Nursing Documentation & Informatics Questions and Answers Already Passed
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Module
Nursing Informatics
Institution
Nursing Informatics
Nursing Documentation & Informatics
Questions and Answers Already Passed
Which of the following best describes an electronic health record (EHR)?
A) A paper-based system for recording patient information
B) A digital system used to store, manage, and retrieve patient health information
C) A ...
Nursing Documentation & Informatics
Questions and Answers Already Passed
Which of the following best describes an electronic health record (EHR)?
A) A paper-based system for recording patient information
B) A digital system used to store, manage, and retrieve patient health information
C) A manual record-keeping method used for billing purposes
D) A system used only for scheduling patient appointments
✔✔ B) A digital system used to store, manage, and retrieve patient health information
When documenting patient care in an EHR, what is the most important consideration?
A) Ensuring that documentation is completed quickly
B) Using abbreviations to save time
C) Maintaining accuracy and completeness of information
D) Limiting the amount of information recorded
✔✔ C) Maintaining accuracy and completeness of information
How does nursing informatics improve patient care?
A) By reducing the need for electronic documentation
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,B) By providing real-time access to patient data and supporting clinical decision-making
C) By eliminating the need for patient records
D) By focusing only on administrative tasks
✔✔ B) By providing real-time access to patient data and supporting clinical decision-making
Which of the following is a key benefit of using electronic health records (EHRs)?
A) Decreased accessibility of patient data
B) Increased risk of data duplication
C) Enhanced coordination of care among healthcare providers
D) Limited storage capacity for patient information
✔✔ C) Enhanced coordination of care among healthcare providers
In nursing documentation, what does "SOAP" stand for?
A) Standard Operating and Administrative Procedures
B) Subjective, Objective, Assessment, Plan
C) Systematic Observation and Assessment Protocol
D) Sequential Overview and Analysis Process
✔✔ B) Subjective, Objective, Assessment, Plan
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, What is the primary function of nursing informatics?
A) To manage the hospital's financial resources
B) To ensure accurate and efficient documentation and use of patient information
C) To provide direct patient care
D) To design medical equipment
✔✔ B) To ensure accurate and efficient documentation and use of patient information
What should be documented in a patient’s discharge summary?
A) The patient’s entire medical history
B) Details about the patient’s personal life
C) The patient’s current condition, treatment received, and follow-up instructions
D) The names of all hospital staff involved in care
✔✔ C) The patient’s current condition, treatment received, and follow-up instructions
What role does nursing informatics play in patient safety?
A) It reduces the need for patient education
B) It enhances the accuracy and timeliness of patient information, reducing errors
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