Chapter 14: Outcomes Research

Chapter 14: Outcomes Research

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The goal of outcomes research is to:

a.	determine the most cost-effective nursing interventions in patient care.
b.	examine the end results of patient care from various health interventions.
c.	help providers make end-of-life decisions about patient care.
d.	improve patient satisfaction with nursing care.

 

 

ANS:  B

 

	Feedback
A	Cost-effectiveness is one possible outcome, but other patient outcomes may be more important.
B	Outcomes research focuses on the end results of health care practices and interventions.
C	Outcomes research is not solely about end-of-life care and is not focused on end-of-life decision making.
D	Patient satisfaction is one result but is not the goal of all outcomes research.

 

 

PTS:   1                    DIF:    Cognitive level: Understanding (Comprehension)

REF:   p. 467

 

2. What is the key construct in Donabedian’s theory of outcomes research?

a.	Efficiency of health care delivery
b.	Healthy outcomes
c.	Professional accountability
d.	Quality of care

 

 

ANS:  D

 

	Feedback
A	Efficiency, healthy outcomes, and professional accountability all may be examined during outcomes research, but none of these is the key construct.
B	Efficiency, healthy outcomes, and professional accountability all may be examined during outcomes research, but none of these is the key construct.
C	Efficiency, healthy outcomes, and professional accountability all may be examined during outcomes research, but none of these is the key construct.
D	Quality of care is the overriding construct of Donabedian’s theory of outcomes research.

 

 

PTS:   1                    DIF:    Cognitive level: Remembering (Knowledge)

REF:   pp. 468-469

 

3. Which is an example of a type of nursing service that might be evaluated in outcomes research?

a.	Application of wound care products
b.	Clinical care protocol implementation
c.	Glucose monitoring for newly diagnosed diabetics
d.	Using a Braden Scale for skin assessment

 

 

ANS:  B

 

	Feedback
A	Application of products, monitoring patient status, and using measurement scales are all examples of nursing interventions.
B	Nursing services can include staffing and education of nurses as well as implementation of protocols and standards of care.
C	Application of products, monitoring patient status, and using measurement scales are all examples of nursing interventions.
D	Application of products, monitoring patient status, and using measurement scales are all examples of nursing interventions.

 

 

PTS:   1                    DIF:    Cognitive level: Remembering (Knowledge)

REF:   pp. 468-469

 

4. Which would be an example of an interdependent role for nurses in the Nursing Role and Effectiveness Model?

a.	Administering a medication to a patient
b.	Arranging for home health care services
c.	Initiating a fall risk protocol
d.	Performing an admission assessment

 

 

ANS:  B

 

	Feedback
A	Dependent role functions include execution of medical orders and physician-initiated treatments.
B	Interdependent role functions in the Nursing Role Effectiveness Model include communication, case management, and coordination of care.
C	Dependent role functions include execution of medical orders and physician-initiated treatments.
D	Independent role functions include assessment, diagnosis, and nursing-initiated treatments.

 

 

PTS:   1                    DIF:    Cognitive level: Applying (Application)

REF:   pp. 469-470

 

5. In an outcome study, a researcher demonstrates a link between the number of mothers who successfully breastfeed their infants and the number of maternal-child nurses who are baccalaureate prepared. This illustrates:

a.	interdependent nursing role functions.
b.	nursing-sensitive patient outcomes.
c.	patient-sensitive outcomes.
d.	the Nursing Role Effectiveness Model.

 

 

ANS:  B

 

	Feedback
A	Interdependent nursing functions are those that include both nurse-initiated and physician-initiated treatments.
B	Outcomes that are nursing sensitive are those that are influenced by nursing care decisions and actions as well as those associated with nursing staffing, education, and assignments.
C	Patient-sensitive outcomes are those that are influenced by different aspects of patients, such as age, gender, or disease process.
D	The Nursing Role Effectiveness Model examines outcomes that are nursing sensitive.

 

 

PTS:   1                    DIF:    Cognitive level: Applying (Application)

REF:   pp. 471-472