chapter 13 Flashcards
A nurse manager was orienting new staff members with regard to computerized charting. To
understand computerized charting, staff members must understand informatics. Which of
the following are the core concepts in informatics?
a. Hardware, software, competency, and printers.
b. Data, information, knowledge, and wisdom.
c. Decision making, data gathering, data analysis, and reporting.
d. Wireless technology, voice recognition, and handheld devices.
B
The nursing manager of a surgical unit has been asked by administration to evaluate patient
outcomes after cardiac catheterization. Using data about patient outcomes after cardiac
catheterization for the past 6 months so as to modify practice is an example of:
a. Gathering information.
b. Cost-effective care.
c. Meeting standards.
d. Evidence-informed practice.
D
The clinic nurse has just accessed a patient’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 patient’s chart.
What should she 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.”
D
A home health nurse has been assigned to cover a 500-km2
area of remote Alberta. Mrs.
Banister has just been discharged home and will need daily contacts for the next week.
Because it is not possible to visit Mrs. Banister in person every day and see all the other
patients, the nurse gives her a laptop computer with Internet meeting software installed.
Each morning, both dial in at an agreed-upon time and discuss her progress. The home
health nurse assesses whether the patient needs to be seen that day. This type of technology
is called:
a. Distance learning.
b. Knowledge software.
c. Telecommunications.
d. Biomedical technology.
C
Nurses need to know how to operate a computer, compare data across time, and look for
patterns in patient responses to treatments. These are examples of which of the following?
a. Canadian Nursing Informatics Association standards.
b. Information systems.
c. Informatics competencies.
d. Requirements for nursing licensure.
C
The chief nursing officer understands that to be able to compare data across patient
populations and sites, it is important that nurses use:
a. Similar settings.
b. Information systems.
c. Knowledge systems.
d. Consistent nursing languages.
D
Leaders in nursing must advocate for information and knowledge systems that support
nursing practice. How is this best accomplished?
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.
A
You are in the process of designing a patient education program that will provide education
and monitoring for patients with hypertension. To support your planning, you obtain and
present patient data from which of the following?
a. A clinical database.
b. Biomedical technologies.
c. Email.
d. Internet sources.
A
As the head nurse involved in determining which patient surveillance systems to acquire for
your unit, one of your aims is to avoid adverse events through the implementation of
appropriate technology. What does this particular aim recognize?
a. Human error is significant in contributing to adverse events.
b. Documentation of patient data is often illegible and therefore misinterpreted.
c. Data systems provide backup documentation with adverse events that staff cannot
provide.
d. Physiologic monitoring systems enable detection of early changes before an
adverse event occurs.
D
As a nurse manager in a multisite facility, you are comparing the effectiveness of prompted
voiding training programs for staff by examining the effect of prompted voiding on the
frequency of incontinence in patients. To do this, you access an NMDS, which allows you
to:
a. Retrieve standardized information regarding patient care and trends.
b. Access medical diagnoses and pharmacologic interventions.
c. Learn sociodemographic and population-based trends.
d. Find information on public funding and private health insurance revenues.
A
As a nurse manager representative on a team to select a clinical information system, you
would be particularly concerned if the favoured system has which of the following
characteristics?
a. It involves screen displays that are best configured for nonclinical users.
b. It requires an upgrade to servers in the facility.
c. It requires staff orientation and training during implementation of the software.
d. It minimizes the amount of data entry necessary.
A
When assessing the appropriateness of adopting personal digital assistants (PDAs) for a
nursing unit, you need to consider which of the following advantages?
a. Lower cost in relation to personal computers.
b. Small display screen.
c. Font size.
d. Speed of operation.
A
A nurse manager is excited by the possible use of speech recognition (SR) systems for
documentation of patient care, especially during crisis situations when staff members need
to focus on performing rapid assessments and implementation of procedures. She learns,
however, that SR systems would be impractical at this point for this. What characteristic
would lead to this conclusion?
a. SR systems are not available outside pilot projects.
b. The type of speech required for voice recognition is unlikely in a pressured
situation.
c. The hands-free function has not been perfected in SR technology.
d. Wireless communications are prone to unreliability in transmission.
B
For a nurse manager, one challenge is to orient new staff to the agency’s policies and
procedures, and also to provide training across various shifts. Which of the following would
be a cost-effective and effective learning strategy?
a. Development of new learning modules and software to support document retrieval.
b. Email distribution to staff home email addresses regarding important policies.
c. Preparation of digital video disks (DVDs) that can be viewed on computers at the
nursing station during “down times.”
d. Linking policies and procedures to the network for access when required at the
point of care.
D
What is the most critical factor in ensuring nurses’ comfort and knowledge in the use of
technology in health care regardless of age, education level, or area of practice?
a. Confidence in using technology.
b. Adequacy and substance of professional development.
c. Repeated training sessions.
d. Peer and leader support.
B
