Chapter 06 Handbook Of Informatics for Nurses & Healthcare Professionals 5th Edition

Chapter 06 Handbook Of Informatics for Nurses & Healthcare Professionals 5th Edition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

Medication errors have been on the rise over the past decade. A national initiative to minimize or eliminate the errors can be supported through which of the following responses?

1. Electronic medical administration records are generated weekly and compared to the clients’ physician orders.
2. The client’s medication administration record is compared to the client’s identification bracelet before the medication is given.
3. The bar codes of the nurse, client’s identification bracelet, and prescription medication are scanned and compared.
4. The client’s medication administration record bar code is compared to the clients’ prescription medications.

Correct Answer: 3

Rationale 1: Scanning bar codes at the point of care decreases the probability of the nurse making medication errors. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right client. Bar coding systems often include warnings for high-risk drugs, for medications with sound-alike names, for maximum dosages, and dosage discrepancies. All the other examples are insufficient or are performed away from the clients themselves.

Rationale 2: Scanning bar codes at the point of care decreases the probability of the nurse making medication errors. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right client. Bar coding systems often include warnings for high-risk drugs, for medications with sound-alike names, for maximum dosages, and dosage discrepancies. All the other examples are insufficient or are performed away from the clients themselves.

Rationale 3: Scanning bar codes at the point of care decreases the probability of the nurse making medication errors. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right client. Bar coding systems often include warnings for high-risk drugs, for medications with sound-alike names, for maximum dosages, and dosage discrepancies. All the other examples are insufficient or are performed away from the clients themselves.

Rationale 4: Scanning bar codes at the point of care decreases the probability of the nurse making medication errors. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right client. Bar coding systems often include warnings for high-risk drugs, for medications with sound-alike names, for maximum dosages, and dosage discrepancies. All the other examples are insufficient or are performed away from the clients themselves.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 2

Type: MCSA

Which of the following is the best example of a monitoring system?

1. Manual blood pressure of 132/82 is entered into the vital sign section of the graphic sheet.
2. The automatic blood pressure machine takes one reading of 164/104 and is turned off.
3. Blood glucose readings of 162 for 7:30 a.m. and 198 for 11:30 a.m. are obtained and entered into the computer system.
4. A temperature probe is connected to the pulmonary artery catheter to continuously monitor core temperature.

Correct Answer: 4

Rationale 1: Monitoring systems are devices that automatically monitor biometric measurements. The best monitoring systems, such as the temperature probe, obtain data electronically and transmit the data to be stored in the client’s electronic medical record. Manual inputs are possible but are not the best way to record data.

Rationale 2: Monitoring systems are devices that automatically monitor biometric measurements. The best monitoring systems, such as the temperature probe, obtain data electronically and transmit the data to be stored in the client’s electronic medical record. Manual inputs are possible but are not the best way to record data.

Rationale 3: Monitoring systems are devices that automatically monitor biometric measurements. The best monitoring systems, such as the temperature probe, obtain data electronically and transmit the data to be stored in the client’s electronic medical record. Manual inputs are possible but are not the best way to record data.

Rationale 4: Monitoring systems are devices that automatically monitor biometric measurements. The best monitoring systems, such as the temperature probe, obtain data electronically and transmit the data to be stored in the client’s electronic medical record. Manual inputs are possible but are not the best way to record data.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 3

Type: MCMA

Which of the following supports the automation of nursing documentation?

Standard Text: Select all that apply.

1. The use of standardized nursing languages (SNLs) accepted by the American Nurses Association
2. The use of a SOAP note in narrative form to support assessment of client cardiopulmonary system
3. The use of interventions such as “turn, cough, and deep breathe” as determined by the Nursing Interventions Classifications (NIC)
4. The use of client-specific charting by exception, addressing only exceptions to normal
5. The use of nursing diagnoses such as “Alteration of Comfort” as defined by the North American Nursing Diagnosis Association (NANDA)

Correct Answer: 1,3,5

Rationale 1: Standardized nursing languages, including NANDA and NIC (also Nursing Outcomes Classification, (NOC)), support automation of nursing documentation so that comparisons among data may be made. These remove the ambiguity of meaning found in other documentation systems. The SOAP note and the charting by exception choices are not standardized and do not support the automation of nursing documentation.

Rationale 2: Standardized nursing languages, including NANDA and NIC (also Nursing Outcomes Classification, (NOC)), support automation of nursing documentation so that comparisons among data may be made. These remove the ambiguity of meaning found in other documentation systems. The SOAP note and the charting by exception choices are not standardized and do not support the automation of nursing documentation.

Rationale 3: Standardized nursing languages, including NANDA and NIC (also Nursing Outcomes Classification, (NOC)), support automation of nursing documentation so that comparisons among data may be made. These remove the ambiguity of meaning found in other documentation systems. The SOAP note and the charting by exception choices are not standardized and do not support the automation of nursing documentation.

Rationale 4: Standardized nursing languages, including NANDA and NIC (also Nursing Outcomes Classification, (NOC)), support automation of nursing documentation so that comparisons among data may be made. These remove the ambiguity of meaning found in other documentation systems. The SOAP note and the charting by exception choices are not standardized and do not support the automation of nursing documentation.

Rationale 5: Standardized nursing languages, including NANDA and NIC (also Nursing Outcomes Classification, (NOC)), support automation of nursing documentation so that comparisons among data may be made. These remove the ambiguity of meaning found in other documentation systems. The SOAP note and the charting by exception choices are not standardized and do not support the automation of nursing documentation.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome: