A nursing informatics specialist is preparing a seminar for a group of staff nurses about the history of the use of informatics and nursing research. Which event would the nurse specialist most likely include as occurring first?
A. The development of evidence-based practice
B. Publication of the journal Nursing Research
C. Creation of the National Institute for Nursing Research D. Use
of case studies to describe intervention effectiveness
A nurse researcher is accessing the Agency for Healthcare Research and Quality site for information. The nurse would most likely find information about which area?
A. Public microdata
B. Information technology C. Client satisfaction
D. Clinical nursing topics
A nurse is collecting data about wait times for certain diagnoses across all emergency departments in hospitals in the United States. The nurse is most likely using which source for the data?
A. Agency for Healthcare Research and Quality B.
DataFerrett
C. Centers for Medicare and Medicaid Services D. World Health
Organization Data
While reviewing information about implementation of the electronic health record and technology, a nurse reads about self-service kiosks. The nurse demonstrates understanding of the technology comparing it with which other technology?
A. Client portal
B. Clinical decision support system C. Business intelligence
D. Information governance
A nurse is engaged in a group discussion about using research findings to improve clinical nursing practice. Which suggestion would be most appropriate to foster the use of research findings? Select all that apply.
A. Subscribing to clinical practice journals
B. Attending professional meetings
C. Reading source documents for new guidelines D. Purchasing
statistical software
E. Knowing how to use a spreadsheet
A group of nurses are conducting a research study about the effects of nutrition on wound healing. Which action would the group do first when summarizing the data with descriptive statistics using the BrightStat program?
A. Select the variables
B. Code the data
C. Insert the formula
D. Download the spreadsheet
A nurse is preparing to conduct a research study about a clinical topic and wants to obtain the most recent evidence on the topic. Which site would be most appropriate for the nurse to search?
A. Centers for Medicare and Medicaid Services B. Agency for
Healthcare Research and Quality C. National Institute of Nursing
Research
D. National Health Interview Survey
An electronic medical record is best described as a:
A. Complete record of a client's healthcare information.
B. Record of a client's stay in an agency such as a hospital. C.
Record that is accessible by outside agencies.
D. Record that allows clients to enter data.
An nursing informatics specialist is conducting a group discussion on the implementation of personal health records. Which aspect would the specialist include as being currently available for promoting interoperability?
A. Protocols for use
B. Standardized data
C. Computer technology D. Procedures for use
A nurse is reading an article about electronic health records in use by most healthcare agencies in the current healthcare climate. Based on this information, the nurse would expect to read about which type of record?
A. Electronic medical record B. Electronic health record C.
Personal health record
D. Patient health portal
Which software is considered to be the highest level of integration of healthcare information records?
A. Electronic medical record B. Electronic health record C.
Personal health record
D. Smart card
A nurse is reading a journal article about implementing personal health records. Which benefit would the nurse expect to find? Select all that apply.
A. Improved collaboration between provider and client
B. Enhanced privacy due to use of unique client identifiers C.
Greater standardization of data
D. Greater effectiveness in treating a client's disease
E. More useful methods of data presentation
When describing privacy and security associated with personal health information, which issue would the nursing informatics specialist identify as most important for their maintenance?
A. Standards
B. Policies
C. Consumerism D. Confidentiality
A nurse is speaking with a client who has just seen his healthcare provider for a routine follow-up appointment. The nurse is explaining to the client about the new client portal that is now available. When describing the portal, which functions would the nurse most likely include? Select all that apply.
A. Notifying about appointments B. Scheduling appointments
C. Renewing prescriptions
D. Alerting about immunizations E. Testing blood glucose levels
When describing consumer informatics to a group of nurses, which factor would the nursing informatics specialist identify as contributing to its development?
A. The declining costs of healthcare
B. The complexity of navigating the Internet
C. Desire by consumers for increased responsibility D. The
continued pervasive culture of paternalism
When discussing online support groups with clients, which precaution would the nurse include?
A. Limited range of areas covered B. Consistent quality of
information C. Variable sponsorship
D. Mostly nonmoderated
A nurse is evaluating a web page that was designed for use with clients. Which feature would be most important to assess?
A. Design
B. Accessibility
C. Usability
D. Artistic approach
During a healthcare visit, a client shows the nurse information that he or she has obtained from the Internet about his or her current condition. When discussing this information with the client, the nurse should keep in mind that:
A. The information may be correct.
B. The source needs to be verified.
C. References must always be listed.
D. The information is likely to be out of date.
A nurse is reviewing a client education handout and checking its readability using the Flesch Reading Ease. Which score indicates that the handout is easy to read?
A. 32 B. 46 C. 53 D. 67
When describing foundational interoperability to a group of nurses, what information would the nursing informatics specialist include?
A. Automatic interpretation of messages exchanged B. Action by
computer without human intervention C. Coordination of workflow
management
D. Information transmission and reception for use
A nurse reviewing statistics on global morbidity and mortality rates understands that this information is based on:
A. ICD-9 codes. B. ICD-10 codes. C. ICD-11 codes. D. ICD-12 codes.
Which organization would be most involved with setting standards for interoperability of the electronic health record?
A. Digital Imaging and Communications in Medicine
B. Comité Européen de Normalisation
C. Health Level Seven
D. International Health Terminology Standards Development
Organization
A nursing informatics specialist is conducting a seminar about electronic health records and the importance of interoperability. As part of the seminar, the nurse is describing the mission of the Nationwide Health Information Network. Which description would the nurse specialist include?
A group of interworking networks to support health information exchange
An organization that recommends the use of ICD-10 for mortality and morbidity
statistics
An agency whose purpose is to expedite standardization for international commerce
An organization that sets standards for functional and semantic interoperability for electronic healthcare data
An informatics nurse specialist is describing the different types of interoperability to a group of staff nurses whose agency has just adopted health information technology. Which term would the nurse specialist use to explain structural interoperability?
A. Automatic interpretation B. Information transmission C. Workflow management D. Algorithm interaction
A nurse working in a primary care setting is involved with the billing of healthcare services. With which would the nurse most likely be involved? Select all that apply.
A. ICD codes with clinical modifications (ICD-CM) B. Digital Imaging and Communications in Medicine C. Outcome and Assessment Information Set (OASIS) D. Health Level Seven
E. Diagnosis-related groups (DRGs)
In: Nursing
Why do people move from their previous residences into independent senior living?
In: Nursing
Public Health Problem II: Examine the association between health
provider burnout and hospital re-admissions. Hypothesis: Health
care provider burnout increases the likelihood of hospital
re-admissions for patients
This will be a retrospective cohort study to determine if there’s a
correlation between provider burnout and an increase likelihood of
hospital re-admissions for patients
we will measure instances of patient readmissions with a group of
hospital providers that are staffed appropriately and with an
abundance of resources vs a group of providers who are overwhelmed,
understaffed and under resourced
Describe potential threats to validity. Describe what techniques
you will use to minimize each threat. Be sure to delineate the
potential impact of each threat on your observed results
- Nondifferential misclassification of the exposure
- Nondifferential misclassification of the disease
- Confounding
- Selection bias
- Information bias
- Generalizability
In: Nursing
Consider the scenario below, then follow the instructions underneath it to complete the discussion. If appropriate, support your position with credible resources/examples/evidence and provide APA references.
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Mr. B Mr. B, a 70-year-old male client, presented to his primary care physician with complaints of blurred vision and headaches over the last two months. On several visits, Mr. B's blood pressure was found to be elevated, so the physician started him on hydrochlorothiazide 25 mg by mouth daily. One month later, Mr. B began to have chest pains and shortness of breath, so his primary care provider referred Mr. B to a cardiologist for further evaluation. The cardiologist ordered an echocardiogram and stress test which revealed heart enlargement and a reduced ejection fraction (volume of blood pumped out of the heart per minute). As a result, the cardiologist started Mr. B on a beta-blocker (metoprolol 25 mg by mouth daily). A few days after taking the new medication (in addition to the hydrochlorothiazide ordered by the primary physician), Mr. B suffered a fall at home. Upon arrival at the emergency room, Mr. B's blood pressure was 80/50. The emergency room physician suspected the cause of Mr. B's fall was hypotension secondary to the medications he was taking. The ER physician recommended that Mr. B follow up with his primary care physician and cardiologist, but hold the medication until seen by them. As recommended, Mr. B visits his primary care physician for a
follow-up. During the visit, Mr. B's blood pressure is found to be
elevated (160/90), so his physician tells Mr. B to restart taking
his blood pressure medication. |
Imagine that you are the nurse attending to Mr. B and that he indicates that he's afraid to restart the medication because of his recent fall.
In: Nursing
Discuss at least 3 characteristics that account for the exponential growth in healthcare spending.
In: Nursing
Due to the increasing percentage of older adult clients in the U.S., it is imperative that healthcare providers assess and confront their own attitudes and perceptions toward older adults.
In your initial post, address the following:
In: Nursing
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Mr. D Mr. D is a 90-year-old man who was admitted to the hospital with complaints of nausea, vomiting, left arm pain, and chest pain. An electrocardiogram (ECG) is performed, and he is diagnosed as having a myocardial infarction. Mr. D has a long history of comorbidities including hypertension, diabetes, and congestive heart failure (CHF). With this in mind, the physician asks Mr. D if he wants life-sustaining measures taken (e.g., CPR, mechanical ventilation, etc.) should he experience cardiopulmonary arrest. Mr. D tells the physician that he wants all measures taken to save his life. |
Imagine that you are the nurse assigned to provide care to Mr. D, and address the following:
In: Nursing
Create an education/training plan for causing breast cancer.
Who will provide the education/training plan and how? and also define success of your plan? please provide reference of your source for further study?
In: Nursing
Answer the following questions
A)- How could you use a system of location similar to north/south and east/west to describe location on a patient's body? Why is this important?
B)- Why is it important to be able to break down medical terms into component parts? Why not just memorize each term?
C)- Does the body use all of the food we eat?
D)- What is the function and basic structure of the nervous system?
E)- After a patient’s blood pressure is measured with a sphygmomanometer, it is reported in the form of a fraction (e.g., 120/80 mm Hg). What do these numbers represent?
In: Nursing
In: Nursing
develop a teaching plan for a school-age child and family about two of the following topics:
Type 1 DM disease process, the lifestyle changes you will have to make, what kind of diet, exercise, medications, treatments, or school needs. Be sure to include the following:
a. Objectives (what do you want the parents to learn?)
b. Content (what specific topics will you teach/reinforce?)
c. Methods and Materials (How will you teach the content/reinforce teaching?
What materials will you use?)
d. Evaluation (How will you evaluate client understanding?)
In: Nursing
LEARNING EXERCISE 6.1
Values and Advocacy
How important a role do you believe advocacy to be in nursing? Do
you believe that your willingness to
assume this role is a learned value? Were the values of caring and
service emphasized in your family and/or
community when you were growing up? Have you identified any role
models in nursing who actively
advocate for patients, subordinates, or the profession? What
strategies might you use as a new nurse to
impart the need for advocacy to your peers and to the student
nurses who work with you?
In: Nursing
9. A provider prescribes esmolol 45mcg/kg/min. by continuous IV infusion. The patient weighs 59 kg. Available is 2,500 mg in 250 mL D5W. How many mL/hour should the IV pump be set in order for the patient to get the correct dosage?
10. A nurse is preparing to administer packed RBCs 280 mL to infuse over 4 hours. How many mL per hour should the IV pump be set to run?
11. You are to give haloperidol 1 mg tab every 12 hours (q12h). You have on hand 0.5mg tabs. Calculate the appropriate dosage the patient should receive.
In: Nursing
Describe the critical role of health information exchange in patient care at an organization level (across all facilities), statewide level, and national level. How do the goals of each vary and how is quality of care enhanced?
In: Nursing
identify the principle barriers to health information change. What impact does these barriers have on health information exchange?
In: Nursing