A new nurse is confused about using evaluative measures when ...

[kfurse]

A new nurse is confused about using evaluative measures when caring for patients and asks the charge nurse for an explanation. Which response by the charge nurse is most accurate?
 
  a. Evaluative measures are multiple-page documents used to evaluate nurse performance.
  b. Evaluative measures include assessment data used to determine whether patients have met their expected outcomes and goals.
  c. Evaluative measures are used by quality assurance nurses to determine the progress a nurse is making from novice to expert nurse.
  d. Evaluative measures are objective views for completion of nursing interventions.

Question 2

After assessing the patient and identifying the need for headache relief, the nurse administers acetaminophen for the patient's headache. Which action by the nurse is priority for this patient?
 
  a. Eliminate headache from the nursing care plan.
  b. Direct the nursing assistive personnel to ask if the headache is relieved.
  c. Reassess the patient's pain level in 30 minutes.
  d. Revise the plan of care.

[jessofishing]

Answer to Question 1

ANS: B
You conduct evaluative measures to determine if your patients met expected outcomes, not if nursing interventions were completed. Evaluative measures are assessment skills and techniques. Evaluative measures are not multiple-page documents, and they are used to assess the patient's status, not the nurse's performance or progress from novice to expert.

Answer to Question 2

ANS: C
The nurse's priority action for this patient is to evaluate whether the nursing intervention of administering acetaminophen was effective. The nurse does not have enough evaluative data at this point to determine whether headache needs to be discontinued. Assessment is the nurse's responsibility and is not to be delegated to nursing assistive personnel. The nurse does not have enough evaluative data to determine whether the patient's plan of care needs to be revised.

[kfurse]

Thanks

[jessofishing]

Welcome