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Exam (elaborations)

NSG 321 Practice Questions and Complete Solutions

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  • NSG 321
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  • NSG 321

B When a nursing supervisor evaluates the staff nurse's performance with a group of clients to whom the staff nurse has provided nursing care, the supervisor is performing which type of evaluation? A) Outcome evaluation B) Process evaluation C) Summary evaluation D) Structure evaluation Process _...

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  • September 16, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NSG 321
  • NSG 321
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NSG 321 Practice Questions and
Complete Solutions
B ✅When a nursing supervisor evaluates the staff nurse's performance with a group of
clients to whom the staff nurse has provided nursing care, the supervisor is performing
which type of evaluation?

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

Process ✅_______ evaluation focuses on the nurse's performance and whether the
nursing care provided was appropriate and competent.

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

B ✅The primary purpose for evaluating data about a client's care according to a
functional health approach is to

A) Evaluate the need for healthcare consultations
B) Revise or modify the nursing care plan
C) Determine implementation of medical orders
D) Meet accreditation standards

Retrospective ✅_______ evaluation may use postdischarge questionnaires and client
interviews, or chart reviews after the client has been discharged.

Concurrent ✅_______ evaluation occurs while the client is receiving care and may
include the following: direct observation of nursing care and client interviews; and direct
observation of chart reviews during hospitalization.

D ✅Which statement related to the evaluation of outcome attainment for a client is
correct?

, A) Celebrating outcome achievement with a client often interferes with attainment of
future goals.
B) Evaluation of the client's attainment of outcome goals is determined by the nurse
and physician.
C) The nurse should initially evaluate the plan of care at the time of the client's
discharge.
D) Collecting data related to outcome attainment requires the nurse to know when to
collect the data based upon established time criteria.

B ✅The nurse is collecting data on a client presenting to the medical short-stay unit for
a colonoscopy. A client reports to the nurse that he quit smoking six months ago after
being diagnosed with lung cancer. The nurse recognizes this change in behavior is
which type of outcome?

A) Physiologic outcome
B) Affective outcome
C) Cognitive outcome
D) Psychomotor outcome

Affective ✅_______ outcomes pertain to changes in client values, beliefs, and
attitudes and are more complex to evaluate. Changes in behaviors, such as the
cessation of smoking or nutritional changes that lead to weight loss, are examples of
this.

Cognitive ✅_______ outcomes involve an increase in client knowledge and are
evaluated by asking the client to repeat information or perform a skill.

Psychomotor ✅_______ outcomes describe the client's achievement of a new skill.

Physiologic ✅_______ outcomes result in physical changes and are evaluated through
physical assessment.

A, d ✅Select all answer choices that apply.
Which activity does the nurse perform during the evaluating stage? Select all that apply.

A) Increases the frequency of repositioning from every two hours to every one hour.
B) Validates with the client the problem of constipation.
C) Identifies smoking and sedentary lifestyle as risk factors for hypertension.
D) Collects data to determine the number of catheter-associated infections on the
nursing unit.
E) Sets a goal of ambulating from bed to room door and back to bed.

Evaluation ✅During the _______ stage, the nurse modifies the plan of care if desired
outcomes are not achieved (increased frequency of repositioning) and collects data,
such as number of infections, to monitor quality and effectiveness of nursing practice.

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