M48TB

The nurse is facing a problem with a long-term care client that is different from anything encountered by the nurse in the past. What nursing action is appropriate prior to taking the problem to the research committee? A. Perform a review of the literature. B. Ask the physician for assistance. C. Bring the problem up for discussion in the next staff meeting. D. Ask the client's family if this is a recurring issue.

A

The nurse on the hospital research committee is assigned the task of compiling information related to the therapeutic and side effects of a specific drug. Which best describes how the nurse can use informatics to gain information about this topic? A. Query electronic health records (EHRs) to determine client responses to the drug. B. Email other research committees to find out what they know about the drug. C. Search for articles about the drug in the hospital's library. D. Look up the drug facts in the latest pharmacology textbook.

A

Several nurses are discussing the use of electronic medical records when providing client care. Which statements by the nurses indicate that they understand the advantages of electronic health records (EHRs)? Select all that apply. A."Coordination of care is improved." B."The record reduces the cost of healthcare." C."Quality metrics can be observed to reduce readmission rates." D."The record allows trending of client progress." E."Client education can be documented in the system."

A, C, D, E

The nurse administrator of a local hospital is attending training on the new informatics system the hospital will be implementing. Which information should the nurse administrator be able to manage from the dashboard? Select all that apply. A. Quality initiatives B. Plans of care C. Clients D. Staffing E. Budgets

A, D, E

Advances in technology have made what information available to healthcare providers at the client's bedside? A.Allergy alerts B.Dietary restrictions C.Radiologic images D.Vital signs

C

How does the clinical decision support system support human resource functions? A.Recognizing staff who are not discharging clients according to identified lengths of stay B.Identifying staff who are incorrectly charging for resources used for client care C.Evaluating the number of staff with licensure due to expire D.Determining if staff are correctly coding client care procedures

C

A rural home health nurse is caring for a client recovering from a myocardial infarction. The client is concerned that the community clinic does not have the ability to provide the necessary monitoring for the health problem. Which response by the nurse supports the use of informatics to meet client needs? A."You are right. We will be sending you to the city every month." B."We can send your information to the cardiologist using telehealth." C."It is not necessary for you to be monitored after a myocardial infarction." D."We use an intranet in this facility."

B

The nurse is caring for a client who has a condition that is not responding to standard interventions. How could accessing the clinical decision support system (CDSS) help with this client's care? A.Supports the nurse's "gut" instinct when providing care B.Provides evidence-based recommendations for care C.Tells the nurse what the next step should be D.Decreases the need to use critical thinking skills

B

A client diagnosed with cancer is receiving care through a facility that is 100 miles from the client's home. After the nurse explains how telehealth will be used to enhance this client's care, which client statements indicate that teaching about telehealth has been effective? Select all that apply. A."I will have to move closer to the provider." B."I can participate in the videoconference." C."I will have to change doctors." D."This will help lower some costs of care." E."My health record can stay where I am."

B, D, E

In preparation for the next quality improvement committee meeting, the nurse accesses the clinical decision support system to run an outcomes report. How should the nurse anticipate the committee using this report? A.To eliminate unnecessary care B.To validate appropriate place of treatment C.To assist in modifying policies and procedures D.To measure the length of hospital stays

C

What function might be made easier for healthcare organizations through the use of a computerized contract management system? A. Managing material and supply inventories B. Sharing information between billing systems C. Tracking changes in reimbursement rates D. Planning organizational budgets

C

What is one advantage of the standardization of health records in relation to client education? A.It allows the nurse to print information for the client rather than reviewing the information in person. B.Families can receive education rather than clients in order to ensure that the client receives proper care at home. C.Clients can receive the same education about their condition regardless of where they receive treatment. D.Clients can look up their health information at home after discharge.

C

Which action by the nurse will help minimize the risk of eyestrain when engaging in computerized documentation? A.Use a lumbar support. B.Use a firm board to rest the palm. C.Use an antiglare screen cover. D.Obtain a paper chart for nursing documentation.

C

Which administrative function related to medical records management may be made easier by the use of informatics? A.Making sure charts are coded correctly B.Tracking client outcomes C.Assigning a client to a hospital room D.Ordering materials and supplies

C

Which statement regarding the term "point of care" is correct? A."Point of care" refers to care that takes place in the client's home. B."Point of care" refers to care that takes place away from the client. C."Point of care" refers to the use of a portable device to provide care near the client. D."Point of care" refers to the location that nurses document care of the client.

C

A group of staff nurses is discussing the importance of uniform language within healthcare documentation. Which statement made by the one of the nurses indicates an understanding of uniform language in healthcare documentation? A. "Uniform language is useful only when communicating with other staff nurses." B. "Uniform language decreases the value of nursing interventions in the eyes of other providers." C. "HIPAA and HITECH are examples of uniform languages used by nurses." D. "Uniform language is the consistent use of the same terminology among all providers."

D

The nurse is documenting in the electronic medical record (EMR) after providing care in the client's room. The client asks the nurse why a computer is being used. Which response by the nurse is appropriate? A. "Computers allow you access to your medical record." B."The information that is uploaded is available for anyone to view." C."Computers improve client care because information is readily available." D. "The computer decreases documentation time for nurses."

D

The nurse is preparing discharge instructions for a client with a foot wound. How will the clinical information system support this client's learning needs? A. Improves documentation about the client's status B. Provides a record of all medications received while hospitalized C. Summarizes the list of charges that will appear on the client's bill D. Prints discharge instructions to use for teaching

D

The nurse is providing discharge instructions about medications and exercise to a client who was hospitalized with a serious medical condition. Which action by the nurse ensures that the client is fully informed? A.Make sure a relative attends the discharge teaching session. B.Ask the physician to reinforce teaching prior to discharging the client. C.Repeat the discharge teaching sessions twice. D.Print the discharge instructions and hand them to the client prior to discharge.

D

What is the primary advantage of electronic reminders in the electronic health record? A.They help nurses track quality metrics. B.They help nurses decrease the length of stay. C.They help nurses document assessments. D.They help nurses increase client safety.

D

Which factor increases nurses' use of clinical decision support systems (CDSS)? A.Out-of-the-way workstations B.Reminder pop-ups C.Nursing experience D.Caring for a new client

D

Which organization specifically focuses on improving healthcare quality, safety, and outcomes through improving the use of information technology (IT) and systems? A.American Medical Informatics Association (AMIA) B.Alliance for Nursing Informatics (ANI) C.Technology Informatics Guiding Educational Reform (TIGER) D.Healthcare Information and Management Systems Society (HIMSS)

D