Nurse's Touch: Nursing Informatics and Technology Practice Assessment

A nurse is reinforcing teaching with a client about the use of reputable Web sites to research osteoporosis. Which of the following guidelines should the nurse include in the teaching?

The Web site should include the author's contact information.

A community health nurse receives a report of an outbreak of a communicable disease using a computerized data collection method. How does accurate reporting of the disease improve the quality of client care?

Information is analyzed to determine community treatment strategies.

A nurse is documenting a client's assessment in the electronic health record. A prompt to provide a specific nursing intervention displays on the screen. This is an example of which of the following?

Evidence-based practice

A nurse is observing a newly licensed nurse who is caring for a client. The client states, “How do I know that my information won't show up on the Internet?” Which of the following responses by the newly licensed nurse is appropriate?

“The hospital uses firewalls to protect records.”

A nurse is conducting a home health visit with a client who has a Holter monitor due to recent syncopal episodes. The client asks, "Why will telemonitoring be used?" Which of the following responses by the nurse is appropriate?

"This data will assist your provider in making a diagnosis."

A nurse is accessing clinical information systems while caring for a client. Which of the following is a benefit of using this technology?

Allows for an interdisciplinary approach when planning care for a client

A nurse is caring for a client who asks about measures the nurse takes to protect client privacy. Which of the following is an appropriate response by the nurse?

"I log off the computer between seeing clients."

A charge nurse is developing an in-service program on basic nursing informatics. Which of the following should the nurse include in the program?

Querying the electronic health record

A nurse educator is preparing an in-service program for nurses on the use of social media. Which of the following is an appropriate example of the use of social media?

Acknowledging a client's decision to post about her health care experience online

A nurse supervisor wants to review data on nurse-sensitive outcomes from other facilities related to falls. Which of the following is an appropriate resource to obtain this information?

National Database of Nursing Quality Indicators (NDNQI)

A nurse is preparing to interview a client during a telehealth interaction. Which of the following is a client identifier?

Client's home phone number

A nurse is preparing to perform a dressing change on a client and is researching the appropriate technique to use. Which of the following should the nurse recognize as the source of information to use?

The facility's online procedure manual

A nurse is providing care for a client on a medical-surgical unit. Which of the following interventions involves the use of informatics?

Using a glucometer to obtain blood glucose level

A nurse manager uses informatics technologies on her unit. Which of the following should the nurse use to reduce the incidence of medication errors?

bar code scanning system

A nurse manager is giving an in-service presentation to a group of nurses about uniform taxonomies in nursing practice. The nurse should explain that which of the following taxonomies helps quantify nursing care based on costs specific to nursing?

Nursing Management Minimum Data Set (NMMDS)

A newly hired nurse is reviewing an institution's networking policy. Which of the following statements by the nurse indicates a need for further teaching?

"These policies determine acceptable social networks for employee use."

A risk management nurse uses informatics research data to design an application to reduce the incidence of postoperative complications. Which of the following stages of nursing informatics competency describes the nurse?

Informatics innovator

A nurse is asked whether she is proficient in the use of nursing informatics. Which of the following indicates competency?

Accessing Holter monitor data

A nurse is preparing an in-service on the use of informatics to improve client outcomes. Which of the following should the nurse include? (Select all that apply.)

Apply principles of lifelong learning.

Incorporate the use of Technology Informatics Guiding Education Reform (TIGER).

Incorporate the use of Quality and Safety Education for Nurses (QSEN).

Apply the use of standardized terminology.

A nurse on an acute-care unit enters the admission data on a client who has a history of developing a deep vein thrombosis (DVT). When coordinating the plan of care in the electronic health record (EHR), which of the following should the nurse expect?

Automatic guidelines and alerts related to DVTs

A nurse is caring for a client who has a pacemaker and requires telehealth monitoring. Which of the following is a benefit of this form of telehealth?

Downloads client rhythm data in real time

A nurse is accessing a client information system to implement a standardized plan of care for a client. Which of the following is a goal of this technology?

Optimizing client outcomes

A nurse is reinforcing teaching to a client about the use of the Internet to obtain credible information about a skin disorder. Which of the following is an appropriate statement by the nurse?

"You should check the hospital Web site for a list of relevant resources."

A nurse in a primary care clinic completes a quality assurance project using the electronic health records of clients who have type 1 diabetes mellitus. Project findings reveal that clients had higher than expected capillary blood glucose levels following teaching by the clinic nurses. Which of the following conclusions should the nurse draw from these findings?

The development of clinical practice guidelines should be considered.

A charge nurse is teaching a seminar to other nurses about informatics and client care. Which of the following topics is appropriate for the charge nurse to include?

Reviewing trends of vital signs since admission

A nurse is caring for a client who reports shortness of breath. Which of the following devices should the nurse use to obtain electronic data regarding the client's clinical manifestations?

Pulse oximeter

A nurse is discussing computerized provider order entry (CPOE) with a newly licensed nurse. Which of the following should the nurse identify as a benefit of this technology?

Provides a medication allergy alert

A telehealth nurse is caring for a client who has a new prescription for an antihypertensive medication. The telehealth monitoring system reports the client's current blood pressure is 160/92 mm Hg. Which of the following actions should the nurse take first?

Obtain information about medication compliance.

A charge nurse is orienting a newly licensed nurse to the unit and demonstrates how to access data from the hospital information system. Which of the following actions by the newly licensed nurse requires intervention by the charge nurse?

Reviewing the health record of a client on another unit with similar symptoms

A nurse is caring for a client who is scheduled to be discharged and sent home with a telehealth monitor. Which of the following actions should the nurse take first?

Have the client state what he knows about telehealth.

A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus. The client tells the nurse that he is interested in doing research about diabetes online but that he has never used a computer. Which of the following responses by the nurse is appropriate?

“Let's take some time to look at Web sites about diabetes together.”

A nurse is teaching a client who has an ostomy about the proper use of Internet resources. Which of the following statements by the client indicates a need for further teaching?

“I will use social media for information about ostomy care.”

A nurse is teaching a client about the identification of reliable Internet resources. Which of the following online resources should the nurse identify as the most reliable? 

Web sites ending in ".gov"

A nurse is caring for a client who has a new diagnosis of asthma and is to be discharged. Which of the following should the nurse use to help ensure the client's medication compliance?

Ask the client to complete an online medication schedule.

A nurse manager is implementing criteria that promote a culture of safety as defined by the Agency of Healthcare Research and Quality (AHRQ). Which of the following criteria are included in the AHRQ guidelines? (Select all that apply.)

Encourage collaboration among disciplines to seek solutions to client safety problems

Sustain a blame-free environment where staff is able to report errors without fear of reprimand

Use state-of-the-art technology to determine high-risk activities within an organization

Encourage organizations to engage in root-cause analysis

A nurse is creating a social network as a support system for a group of clients. Which of the following practices would be appropriate in launching this site? 

Providing clients with links to reference information

A charge nurse is reviewing confidentiality with a newly licensed nurse. Which of the following actions by the newly licensed nurse requires intervention?

Using the computer to search for information about a client from another unit

A nurse is teaching a newly licensed nurse about electronic health records (EHRs). Which of the following should the nurse include in the teaching?

An EHR helps to develop a plan of care.

A nurse is entering data in a client's electronic health record (EHR). Which of the following protects the integrity of the data in the EHR?

Authentication

A newly licensed nurse is concerned about the safety of a dosage for a prescribed medication. Which of the following resources is appropriate to promote evidence-based practice?

Pharmacological electronic resources

A nurse is caring for a client who is involved in a clinical trial being conducted by researchers at the facility. Which of the following resources facilitates time management for the research team?

Databases that compile data sets from participants

A nurse manager wants to decrease the number of nosocomial urinary tract infections on her unit. Which of the following research databases should the nurse manager consult to obtain information on evidence-based practices?

CINAHL cumulative index 

CINAHL is an online evidence-based resource and information system that offers a multitude of online services, which include Web site link sources, CINAHL’s online nursing and allied health database, document delivery, and search services. This is the appropriate database to find updated research for the nurse to use.

A nurse takes a photo of a client. After the client gives verbal approval, the nurse posts the photo to a social network site. Which of the following violations has occurred?

Breach of confidentiality

A nurse manager is reviewing hospital policies related to information security with a newly licensed nurse. Which of the following actions by the newly licensed nurse requires intervention?

Paging a client by last name to return to therapy

A nurse manager is implementing an electronic health record program. Which of the following indicates that data security is effectively managed by the program?

Guidelines are available about printing client information.

A nurse receives a phone call from an individual requesting information about a client's status on the day of surgery. Which of the following actions should the nurse take?

Verify whether client information can be communicated over the phone. 

A nurse manager on a cardiac unit is using a clinical information system to measure the outcomes of clients who were treated using the facility's acute cardiac event protocol. Which of the following is integrated into the clinical information system to support clinical data access?   

Coded entry system 

A nurse on a pediatric unit is caring for a client. The client's mother asks the nurse, “Can you turn off the alarm that seems to go off all the time?” Which of the following actions by the nurse is appropriate? 

Check the alarm function.

A nurse is instructing a newly licensed nurse about obtaining client assignments. The newly licensed nurse states, "I will make copies of my client's electronic health records so I can complete the care plan at home." Which of the following responses by the nurse is appropriate?

"Client information should remain in the hospital."

A nurse is teaching a newly licensed nurse about the benefits of telehealth services. Which of the following is an example of a benefit of telehealth?

First responders transmit client data to the receiving facility