Informatics

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 nurse is caring for a client who is reporting shortness of breath. Which device would the nurse use to obtain electronic data regarding the clients clinical manifestations?

A pulse oximeter

A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus. The client tells the nurse he is interested in doing research about diabetes online but has never used a computer. What would be an appropriate response by the nurse?

" let's take some time to look at websites about diabetes together"

A nurse in a primary care clinic completes a quality assurance project using the EHR 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 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 developing an in service program on basic nursing informatics. What should the nurse include?

Querying the EHR

A nurse manager wants to decrease the number of nosocomial UTIs on her unit. Which research database should the nurse use to obtain information on evidence based practices?

CINAHL cumulative index

A nurse is caring for a client who asks about measures the nurse takes to protect clients privacy. What would be an appropriate response of the nurse?

I log off the computer before seeing clients

A nurse is entering data in the EHR. Which of the following protects the data in the EHR?

Authentication

A nurse manager is implementing criteria that promotes a culture of safety as defined by the agency of healthcare research and quality(AHRQ). Name 4 criteria outlined in the AHRQ guidelines.

1.Encourage collaboration among disciplines to seek solutions to client safety problems

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

3. Sustain a blame free environment where staff is able to report errors without fear of being reprimanded

4. Encourage organizations to engage in root cause analysis

A nurse is discussing computerized provider order entry(CPOE) with a new nurse. What could the nurse say is a benefit of this technology?

Provides a medication allergy alert

A nurse is documenting a clients assessment in the EHR. A prompt to provide a specific intervention displays on the screen. What is this an example of?

Evidence based practice

A nurse is caring for a client who is involved in a clinical trial conducted by researchers at the facility. What would facilitate time management by the research team?

Databases that compile data sets from participants

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

Information is analyzed to determine community treatment strategies

A nurse is instructing a new nurse about obtaining client assignments. The new nurse states she will make copies of the EHR and complete the care plan at home. Which response by the nurse would be appropriate?

Client information should remain at the hospital

A nurse is assessing clinical information systems while caring for a client. What is a benefit of using this technology?

Allows for interdisciplinary approach when planning care for a client

A nurse is assessing a client information system to implement a standardized plan of care for a client. What is a goal of this technology?

Optimizing client outcomes

A charge nurse is teaching a seminar to other nurses about informatics and client care. What topic would be appropriate for her to include?

Reviewing trends of vital signs since admission

A nurse is asked whether she is proficient in informatics. What would indicate that she is?

Accessing holter monitor data

A nurse is preparing an inservice on the use of informatics to improve client outcomes. What should the nurse include(4)

1. Apply use of standardized terminology

2. Apply principles of life long learning

3. Incorporate the use of TIGER

4. Incorporates the use of QSEN

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

Informatics innovator

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

Have the client state what they know about telehealth

A telehealth nurse is caring for a client who has a new prescription for an anti hypertension med. the telehealth monitoring system reports clients current BP is 160/92. What should the nurse do first?

Obtain information about medical compliance

A nurse is caring for a client who has a new diagnosis of asthma and is to be discharged. What should the nurse do the help ensure the clients medication compliance?

Ask the client to complete an online medication schedule

A nurse is reinforcing teaching to a client about the use of the internet to obtain credible information about a skin disorder. What is appropriate for the nurse to say to guide the patient?

You should check the hospital website for a list of relevant sources

A nurse is teaching a new nurse about EHRs. What should the nurse include in the teaching?

An EHR helps to develop a plan of care

A charge nurse is orienting a new nurse to the unit and demonstrates how to access data from the hospital information system. What action by the new nurse requires intervention by the charge nurse?

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

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

National Database of Nursing Quality Indicators (NDNQI)

A nurse manager uses informatics technologies on her unit. What should the nurse do to reduce the incidence of medication errors?

Bar code scanning system

A nurse manager is implementing an EHR program. What indicates that data security is effectively managed by the program?

Guidelines are available about printing client information

A nurse manager is reviewing hospital policies related to information security with a new nurse. What action by the new nurse would require intervention?

Paging a client by last name to return to therapy

A charge nurse is reviewing confidentiality with a new nurse. Which action of the new nurse would require intervention?

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

A nurse is providing care for a client on a med surg unit. Which intervention uses informatics?

Using a glucometer o obtain a blood glucose level

A nurse is texting a client who has an ostomy about the proper use of internet resources. What statement by the client indicates a need for further teaching?

I will use social media for information about ostomy care

A new nurse is reviewing an institutions networking policy. What statement by the nurse would indicate a need for further teaching?

These policies determine acceptable social networks for employee use

A nurse is preparing to interview a client during telehealth interaction. What is a client identifier besides name and date of birth.

Client home phone number

A nurse is teaching a client about the identification of a reliable internet sourse what resource would the nurse say is the most reliable?

Ending in .gov

A nurse manager is giving an inservice presentation to a group of nurses about uniform taxonomies in nursing practice. The nurse should explain that what taxonomy helps quantify nursing care based on costs specific to nursing?

Nursing Management Minimum Data Set(NMMDS)

A nurse is teaching a new nurse about the benefits of telehealth services. What is an example of a benefit of telehealth?

First responders transmit client data to the receiving facility

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

Downloads client rhythm data in real time

A nurse educator is preparing an inservice program for nurses on social media use. What is an appropriate use of of social media?

Acknowledging a clients decision to post about her health care experience online

A nurse on an acute care unit enters the admission data on a client who has a history of developing DVTs. When coordinating the plan of care in the EHR what should the nurse expect?

Automatic guidelines and alerts related to DVTs

A nurse is conducting a home health visit for a client who has a holter monitor due to recent syncopated episodes. The client asks why telemonitoring is being used. What is an appropriate response by the nurse?

This data will assist your provider in making a diagnosis

A nurse on a pediatric unit is caring for a client. The clients mother asks if the nurse can turn off the alarm that goes off all the time. What should the nurse do?

Check alarm function

A nurse on a cardiac unit is using a clinical information system to measure outcomes of clients who were treated using the facilities acute cardiac event protocol. What is integrated into the clinical information system to support clinical data access?

Coded entry system

A new nurse is concerned about the safety of a dosage for a prescribed medication. What resource should the nurse use for appropriate promotion of evidence based practice?

Pharmacological electronic resources

A nurse is reinforcing teaching with a client about the use of reputable web sites to research osteoporosis. What guideline should the nurse include in the teaching?

The website should include the authors contact information

A nurse receives a phone call from an individual requesting information about a clients status on the day of surgery. What action should the nurse take?

Verify whether client information can be communicated over the phone

A nurse takes a photo of a client. After client gives verbal approval the nurse posts the photo to social networking. What violation has occurred?

Breach of confidentiality

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

The facilities online procedure manual

A nurse is observing a new nurse who is caring for a client. The client asks how they know their information won't end up on the internet. What response by the new nurse is appropriate?

The hospital uses firewalls to protect records

What policy allowed patients to have access to their own medical records?

Health Insurance Portability and Accountability Act HIPPA

The nurse who uses a computer for client care notices increased eye strain. What action can minimize eye strain?

Using a glare filter

Keyboards are the biggest source of cross contamination when computer systems are used in healthcare. T/F

True

Health care material should be written at 3rd-5th grade reading level to ensure understanding by the client. T/F

True

Define the know do gap.

Most new practices learned from research can take up to 10 years to implement into practice

What research database would you recommend to a nursing student having difficulty finding information?

CINAHL

Whistleblowing is the disclosure by a nurse of an organizations practices that have resulted in harm to a patient. What is a true statement regarding whistleblowing?

To claim discrimination the nurse must report the illegal activity before resigning from a facility

True or false when content is deleted on the internet it is no longer accessible .

False