The nurse participates in a quality assurance program and reviews ...

[Anajune7]

The nurse participates in a quality assurance program and reviews evaluation data for the previous month. Which of the following does the nurse recognize as an example of process evaluation?
 
  A) A 10 reduction in the number of ventilator-associated pneumonia
  B) A 5 increase in the number of nosocomial catheter-related urinary tract infections
  C) 40 of all client rooms in the facility are private and equipped with a computer
  D) A nursing care plan was developed within the eight hours of admission for 97 of all admissions.

Question 2

Which client outcome is a physiologic outcome? Select all that apply.
 
  A) The client's HA1c is 7.4.
  B) The client's blood pressure is 118/74.
  C) The client rates his or her pain rating as 6.
  D) The client self-administers insulin subcutaneously.
  E) The client describes manifestations of wound infection.

[aadams68]

Answer to Question 1

Ans: D

Process evaluation focuses on the nature and sequence of activities carried out by nurses implementing the nursing process, such as the timing of nursing care plan creation. 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 the number of ventilator-associated pneumonia and nosocomial catheter-related urinary tract infections. Structure evaluation focuses on the environment in which care is provided, such as the number of private rooms equipped with a computer.

Answer to Question 2

Ans: A, B, C

Physiologic outcomes are physical changes in the client, such as pain ratings and blood pressure and HA1c measurements. Psychomotor outcomes describe the client's achievement of new skills, such as insulin administration. Cognitive outcomes demonstrate gains in client knowledge, such as manifestations of infection.