NSG 130 Test 1 Prep

Question 1

What are the 5 professional responsibilities and roles for nurses?

Answer 1

Caregiver, educator, advocate, communicator, manager

(Professionalism PPT)

Question 2

What professional responsibility and role fits this description: “help patients maintain and regain health, manage disease and symptoms, and attain a maximal level of function and independence through the healing process. provide evidence-based nursing care to promote healing through both physical and interpersonal skills. support patients by providing measures that restore their emotional, spiritual, and social well-being. help the patient and family set outcomes and assist them with meeting those outcomes with minimal financial cost, time, and energy.”

Answer 2

Caregiver

(Potter1 Professionalism)

Question 3

What professional responsibility and role fits this description: “protect your patient’s human and legal rights and provide assistance in asserting those rights if the need arises. As an advocate you act on behalf of your patient, such as safeguarding their care against errors, suggesting alternatives to care, securing your patient’s health care rights, and facilitating personal and cultural preferences”

Answer 3

Advocate

(Potter1 Professionalism)

Question 4

What professional responsibility and role fits this description: “improves patients’ knowledge, skills, self-care activities, and ability to make informed decisions. identify patients’ willingness and ability to learn, explain concepts and facts about their health, describe the reason for care activities, demonstrate procedures such as self-care activities, reinforce learning or patient behavior, and evaluate the patient’s progress in learning. Assess your patient’s and family caregiver’s learning styles and needs and develop a teaching plan that meets your patients’ self-management objectives and includes teaching methods that match your patient’s and family’s needs”

Answer 4

Educator

(Potter1 Professionalism)

Question 5

What professional responsibility and role fits this description: “Know your patients, including their preferences, strengths, weaknesses, and needs. routinely communicate with patients and families, other nurses and health care professionals, resource people, and the community. Fundamental to providing high-quality care, coordinating and managing patient care, assisting patients in rehabilitation, advocating for patients, assisting patients and families in decision making, and providing patient education.”

Answer 5

Communicator

(Potter1 Professionalism)

Question 6

What professional responsibility and role fits this description: “Direct groups of nurses by establishing an environment for collaborative patient-centered care and safe, evidence-based quality care with positive patient outcomes. Coordinates the activities of members of a nursing staff in delivering nursing care and has personnel, policy, and budgetary responsibility for a specific nursing unit or agency. Uses appropriate leadership styles to create a nursing environment for patients and staff that reflects the mission and values of the health care organization”

Answer 6

Manager

(Potter1 Professionalism)

Question 7

Caregiver/Provider, Educator, Patient Advocate, Leader, Manager, Change Agent, Researcher, Delegator, and Collaborator are all what kind of roles?

Answer 7

Inherent

(Sherpath Lesson: Nursing and Nursing Practice)

Question 8

Faith Community Nurse, Flight Nurse, Forensic Nurse, Hospice Nurse, Informatics Nurse Specialist, Occupational Health Nurse, Quality Manager, School Nurse, Telephone Triage ans (Telehealth) Nurse are all what kind of roles?

Answer 8

Career Roles:

(Sherpath Lesson: Nursing and Nursing Practice)

Question 9

Nurse educator, nurse administrator, nurse researcher, and case manager are what kind of nursing roles?

Answer 9

Expanded

(Sherpath Lesson: Nursing and Nursing Practice)

Question 10

Preparation for this role occurs at the graduate and doctoral levels. They are competent in clinical practice and assume leadership in curriculum development, instruction, and evaluation. Knowledge of the learning process and classroom and clinical teaching methods that include engagement and online teaching is essential.

Answer 10

Nurse educator

(Sherpath Lesson: Nursing and Nursing Practice)

Question 11

Which expanded role manages patient care and the delivery of specific nursing services within a health care agency. Experience and additional education sometimes lead to a middle-management position such as nurse manager of a specific patient care area or house supervisor or to an upper-management position such as associate director or director of nursing services.

Answer 11

Nurse administrator

(Sherpath Lesson: Nursing and Nursing Practice)

Question 12

What expanded role conducts evidence-based practice and research to improve nursing care and further define and expand the scope of nursing practice. He or she often works in an academic setting, hospital, or independent professional or community service agency. The preferred educational requirement is a doctoral degree, with at least a master’s degree in nursing.

Answer 12

Nurse researcher

(Sherpath Lesson: Nursing and Nursing Practice)

Question 13

What expanded role encompasses the complex job of identifying the best resources at the lowest cost to achieve the optimal health outcome for the patient. This role can be provided in either the inpatient or outpatient setting.

Answer 13

Case manager

(Sherpath Lesson: Nursing and Nursing Practice)

Question 14

__________ are the minimum acceptable guidelines for providing and evaluating nursing care.

Answer 14

Standards of practice

(Sherpath Lesson: Nursing and Nursing Practice)

Question 15

The standards set forth by the APN consist of how many parts and what are they?

Answer 15

Two. The “Nursing Process” and the “Professional Nursing Practice”

(Sherpath Lesson: Nursing and Nursing Practice)

Question 16

_____ is the multistep scientific approach nurses use to care for their patients.

(Sherpath Lesson: Nursing and Nursing Practice)

Answer 16

Nursing process

Question 17

______ emphasizes standards of professional performance.

Answer 17

Professional nursing practice

(Sherpath Lesson: Nursing and Nursing Practice)

Question 18

All of the following are considered to be under what. part of the standards of practice?

Answer 18

ethics, culturally congruent practice, communication, collaboration, leadership, education, evidence-based practice, research, quality of practice, professional practice evaluation, resource utilization, and environmental health

(Sherpath Lesson: Nursing and Nursing Practice)

Question 19

What are the ANA’s Standards Of Practice?

Answer 19

Assessment, Diagnosis, Outcome identification, Planning, Implementation, and Evaluation

(Sherpath Lesson: Nursing as a Profession)

Question 20

Which standard of practice is described as: “The registered nurse collects comprehensive data pertinent to theatient’s health or the situation.

(Sherpath Lesson: Nursing as a Profession)

Answer 20

Assessment

(Sherpath Lesson: Nursing as a Profession)

Question 21

Which standard of practice is described as: “The registered nurse analyzes the assessment data to determine the diagnoses or issues.

Answer 21

Diagnosis

(Sherpath Lesson: Nursing as a Profession)

Question 22

Which standard of practice is described as: “The registered nurse identifies expected outcomes for a plan that is individualized to the patient or situation.”

Answer 22

Outcomes identification

(Sherpath Lesson: Nursing as a Profession)

Question 23

Which standard of practice is described as: “The registered nurse develops a plan that prescribes strategies and alternatives to attain expected outcomes.

Answer 23

Planning

(Sherpath Lesson: Nursing as a Profession)

Question 24

Which standard of practice is described as: “ The registered nurse implements the identified plan with coordination of care and health teaching and health promotion?”

Answer 24

Implementation

(Sherpath Lesson: Nursing as a Profession)

Question 25

Which standard of practice is described as: "The registered nurse evaluates progress toward attainment of outcomes."

Answer 25

Evaluation (Sherpath Lesson: Nursing as a Profession)

Question 26

The first official nursing code of ethics was adopted in ____ by ____. Described in nine provisions:

Answer 26

1950 by the American Nurses Association (ANA) (Sherpath Lesson: Nursing as a Profession)

Question 27

How many provisions does the ANA describe the nursing code of ethics?

Answer 27

9 (Sherpath Lesson: Nursing as a Profession)

Question 28

Which provision is "The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person. Expanded guides elaborate each provision such as"

Answer 28

Provision 1 (Sherpath Lesson: Nursing as a Profession)

Question 29

Which provision is "The nurse’s primary commitment is to the patient, whether an individual, family, group, community, or population."

Answer 29

Provision 2 (Sherpath Lesson: Nursing as a Profession)

Question 30

Which provision is "The nurse promotes, advocates for, and protects the rights, health, and safety of the patient."

Answer 30

Provision 3 (Sherpath Lesson: Nursing as a Profession)

Question 31

Which provision is The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and to provide optimal care."

Answer 31

Provision 4 (Sherpath Lesson: Nursing as a Profession)

Question 32

Which provision is "The nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth."

Answer 32

Provision 5 (Sherpath Lesson: Nursing as a Profession)

Question 33

Which provision is "The nurse, through individual and collective effort, establishes, maintains, and improves the ethical environment of the work setting and conditions of employment that are conducive to safe, quality health care."

Answer 33

Provision 6 (Sherpath Lesson: Nursing as a Profession)

Question 34

Which provision is "The nurse, in all roles and settings, advances the profession through research and scholarly inquiry, professional standards development, and the generation of both nursing and health policy."

Answer 34

Provision 7 (Sherpath Lesson: Nursing as a Profession)

Question 35

Which provision is "The nurse collaborates with other health professionals and the public to promote human rights, promote health diplomacy, and reduce health disparities."

Answer 35

Provision 8 (Sherpath Lesson: Nursing as a Profession)

Question 36

Which provision is "The profession of nursing, collectively through its professional organizations, must articulate nursing values, maintain the integrity of the profession, and integrate principles of social justice into nursing and health policy."

Answer 36

Provision 9 (Sherpath Lesson: Nursing as a Profession)

Question 37

What is described as the "essential element of professional nursing, involves the initiation of independent nursing interventions without medical orders, you are responsible professionally and legally for the type and quality of nursing, includes dependent, independent, and interdependent nursing"

Answer 37

Autonomy (Potter1)

Question 38

Nursing ______ is essential for developing trusting relationships with patients and coworkers. It involves accepting responsibility for actions and omissions, as well as legal, ethical, and professional implications.

Answer 38

Accountability (Sherpath Lesson: Nursing and Nursing Practice)

Question 39

Professionals have_______ in their decision making and practice. Professions are self-regulating, and they develop their own policies and procedures. It involves independent nursing actions in the care of patients. As a member of the nursing profession, each nurse has the ability to decide on how his or her individual nursing practice will be implemented.

Answer 39

autonomy (Nursing as a Profession Sherpath Lesson)

Question 40

In situations in which nurse professionals employ________, nurses and patients alike view this action as the “last line of defense” on behalf of the patient. This normative conception of the nurse as patient advocate is an example of a “signature image” of professional identity among nursing and other professions.

Answer 40

advocacy (Giddens37)

Question 41

Benner's Level of Proficiency has how many levels and what are they?

Answer 41

Novice, Advanced Beginner, Competent, Proficient, Expert (Nursing as a Profession Sherpath)

Question 42

Student nurses progress from _____ to ____ during nursing school

Answer 42

Novice to advanced beginner (Nursing as a Profession Sherpath Lesson)

Question 43

The student nurse attains the competent level within ____ to ___ years of work experience.

Answer 43

2 to 3 (Nursing as a Profession Sherpath Lesson)

Question 44

_____ is a sense of oneself, and in relation to others, that is influenced by characteristics, norms, and values of the nursing discipline, resulting in an individual thinking, acting, and feeling like a nurse.

Answer 44

Professional identity (Giddens37)

Question 45

Begins in training. Developed through real/simulated experiences, reflection, and role modeling by prof. colleagues. “__________/______” terms replacing “professional role/professionalism.” There is a need to internalize a value system of the profession. Every new identity destroys the prior, this sucks.

Answer 45

Professional identify/formation (Giddens37)

Question 46

Professionalism meets cerrtain criteria such as:

Answer 46

Altruism, Body of Knowledge and Research, Accountability, Higher Education, Licensure, Autonomy, Code of Ethics, Diversity, and Professional Organization (Nursing as a Profession Sherpath Lesson)

Question 47

A profession provides services needed by society.______ is public service over personal gain. Nurses recognize nursing as their life work and focus on service to their patients, families, and the community.

Answer 47

Altruism (Nursing as a Profession Sherpath Lesson)

Question 48

What criteria for the profession is described as "A profession develops, evaluates, and uses theory as a basis for practice. To advance knowledge in their field, professionals publish and communicate their knowledge. Nursing has a well-defined, specific, and unique body of theoretical knowledge. Theory in nursing leads to defined skills, abilities, and norms that are enlarged by research."

Answer 48

Body of Knowledge and Research (Nursing as a Profession Sherpath Lesson)

Question 49

Nursing_______ is essential for developing trusting relationships with patients and coworkers. It involves accepting responsibility for actions and omissions, as well as legal, ethical, and professional implications.

Answer 49

Accountability (Nursing as a Profession Sherpath Lesson)

Question 50

A profession has clearly defined educational requirements for entry into practice. Nurses must have a diploma, an associate’s degree, or a bachelor’s degree in nursing to be eligible to take the NCLEX-RN examination. _________ offers nurses greater professional opportunities.

Answer 50

Higher education (Nursing as a Profession Sherpath Lesson)

Question 51

A profession is committed to competence. Members of a profession have legally recognized licenses that demonstrate basic competency to practice. Nursing ______is mandatory in all states, and all licensed nurses must keep their knowledge base current by participating in both formal and informal continuing education.

Answer 51

licensure (Nursing as a Profession Sherpath Lesson)

Question 52

Professionals have______ in their decision making and practice. Professions are self-regulating, and they develop their own policies and procedures. It involves independent nursing actions in the care of patients. As a member of the nursing profession, each nurse has the ability to autonomously decide on how his or her individual nursing practice will be implemented.

Answer 52

Autonomy (Nursing as a Profession Sherpath Lesson)

Question 53

Practice and conduct within a profession is guided by a ______. They refer to the standards of right and wrong behavior. The International Council of Nurses (ICN) and the American Nurses Association (ANA) each developed a them for nurses. Public opinion polls consistently show that the nursing profession is viewed as the most honest and ethical of all professions.

Answer 53

code of ethics (Nursing as a Profession Sherpath Lesson)

Question 54

Nurses provide care to patients with many different cultures and backgrounds. According to the ICN, nursing care is respectful of and unrestricted by considerations of age, color, creed, culture, disability or illness, gender, sexual orientation, nationality, politics, race, or social status. To respect the________ of their patients, nurses practice culturally competent care, which means that the care is sensitive to the needs of people with varying cultural differences.

Answer 54

diversity (Nursing as a Profession Sherpath Lesson)

Question 55

An important aspect of a profession is belonging to ________________. These give nurses access to current information and resources as well as a voice in the profession through educational programs and publications. Many support and encourage high standards in nursing. They provide opportunities for nurses to expand their roles in specialty areas.

Answer 55

professional organizations (Nursing as a Profession Sherpath Lesson)

Question 56

Clinical Nurse Specialist, Nurse Practicioner, Certified Nurse-midwife, and Certified Registered Nurse Anasthetists are all condidered _________?

Answer 56

Advanced Practice Registered Nurse (Potter1)

Question 57

______ provide direct (hands-on) patient care. Some additional certs may be required (peds, critical care, emergency, etc)

Answer 57

Clinician (Potter1)

Question 58

_______ have educational preparation in at least of: adult-gerontology, perdiatrics, neonatology, women's health/gender related, family/individual across the life span, and psychiatric mental health.

Answer 58

Advanced Practice Registered Nurse (APRN) (Potter1)

Question 59

____ will have an MSN/DNP and may be identified by a population, setting, disease specialty, type of care, or type of problem. Provide diagnosis, treatment, and ongoing management in all settings.

Answer 59

Clinical Nurse Specialist (Potter1)

Question 60

____ will have an MSN/DNP. Provide primary, acute, and specialty health care to patients of all ages and in all types of health care settings. This care includes assessment, diagnosis, planning, and treatment; monitoring ongoing health status; evaluation of therapies; and health education.

Answer 60

Nurse practitioner (Potter1)

Question 61

______ is educated in midwifery, and is certified. Full range of primary health care services for women from adolescence beyond menopause. Services include primary care; gynecological and family planning services; preconception care; care during pregnancy, childbirth, and the postpartum period; care of the normal newborn during the first 28 days of life; and treatment of male partners for sexually transmitted infections. Conducts physical examinations; prescribes medications, including controlled substances and contraceptive methods; admits, manages, and discharges patients; orders and interprets laboratory and diagnostic tests; and orders the use of medical devices.

Answer 61

Certified nurse-midwife (CNM) (Potter1)

Question 62

_______ practice both autonomously and in collaboration with a variety of health care providers on the interprofessional team to deliver high-quality, holistic, evidence-based anesthesia and pain care services. under the guidance and supervision of an anesthesiologist,

Answer 62

Certified registered nurse anesthetist (CRNA) (Potter1)

Question 63

______ works primarily in schools of nursing, staff development departments of health care agencies, and patient education departments

Answer 63

Nurse educator (Potter1)

Question 64

_____ is responsible for management of the nursing staff in a health care agency. Five competencies detailing the skills, knowledge, and abilities that guide the practice of nurse leaders in administrative or executive practice. These include communication and relationship management; knowledge of the health care environment; leadership; professionalism; and business skills and principles. Functions of administrators include budgeting, staffing, strategic planning of programs and services, employee evaluation, and employee development.

Answer 64

Nurse administrator (Potter1)

Question 65

______ conducts evidence-based practice, performance improvement, and research to improve nursing care and further define and expand the scope of nursing practice

Answer 65

Nurse researcher (Potter1)

Question 66

_____ goes to school for 12-18mo, takes the NCLEX-PN, and practices under an RN. Does not use nursing process.

Answer 66

LPN/LVN (Nursing as a Profession Sherpath Lesson)

Question 67

--2, 3, or 4-year programs. NCLEX-RN. Scope per state’s nurse practice act and SBON. Uses nursing process, crit. thinking, and delegation

Answer 67

RN (Nursing as a Profession Sherpath Lesson)

Question 68

2yr program. (you!)

Answer 68

ADN (Nursing as a Profession Sherpath Lesson)

Question 69

+2-4 years of education with specific area of practice. Four specialties (CNM, NP, CNS, CRNA) and educator, researcher, administrator

Answer 69

MSN (Nursing as a Profession Sherpath Lesson)

Question 70

DNS/DSN and PhD are considered ____ degrees

Answer 70

Terminal (Nursing as a Profession Sherpath Lesson)

Question 71

______ education involves educational programs offered by universities, hospitals, state nurses’ associations, professional nursing organizations, and educational and health care institutions.

Answer 71

Continuing (Potter1)

Question 72

_____ education programs are instruction or training programs provided by a health care agency or institution.

Answer 72

In-service (Potter1)

Question 73

The ______ has the following steps: recognize cues, analyze cues. prioritize hypotheses. generate solutions, take action. evaluate outcomes

Answer 73

Clinical Judgement Measurement Model (CJMM) (Nursing & Nursing Practice Sherpath Lesson)

Question 74

What are the components of the Clinical Judgement Measurement Model?

Answer 74

Recognize cues, analyze cues, prioritize hypothesis, generate solutions, take actions, evaluate outcomes. (Nursing & Nursing Practice Sherpath Lesson)

Question 75

What are the five categories of the professional identity?

Answer 75

Doing, being, acting ethically, flourishing, and changing identities (Giddens37)

Question 76

______ or the consensus or sociological perspective, incorporates the societal and professional codes and standards that are part of the nursing discipline. Strong focus on doing in new role.

Answer 76

Doing (Giddens37)

Question 77

______ or the personal or psychological view of the nurse professional, explains what it means to do the right thing even when no one is looking.

Answer 77

Being (Giddens37)

Question 78

_______ is a critical component of professional identity and professional identity formation. “Live according to principles” - Socrates

Answer 78

Acting ethically or doing the right thing, (Giddens37)

Question 79

A transformational or human ______ perspective is necessary for professional identity to move past the initial phases of formation

Answer 79

flourishing (Giddens37)

Question 80

________ is a reworking of the person’s identity occurs in order to resolve this new developmental issue final attribute of professional identity and the process of professional identity formation.

Answer 80

Changing identities (Giddens37)

Question 81

Doing, being, acting ethically, flourishing, and changing identities are all subcategories of what?

Answer 81

Professional identity formation (Giddens37)

Question 82

________ provide the guidelines for implementing and evaluating nursing care.

Answer 82

Nursing standards (Potter1 Key Points)

Question 83

What changes in society affect the practice of nursing?

Answer 83

health care reform, changing demographic patterns, increases in the medically underserved population, and increased consumerism (Potter1 Key Points)

Question 84

___________ have an impact on educational standards and certifications, specialty practice, consumerism, and patient advocacy.

Answer 84

Professional nursing organizations (Potter1 Key Points)

Question 85

______consists of holistic activities that concentrate on the comprehensive needs of patients and the provision of quality care.

Answer 85

Nursing (Nursing & Nursing Practice Sherpath Lesson)

Question 86

Hailed as the founder of modern nursing, ________ emerged in the 1850s as the first among many nurse leaders. She worked to revolutionize care provided to the poor and needy.

Answer 86

Florence Nightingale (Nursing & Nursing Practice Sherpath Lesson)

Question 87

________ and _______ affect nursing and have assisted in the transformation and evolution of nursing practice over previous generations.

Answer 87

Societal trends and technological advances (Nursing & Nursing Practice Sherpath Lesson)

Question 88

Nursing practice is governed by _______ and necessitates combining knowledge and practice standards with a compassionate approach to patient care to meet the multidimensional needs of patients.

Answer 88

state nurse practice acts (Nursing & Nursing Practice Sherpath Lesson)

Question 89

A______ is an occupation that has a clear standard of education related to a specific body of knowledge.

Answer 89

profession (Nursing as a Profession Sherpath Lesson)

Question 90

Nurses meet the criteria for a______ with altruism, body of knowledge and research, accountability, higher education, autonomy, code of ethics, professional organization, licensure, and diversity.

Answer 90

profession (Nursing as a Profession Sherpath Lesson)

Question 91

________ are laws that provide the scope of practice as defined by each state or jurisdiction.

Answer 91

Nurse practice acts (Nursing as a Profession Sherpath Lesson)

Question 92

The _________, published by the ANA, serves as the set of legal criteria that sets the standard for patient care.

Answer 92

Standards of Nursing Practice (Nursing as a Profession Sherpath Lesson)

Question 93

The ______________ advocates for accountability, responsibility, and integrity in nursing practice while maintaining quality health care.

Answer 93

ANA Code of Ethics for Nurses (Nursing as a Profession Sherpath Lesson)

Question 94

________ is the process by which an individual integrates into a profession.

Answer 94

Professional socialization (Nursing as a Profession Sherpath Lesson)

Question 95

Nurses learn the norms, attitudes, behaviors, skills, roles, and values through ____________

Answer 95

mentors, preceptorships, certifications, and membership in professional organizations. (Nursing as a Profession Sherpath Lesson)

Question 96

Nurses learn the _____________ through mentors, preceptorships, certifications, and membership in professional organizations.

Answer 96

norms, attitudes, behaviors, skills, roles, and values (Nursing as a Profession Sherpath Lesson)

Question 97

The student nurse progresses from novice to advanced beginner during nursing school and attains the competent level after ________ of work experience after graduation.

Answer 97

approximately 2 to 3 years (Nursing as a Profession Sherpath Lesson)

Question 98

Proper documentation must be _____, _____, ____, _____, _____, and _____

Answer 98

Factual, accurate, abbreviated appropriately, current, organized, and complete. (InformaticsPPT)

Question 99

_________ system that allows health care providers to directly enter standardized, legible, and complete orders for patient care into a medical record from any computer in the HIS. Advanced _____ systems have built-in clinical decision support tools and alerts to help a health care provider select the most appropriate medication or diagnostic test and automatically check for drug interactions, medication allergies, and other potential problems. The direct entry of orders by providers eliminates safety issues related to illegible handwriting and transcription errors. ____ systems have significant potential to reduce medication errors associated with inappropriate drug use and dosing

Answer 99

Computerized provider order entry (CPOE) (Potter26)

Question 100

______ during medication administration has been associated with a reduction in medication administration errors.

Answer 100

Bar-code use (Sherpath Informatics)

Question 101

_______ is a discipline in which health data are stored, analyzed, and disseminated through the application of information and communication technology. Involves the use of technology and information systems to support the healthcare industry.

Answer 101

Health informatics (Giddens46)

Question 102

_______ is a branch of engineering that studies computation and computer technology, hardware, and software, as well as the theoretical foundations of information and computation techniques. It is the study of the theoretical foundations of information and computation as these techniques relate to implementation and application of computer systems.

Answer 102

Computer science (Giddens46)

Question 103

______ is to processes as health information technology is to tools

Answer 103

Health informatics

Question 104

_________ is the application of information processing involving both computer hardware and computer software that deals with the storage, retrieval, sharing, and use of healthcare data, information, and knowledge for communication and decision making. Most promising tool for improving the overall quality, safety, and efficiency of the health delivery system. (Giddens46)

Answer 104

Health Information Technology (health IT)

Question 105

_______ is the use of information systems and other information technology to record, monitor, and deliver patient care, and to perform managerial and organizational functions in health care

Answer 105

Health information technology (HIT) (Potter26)

Question 106

________ is the specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing and informatics practice. Graduate level.

Answer 106

Nursing informatics (potter26)

Question 107

Purposes of the Health Care Record include:

Answer 107

Health care record is the most current and accurate, continuous source of information about a patient’s health care status, allowing the plan of care to be clear to anyone who accesses the recordroviding a legal record of care provided and justification for financial billing and reimbursement of care, Used to audit, monitor, and evaluate care provided to support the process needed for quality and performance improvement, and Resource for education and research (potter 26)

Question 108

________ is the most current and accurate, continuous source of information about a patient’s health care status, allowing the plan of care to be clear to anyone who accesses the record

Answer 108

Health care record (potter 26)

Question 109

______ is one of the best defenses for legal claims associated with nursing care

Answer 109

Accurate documentation (potter 26)

Question 110

Mistakes in documentation can result in______,

Answer 110

malpractice (potter 26)

Question 111

_______ offer information on recurrent health care problems, specific patient incidents, and whether health care providers follow standards of care. They help to identify areas for improvement and staff development.

Answer 111

Audits of health records (potter 26)

Question 112

A variety of methods, such as limiting who can access electronic health records, firewalls, spyware detection software, automatic sign-offs, and the use of strong passwords are used to

Answer 112

secure the confidentiality of PHI in the EHR. (Potter 26 Key Points)

Question 113

Who can have legitimate access to a patient’s health record?

Answer 113

Only members of the health care team who are directly involved in a patient’s care (Potter26 Key Points)

Question 114

When information relevant to care is communicated by telephone, documentation includes:

Answer 114

when the call was made, the number called, who made the call, who was called, to whom information was given, what information was given, what information was received, and verification of information through use of a read-back process. (Potter 26 KeyPoints)

Question 115

The ______ facilitates patient care by providing the right information to the right person and the right time. It is also a legal source of patient-related information requiring completeness, accuracy, and availability.

Answer 115

electronic health record (Sherpath Key Points)

Question 116

The electronic health record contains a complete patient history to assist in providing appropriate evidence-based care.

Answer 116

electronic health record (Sherpath Key Points)

Question 117

Two types of data that nurses document are

Answer 117

objective (observed and measurable) and subjective (patient perception).

Question 118

______ regulations require confidentiality, security, and privacy of all patient-related data and information.

Answer 118

HIPAA Privacy and Security

Question 120

_______ is the application of information and communication technologies to the delivery of healthcare services

Answer 120

Clinical informatics (Giddens46)

Question 121

_________ (also known as a patient care information system) is a large, computerized database management system that is used to access patient data needed to plan, implement, and evaluate care.

Answer 121

Clinical information system (CIS) (Potter26)

Question 122

Health informatics is to processes as _______ is to tools

Answer 122

Health Information Technology

Question 123

Advantages of CIS include:

Answer 123

Better access to information, enhanced quality of documentation through prompts, reduced erros of omission, reduced hospital costs, increased nurse job satisfaction, adherence to requirements of accrediting agencies (TJC), development of a common clinical database, and the ability to track track records. (Potter26)

Question 124

_______ is a discipline that sorts, enhances, processes, operates on, organizes, makes usable, and retrieves information related to human health and illness through the application of technology for the purpose of sharing data, information, knowledge, and wisdom among health providers, among consumers, and across organizations.

Answer 124

Health informatics (Giddens46)

Question 125

The Standards of Nursing Practice has two parts: Part 1 focuses on ________, and part 2 focuses on __________

Answer 125

1: the six responsibilities of the nursing process 2: professional performance (Nursing as a Profession Sherpath Lesson)

Question 126

Usually a 4-yr program. Recommendations of 80% nursing force hae this in 2020.

Answer 126

BSN (Nursing as a Profession Sherpath Lesson)