Exam 3 CH 11 The Health Care Delivery System, CH 18 Implementing, CH 19 Evaluating

The role of the nurse in hospitals includes managing other members of the health care team. \n A. True \n B. False

True

provides physical, psychological, \n social, and spiritual care for dying persons. Respite \n care is provided for caregivers of homebound ill, \n disabled, or elderly patients.

Hospice

Nurses’’ Role in Health Care Reform

The focus of nursing care provided by all nurses is \n holistic care essential to ___ __health and__ ______ illness.

promoting

preventing

Purposes of Implementation

Help the patient achieve valued ____ \n outcomes

health

Purposes of Implementation

____ based nursing actions planned in the (planning/outcome phase) are carried out

Evidence

Purposes of Implementation

The purpose of Implementation is to:

Promote Health

Prevent disease and illness

Restore health

Facilitate coping with altered functioning

Critical Thinking/Clinical Reasoning and \n Judgment, and Implementing

Alfaro’s rule:

assess

reassess

revise

record

Before implementing, _____ the patient to determine whether the action is still needed

reassess

Which one of the following nursing interventions is an indirect care intervention?

A. A nurse explains available birth control measures to a young couple \n B. A nurse meets with the collaborative care team to plan nursing measures for a patient \n C. A nurse prays with a patient prior to surgery \n D. A nurse administers pain medication to a patient with end-stage renal cancer

B. A nurse meets with the collaborative care team to \n plan nursing measures for a patient

Which example illustrates a nurse variable influencing \n patient outcomes? \n A. A patient in a nursing home refuses to take his medications \n B. A low-income family is unable to afford formula for their newborn infant \n C. An alcoholic patient is unwilling to participate in AA meetings \n D. A rape victim does not receive counseling in the \n emergency department because a counselor is not available

D. A rape victim does not receive counseling in the \n emergency department because a counselor is not \n available

When a patient fails to cooperate with the care plan despite the nurse’s best efforts, it is time to reassign the patient to another caretaker. \n A. True \n B. False

False, we reassess the strategy.

Evaluating Step \n Nurse and patient together measure how well the patient has

achieved the outcomes

The purpose of evaluation is to allow the patient’s \n achievement of expected outcomes to direct future \n nurse–patient interactions. \n A. True \n B. False

True

Four Types of Outcomes

increase in patient knowledge

cognitive

Four Types of Outcomes

changes in patient values, beliefs, and attitudes

Affective

Four Types of Outcomes

patient’s achievement of new skills

psychomotor

Four Types of Outcomes

Physical changes in the patient

Physiologic

Which example is a psychomotor outcome? \n A. A patient learns how to control his weight using the Choose MyPlate food guide \n B. A patient is able to test for glucose levels and inject insulin as needed \n C. A patient values his health enough to decide to quit smoking \n D. A patient is able to ambulate the hallway following knee surgery

B. A patient is able to test for glucose levels \n and inject insulin as needed

Which action should the nurse take when a patient \n has achieved each expected outcome in the care plan? \n A. Terminate the care plan \n B. Modify the care plan \n C. Continue the care plan

A. Terminate the care plan

Evaluative Programs

Structure evaluations

Environment - equipment

Evaluative Programs

Process evaluations

Activities carried out by nurse

Evaluative Programs

Outcome evaluations

Measurable changes in health

Tell whether the following statement is true or false. \n An outcome evaluation focuses on measurable changes in the health status of the patient or the end result of nursing care. \n A. True \n B. False

True