NURS 3303 Chapter 18 Diagnosis Exam
Questions And Correct Answers
The nurse on a busy acu te care floor recognizes that many clients with heart failure are
being readmitted within 2 weeks of discharge. Which step in performance improvement
does the nurse demonstrate? - ANSWER Identifying a problem Explanation:
Detection discovers the problem that the multiple readmissions are due to heart failure,
and this would be the first process in performance improvement. Calling for an
interdisciplinary meeting for the planning of the strategy with the use of indicators shall
come next. Implementation of a change by the team would follow, and lastly,
assessment would discover whether the change was effective.
It refers to the levels of performance accepted by and expected of nursing staff or other
health team members. That is:
criteria.
evaluation.
standards.
evidence-based practice. - ANSWER standards.
Explanation:
Standards are the "levels of performance accepted by and expected of nursing staff or
other health team members." Criteria are "measurable qualities, attributes, or
characteristics that identify skill, knowledge, or health status." Evidence-based practice
incorporates delivering nursing care that evidence supports as likely to result in
meeting the expected client outcomes. Evaluation The evaluation is the measurement of
how well the client has achieved those outcomes proposed in the plan of care.
Which of the following best summarizes the evaluation step of the nursing process?
A The nurse has completed a health assessment and has developed a database.
A The client and family have met health care goals and no longer need care.
C The nurse and client have identified nursing diagnoses and interventions suitable for
, the client.
D The nurse and client have measured achievement of planned outcomes of care.
ANSWER D The nurse and client have measured achievement of planned outcomes of
care.
Explanation:
Evaluation is the fifth step of the nursing process in which the nurse and client measure
whether the client has achieved the outcomes identified in the plan of care. Health
assessment is the initiation of the nursing process. The second stage of the nursing
process is determination of nursing diagnosis while the fourth is implementation of care.
Termination of the relationship occurs when the client does not need the care any
longer.
Reference:
Which nurse is using criteria to evaluate expected standards of performance?
The nurse manager provides feedback to the staff nurse regarding job performance
from the past year
The nurse asks the UAP about the family's response to the nurse's teaching.
The new graduate nurse refers to agency policy and procedure prior to performing a
skill.
The nurse preceptor provides feedback to the new graduate nurse after 6 weeks of
orientation. - ANSWER The new graduate nurse refers to the policies and procedures of
the institution before skill implementation.
Explanation:
Standards are the levels of performance accepted and expected by the nursing staff
and other health team members, such as institutional policies and procedures. This
would be a good example of peer review if the nurse preceptor provided feedback to the
new graduate nurse after 6 weeks of orientation. This would be typical of an annual
employee review if the nurse manager provided the staff nurse feedback regarding job
performance for the past year. The nurse is making an inappropriate request if
requesting that the UAP provide input about a family's response to education because
the nurse may not delegate evaluation to the UAP.
The client will have lost 10 lb (4.5 kg) before the initial postgastrectomy visit. What type
of evaluative statement does this represent?
Cognitive
Questions And Correct Answers
The nurse on a busy acu te care floor recognizes that many clients with heart failure are
being readmitted within 2 weeks of discharge. Which step in performance improvement
does the nurse demonstrate? - ANSWER Identifying a problem Explanation:
Detection discovers the problem that the multiple readmissions are due to heart failure,
and this would be the first process in performance improvement. Calling for an
interdisciplinary meeting for the planning of the strategy with the use of indicators shall
come next. Implementation of a change by the team would follow, and lastly,
assessment would discover whether the change was effective.
It refers to the levels of performance accepted by and expected of nursing staff or other
health team members. That is:
criteria.
evaluation.
standards.
evidence-based practice. - ANSWER standards.
Explanation:
Standards are the "levels of performance accepted by and expected of nursing staff or
other health team members." Criteria are "measurable qualities, attributes, or
characteristics that identify skill, knowledge, or health status." Evidence-based practice
incorporates delivering nursing care that evidence supports as likely to result in
meeting the expected client outcomes. Evaluation The evaluation is the measurement of
how well the client has achieved those outcomes proposed in the plan of care.
Which of the following best summarizes the evaluation step of the nursing process?
A The nurse has completed a health assessment and has developed a database.
A The client and family have met health care goals and no longer need care.
C The nurse and client have identified nursing diagnoses and interventions suitable for
, the client.
D The nurse and client have measured achievement of planned outcomes of care.
ANSWER D The nurse and client have measured achievement of planned outcomes of
care.
Explanation:
Evaluation is the fifth step of the nursing process in which the nurse and client measure
whether the client has achieved the outcomes identified in the plan of care. Health
assessment is the initiation of the nursing process. The second stage of the nursing
process is determination of nursing diagnosis while the fourth is implementation of care.
Termination of the relationship occurs when the client does not need the care any
longer.
Reference:
Which nurse is using criteria to evaluate expected standards of performance?
The nurse manager provides feedback to the staff nurse regarding job performance
from the past year
The nurse asks the UAP about the family's response to the nurse's teaching.
The new graduate nurse refers to agency policy and procedure prior to performing a
skill.
The nurse preceptor provides feedback to the new graduate nurse after 6 weeks of
orientation. - ANSWER The new graduate nurse refers to the policies and procedures of
the institution before skill implementation.
Explanation:
Standards are the levels of performance accepted and expected by the nursing staff
and other health team members, such as institutional policies and procedures. This
would be a good example of peer review if the nurse preceptor provided feedback to the
new graduate nurse after 6 weeks of orientation. This would be typical of an annual
employee review if the nurse manager provided the staff nurse feedback regarding job
performance for the past year. The nurse is making an inappropriate request if
requesting that the UAP provide input about a family's response to education because
the nurse may not delegate evaluation to the UAP.
The client will have lost 10 lb (4.5 kg) before the initial postgastrectomy visit. What type
of evaluative statement does this represent?
Cognitive
