The nurse evaluates the responses of the community to a health program to measure progress that is being made toward the program's goals and objectives. When evaluating these responses, the nurse understands that this is part of what nursing process?
A) Assessment
B) Evaluation
C) Planning
D) Implementation
Ans: B
Evaluation is crucial for revision of the database and the community nursing diagnoses. Nursing practice is cyclic as well as dynamic, and for community-based interventions to be timely and relevant, the community database, nursing diagnoses, and health program plans must be evaluated routinely.
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A patient receiving treatment for severe burns over more than half the body has an indwelling urinary catheter. When evaluating the patient's intake and output, what should the nurse take into consideration?
1. Urine output will be reduced in the first 24–48 hours and will then increase. 2. Urine output will be greatest in the first 24 hours after the burn injury. 3. Urine output will be reduced during the first 8 hours and will then increase as diuresis begins. 4. Urine output will be elevated due to the amount of intravenous fluids administered during the initial phases of treatment.
What adjustment should you expect to be made for an 82-year-old patient who is newly prescribed chloral hydrate for insomnia?
a. Seizure precautions should be implemented. b. The first dose should be given with a meal or a substantial snack. c. The initial dose should be lower than that for a younger adult. d. The patient should have continuous electrocardiography monitoring.
A client is prescribed a medication that is a blend of an opioid analgesic with an NSAID. The nurse realizes that this medication will have which effects on the client?
1. Encourage the development of tolerance. 2. Encourage the development of addiction. 3. Maximize pain control while minimizing toxicity. 4. Maximize pain control while minimizing side effects. 5. Reduce the onset of pseudoaddiction.
Nurses are interested in receiving constructive feedback generally from their manager and peers. But frequently, our most helpful feedback is actually a result of performing the:
A. Interview process with nurses from other hospitals to obtain feedback about our care B. Manager's evaluation test of patient satis-faction of care C. Mirror test when we self-evaluate our work D. Reflective test that generates patient feedback about their care