Study Guide - Chapter 19

Evaluating

What is evaluating?

Nurse and pt measure how well the pt has achieved the outcomes in their care plan

What does it mean to terminate, modify, or continue a care plan?

You decide the next steps for the care plan based on the evaluation findings:

Terminate - finish it if outcome is met or no longer appropriate

Modify - adjust the plan

Continue - keep doing plan

Describe the 4 types of outcomes and how we evaluate these outcomes

1 - cognitive: increase in pt knowledge (have pt repeat info back to you or explain it)

2 - psychomotor: achievement of new physical skills (observe if they can use new skill)

3 - affective: changes in pt values, beliefs, attitudes (ask pt about these domains)

4 - physiologic: physical changes in pt (measure vitals)

CAPP

How do you write an evaluative statement?

1 - decide level of achievement (met, partially met, not met)

2 - support with pt data (behaviors or data points)

How can you make revisions in care?

You can revise:

• diagnosis

• time criteria

• outcome

• interventions

Explain ways to improve the care plan and nursing care during evaluation?

Follow steps similar to the nursing process

• discover problem

• assess and adjust

• plan with indicators

• implement change