Informational Technology

A 15-year-old with abdominal pain is admitted to the pediatric unit. After the caregivers leave the unit to get some food, the client tells the nurse that they might have contracted human immunodeficiency virus (HIV). They want to get tested, but they do not want their caregivers to know about the test. Which is the best response by the nurse? "You will have to talk to the hospital's lawyer before getting a test." "You are too young to have HIV." "I'll call the provider for the ord

"I'll call the provider for the order. No one will tell your parents."

A nurse manager overhears nurses talking about social media and healthcare at the nurse's station. Which statement by a nurse is correct? "Nurses can use social media as long as they take pictures or create videos with clients inside a hospital setting." "Social media is safe to discuss private health information because nurses can restrict access to posts." "Posts on social media can be deleted, so little caution is needed." "Nurses should not share any client identifying inform

"Nurses should not share any client identifying information to protect the client's right to privacy and confidentiality."

Why is evidence-based practice (EBP) important to nursing care? Select all that apply. Clients want evidence-based information to make decisions. Using EBP results in fewer errors in decision making. Nursing care is more efficient when ineffective processes are replaced. Randomized controlled trials are required as a basis for holistic nursing care. Client outcomes are better when evidence is used as a basis for practice.

-Clients want evidence-based information to make decisions. -Using EBP results in fewer errors in decision making. -Nursing care is more efficient when ineffective processes are replaced. -Client outcomes are better when evidence is used as a basis for practice.

The next step of the plan is to gather information. Which data would the committee review related to current client discharge practices? Select all that apply. Current discharge practices Number of clients readmitted within 60 days Timeline for creating an evidence-based plan List of common health conditions seen for readmission Staff feedback Client feedback

-Current discharge practices -Timeline for creating an evidence-based plan -List of common health conditions seen for readmission -Staff feedback -Client feedback

When documenting an incident in the nurse's notes, what should the nurse include? Select all that apply. Date, time, and location of incident Confirmation that an incident report was initiated Name of healthcare provider and family members notified Description of injury, including diagrams of injury placement Chronologic order of events of the incident

-Date, time, and location of incident -Name of healthcare provider and family members notified -Description of injury, including diagrams of injury placement -Chronologic order of events of the incident

Before starting, the committee needs to review the steps in the research process. Place the research steps in the correct order. Implement the study​ Define and describe the problem​ Disseminate the findings​ Develop a plan to gather information to address the problem​ Analyze and interpret the results​

-Defining and describing the problem;​​ -Developing a plan to gather information to address the problem;​​ -Implementing the study;​​ -Analyzing and interpreting the results;​​ and -Disseminating the findings.

The pilot study was successful and the results were positive. The committee took the results to the stakeholders and the new client discharge protocol was approved. What considerations need to be taken at this step in the process? Select all that apply​. Information technology support​ Cost of implementing the protocol Changes to staffing ​ How to monitor progress​ Education of staff

-Information technology support​ -Cost of implementing the protocol -How to monitor progress​ -Education of staff

Which statements related to ethical nursing practice are correct? Select all that apply. Justice is providing the same level of care for a person who is homeless as an elected official. Nonmaleficence is reporting abuse of a client with dementia. Accountability is documenting that the nurse administered the wrong medication. Autonomy is informing the client that their family decided on the best treatments. Confidentiality is respecting a client's request to keep their hepatitis a secret.

-Justice is providing the same level of care for a person who is homeless as an elected official. -Nonmaleficence is reporting abuse of a client with dementia. -Accountability is documenting that the nurse administered the wrong medication.

Click to specify if each action is appropriate or not appropriate when documenting a client's health or medical record. Use time and date; be specific, accurate, and complete. Erase, use correction fluid, or scratch out errors. Use black ink when using handwritten charts. Follow rules of grammar and punctuation. Chart once at the end of the shift. Use blue ink when using handwritten charts. Chart your own care, observations, and teaching. Pre-chart to save time. Chart as soon and as often as n

Appropriate Not appropriate Appropriate Appropriate Not appropriate Not appropriate Appropriate Not appropriate Appropriate Appropriate

What should a medical record provide for all healthcare providers? Select all that apply. Client's medical problems Care given to the client Care planned for the client Client's nursing problems Details about any incident reports Client's response to treatment

Client's medical problems Care given to the client Care planned for the client Client's nursing problems Client's response to treatment

The data was collected and analyzed. A summary report was presented to the stakeholders. What is the committee's next step?​ Meet with stakeholders to review data​. Write the research for publication​. Submit summary to all staff for their opinions​. Create a pilot study of a discharge protocol.

Create a pilot study of a discharge protocol.

Click to specify if the action by the nurse violates or does not violate each of the following. Hospital's privacy and confidentiality Health Insurance Portability and Accountability Act Hospital's property Client's privacy and confidentiality

Does Not Violate Violates Does Not Violate Violates

When attempting to implement the new discharge process with nursing staff, which barriers might be encountered by the committee? Select all that apply. Lack of resources Inadequate staffing Time constraints Uncertainty about the new process Client compliance

Lack of resources Inadequate staffing Time constraints Uncertainty about the new process

A nurse is discussing the purpose of regulatory agencies during a staff meeting. Click to specify whether the tasks are or are not the responsibility of state licensing boards. Monitoring evidence-based practice for clients with specific diagnoses Ensuring that healthcare providers comply with regulations Setting quality standards for accreditation of healthcare facilities Determining if medications are safe for administration to clients

Not a responsibility Responsibility Not a responsibility Not a responsibility

Click to specify if the information is appropriate or not appropriate to include in documentation. Client is currently watching TV quietly, appears relaxed and pain-free 10 mL of hydromorphone infused and 110 mL of remaining fluid present within the PCA Client reported, "The medicine is helping my pain go away." Vital signs stable, pain rated 5 out of 10 on the FACES scale, vascular access site clean, dry, and intact

Not appropriate Appropriate Appropriate Appropriate

Identify which actions or processes protect client privacy and confidentiality and which actions do not. Using two-factor authentication Changing passwords at set intervals Only allowing authorized individuals to have access to client information Allowing lifetime electronic health records use Adding a biometrics identifier Logging out of the computer each time documentation is complete Logging into the computer at the beginning of each shift and reducing the browser when walking away from the d

Protects the client Protects the client Protects the client Does not protect the client Protects the client Protects the client Does not protect the client

The design of this project is a mix of qualitative and quantitative data sources. Click to specify if the data sources are qualitative or quantitative. Cost of discharge readmissions Descriptions of other hospitals' client discharge education practices List of health conditions seen during readmission Number of clients who are readmitted Opinions from staff regarding client discharge education

Quantitative Qualitative Qualitative Quantitative Qualitative

During one of the first meetings after the data mining started, a staff member asked how they knew for sure that the data collected was "quality" evidence. The analyst assured the staff member and committee that it was. How is quality determined?​ Use metrics such as consistency and integrity​. Collect data only from data warehouses​. Analytics will automatically take out faulty data​. All evidence is from research and all research is quality.

Use metrics such as consistency and integrity​.

Click to specify if the nursing actions could result in a legal malpractice claim. Identifying a late entry per facility policy Incorrectly recording the time of an event Documenting for the charge nurse Documenting concisely Charting events in advance

Will not result in a malpractice claim Could result in a malpractice claim Could result in a malpractice claim Will not result in a malpractice claim Could result in a malpractice claim

The _____ and confidentiality of data in clinical information systems, as well as the security and ________ of hospital and other health information, are protected by ________ and procedures that have been created and implemented by healthcare facilities.

privacy safety policies