Anderson's Nursing Leadership, Management, And Professional Practice For The LPN/LVN In Nursing School and Beyond 5th Edition by Tamara R. Dahlkemper - Test Bank

Anderson’s Nursing Leadership, Management, And Professional Practice For The LPN/LVN In Nursing School and Beyond 5th Edition by Tamara R. Dahlkemper – Test Bank

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Chapter 5: Nursing and Informatics

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____ 1. The nurse delivers safer healthcare using electronic medical records because of what feature?

1. Accessibility of medical record by multiple people
2. Improved accuracy in reading documentation
3. Tighter control of data privacy
4. Lowers cost of care delivery

____ 2. The nurse demonstrates compliance with the Health Insurance Portability and Accountability Act (HIPAA) with what action?

1. Logging off the computer before walking away
2. Entering data as soon as it is collected
3. Verifying all medication dosages are within normal range
4. Remembering to charge for all equipment used

____ 3. The nurse protects against self-injury when working with the computer by performing what action?

1. Maintaining the security of the password
2. Using the computer only for work related tasks
3. Becoming familiar with facility policy regarding computer use
4. Maintaining good body mechanics when sitting at the computer

____ 4. How can the nurse reduce the spread of infection related to the use of the computer?

1. By cleaning the mouse and keyboard regularly
2. By turning the monitor so it cannot be seen by visitors
3. By using good body mechanics when sitting at the computer
4. By becoming familiar with facility policies regarding data entry

____ 5. The nurse is sitting down to prepare a presentation on risk reduction in the long-term care facility. What is the first thing the nurse should do?

1. Develop an outline of information to be included
2. Find research articles containing the necessary information
3. State the objectives
4. Plan the ending of the presentation

____ 6. When creating the introduction to a presentation, what is the nurse’s goal?

1. Staying within the designated time frame
2. Grabbing the audience’s attention
3. Not overwhelming the audience with content
4. Providing references

____ 7. The nurse talks to the nurse manager to suggest making changes to the way a procedure is performed, and the manager asks if this change is evidence-based. What does the manager mean by evidence-based?

1. Research findings or other reliable evidence show that the change is appropriate.
2. Another facility is doing it in the manner proposed by the nurse.
3. The nurse performed the procedure the suggested way while in nursing school.
4. Several nurses discussed the new way to perform the procedure and agree it would be better.

____ 8. The nurse assesses the patient’s health literacy through what action?

1. Teaching the patient about health issues and assessing learning
2. Watching the patient read a brochure containing health information
3. Obtaining agreement from the patient to read health information they are given
4. Quizzing the patient about their health knowledge

____ 9. What is the nurse manager likely to use in order to manage numerical data?

1. Statistical analysis
2. Word processors
3. Spreadsheets
4. Graphed tablets

____ 10. The nurse manager is working on compiling a budget for the next fiscal year. What software will work best for this purpose?

1. Word processor
2. Internet explorer
3. Presentation software
4. Spreadsheet software

____ 11. The nurse is working in the hospital when a tornado causes a power outage. How will the nurse manage documentation of care until the computer system returns?

1. Hold off on documenting and wait until the power returns to document care.
2. Write notes as reminders to be transcribed into the computer when the power returns.
3. Record what needs to be documented so the oncoming shift can document when power returns.
4. Document care in a paper patient record according to facility policy.

____ 12. When writing a work-related email, what is the best guideline for the nurse to follow related to length?

1. Write emails the same as writing narrative patient-care records.
2. Get to the point and write only what is necessary.
3. Write a long, detailed letter that restates important points for emphasis.
4. Use multiple colors and fonts to make the letter stand out.

____ 13. The nurse manager writes a business letter to a manager at another facility. What email style is appropriate for this letter?

1. Using several different font colors to make the email friendlier
2. Using all capital letters to make the email more readable
3. Inserting a funny cartoon at the end to create rapport with the reader
4. Running spell-check and reviewing the tone of the letter to avoid misunderstanding

____ 14. The nurse manager is given a fax machine to receive physician orders and fax patient information to physicians’ offices. Where is the best place for the nurse manager to place the new machine?

1. In the hallway away from patient rooms
2. Behind the nurse’s desk on the unit
3. In the manager’s office
4. In the supply room

____ 15. Why does the nurse manager prefer email when communicating with multiple recipients?

1. The letter can be copied and pasted multiple times to send to each recipient.
2. The letter can be sent to multiple recipients at one time with no extra effort.
3. Emails are more private than letters sent through the mail system.
4. The email can be secretly sent to friends.

____ 16. The nursing unit is informed early in the shift that the computers will be unavailable for four hours during the middle of the shift. What will the nurse manager tell the staff to do regarding documentation of patient care during this time period?

1. Make good notes and document care during the next working shift.
2. Anticipate care to be administered during downtime and document before the computers go down.
3. Make notes and document all care as soon as the computers come back up.
4. Use the downtime documentation described in facility policy.

____ 17. The nurse wants to attend a teleconference, but the price is too high. What might the nurse explore to help reduce the cost?

1. Multiple nurses may be able to attend for one fee.
2. Costs may go down closer to the date of the conference.
3. They may give the nurse a discount out of sympathy.
4. Borrow money from others to pay for the conference.

____ 18. The nurse is preparing a presentation using Microsoft PowerPoint software. Where does the nurse write notes to remember what to say when each slide is shown?

1. In the white space under the slide portion
2. In the column at the left of the slide
3. In the actual slide section
4. In a separate Word document

____ 19. What task would the nurse be most likely to perform using spreadsheet software rather than word-processing software?

1. Writing a paper on an assigned topic for school
2. Creating a presentation for an audience
3. Developing a budget for the nursing unit
4. Writing an email to a nurse manager on another unit

____ 20. The nurse interprets what statement from the patient as a possible indication of healthcare illiteracy?

1. “I’ll read this brochure and let you know if I have questions.”
2. “Can you give me another brochure for my wife?”
3. “I’ll read this later. I don’t have my glasses.”
4. “I read this brochure and have some questions about what I read.”

____ 21. What is the nurse’s primary and most essential purpose in reading nursing research on a regular basis?

1. To maintain an evidence-based nursing practice
2. To obtain continuing education credits
3. To teach peers about new findings
4. To obtain a promotion at work

____ 22. The nurse accepts a new job as a manager, spending much more time doing desk work instead of patient care. After a week in the new job, the nurse experiences pain in the right wrist and an ache around the shoulders and back. What is the most likely cause of these discomforts?

1. A stressful work environment
2. Lack of management skills
3. Poor body mechanics when using the computer
4. Lack of cooperation from staff

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

____ 23. What advantages does the nurse identify in providing patient care using an electronic medical record? (Select all that apply.)

1. Accessibility of medical record by multiple people
2. Faster reporting of diagnostic study results
3. Easier readability of documentation
4. Improved privacy of information
5. Error reduction

____ 24. How do computers and nursing informatics improve patient care? (Select all that apply.)

1. Learning more about best practices
2. Acting as a monitor to protect patient safety
3. Providing easy access to new knowledge
4. Delivering hands-on care
5. Using critical thinking to plan care

____ 25. The nurse specializing in nursing informatics uses the computer for what tasks? (Select all that apply.)

1. Documenting patient care
2. Learning about medication side effects
3. Finding evidence-based research related to patient care
4. Scheduling staff work shifts
5. Programming new software

Chapter 5: Nursing and Informatics

Answer Section

MULTIPLE CHOICE

1.ANS:2

Mistakes can result when handwriting needs to be interpreted because it may be interpreted incorrectly. Neat, easy-to-read documentation improves the safety of care delivery.

PTS:1REF:Chapter: 5OBJ:Objective: 2

KEY:Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

2.ANS:1

HIPAA regulates the confidentiality of patient information. Logging off the computer before walking away protects patient privacy by preventing others from looking at information.

PTS:1REF:Chapter: 5OBJ:Objective: 4

KEY:Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

3.ANS:4

Maintaining good body mechanics when sitting at the computer prevents repetitive movement injuries, improves concentration, and prevents poor posture.

PTS:1REF:Chapter: 5OBJ:Objective: 3

KEY:Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

4.ANS:1

It is important to clean the mouse and keyboard regularly because many people will be touching this equipment. Keeping the equipment clean will prevent infection for the nurse and the patients.

PTS:1REF:Chapter: 5OBJ:Objective: 3

KEY:Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

5.ANS:1

The presentation cannot be developed until its main points are determined and set down as a guideline.

PTS:1REF:Chapter: 5OBJ:Objective: 5

KEY:Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

6.ANS:2

The purpose of the introduction is to grab the audience’s attention and explain what the presentation will involve.

PTS:1REF:Chapter: 5OBJ:Objective: 5

KEY:Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

7.ANS:1

For a change to be evidence-based means either that it has been researched and found to be more effective or that reliable evidence is available to support the change.

PTS:1REF:Chapter: 5OBJ:Objective: 3

KEY:Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

8.ANS:1

Health literacy is determined by assessing not only the patient’s ability to read but also to understand and make decisions based on what they have learned.

PTS:1REF:Chapter: 5OBJ:Objective: 5

KEY:Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

9.ANS:3

Spreadsheets are tables with columns and rows that allow for entry and management of numbers, including complex calculations when needed.

PTS:1REF:Chapter: 5OBJ:Objective: 5

KEY: Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Understanding

10.ANS:4

A spreadsheet is a table with columns and rows that manages numerical data and allows for simple to complex computations.

PTS:1REF:Chapter: 5OBJ:Objective: 5

KEY:Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

11.ANS:4

Care will be documented on a facility form specifically designed for downtime documentation. Knowing and following facility procedures is most important.

PTS:1REF:Chapter: 5OBJ:Objective: 3

KEY:Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

12.ANS:2

Writing emails should involve getting to the point and avoiding long rambling letters.

PTS:1REF:Chapter: 5OBJ:Objective: 3

KEY:Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

13.ANS:4

Spell-check should be run on all business communication, and the letter should be reviewed for tone, grammar, and understanding.

PTS:1REF:Chapter: 5OBJ:Objective: 5

KEY:Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

14.ANS:2

The nurse’s desk on the unit is a good spot because it will allow the nurses to protect the privacy of information arriving via fax and will also be in a place where someone will notice when a new fax arrives.

PTS:1REF:Chapter: 5OBJ:Objective: 4

KEY:Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

15.ANS:2

Emails can be addressed to many different people, and one email can be seen by as many recipients as the author desires.

PTS:1REF:Chapter: 5OBJ:Objective: 5

KEY:Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

16.ANS:4

Every facility has a policy for documentation during downtime. It should be followed to maintain patient safety.

PTS:1REF:Chapter: 5OBJ:Objective: 3

KEY:Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

17.ANS:1

Many teleconferences anticipate multiple nurses will participate and will give out CEUs to a limited number of people. This reduces the cost because multiple nurses can split the charge.

PTS:1REF:Chapter: 5OBJ:Objective: 5

KEY:Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

18.ANS:1

There is a speaker’s note section under the actual slide for notes to remind the speaker of what to say. This section is unseen by the audience.

PTS:1REF:Chapter: 5OBJ:Objective: 5

KEY:Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

19.ANS:3

A spreadsheet was designed for managing numbers such as a nursing-unit budget.

PTS:1REF:Chapter: 5OBJ:Objective: 5

KEY:Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

20.ANS:3

Saying it cannot be read until one gets his or her glasses could be an indication that the patient does not know how to read. Further assessment is needed to determine if this is true.

PTS:1REF:Chapter: 5OBJ:Objective: 2

KEY: Content Area: Nursing Informatics | Integrated Processes: Nursing Process: Assessment | Client Need: Safe, Effective Care Environment | Cognitive Level: Analyzing

21.ANS:1

The most important reason for reading nursing research is to provide optimal nursing care in the form of evidence-based nursing practice.

PTS:1REF:Chapter: 5OBJ:Objective: 2

KEY:Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

22.ANS:3

Poor body mechanics when sitting at the computer can result in muscle aches, carpal tunnel syndrome, and headaches.

PTS:1REF:Chapter: 5OBJ:Objective: 3

KEY:Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

MULTIPLE RESPONSE

23.ANS:1, 2, 3, 5

Electronic medical records allow multiple team members to access the patient’s records at the same time, eliminating the need to wait for the paper chart to be available. Diagnostic study results are available as soon as they are entered into the computer, eliminating the need to wait for printouts to be delivered to the patient’s unit. Struggling to read sloppy handwriting is eliminated by use of electronic medical records. Prompts, warning messages, and the free access to information has helped to reduce errors and improve the safety of healthcare delivery. One of the disadvantages of electronic medical records is the availability of information to those with no need to know. Staff must be taught to read only the records of those for whom they are providing care.

PTS:1REF:Chapter: 5OBJ:Objective: 2

KEY:Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

24.ANS:1, 2, 3

Computers improve access to information regarding best practices and promote networking of nurses to maintain best practices. They are also excellent at monitoring, whether monitoring patient vital signs or monitoring nursing documentation, to improve patient safety. There is so much information available quickly on the Internet that providing access to new information is perhaps one of the computer’s greatest strengths.

PTS:1REF:Chapter: 5OBJ:Objective: 1

KEY:Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

25.ANS:1, 2, 3, 4

A common use of nursing informatics includes documenting nursing assessments and patient care. Consulting databases for information about medications is a convenient use of nursing informatics that improves safety. Maintaining currency in the provision of patient care requires keeping up with the most common evidence-based research. Computers are also useful for creating staff work schedules, representing a good use of nursing informatics. Computer programming is not a part of nursing informatics.

PTS:1REF:Chapter: 5OBJ:Objective: 1

KEY:Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

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