The nurse is preparing to evaluate care provided to a client. ...

[ss2343]

The nurse is preparing to evaluate care provided to a client. What behaviors should the nurse demonstrate that show an understanding of the relationship of evaluation to the other phases of the nursing process?
 
  1. Effectively assessing the client's needs
  2. Selecting the appropriate nursing diagnosis related to the client's needs
  3. Collecting client-focused data with a specific need in mind
  4. Evaluating by using assessment data to determine effective achievement of goals and outcomes
  5. Basing evaluation on assessment data collected during the admission phase

Question 2

After implementing interventions and reassessing the client's response, the nurse completes the process by evaluating. What attributes of evaluation should the nurse include when completing this step of the nursing process?
 
  1. Purposeful activity
  2. Nursing accountability
  3. Continuous
  4. Judgments
  5. Opinion

[SAUXC]

Answer to Question 1

Correct Answer: 1, 2, 3, 4
Rationale 1: Successful evaluation depends on the effectiveness of the steps that precede it. Assessment data must be accurate and complete so that the nurse can proceed with the nursing process.
Rationale 2: Successful evaluation depends on the effectiveness of the steps that precede it so that the nurse can formulate appropriate nursing diagnoses.
Rationale 3: Data are collected for different purposes at different points in the nursing process.
Rationale 4: During the evaluation step, the nurse collects data for the purpose of comparing it with preselected goals/outcomes and judging the effectiveness of the nursing care.
Rationale 5: During the assessment phase, the nurse collects data for the purpose of making diagnoses.

Answer to Question 2

Correct Answer: 1, 2, 3, 4
Rationale 1: Evaluating is a planned, ongoing, purposeful activity in which clients and health care professionals determine the client's progress toward achievement of goals/outcomes and the effectiveness of the nursing care plan.
Rationale 2: Through evaluating, nurses demonstrate responsibility and accountability for their actions.
Rationale 3: Evaluation is continuous and done while or immediately after implementing a nursing order.
Rationale 4: To evaluate is to judge or appraise. Through evaluation, the nurse is able to establish whether nursing interventions should be terminated, continued, or changed.
Rationale 5: Evaluation does not rest on opinion.