Nursing Informatics Final Exam, Exams of Nursing

Download Nursing Informatics Final Exam and more Exams Nursing in PDF only on Docsity! NURS 312 Final Exam .b. "Client information should remain in the hospital" (documents containing client information should remain in the facility due to the risk of a breach of client confidentiality) - ansA nurse is instructing a newly licensed nurse about obtaining client assignments. The newly licensed nurse states, "I will make copies of my client's electronic health records so I can complete the care plan at home." Which of the following responses by the nurse is appropriate? a. "Be sure to remove the client's name from the record" b. "Client information should remain in the hospital" c. "Be sure to shred copies of documents when you bring them back to the hospital" a, b, c, d - ansWhich of the following support the integration of informatics into nursing practice to support safety in client care? (select all that apply) a. embedded medication alerts for side effects in an EHR b. immediate access to digital x-rays c. use of phones that connect directly to an assigned nurse for client d. integration of telehealth to follow up with clients in rural locations e. wireless internet access for clients from the health care facility a, b, c, e - ansA nurse manager is implementing criteria that promote a culture of safety as defined by the Agency of Healthcare Research and Quality. Which of the following criteria are included in the AHRQ guidelines? (select all that apply) a. Encourage collaboration among disciplines to seek solutions to client safety problems b. use state-of-the-art technology to determine high-risk activities within an organization c. sustain a blame-free environment where staff is able to reports errors without fear of reprimand d. integrate silent alarm systems to reduce noise pollution in the hospital environment e. encourage organizations to engage in root-cause analysis a, b, e - ansA nurse has questions about the appropriate way to handle a dilemma regarding internet use while on duty. Which of the following is an appropriate source of information? (select all that apply) a. the boarding of nursing b. the facility social media resource person c. co-worker d. web search e. the facility policy manual a, c, d, e - ansA nurse is preparing an in-service on the use of informatics to improve client outcomes. Which of the following should the nurse include? (select all that apply) a. apply the use of standardized terminology b. become an opponent in the technology implementation process c. apply principles of lifelong learning d. incorporate the use of Technology Informatics Guiding Education Reform e. Incorporate the use of QSEN a, c, d, e - ansA nurse needs to determine the use of technology as an assistive device to facilitate discharge teaching for a client. which of the following represents an appropriate application of technology in this situation? (select all that apply) a. using translation software for a spanish-speaking client who has a new diagnosis of acute renal failure b. providing instruction for access to the facility's free wireless Internet c. supplying the link to a website with a video demonstrating home care for a client after a knee arthroplasty d. explaining the use of automatic email reminders to increase medication compliance e. accessing an iPad to review side effects of medications with a client a. "I will use social media for information about ostomy care" (nurse has a responsibility to be sure the patient can identify reliable and valid sources of information. social media sites may be appropriate for support, but they may not provide credible information about ostomy care) - ansA nurse is teaching a client who has an ostomy about the proper use of Internet resources. Which of the following statements by the client indicates a need for further teaching? a. "I will use social media for information about ostomy care" b. "I will use an online community for emotional support" c. "I will order ostomy supplies through the Internet" a. "These policies determine acceptable social networks for employee use" (an institutional networking policy includes confidentiality, availability, and integrity, but it does not specifically address acceptable social networks for employee use) - ansA newly hired nurse is reviewing an institution's networking policy. Which of the following statements by the nurse indicates a need for further teaching? a. "These policies determine acceptable social networks for employee use" b. "These policies protect client privacy and individually identifiable information" c. "These policies prevent the introduction of viruses into the network" a. accessing Holter monitor data (accessing a client's Holter monitor data is an example of nursing informatics that includes using, managing, and communicating client electronic data in nursing practice) - ansA nurse is asked whether she is proficient in the use of nursing informatics. Which of the following indicates competency? a. accessing Holter monitor data b. using a sphygmomanometer c. evaluating a chest tube system a. acknowledging a client's decision to post about her health care experience online (a client has the right to disclose personal information on a social media site) - ansA nurse educator is preparing an in-service program for nurses on the use of social media. Which of the following is an appropriate example of the use of social media? a. joining a professional journal club b. encouraging other staff members to follow policies and procedures c. collaborating with an advanced practice nurse in the clinical setting a. Nursing Management Minimum Data Set (NMMDS) (the NMMDS is a standardized nursing terminology that focuses on numerical data, such as cost analysis figures, and provides a framework of uniform entry and management of data) - ansA nurse manager is giving an in-service presentation to a group of nurses about uniform taxonomies in nursing practice. The nurse should explain that which of the following taxonomies helps quantify nursing care based on costs specific to nursing? a. Nursing Management Minimum Data Set (NMMDS) b. Systematic Nomenclature of Medicine (SNOMED) c. International Classification for Nursing Practice (ICNP) a. paging a client by last name to return to therapy (this would publicize a client identifier and violate confidentiality) - ansA nurse manager is reviewing hospital policies related to information security with a newly licensed nurse. Which of the following actions by the newly licensed nurse requires intervention? a. paging a client by last name to return to therapy b. logging off the computer before leaving the nurse's station c. showing a client his electronic health record a. pulse oximeter ( permits the indirect measurement of oxygen saturation using a light- emitting diode. this information can be transmitted to the client's health care record - ansA nurse is caring for a client who reports shortness of breath. Which of the following devices should the nurse use to obtain electronic data regarding the client's clinical manifestations? a. pulse oximeter b. incentive spirometer c. blood pressure monitor a. report the incident to the supervisor (the nurse should report the incident to her supervisor and follow the facility's protocol on how these types of instances are handled) - ansA nurse is preparing to leave for the day when she sees a photo of herself on a co-worker's cell phone that was inadvertently left on the counter at the nurses' station. a photo of her changing in the bathroom was take and sent by another co-worker. which of the following actions should the nurse take? a. report the incident to the supervisor b. call the police, and have the employee arrested c. tell her co-worker what has happened a. report the posting to the appropriate authorities at the facility (the nurse who found the post had a duty to immediately report the incident to a supervisor to protect client privacy and maintain professionalism) - ansA nurse opens a social network site and sees a photo on a fellow nurse's personal page. the photo shows the nurse with a client in the hospital room, smiling and holding hands. the post says, "Providence brought us together. Let's hear it for emergency appendectomies!" which of the following is the correct response by the nurse discovering the post? a. report the posting to the appropriate authorities at the facility b. post under the photograph for the nurse and tell her to immediately delete it c. inform the board of nursing immediately a. reviewing trends of vital signs since admission ( trending of vital signs allows nurses to identify emerging or developing client conditions and is a useful informatics tool to improve client care) - ansA charge nurse is teaching a seminar to other nurses about informatics and client care. Which of the following topics is appropriate for the charge nurse to include? a. reviewing trends of vital signs since admission b. monitoring use of airborne precautions c. conducting focused assessments with clients a. support human interaction with technology (the human-technology interface includes devices that enable individuals with disabilities to use computers and health care technology) - ansThe human-technology interface is hardware and software designed to do which of the following? a. support human interaction with technology b. make technology work faster c. accommodate multiple computer users and programs a. take the photo (the nurse should take the photo if she feels comfortable doing so) - ansA nurse is caring for a client who asks, "can you take a picture of my cast so i can post it on my blog?" what should the nurse do? a. take the photo b. call the appropriate department to see whether this is within the policy of the facility c. tell the client this would be a breach of HIPAA a. the nurse has the right to express her feelings and beliefs (as long as the nurse doesn't give specifics of events or people, the expression of feelings can be helpful in personal resolution) - ansA nurse has a conflict with her supervisor at her facility. at home that evening, she expresses her disappointment in the job dynamics in an email on her personal account to a friend. Which of the following statement is correct? a. the nurse has the right to express her feelings and beliefs b. the nurse should not mention any feelings or beliefs in an email c. the nurse should send the info using a false identity to avoid detection a. the web site should include the author's contact information (a credible web site includes the author's contact information to provide the opportunity for the client to seek verification of information) - ansA nurse is reinforcing teaching with a client about the use of reputable web sites to research osteoporosis. which of the following guidelines should the nurse include in the teaching? a. the web site should include the author's contact information b. the author of the web site should have a medical degree c. the web site should have client testimonials posted AHRQ - ansrequires facilities to adopt EB interventions to reduce the risk of negative client outcomes while in the facility assistive technology - ansnegotiates learning, literary challenges; fosters client independence, ownership in health care decisions; ex: text to speech for hearing impaired or learning impaired automatic sign offs when leaving a computer screen, alarms on mobile devices to prevent theft, hierarchal passwords, unique passwords never shared with others, shredding of documents, and placement of fax machines and computers in secure area - ansexamples of proper handling of electronic information in nursing practice include b, c, d, e - ansThe inappropriate use of social networking by a nurse can result in which of the following actions by the board of nursing? (select all that apply) a. felony charge b. fines c. loss of license d. reprimand e. sanction b. "let's take some time to look at websites about diabetes together" (this response addresses the client's desire to learn how to use a computer and ensures the client receives credible information about diabetes) - ansA nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus the client tells the nurse that he is interested in doing research about diabetes online but that he has never used a computer. Which of the following responses by the nurse is appropriate? a. "you may want to consider enrolling in a computer course" b. "let's take some time to look at Websites about diabetes together" c. "I have some printed information on diabetes that I can give you" b. "the hospital uses firewalls to protect records" (firewalls are a competent of network security systems) - ansA nurse is observing a newly licensed nurse who is caring for a client. The client states, "How do I know that my information won't show up on the Internet?" Which of the following responses by the newly licensed nurse is appropriate? a. "security is provided by the hospital network" b. "the hospital uses firewalls to protect records" c. "regulatory requirements allow the hospital to share client information with other providers" b. "You should check the hospital Web site for a list of relevant resources" (in this situation, the nurse can refer to a list of resources that have been identified as credible and reliable by the hospital) - ansA nurse is reinforcing teaching to a client about the use of the Internet to obtain credible information about a skin disorder. Which of the following is an appropriate statement by the nurse? c. set the schedule of telehealth visits b. health literacy (health literacy is the ability to acquire, interpret, and use health information for health promotion and restoration) - ansWhich of the following terms describes the ability to access, evaluate, and use electronic health information? a. computer literacy b. health literacy c. information literacy b. HIPAA (one privacy rule of HIPAA is to establish client ownership of the health care record and allow for client-initiated corrections and amendments) - ansWhich of the following legislative acts stipulate that clients be allowed to see and make corrections to their health care records? a. Health information technology for economic and clinical health (HITECH) act b. Health information portability and accountability act (HIPAA) c. American recovery and reinvestment act (ARRA) b. i can improve my clients' outcomes by using current, accurate information (it is important that professional nurses use EVP guidelines when caring for clients in order to improve client health care outcomes. the basis of these guidelines is accurate, current research information) - ansWhich of the following statements explains why it is important that nurses learn to evaluate electronic and published health information? a. i can use electronic information when teaching my clients b. i can improve my clients' outcomes by using current, accurate information c. i can identify additional areas of study or research by evaluating current information b. installing bar codes on medications with alerts for low supplies (this illustrates cost containment by allowing inventory management related to supply and demand, directly affect management of medication and supply costs) - ansWhich of the following illustrates the integration of informatics into a a health care system to support cost containment? a. offering free wireless Internet access to clients and visitors b. installing bar codes on medications with alerts for low supplies c. integrating and electronic health care record on a platform compatible with computers and tablets b. liaison between health care professionals, information technology department, and administration (informatics nurse specialist is expected to be able to "talk the talk" of nursing informatics and communicate the importance of informatics technology to an interdisciplinary team. the INS is expected to promote the effectiveness of information systems and revise existing systems to meet the needs of clinical staff) - ansA informatics nurse specialist may engage in numerous roles. which of the following is specific to her qualifications? a. project manager to design and implement updates to the electronic health record in a facility b. liaison between health care professionals, information technology department, and administration c. data processing and reviewing statistics related to research programs b. loss of electronic information due to glitches and external threats to security (primary risk associated with the use of electronic health records and other information science technologies is the potential loss of information due to system errors, mechanical glitches, and external security threats) - ansRisks associated with the use of information technologies include which of the following? a. compromising client and caregiver safety related to nursing care and health outcomes b. loss of electronic information due to glitches and external threats to security c. decreased dependence on tradition and trial and error when problem solving b. National Database of Nursing Quality Indicators (NDNQI) (NDNQI provides data from multiple facilities for profiling and comparison. This allows data to be analyzed and isolates issues that require attention) - ansA nurse supervisor wants to review data on nurse-sensitive outcomes from other facilities related to falls. Which of the following is an appropriate resource to obtain this information? a. Health Insurance Portability and Accountability Act (HIPAA) b. National Database of Nursing Quality Indicators (NDNQI) c. North American Nursing Diagnosis Association (NANDA) b. obtain information about medication compliance (based on the nursing process approach to client care, assessment of medication compliance is the first action the nurse should take) - ansA telehealth nurse is caring for a client who has a new prescription for an antihypertensive medication. The telehealth monitoring system reports the client's current blood pressure is 160/92 mmHg. which of the following actions should the nurse take first? a. notify the provider of the data received from the telehealth monitor b. obtain information about medication compliance c. instruct the client to retake his blood pressure b. optimizing client outcomes (using standardized care plans provides guidelines for treatments and interventions to optimize client outcomes) - ansA nurse is accessing a client information system to implement a standardized plan of care for a client. Which of the following is a goal of this technology? a. providing a framework for reimbursement b. optimizing client outcomes c. identifying potential alternative client treatments b. provides a medication allergy alert (CPOE provides medication allergy alerts to the provider and the nurse. this is a benefit of this technology) - ansA nurse is discussing computerized provider order entry (CPOE) with a newly licensed nurse. Which of the following should the nurse identify as a benefit of this technology? a. identifies the provider of an unsafe medication dosage b. provides a medication allergy alert c. notifies the nurse when it's time for the medication to be administered b. querying the electronic health record (accessing data from an electronic health record is used in nursing informatics and allows nurses to provide improved client care) - ansA charge nurse is developing an in-service program on basic nursing informatics. Which of the following should the nurse include in the program? a. reviewing health care blogs b. querying the electronic health record c. removing cookies from a Web browser b. respond appropriately to all clinical decision-making support systems and alerts (clinical decision-making support systems use automated guidelines and alerts to help nurses prevent errors and assist with improved decision-making) - ansA nurse should recognize that to be a meaningful user of electronic health records, he should do which of the following? a. develop all nursing care plans from the choices listed in the electronic health record b. respond appropriately to all clinical decision-making support systems and alerts c. search all possible electronic data locations to retrieve client health information b. size of keypads and screens for portable devices (the size of keypads and screens directly limits the usability of information technology through the human-technology interface) - ansWhich of the following factors is most likely to limit the usability of information technology because of the human-technology interface? a. limited health and computer literacy levels b. size of keypads and screens for portable devices c. amount of memory (in gigabytes) in hand-held devices b. the facility's online procedure manual (a facility's policy and procedure manual is the official governing collection of EBP used to provide current, safe, and effective client care within that facility) - ansA nurse is preparing to perform a dressing change on a client and is researching the appropriate technique to use. Which of the following should the nurse recognize as the source of information to use? a. the provider's prescription b. the facility's online procedure manual d. a health application on a mobile device b. the nurse may have identified the need for change in practice based on current literature (the new nurse is more likely to look for and find important information about nursing practice because he is actively trying to improve skills and knowledge in his new profession) - ansA newly licensed nurse is determining whether he should share information found in an electronic journal article with colleagues. Which of the following explains the importance of disseminating information found in current literature or electronic resources? a. experienced clinicians can assist the new nurse in understanding the information newly licensed nurse about electronic health records. Which of the following should the nurse include in the teaching? a. an EHR identifies the best EBP b. an EHR activates a medication-dispensing system c. an EHR helps to develop a plan of care c. ask the client to complete an online medication schedule (a weekly medication schedule allows the nurse to monitor the client's medication compliance, which is essential to preventative care and illness management) - ansA nurse is caring for a client who has a new diagnosis of asthma and is to be discharged. Which of the following should the nurse use to help ensure the client's medication compliance? a. send automated email reminders for medication administration b. offer online tutorials regarding medication management c. ask the client to complete an online medication schedule c. check the alarm function (checking the alarm function would include comparing alarm parameters to desired parameters to ensure they are appropriate) - ansA nurse on a pediatric unit is caring for a client. This client's mother asks the nurse, "Can you turn off the alarm that seems to go off all the time?" which of the following actions by the nurse is appropriate? a. teach the mother how to silence the alarm b. record the frequency of alarm c. check the alarm function c. CINAHL cumulative index (CINAHL is an online evidence-based resource and information system that offers a multitude of online services, which include Web site link sources, CINAHL's online nursing and allied health database, document delivery, and search services. This is an appropriate database to find updated research for the nurse to use) - ansA nurse manager wants to decrease the number of nosocomial urinary tract infections on her unit. Which of the following research databases should the nurse manager consult to obtain information on evidence-based practices? a. structured query language b. national library of medicine c. CINAHL cumulative index c. coded entry system (use of standardized nursing terminologies, such as coded entry system, in computerized reports enhances the ability to use the data for reporting and future research, such as measuring client outcomes) - ansA nurse manager on a cardiac unit is using a clinical information system to measure the outcomes of clients who were treated using the facility's acute cardiac event protocol. which of the following is integrated into the clinical information system to support clinical data access? a. performance improvement terminologies b. free text reporting c. coded entry system c. delete the photo ( deleting the photo is the correct action to prevent further violation of HIPAA and is the first action for the nurse to take) - ansA nurse off duty receives a photo on her cell phone from a fellow nurse who is at work. the photo shows a celebrity receiving physical therapy. which of the following actions should the nurse take first? a. make factual notes of the event that has occured b. notify nursing administration, explaining who sent the photo c. delete the photo c. evidence-based practice (EBP is embedded in the clinical information system. prompts may display on the screen as a reminder) - ansA nurse is documenting a client's assessment in the electronic health record. a prompt to provide a specific nursing intervention displays on the screen. This is an example of which of the following? a. staff development b. risk management c. evidence-based practice c. have a higher percentage of hospital-acquired infections (hospital-acquired infection is one of the quality outcome measures publicly reported by the Centers of Medicare and Medicaid Services. these measures hold hospitals accountable for client care and provide useful information to health care consumers when choosing hospital care) - ansThe Centers of Medicare and Medicaid Services electronically reports specific quality outcome measures based on data collected from hospitals. these data allow the public to compare hospital that a. have the best health care providers b. have the most up-to-date surgical services c. have a higher percentage of hospital-acquired infections c. i can print the information from the website and share it with my clients (it is not always appropriate for the nurse to print website information to share with clients or other consumers. nurses need to follow legal guidelines and copyright protections when sharing information) - ansWhich of the following statement indicates that the nurse needs more education related to using electronic sources to promote consumer health literacy? a. i can look for the HON or eHealth code when selecting website to share with my clients b. i make sure the internal links in web-based sources are working before recommending them c. i can print the information from the website and share it with my clients c. i will need to find websites that use appropriate terminology (the use of appropriate terminology often indicates that the website has been developed by a well-informed or credible organization) - ansA nurse is teaching a consumer about appropriate website selection. which of the following consumer statements indicates understanding of the teaching provided by the nurse? a. i will need to provide personal information in order to get information from online sources b. i will need to find websites that are current so i know they provide accurate information c. i will need to find websites that use appropriate terminology c. informatics innovator (highest level of competency is the informatics innovator. this level includes the design and development of new applications to improve client outcomes) - ansA risk management nurse uses informatics research data to design an application to reduce the incidence of postoperative complications. Which of the following stages of nursing informatics competency describes the nurse? a. informatics nurse specialist b. experienced informatics nurse c. informatics innovator c. lack of regulation for online health care resources (it is very easy for the consumer to access incomplete or incorrect information because online information is not regulated) - ansWhich of the following factors limits the usefulness of electronic health care information for consumers? a. high cost of accessing reliable online resources b. rapid expansion of cable and DSL online providers c. lack of regulation for online health care resources c. pharmacological electronic resources (pharmacological electronic resources allow the nurse to access best EBP information, medication dosages, and safe medication administration guidelines - ansA newly licensed nurse is concerned about the safety of a dosage for a prescribed medication. Which of the following resources is appropriate to promote EBP? a. pharmacological interactive videoconferencing b. instant messaging the facility's pharmacist c. pharmacological electronic resources c. Providing clients with links to reference information (providing accurate and timely reference information would be an appropriate use of a social network) - ansA nurse is creating a social network as a support system for a group of clients. Which of the following practices would be appropriate in launching this site? a. uploading a distribution list of clients' email addresses b. answering client specific client questions in the discussion forum c. providing clients with links to reference information c. reviewing the health record of a client on another unit with similar symptoms (accessing the health record of a client who is not under the nurse's direct care is a violation of the client privacy regulations under HIPAA) - ansA charge nurse is orienting a newly licensed nurse to the unit and demonstrates how to access data from the hospital information system. Which of the following actions by the newly licensed nurse requires intervention by the charge nurse? client care; creates database of similar clients to measure and improve quality of care; EHRs also include systems for computer order entry, decision support, communication b/w team members and clients Experienced Informatics Nurse - ansproficient in clinical practice, use of information management systems; input, interpret data in EHR; evaluate trends in electronic data; uses informatics technology in clinical decision-making; participates in evaluation of client care tools, recommends improvements; access, evaluate electronic information to improve practice Health Care Information and Management Systems Society (HIMSS) - ansprovides guidelines for sharing information through electronic interfaces health information literacy - anseducate clients; guide clients to reliable Internet sources: evaluate authorship, check credentials, question purpose, look at point of view, see if facts link to scholarly resources Health Information Technology for Economic and Clinical Health Act (HITECH) - ansencourages facilities to adopt HIMSS guidelines health literacy - ansunderstanding medical terminology, disease process, health maintenance, restoration activities HIPAA - ansestablished national standards for the protection of a client's health information, while also promoting an effective exchange of data; includes severe punitive consequences for workers and facilities violating client confidentiality Informatics Innovator - ansformal education in nursing practice, informatics technology, use of systems and research process; conducts research to improve clinical information systems applications; develops computer programs, designs technology to improve client outcomes; use critical thinking, reasoning skills to promote effectiveness of new technology Informatics Nurse Specialist - ansidentify, develop best practice guidelines to improve client outcomes; communicates importance of nursing informatics; promotes effectiveness of information systems, revise existing systems to meet staff needs; must increase knowledge of practice, systems through formal education; provides education to beginning, experienced nurses; open minded to suggestions from nurses NANDA - anscommunication method to emphasize independent practice of nurses and individual client care plans; made up of diagnostic labels NANDA, omaha system, NIC - anseach one of these language systems establish standard nursing terms to describe nursing practice, nursing assessment and planning, client outcomes sensitive to nursing specific intervention, and EBP for nursing NDNQI - ansaggregate data, develops comparison reports; allows identification of units with more incidents, comparison to similar facilities NIC - ansstandardized nursing terminologies; use across care settings, specialties; includes interventions nurses do on behalf of clients NMDS - anspurpose is to quantify and qualify nursing care such as nursing care elements, demographic elements, service elements NOC - ansstandardized classification of client outcomes; evaluates the effect of nursing interventions Omaha system - ansfirst standardized terminologies recognized by the ANA to support nursing practice; research-based, comprehensive, standardized taxonomy; across the care continuum for all clients QSEN - ansdefines the application of nursing informatics to promote client safety as the use of information and technology to communicate, manage knowledge, mitigate error, and support decision-making SNOMED - ansonline communication mechanism that defines each scope of practice; facilitates consistent, uniform storage of data; enhances research capability worldwide TIGER - ans8 pillars to develop a goal: to create a vision for the future of nursing that bridges the quality chasm with information technology, enabling nurses to use informatics in practice and education to provide safer, higher quality client care.