WGU C468 Exam QA 2022/2023

Examples of the Nursing Process Approach: - ANSWER Streamlines documentation of assessments and patient-related data. Provides discharge information and pertinent patient education materials and resources. Provides medication information to help prevent medication errors or interactions. Examples of the Critical Pathways and Protocols Approach: - ANSWER Multidisciplinary team members can contribute to care plans along the care continuum. Multidisciplinary team members can contribute to care plans along the care continuum. Allows the multidisciplinary care team to update the plan of care when variances in the patient's condition are noted. Information Management: - ANSWER seeks to provide safe patient care through managing patient-related information to ensure that it contains the latest data, is correct, and is readily available to providers. Knowledge Management: - ANSWER seeks to improve the quality of care an organization provides through knowledge and educational information storage. Nursing Information Systems: - ANSWER assist nurses in providing high-quality patient care by giving them access to pertinent patient care information and providing the opportunity to document patient assessments, care provided, procedures performed, and medications given. Data can be collected and stored electronically and is available to other members of the multidisciplinary team. TRUE - ANSWER The Quality and Safety Education in Nursing (QSEN) project's six competencies are patient-centered care, cooperation, evidence-based practice, quality improvement, safety, and informatics. Including informatics as a core competency has led to its increasing importance. TRUE - ANSWER The Technology Informatics Guiding Education Reform Initiative (TIGER) calls for nursing education to keep up with rapidly changing technology and encourages nurses' active participation in the development of electronic records. TRUE - ANSWER The Institute of Medicine (IOM), which sets the goals for undergraduate and graduate nursing education, has included informatics in its core learning modules. TRUE - ANSWER Nursing informatics includes electronic sources that provide the nurse with information regarding professional organizations, evidence-based practice, competencies, insurance, and licensing. TRUE - ANSWER Nursing informatics includes assisting with marketing activities such as website development, media presence, and social networking. Standard - ANSWER typically describes procedures that all patients will encounter, such as being weighed or having their temperature taken during a doctor's visit Targeted - ANSWER geared toward people who are a subset of the general population, such as having men undergo routine prostate exams after age 40 Personalized - ANSWER gives information about specific conditions the consumer has been diagnosed with such as how to treat type 2 diabetes Tailored - ANSWER focuses specifically on individuals based on their specific conditions, typically gleaned from EHRs or PHRs Evidence-based practice - ANSWER Informatics systems can help practitioners provide better patient outcomes by bringing _______ to the bedside. Quantitative research - ANSWER Computer statistical analysis packages are most frequently used to bring understanding ______. Real time - ANSWER Institutions can use informatics systems to perform research in ________, which allows the institutions to almost instantly know the results of particular interventions. Effectiveness research - ANSWER The federal government has invested $1.1 billion in the ______ concept because it allows practitioners to quickly compare interventions and treatments to determine which is the best and most cost-effective methodology. It would track the locations of the reports and synthesize the data you collected about the incidents. - ANSWER You are an ER nurse in a quiet suburban community that hasn't had many public health crises during your 10-year career. It is Christmas, and you have been asked to be on duty during the holiday. All other staff members are out on holiday. At 10:00 a.m., you receive a phone call from a family with symptoms of hemorrhagic fever. Within minutes, you receive another call from another family across town that has similar symptoms. Within an hour, you have five reports of families or individuals with symptoms of hemorrhagic fever throughout town. How would your hospital's informatics system help you cope with these reports and begin problem solving? It would track the locations of the reports and synthesize the data you collected about the incidents. It would automatically contact and conduct detailed interviews and full assessments of the victims. It would allow you to contact each patient and determine how well he or she is doing. It would contact other employees to come in to the hospital and help. working through low health and computer literacy levels in GSGH patients - ANSWER As a nurse informatics specialist at Good Samaritan General Hospital, you have been seeking ways to engage patients more in their health care after they leave GSGH. Survey after survey has demonstrated that GSGH patients are among the least health and computer literate in the area. You decide to develop an at-home personal health tool that can be installed on any personal computer. It allows patients to keep track of their health and communicate closely with their providers after their hospital stay. You are excited about the opportunity and potential of this new development. Upper management is also very excited and has thrown their support behind it after seeing it test very well. However, what hurdle are you most concerned about overcoming prior to the implementation of the system? making the program compatible for both Macs and PCs obtaining GSGH management's support for the move working through low health and computer literacy levels in GSGH patients getting your program to work correctly Tailored - ANSWER As a nurse informatics specialist at Good Samaritan General Hospital, you have been developing patient education resources that direct information to patients based on their health needs. Not every patient receives the same type of information. John Wilkinson is a frequent patient at GSGH due to his COPD, high blood pressure, and type 2 diabetes. He now has been admitted for bipolar disorder. When a nurse gives Mr. Wilkinson a pamphlet describing bipolar disorder, Mr. Wilkinson says "I am a frequent patient here, and I deserve more than a pamphlet. You know me!" Which of the five types of patient education methodologies should you recommend that the nurse use with Mr. Wilkinson? General Targeted Personalized Tailored Stand-Alone PHR - ANSWER A PHR that is not tied to any particular health system's electronic health record. It is portable between providers and institutions Tethered PHR - ANSWER A PHR that is tied to a specific health care system or provider. The consumer can see what was entered by the system's health care providers, but if the consumer goes to another provider in a different system, this information will not be included in the PHR. Network PHR - ANSWER A PHR that allows consumers access to their PHRs, even if they are spread across many different providers, insurers, or systems. FALSE - ANSWER Since a personal health record (PHR) contains complex health-related information, it is important that the PHR system be complex. Increasing the complexity of the PHR system will improve patient confidence of PHR. FALSE - ANSWER A PHR contains only information entered by the patient. FALSE - ANSWER Providers can assume that most patients know about the existence of, benefits of, and proper use of PHRs. consumers who want to know more about their health - ANSWER A health care system is considering offering patients access to a PHR that will include elements of the EHR. Which group of consumers is most likely to use a PHR? Consumers with little technical knowledge consumers with dementia and many chronic conditions and little knowledge about these diagnoses consumers who want providers to make decisions about their care consumers who want to know more about their health true - ANSWER Personal health records (PHRs) improve patient outcomes through communication between the provider and the patient. true - ANSWER PHRs improve patient outcomes through increasing patients' knowledge about their medical conditions. False - ANSWER PHRs improve patient outcomes through decreased patient satisfaction. HIPAA - ANSWER Under the ______, patient health records are closely protected from distribution to anyone but the patient without the patient's permission. Model Privacy Notice - ANSWER The Health and Human Services initiative, the ______, is an effort to uniformly address the privacy and security concerns consumers have had with PHRs since their inception. Health Privacy Working Group - ANSWER The _____ has developed a list of 11 precautions providers can take that if followed, according to legal experts, would severely limit a provider's liability exposure. FALSE - ANSWER Patient information should be labeled with as many patient identifiers as possible to ensure that data is not unintentionally interpreted as another patient's information. FALSE - ANSWER Because patient information is confidential, patients should not be granted access to their own information. TRUE - ANSWER Health care providers should have a plan in place for potential violations of patient confidentiality. Nursing Process Approach - ANSWER Streamlines documentation of assessments and patient-related data. Nursing Process Approach - ANSWER Provides discharge information and pertinent patient education materials and resources. Nursing Process Approach - ANSWER Provides medication information to help prevent medication errors or interactions. Critical Pathways/Protocols Approach - ANSWER Multidisciplinary team members can contribute to care plans along the care continuum. Critical Pathways/Protocols Approach - ANSWER Physician's orders are present for the multidisciplinary care team to observe and follow. Critical Pathways/Protocols Approach - ANSWER Allows the multidisciplinary care team to update the plan of care when variances in the patient's condition are noted. Information management - ANSWER ______ seeks to provide safe patient care through managing patient-related information to ensure that it contains the latest data, is correct, and is readily available to providers. Knowledge management - ANSWER ______ seeks to improve the quality of care an organization provides through knowledge and educational information storage. Nursing information systems - ANSWER ______ assist nurses in providing high-quality patient care by giving them access to pertinent patient care information and providing the opportunity to document patient assessments, care provided, procedures performed, and medications given. Data can be collected and stored electronically and is available to other members of the multidisciplinary team. Knowledge user - ANSWER the nurse notes that the patient's prior systolic blood pressure ranged from 138 to 159, and the diastolic ranged from 79 to 91. She further assesses the patient and notifies the physician. Data gatherer - ANSWER the nurse completes a patient assessment and records the patient's vital signs" blood pressure 186/102, apical pulse; 84, respiratory rate: 20. Information user - ANSWER the nurse recently read a journal article about blood pressure monitoring. The article contained information about nursing assessments and average variations in blood pressure readings. TRUE - ANSWER The Quality and Safety Education in Nursing (QSEN) project's six competencies are patient-centered care, cooperation, evidence-based practice, quality improvement, safety, and informatics. Including informatics as a core competency has led to its increasing importance. TRUE - ANSWER The Technology Informatics Guiding Education Reform Initiative (TIGER) calls for nursing education to keep up with rapidly changing technology and encourages nurses' active participation in the development of electronic records. FALSE - ANSWER The Institute of Medicine (IOM), which sets the goals for undergraduate and graduate nursing education, has included informatics in its core learning modules. FALSE - ANSWER Nursing informatics can only be used to support learning in the academic setting. TRUE - ANSWER Nursing informatics includes electronic sources that provide the nurse with information regarding professional organizations, evidence-based practice, competencies, insurance, and licensing. TRUE - ANSWER Nursing informatics includes assisting with marketing activities such as website development, media presence, and social networking. Distance Learning - ANSWER through the use of technology, the learning experience takes place outside the traditional classroom.