Test Bank Q Fundamentals of Nursing: Chapter 20 - Evaluation

Test Bank Q
Fundamentals of
Nursing: Chapter
20 - Evaluation

Which nursing actions will the nurse perform in the evaluation
phase of the nursing process?
(Select all that apply.)
a. Set priorities for patient care.
b. Determine whether outcomes or standards are met.
c. Ambulate patient 25 feet in the hallway.
d. Document results of goal achievement.
e. Use self-reflection and correct errors. - ANS-ANS: B, D, E
RATIONALE-The expected outcomes established during
planning are the standards against which you judge
whether goals have been met and if care is successful. You
evaluate whether the results of
care match the expected outcomes and goals set for a patient.
Documentation and reporting
are important parts of evaluation because it is crucial to share
information about a patient's
progress and current status. Using self-reflection and correcting
errors are indicators a nurse is
performing evaluation. Setting priorities is part of planning, and
ambulating with a patient in
the hallway is an intervention, so it is included in the
implementation step of the nursing
process.
A nurse completes a thorough database and carries out nursing
interventions based on priority
diagnoses. Which action will the nurse take next?
a. Assessment
b. Planning
c. Implementation
d. Evaluation - ANS-ANS: D
RATIONALE- Evaluation, the final step of the nursing process,
is crucial to determine whether, after
application of the first four steps of the nursing process, a
patient's condition or well-being
improves. Assessment involves gathering information about the
patient. During the planning
phase, patient outcomes are determined. Implementation
involves carrying out appropriate
nursing interventions.
A new nurse asks the preceptor to describe the primary purpose
of evaluation. Which
statement made by the nursing preceptor is most accurate?
a. "An evaluation helps you determine whether all nursing
interventions were
completed."
b. "During evaluation, you determine when to downsize staffing
on nursing units."
c. "Nurses use evaluation to determine the effectiveness of
nursing care."
d. "Evaluation eliminates unnecessary paperwork and care
planning." - ANS-ANS: C
RATIONALE- Evaluation is a methodical approach for
determining if nursing implementation was effective
in influencing a patient's progress or condition in a favorable
way. During evaluation, you do
not simply determine whether nursing interventions were
completed. The evaluation process
is not used to determine when to downsize staffing or how to
eliminate paperwork and care
planning.