Test Bank Leading and Managing in
Nursing 6th Edition Yoder-Wise
Chapters 11 – 15
Yoder-Wise: Leading and Managing in Nursing, 6th Edition
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.
ANS: 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.
REF: Page 187 TOP: AONE competency: Business Skills
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 so as to modify practice is an example of:
a. Information.
b. Cost-effective care.
c. Meeting standards.
d. Evidence-based practice.
ANS: D
Technology enables evidence-based practice by collecting good clinical knowledge,
translating nursing knowledge into reference materials that can be accessed at the
point-ofcare, and, potentially, assisting nurses to take action based on best evidence
for practice (Lang, 2008; Lang et al., 2006; Staggers & Brennan, 2007).
REF: Page 205
TOP: AONE competency: Knowledge of the Health Care Environment
,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 five
years earlier and was last updated three 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 feedback.
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.
REF: Page 206 TOP: AONE competency: Business Skills
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.
ANS: 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.
REF: Page 198 TOP: AONE competency: Business Skills
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.”
, ANS: 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.
REF: Page 206 TOP: AONE competency: Business Skills
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 two 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.
c. Telecommunications.
d. Biomedical technology.
ANS: C
Telecommunications and systems technology facilitate clinical oversight of health
care via telephone or cable lines, remote monitoring, information links, and the
Internet. Patients sitting in front of the teleconferencing camera can be diagnosed,
treated, monitored, and educated by nurses and physicians. EKGs and radiographs can
be viewed and transmitted.
REF: Page 204 TOP: AONE competency: Business Skills
7. At a newly built outpatient surgical center, an integrated information system has been
purchased. The chief nursing officer creates a series of staff development classes to
orient the staff to this new system. One of the advantages of an integrated information
system is that client-care data from all sites can be stored in and retrieved from a:
a. Nursing information system.
b. Central data repository.
c. Nurse expert system.
d. Handheld device.
ANS: B
Computer information systems manage large volumes of data, examine data patterns
and trends, solve problems, and answer questions. In other words, computers can help
translate data into information from both within and among organizations. Data from
all patient encounters with the healthcare system are stored in a central data
repository, where they are accessible to authorized users. Patient information in a
centralized database is organized, legible, and easily retrievable from a variety of
, sources and reflects a variety of data.
REF: Page 193 TOP: AONE competency: Business Skills
8. Nurses need to know how to operate a computer, compare data across time, and look
for patterns in client responses to treatments. These are examples of:
a. JCAHO standards.
b. Information systems.
c. Informatics competencies.
d. Requirements for nursing licensure.
ANS: C
The Quality and Safety Education for Nurses (QSEN) project identified informatics
competency as a necessary component of the knowledge, skills, and attitudes for
quality patient care. Nurses are anticipated to be able to use information and
technology to communicate, manage knowledge, mitigate error, and support decision
making. Nurses must utilize hospital database management, decision support, and
expert system programs to access information and analyze data from disparate sources
for use in planning for patient care processes and systems.
REF: Page 187 TOP: AONE competency: Business Skills
9. The chief nursing officer understands that to be able to compare data across client
populations and sites, it is important that nurses use:
a. Similar settings.
b. Information systems.
c. Knowledge systems.
d. Structured nursing languages.
ANS: D
Data are standardized and use structured terminology, which enables cross-site
comparisons.
REF: Page 205 TOP: AONE competency: Business Skills
10. Leaders in nursing must advocate for information and knowledge systems that support
nursing practice. This is best accomplished by:
a. Participating in organizational information technology committees.
b. Submitting written requests for needed information systems.
c. Requesting budgetary funds needed for systems.
d. Sending staff nurses to conferences that discuss cutting-edge technologies.
ANS: A
Nurse leaders and direct care nurses must be members of the selection team,
participate actively, and have a voice in the selection decision. The information
system must make sense to the people who use it and fit effectively with the processes
for providing patient care.
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