NUR 110 Exam 2 practice q
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1. How often must a long-term care fa- Every 3 months
cility complete the Minimum Data Set
for Resident Assessment and Care Federal laws mandate that the MDS
Screening (MDS) after initial admis- be updated every 3 months to docu-
sion? ment client status.
1.
Every month
2.
Every 2 months
3.
Every 3 months
4.
Every 6 months
2. The nurse is documenting client care The progress notes
in a medical record. The facility uses
a problem-oriented record system. In The nurse and all other health-care
which area would the nurse docu- professionals would document the
ment the medications he or she ad- care provided in the progress notes,
ministers? including medications administered.
1.
The database
2.
The problem list
3.
The plan of care
4.
The progress notes
3. Under what circumstances should Charting ahead should never be
documentation occur prior to a pro- done.
, NUR 110 Exam 2 practice q
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cedure being done?
Charting ahead is a form of fraud-
1. ulent documentation, as it is not
It can be done when the procedure known what will happen in the future.
is a common, routine procedure and
the outcome is predictable.
2.
Charting ahead should never be
done.
3.
It can be done when the procedure
will end near the end of shift and doc-
umentation will result in staying late.
4.
It can be done when the doctor pre-
scribes the treatments to be done af-
ter the procedure.
4. In which ways can an integrated plan Increase team effort.
of care assist with workflow on a hos- Eliminate duplicate charting.
pital unit? Select all that apply. Enhance nurse teaching about what
to expect during a hospital stay.
1. Involve all disciplines in planning and
Increase team effort. implementing care.
2. - The integrated plan of care maps
Allow physicians to place orders. out goals and expectations for daily
progress on the unit. This facilitates
3. a common goal for the team.
Eliminate duplicate charting. - Since the integrated plan of care
maps daily care for all disciplines,
4. there is no duplicate charting.
Enhance nurse teaching about what - The integrated plan of care will es-
to expect during a hospital stay. tablish goals and interventions for
each day. This will allow the nurse to
5. share expectations with the client.
, NUR 110 Exam 2 practice q
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Prevent medication errors. - The integrated plan of care is a
map of care for all disciplines on the
6. health-care team and can facilitate a
Involve all disciplines in planning team approach.
and implementing care.
5. Which characteristic of the electron- Preventing medications from being
ic health record (EHR) helps prevent administered to clients with allergies
medication errors?
The safeguards in the EHR would
1. prevent a pharmacist from dispens-
Facilitating remote access of the ing a medication to which the client
EHR for health-care providers has an allergy.
2.
Allowing multiple health-care
providers access to the EHR at once
3.
Providing text notifications of when
medications are due
4.
Preventing medications from being
administered to clients with allergies
6. If a nursing unit manager wanted to Manual chart audits
see how many times a particular pro-
tocol was followed, and the EHR was If an EHR is not able to provide a re-
not able to provide a report, what port about compliance with a proto-
method could be used to obtain the col, manual chart audits may provide
data? detailed information.
1.
Estimate based on admission diag-
noses
2.
Manual chart audits
, NUR 110 Exam 2 practice q
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3.
Measuring outcomes
4.
Interviewing nursing staff
7. Which is a major disadvantage of the Incapability to integrate records from
electronic health record (EHR)? multiple locations
1. - A disadvantage of the EHR is
Inability to guarantee client privacy that client information from one
health-care provider does not al-
2. ways merge with that of a different
Information is safe and cannot be health-care provider. This can make
lost continuity of care between different
providers difficult.
3.
Lack of ability to analyze data in the
record
4.
Incapability to integrate records from
multiple locations
8. Which is a method of providing a SBAR
complete communication during a
handoff report? Situation, Background, Assessment,
and Recommendation is an effective
1. communication tool that can be cus-
SOAP tomized for handoff communication.
2.
SBAR
3.
CPOE
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