Deck 41: Nursing Informatics

Question 1

The nurse is caring for a patient newly diagnosed with diabetes.The patient tells the nurse,"After searching the Internet,I found out that I don't need insulin.All I need to do to control blood sugar is drink a mixture of vinegar and apple juice." What teaching should the nurse provide?

A) Show the patient how to choose reputable, trustworthy healthcare Web sites.
B) Instruct on the importance of adhering to the prescriber's instructions.
C) Inform the patient that the healthcare provider is always right and should be trusted.
D) Return to the Web site to obtain more detailed information.

Answer 1

Show the patient how to choose reputable, trustworthy healthcare Web sites.

Question 2

The nurse reviews the patient's laboratory results.What component of informatics is the nurse viewing?

A) Data
B) Information
C) Knowledge
D) Wisdom

Answer 2

Information

Question 3

CINAHL is a(n):

A) Popular periodical
B) Internet site
C) Scholarly journal
D) Literature database

Answer 3

Literature database

Question 4

The nurse is preparing to conduct a literature search to find evidence related to care of a patient with diabetes experiencing neuropathy.Which of the following keywords would the nurse use to best identify the information searched for?

A) Caring for diabetics
B) Nursing care of neuropathy
C) Diabetic neuropathy
D) Complications of diabetes

Question 5

You are a preceptor for a new nursing employee at the local hospital.She needs to access a patient's electronic health record (EHR)to retrieve laboratory results; however,the newly hired nurse has not yet received a computer password.What action should you take?

A) Give her your password to use until she obtains her own password.
B) Log on and remain with her while she views the record.
C) Notify your supervisor that the new employee needs a password.
D) Inform her that she will not receive a password until her orientation is complete.

Question 6

The nurse is conducting a literature search.In what instance might the nurse question the reliability of the health information?

A) Author has a DNP degree.
B) Article has a list of references.
C) Web address ends in .net.
D) Publication date is 3 years old.

Question 7

The nurse is looking for the most current evidence related to safe medication administration.What source provides the most reliable information?

A) Peer-reviewed scholarly journals
B) Popular periodicals
C) Social media Internet sites
D) Online drug formulary

Question 8

In informatics,raw,unprocessed numbers,symbols,or words that have no meaning by themselves are called which of the following?

A) Information
B) Data
C) Knowledge
D) Wisdom

Question 9

A nurse is entering a pharmacy request for patient medication in the patient's electronic health record (EHR)while seated at a computer in the nursing station.A physician approaches her and asks her to access another patient's EHR so that he can look at the patient's laboratory report.Which of the following is the best action for the nurse to take?

A) Access the lab report for the physician.
B) Log off the computer before proceeding.
C) Quickly finish the pharmacy requisition before the physician logs on.
D) Allow the physician to access the laboratory report immediately.

Question 10

What database would the nurse use to restrict the search to nursing articles only?

A) MEDLINE
B) CINAHL
C) PsycINFO
D) ProQuest

Question 11

The nurse organizing an Evidence-Based Practice Committee has a computer with Internet access.What else would be most important to the committee when searching for the most current scientific evidence?

A) Medical and nursing textbooks
B) Database of health journals
C) Subscriptions to scholarly journals
D) Librarian in the facility

Question 12

Computers are important for evidence-based practice because:

A) Computer access is available to all healthcare staff
B) Additional training is not required for information retrieval
C) Information can be accessed and managed more efficiently
D) All of the best evidence is available on the Internet

Question 13

Which informatics concept concerns the appropriate use of knowledge in managing or solving human problems?

A) Wisdom
B) Data
C) Knowledge
D) Information

Question 14

The nurse is looking for the most current evidence related to a newly FDA-approved medication.Which of the following sources provides the most current information?

A) The worldwide Web
B) Popular periodicals
C) Textbooks
D) Scholarly journals

Question 15

Which of the following aspects of a computer determine its power? Select all that apply.

A) User-friendliness
B) Speed of operations
C) Accessibility for the user
D) Data storage capacity

Question 16

Which of the following are main functions of a computer? Select all that apply.

A) Process
B) Storage
C) Memory
D) Output

Question 17

The Health Information Technology for Economic and Clinical Health (HITECH)encouraged implementation of electronic health records (EHR)by what means?

A) Fining facilities that did not convert to EHRs by 2015
B) Mandating that all facilities implement EHRs within the year
C) Providing incentive payments to facilities that converted to EHRs
D) Restricting providers' access to traditional patient health records

Question 18

What is(are)the primary benefit(s)of computer physician order entry (CPOE)?

A) Increased privacy
B) Improved access to patient data
C) Cost savings
D) Reduced medication errors

Question 19

The nurse who is not assigned to care for the patient can access the patient's electronic health record in which circumstance?

A) The patient is the nurse's son in the emergency department and has pending lab results.
B) The nurse had previously provided care to the patient during past hospitalizations.
C) The nurse is reporting lab results to the Code Blue team during resuscitation.
D) The patient is the nurse's neighbor who asks the nurse to review the chart.

Question 20

Which classification system promotes standardized language that will improve computer interoperability in nursing?

A) NANDA-I nursing diagnoses
B) National Patient Safety Goals
C) QSEN competencies
D) Patient Bill of Rights

Question 21

The nurse is using an EHR system.Which feature does not improve the safety of patient care delivered by the nurse?

A) Physician order entry
B) Decision support tools
C) Elimination of poor handwriting
D) Improved accessibility
E) None of the above

Question 22

The nurse is administering medications to patients using a bar-scanning device that scans the patient's identification bracelet and the medication to be administered to avoid a medication error.What types of errors does this bar-scanning device prevent? Select all that apply.

A) Errors of commission
B) Errors of omission
C) Errors in planning
D) Errors in execution
E) Errors in assessment

Question 23

The nurse logs on to the electronic health record to enter the admission orders for a patient seen in the physician's office.However,when attempting to retrieve the patient's health history,the nurse keeps getting error messages.What is the likely problem?

A) Poor interoperability
B) Lack of connectivity
C) Improperly transmitted information
D) Network failure
E) Incorrect password
F) None of the above

Question 24

The nurse is preparing to pass the 0900 medications prescribed for her patients.She removes the medications from the automated dispensing unit.When scanning the medication,an alert notifies the nurse that the patient is allergic to this medication.What action should the nurse take? Select all that apply.

A) Override the alert and administer the medication.
B) Confirm the patient's allergies and type of reaction.
C) Notify the prescriber of the patient medication allergy.
D) Be sure an antidote is available at the patient's bedside.

Question 25

Which of the following health information is protected in the electronic health record? Select all that apply.

A) Social Security number
B) Insurance information
C) Physician's name
D) Laboratory results