978-0132574952 Chapter 06 Part 1

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Hebda, Handbook of Informatics, 5/e Test Bank

Chapter 6

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.

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.

Question 3

Hebda, Handbook of Informatics, 5/e Test Bank

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)

Question 4

Type: MCSA

Which of these is an example of a decision support system (DSS)?

1. A system used to schedule client visits for follow up care after extensive abdominal surgery

2. A system used to register clients who are admitted to an acute health care facility for surgery

3. A system used by emergency room administration to bill clients once their diagnoses are verified

4. A system used by physicians to provide suggestions for diagnostic tests according to selected admitting

diagnoses

Question 5

Type: MCSA

Which statement indicates the nurse is correctly documenting according to a critical pathway?

1. Nursing documentation is entered separately from that of other health care team members

2. Nursing documentation is entered in nursing diagnoses and outcome statements framework

3. Variances are identified if client outcomes are not as anticipated

4. Only one critical pathway is selected at a given time for a given client

Hebda, Handbook of Informatics, 5/e Test Bank

Question 6

Type: MCSA

Which of these is an advantage of implementing a computerized order entry system?

1. Physicians argue for the option to continue traditional methods for ordering

2. Each department is notified simultaneously as orders are processed through the system

3. Increased system access or response time is available to the health care provider

4. Clinicians readily accept the new system, related to work process changes

Question 7

Type: MCSA

Which of the following is characteristic of an automated radiology information system (RIS)?

1. Once a test is completed, the film is scanned to an optical imaging disc.

2. As each test is ordered, the user is prompted to answer questions such as the purpose of the test.

3. Images may be faxed to other institutions for timely consultations.

4. As soon as the test is performed, the system interprets the results and sends an electronic report.

Question 8

Hebda, Handbook of Informatics, 5/e Test Bank

Type: MCMA

Which of the following are true about using automated pharmacy systems?

Standard Text: Select all that apply.

1. An automated system pulls in laboratory results and client information from the HIS more quickly to identify

allergy and interaction problems.

2. Costs for operating automated pharmacy systems are not as important as the improved communication among

departments.

3. Expenses used in starting up an automated pharmacy system are considerable, including personnel training.

4. The use of these systems is limited only to pharmacists.

5. Individual client data is integrated and provides the pharmacist with up-to-date information.

Question 9

Type: FIB

Hebda, Handbook of Informatics, 5/e Test Bank

___________________________ aid in and strengthen the selection of viable options using the information of an

organization or a field to facilitate decision making and overall efficiency.

Standard Text:

Correct Answer: Decision support systems

Rationale : Decision support systems aid in and strengthen the selection of viable options using the information

of an organization or a field to facilitate decision making and overall efficiency. Decision support software

organizes information to fit new environments. It provides analysis and advice to support a choice. The final

decision rests with the practitioner.

Global Rationale:

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

Question 10

Type: FIB

____________________________ are large, computerized database management systems that support several

types of activities that may include provider order entry, result retrieval, documentation, and decision support

across distributed locations.

Standard Text:

Correct Answer: Clinical information systems

Rationale : Clinical information systems (CISs) are large, computerized database management systems that

support several types of activities that may include provider order entry, result retrieval, documentation, and

decision support across distributed locations.

Global Rationale:

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

Question 11

Type: FIB

Hebda, Handbook of Informatics, 5/e Test Bank

A nursing information system should identify variances to the anticipated outcomes as they are charted and

provide aggregate variance data for analysis by the providers. This information can be used to fine tune and

improve _______________________________, thereby contributing to improved client outcomes.

Standard Text:

Correct Answer: critical pathways

Rationale : The system should identify variances to the anticipated outcomes as they are charted and provide

aggregate variance data for analysis by the providers. This information can be used to fine tune and improve the

critical pathways, thereby contributing to improved client outcomes. The critical pathway or protocol approach

to nursing documentation is an approach used in automated nursing information systems and it is often use in a

multidisciplinary manner, with many types of care providers accessing the system for information and to

document care.

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 12

Type: MCSA

Which of the following describes home care information systems?

1. Supports the way that users function, and allows flexibility and improved access to information and tools

2. Uses monitoring technology which, when integrated into information systems, provides a way to care for the

target population

3. Requires integration for the improvement of quality of care and business survival

4. Provides assistance to organizations to better manage their resources and improve efficiency