Chapter 6 Handbook Of Informatics for Nurses & Healthcare Professionals 5th Edition

Chapter 6  Handbook Of Informatics for Nurses & Healthcare Professionals 5th Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCSA
Medication errors have been on the rise over the past decade. A national initiative to minimize or eliminate the errors can be supported through which of the following responses?
1. Electronic medical administration records are generated weekly and compared to the clients’ physician orders.
2. The client’s medication administration record is compared to the client’s identification bracelet before the medication is given.
3. The bar codes of the nurse, client’s identification bracelet, and prescription medication are scanned and compared.
4. The client’s medication administration record bar code is compared to the clients’ prescription medications.
Correct Answer: 3
Rationale 1: Scanning bar codes at the point of care decreases the probability of the nurse making medication errors. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right client. Bar coding systems often include warnings for high-risk drugs, for medications with sound-alike names, for maximum dosages, and dosage discrepancies. All the other examples are insufficient or are performed away from the clients themselves.
Rationale 2: Scanning bar codes at the point of care decreases the probability of the nurse making medication errors. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right client. Bar coding systems often include warnings for high-risk drugs, for medications with sound-alike names, for maximum dosages, and dosage discrepancies. All the other examples are insufficient or are performed away from the clients themselves.
Rationale 3: Scanning bar codes at the point of care decreases the probability of the nurse making medication errors. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right client. Bar coding systems often include warnings for high-risk drugs, for medications with sound-alike names, for maximum dosages, and dosage discrepancies. All the other examples are insufficient or are performed away from the clients themselves.
Rationale 4: Scanning bar codes at the point of care decreases the probability of the nurse making medication errors. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right client. Bar coding systems often include warnings for high-risk drugs, for medications with sound-alike names, for maximum dosages, and dosage discrepancies. All the other examples are insufficient or are performed away from the clients themselves.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:

Question 2
Type: MCSA
Which of the following is the best example of a monitoring system?
1. Manual blood pressure of 132/82 is entered into the vital sign section of the graphic sheet.
2. The automatic blood pressure machine takes one reading of 164/104 and is turned off.
3. Blood glucose readings of 162 for 7:30 a.m. and 198 for 11:30 a.m. are obtained and entered into the computer system.
4. A temperature probe is connected to the pulmonary artery catheter to continuously monitor core temperature.
Correct Answer: 4
Rationale 1: Monitoring systems are devices that automatically monitor biometric measurements. The best monitoring systems, such as the temperature probe, obtain data electronically and transmit the data to be stored in the client’s electronic medical record. Manual inputs are possible but are not the best way to record data.
Rationale 2: Monitoring systems are devices that automatically monitor biometric measurements. The best monitoring systems, such as the temperature probe, obtain data electronically and transmit the data to be stored in the client’s electronic medical record. Manual inputs are possible but are not the best way to record data.
Rationale 3: Monitoring systems are devices that automatically monitor biometric measurements. The best monitoring systems, such as the temperature probe, obtain data electronically and transmit the data to be stored in the client’s electronic medical record. Manual inputs are possible but are not the best way to record data.
Rationale 4: Monitoring systems are devices that automatically monitor biometric measurements. The best monitoring systems, such as the temperature probe, obtain data electronically and transmit the data to be stored in the client’s electronic medical record. Manual inputs are possible but are not the best way to record data.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:

Question 3
Type: MCMA
Which of the following supports the automation of nursing documentation?
Standard Text: Select all that apply.
1. The use of standardized nursing languages (SNLs) accepted by the American Nurses Association
2. The use of a SOAP note in narrative form to support assessment of client cardiopulmonary system
3. The use of interventions such as “turn, cough, and deep breathe” as determined by the Nursing Interventions Classifications (NIC)
4. The use of client-specific charting by exception, addressing only exceptions to normal
5. The use of nursing diagnoses such as “Alteration of Comfort” as defined by the North American Nursing Diagnosis Association (NANDA)
Correct Answer: 1,3,5
Rationale 1: Standardized nursing languages, including NANDA and NIC (also Nursing Outcomes Classification, (NOC)), support automation of nursing documentation so that comparisons among data may be made. These remove the ambiguity of meaning found in other documentation systems. The SOAP note and the charting by exception choices are not standardized and do not support the automation of nursing documentation.
Rationale 2: Standardized nursing languages, including NANDA and NIC (also Nursing Outcomes Classification, (NOC)), support automation of nursing documentation so that comparisons among data may be made. These remove the ambiguity of meaning found in other documentation systems. The SOAP note and the charting by exception choices are not standardized and do not support the automation of nursing documentation.
Rationale 3: Standardized nursing languages, including NANDA and NIC (also Nursing Outcomes Classification, (NOC)), support automation of nursing documentation so that comparisons among data may be made. These remove the ambiguity of meaning found in other documentation systems. The SOAP note and the charting by exception choices are not standardized and do not support the automation of nursing documentation.
Rationale 4: Standardized nursing languages, including NANDA and NIC (also Nursing Outcomes Classification, (NOC)), support automation of nursing documentation so that comparisons among data may be made. These remove the ambiguity of meaning found in other documentation systems. The SOAP note and the charting by exception choices are not standardized and do not support the automation of nursing documentation.
Rationale 5: Standardized nursing languages, including NANDA and NIC (also Nursing Outcomes Classification, (NOC)), support automation of nursing documentation so that comparisons among data may be made. These remove the ambiguity of meaning found in other documentation systems. The SOAP note and the charting by exception choices are not standardized and do not support the automation of nursing documentation.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:

Question 4
Type: MCSA
Which of these is an example of a decision support system (DSS)?
1. A system used to schedule client visits for follow up care after extensive abdominal surgery
2. A system used to register clients who are admitted to an acute health care facility for surgery
3. A system used by emergency room administration to bill clients once their diagnoses are verified
4. A system used by physicians to provide suggestions for diagnostic tests according to selected admitting diagnoses
Correct Answer: 4
Rationale 1: The correct answer is a system used by physicians to provide suggestions for diagnostic tests according to selected admitting diagnoses. These suggestions may be followed or ignored, depending on the health care provider. A DSS assists with and strengthens the selection of viable options using the information of an organization or a field to facilitate decision making and overall efficiency. Your choice is an example of an administrative information system application.
Rationale 2: The correct answer is a system used by physicians to provide suggestions for diagnostic tests according to selected admitting diagnoses. These suggestions may be followed or ignored, depending on the health care provider. A DSS assists with and strengthens the selection of viable options using the information of an organization or a field to facilitate decision making and overall efficiency. Your choice is an example of an administrative information system application.
Rationale 3: The correct answer is a system used by physicians to provide suggestions for diagnostic tests according to selected admitting diagnoses. These suggestions may be followed or ignored, depending on the health care provider. A DSS assists with and strengthens the selection of viable options using the information of an organization or a field to facilitate decision making and overall efficiency. Your choice is an example of an administrative information system application.
Rationale 4: A system used by physicians to provide suggestions for diagnostic tests according to selected admitting diagnoses is indeed an example of a DSS. These suggestions may be followed or ignored, depending on the health care provider. A DSS assists with and strengthens the selection of viable options using the information of an organization or a field to facilitate decision making and overall efficiency.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:

Question 5
Type: MCSA
Which statement indicates the nurse is correctly documenting according to a critical pathway?
1. Nursing documentation is entered separately from that of other health care team members
2. Nursing documentation is entered in nursing diagnoses and outcome statements framework
3. Variances are identified if client outcomes are not as anticipated
4. Only one critical pathway is selected at a given time for a given client
Correct Answer: 3
Rationale 1: When using the critical pathway or protocols approach to nursing documentation, the system should identify variances to the anticipated outcomes as they are charted and provide aggregate variance data for analysis by the providers. This information can be used to fine tune and improve the critical pathways, thereby contributing to improved client outcomes.
Rationale 2: When using the critical pathway or protocols approach to nursing documentation, the system should identify variances to the anticipated outcomes as they are charted and provide aggregate variance data for analysis by the providers. This information can be used to fine tune and improve the critical pathways, thereby contributing to improved client outcomes.
Rationale 3: When using the critical pathway or protocols approach to nursing documentation, the system should identify variances to the anticipated outcomes as they are charted and provide aggregate variance data for analysis by the providers. This information can be used to fine tune and improve the critical pathways, thereby contributing to improved client outcomes.
Rationale 4: When using the critical pathway or protocols approach to nursing documentation, the system should identify variances to the anticipated outcomes as they are charted and provide aggregate variance data for analysis by the providers. This information can be used to fine tune and improve the critical pathways, thereby contributing to improved client outcomes.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome: