Exam 12: Caring,Communicating and Managing With Technology

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?

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?

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?

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?

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?

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 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

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?

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

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?

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

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

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 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 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?

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 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)?

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

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?

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