Exam 11: Caring,Communicating,and Managing With Technology

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

As the head nurse involved in leading determination of which patient surveillance systems to acquire for your unit,one of your aims is to avoid adverse events through the implementation of appropriate technology.This particular aim recognizes that:

A home health nurse has been assigned to cover a 300-square-mile area of remote Montana.Mrs.Baker has just been discharged home and will need daily contacts for the next week.Because it is not possible to visit Mrs.Baker in person every day and see all of the other clients,the nurse gives her a laptop computer with net meeting software installed.Each morning,both dial in at an agreed-upon time and discuss her progress.The home health nurse assesses whether or not the client needs to be seen that day.This type of technology is called:

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

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

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

The clinic nurse has just accessed a client'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 client's chart.She should say:

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 would lead to this conclusion?

Mr.Cruiser has been surfing the web.He is looking for healthcare information on low back pain.He shows the clinic nurse a Webpage 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 demos when you click on the pertinent highlighted text or icon.They seem easy to follow.The site was posted five years earlier and was last updated three years before.The clinic nurse advises Mr.Cruiser to:

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

As a home health nurse,you use e-mail to communicate with some of your clients about their needs.You attend a conference for three days,and when you return,Mrs.S.is very upset because she sent you an email two days ago,and when you visit,she asks why you didn't respond,since 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 ER.To prevent such occurrences in the future,it would be important to:

A nurse manager was orienting new staff members to computerized charting.To understand computerized charting,staff members must understand informatics.The three core concepts in informatics are:

As part of an information technology implementation team,you are implementing a clinical decision support system.Particular considerations for successful implementation of this project include:

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

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

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

When assessing the appropriateness of adopting WL PDAs for a nursing unit,you need to consider the advantages,which include:

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

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 draw out and present patient data from:

Nurses need to know how to operate a computer,compare data across time,and look for patterns in client responses to treatments.These are examples of: