Chapter 09 My Nursing Test Banks

Kozier & Erbs Fundamentals of Nursing, 10/E
Chapter 09

Question 1

Type: MCSA

The nurse needs to complete mandatory continuing education on client safety as part of a regulatory requirement for the hospital. Which computerized approach should the nurse consider to complete this required education?

1. Complete a computerized tutorial on client safety

2. Read information on safety from a web site

3. Review the online hospital policies about client safety

4. Complete a literature review on client safety

Correct Answer: 1

Rationale 1: Nursing has benefited from the computer revolution in the form of computer-assisted instruction (CAI). Programs cover a variety of topics which allow almost instant access to any content. Completion of CAI programs may also be an acceptable means of demonstrating continuing education activities.

Rationale 2: Reading information from a web site does not necessarily indicate completion of education on client safety.

Rationale 3: Reviewing policies online does not necessarily indicate completion of education on client safety.

Rationale 4: Completing a literature review on client safety would not indicate that education on this topic has been completed.

Global Rationale:

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Safety and Infection Control

QSEN Competencies: VI. B. 2. Apply technology and information management tools to support safe processes of care

AACN Essentials Competencies: IV. 1. Demonstrate skills in using patient care technologies, information systems, and communication devices that support safe nursing practice

NLN Competencies: Knowledge and Science; Practice; Use Databases for practice, administrative, education, and/or research purposes; document via electronic health records; use software applications related to nursing practice

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 1. Describe the uses of computers and technology in nursing education.

MNL Learning Outcome: 1.2.3. Examine the factors affecting health care delivery.

Page Number: 131

Question 2

Type: MCSA

A nurse manager is responsible for scheduling the staff of all units in a critical care hospital. Which program should the manager use for computerized scheduling?

1. Database

2. Word processing

3. Graphics program

4. Spreadsheet

Correct Answer: 4

Rationale 1: A database is used to manage detailed information. That is not the application described here.

Rationale 2: Word processing is one of the most commonly used computer applications. Documents are checked for spelling and grammar, and individualized to include pictures, charts, and designs. That is not the application described here.

Rationale 3: Graphics programs have become popular for their ability to create charts, tables, and pictures. That is not the application described here.

Rationale 4: Spreadsheets are programs that can manipulate numbers. Data are arranged in columns and rows. Spreadsheets are used for budgets and are useful for working with staffing, scheduling, invoicing, research, and other analyses.

Global Rationale:

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Safety and Infection Control

QSEN Competencies: VI. B. 2. Apply technology and information management tools to support safe processes of care

AACN Essentials Competencies: IV. 1. Demonstrate skills in using patient care technologies, information systems, and communication devices that support safe nursing practice

NLN Competencies: Knowledge and Science; Practice; Use Databases for practice, administrative, education, and/or research purposes; document via electronic health records; use software applications related to nursing practice

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 3. Identify computer applications used in client assessment and care.

MNL Learning Outcome: 1.2.3. Examine the factors affecting health care delivery.

Page Number: 130

Question 3

Type: MCSA

A client tells the nurse about researching on the Internet for information about a newly prescribed medication. What should the nurse respond to the client?

1. Im glad youre interested in your therapy.

2. Information on the Internet cannot be trusted. You should check with your pharmacist.

3. Your physician is the one you should be asking these kinds of questions.

4. Lets look at some of the sites youve been visiting.

Correct Answer: 4

Rationale 1: Although being involved in ones care is desirable, there are concerns related to information accessed on the Internet.

Rationale 2: This statement is not necessarily true, although there are concerns about information accessed on the Internet.

Rationale 3: Although this statement isnt incorrect, the client should be able to access reliable information in order to be well informed.

Rationale 4: Thousands of health-related sites exist on the Internet, with new ones occurring daily. There are no controls to ensure that information provided on these sites is accurate. Therefore, the nurse should help the client find reliable and accurate information. Clients are involved consumers. Wanting more information about their medications, disease processes, and treatment options is taking a proactive approach to their own care. It is appropriate to ask questions and seek information from a variety of sources. However, nurses must assist clients in making sure the information they gather is credible and accurate.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: VI. B. 2. Apply technology and information management tools to support safe processes of care

AACN Essentials Competencies: IV. 1. Demonstrate skills in using patient care technologies, information systems, and communication devices that support safe nursing practice

NLN Competencies: Knowledge and Science; Practice; Use Databases for practice, administrative, education, and/or research purposes; document via electronic health records; use software applications related to nursing practice

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 3. Identify computer applications used in client assessment and care.

MNL Learning Outcome: 1.2.3. Examine the factors affecting health care delivery.

Page Number: 130

Question 4

Type: MCSA

The nurse wants to search for articles having to do with a client care problem. Which database should the nurse use to find this information?

1. CINAHL

2. Google

3. ERIC

4. PsychINFO

Correct Answer: 1

Rationale 1: The Cumulative Index to Nursing and Allied Health Literature (CINAHL) focuses on nursing and allied health articles, including research. In this database, the user can search systematically for articles that are related to nursing research, peer reviewed, published, and so on.

Rationale 2: Google search engine gives a variety of sites, both health-related and non-health-related, but there are no controls for accuracy with this database.

Rationale 3: The Educational Resources Information Center (ERIC) would include all areas of academia, not just nursing.

Rationale 4: PsychINFO includes only psychological abstracts.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: VI. B. 2. Apply technology and information management tools to support safe processes of care

AACN Essentials Competencies: IV. 1. Demonstrate skills in using patient care technologies, information systems, and communication devices that support safe nursing practice

NLN Competencies: Knowledge and Science; Practice; Use Databases for practice, administrative, education, and/or research purposes; document via electronic health records; use software applications related to nursing practice

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 5. Identify the role of technology in each step of the research process.

MNL Learning Outcome: 1.2.3. Examine the factors affecting health care delivery.

Page Number: 131

Question 5

Type: MCSA

A small nursing program has limited access to clinical sites, especially those with specialty areas. What should the nurse educators consider as an option to allow students hands-on simulated clinical experience in these areas?

1. A field trip to a larger nursing institution

2. Videos

3. CAI

4. Workbook with written study guides

Correct Answer: 3

Rationale 1: Taking field trips might not be economically feasible.

Rationale 2: Videos also provide instruction, but not simulation.

Rationale 3: Computer-assisted instruction (CAI) helps students as well as nurses learn and demonstrate learning. Programs cover topics from drug dosage calculations to ethical decision making, drill and practice, simulation, and testing. CAI simulations can provide a virtual experience for the student through a computer program.

Rationale 4: Written study guides allow for learning, but not hands-on experience.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: VI. B. 2. Apply technology and information management tools to support safe processes of care

AACN Essentials Competencies: IV. 1. Demonstrate skills in using patient care technologies, information systems, and communication devices that support safe nursing practice

NLN Competencies: Knowledge and Science; Practice; Use Databases for practice, administrative, education, and/or research purposes; document via electronic health records; use software applications related to nursing practice

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 1. Describe the uses of computers and technology in nursing education.

MNL Learning Outcome: 1.2.3. Examine the factors affecting health care delivery.

Page Number: 131

Question 6

Type: MCSA

The nurse enrolled in graduate courses is able to continue studies while visiting abroad. What has this nurses nursing school implemented to make this possible?

1. Classroom technology

2. Distance learning

3. CAI

4. Informatics

Correct Answer: 2

Rationale 1: Classroom technology is just one piece of distance learning.

Rationale 2: Distance learning is a model to deliver information and class sessions via audio or video transmission. The use of computers is required to offer this type of delivery in education.

Rationale 3: Computer-assisted instruction (CAI), a method to allow for practice and simulation via CD-ROM, is only one component of distance learning.

Rationale 4: Nursing informatics is the science of using computer information systems in the practice of nursing, not necessarily the education of nursing.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: VI. B. 2. Apply technology and information management tools to support safe processes of care

AACN Essentials Competencies: IV. 1. Demonstrate skills in using patient care technologies, information systems, and communication devices that support safe nursing practice

NLN Competencies: Knowledge and Science; Practice; Use Databases for practice, administrative, education, and/or research purposes; document via electronic health records; use software applications related to nursing practice

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 1. Describe the uses of computers and technology in nursing education.

MNL Learning Outcome: 1.2.3. Examine the factors affecting health care delivery.

Page Number: 132

Question 7

Type: MCSA

A nurse educator has taught the same courses for the past 5 years and each year implements a few minor changes. Over this time, the educator has stored the grade data, including homework and assignment scores, in order to track trends following the implemented changes. What is the educator using to maintain this information?

1. Informatics

2. Student record management

3. Data warehousing

4. Management information system (MIS)

Correct Answer: 3

Rationale 1: Informatics is the use of computer technology in nursing practice.

Rationale 2: Student and course record management are programs that help maintain results of students grades or attendance using spreadsheets.

Rationale 3: Data warehousing is the accumulation of large amounts of data that are stored over time and can be examined for output in different types of reports (charts and tables).

Rationale 4: A management information system (MIS) is designed to facilitate the organization and application of data used to manage an organization or department.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: VI. B. 2. Apply technology and information management tools to support safe processes of care

AACN Essentials Competencies: IV. 1. Demonstrate skills in using patient care technologies, information systems, and communication devices that support safe nursing practice

NLN Competencies: Knowledge and Science; Practice; Use Databases for practice, administrative, education, and/or research purposes; document via electronic health records; use software applications related to nursing practice

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 1. Describe the uses of computers and technology in nursing education.

MNL Learning Outcome: 1.2.3. Examine the factors affecting health care delivery.

Page Number: 132

Question 8

Type: MCSA

The nurse accesses previous hospitalization information to learn more about the clients previous health history. In what way is the

availability of the clients health information assisting with the planning to address new care needs?

1. Ability to monitor quality

2. Access warehoused data (stored data)

3. Client sharing of knowledge that influences health

4. Constant availability of client health information

Correct Answer: 4

Rationale 1: There are at least four ways the EHR can improve health care. Accessing previous hospitalization information is not being done to monitor quality.

Rationale 2: There are at least four ways the EHR can improve health care. Accessing previous hospitalization information is not being done to support data warehousing.

Rationale 3: There are at least four ways the EHR can improve health care. Accessing previous hospitalization information is not being done to share client information.

Rationale 4: There are at least four ways the EHR can improve health care. Accessing previous hospitalization information is being done to review the clients information to aid with planning for this current hospitalization.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: VI. B. 2. Apply technology and information management tools to support safe processes of care

AACN Essentials Competencies: IV. 1. Demonstrate skills in using patient care technologies, information systems, and communication devices that support safe nursing practice

NLN Competencies: Knowledge and Science; Practice; Use Databases for practice, administrative, education, and/or research purposes; document via electronic health records; use software applications related to nursing practice

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 2. Discuss the advantages of and concerns about computerized client documentation systems.

MNL Learning Outcome: 1.2.3. Examine the factors affecting health care delivery.

Page Number: 134

Question 9

Type: MCSA

A client asks what is done to keep computerized personal health information confidential. How should the nurse respond?

1. Dont worry; your information is always safe.

2. Information in our system requires a password to retrieve.

3. Our system was designed with a lot of input from nursing staff.

4. I can see why youre worried, with all the computer hackers out there these days.

Correct Answer: 2

Rationale 1: Information in a computer data system may not always be safe, and it would be inappropriate for the nurse to say this.

Rationale 2: Maintaining privacy and security of data is a significant issue. One way that computers can protect data is by the use of passwordsonly those persons who have a legitimate need to access the data receive the password.

Rationale 3: Nurses need to be involved with the design, implementation, and evaluation of client-based patient records (CPRs) to maximize their use and effectiveness, but this does not ensure security.

Rationale 4: Reminding the client that there is indeed cause for privacy concerns is not therapeutic.

Global Rationale:

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: VI. B. 2. Apply technology and information management tools to support safe processes of care

AACN Essentials Competencies: IV. 1. Demonstrate skills in using patient care technologies, information systems, and communication devices that support safe nursing practice

NLN Competencies: Knowledge and Science; Practice; Use Databases for practice, administrative, education, and/or research purposes; document via electronic health records; use software applications related to nursing practice

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 2. Discuss the advantages of and concerns about computerized client documentation systems.

MNL Learning Outcome: 1.2.3. Examine the factors affecting health care delivery.

Page Number: 131

Question 10

Type: MCMA

The nurse is accessing information about standard classification of terms prior to documenting in a clients computerized clinical record. Which systems should the nurse consider using for this documentation?

Standard Text: Select all that apply.

1. ANA

2. HIPAA

3. NANDA

4. The Omaha system

5. HHCC

6. NOC

Correct Answer: 3, 4, 5, 6

Rationale 1: The ANA has a position statement on privacy, confidentiality of medical records, and the nurses role, but it is not one of the classification systems used in the United States.

Rationale 2: HIPAA is a piece of legislation that addressed privacy of and access to health records.

Rationale 3: The ANA Nursing Information and Data Set Evaluation Center (NIDSEC) has established guidelines for the use of nursing terminology by companies that are creating software programs for nursing application. In doing this, NIDSEC recognizes the classification systems that include North American Nursing Diagnosis Association (NANDA) taxonomy.

Rationale 4: The ANA Nursing Information and Data Set Evaluation Center (NIDSEC) has established guidelines for the use of nursing terminology by companies that are creating software programs for nursing application. In doing this, NIDSEC recognizes the classification systems that include the Omaha System.

Rationale 5: The ANA Nursing Information and Data Set Evaluation Center (NIDSEC) has established guidelines for the use of nursing terminology by companies that are creating software programs for nursing application. In doing this, NIDSEC recognizes the classification systems that include the Home Health Care Classification (HHCC).

Rationale 6: The ANA Nursing Information and Data Set Evaluation Center (NIDSEC) has established guidelines for the use of nursing terminology by companies that are creating software programs for nursing application. In doing this, NIDSEC recognizes the classification systems that include the Nursing Outcomes Classification (NOC).

Global Rationale:

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: VI. B. 2. Apply technology and information management tools to support safe processes of care

AACN Essentials Competencies: IV. 1. Demonstrate skills in using patient care technologies, information systems, and communication devices that support safe nursing practice

NLN Competencies: Knowledge and Science; Practice; Use Databases for practice, administrative, education, and/or research purposes; document via electronic health records; use software applications related to nursing practice

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 4. List ways technology may be used by nurse administrators in the areas of human resources, facilities management, finance, quality assurance, and accreditation.

MNL Learning Outcome: 1.2.3. Examine the factors affecting health care delivery.

Page Number: 135

Question 11

Type: MCMA

The nurse educator is considering ways to impact the learning of students through the use of computer technology. Which actions should the educator take to achieve this goal?

Standard Text: Select all that apply.

1. Assign distance learners to conduct a research study of current evidence-based articles on caring for the diabetic client.

2. Expect that notification of clinical absences be provided by e-mail.

3. Require a clinical group to make daily reflective entries in an online journal.

4. Provide extra credit for academic work that is created on a computer as an electronic file.

5. Encourage the learners to access online NCLEX review questions as a way to assess their classroom learning.

Correct Answer: 1, 3, 5

Rationale 1: Nursing education is supported by the use of computerized library services, especially when learning is conducted using the distance learning model.

Rationale 2: This is not a learning-focused requirement but rather an organizational requirement.

Rationale 3: Nursing education is supported by the use of computerized documentation, such as journaling, because it aids in organization, writing skills, and computer use.

Rationale 4: This is not an appropriate way to support learning except in an online learning environment, in which case all assignments would be computer-generated.

Rationale 5: Nursing education is supported by the use of computerized testing options, as it helps advance the learners comfort and skill with online testing.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: VI. B. 2. Apply technology and information management tools to support safe processes of care

AACN Essentials Competencies: IV. 1. Demonstrate skills in using patient care technologies, information systems, and communication devices that support safe nursing practice

NLN Competencies: Knowledge and Science; Practice; Use Databases for practice, administrative, education, and/or research purposes; document via electronic health records; use software applications related to nursing practice

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 1. Describe the uses of computers and technology in nursing education.

MNL Learning Outcome: 1.2.3. Examine the factors affecting health care delivery.

Page Number: 132

Question 12

Type: MCMA

A nurse educator believes computers can enhance student learning. Which actions should the instructor take to demonstrate this belief?

Standard Text: Select all that apply.

1. Allow students to research a nursing topic either by going to the library or via an online literature search.

2. Require a student to remediate after a failed test by completing appropriate computer-assisted instruction modules.

3. Use PowerPoint slides to reinforce complex concepts during classroom lectures.

4. Assign a collaborative group project to students enrolled in an online course.

5. Use computer-generated graphics to make written material less monotonous.

Correct Answer: 1, 2, 3, 4

Rationale 1: Computers enhance academics for students in at least four ways, including access to nursing literature.

Rationale 2: Computers enhance academics for students in at least four ways, including computer-assisted instruction modules.

Rationale 3: Computers enhance academics for students in at least four ways, including teaching strategies employing PowerPoint presentations.

Rationale 4: Computers enhance academics for students in at least four ways, including online collaborative projects.

Rationale 5: Any form of graphicsnot necessarily computer-generated oneswould be effective in this application.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: VI. B. 2. Apply technology and information management tools to support safe processes of care

AACN Essentials Competencies: IV. 1. Demonstrate skills in using patient care technologies, information systems, and communication devices that support safe nursing practice

NLN Competencies: Knowledge and Science; Practice; Use Databases for practice, administrative, education, and/or research purposes; document via electronic health records; use software applications related to nursing practice

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 1. Describe the uses of computers and technology in nursing education.

MNL Learning Outcome: 1.2.3. Examine the factors affecting health care delivery.

Page Number: 131

New Questions:

Question 13

Type: MCMA

The nurse is beginning a physical assessment of a client who is freelance computer information technologist. On which areas should the nurse place particular emphasis during this assessment?

Standard Text: Select all that apply.

1. Vision

2. Hearing

3. Back flexibility

4. Hand range of motion

5. Range of motion of arms

Correct Answer: 1, 3, 4, 5

Rationale 1: There are many issues of concern related to frequent and extended use of computers by clients of all ages. In particular, eye strain can occur from computer monitor viewing.

Rationale 2: There are many issues of concern related to frequent and extended use of computers by clients of all ages. Hearing is not a concern with computer use.

Rationale 3: There are many issues of concern related to frequent and extended use of computers by clients of all ages. In particular, musculoskeletal damage is related to inadequate ergonomic arrangement of desk chairs, surface height, and monitor placement.

Rationale 4: There are many issues of concern related to frequent and extended use of computers by clients of all ages. In particular, repetitive motion injuries (especially of the hand) can occur with extensive typing and use of the computer mouse.

Rationale 5: There are many issues of concern related to frequent and extended use of computers by all clients of ages. In particular, musculoskeletal damage is related to inadequate ergonomic arrangement of desk chairs, surface height, and monitor placement.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I. A. 1. Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 2. Discuss the advantages of and concerns about computerized client documentation systems.

MNL Learning Outcome: 4.3.2. Recognize factors that affect movement and immobility.

Page Number: 139

Question 14

Type: MCMA

The nurse is participating in the development of a research study. What elements of the computer should the nurse ensure are in place before the study begins?

Standard Text: Select all that apply.

1. Computer speed adequate

2. Print drivers installed

3. Word processing program

4. Computer storage capacity adequate

5. Appropriate software programs

Correct Answer: 1, 3, 4, 5

Rationale 1: Computer resources are an important component of the planning phase of any research project. The speed must be adequate for the amount and type of data that will be collected.

Rationale 2: Installation of print drivers is not identified as a need prior to beginning a research study.

Rationale 3: Computer resources are an important component of the planning phase of any research project. Computerized word processing is an integral component in the publication and dissemination of research.

Rationale 4: Computer resources are an important component of the planning phase of any research project. The storage capacity must be adequate for the amount and type of data that will be collected.

Rationale 5: Computer resources are an important component of the planning phase of any research project. The proper software programs must be in place to manage and analyze the data. Computerized word processing is also an integral component in the publication and dissemination of research.

Global Rationale:

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: VI. B. 2. Apply technology and information management tools to support safe processes of care

AACN Essentials Competencies: IV. 1. Demonstrate skills in using patient care technologies, information systems, and communication devices that support safe nursing practice

NLN Competencies: Knowledge and Science; Practice; Use Databases for practice, administrative, education, and/or research purposes; document via electronic health records; use software applications related to nursing practice

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 5. Identify the role of technology in each step of the research process.

MNL Learning Outcome: 1.2.3. Examine the factors affecting health care delivery.

Page Number: 138

 

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