Question 1

Which is a primary difference between home care and hospital care?

Accepted Answer

A) Documentation systems need to provide information for the home health nurse only. 
B) Documentation no longer affects reimbursement. 
C) Services are assumed and need less documentation. 
D) The patient and the family witness most of the care provided. 
A) Documentation systems need to provide information for the home health nurse only. 
B) Documentation no longer affects reimbursement. 
C) Services are assumed and need less documentation. 
D) The patient and the family witness most of the care provided.

Question 2

A patient's private health information is legally protected by the ________________.

Accepted Answer

Health Insurance Por

Question 3

What is the goal of information management?

Accepted Answer

A) Support decision making. 
B) Improve patient outcomes. 
C) Ensure patient safety. 
D) Improve health care documentation. 
A) Support decision making. 
B) Improve patient outcomes. 
C) Ensure patient safety. 
D) Improve health care documentation.

Question 4

The patient has been in the hospital for a hip replacement.According to his critical pathway,he should have his Foley catheter discontinued on the fourth day after surgery.Instead,the patient has it removed on the third day and is voiding normally with no problems.This would be a sign of:

Accepted Answer

A) a negative variance. 
B) positive case management. 
C) a positive variance. 
D) use of SBAR. 
A) a negative variance. 
B) positive case management. 
C) a positive variance. 
D) use of SBAR.

Question 5

The patient is ready to go home from the hospital.What does the nurse provide to the patient and his family before he leaves the facility?

Accepted Answer

A) Discharge summary 
B) Standardized care plan 
C) Patient care summary 
D) Flow sheet 
A) Discharge summary 
B) Standardized care plan 
C) Patient care summary 
D) Flow sheet

Exam 4: Documentation and Informatics

Which is a primary difference between home care and hospital care?

A patient's private health information is legally protected by the ________________.

What is the goal of information management?

The patient has been in the hospital for a hip replacement.According to his critical pathway,he should have his Foley catheter discontinued on the fourth day after surgery.Instead,the patient has it removed on the third day and is voiding normally with no problems.This would be a sign of:

The patient is ready to go home from the hospital.What does the nurse provide to the patient and his family before he leaves the facility?

Using Evidence in Practice

Admitting, transfer, and Discharge

Communication and Collaboration

Vital Signs

Health Assessment

Specimen Collection

Diagnostic Procedures

Medical Asepsis

Sterile Technique

Safe Patient Handling, transfer, and Positioning

Exercise Mobility

Support Surfaces and Special Beds

Patient Safety

Disaster Preparedness

Pain Management

Palliative Care

Personal Hygiene and Bed Making

Care of the Eye and Ear

Safe Medication Preparation

Administration of Nonparenteral Medications

Administration of Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Cardiac Care

Closed Chest Drainage Systems

Emergency Measure for Life Support

Intravenous and Vascular Access Therapy

Blood Therapy

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Pressure Injury Prevention and Care

Wound Care and Irrigations

Dressings,bandages,and Binders

Therapeutic Use of Heat and Cold

Home Care Safety

Home Care Teaching

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