Author Question: The nurse participates in a quality assurance program. Data from the previous year indicates a 2 ... (Read 38 times)

washai · **on:** Jul 23, 2018

The nurse participates in a quality assurance program. Data from the previous year indicates a 2 reduction in the number of repeat admissions for clients who underwent hip replacement surgery. The nurse recognizes this is which type of evaluation?

A) Design evaluation
B) Process evaluation
C) Outcome evaluation
D) Structure evaluation

Question 2

The nurse assesses urine output following administration of a diuretic. Which step of the nursing process does this nursing action reflect?

A) Assessment
B) Outcome identification
C) Implementation
D) Evaluation

xiaomengxian · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: C

Quality assurance programs focus on three types of evaluation: structure, process, and outcome. Outcome evaluation focuses on measurable changes in the health status of clients, such as a 2 reduction in the number of repeat admissions for clients who underwent hip replacement surgery. Structure evaluation focuses on the environment in which care is provided, whereas process evaluation focuses on the nature and sequence of activities carried out by implementing the nursing process. There is no design evaluation.

Answer to Question 2

Ans: D

Assessing the client's response to a diuretic medication is an example of evaluation. During assessment, the nurse collects and synthesizes data to identify patterns. The nurse establishes desired outcomes with the client and family during the outcome identification and planning stage. The nurse initiates activities to achieve the desired outcomes during the implementation stage.