BDN week 8
During a home visit, the nurse inputs admission information into a computer-based medical record system. The client asks what prevents a neighbor from accessing the information when the nurse visits the client. What should the nurse respond to the client's concern? "A password is required to access your information." "I send your information and then delete it." "I keep the notebook computer in my hands at all times." "I use a new computer for each client."
"A password is required to access your information."
The clinical nurse educator is giving a presentation to emergency department nurses about injuries and illnesses that are subject to mandatory reporting by healthcare providers. Which examples are most appropriate for the clinical nurse educator to include when describing injuries and illnesses that the healthcare provider must report? (Select all that apply.) A client whose knife wound was sustained during food preparation A client whose newly diagnosed HIV infection is causing minimal symptoms A client whose powder burns were sustained during target practice A client whose vomiting and diarrhea are believed to be due to ingestion of a poisonous substance A client whose small caliber gunshot wound was sustained while cleaning a weapon
A client whose newly diagnosed HIV infection is causing minimal symptoms A client whose powder burns were sustained during target practice A client whose vomiting and diarrhea are believed to be due to ingestion of a poisonous substance A client whose small caliber gunshot wound was sustained while cleaning a weapon
The nurse is caring for Niki Nguyen, a 10-year-old client recovering from a tonsillectomy. When documenting in the progress note, what information should the nurse document in the subjective portion of the SOAP note after learning that Niki has a pain level of 8 on a pain scale from 1 to 10? Documentation 2.PNG Morphine provided to the client as prescribed. Client states "my throat hurts." Client's respiratory rate is 18 and unlabored. Client swallows without difficulty.
Client states "my throat hurts."
The staff nurse is training the novice nurse about using electronic health records (EHRs) to provide client discharge teaching. Which items should the staff nurse include in the training? (Select all that apply.) Standardized teaching materials should not contain Web links. Client teaching materials are more accurate due to standardization. Many electronic health record systems offer educational information in various languages. The nurse may choose not to personally review standardized teaching materials with the client. Before using standardized teaching materials, the nurse should assess the client's ability to read.
Client teaching materials are more accurate due to standardization. Many electronic health record systems offer educational information in various languages. Before using standardized teaching materials, the nurse should assess the client's ability to read.
The clinical nurse educator is designing an online course about the use of patient portals for consumer and client e-health. Which item should be included when designing the online course? Protected health information is encrypted and securely transmitted via the portal. Clients must provide a user identification and password for each portal visit. Prescription refill requests are not permitted when using a portal. To use the portal, the client must first register in person at the healthcare facility.
Clients must provide a user identification and password for each portal visit.
Stephan Wolters, an emergency department nurse, is caring for John Weatherly, a 78-year-old male client who has just been diagnosed with congestive heart failure. Which nursing action reflects Stephan's achievement of a meaningful use objective as required by the Center for Medicare and Medicaid Services (CMS)? Limiting communication between members of the client's healthcare team Allowing the client's family members to review his electronic health record Encouraging the client's family members to be involved in the client's teaching sessions Recognizing that safety and quality of client care are unrelated to health disparities
Encouraging the client's family members to be involved in the client's teaching sessions
A nurse is documenting client protected health information (PHI) at a point of care computer terminal in the client's room. Keeping in mind that the client's room is private, which action by the nurse is acceptable regarding protecting the client's PHI once the nurse leaves the client's room? Remaining logged in to the computer because the client's room is private Exiting out of the client's PHI and logging off Minimizing the client's PHI on the screen but remaining logged in Exiting out of the client's PHI but remaining logged in
Exiting out of the client's PHI and logging off
The novice nurse asks the nurse preceptor, "What can I do to help prevent the spread of infection from contaminated computer systems?" Which items should the nurse preceptor's reply include? (Select all that apply.) Always wear gloves whenever using the computer equipment. Disinfect the keyboard and mouse weekly and when they are soiled with body fluids. Follow manufacturer guidelines for cleaning the computer equipment. Recognize that the dry surface of a computer can allow virulent microbes to survive. Avoid the use of a sealed or covered keyboard that can breed virulent microbes.
Follow manufacturer guidelines for cleaning the computer equipment. Recognize that the dry surface of a computer can allow virulent microbes to survive.
Eldredge Marain is the nurse manager of a home health care agency. One of the agency's home health staff nurses notifies Eldredge that she believes a client is being abused by the client's family member. The staff nurse states, "The client has bruises all over her arms. When I asked her how she got the bruises, she looked away from me and would not respond. Today, I noticed that she seems nervous when her daughter is in the room. I also overheard her daughter saying that her mother is a burden and that she's tired of dealing with her." Which action from Eldredge is most appropriate? Encouraging the client to report the abuse to local law enforcement officials Conducting an investigation to confirm that the client is being abused Advising the staff nurse that she could be charged with false reporting Following the agency's protocols for reporting suspected abuse of vulnerable adults
Following the agency's protocols for reporting suspected abuse of vulnerable adults
The nurse is describing applications of telehealth to the client. Which activities should be included? (Select all that apply.) Allowing clients to consult with healthcare providers in any state in the United States Having the client meet with a virtual health coach Managing acute and chronic conditions of the client Using dual webcams to visually assess the client's condition Watching clients perform a return demonstration of skills
Having the client meet with a virtual health coach Managing acute and chronic conditions of the client Using dual webcams to visually assess the client's condition Watching clients perform a return demonstration of skills
The nurse reports a case of suspected abuse of an adult client with a disability. Subsequently, a law enforcement investigation finds no evidence to support the nurse's allegations of abuse. Which statement by the nurse best reflects correct understanding of how good faith immunity applies to unproven reports of suspected abuse of an adult client with a disability? I am protected from repercussions based on federal laws that guarantee all mandatory reporters good faith immunity. I need to check my state's laws to see if I am protected by good faith immunity. Civil charges will be filed against me for alleged defamation of character. Criminal charges will be filed against me for making a false report.
I need to check my state's laws to see if I am protected by good faith immunity.
The nurse administrator is explaining the concept of mandatory reporting to a group of staff nurses. Which information is most appropriate for the nurse administrator to include when defining mandatory reporting? (Select all that apply.) Reportable events are designated by healthcare institutions. Reportable events are designated by state law. Mandatory reporting includes reporting certain events, acts, and situations. Mandatory reporting is a legal requirement. Reportable events are designated by local law.
Reportable events are designated by state law. Mandatory reporting includes reporting certain events, acts, and situations. Mandatory reporting is a legal requirement. Reportable events are designated by local law.
The forensic nurse is preparing a webinar about mandatory reporting requirements related to known or suspected abuse of vulnerable individuals. Which guideline is most appropriate for the forensic nurse to include in the webinar? Prior to reporting suspected abuse, the nurse must conduct a preliminary investigation to confirm the suspected abuse. To protect the client's privacy, the nurse should not document the reported information in the client's chart. As a general rule, the nurse should immediately contact local law enforcement when possible abuse is suspected. When forming a good faith suspicion of abuse, the nurse may or may not include client reports.
When forming a good faith suspicion of abuse, the nurse may or may not include client reports.
Jaime Delgado, a surgical nurse, asks the unit nurse leader for suggestions about how to use informatics to improve client safety and incorporate nursing research at the point of care. Which recommendation is best? "Consider using perioperative nursing data sets." "Consider using clinical care classification." "Consider using current procedural technology." "Consider using a clinical decision support system."
"Consider using a clinical decision support system."
Jaime Delgado, a surgical nurse, asks the unit nurse leader for suggestions about how to use informatics to improve client safety and incorporate nursing research at the point of care. Which recommendation is best? "Consider using clinical care classification." "Consider using current procedural technology." "Consider using a clinical decision support system." "Consider using perioperative nursing data sets."
"Consider using a clinical decision support system."
A nurse educator is teaching a group of student nurses about correct documentation techniques. Which statements are appropriate for the nurse educator to include in the teaching session? (Select all that apply.) "Follow organizational policies to correct charting errors." "Do not document the client's actual words." "Use subjective and thorough descriptions." "Document the client's response to interventions." "Document in a timely manner."
"Follow organizational policies to correct charting errors." "Document the client's response to interventions." "Document in a timely manner."
A newly licensed nurse is attending the hospital orientation training class. Which statement made by the newly licensed nurse indicates understanding of the term "point of care"? "Point of care interventions and testing do not include any type of specimen testing." "Point of care refers only to testing that takes place using a handheld device near the client." "Point of care refers to interventions or testing that takes place using a transportable, portable, or a handheld device near or at the bedside of the client." "Point of care refers to the name of the handheld device."
"Point of care refers to interventions or testing that takes place using a transportable, portable, or a handheld device near or at the bedside of the client."
The nurse administrator is presenting an educational session about telehealth. Which item should be included when discussing the most significant potential barriers? Access to care Healthcare quality Cost of services Healthcare provider licensure
Healthcare provider licensure
The nurse administrator is teaching an in-service about the function of the Office of the National Coordinator for Health Information Technology (ONC). When listing the meaningful use objectives, which items should be included? (Select all that apply.) Improving care coordination to improve client outcomes Engaging clients and their families in the client's care Reducing health disparities by improving safety and quality of care Controlling and monitoring clients' healthcare choices Ensuring the security and privacy of protected medical information
Improving care coordination to improve client outcomes Engaging clients and their families in the client's care Reducing health disparities by improving safety and quality of care Ensuring the security and privacy of protected medical information
The nurse educator trains case managers on the use of an electronic medical record when providing client care. Which participant statement or statements indicate that training has beeneffective? Select all that apply. "Client education is to be documented in the system." "Quality metrics can be observed to reduce readmission rates." "The record reduces the cost of health care." "Coordination of care is improved." "The record allows trending of client progress."
"Client education is to be documented in the system." "Quality metrics can be observed to reduce readmission rates." "Coordination of care is improved." "The record allows trending of client progress."
sari Li-Holt, an experienced pediatric nurse, is applying to become the director of pediatric nursing. During her interview, the hospital administrator asks, "What type of healthcare information system would you suggest using for analysis of risk management and qualityperformance?" Which response by Sari is the most appropriate? Informatics 2.PNG "My recommendation would be to use a clinical decision support system." "I would recommend using an electronic health records system." "I would recommend using a clinical information system." "My recommendation would be to use an administrative information system."
"My recommendation would be to use an administrative information system.
Marci Lemonti, director of the hospital materials management and supply chain division, is delivering a webinar to nurses about standardization procedures in her department. Which statement best summarizes the effects of standardization in Marci's department? Clinical Decision Support Systems 2.PNG "Standardization requires using electronic systems with bar-code scanning to increase efficiency and decrease costs." "Standardization usually is cost-effective, though it tends to increase the number of shipment errors." "Standardization is beneficial, but it often negatively impacts a hospital's ability to negotiate contract pricing." "Standardization allows us to expect improvements among our suppliers with fulfillment of their contract requirements."
"Standardization allows us to expect improvements among our suppliers with fulfillment of their contract requirements."
As a leader of her unit's quality assurance committee, Lourdes Soto, a critical care nurse, has been conducting reviews of clients' electronic health records. Lately, she has been experiencing sore wrists and dry eyes. Lourdes asks her charge nurse how to avoid complications related to prolonged periods of computer use. What is the best response by the charge nurse? "To prevent computer vision syndrome, do not spend more than 6 hours each day working on a computer." "Taking a break when using the computer is an important preventive measure." "Minor aches and pains are commonly caused by prolonged periods of computer work, but they will not lead to disability." "Be sure to keep your wrists flexed when you're working at the computer."
"To prevent computer vision syndrome, do not spend more than 6 hours each day working on a computer."
The nurse leader is creating a poster that summarizes guidelines related to reporting nurses who are in violation of the Nurse Practice Act. To give examples of situations in which the individual who makes the report is protected by an immunity clause, which scenarios are most appropriate for inclusion on the poster? (Select all that apply.) A client who acted without concern for the validity of reported allegations against a home health nurse A client who knowingly issued a false report against an emergency department staff nurse A nurse administrator who reported a staff nurse for incompetent client care A nurse who reported a nurse colleague for illegal activities in the workplace A staff nurse who reported a nurse supervisor for unethical behavior
A nurse administrator who reported a staff nurse for incompetent client care A nurse who reported a nurse colleague for illegal activities in the workplace A staff nurse who reported a nurse supervisor for unethical behavior A client who acted without concern for the validity of reported allegations against a home health nurse
The nursing student is leading a class discussion about the anticipated effects of the Patient Protection and Affordable Care Act (ACA). Which statements are most accurate? (Select all that apply.) ACA will probably produce additional insurance coverage in public sectors ACA will likely affect reimbursement rates in private sectors ACA is expected to slow the rate of reimbursement for healthcare services ACA is designed to prohibit changes in reimbursement rates based on clients' diagnoses ACA is intended to prevent changes in reimbursement rates for procedures
ACA will probably produce additional insurance coverage in public sectors ACA will likely affect reimbursement rates in private sectors
A nurse decides to add narrative charting to the client's nursing progress note to make a more complete nursing progress note. The nurse writes, "The client wasn't hungry and didn't eat much." What document guideline is the nurse failing to use? Sequence Conciseness Appropriateness Accuracy
Accuracy
The home health nurse suspects that a pediatric client is being abused by the client's father. In addition, the home health nurse has overheard the client's father seemingly discussing purchasing cannabis (marijuana). Which statement by the home health nurse best reflects correct understanding of the boundaries set forth by good faith immunity? When reporting suspected abuse, I am not required to protect the client's confidentiality. Good faith immunity laws do not apply if an investigation fails to support allegations of abuse. I am protected by good faith immunity laws regarding any information I report to law enforcement. All states protect healthcare workers who, in good faith, report suspected child abuse.
All states protect healthcare workers who, in good faith, report suspected child abuse.
The nurse at an acute care facility is being trained as a case manager. The electronic health record could assist the case manager in which way(s)? Select all that apply. Allow for trending of client progress Allow for easier collection of payment Allow for documentation of client education Allow for observation of client metrics Allow for easier access to client payment history
Allow for trending of client progress Allow for documentation of client education Allow for observation of client metrics
The supervisor of the materials management department asks the nurse administrator to recommend a method of standardization that will improve efficiency and reduce costs. Which recommendation by the nurse administrator is the most appropriate? You will need to use a computerized system that features a dashboard. Instead of an account number, use a Global Trade Item Number. Consider using a Global Location Number instead of a custom item number. An electronic system that uses a bar-code scanning system is most appropriate.
An electronic system that uses a bar-code scanning system is most appropriate.
The case manager is planning a care plan conference for Harold Benkowitz, an 80-year-old client with heart failure and sleep apnea. Which action is most appropriate for the nurse to take to ensure Mr. Benkowitz's care needs are addressed during this conference? Ask a respiratory therapist to attend Encourage the family member to change the client's resuscitation status Confront the social worker regarding long-term care placement Review the purpose of each medication with those in attendance
Ask a respiratory therapist to attend
he nurse is using the electronic health record (EHR) to document client information. What information is appropriate to share with the client's healthcare provider through the use of an EHR? (Select all that apply.) Assessment notes on the client's condition Client vital signs Medications administered to the client Client responses to nursing interventions Acute changes in the client's condition
Assessment notes on the client's condition Client vital signs Medications administered to the client Client responses to nursing interventions
The novice nurse asks the nurse preceptor to explain the difference between intranets and the Internet. Which response by the nurse preceptor is most accurate? Compared to the Internet, intranets are less vulnerable to data breeches and do not require firewalls. Intranets have mandatory security features that restrict access by the public. Compared to the Internet, intranets are smaller and easier to maintain. Intranets are rarely used due to their limited ability to allow data sharing among users.
Compared to the Internet, intranets are smaller and easier to maintain.
A healthcare organization uses the Case Management method of documentation. What does the nurse document if a client goal is not met? Data, action, and response Problem, action, evaluation No further documentation Data to support a variance
Data to support a variance
The staff nurse is planning an educational session about computer systems and infection control. Which item is the most appropriate for the nurse to include in the educational session? Use a diluted bleach solution to clean computer keyboards. Disinfect computer keyboards and mice daily. Avoid using sealed computer keyboards with built-in covers. Wear gloves when using a computer keyboard or mouse.
Disinfect computer keyboards and mice daily.
The nurse informaticist is delivering a webinar about electronic medical records (EMRs). Which statement should be included in the webinar? EMRs focus on diagnosis and treatment. Most EMRs are designed to be portable. EMRs are not useful in identifying the need for routine preventive maintenance. The EMR is also called the administrative information system.
EMRs focus on diagnosis and treatment
The staff nurse asks the nurse supervisor to explain requirements related to mandatory reporting of nurses who are in violation of the Nurse Practice Act. Which statement by the nurse supervisor is most appropriate for inclusion in the explanation? All complaints against nurses must be resolved through a formal administrative hearing. Disciplinary action is administered to all nurses who receive complaints against them. Each individual case against a nurse is decided on its own merits. Individuals who file complaints against nurses must first conduct a preliminary investigation.
Each individual case against a nurse is decided on its own merits.
Karlie Reichter, a home healthcare nurse, is completing her final visit with Mr. Ethan Baranza, a 72-year-old male client with severe hypertension and diabetes. As part of the discharge procedure, Karlie provides Mr. Baranza with standardized client teaching materials. Mr. Baranza states, "This looks like the same stuff they told me last month when I got out of the hospital. I already know this stuff, but I'll look at it later." What is the most appropriate nursing action for Karlie? Understand that Mr. Baranza's lack of desire to review the client teaching materials likely reflects a language barrier Recognize the client teaching materials as being redundant for Mr. Baranza, and omit this step Encourage Mr. Baranza to review the client teaching materials while she is present Respect Mr. Baranza's wishes and allow him to decide when to review the client teaching materials
Encourage Mr. Baranza to review the client teaching materials while she is present
When using standardized client teaching materials, nursing responsibilities still include reviewing the information in person with the client and ensuring that the client understands the information prior to discharge. There is no data to suggest presence of a language barrier, but the nurse should assess the client's ability to read and understand the information. Limiting communication between members of the client's healthcare team Allowing the client's family members to review his electronic health record Encouraging the client's family members to be involved in the client's teaching sessions Recognizing that safety and quality of client care are unrelated to health disparities
Encouraging the client's family members to be involved in the client's teaching sessions
The nurse informaticist is teaching a webinar about the benefits of using uniform language in the electronic health record (EHR). Which content should be included? (Select all that apply.) Uniform language decreases nurse educators' ability to tailor curricula to teach vital concepts related to the nursing process. Use of uniform language reduces the emphasis on the need for critical thinking when providing client care. For healthcare organizations, uniform language facilitates the measurement of nursing care's impact on the client. Using uniform language enhances the individual nurse's decision-making at the point of care. Through use of uniform language, healthcare organizations are better able to validate the benefits and costs of nursing care.
For healthcare organizations, uniform language facilitates the measurement of nursing care's impact on the client. Using uniform language enhances the individual nurse's decision-making at the point of care. Through use of uniform language, healthcare organizations are better able to validate the benefits and costs of nursing care.
The nurse researcher is giving a presentation about the applications of geographic information system (GIS) technology. Which statement is appropriate for the nurse researcher to include in the presentation? GIS technology can be used to plot and analyze lifestyle choices, such as improper nutrition. GIS technology is not dependent on satellite imaging or global positioning systems (GPSs). GIS technology is used strictly within the healthcare system. GIS technology is not useful for tracking acute health problems.
GIS technology can be used to plot and analyze lifestyle choices, such as improper nutrition.
A nurse is documenting client information into the database of a problem-oriented medical record. Which client information is the nurse likely documenting? Health history Spiritual needs Plan of care Nursing diagnosis
Health history
The nursing student is designing a poster that outlines strategies through which informatics can address the increasing national problem with prescription opioid addiction and overdose. Which strategy should be included on the poster? Monitoring data to identify clients who sell opioids and their buyers Improving the ability to identify individuals who engage in "doctor shoppin" to obtain narcotics for abuse or illegal sale Linking computerized written orders with client electronic health records to identify and monitor healthcare providers who prescribe opioids Increasing efforts to enhance electronic tracking of opioid prescriptions at the community level
Improving the ability to identify individuals who engage in "doctor shoppin" to obtain narcotics for abuse or illegal sale
A novice nurse is hired to work on the telemetry unit and is reviewing the unit's policy on handoff communication and the use of the SHARE method. What is true regarding this method? (Select all that apply.) It provides timely feedback to staff who fail to follow the process. It provides opportunity to ask questions during the transfer. It provides standardized training in the handoff process. It ensures that the nurse uses his own narrative and charting during the transfer. It ensures that the nurse provides the essential content during the transfer.
It provides timely feedback to staff who fail to follow the process. It provides opportunity to ask questions during the transfer. It provides standardized training in the handoff process. It ensures that the nurse provides the essential content during the transfer.
The nurse is logging into the bedside computer system to document client care for 3-year-old Jamie Biscoe's medical record. While logging in, the nurse is asked to help with another immediate issue. What should the nurse do first? Leave to help with the immediate issue Explain to the client the need to leave the room Log out of the system and respond to the request Place notes to document under the keyboard
Log out of the system and respond to the request
The student nurse is evaluating the client's knowledge about proper anatomical positioning when seated at a computer workstation after a teaching session. Which statement indicates the client has adequate knowledge and does not require further instruction? My head and neck should be aligned, and my upper torso should be curved and relaxed. My upper arms and elbows should be close to my body. My thighs should be parallel to the floor, and I should avoid using a footrest. My forearms should be straight and my wrists should be flexed.
My upper arms and elbows should be close to my body.
The nurse preceptor and novice nurse are discussing guidelines for protecting the client's privacy when using an electronic health record (EHR). Which guideline is essential for protecting client privacy when using the EHR? Only share computer passwords with trusted colleagues or nurse administrators. Always obtain written permission before posting client information on any social network. Never leave computer screens with protected health information unattended. Never destroy paper documents that contain protected health information.
Never leave computer screens with protected health information unattended.
What is not a benefit of electronic medical records? Identifying the need for vaccines Tracking client data over time Notifying clients of upcoming appointments Identifying the need for mammograms
Notifying clients of upcoming appointments
The emergency department staff nurse is caring for a 6-year-old male client who sustained a fractured right radius. Upon physical examination, the nurse notes scattered bruising across the client's back. When asked what caused the bruising, the client silently stares at the floor. Based on physical assessment findings, the nurse suspects the client may be a victim of abuse. Which action is the priority for the nurse to implement? Contacting federal law enforcement officials Reporting the abuse to local law enforcement officials Notifying the immediate nurse supervisor Obtaining a referral to a hospital social worker
Notifying the immediate nurse supervisor Contacting federal law enforcement officials
A nurse is participating in a committee that will select a universal nursing documentation for the hospital. What advantages would the committee consider when looking at the focus charting documentation format? (Select all that apply.) Offers a complete perspective of the client and the client's care needs. Ensures that the nursing focused assessment is the priority of care. Allows for checklists or flow sheets to record routine nursing tasks. Provides a structure for the progress notes. Ensures that each nursing note includes data, action, and response.
Offers a complete perspective of the client and the client's care needs. Allows for checklists or flow sheets to record routine nursing tasks. Provides a structure for the progress notes.
During hospital orientation, the human resources representative is explaining the uses of computerized systems for managing employee data. Which items should beincluded? (Select all that apply.) Performance reviews Mandatory education records Credentialing expiration dates Background checks Professional licensure status
Performance reviews Mandatory education records Credentialing expiration dates Professional licensure status
The nurse is providing discharge instructions about medications and exercise to a client with congestive heart failure. What should the nurse do to ensure that the client is fully informed? Print the discharge instructions and hand them to the client prior to discharge. Repeat the discharge teaching sessions twice. Make sure a relative attends the discharge teaching session. Ask the physician to reinforce teaching prior to discharging the client.
Print the discharge instructions and hand them to the client prior to discharge.
The walk-in clinic staff nurse is preparing to submit a mandatory report related to a client's newly diagnosed Escherichia coli infection. Which client information must the staff nurse include in thereport? Religion Marital status Sexual orientation Race
Race
Mrs. Li Chin, a 68-year-old client with pneumonia, refuses to have any more breathing treatments. How should the nurse document this information in Mrs. Chin's medical record? Feeling better, breathing treatment cancelled. The client is refusing care. Refused 1400 hour breathing treatment. Mrs. Chin is not cooperative.
Refused 1400 hour breathing treatment.
A nurse working in the intensive care unit (ICU) needs to give a change-of-shift report. What is the most appropriate action by the nurse for this type of verbal reporting system? Report a client's need for special emotional support State priorities of client care at the beginning Elaborate on client background data Give details on routine care needs of the client
Report a client's need for special emotional support
A team of nurse researchers is meeting with hospital administrators to discuss the effects of using uniform language in the electronic health record (EHR). Which nurse researcher's statement is the most accurate regarding the effects of uniform language? Most computerized systems use uniform language to integrate nursing terminologies directly into the electronic health record. Documentation is more challenging when computerized systems incorporate uniform language into the electronic health record. The use of uniform language will increase the number of steps in the nursing research process. Retrieval of evidence-based information about client care is easier due to the use of uniform language.
Retrieval of evidence-based information about client care is easier due to the use of uniform language.
What should the nurse do to ensure the confidentiality and security of electronic client medical information? (Select all that apply.) Shred worksheets that identify client information Place a client's chart on the computer screen before answering a call bell Follow the organization policy when correcting an entry error Store password information under the keyboard Log into the computer system with a personal password
Shred worksheets that identify client information Follow the organization policy when correcting an entry error Log into the computer system with a personal password
The nurse informaticist is summarizing the function and findings of the Technology Informatics Guiding Educational Reform (TIGER) Summit for a group of staff nurses. Which statement should be included in the presentation? TIGER is examining ways to reach out to nurses who lack the informatics skills that are needed to practice. TIGER is developing plans to include informatics in all baccalaureate nursing programs. TIGER was attended mainly by nurse administrators from major healthcare institutions. TIGER concluded that knowledge of informatics is important for certain healthcare professionals.
TIGER is examining ways to reach out to nurses who lack the informatics skills that are needed to practice.
The nurse educator asks a group of nursing students how the government affects the process of transitioning to the use of electronic medical records (EMRs). Which student's statement is most accurate? The Office of the National Coordinator for Health Information Technology (ONC) is the sole agency responsible for overseeing the process of transitioning to the use of electronic medical records (EMRs). The Center for Medicare and Medicaid Services (CMS) is primarily responsible for monitoring achievement of meaningful use objectives. The Office of the National Coordinator for Health Information Technology (ONC) is responsible for authorizing financial reimbursement. The Center for Medicare and Medicaid Services (CMS) is responsible for monitoring the transition to the use of electronic medical records (EMRs) at the federal level.
The Center for Medicare and Medicaid Services (CMS) is responsible for monitoring the transition to the use of electronic medical records (EMRs) at the federal level.
The nurse case manager is explaining the benefits and limitations of using the electronic health record (EHR) to the student nurse. Which statement by the nurse case manager is the mostappropriate? The electronic health record promotes observation of quality metrics. Using electronic health records often increases client readmission rates. Trending clients' progress is not a function of electronic health records. Electronic health records increase the challenges related to care coordination.
The electronic health record promotes observation of quality metrics.
During a meeting with hospital administrators, the nurse leader is using the Surgical Care Improvement Project (SCIP) to illustrate the use of informatics in quality care. Which statement should the nurse administrator include in the presentation? The study's target population is all nurses who work in the surgical setting. The goals of the study include reducing complications among surgical clients. The study will not affect reimbursement for hospital stays or surgical procedures. The study objectives include identifying nurses who make medication errors.
The goals of the study include reducing complications among surgical clients.
The nurse preceptor is explaining mandatory reporting guidelines to the nursing student. Which statement is most appropriate for the nurse preceptor to include in the explanation? Births and deaths must be reported. Abortions never have to be reported. Venereal diseases do not have to be reported. Each institution determines which situations must be reported.
The nurse is protected by state laws related to good faith immunity.
Which of the following statements best describes what happens if an official investigation does not support the healthcare provider's report of suspected child abuse? The nurse is protected by state laws related to good faith immunity. The nurse's employer is required to substantiate the charges of abuse. The nurse's employer is liable for the cost of the investigation. The nurse is subject to civil prosecution for making a false report
The nurse is protected by state laws related to good faith immunity.
A healthcare organization uses the problem-oriented medical record as the system to document client care. Which individual is responsible for generating the plan of care once a client problem is identified? The nurse or healthcare provider identifying the problem The manager or charge nurse for the unit The primary care provider for the client The nurse assigned to the client for that shift
The nurse or healthcare provider identifying the problem
The staff nurse is notified of an impending investigation related to charges that the staff nurse violated the state's Nurse Practice Act (NPA). To understand the board of nursing's (BON's) process of addressing allegations of nursing misconduct, which principles are most appropriate for the staff nurse to consider? (Select all that apply.) The BON will consider the staff nurse guilty based solely on the allegations. The staff nurse will be offered an opportunity to respond to the allegations. Correct Answer The BON is obligated to respect the staff nurse's right to due process. You Answered The staff nurse is automatically required to attend a formal administrative BON hearing. The BON will not disclose the specific allegations made against the staff nurse.
The staff nurse will be offered an opportunity to respond to the allegations. The BON is obligated to respect the staff nurse's right to due process.
The healthcare administrator is seeking a method of measuring nursing care and its impact on the client, as well as validating the benefits and actual costs of nursing care. Which tool is the most appropriate for the healthcare administrator to use? Uniform language Clinical decision support systems Nursing research Evidence-based practice
Uniform language
To ensure the security of information being faxed to a healthcare provider's office, what should the nurse do? (Select all that apply.) Write the name of the client on the fax cover sheet Write the client's hospital identification number and diagnosis on the fax cover sheet Use a cover sheet with a disclaimer statement as the first page Receive consent to fax information from the client before faxing Check the fax number on the display before sending
Use a cover sheet with a disclaimer statement as the first page Receive consent to fax information from the client before faxing Check the fax number on the display before sending
The client's medical orders include completion of an electrocardiogram (ECG). To apply the point-of-care model, what is the most appropriate action by the nurse? Obtain prior authorization from the client's insurance company for the ECG. Notify the client that there may be a delay in obtaining the ECG test results. Use a portable ECG machine to complete the client's testing. Document completion of the ECG results in the client's paper chart.
Use a portable ECG machine to complete the client's testing.
The nurse manager asks the nurse informaticist to recommend an effective strategy for eliminating inappropriate or unnecessary medical care. What strategy should the nurse informaticistrecommend? Utilization review Current procedural technology Risk management Point of care
Utilization review
The student nurse asks the nurse administrator to discuss the process of billing the insurance company for the cost of a client's prosthetic device. Which statement by the nurse administrator is the most accurate to include in the explanation? We use the Healthcare Common Procedure Coding System (HCPCS) to bill for prosthetic devices. International Classification of Diseases (ICD) codes are used to bill for prosthetic devices. We use Nursing Outcomes Classification (NOC) codes to bill for prosthetic devices. Nursing Interventions Classification (NIC) codes are used to bill for prosthetic devices.
We use the Healthcare Common Procedure Coding System (HCPCS) to bill for prosthetic devices.
What information does the nurse need to document in a progress note within the focus charting system? (Select all that apply.) Action Standards Response Data Problems
action response data
The nurse administrator is teaching a webinar for hospital nurses about the use of quality metrics to meet and document the requirements set forth by governmental agencies for reimbursement and accreditation. Which topics should be included in the webinar? (Select all that apply.) Employee background checks Stroke center certification Insurance reimbursement Client demographic documentation Trauma center certification
stroke center certification insurance reimbursement trauma center certification
The nurse administrator is seeking an electronic health record (EHR) system that allows the use of multiple nursing language terminologies in a standardized format. Which statement by the nurse administer reflects why this feature of an EHR system is beneficial to nursing practice? "Documentation is more challenging when computerized systems incorporate uniform language into the electronic health record." "Retrieval of evidence-based information about client care is easier due to the use of uniform language." "The use of uniform language will increase the number of steps in the nursing research process." "Most computerized systems use uniform language to integrate nursing terminologies directly into the electronic health record."
"Retrieval of evidence-based information about client care is easier due to the use of uniform language."
Urgent care center staff nurse Olivia DeSantos is caring for39-year-old David Keebler, a Native American male client who has just been diagnosed with tuberculosis. David is allergic to penicillin and has a history of diabetes. For the past 2 years, David has been homeless, although he sometimes sleeps at a local shelter. He is uninsured and rarely seeks medical care. When notifying the county health department about David's tuberculosis, which statement is most appropriate to include in the report? Reporting 2.PNG "The client is allergic to penicillin." "The client is of Native American descent." "The client has no medical insurance." "The client has a history of diabetes."
"The client is of Native American descent."
The student nurse is developing a presentation that describes the barriers and benefits of using a clinical decision support system in the electronic health record (EHR). Which statement made by the student nurse reflects a benefit of the use of clinical decision support systems in the EHR? "There is a decreased need for critical thinking at point of care." "There are fewer challenges to incorporating current nursing research." "It has no impact on errors and adverse events." "It has an inability to function as a standalone system."
"There are fewer challenges to incorporating current nursing research."
