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LEADING AND MANAGING IN NURSING: CH16: THE IMPACT OF TECHNOLOGY EXAM QUESTIONS AND ANSWERS
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LEADING AND MANAGING IN NURSING: CH16: THE IMPACT OF TECHNOLOGY EXAM QUESTIONS AND ANSWERS
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LEADING AND MANAGING IN NURSING:CH16: THE IMPACT OF TECHNOLOGY
EXAM QUESTIONS AND ANSWERS
1. A nurse manager was orienting new staff members to computerized charting. To
understand computerized charting, staff members must understand informatics. The
three core concepts in informatics are:
a. hardware, software, and printers.
b. data, information, and knowledge.
c. decision making, data gathering, and reporting.
d. wireless technology, voice recognition, and handheld devices. - Answer-B
Informatics is the application of technology to all fields of nursing to facilitate and extend
nurses' decision-making abilities and to support nurses in the use, storage, and linkage
of clinical information to provide effective and efficient patient care.
2. The nursing manager of a surgical unit has been asked by administration to evaluate
client outcomes post cardiac catheterization. Using data about client outcomes post
cardiac catheterization for the past 6 months in order to modify practice is an example
of:
a. information.
b. cost-effective care.
c. meeting standards.
d. evidence-based practice. - Answer-D
Technology enables evidence-based practice by collecting good clinical knowledge,
translating nursing knowledge into reference materials that can be accessed at the
point-of-care, and, potentially, assisting nurses to take action based on best evidence
for practice.
3. Mr. Cruiser has been surfing the Web. He is looking for healthcare information on low
back pain. He shows the clinic nurse a webpage he thinks is great and tells her that he
has been following the exercises recommended by the author. He wants to know what
she thinks about the site. When the clinic nurse evaluates this site, she discovers that
its author is a personal trainer. No credentials are listed. In several testimonials on the
page, people (their pictures are included) say how wonderful they feel after having done
these exercises. The exercises all have animated demos when you click on the
pertinent highlighted text or icon. They seem easy to follow. The site was posted 5
years earlier and was last updated 3 years before. The clinic nurse advises Mr. Cruiser
to:
a. avoid this site.
b. check with his primary healthcare provider.
c. continue with the exercises.
d. contact the author for additional exercise and - Answer-ANS: A
, Patients need coaching as to how to use and decipher information that is available
through the Internet. In this situation, the provider on the site lacks credibility because
no credentials are listed, and the information is not current.
4. A primary care clinic in a small urban center sees a high volume of cardiology
patients. Patients who attend the clinic have smart cards that they use at hospitals,
clinics, and Emergency Departments within that region of the state. A primary benefit of
the smart card for these patients would be:
a. rapid and accurate treatment in emergency situations.
b. reduced wait times to see specialists.
c. e-mail notification of test results.
d. readily available information regarding medications. - Answer-B
Credit card-like devices called smart cards store a limited number of pages of data on a
computer chip and serve as a bridge between the clinician terminal and the central
repository of the electronic health record (EHR), making patient information available to
the caregiver quickly and cheaply at the point-of-service. Smart cards provide
information to healthcare providers regarding the patient's demographic and contact
information, allergies, immunizations, lab results, and past patient care encounters and
are presented at the point-of-service.
5. The clinic nurse has just accessed a client's chart on the computer. The resident
comes over and asks her to stay logged on because he needs to add a note to that
client's chart. She should say:
a. "No problem. Just log me off when you're done."
b. "I'll put the note in for you. What do you want to say?"
c. "Just make sure that you sign your note because it's under my password."
d. "I'm sorry, but you will have to enter the information using your own password." -
Answer-D
System users must never share the passwords that allow them access to information in
computerized clinical information systems. Each password uniquely identifies a user to
the system by name and title, gives approval to carry out certain functions, and provides
access to data appropriate to the user. All users must be aware of their responsibilities
for the confidentiality and security of the data they gather and for the security of their
passwords.
6. A home health nurse has been assigned to cover a 300-square-mile area of remote
Montana. Mrs. Baker has just been discharged home following bowel surgery and has a
new colostomy. She will need daily contacts for at least 2 weeks and then regular
weekly contact following that week. Because it is not possible to visit Mrs. Baker in
person every day and see all of the other clients, the nurse gives her a laptop computer
with net meeting software installed. Each morning, both dial in at an agreed-upon time
and discuss her progress. The home health nurse assesses whether or not the client
needs to be seen that day and is able to view the colostomy site. This type of
technology is called:
a. distance learning.
b. knowledge software.
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