal of continuously
c. Nursing process improving the quality of patient care and health
d. Quality improvement care systems.
