Chapter 09: Implementation and Evaluation

Chapter 09: Implementation and Evaluation

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Which of the following is a direct care intervention?

ANS:  A

Direct care refers to interventions that are carried out by having personal contact with patients. For example, direct-care interventions include cleaning an incision, administering an injection, ambulating with a patient, and completing patient teaching at the bedside. Indirect care includes nursing interventions that are performed to benefit patients but do not involve face-to-face contact with patients. Examples of indirect care include making the change-of-shift report, communicating and collaborating with members of the interdisciplinary health care team, and ensuring availability of needed equipment.

DIF:    Applying        REF:   p. 118 | p. 120                                 OBJ:   9.02

TOP:   Implementation

MSC:  NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

NOT:  Concepts: Caregiving

2. The nurse manager is creating the patient assignment for today. She has five registered nurses (RNs), two licensed practical nurses (LPNs), and five nurse technicians (NAs) scheduled. When making the assignment, the nurse manager needs to remember that:

ANS:  A

Delegation is the transfer of responsibility for performing a task to another person while the nurse who delegated the task still remains accountable. Delegation is an indirect intervention based on assessment findings and established care priorities. Nurses must be familiar with the nurse practice act in their practice jurisdiction to ensure legal delegation. The nursing process cannot be delegated. In most jurisdictions, LPNs function in a dependent role and may not delegate.

DIF:    Applying        REF:   p. 121            OBJ:   9.02               TOP:   Implementation

MSC:  NCLEX Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control          NOT:           Concepts: Care Coordination

3. The nurse is preparing to administer medications to a patient. The patient is complaining of shortness of breath. The nurse should:

ANS:  C

All forms of prescription medication (i.e., oral, topical, and parenteral) require an order before administration, as does providing oxygen to a patient. Medication administration is within the scope of nursing practice and is performed as a dependent nursing intervention. Nurses must complete three checks and follow the six rights of medication administration to safely carry out this type of dependent action. Nurses check the primary care provider’s orders, the patient’s allergies, and the expiration date of the medication to be administered, and then address the six rights. They include administering the right medication and dosage, by the correct route, to the right patient, at the right time, and documenting correctly.

DIF:    Applying        REF:   p. 122            OBJ:   9.02               TOP:   Implementation

MSC:  NCLEX Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control          NOT:           Concepts: Care Coordination

4. After the nurse completes a patient’s initial assessment and develops a plan of care:

ANS:  A

After the nurse completes a patient’s initial assessment and develops a plan of care, continual reassessment of the patient detects noticeable changes in the patient’s condition, requiring adjustments to interventions outlined in the plan of care. The need for continual patient reassessment underscores the dynamic nature of the nursing process and is crucial to providing essential care.

DIF:    Evaluating      REF:   pp. 118-119    OBJ:   9.02               TOP:   Evaluation

MSC:  NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

NOT:   Concepts: Care Coordination