Exam 2 Practice Questions
Nurse A is having difficulty logging into the automated medication-dispensing system, and asks Nurse B to log in momentarily so that Nurse A is not delayed in administering client medications. What is Nurse B's appropriate response? "I will log in so that you can proceed with medication delivery." "I am giving you my password so you can log in." "I will get the hospital's information system's phone number for you." "I can log in and give the medications for you."
"I will get the hospital's information system's phone number for you." Explanation: Passwords and logins should never be shared with anyone else, nor should a nurse use his or her own password or login information to allow another individual to access the automated medication-dispensing system. Nurse B will not log in and give the medications, but rather will provide a solution by offering contact information for information systems to Nurse A so that he or she can work through their login issue.
Which are appropriate actions for protecting clients' identities? Select all that apply. Orient computer screens toward the public view. Ensure that clients' names on charts are visible to the public. Document all personnel who have accessed a client's record. Place light boxes for examining X-rays with the client's name in private areas. Have conversations about clients in private places where they cannot be overheard.
Document all personnel who have accessed a client's record. Place light boxes for examining X-rays with the client's name in private areas. Have conversations about clients in private places where they cannot be overheard. Explanation: Documenting all personnel who have accessed a client's record, placing light boxes for examining X-rays with the client's name in private areas, and having conversations about clients take place in private where they cannot be overheard are useful strategies to limit casual access to the identity of clients and health informatics. Orienting computer screens toward the public view and visibly displaying clients' names on charts are incorrect, as these are breaches of patient confidentiality.
An informatics nurse is participating in an online continuing education course about nursing informatics. The nurse demonstrates successful comprehension of the course by identifying which individual as being considered the first informatics nurse? Florence Nightingale Dorothea Orem Hildegard Peplau Virginia Henderson
Florence Nightingale Explanation: Many have documented that the first informatics nurse was Florence Nightingale, who compiled and processed data to improve sanitation conditions in military hospitals during the Crimean War in the 1850s. Orem, Peplau, and Henderson are nursing theorists.
A visitor to the surgical unit asks the nurse about another client on the unit. The visitor viewed the client's name on the computer screen of another nurse at the nurses' station and recognized the client as a relative. What is the first action of the nurse in relation to this situation? Confirm that the client is on the unit but offer no further details. Inform the other nurse that the viewed screen resulted in a breach of confidentiality. Notify security that the visitor viewed confidential client information. Validate the relationship of the visitor to the client before discussing the client's status.
Inform the other nurse that the viewed screen resulted in a breach of confidentiality. Explanation: Nurses must protect the privacy of all client information, and this includes information on an electronic medical record. The computer screen at the nurses' station should not be in view of anyone other than the person accessing the record. The other answers are incorrect because they breach client confidentiality.
An informatics nurse specialist is extracting data from the facility's electronic health record in an attempt to identify clients at risk for developing catheter-related bloodstream infections. When gathering this data, the nurse specialist is using which technique? Data visualization Predictive analytics Big data Genomics
Predictive analytics Explanation: Predictive analytics encompasses a variety of statistical techniques that analyze current and historical facts to make predictions about future or otherwise unknown events. In health care, we see this used as organizations attempt to identify clients who are at risk for a condition, which in this case, would be catheter-associated bloodstream infections. Data visualization is the presentation of data in a pictorial or graphical format to enable decision makers to see analytics presented visually, so they can grasp difficult concepts or identify new patterns. Big data comprises the accumulation of health care-related data from various sources, combined with new technologies that allow for the transformation of data to information, to knowledge, and ultimately to wisdom. Genomics addresses all genes and their interrelationships in order to identify their combined influence on the growth and development of the organism.
A nurse is caring for a client in a semi-private room. How will the nurse prepare a private environment to discuss the client's plan of treatment? Direct the client in the other bed to walk in the hallway. Ask all visitors to leave the room. Pull the curtain dividing the two beds. Bring the client into the hallway to discuss the treatment plan.
Pull the curtain dividing the two beds. Explanation: It might not always be possible to carry on conversations alone with the client in a room, but every effort should be made to provide privacy and to prevent conversations from being overheard by others. Sometimes merely drawing the curtains around the bed in a hospital or long-term care facility, or sitting in a corner of the waiting room or lounge, can provide the sense of privacy that is so important in most interactions. It is not appropriate to ask the client in the other bed or any visitors to leave the room. Personal information should not be discussed in public thoroughfares.
An informatics nurse specialist is working with a team designing an update to a clinical information system being used by the nursing staff. When selecting the language to be used with the system, which characteristic would be most appropriate to address? Select all that apply. Terminology is clear and concise for the nurses Terminology reflects the technological aspects of a system Terminology is familiar to the user Terminology reflects the users work context Terminology is ambiguous to the user
Terminology is clear and concise for the nurses Terminology is familiar to the user Terminology reflects the users work context Explanation: All language used in an EMR or clinical information system should be concise and unambiguous. Terminology used also must be that which is familiar and meaningful to the end users in the context of their work; no terms related to computers, technology, HL7, databases, and so forth should appear in the user interface.
The client, who is 8 weeks pregnant as the result of a rape, tells the nurse, "I do not want to have this baby, but I have always believed that abortion is a sin. I don't know what to do." What nursing diagnosis would be most appropriate for the nurse to formulate? Decisional Conflict related to conflict with moral beliefs as evidenced by the client's statement Hopelessness related to inability to decide a course of action as evidenced by the client's statement Complicated Grieving related to mental trauma as evidenced by the client's inability to make a decision Ineffective Coping related to rape trauma syndrome as evidenced by client's inability to make a decision
Decisional Conflict related to conflict with moral beliefs as evidenced by the client's statement Explanation: The client's statement indicates that it is difficult for the client to reach a decision because of the client's moral beliefs. The client is not expressing hopelessness or demonstrating ineffective coping or complicated grieving. The client may be suffering from rape trauma syndrome, but the assessment data do not lead to that diagnosis.
There are many goals for health teaching. Which of the following is the primary goal of family and patient education? Increase knowledge Motivate people to learn Improve patient outcomes Establish trust
Improve patient outcomes Explanation: The primary goal of patient and family education is to achieve, improve, or alter behaviors that directly or indirectly change and improve patient outcomes.
A nurse is reading a journal article about health information technology and the need for this technology to demonstrate meaningful use. Which information would the nurse anticipate reading about as reflective of meaningful use? Select all that apply. Improvement in health care quality Increased health disparities Greater client engagement Reduction in privacy breaches of client information Reduced health of populations
Improvement in health care quality Greater client engagement Reduction in privacy breaches of client information Explanation: Meaningful use would be reflected by improved quality, safety, efficiency, and reduced health disparities; engagement of clients and family; improved care coordination and population and public health; and maintenance of privacy and security of client health information.
A Chinese client who was previously treated at the health care facility for an open wound has been admitted again because the wound has become gangrenous. It has been identified that the client failed to understand proper wound care. What is the probable reason for the client failing to understand the instruction? The client is not interested. The client has a short attention span. The client belongs to a different culture. The client is a passive learner.
The client belongs to a different culture. Explanation: The probable reason for the client failing to follow proper care for the wound could be that the client belongs to a different culture. As a result, the client failed to understand the language in which the nurse imparted the instructions. If the client were a passive learner or had a short attention span, the client would have retained at least part of the instructions. The client being uninterested in how to care for the wound is not likely.
A physician has asked a nurse to use written forms of communication to share the client's health status with other medical personnel. Which is an example of a written form of communication? checklists notepad e-mail SMS
checklists Explanation: Nurses can use the checklist method to share the client's health status with other health personnel involved in the client's care. Some other examples of written forms of communication include the nursing care plan, the nursing Kardex, and flow sheets. Notepads, e-mails, and SMS are not examples of written forms of communication that nurses should follow.
The nurse is caring for a child whose mother is deaf and untrusting of staff. She frequently cries at the bedside, but refuses intervention from the social worker or the chaplain. Which issue is most important for the nurse to address with the mother to promote a trusting relationship? the mother's fear that the staff do not respect her the mother's feelings of loss of control over her child communication barriers between the mother and staff lack of knowledge about the child's illness and treatment
communication barriers between the mother and staff Explanation: The communication barrier is the most significant and would require immediate attention. Strategies need to be implemented that include taking the time to share information via the written word with all new members of the healthcare team and the mother. Fear, loss of control, and lack of knowledge about the illness of the child may contribute to the overall stress of the situation.
A client with newly diagnosed diabetes requests information about how to give an injection. What is the best communication technique the nurse can use with the client? providing a URL for a website that demonstrates proper injection technique demonstrating the proper injection technique informing about the proper injection technique reflecting the client's feelings about his question
informing about the proper injection technique Explanation: The therapeutic communication technique of informing allows the nurse to provide the client with information relevant to the client's well being. The website and in-person demonstration of the technique are teaching tools, but not a therapeutic communication technique. Using reflection is not the best communication technique for the situation.
A nurse has engaged a translator to help in communicating with a client. When asking questions of the client and obtaining answers, the nurse should: look at the client while asking questions and carefully listen to the client's response. record each session to avoid any later confusion or disputes over what was said. take careful notes as the translator speaks. make sure that a family member is present at all times.
look at the client while asking questions and carefully listen to the client's response. Explanation: When using a translator with clients who speak little or no English, the nurse must look at the client, not the translator, when asking questions and listening to the client's response. There is no need to record the communication. Notes may be taken, but this is not the approach for asking questions and obtaining answers. Although family may be present, it is not mandatory for communication using a translator and, in some cases, may actually hinder the communication.
A nurse is taking a history. The client has limited English proficiency. When communicating with this client the nurse should: speak slowly (not loudly), use simple words and short sentences, and avoid jargon. record each session to avoid any later confusion or disputes over what was said. include someone on staff with teaching experience. speak slowly and loudly and use broad hand gestures or expressive body language as necessary.
speak slowly (not loudly), use simple words and short sentences, and avoid jargon. Explanation: When communicating with clients with limited English proficiency, the nurse must speak slowly, use simple words and short sentences, and avoid using technical terms and slang. There is no need to record the communication. The nurse can interview the client; there is no need to locate another staff member to do so. Speaking slowly is appropriate in this situation, but the other actions are not.
