Deck 12: Caring,Communicating and Managing With Technology

Question 1

The clinic nurse has just accessed a patient's chart on the computer.The resident comes over and asks her to stay logged on because he needs to add a note to that patient's chart.What should she say?

A) "No problem. Just log me off when you're done."
B) "I'll put the note in for you. What do you want to say?"
C) "Just make sure that you sign your note because it's under my password."
D) "I'm sorry, but you will have to enter the information using your own password."

Answer 1

"I'm sorry, but you will have to enter the information using your own password."

Question 2

At a newly built outpatient surgical centre,a hospital information system has been purchased.The chief nursing officer creates a series of staff development classes to orient the staff to this new system.One of the advantages of an integrated hospital information system is that patient care data from all sites can be stored in and retrieved from a

A) nursing information system.
B) centralized database.
C) nurse expert system.
D) handheld device.

Answer 2

centralized database.

Question 3

You document your patient's vital signs into a bedside documentation device and are able to compare your patient's vital signs with those of patients who have similar diagnoses and similar medications and who are of a similar age.What are you accessing?

A) E-mail
B) Telecommunications
C) A database
D) Technology

Answer 3

A database

Question 4

Mr.Cruise has been surfing the Internet.He is looking for health care information on low back pain.He shows the clinic nurse a Web page he thinks is "great" and tells her that he has been following the exercises recommended by the author.He wants to know what she thinks about the site.When the clinic nurse evaluates this site,she discovers that its author is a personal trainer.No credentials are listed.In several testimonials on the page,people (their pictures are included)say how wonderful they feel after having done these exercises.The exercises all have animated demonstrations,available by a click on the pertinent highlighted text or icon.They seem easy to follow.The site was posted 5 years earlier and was last updated 3 years before.How should the clinic nurse advise Mr.Cruise?

A) Avoid this site.
B) Check with his primary health care provider.
C) Continue with the exercises.
D) Contact the author for additional exercise and feedback.

Question 5

As a nurse manager representative on a team to select a clinical information system,you would be particularly concerned if the favoured system has which of the following characteristics?

A) It involves screen displays that are best configured for nonclinical users.
B) It requires an upgrade to servers in the facility.
C) It requires staff orientation and training during implementation of the software.
D) It minimizes the amount of data entry necessary.

Question 6

The nursing manager of a surgical unit has been asked by administration to evaluate patient outcomes after cardiac catheterization.Using data about patient outcomes after cardiac catheterization for the past 6 months so as to modify practice is an example of

A) gathering information.
B) cost-effective care.
C) meeting standards.
D) evidence-informed practice.

Question 7

When assessing the appropriateness of adopting personal digital assistants (PDAs)for a nursing unit,you need to consider which of the following advantages?

A) Lower cost in relation to personal computers
B) Small display screen
C) Font size
D) Speed of operation

Question 8

As the head nurse involved in determining which patient surveillance systems to acquire for your unit,one of your aims is to avoid adverse events through the implementation of appropriate technology.What does this particular aim recognize?

A) Human error is significant in contributing to adverse events.
B) Documentation of patient data is often illegible and, therefore, misinterpreted.
C) Data systems provide backup documentation with adverse events that staff cannot provide.
D) Physiologic monitoring systems enable detection of early changes before an adverse event occurs.

Question 9

A nurse practitioner who manages his own practice offers his patients the option of contacting him via e-mail between visits.This allows his patients to request prescription renewals and educational materials and to ask nonemergency questions about their conditions.At times,this is convenient for both the patients and himself.What else he should tell his patients?

A) They can send urgent messages.
B) They should wait up to 24 hours for a response from him.
C) They should omit sending their names because they are in the e-mail addresses.
D) They can ask about sensitive topics because no one besides himself sees the e-mails.

Question 10

The chief nursing officer understands that to be able to compare data across patient populations and sites,it is important that nurses use

A) similar settings.
B) information systems.
C) knowledge systems.
D) consistent nursing languages.

Question 11

A nurse manager was orienting new staff members with regard to computerized charting.To understand computerized charting,staff members must understand informatics.Which of the following are the core concepts in informatics?

A) Hardware, software, competency, and printers
B) Data, information, knowledge, and wisdom
C) Decision making, data gathering, data analysis, and reporting
D) Wireless technology, voice recognition, and handheld devices

Question 12

Nurses on your unit struggle with the application of terminology associated with nursing diagnoses.As a nurse manager and a leader,you provide information and education related to the value of standardized (rather than localized)terminology,which includes

A) standardized classifications for billing purposes.
B) consistent terminology for the benefit of patient understanding.
C) computerized storage and retrieval of nursing data to support and describe nursing practice.
D) correction of inaccuracies in description at the local level.

Question 13

You are in the process of designing a patient education program that will provide education and monitoring for patients with hypertension.To support your planning,you obtain and present patient data from which of the following?

A) A clinical database
B) Biomedical technologies
C) E-mail
D) Internet sources

Question 14

In an intensive care unit,you order new devices to measure heart rhythm and rate,respiratory rate,oxygen levels,and intracranial pressure.Which of the following do these devices involve?

A) Biomedical technology
B) Telecommunications
C) Retrieval of patient history information
D) The Internet

Question 15

As a nurse manager in a multisite facility,you are comparing the effectiveness of prompted voiding training programs for staff by examining the effect of prompted voiding on the frequency of incontinence in patients.To do this,you access an NMDS,which allows you to

A) retrieve standardized information regarding patient care and trends.
B) access medical diagnoses and pharmacologic interventions.
C) learn sociodemographic and population-based trends.
D) find information on public funding and private health insurance revenues.

Question 16

As a home health nurse,you use e-mail to communicate with some of your patients about their needs.You attend a conference for 3 days,and when you return,Mrs.Singh is very upset because she sent you an email 2 days ago,and when you visit,she asks why you did not respond,inasmuch as she did not know what to do with her insulin dosage for that morning.As a result,she ended up with an overdose of insulin and in the emergency room.To prevent such occurrences in the future,which of the following actions would be important?

A) Advise patients not to contact you with urgent concerns.
B) Advise patients not to communicate sensitive information in e-mails.
C) Inform patients of how long you will be unavailable for responses to e-mails.
D) Advise patients to avoid using e-mail to discuss their needs with you.

Question 17

Leaders in nursing must advocate for information and knowledge systems that support nursing practice.How is this is best accomplished?

A) Participating in organizational information technology committees
B) Submitting written requests for needed information systems
C) Requesting budgetary funds needed for systems
D) Sending staff nurses to conferences that discuss cutting-edge technologies

Question 18

Nurses need to know how to operate a computer,compare data across time,and look for patterns in patient responses to treatments.These are examples of which of the following?

A) Canadian Nursing Informatics Association standards
B) Information systems
C) Informatics competencies
D) Requirements for nursing licensure

Question 19

A home health nurse has been assigned to cover a 500-km² area of remote Alberta.Mrs.Banister has just been discharged home and will need daily contacts for the next week.Because it is not possible to visit Mrs.Banister in person every day and see all the other patients,the nurse gives her a laptop computer with Internet meeting software installed.Each morning,both dial in at an agreed-upon time and discuss her progress.The home health nurse assesses whether the patient needs to be seen that day.This type of technology is called

A) distance learning.
B) knowledge software.
C) telecommunications.
D) biomedical technology.

Question 20

A rural-urban health consortium enables physicians in a rural remote setting to consult with specialists in care through electronic conferencing,which includes consultation with intranet radiologic images.This system may be in which phase of electronic medical technology adoption,according to the Health Information and Management Systems Society (HIMSS)?

A) 0
B) 1
C) 3
D) 6

Question 21

As part of team to implement information technology,you are implementing a clinical decision support system.Particular considerations for successful implementation of this project include which of the following?

A) Ensuring that the system is reliable
B) Ensuring that patient information is reliable
C) Developing unique identifiers for individuals
D) Developing rules that support inferences

Question 22

As a nurse manager,you want to institute point-of-care devices on your unit.The rationale that you provide to support the point-of-care devices includes which of the following?

A) Reduction in incidents of medication error
B) Immediate documentation of care
C) Improving discharge planning
D) Increasing confusion with nursing workflow

Question 23

For a nurse manager,one challenge is to orient new staff to the agency's policies and procedures,as well as to provide training across various shifts.Which of the following would be a cost-effective and effective learning strategy?

A) Development of new learning modules and software to support document retrieval
B) E-mail distribution to staff home e-mail addresses regarding important policies
C) Preparation of digital video disks (DVDs) that can be viewed on computers at the nursing station during "down times"
D) Linking policies and procedures to the network for access when required at the point of care

Question 24

To improve outcomes on the stroke recovery unit,the unit manager leads an evidence-based practice (EBP)project.What is the goal of this project?

A) Enable detection of variations in clinical outcomes from well-researched standards that are supported by confirmatory evidence.
B) Obtain quick access to literature based on studies of patients who have experienced stroke and of their families.
C) Develop a list of articles that could be accessed to address clinical issues and problems in patients who have had a stroke.
D) Advance the development of staff members who are able to conduct independent nursing research on stroke outcomes.

Question 25

A necessary,basic condition for successful integration of clinical information systems is

A) Software
B) Standard medical nomenclature
C) Confirmatory evidence from nursing-led studies
D) Strong interdisciplinary cultures

Question 26

A nurse manager is excited by the possible use of speech recognition (SR)systems for documentation of patient care,especially during crisis situations when staff members need to focus on performing rapid assessments and implementation of procedures.She learns,however,that SR systems would be impractical at this point for this.What characteristic would lead to this conclusion?

A) SR systems are not available outside pilot projects.
B) The type of speech required for voice recognition is unlikely in a pressured situation.
C) The hands-free function has not been perfected in SR technology.
D) Wireless communications are prone to unreliability in transmission.