Chapter 15: Nursing Informatics

Chapter 15: Nursing Informatics

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The integration of nursing, computers, and information science for the management and communication of data, information, knowledge, and wisdom is:

a.	nursing informatics.
b.	computer science.
c.	medical informatics.
d.	informatics.

 

 

ANS:  A

Informatics is a broad academic field encompassing artificial intelligence, cognitive science, computer science, information science, and social science. Medical informatics refers to informatics related to health care and describes a distinct specialty in the discipline of medicine. Nursing informatics is a specialty area of informatics that addresses the use of health information systems to support nursing practice. The American Nurses Association (ANA, 2008) states that the specialty of nursing informatics integrates nursing computer and information science for the management and communication of data, information, knowledge, and wisdom.

 

DIF:    Remembering                                 REF:   p. 206             OBJ:   15.1

TOP:   Assessment

MSC:  NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

NOT:  Concepts: Technology and Informatics

 

2. The hospital has recently implemented computer charting. The computerization of nursing practice:

a.	enhances and increases the time spent on documentation.
b.	makes patient data immediately available to the health care team.
c.	makes retrieval of data more difficult but safer.
d.	is enhanced by limiting the use of point-of-care technology.

 

 

ANS:  B

Patient data collected by a nurse and recorded electronically are immediately available to all members of the health care team. The computerization of nursing practice data enables capture, storage, retrieval, organization, processing, and analysis of information. The information can be used to make a diagnosis, plan for care, provide nursing decision support, enhance documentation, and identify nursing care trends and costs. Systems that support data collection at the point of care can directly enhance patient care by decreasing the time spent on documentation, reducing the potential for errors, and supporting improved assessment and data communication. Computers, tablets, or pocket devices used at the bedside for documentation are examples of point-of-care technology.

 

DIF:    Understanding                                 REF:   p. 206             OBJ:   15.1

TOP:   Assessment

MSC:  NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

NOT:  Concepts: Technology and Informatics

 

3. Nurses working surrounded by computers and mobile IT must develop skills in the use of all available technology. At the same time, it is important to recognize that:

a.	the technology in use today will be the same tomorrow.
b.	cell phones are not usually allowed in the acute care setting.
c.	most forms of mobile technology are in violation of HIPAA guidelines.
d.	the technology supports bedside and remote charting.

 

 

ANS:  D

Nurses working surrounded by computers and mobile IT must develop skills in the use of all available technology. At the same time, it is important to recognize that the rapid advancement of IT means that the technology in use today may be entirely different tomorrow. Some facilities have computer access at every bedside, and others have mobile computers, sometimes called workstations on wheels (WOWs), that can be taken to each bedside. Nurses using technology as part of patient care need to work within facility policy and HIPAA guidelines. The technology supports bedside and remote charting. Nurses may use a portable device such as a smartphone or tablet computer to access reference materials, including medical information and vast amounts of drug information. Some facilities issue these devices to staff.

 

DIF:    Understanding                                 REF:   pp. 206-207    OBJ:   15.2

TOP:   Assessment

MSC:  NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

NOT:  Concepts: Technology and Informatics

 

4. The home health nurse provides care for a patient with congestive heart failure. Daily the patient weighs himself and takes his own temperature, pulse, respirations and blood pressure. That information is sent as electronic data to the patient’s physician and nurse daily to make adjustments to the plan of care as indicated. This is an example of:

a.	telehealth nursing.
b.	computerized decision support system (DSS).
c.	computerized provider order entry (CPOE).
d.	point of care technology.

 

 

ANS:  A

Telehealth nursing is the transmission by a nurse of electronic data, images, or audio from a patient’s bedside or home to other health providers for the purpose of providing care and improving outcomes. Patients may have telehealth hardware in their homes to provide in-home monitoring and direct reporting to their health care providers. Computerized decision support systems (DSSs) include safe practice alerts and reminders that improve the quality of care. Some DSSs assist in determining a correct diagnosis and choosing an appropriate medication. Computerized provider order entry (CPOE) allows orders to be directly communicated to the appropriate department—diet orders to dietary, medication orders to the pharmacy, laboratory orders to the laboratory. Computers, tablets, or pocket devices used at the bedside for documentation are examples of point-of-care technology. Patient data collected by a nurse and recorded electronically are immediately available to all members of the health care team.

 

DIF:    Understanding                                 REF:   pp. 206-207    OBJ:   15.2

TOP:   Assessment

MSC:  NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

NOT:   Concepts: Technology and Informatics