Chapter 19 Leadership And Management Nurses Core Competencies 3rd Edition By Finkelman

Chapter 19 Leadership And Management Nurses Core Competencies 3rd Edition By Finkelman

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCMA

The nursing student states, “I use information and technology all the time to keep in touch with my friends and family. I didn’t know it was used in healthcare, too.” Which statements, made by a fellow student, would explain the healthcare uses of information and technology?

Standard Text: Select all that apply.

1. “I read that information and technology have improved patient safety and quality of care.”
2. “The textbook says that information and technology have improved efficiency and effectiveness of interprofesssional practice.”
3. “The simulators we use in lab practice are a result of information and technology improvements.”
4. “Information and technology have allowed nurses better ability to connect emotionally with their patients.”
5. “The automated medication system we use in clinical is a result of advances in information and technology.”

Correct Answer: 1,2,3,5

Rationale 1: Advances in information and technology have improved patient safety and quality of care.

Rationale 2: This is one of the seven issues reflecting the broad impact of technology in the healthcare environment.

Rationale 3: Laboratory simulators have developed as a result of new technologies and use of information.

Rationale 4: There is concern that use of technology may distance the nurse from the patient, interfering with the personal connectivity that has long been the domain of nursing.

Rationale 5: Automated medication systems are another development that can be traced to technology and information.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; IV. Information management and application of patient care technology; VI. Interprofessional communication and collaboration for improving patient health outcomes

NLN Competencies: relationship centered care; teamwork, informatics

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 01. Discuss the importance of informatics and technology to nursing.

Page: pp. 448-449

 

Question 2

Type: MCSA

The patient expresses concern about the confidentiality of his medical information since, “so much of it gets faxed around nowadays.” How should the nurse respond to this concern?

1. “The hospital follows the Health Insurance Portability and Accountability Act, which identifies steps we must take to keep your information confidential.”
2. “Since computers have moved away from linear thinking to a greater systems approach, concerns about information confidentiality have decreased.”
3. “We use point-of care, a documentation system that will not allow your information to be shared.”
4. “This is a really big concern. You never know who could be reading those faxes that we send. There is no way to be sure that they are really going to the person they are sent to.”

Correct Answer: 1

Rationale 1: This statement is correct and helps assure the patient that efforts to protect his confidentiality are being taken. It is the best response.

Rationale 2: This is a confusing answer to patients and is not on point for the statement made.

Rationale 3: This statement is not true and does not address the patient’s real concern. It sounds like a statement that would be made to “skirt” the issue.

Rationale 4: This statement may have some truth. It is not the best response to a patient who is already concerned about his confidentiality.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; IV. Information management and application of patient care technology; VI. Interprofessional communication and collaboration for improving patient health outcomes

NLN Competencies: relationship centered care; teamwork, informatics

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 02. Examine critical issues related to privacy,confidentiality, and informatics.

Page: p. 451

 

Question 3

Type: MCSA

Which technologic advancement would improve emotional connectivity while providing patient care?

1. Using a laptop computer in the patient’s room.
2. Using telemedicine for consults.
3. Using point-of-service bar coding for documentation.
4. Using personal data assistants (PDAs) to access information.

Correct Answer: 2

Rationale 1: Using the laptop while in the patient room can be a time-saver, but also draws the provider’s attention to the machine, not the patient.

Rationale 2: Telemedicine can improve connectivity if used with the goal of doing so. The technology can be used to talk to the patient, visualize the patient for assessment, and to allow the patient to “see” the provider. This is much more connected than a provider calling another provider with information for a consult.

Rationale 3: Until patients become more accustomed to this technology, it can be somewhat “off-putting.” Many correlate this technology as impersonal and much like groceries being scanned at the supermarket.

Rationale 4: The PDA is certainly a nice tool for accessing information, but can come between the patient and the provider if the provider is spending more time interacting with the PDA or smartphone than the patient.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; IV. Information management and application of patient care technology; VI. Interprofessional communication and collaboration for improving patient health outcomes

NLN Competencies: relationship centered care; teamwork, informatics

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 05. Critique the implications of health informatics and medical technology to nursing

practice and health care focusing on practice, management, nursing education, patient education, nursing research, quality improvement, and reimbursement

Page: p. 456

 

Question 4

Type: MCMA

The nurse answers a “nurse call” line for a hospital. Which resources will this nurse use to guide patients using this technology?

Standard Text: Select all that apply.

1. Protocols
2. Research articles
3. Algorithms
4. Guidelines
5. Internet search engines

Correct Answer: 1,3,4

Rationale 1: Protocols define the ongoing care or management of a broad problem or issue. They direct the advice/triage/education/counseling process commonly used when answering “nurse call” lines.

Rationale 2: Research and evidence-based practice are used in general to provide care; however, they are not specific tools used in practice.

Rationale 3: An algorithm prescribes what steps to take given particular circumstances or characteristics. These tools may be used by this nurse.

Rationale 4: Guidelines are typically a more narrative description of assessment steps that include education and counseling text to support the nurse during calls.

Rationale 5: Internet search engines can help obtain information, but is not a tool generally used specifically in this situation.

Global Rationale: NA

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; IV. Information management and application of patient care technology; VI. Interprofessional communication and collaboration for improving patient health outcomes

NLN Competencies: relationship centered care; teamwork, informatics

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 05. Critique the implications of health informatics and medical technology to nursing

practice and health care focusing on practice, management, nursing education, patient education, nursing research, quality improvement, and reimbursement

Page: pp. 455