Chapter 09 My Nursing Test Banks

 

Kozier & Erbs Fundamentals of Nursing, 9/E
Chapter 09

Question 1

Type: MCSA

A nursing student is doing clinicals at a hospital implementing a new computer system. Trying to generalize the information is key, since the student nurse plans to move after graduation. This is due to the fact that:

1. Each hospital will have its own system.

2. Facilities never use the same computer system.

3. Computer standards change routinely.

4. Students are not expected to know all the details of a computer system.

Correct Answer: 3

Rationale 1: While this is true it is not the primary reason generalization of information is a key focus.

Rationale 2: While this is true it is not the primary reason generalization of information is a key focus.

Rationale 3: All nurses must have a basic level of computer literacy in order to perform their jobs. Although facilities may utilize the same computer program, it will be customized to each individual facility. Students are expected to know the basic terminology and function of hospital or facility computer systems, but the science of computers changes so quickly that keeping an open mind about change is extremely important.

Rationale 4: This is not true since appropriate documentation of care is dependent upon having that knowledge.

Global Rationale: Page Reference: 145

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 01 Describe the uses of computers and technology in nursing education.

Question 2

Type: MCSA

A nurse manager is responsible for scheduling the staff of all units in a critical care hospital. Which of the following programs would work best for computer 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 with 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: Page Reference: 145

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 03 Identify computer applications used in client assessment and care.

Question 3

Type: MCSA

A client asks the nurse about her medications and tells the nurse she has been investigating on the Internet. The nurses best response to this is:

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: While being involved in ones care is desirable, there are concerns related to information assessed on the internet.

Rationale 2: This statement is not necessarily true although there are concerns about information assessed on the internet.

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

Rationale 4: Thousands of health-related sites exist on the Internet, 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 care. It is appropriate to ask questions and seek information at a variety of sources. However, nurses must assist clients in making sure the information they gather is credible and accurate.

Global Rationale: Page Reference: 145

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 01 Describe the uses of computers and technology in nursing education.

Question 4

Type: MCSA

Nursing students are participating in an online delivery course in their nursing program. For their next assignment, they are to evaluate nursing research articles for credibility and reliability. One of the best databases to search for these articles would be which of the following?

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 restrictions for accuracy with this database.

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

Rationale 4: PsychINFO includes only psychological abstracts.

Global Rationale: Page Reference: 146

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 05 Identify the role of technology in each step of the research process.

Question 5

Type: MCSA

A small nursing program has limited access to clinical sites, especially those that might contain specialty areas (cardiac intensive care, neonatal intensive care, trauma/neuro intensive care, etc.). Which of the following might be an alternative option for nurse educators to allow their 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 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: Page Reference: 146

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 01 Describe the uses of computers and technology in nursing education.

Question 6

Type: MCSA

A nursing student is able to continue studies while visiting abroad. This students nursing program has implemented which of the following 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: Page Reference: 147

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 01 Describe the uses of computers and technology in nursing education.

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. This educator is utilizing which of the following?

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

Global Rationale: Page Reference: 147

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 01 Describe the uses of computers and technology in nursing education.

Question 8

Type: MCSA

Electronic client data that can be retrieved by caregivers, administrators, and accreditors have the ability to improve health care by which of the following?

1. Ability to monitor quality

2. Access warehoused data (stored data)

3. Possess greater security of client records

4. Constant availability of client health information

Correct Answer: 2

Rationale 1: Security concerns are the major drawback for computerizing health care and storing client records. However, the Computer-Based Patient Record Institute identified these four ways that CPR (computer-based patient records) could improve health care.

Rationale 2: Security concerns are the major drawback for computerizing health care and storing client records. However, the Computer-Based Patient Record Institute identified these four ways that CPR (computer-based patient records) could improve health care.

Rationale 3: Security concerns are the major drawback for computerizing health care and storing client records. However, the Computer-Based Patient Record Institute identified these four ways that CPR (computer-based patient records) could improve health care.

Rationale 4: Security concerns are the major drawback for computerizing health care and storing client records. However, the Computer-Based Patient Record Institute identified these four ways that CPR (computer-based patient records) could improve health care.

Global Rationale: Page Reference: 149

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 04 List ways technology may be used by nurse administrators in the areas of human resources, facilities management, finance, quality assurance, and accreditation.

Question 9

Type: MCSA

A client in a health care facility asks the nurse about the facilitys computerized system for keeping client information, especially confidentiality issues. Which is the best response by the nurse?

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 passwords-only 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: Page Reference: 149-150

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 02 Discuss the advantages of and concerns about computerized client documentation systems. 04 List ways technology may be used by nurse administrators in the areas of human resources, facilities management, finance, quality assurance, and accreditation.

Question 10

Type: MCMA

Standard classification of terms used in health careparticularly nursing dataalong with definitions would greatly benefit computer-based patient records. Which of the following are among those systems used in the United States?

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 increased privacy access to health records.

Rationale 3: 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: 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: 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: 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: Page Reference: 151

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 04 List ways technology may be used by nurse administrators in the areas of human resources, facilities management, finance, quality assurance, and accreditation.

Question 11

Type: MCMA

The nurse educator appropriately impacts the learning of nursing students when using computer technology to:

Standard Text: Select all that apply.

1. Assign distance learners to conduct a research 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, since 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, since it helps advance the learners comfort and skill with online testing.

Global Rationale: Page Reference: 145

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 01 Describe the uses of computers and technology in nursing education.

Question 12

Type: MCMA

A nursing instructor shows an understanding of the ways computers can enhance student learning when:

Standard Text: Select all that apply.

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

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

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

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

5. Using 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: Page Reference: 145

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 01 Describe the uses of computers and technology in nursing education.

Kozier & Erbs Fundamentals of Nursing, 9/E Test Bank

Copyright 2012 by Pearson Education, Inc.

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