Chapter 11: Caring, Communicating, and Managing with Technology

Chapter 11: Caring, Communicating, and Managing with Technology

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A nurse manager was orienting new staff members to computerized charting. To understand computerized charting, staff members must understand informatics. The three core concepts in informatics are:

a.	Hardware, software, and printers.
b.	Data, information, and knowledge.
c.	Decision making, data gathering, and reporting.
d.	Wireless technology, voice recognition, and handheld devices.

 

ANS:   B

Informatics is the application of technology to all fields of nursing to facilitate and extend nurses’ decision-making abilities and to support nurses in the use, storage, and linkage of clinical information to provide effective and efficient patient care.

 

REF:    Pages 208, 209                        TOP:    AONE competency: Business Skills

 

2. The nursing manager of a surgical unit has been asked by administration to evaluate client outcomes post cardiac catheterization. Using data about client outcomes post cardiac catheterization for the past 6 months so as to modify practice is an example of:

a.	Information.
b.	Cost-effective care.
c.	Meeting standards.
d.	Evidence-based practice.

 

ANS:   D

Evidence-based practice is a systematic approach to clinical decision making; to provide the most consistent and best possible care to patients in this scenario, evidence is being used to support care for patients post cardiac catheterization.

 

REF:    Page 211         TOP:    AONE competency: Knowledge of Healthcare Environment

3. Mr. Cruiser has been surfing the web. He is looking for healthcare information on low back pain. He shows the clinic nurse a Webpage he thinks is great and tells her that he has been following the exercises recommended by the author. He wants to know what she thinks about the site. When the clinic nurse evaluates this site, she discovers that its author is a personal trainer. No credentials are listed. In several testimonials on the page, people (their pictures are included) say how wonderful they feel after having done these exercises. The exercises all have animated demos when you click on the pertinent highlighted text or icon. They seem easy to follow. The site was posted five years earlier and was last updated three years before. The clinic nurse advises Mr. Cruiser to:

a.	Avoid this site.
b.	Check with his primary healthcare provider.
c.	Continue with the exercises.
d.	Contact the author for additional exercise and feedback.

 

ANS:   A

Not all information that appears on the Internet is reliable or credible, and patients need coaching as to how to use and decipher information that is available through the Internet. In this situation, the provider on the site lacks credibility because no credentials are listed, and the information is not current.

 

REF:    Pages 219, 220                        TOP:    AONE competency: Business Skills

 

4. A nurse practitioner who manages his own practice offers his clients the option of contacting him via e-mail between visits. This allows his clients to request prescription renewals and educational materials and to ask nonemergency questions about their conditions. At times, this is convenient for both the clients and himself. Additionally, he should tell his clients that they:

a.	Can send urgent messages.
b.	Should wait up to 24 hours for a response from him.
c.	Should omit sending their names because they are in the e-mail addresses.
d.	Can ask about sensitive topics because no one sees the e-mails but himself.

 

ANS:   B

The provider has a responsibility to inform the patient as to when a response might be expected.

 

REF:    Page 208         TOP:    AONE competency: Business Skills

 

5. The clinic nurse has just accessed a client’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 client’s chart. She should 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.”

 

ANS:   D

Passwords must be protected to guard against unauthorized access to patient information and intrusion of privacy.

 

REF:    Pages 222, 223                        TOP:    AONE competency: Business Skills