Chapter 19 Practice Questions
1. An older adult client has lost significant muscle mass during recovery from a
systemic infection. As a result, the client has made no progress toward meeting any
of the outcomes for mobility and activities of daily living that are specified in the
nursing plan of care. How should the nurse best respond to this situation?
A. Continue the current plan of care with the hope that the client will achieve the
outcomes.
B. Terminate the plan of care because it does not now accurately reflect the client's
abilities.
C. Modify the plan of care to better reflect the client's current functional ability.
D. Replace the client's individualized plan of care with a clinical pathway.
2. A nurse is evaluating an established plan of care. After identifying the evaluative
criteria and standards (expected patient outcomes), what must the nurse do next?
A. Interpret and summarize findings.
B. Document the nurse's judgment.
C. Collect data about client responses.
D. Formulate a new plan of care.
3. A nurse is evaluating the outcomes of a plan of care to teach a client with a BMI
of 33 about the calorie content of foods. What type of outcome is this?
A. psychomotor
B. affective
C. physiologic
D. cognitive
4. A nurse is educating a client on how to administer insulin, with the expected
outcome that the client will be able to self-administer the insulin injection. How
would the nurse evaluate this outcome?
A. Ask the client to verbally repeat the steps of the injection.
B. Ask the client to demonstrate self-injection of insulin.
C. Ask family members how much trouble the client is having with injections.
D. Ask the client how comfortable the client is with injections.
5. At the beginning of prenatal care, the goal for the client was to gain 25 lb (11.25
kg) by the end of the pregnancy. At 30 weeks of pregnancy, the client has only
gained 1 lb (0.45 kg). Which statement helps the nurse interpret these data
appropriately?
A. It is too early to evaluate if the goal has been achieved. The client has 10 more
weeks of pregnancy.
B. The client is not achieving the goal. The nurse should determine the reasons the
client has not been gaining weight.
C. The client is progressing toward achieving the goal. The plan should be
continued.
D. The client has partially achieved the determined goal. The nurse should revise
the goal to reflect a more realistic outcome.
