Exam (elaborations)
Chapter 15 Nursing Informatics
- Course
- Fundamentals of Nursing
- Institution
- Oxford College Of Emory University
Chapter 15 Nursing Informatics
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Content preview
DAWITChapter 15: Nursing Informatics
Yoost & Crawford: Fundamentals of Nursing: Active Learning for Collaborative
Practice, 3RD Edition
MULTIPLE CHOICE
1. The nurse knows the integration of nursing, computers, and information science for the
management and communication of data, information, knowledge, and wisdom is identified
by which term?
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, 2015) 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 OBJ: 15.1 TOP: Assessment
MSC: NCLEX Client Needs CN ategR
ory:I
SafeGanB .fC
dE fectiM
ve Care Environment: Management of Care
NOT: Concepts: Technology andUInfS
ormN
aticsT O
2. The hospital has recently implemented computer charting. The nurse knows the
computerization of nursing practice has what impact?
a. It enhances and increases the time spent on documentation.
b. It makes patient data immediately available to the health care team.
c. It makes retrieval of data more difficult but safer.
d. It 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 OBJ: 15.1 TOP: Assessment
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
NOT: Concepts: Technology and Informatics
, DAWIT
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 for nurses to recognize what fact?
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 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 adjust
the plan of care as indicated. The nurse understands this is an example of which concept?
a. Telehealth nursing NURSINGTB.COM
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 OBJ: 15.2 TOP: Assessment
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
NOT: Concepts: Technology and Informatics
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