Yoost EAQ Chapter 15, Nursing Infomatics
Which factors would the nurse evaluate while considering globalization of health care on nursing and increased worldwide communication? Select all that apply. A. Well-informed health care consumers B. Smaller number of health care consumers C. More negligent health care consumers D. Preference for accessible health care provider E. Increasing demand for quality by health care consumers
A, D, E As an effect of globalization, consumers read information available on the Internet and are well informed about their medical conditions. With the use of the Internet, health care consumers can easily get information and choose their health care service providers, and so the most accessible providers are preferred by consumers. With increasing worldwide communication and sharing of health information, health care consumers demand quality and service from health care providers. It is not accurate to say there are a smaller number of health care consumers; with increased health awareness, a greater number of informed patients are seen. With globalization, health care consumers are more knowledgeable and well informed.
Which phrase describes an electronic medical record (EMR)? A. Can create work lists to ensure patient care B. Is used to document a single episode of care C. Ensures timely administration of medications D. Can assess long term responses to interventions
B. Is used to document a single episode of care An EMR is the documentation of a single episode of care such as an outpatient visit or inpatient stay. The EMR becomes part of an electronic health record (EHR), which is a longitudinal record of care. The EHR maintains the patient's health records over long periods. The EHR and not the EMR creates work lists on the basis of information in the database. The work list ensures timely administration of medication and response to specific interventions over the long term.
Which networking tool described in the table is the nurse using? A. Blog B. Listserv C. Social media D. Telemedicine
B. Listserv A listserv is a computer program that sends messages to multiple e-mail addresses on a mailing list. It is often used to connect patients with common problems and send updated information to large groups of people. A blog is a social medium that has regular entries of commentary, descriptions of events, or other materials such as graphics or videos. It is not used to send e-mails to groups. Social media includes online technologies such as Facebook, Twitter, and LinkedIn that allow people to communicate easily by the Internet to share information and resources. Social media is not used to send updated information by e-mail to large groups. Telemedicine is used to link medical experts with other clinicians and to provide in-home monitoring of patients. Telemedicine is not used to send messages to multiple e-mail addresses.
Which technology can the nurse use to deliver emergency interventions when the primary health care provider is not available in the emergency room? A. Listserv B. Telemedicine C. Social networking site D. Electronic health record
B. Telemedicine Telehealth, also known as telemedicine, helps health care professionals connect to health care experts or clinicians via high-quality video links. In an emergency, the nurse can enlist the help of a health care expert or clinician to provide emergency interventions to save a patient. A listserv is a computer program that is used to send health care e-mails to a large group of patients. Social networking sites help health care experts promote health care products and share health-care-related information. Electronic health records are documents on the medical status of the patient that communicate the patient's past and current medical status for health care providers.
Which aspect of nursing informatics involves the use of experience to manage and solve problems? A. Data B. Wisdom C. Knowledge D. Information
B. Wisdom The nurse uses wisdom to manage and solve problems by applying knowledge and experience. The nurse cannot solve or manage problems by simply observing the data. The nurse uses critical thinking to interpret patient assessment data and then evaluate patient priorities in the plan of care. Medical knowledge is processed and organized information that helps in critical thinking and clinical decision making. Information helps in the analysis of a patient's past medical history and present health condition but is not sufficient on its own to manage and solve problems.
You are helping design a new patient discharge teaching sheet that will go home with patients who are discharged to home from your unit. Which guideline do you need to remember when designing the teaching sheet? A. The new federal laws require that teaching sheets be e-mailed to patients after they are discharged. B. You need to use words the patients can understand when writing the directions. C. The form needs to be given to patients in a sealed envelope to protect their health information. D. The names of everyone who cared for the patient in the hospital need to be included on the form in case the patient has questions at home.
B. You need to use words the patients can understand when writing the directions. Patients need to be able to understand information that you provide to them; ensure that written instructions are provided at a level that matches the patients' reading ability. There are no new federal laws that require that teaching sheets be e-mailed to patients after they are discharged. The form does not need to be given to patients in a sealed envelope to protect their health information. The names of everyone who cared for the patient in the hospital do not need to be included on the form in case the patient has questions at home.
Which standardized nursing terminology is accepted by the World Health Organization Family of International Classifications (WHO-FIC) to promote standard nursing practice language internationally? A. Perioperative Nursing Data Set (PNDS) B. Nursing Minimum Data Set (NMDS) C. International Classification of Nursing Practice (ICNP) D. North American Nursing Diagnosis Association International (NANDA-I)
C. International Classification of Nursing Practice (ICNP) The ICNP, developed by the International Council of Nurses, is a nursing terminology recognized by the WHO-FIC for standardization of nursing language internationally. The PNDS is a standard nursing terminology specifically developed for operating room and perioperative settings and is not identified as preferred terminology by the WHO for international standardization of language. NANDA-I is a nursing taxonomy frequently taught in U.S. nursing programs and some international locations; NANDA-I is not the preferred international taxonomy as recognized by the WHO.
When a nurse uses information and technology to communicate, locate and use knowledge, reduce and eliminate errors, and help make decisions, the nurse is working in which area? A. Integrated delivery system B. Health care patient system C. Nursing informatics D. Computerized nursing network
C. Nursing informatics Nursing informatics is the use of information, data, and technology to communicate, manage knowledge, mitigate errors, and support decision making. It requires knowledge, skills, and attitudes from the nurse to be able to effectively use information and technology. Nursing informatics is focused on the organization, analysis, and dissemination of information. Integrated delivery systems, health care patient systems, and computerized nursing networks do not use information and technology to communicate, locate and use knowledge, or reduce and eliminate errors.
Which level of informatics competency does the nurse have based on the information in the table? A. Utility B. Specialist C. Technical D. Leadership
C. Technical Technical competency in informatics indicates the ability to use computers and technological equipment, software programs for word processing, and spreadsheets, along with competency in database development. The nurse with technical competency is also capable of making presentations, referring to websites, and sending e-mails. Utility competency addresses critical thinking and evidence-based practice applications. Nursing informatics specialists are experts who train others, supervise the use of information systems, and design systems for use by nurses. Leadership competency addresses ethical and management issues related to the use of information technology in nursing practice, education, research, and administration.
Which system assists the nurse in determining an accurate diagnosis as well as selecting appropriate interventions? A. Electronic health record (EHR) B. Computerized provider order entry (CPOE) C. Bar-code medication administration (BCMA) D. Computerized decision support system (CDSS)
D. Computerized decision support system (CDSS) A CDSS is an application designed to assist all health care professionals with decision-making tasks. The CDSS helps the nurse write a correct nursing diagnosis and choose an appropriate nursing intervention based on evidence-based practice. It also sends safety alerts and reminders to ensure the patient's safety. Nurses use the EHR for storing, sending, and accessing a patient's health data. Health care providers use CPOE to facilitate communication among various departments in the hospital, such as the pharmacy, laboratory, and dietary departments per requirements. The BCMA system is a part of the process of medication administration. With BCMA, the nurse's and patient's identity cards, the medication administration record (MAR), and the drug are scanned to determine whether the medication received is appropriate and on schedule.
Which nursing terminology approved by the American Nurses Association is described in the table? A. Clinical Care Classification (CCC) B. Perioperative Nursing Data Set (PNDS) C. Nursing Intervention Classification (NIC) D. International Classification for National Practice (ICNP)
D. International Classification for National Practice (ICNP) The ICNP was developed under the auspices of the International Council of Nurses (ICN). It addresses nursing phenomena, actions, and outcomes. It contains descriptions and comparisons of nursing practices locally, regionally, nationally, and internationally. It articulates the contributions of nursing to health and health care, enhances communications, and improves the quality and continuity of health care on a global basis. The CCC is a nursing terminology system that is used for documenting the plan of care in a health care setting. It includes documented information about the diagnosis, the plan for nursing interventions, and the effectiveness of the outcomes. The PNDS is a set of nursing terminologies approved by the ANA for diagnoses, interventions, and outcomes for use in the perioperative area. The NIC is used in the planning phase of the nursing process to document specific nursing interventions for a patient.
Which phrase describes the focus of nursing informatics in the health care system? A. Computerization of patient medical records B. Training and distance education for health care workers C. Medical terminologies in the electronic health record D. The management and communication of data and information
D. The management and communication of data and information Nursing informatics addresses the use of health information systems to support nursing practice. It integrates computer and information science to properly manage and communicate data, information, knowledge, and wisdom. Computerization of medical records is one of the benefits of informatics in health care; however, it is not the primary focus of nursing informatics. The use of information technology to help nurses gain more knowledge through online, distance, or continuing education is one of many benefits and not the primary focus of nursing informatics. Formal medical terminologies are among many important informatics tools in health care, including clinical guidelines and communication systems. They are not the primary focus.