Question 1

Nurses rely on technology to lessen the number of adverse events that are well documented,yet are challenged in keeping the unique therapeutic relationship between nurse and patient with increasing use of technology.What approaches can be used to ensure the therapeutic relationship is preserved (Select all that apply.)

Accepted Answer

Involving patients in decisions about their own care, actively listening while conducting electronic charting, and showing patients what is being documented are all ways to ensure the therapeutic relationship is preserved despite the increasing use of technology. Repeatedly monitoring equipment while documenting may be important for ensuring patient safety, but it does not directly address the preservation of the therapeutic relationship.

Question 2

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

Accepted Answer

Participating in organizational IT committees allows leaders to have a voice in decision-making and planning for information and knowledge systems. They can provide input on what is needed to support nursing practice and also stay informed about new technologies and updates. Submitting written requests and requesting budgetary funds may be necessary, but advocating for these systems through active participation is most effective. Sending staff nurses to conferences can be useful for educating them on new technologies, but it may not directly lead to the implementation of relevant systems within the organization.

Question 3

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? (Select all that apply.)

Accepted Answer

Point-of-care devices can help reduce medication errors by providing accurate and timely information. They allow for immediate documentation of care, improving accuracy and efficiency. Additionally, they can enhance discharge planning by providing real-time data and facilitating communication. However, they are not intended to increase confusion in nursing workflow.

Question 4

Peggy,a nurse leader on a busy medical surgical unit,is concerned that the rapid expansion in use of EHRs and clinical decision support systems may lead to leaked patient information and breach of confidentiality.She decides to form a nurse led committee to address these concerns.Which of the following must be addressed to prevent breach of confidentiality? (Select all that apply.)

Accepted Answer

The answer of Peggy,a nurse leader on a busy medical...

Question 5

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?

Accepted Answer

It is important for each healthcare professional to use their own password when accessing a patient's chart to ensure accountability and accuracy in the chart. The nurse should politely inform the resident that he needs to use his own password to add a note to the chart.

Question 6

What is the most critical factor in ensuring nurses' comfort and knowledge in the use of technology in health care regardless of age,education level,or area of practice?

Accepted Answer

Adequacy and substance of professional development is the most critical factor in ensuring nurses' comfort and knowledge in the use of technology. This allows them to stay up-to-date with the latest advancements and use technology more effectively in their practice. Age, education level, and area of practice may affect initial comfort level, but ongoing education and professional development can address those factors. Confidence, repeated training, and peer and leader support are all important, but they are not as critical as having access to substantive and adequate professional development opportunities.

Question 7

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

Accepted Answer

Consistent nursing languages are necessary for accurate and standardized documentation and comparison of data across patient populations and sites. Similar settings, information systems, and knowledge systems may also be helpful, but consistent nursing languages are the most crucial factor in this regard.

Question 8

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?

Accepted Answer

The examples given are related to competencies in nursing informatics, which is the field that integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice. The Canadian Nursing Informatics Association (CNIA) standards and requirements for nursing licensure may include informatics competencies, but they are not specifically focused on them. Information systems refer to the software and hardware used to manage and communicate data, but the question is asking about skills and knowledge required by nurses, not about systems.

Question 9

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:

Accepted Answer

The National Minimum Data Set (NMDS) contains standardized information on patient care and trends, including information on incontinence and prompted voiding programs, which can be used to examine the effectiveness of such programs in reducing the frequency of incontinence in patients. While the NMDS may also provide some sociodemographic and population-based trends, as well as information on medical diagnoses and pharmacologic interventions, these are not as directly relevant to the chosen scenario as the data on patient care and trends. Information on public funding and private health insurance revenues is also unlikely to be directly relevant to this scenario.

Question 10

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?

Accepted Answer

The core concepts in informatics are data, information, knowledge, and wisdom. Hardware, software, printers, wireless technology, voice recognition, and handheld devices are all tools or applications that can be used to facilitate or enhance the use of informatics, but they are not the core concepts themselves. Decision making, data gathering, data analysis, and reporting are important components of the informatics process, but they are not the core concepts of informatics.

Question 11

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

Accepted Answer

Lower cost in relation to personal computers.

Question 12

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

Accepted Answer

Linking policies and procedures to the network for access when required at the point of care would be the most cost-effective and effective learning strategy. It is easily accessible and can be accessed at any time during shifts when the staff may require it. This would also eliminate the need for creating new learning modules or sending emails, and DVDs may not be accessible to all staff members at all times.

Question 13

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:

Accepted Answer

The technology described in the scenario is called telecommunications, which refers to communicating over a distance using electronic devices such as computers, phones, or video conferencing software. Distance learning refers specifically to education or training delivered remotely, while knowledge software and biomedical technology are more specific terms related to certain types of software and medical equipment, respectively.

Question 14

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?

Accepted Answer

A clinical database is the most appropriate source for obtaining patient data for a hypertension patient education program. This database will contain relevant patient information such as medical history, medications, laboratory results, and other vital information needed for effective monitoring and education of patients with hypertension. Biomedical technologies, email, and internet sources may provide some useful information but may not be as comprehensive as a clinical database.

Question 15

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?

Accepted Answer

The aim stated recognizes that physiologic monitoring systems enable detection of early changes before an adverse event occurs, which is a proactive approach to avoid adverse events. The other options do not relate to this aim.

Question 16

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?

Accepted Answer

The characteristic that would lead to the conclusion that SR systems would be impractical for documentation of patient care during crisis situations is that the type of speech required for voice recognition is unlikely in a pressured situation. Patients in crisis situations may be unable to speak clearly or may require urgent interventions that make it difficult to verbally communicate effectively. Therefore, SR systems may not be reliable for accurate documentation during these situations.

Question 17

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?

Accepted Answer

As a nurse manager representative, you would want a clinical information system that is best configured for clinical users, not nonclinical users. It is essential for the system to be user-friendly and designed to fit the workflow of healthcare staff to ensure patient safety and efficient care delivery.

Question 18

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:

Accepted Answer

Using data to modify practice is an example of evidence-informed practice, which involves integrating research findings with clinical expertise and patient preferences to inform decision-making and improve patient outcomes.

Quiz 13: Caring and Communicating in Nursing With Technology