NURSING INFORMATICS FOR SAFE AND LEGAL DELIVERY OF PATIENT CARE

undefined. NURSING INFORMATICS FOR SAFE AND LEGAL DELIVERY OF PATIENT CARE.

undefined. What is the SNLE?. The SNLE is a three-hour exam that assesses your readiness to practice and/or proceed to postgraduate training. It consists of 150 MCQs which may include up to 10 pilot questions. It is a three-hour MCQ examination with scheduled breaks. It is divided into two parts of 75 questions each with time allocation of 90 minutes for each part. The examination shall contain recall questions that test knowledge and questions with scenarios that test other skills (interpretation, analysis, decision making, reasoning and problem solving)..

undefined. Exam Preparation Resources SNLE Mock practice Examination: to tot ttw Ktu*.

undefined. Health Informatics. Is the “use of information and technology to communicate, manage knowledge, mitigate error, and support decision making.” (QSEN, 2003).

undefined. Issues surrounding electronic health records….

undefined. [image] What is Quality Care? (Crossing the Quality Chasm 10M, 2001) QUALITY UCA TRAI LEARNING. ENVIRONMENT.

undefined. [image] Exarm Preparation Resources The following resources will help you prepare for the SNLE: Nursing Fundamentals Adult Nursing Maternal- Child Nursing unit Management and Leadership Patient Safety Clinical Component Textbooks Leda M. Am Essentials Latest E _ A S. Erb•s USA: Lynn and. A Jarvis. C. St. Latest A. Rector. Latest P. G. D. K. Care a 9th 2 Set 10th and Sharon 97 Imprint: Mosby E. Nurse. M.J. Cue ANA Latest G. & J. (2017) A to Griffin perry RN Edo A. Potter RN MSN PhO and RN MS Edo CNE . Skins 9th M. RN ORPH. RN F AAN. E. RN MS MSN RN PHN. M- Su»n Sth.

undefined. TQM Characteristics Four core characteristics of total quality management are: ● Customer/client focus ● Total organizational involvement ● Use of quality tools and statistics for measurement ● Key processes for improvement identified.

undefined. Which situation is an example of the overall goal of quality management in today's healthcare activities? 1. The nurse manager realizes a policy was ineffective in reducing incidents. 2. The administrator walks around making a list of potential problems. 3. The human resources department fires nonproductive employees. 4. The nurse wipes up a spilled drink before clients are allowed to enter a room..

undefined. Which statement regarding the use of electronic medical records (EMR) is accurate as associated with quality improvement? 1. EMR has strong linkage to improving quality. 2. Much more research must be done before the impact of EMR on quality can be determined. 3. EMR does not affect the quality of care provided. 4. Although no research into the impact on quality exists, EMR must continue as it is federally mandated..

undefined. As part of the process of promoting quality improvement, the nursing manager is comparing data between two hospitals on average length of stay for a total hip replacement. This comparison is an example of which process or step? 1. Benchmarking 2. Outcome standard 3. Indicator 4. Process standard.

undefined. Benefits of Healthcare Informatics….. Healthcare informatics is seen as a potential method for improving the delivery of quality health care by: Providing up-to-the-minute, real time information about a patient’s condition necessary for decision making.

undefined. The hospital organization has developed a philosophy based on the client, organizational involvement, quantitative measurement of outcomes, and processes for improvement. In which quality management process are these characteristics typically seen? 1. Continuous quality improvement (CQI) 2. Total quality management (TQM) 3. Plan, Do, Check, Act (PDCA cycle) 4. Six Sigma.

undefined. 1. The integration of nursing, computers, and information science for the management and communication of data, information, knowledge, and wisdom is: a. Nursing informatics. b. computer science. c. medical informatics. d. informatics..

undefined. The Health Insurance Portability and Accountability Act (HIPAA) of 1996: (Select all that apply.) a. requires the user to have verification codes. b. ensures access to information without fear of audits. c. sets the standards on how information is maintained. d. sets the penalties for any breach in security of health data. e. has no legal authority relative to security issues..

undefined. In reviewing a patient's written chart, the nurse notes the use of the terms "bed sore," "decubitus ulcer." And "pressure ulcer." The nurse knows in order to reach maximum potential in computerized charting and data analysis that a standardized nursing terminology must be utilized. In an attempt to standardize nursing terminology: (Select all that apply.) a. The Nursing Minimum Data Set (NMDS) was the first attempt to do so b. The focus was to provide a shared understanding of patient problem labels. c. The NMDS data was completed and is the definitive source of patient labels. d. The ICNP was developed to provide a standard for international nurses. e. Standardized terminology can lead to better utilization of resources..

undefined. While adopting new technology to enhance patient care and safety, nurses can continue to provide: a. compassionate care. b. consumer empowerment. c. self-management of wellness. d. education about health care..

undefined. Which situation would be included in reporting for Joint Commission mandatory national client safety goals? Select all that apply. 1. The average wait time in the emergency department has increased by 5 minutes over last year's average. 2. A client is left waiting in the hallway because the transport person did not make contact with the client's nurse. 3. A nurse gives a medication by the wrong route. 4. A client developed sepsis after insertion of a urinary catheter. 5. Surgery is done on a client's right eye instead of the left eye..

undefined. A client has been told that chemotherapy must be postponed until he is hydrated. The client refuses the IV hydration and demands to go home. How would the nurse best categorize this situation? 1. Non-reportable incident 2. Medical-legal incident 3. Client dissatisfaction with care 4. Medication error.

undefined. Immediately following a barium swallow, a client noticed hives and a feeling of shortness of breath. Although there were no known allergies to food or drugs prior to this incident, the diagnosis was an allergic reaction to the preservatives in the barium. Which is the correct risk category for this incident? 1. Medication error 2. Medical-legal incident 3. Procedure complication 4. This incident does not fall into a risk category..

undefined. The nursing task force is developing measurable goals for each client on the orthopedic unit. The statement "Each client will have a written assessment and plan of care document within eight hours of admission" is an example of which component of quality management? 1. Indicator 2. Structure standard 3. Benchmark 4. Process standard.

undefined. Efforts to increase nurses' use of evidence-based practice (EBP) to improve client care in the hospital have failed. Which answers are nurses likely to give when asked why this is occurring? Select all that apply. 1. "I'm not interested in this program." 2. "I don't have time to finish everything I already have to do each shift." 3. "I don't want to practice nursing just like everyone else." 4. "The library at our hospital doesn't have many journals." 5. "If administration wanted us to use EBP, they would get us some more nurses to share the work.".

undefined. After shift change the nurse discovers that a client's IV heparin has been turned off at the IV controller. The amount of fluid left in the IV bag indicates that the client received half of the dose ordered. Which statement should be documented in the client's medical record? 1. IV heparin restarted. Physician notified. Client's vital signs unchanged. 2. IV heparin restarted at a rate to catch up dosage accidentally deleted. 3. IV heparin turned off by previous shift. Restarted. 4. IV heparin restarted and incident report completed..

undefined. The following documentation was entered in the client's medical record: "The client was found lying on the floor. Dr. X was notified. Apparently, the restraints were improperly applied." Which statement best describes this documentation? 1. Appropriately written 2. Inappropriate because it places blame on an individual 3. Inappropriate because it does not include that the client's family was notified 4. Appropriately written because it only documents the facts.

undefined. The nurse is assigned to the Risk Management Team. Which events would be addressed by this team? Select all that apply. 1. A client's hand is injured during an arterial blood gas draw. 2. A client's family is dissatisfied with the breakfast just served. 3. A client leaves the hospital against medical advice (AMA). 4. A client claims he is not ready to be discharged. 5. The family does not want a client to be transferred from the intensive care unit (ICU)..

undefined. Which statement reflects a characteristic common to all methods of quality management? 1. Each method uses all staff members in the organization. 2. None of the methods are designed to place blame on an individual. 3. All methods provide clinical information. 4. Most methods focus on cost containment..

undefined. The director of quality improvement reports that the hospital will soon be using "dashboards" as part of the quality management process. How should the staff interpret this information? 1. Surveyors are driving to clients' homes to collect data on hospital visits. 2. This electronic tool makes it easy to aggregate and display data. 3. "Dashboard" is an acronym for the topics covered in client satisfaction surveys. 4. The "dashboard" is a screen on the electronic medical record that can be accessed for quality improvement information..

undefined. In which ways can nurse managers reduce risks for the organization? Select all that apply. 1. Investigating a complaint about nursing care from a client's spouse 2. Encouraging nurses to cut corners when possible 3. Talking to physicians about ways to improve client care 4. Keeping staff members on task throughout the workday 5. Making sure staff members work minimal overtime.

undefined. Which part of Six Sigma is vastly different from other quality management programs? 1. Six Sigma has a client focus. 2. Data drive the program. 3. Failure is tolerated. 4. Management is proactive..

undefined. The nurse manager orienting newly hired nurses has explained the organization's blame-free environment. Which remark by one of the nurses indicates understanding of the policy? 1. "If I make a mistake and report it, I will not be reprimanded or punished." 2. "When I make a mistake, I should immediately fill out an incident report." 3. "It is left up to each employee to self-monitor so we do not report others' mistakes." 4. "When I make a mistake, I should report it and look for ways to prevent it from recurring.".

undefined. The procedures for managing client pain are being investigated as part of the hospital's total quality management program. Whom should the manager plan to invite to this meeting? Select all that apply. 1. The hospital CEO 2. A representative from the pharmacy 3. A representative from the medical staff 4. A staff nurse who works with clients in pain 5. A representative from social services.

undefined. The leader of a continuous quality improvement (CQI) team has asked that an information packet be distributed to members of the resource group. The secretary would prepare packets for which people? Select all that apply. 1. The CQI coordinator 2. The hospital CEO 3. The vice-president in charge of finance 4. Members of the CQI team 5. The team leader.

undefined. Which data would be of most interest to an organization using Lean Six Sigma as a means of quality improvement? 1. Almost 85% of call lights are answered within 4 minutes. 2. Results of pain medication administration are documented 95% of the time. 3. Nursing overtime hours increased by 25% in the last quarter. 4. In the last 6 months, overall client satisfaction scores have increased by 15%..

undefined. A nurse manager is looking for evidence-based information regarding wound care. Which criteria should be used to evaluate the usefulness of an intervention? Select all that apply. 1. Is there evidence that the intervention has been used in hospitals of similar size to the one where the manager practices? 2. Can the manager find two or more research studies that support the use of the intervention? 3. Is the intervention one that the manager has seen used in the past? 4. Are the authors of the research articles well-known experts in the field? 5. Is the research study that recommends the intervention rigorous in design and execution?.

undefined. A hospital increased its RN-to-client ratio one year ago. What effects is the hospital likely to see as a result of that choice? Select all that apply. 1. The cost of providing care has decreased. 2. There has been a decrease in client deaths. 3. The average length-of-stay for clients has increased. 4. The overall quality of care has increased. 5. The nosocomial infection rate has dropped..

undefined. The daughter of a hospitalized client comes to the nurse manager's office with a complaint about the care provided on the previous shift. What is the manager's first action? 1. Call the nurse from the last shift to participate in a conference call about the complaint. 2. Ask the daughter to explain what happened. 3. Tell the daughter that the last shift was understaffed and apologize for any problems that might have occurred. 4. Ask the daughter what can be done to improve the situation..

undefined. The nurse manager receives a report that a medication was given to the wrong client. This is called a(n) ________ and will be reviewed with the physician and risk management committee member. Answer: reportable incident.

undefined. One classification system for nursing informatics competencies uses technical, utility, and leadership categories. Leadership competencies involve: a. Maintaining privacy and confidentiality. b. using computers and other technological equipment. c. using a variety of software programs. d. addressing critical thinking applications..

undefined. The patient asks the nurse about how to evaluate websites and standards used to evaluate Internet health sites. The nurse appropriately refers the patient to: a. World Health Organization. b. the U.S. Food and Drug Administration. c. the Internet Healthcare Coalition. d. the U.S. Federal Trade Commission..

undefined. 1. The use of telemonitoring offers the opportunity to: (Select all that apply.) a. reduce cost of health care. b. improve patient satisfaction. c. increase duplicate orders. d. improve patient outcomes. e. improve organization..

undefined. [image] Exarm Preparation Resources The following resources will help you prepare for the SNLE: Nursing Fundamentals Adult Nursing Maternal- Child Nursing unit Management and Leadership Patient Safety Clinical Component Textbooks Leda M. Am Essentials Latest E _ A S. Erb•s USA: Lynn and. A Jarvis. C. St. Latest A. Rector. Latest P. G. D. K. Care a 9th 2 Set 10th and Sharon 97 Imprint: Mosby E. Nurse. M.J. Cue ANA Latest G. & J. (2017) A to Griffin perry RN Edo A. Potter RN MSN PhO and RN MS Edo CNE . Skins 9th M. RN ORPH. RN F AAN. E. RN MS MSN RN PHN. M- Su»n Sth.

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