Handbook Of Informatics for Nurses & Healthcare Professionals 5th Edition by Toni Lee Hebda – Test Bank
Hebda, Handbook of Informatics, 5/e Test Bank
Chapter 6
Question 1 Type:
MCSA Medication errors have been on the rise over the past decade. A national initiative to minimize or eliminate the errors can be supported through which of the following responses? 1. Electronic medical administration records are generated weekly and compared to the clients’ physician orders. 2. The client’s medication administration record is compared to the client’s identification bracelet before the medication is given. 3. The bar codes of the nurse, client’s identification bracelet, and prescription medication are scanned and compared. 4. The client’s medication administration record bar code is compared to the clients’ prescription medications. Correct Answer: 3 Rationale 1: Scanning bar codes at the point of care decreases the probability of the nurse making medication errors. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right client. Bar coding systems often include warnings for high-risk drugs, for medications with sound-alike names, for maximum dosages, and dosage discrepancies. All the other examples are insufficient or are performed away from the clients themselves. Rationale 2: Scanning bar codes at the point of care decreases the probability of the nurse making medication errors. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right client. Bar coding systems often include warnings for high-risk drugs, for medications with sound-alike names, for maximum dosages, and dosage discrepancies. All the other examples are insufficient or are performed away from the clients themselves. Rationale 3: Scanning bar codes at the point of care decreases the probability of the nurse making medication errors. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right client. Bar coding systems often include warnings for high-risk drugs, for medications with sound-alike names, for maximum dosages, and dosage discrepancies. All the other examples are insufficient or are performed away from the clients themselves. Rationale 4: Scanning bar codes at the point of care decreases the probability of the nurse making medication errors. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right client. Bar coding systems often include warnings for high-risk drugs, for medications with sound-alike names, for maximum dosages, and dosage discrepancies. All the other examples are insufficient or are performed away from the clients themselves. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 2 Type: MCSA Which of the following is the best example of a monitoring system? 1. Manual blood pressure of 132/82 is entered into the vital sign section of the graphic sheet. 2. The automatic blood pressure machine takes one reading of 164/104 and is turned off. 3. Blood glucose readings of 162 for 7:30 a.m. and 198 for 11:30 a.m. are obtained and entered into the computer system. 4. A temperature probe is connected to the pulmonary artery catheter to continuously monitor core temperature. Correct Answer: 4 Rationale 1: Monitoring systems are devices that automatically monitor biometric measurements. The best monitoring systems, such as the temperature probe, obtain data electronically and transmit the data to be stored in the client’s electronic medical record. Manual inputs are possible but are not the best way to record data. Rationale 2: Monitoring systems are devices that automatically monitor biometric measurements. The best monitoring systems, such as the temperature probe, obtain data electronically and transmit the data to be stored in the client’s electronic medical record. Manual inputs are possible but are not the best way to record data. Rationale 3: Monitoring systems are devices that automatically monitor biometric measurements. The best monitoring systems, such as the temperature probe, obtain data electronically and transmit the data to be stored in the client’s electronic medical record. Manual inputs are possible but are not the best way to record data. Rationale 4: Monitoring systems are devices that automatically monitor biometric measurements. The best monitoring systems, such as the temperature probe, obtain data electronically and transmit the data to be stored in the client’s electronic medical record. Manual inputs are possible but are not the best way to record data. Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 3 Type: MCMA Which of the following supports the automation of nursing documentation? Standard Text: Select all that apply. 1. The use of standardized nursing languages (SNLs) accepted by the American Nurses Association 2. The use of a SOAP note in narrative form to support assessment of client cardiopulmonary system 3. The use of interventions such as “turn, cough, and deep breathe” as determined by the Nursing Interventions Classifications (NIC) 4. The use of client-specific charting by exception, addressing only exceptions to normal 5. The use of nursing diagnoses such as “Alteration of Comfort” as defined by the North American Nursing Diagnosis Association (NANDA) Correct Answer: 1,3,5 Rationale 1: Standardized nursing languages, including NANDA and NIC (also Nursing Outcomes Classification, (NOC)), support automation of nursing documentation so that comparisons among data may be made. These remove the ambiguity of meaning found in other documentation systems. The SOAP note and the charting by exception choices are not standardized and do not support the automation of nursing documentation. Rationale 2: Standardized nursing languages, including NANDA and NIC (also Nursing Outcomes Classification, (NOC)), support automation of nursing documentation so that comparisons among data may be made. These remove the ambiguity of meaning found in other documentation systems. The SOAP note and the charting by exception choices are not standardized and do not support the automation of nursing documentation. Rationale 3: Standardized nursing languages, including NANDA and NIC (also Nursing Outcomes Classification, (NOC)), support automation of nursing documentation so that comparisons among data may be made. These remove the ambiguity of meaning found in other documentation systems. The SOAP note and the charting by exception choices are not standardized and do not support the automation of nursing documentation. Rationale 4: Standardized nursing languages, including NANDA and NIC (also Nursing Outcomes Classification, (NOC)), support automation of nursing documentation so that comparisons among data may be made. These remove the ambiguity of meaning found in other documentation systems. The SOAP note and the charting by exception choices are not standardized and do not support the automation of nursing documentation. Rationale 5: Standardized nursing languages, including NANDA and NIC (also Nursing Outcomes Classification, (NOC)), support automation of nursing documentation so that comparisons among data may be made. These remove the ambiguity of meaning found in other documentation systems. The SOAP note and the charting by exception choices are not standardized and do not support the automation of nursing documentation. Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 4 Type: MCSA Which of these is an example of a decision support system (DSS)? 1. A system used to schedule client visits for follow up care after extensive abdominal surgery 2. A system used to register clients who are admitted to an acute health care facility for surgery 3. A system used by emergency room administration to bill clients once their diagnoses are verified 4. A system used by physicians to provide suggestions for diagnostic tests according to selected admitting diagnoses Correct Answer: 4 Rationale 1: The correct answer is a system used by physicians to provide suggestions for diagnostic tests according to selected admitting diagnoses. These suggestions may be followed or ignored, depending on the health care provider. A DSS assists with and strengthens the selection of viable options using the information of an organization or a field to facilitate decision making and overall efficiency. Your choice is an example of an administrative information system application. Rationale 2: The correct answer is a system used by physicians to provide suggestions for diagnostic tests according to selected admitting diagnoses. These suggestions may be followed or ignored, depending on the health care provider. A DSS assists with and strengthens the selection of viable options using the information of an organization or a field to facilitate decision making and overall efficiency. Your choice is an example of an administrative information system application. Rationale 3: The correct answer is a system used by physicians to provide suggestions for diagnostic tests according to selected admitting diagnoses. These suggestions may be followed or ignored, depending on the health care provider. A DSS assists with and strengthens the selection of viable options using the information of an organization or a field to facilitate decision making and overall efficiency. Your choice is an example of an administrative information system application. Rationale 4: A system used by physicians to provide suggestions for diagnostic tests according to selected admitting diagnoses is indeed an example of a DSS. These suggestions may be followed or ignored, depending on the health care provider. A DSS assists with and strengthens the selection of viable options using the information of an organization or a field to facilitate decision making and overall efficiency. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 5 Type: MCSA Which statement indicates the nurse is correctly documenting according to a critical pathway? 1. Nursing documentation is entered separately from that of other health care team members 2. Nursing documentation is entered in nursing diagnoses and outcome statements framework 3. Variances are identified if client outcomes are not as anticipated 4. Only one critical pathway is selected at a given time for a given client Correct Answer: 3 Rationale 1: When using the critical pathway or protocols approach to nursing documentation, the system should identify variances to the anticipated outcomes as they are charted and provide aggregate variance data for analysis by the providers. This information can be used to fine tune and improve the critical pathways, thereby contributing to improved client outcomes. Rationale 2: When using the critical pathway or protocols approach to nursing documentation, the system should identify variances to the anticipated outcomes as they are charted and provide aggregate variance data for analysis by the providers. This information can be used to fine tune and improve the critical pathways, thereby contributing to improved client outcomes. Rationale 3: When using the critical pathway or protocols approach to nursing documentation, the system should identify variances to the anticipated outcomes as they are charted and provide aggregate variance data for analysis by the providers. This information can be used to fine tune and improve the critical pathways, thereby contributing to improved client outcomes. Rationale 4: When using the critical pathway or protocols approach to nursing documentation, the system should identify variances to the anticipated outcomes as they are charted and provide aggregate variance data for analysis by the providers. This information can be used to fine tune and improve the critical pathways, thereby contributing to improved client outcomes. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 6 Type: MCSA Which of these is an advantage of implementing a computerized order entry system? 1. Physicians argue for the option to continue traditional methods for ordering 2. Each department is notified simultaneously as orders are processed through the system 3. Increased system access or response time is available to the health care provider 4. Clinicians readily accept the new system, related to work process changes Correct Answer: 2 Rationale 1: The correct answer is the simultaneous notification of orders is a benefit of computerized order entry. Departments receive notification of new orders more quickly than in a paper-based system. Other benefits include direct entry of orders by the provider (e.g., physician, nurse practitioner, physical therapist) that eliminates issues related to illegible handwriting and transcription errors, checking orders for accuracy and completeness, and speeding the implementation of ordered diagnostic tests and treatment modalities. Computerized order entry also enhances staff productivity, saves money, promotes safety, and improves outcomes when used in conjunction with evidence-based practices. Rationale 2: The simultaneous notification of orders is an advantage of computerized order entry. Departments receive notification of new orders more quickly than in a paper-based system. Other benefits include direct entry of orders by the provider (e.g., physician, nurse practitioner, physical therapist) that eliminates issues related to illegible handwriting and transcription errors, checking orders for accuracy and completeness, and speeding the implementation of ordered diagnostic tests and treatment modalities. Computerized order entry also enhances staff productivity, saves money, promotes safety, and improves outcomes when used in conjunction with evidence-based practices. Rationale 3: The correct answer is the simultaneous notification of orders is a benefit of computerized order entry. Departments receive notification of new orders more quickly than in a paper-based system. Other benefits include direct entry of orders by the provider (e.g., physician, nurse practitioner, physical therapist) that eliminates issues related to illegible handwriting and transcription errors, checking orders for accuracy and completeness, and speeding the implementation of ordered diagnostic tests and treatment modalities. Computerized order entry also enhances staff productivity, saves money, promotes safety, and improves outcomes when used in conjunction with evidence-based practices. Rationale 4: The correct answer is the simultaneous notification of orders is a benefit of computerized order entry. Departments receive notification of new orders more quickly than in a paper-based system. Other benefits include direct entry of orders by the provider (e.g., physician, nurse practitioner, physical therapist) that eliminates issues related to illegible handwriting and transcription errors, checking orders for accuracy and completeness, and speeding the implementation of ordered diagnostic tests and treatment modalities. Computerized order entry also enhances staff productivity, saves money, promotes safety, and improves outcomes when used in conjunction with evidence-based practices. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Learning Outcome: Question 7 Type: MCSA Which of the following is characteristic of an automated radiology information system (RIS)? 1. Once a test is completed, the film is scanned to an optical imaging disc. 2. As each test is ordered, the user is prompted to answer questions such as the purpose of the test. 3. Images may be faxed to other institutions for timely consultations. 4. As soon as the test is performed, the system interprets the results and sends an electronic report. Correct Answer: 2 Rationale 1: Automated radiology information systems create specific questionnaires to ensure reimbursement and individualize client care. Your answer is incorrect because physicians must still review the film and interpret the images; and images are digitally created and stored automatically. Rationale 2: Automated RIS creates specific questionnaires to ensure reimbursement and individualized client care. Physicians must still review the film and interpret the images, and images are digitally created and stored automatically. Rationale 3: Automated radiology information systems create specific questionnaires to ensure reimbursement and individualized client care. Your answer is incorrect because physicians must still review the film and interpret the images, and images are digitally created and stored automatically. Only the report can be faxed. Rationale 4: Automated radiology information systems create specific questionnaires to ensure reimbursement and individualize client care. Your answer is incorrect because physicians must still review the film and interpret the images, and images are digitally created and stored automatically. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 8 Type: MCMA Which of the following are true about using automated pharmacy systems? Standard Text: Select all that apply. 1. An automated system pulls in laboratory results and client information from the HIS more quickly to identify allergy and interaction problems. 2. Costs for operating automated pharmacy systems are not as important as the improved communication among departments. 3. Expenses used in starting up an automated pharmacy system are considerable, including personnel training. 4. The use of these systems is limited only to pharmacists. 5. Individual client data is integrated and provides the pharmacist with up-to-date information. Correct Answer: 1,5 Rationale 1: Automated systems can pull in laboratory results and client information from the HIS more quickly and accurately identifying allergy and interaction problems. Rationale 2: Automation of previously manual processes can result in significant cost savings; however, the organization must consider the initial cost when selecting the software. Pharmacy systems offer many benefits that promote cost containment, improve the quality of care, and decrease medication errors. Rationale 3: Pharmacy systems offer many benefits that promote cost containment, improve the quality of care, and decrease medication errors. Rationale 4: These systems can be used by a variety of health care professionals who perform activities related to the ordering, dispensing, and administration of medications. Rationale 5: All information obtained related to an individual client is integrated and provides the pharmacist with up-to-date information. This helps to provide accurate information and promote client safety. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 9 Type: FIB ___________________________ aid in and strengthen the selection of viable options using the information of an organization or a field to facilitate decision making and overall efficiency. Standard Text: Correct Answer: Decision support systems Rationale : Decision support systems aid in and strengthen the selection of viable options using the information of an organization or a field to facilitate decision making and overall efficiency. Decision support software organizes information to fit new environments. It provides analysis and advice to support a choice. The final decision rests with the practitioner. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 10 Type: FIB ____________________________ are large, computerized database management systems that support several types of activities that may include provider order entry, result retrieval, documentation, and decision support across distributed locations. Standard Text: Correct Answer: Clinical information systems Rationale : Clinical information systems (CISs) are large, computerized database management systems that support several types of activities that may include provider order entry, result retrieval, documentation, and decision support across distributed locations. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 11 Type: FIB A nursing information system should identify variances to the anticipated outcomes as they are charted and provide aggregate variance data for analysis by the providers. This information can be used to fine tune and improve _______________________________, thereby contributing to improved client outcomes. Standard Text: Correct Answer: critical pathways Rationale : The system should identify variances to the anticipated outcomes as they are charted and provide aggregate variance data for analysis by the providers. This information can be used to fine tune and improve the critical pathways, thereby contributing to improved client outcomes. The critical pathway or protocol approach to nursing documentation is an approach used in automated nursing information systems and it is often use in a multidisciplinary manner, with many types of care providers accessing the system for information and to document care. Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 12 Type: MCSA Which of the following describes home care information systems? 1. Supports the way that users function, and allows flexibility and improved access to information and tools 2. Uses monitoring technology which, when integrated into information systems, provides a way to care for the target population 3. Requires integration for the improvement of quality of care and business survival 4. Provides assistance to organizations to better manage their resources and improve efficiency Correct Answer: 2 Rationale 1: Adoption of home care information systems makes use of monitoring technology which, when integrated into information systems, provides a way to care for the target population. Your choice describes nursing information systems. Rationale 2: Adoption of home care information systems makes use of monitoring technology which, when integrated into information systems, provides a way to care for the target population. Rationale 3: Adoption of home care information systems makes use of monitoring technology which, when integrated into information systems, provides a way to care for the target population. Your choice describes long-term health information systems. Rationale 4: Adoption of home care information systems makes use of monitoring technology which, when integrated into information systems, provides a way to care for the target population. Your choice describes contract management systems. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 13 Type: MCSA Which of the following systems supports the use and documentation of nursing processes and activities, and provides tools for managing the delivery of nursing care? 1. Administrative information system 2. Nursing information system 3. Computerized provider order entry (CPOE) 4. Clinical information system Correct Answer: 2 Rationale 1: Administrative information systems support client care by managing financial and demographic information and providing reporting capabilities. This category includes client management, financial, payroll, and human resources, and quality assurance systems. Coding systems use clinical information to generate charges for care. Rationale 2: Nursing information system supports the use and documentation of nursing processes and activities, and provides tools for managing the delivery of nursing care. Rationale 3: CPOE is the electronic entry of patient orders directly into the system. Rationale 4: Clinical information systems (CISs) are large, computerized database management systems that support several types of activities that may include provider order entry, result retrieval, documentation, and decision support across distributed locations. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 14 Type: MCSA The following answers are standardized languages used across the discipline of nursing that allow nurses to describe nursing problems, treatments, and outcomes in a manner that is understood by all nurses except which? 1. HIS 2. NANDA 3. NOC 4. NIC Correct Answer: 1 Rationale 1: HIS is an acronym for health information systems. Standardized nursing languages (SNLs) accepted by the American Nurses Association include nursing diagnoses defined by the North American Nursing Diagnosis Association (NANDA), Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC) and several other languages. Rationale 2: Standardized nursing languages (SNLs) accepted by the American Nurses Association include nursing diagnoses defined by the North American Nursing Diagnosis Association (NANDA), Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC) and several other languages. Rationale 3: Standardized nursing languages (SNLs) accepted by the American Nurses Association include nursing diagnoses defined by the North American Nursing Diagnosis Association (NANDA), Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC) and several other languages. Rationale 4: Standardized nursing languages (SNLs) accepted by the American Nurses Association include nursing diagnoses defined by the North American Nursing Diagnosis Association (NANDA), Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC) and several other languages. Global Rationale: Cognitive Level: Remembering Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 15 Type: FIB _____________and wireless technology can be used with CISs to allow information entry and retrieval at the point of care or wherever it is needed by the health care professional. Standard Text: Correct Answer: Mobile Rationale : Mobile technology can be used with CISs allow information entry and retrieval at the point of care or wherever it is needed by the healthcare professional. This is best seen by the healthcare professional who can view client lab results while walking or at the point of care which enhances worker productivity because it eliminates the need to walk back to a central location to view test results, and it improves client service because treatments can be ordered and initiated in a more timely fashion. Global Rationale: Cognitive Level: Remembering Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 16 Type: MCSA The client registration system is also known as which of the following? 1. Admission system 2. Admission/discharge/transfer system 3. Transfer system 4. Discharge system Correct Answer: 2 Rationale 1: The client registration system is critical to the effective operation of many other systems within the health care setting. This system is used to collect and store client identification and demographic data that are verified and updated at the time of each visit. For this reason, these may also be known as admission/discharge/transfer (ADT) systems. Rationale 2: The client registration system is critical to the effective operation of many other systems within the health care setting. This system is used to collect and store client identification and demographic data that are verified and updated at the time of each visit. For this reason, these may also be known as admission/discharge/transfer (ADT) systems. Rationale 3: The client registration system is critical to the effective operation of many other systems within the health care setting. This system is used to collect and store client identification and demographic data that are verified and updated at the time of each visit. For this reason, these may also be known as admission/discharge/transfer (ADT) systems. Rationale 4: The client registration system is critical to the effective operation of many other systems within the health care setting. This system is used to collect and store client identification and demographic data that are verified and updated at the time of each visit. For this reason, these may also be known as admission/discharge/transfer (ADT) systems. Global Rationale: Cognitive Level: Remembering Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 17 Type: FIB _________________________ systems use clinical information to generate charges for care. Standard Text: Correct Answer: Coding Rationale : Administrative information systems support client care by managing financial and demographic information and providing reporting capabilities. This category includes client management, financial, payroll, and human resources, and quality assurance systems. Coding systems use clinical information to generate charges for care. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 18 Type: MCSA Which of the following can identify the client in all information systems across the organization? 1. Client identification code 2. Billing system 3. Nursing information system 4. Administrative information systems Correct Answer: 1 Rationale 1: An important aspect of a registration system used in a multi-entity health system network is the development of a unique client identifier. This number or identification code is used to identify the client in all information systems across the organization and across all entities. This enables accurate client identification, supporting the development of a longitudinal client record that contains all clinical information available for the client. Rationale 2: An important aspect of a registration system used in a multi-entity health system network is the development of a unique client identifier. This number or identification code is used to identify the client in all information systems across the organization and across all entities. This enables accurate client identification, supporting the development of a longitudinal client record that contains all clinical information available for the client. The billing system cannot be used unless there is a patient identification code. Rationale 3: A nursing information system using the nursing process approach should support the use and documentation of nursing processes and provide tools for managing the delivery of nursing care. Rationale 4: Administrative information systems support client care by managing financial and demographic information and providing reporting capabilities. This category includes client management, financial, payroll, and human resources, and quality assurance systems. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 19 Type: FIB ____________________________ can be used to fine tune and improve critical pathways thereby contributing to improved client outcomes. Standard Text: Correct Answer: Variances Rationale : The nurse, or other care provider, can select one or more appropriate critical pathways for the client. If more than one path is selected, the system should merge the paths to create one “master” path or protocol. The system should identify variances to the anticipated outcomes as they are charted and provide aggregate variance data for analysis by the providers. This information can be used to fine tune and improve the critical pathways, thereby contributing to improved client outcomes. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 20 Type: MCSA Which of the following statements suggests that the use of mobile devices in the health care setting can enhance patient care? 1. Personal access to patient’s home address 2. Portable devices have a finite amount of space to receive instantaneous lab results. 3. The elimination of paper copies of lab reports 4. The elimination of a unit secretary position since all data is housed on the mobile device Correct Answer: 3 Rationale 1: The nurse does not need access to a patient’s address to improve nursing care. Rationale 2: Space issues on handheld devices should be addressed before loading too many files and data on it. Rationale 3: The ability to send results directly to secure mobile devices helps to ensure the privacy of health information because it eliminates the need for large numbers of printouts and the need to fax sensitive information. Rationale 4: The unit secretary has additional duties besides delegated retrieval of lab results. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 21 Type: MCMA Clinical information systems (CISs) can have a positive impact on which of the following? Standard Text: Select all that apply. 1. Pharmacy 2. Radiology 3. Order entry 4. Laboratory department 5. Nursing department Correct Answer: 1,2,4,5 Rationale 1: Clinicians use these systems to access client data that are used to plan, implement, and evaluate care. Some examples of CISs include nursing, laboratory, pharmacy, radiology, medical information systems, emergency department systems, physician practice management systems, and long term and home care information systems. Rationale 2: Clinicians use these systems to access client data that are used to plan, implement, and evaluate care. Some examples of CISs include nursing, laboratory, pharmacy, radiology, medical information systems, emergency department systems, physician practice management systems, and long term and home care information systems. Rationale 3: Clinicians use these systems to access client data that are used to plan, implement, and evaluate care. Some examples of CISs include nursing, laboratory, pharmacy, radiology, medical information systems, emergency department systems, physician practice management systems, and long term and home care information systems. Rationale 4: Clinicians use these systems to access client data that are used to plan, implement, and evaluate care. Some examples of CISs include nursing, laboratory, pharmacy, radiology, medical information systems, emergency department systems, physician practice management systems, and long term and home care information systems. Rationale 5: Clinicians use these systems to access client data that are used to plan, implement, and evaluate care. Some examples of CISs include nursing, laboratory, pharmacy, radiology, medical information systems, emergency department systems, physician practice management systems, and long term and home care information systems. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 22 Type: MCSA Which of the following can be used with CISs to allow information entry and retrieval at the point of care or wherever it is needed by the health care professional? 1. Mobile and wireless technology 2. Computerized order entry 3. Bar coding systems 4. Monitoring systems Correct Answer: 1 Rationale 1: Mobile and wireless technology used with CISs allow information entry and retrieval at the point of care or wherever it is needed by the health care professional. This is best seen by the health care professional who can view client lab results while walking or at the point of care which enhances worker productivity because it eliminates the need to walk back to a central location to view test results, and it improves client service because treatments can be ordered and initiated in a more timely fashion. Internet technology also changes the way that users interact with CISs. Rationale 2: Mobile and wireless technology used with CISs allow information entry and retrieval at the point of care or wherever it is needed by the health care professional. This is best seen by the health care professional who can view client lab results while walking or at the point of care which enhances worker productivity because it eliminates the need to walk back to a central location to view test results, and it improves client service because treatments can be ordered and initiated in a more timely fashion. Internet technology also changes the way that users interact with CISs. Rationale 3: Mobile and wireless technology used with CISs allow information entry and retrieval at the point of care or wherever it is needed by the health care professional. This is best seen by the health care professional who can view client lab results while walking or at the point of care which enhances worker productivity because it eliminates the need to walk back to a central location to view test results, and it improves client service because treatments can be ordered and initiated in a more timely fashion. Internet technology also changes the way that users interact with CISs. Rationale 4: Mobile and wireless technology used with CISs allow information entry and retrieval at the point of care or wherever it is needed by the health care professional. This is best seen by the health care professional who can view client lab results while walking or at the point of care which enhances worker productivity because it eliminates the need to walk back to a central location to view test results, and it improves client service because treatments can be ordered and initiated in a more timely fashion. Internet technology also changes the way that users interact with CISs. Global Rationale: Cognitive Level: Understanding Client Need: Client Need Sub: Nursing/Integrated Concepts: Learning Outcome: Question 23 Type: MCSA A nursing information system is considered to be effective if which of the following goals are accomplished? 1. Supports nursing and enhances practice 2. Collects data and creates new theories of nursing 3. Disseminates best practices and identifies variances 4. Finds medication errors and creates new protocols Correct Answer: 1 Rationale 1: The first goal is that the system should support the way that nurses function, allowing them the flexibility to use the system to view data and collect necessary information, provide quality client care, and document the client’s condition and the care that was given. The second goal is that the system should support and enhance nursing practice through improved access to information and tools. Rationale 2: The system does not collect data nor create new theories. Rationale 3: Best practice models are created through the collection, analysis, and synthesis of data compiled through system usage. Rationale 4: A nursing information system does not find medication errors or create new protocols. Global Rationale: Cognitive Level: Analyzing Client Need: Health Promotion and Maintenance Client Need Sub: Nursing/Integrated Concepts: Nursing Process: Data Collection Learning Outcome: Question 24 Type: MCSA Which of the following clinical system functions allows the nurse to provide more efficient patient care? 1. Electronic presentations 2. Order entry 3. Identification coding 4. Help desk Correct Answer: 2 Rationale 1: Electronic presentations can be useful in the education process but are not necessarily helpful in improving patient care. Rationale 2: Clinical systems, including order entry, radiology, laboratory, pharmacy systems, and physician management systems, give the nurse and other health care providers the support and tools to more effectively care for clients. Rationale 3: Clinical systems, including order entry, radiology, laboratory, pharmacy systems, and physician management systems, give the nurse and other health care providers the support and tools to more effectively care for clients. Rationale 4: Clinical systems, including order entry, radiology, laboratory, pharmacy systems, and physician management systems, give the nurse and other health care providers the support and tools to more effectively care for clients. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 25 Type: MCMA Which of the following are considered benefits of electronic prescriptions? Standard Text: Select all that apply. 1. Eliminates phone calls for refills 2. Reviews clients drug histories before prescribing 3. Provides reminders for prescriptions 4. Alerts provider about drug reactions 5. Provides a longitudinal prescription record Correct Answer: 1,2,3,4 Rationale 1: -Elimination of telephone authorization for refills -Review of clients’ drug histories before ordering drugs -Reminders to order home medications for the hospitalized client -Alerts about drug interactions -Checking of formulary compliance and reimbursement -Provision of a longitudinal prescription record Rationale 2: -Elimination of telephone authorization for refills -Review of clients’ drug histories before ordering drugs -Reminders to order home medications for the hospitalized client -Alerts about drug interactions -Checking of formulary compliance and reimbursement -Provision of a longitudinal prescription record Rationale 3: -Elimination of telephone authorization for refills -Review of clients’ drug histories before ordering drugs -Reminders to order home medications for the hospitalized client -Alerts about drug interactions -Checking of formulary compliance and reimbursement -Provision of a longitudinal prescription record Rationale 4: -Elimination of telephone authorization for refills -Review of clients’ drug histories before ordering drugs -Reminders to order home medications for the hospitalized client -Alerts about drug interactions -Checking of formulary compliance and reimbursement -Provision of a longitudinal prescription record Rationale 5: -Elimination of telephone authorization for refills -Review of clients’ drug histories before ordering drugs -Reminders to order home medications for the hospitalized client -Alerts about drug interactions -Checking of formulary compliance and reimbursement -Provision of a longitudinal prescription record Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 26 Type: MCMA Which of the following depicts the nationwide initiative to prevent medication errors? Standard Text: Select all that apply. 1. Adverse events are reported through MedWatch 2. Federal Drug Administration (FDA) rejects applications for new drug names that are similar to older drug names. 3. Advocating clinical decision support (CDS) systems 4. Denies reimbursement for extended hospital stays based as a result of a medication error. 5. The Institute for Safe Medication Practices publishes a consumer newsletter on medication errors. Correct Answer: 1,2,3,5 Rationale 1: -The FDA reviews reports that come from drug manufacturers through the agency’s safety information and adverse event reporting program, MedWatch. -The FDA now rejects all applications for similar drug names by using a computer program that searches for similar sounding names. -The Institute for Safe Medication Practices accepts reports from consumers and health professionals using collected information to publish a consumer newsletter on medication errors. Rationale 2: -The FDA reviews reports that come from drug manufacturers through the agency’s safety information and adverse event reporting program, MedWatch. -The FDA now rejects all applications for similar drug names by using a computer program that searches for similar sounding names. -The Institute for Safe Medication Practices accepts reports from consumers and health professionals using collected information to publish a consumer newsletter on medication errors. Rationale 3: CDS is effective in all phases of the clinical process. CPOE with CDS has been shown to decrease medication errors by as much as 80% (Cornish, Etchells, & Knowles, 2006). Rationale 4: Reimbursement for patients who have been harmed is not related to the prevention of medication errors. Rationale 5: -The FDA reviews reports that come from drug manufacturers through the agency’s safety information and adverse event reporting program, MedWatch. -The FDA now rejects all applications for similar drug names by using a computer program that searches for similar sounding names. -The Institute for Safe Medication Practices accepts reports from consumers and health professionals using collected information to publish a consumer newsletter on medication errors. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Data Collection Learning Outcome: Question 27 Type: MCMA Information systems interact to provide checks and alerts throughout the medication ordering and administration process. Which of the following are steps in this process in which bar codes are utilized for medication ordering and administration? Standard Text: Select all that apply. 1. Bar code on patient’s door is scanned 2. Bar code on the medication label is scanned 3. Bar code on patient’s identification bracelet is scanned 4. Bar code on patient’s chart is scanned 5. Bar code on nurse’s identification badge is scanned Correct Answer: 2,3,5 Rationale 1: To prevent errors, the nurse scans the bar codes found on his or her identification, the patient’s identification bracelet, and on all prescription medications during the medication administration process. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right patient. Bar coding systems often include warnings for high-risk drugs, medications with sound-alike names, dosage discrepancies, and maximum dosages. Rationale 2: To prevent errors, the nurse scans the bar codes found on his or her identification, the patient’s identification bracelet, and on all prescription medications during the medication administration process. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right patient. Bar coding systems often include warnings for high-risk drugs, medications with sound-alike names, dosage discrepancies, and maximum dosages. Rationale 3: To prevent errors, the nurse scans the bar codes found on his or her identification, the patient’s identification bracelet, and on all prescription medications during the medication administration process. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right patient. Bar coding systems often include warnings for high-risk drugs, medications with sound-alike names, dosage discrepancies, and maximum dosages. Rationale 4: To prevent errors, the nurse scans the bar codes found on his or her identification, the patient’s identification bracelet, and on all prescription medications during the medication administration process. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right patient. Bar coding systems often include warnings for high-risk drugs, medications with sound-alike names, dosage discrepancies, and maximum dosages. Rationale 5: To prevent errors, the nurse scans the bar codes found on his or her identification, the patient’s identification bracelet, and on all prescription medications during the medication administration process. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right patient. Bar coding systems often include warnings for high-risk drugs, medications with sound-alike names, dosage discrepancies, and maximum dosages. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Safety and Infection Control Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 28 Type: MCSA Which type of software has been developed by the consumer to meet specific needs usually because no suitable commercial package is available? 1. Off-the-shelf 2. Home grown 3. Administrative spreadsheets 4. Critical pathway Correct Answer: 2 Rationale 1: Software can be off-the-shelf or home grown. Off-the-shelf software is commercially available. The advantage to the consumer is that someone else has borne the cost for its development and testing. It is, however, geared to a general market and may not meet the needs of a particular party. Homegrown software has been developed by the consumer to meet specific needs usually because no suitable commercial package is available. The customer bears the cost of its development, testing, and communication with other software applications. Rationale 2: Software can be off-the-shelf or home grown. Off-the-shelf software is commercially available. The advantage to the consumer is that someone else has borne the cost for its development and testing. It is, however, geared to a general market and may not meet the needs of a particular party. Homegrown software has been developed by the consumer to meet specific needs usually because no suitable commercial package is available. The customer bears the cost of its development, testing, and communication with other software applications. Rationale 3: Software can be off-the-shelf or home grown. Off-the-shelf software is commercially available. The advantage to the consumer is that someone else has borne the cost for its development and testing. It is, however, geared to a general market and may not meet the needs of a particular party. Homegrown software has been developed by the consumer to meet specific needs usually because no suitable commercial package is available. The customer bears the cost of its development, testing, and communication with other software applications. Rationale 4: Software can be off-the-shelf or home grown. Off-the-shelf software is commercially available. The advantage to the consumer is that someone else has borne the cost for its development and testing. It is, however, geared to a general market and may not meet the needs of a particular party. Homegrown software has been developed by the consumer to meet specific needs usually because no suitable commercial package is available. The customer bears the cost of its development, testing, and communication with other software applications. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Safety and Infection Control Nursing/Integrated Concepts: Communication and Documentation Learning Outcome:
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