Study Guide for Fundamentals of Nursing The Art and Science of Nursing Care

c.Quality assurance programs ensure survival

of the profession.

d.Quality as opportunity focuses on finding

deficient workers and removing them.

e.In the quality-by-inspection system,

mistakes are viewed not as being caused by

a lack of motivation or effort, but rather as

a result of a problem in the system.

f.The ANA model of quality assurance directs

attention to three essential components of

quality care: structure, process, and outcome.

6.Which of the following are major premises of

quality improvement? (Select all that apply.)

a.Focus on organizational mission

b.Sporadic improvement

c.Healthcare worker orientation

d.Leadership commitment

e.Not crossing boundaries

f.Focus on process

DEVELOPING YOUR

KNOWLEDGE BASE

FILL-IN-THE-BLANKS

1.During the evaluation step of the nursing

process, based on the patient’s responses

to the plan of care, the nurse decides to

, , or

the plan of care.

2.Nurses are involved in many types of

evaluations, but the is always

the nurse’s primary concern.

3.The most important act of evaluation

performed by nurses is evaluating

with the patient.

4. are measurable qualities, attrib-
   utes, or characteristics that specify skills,
   knowledge, or health states.


5. are the levels of performance
   accepted and expected by the nursing staff or
   other healthcare team members established by
   authority, custom, or consent.


6. are recommendations for how
   care should be managed in specific diseases,
   problems, or situations.
   7.Specially designed programs that promote
   excellence in nursing are called.
   8. evaluation or audit focuses on
   the environment in which care is provided.
   9.When a healthcare worker evaluates nursing
   care by reviewing patient records to assess the
   outcomes of nursing care or the process by
   which these outcomes were achieved, he/she
   is conducting a(n).

MATCHING EXERCISES

Match the term in Part A with the correct

definition listed in Part B.

PART A

a.Concurrent evaluation

b.Retrospective evaluation

c.Outcome evaluation

d.Process evaluation

e.Structure evaluation

f.Introspective evaluation

PART B

1. An evaluation that focuses on the
   environment in which care is provided


2. An evaluation that focuses on measurable
   changes in the health status of the patient


3. An evaluation of nursing care and patient
   goals while the patient is receiving the
   care


4. An evaluation that focuses on the nature
   and sequence of activities carried out by the
   nurse implementing the nursing process


5. An evaluation to collect data after
   discharge
   Match the measurement tool in Part A with its
   appropriate example in Part B. Answers may be
   used more than once.
   PART A
   a.Criteria
   b.Standard
   PART B
   6. Patient will be able to walk the length of
   the hall by 5/15/12.
   7. The admission database will be
   completed on all patients within 24
   hours of admission to the unit.
   8. All patients in active labor will have con-
   tinuous external fetal heart monitoring.

86 UNIT III THE NURSING PROCESS

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