QUESTION A nursing instructor educates a student nurse about standards of effective communication. The nursing instructor recognizes that additional teaching is warranted when the student nurse lists which of the following as a standard of effective communication? a. Clear b. Timely c. Lengthy d. Complete ANSWER: ANS: C Standards of effective communication include communication […]
QUESTION All of the following are true about electronic records except a. they are portable. b. they are less durable than paper charting. c. they are easily transferable. d. they are more durable than paper charting. ANSWER: ANS: B Electronic records are more durable than paper charting and are portable. They are easily transferable.
QUESTION The nurse is teaching a class on stroke prevention. Which of the following statements is accurate about studies conducted on telehealth decision-making and diagnosing of strokes? a. Several studies show telehealth decision making and diagnosing of strokes are just as effective and may be more cost effective. b. Studies conducted on telehealth decision making […]
QUESTION Review the charting sample and determine which documentation error occurred. 1000: Hygienic care given 1100: Complaint of leg pain 1300: Appetite good, resting comfortably a. Recording on the wrong chart b. Failure to document an intervention c. Failure to document a discontinued medication d. Failure to record outcome of an intervention ANSWER: ANS: […]
QUESTION Major transformations occurring in use of Health Information Technology (HIT) that will greatly change traditional patterns of nursing communication include which of the following? (Select all that apply.) a. Electronic health record (EHR) b. Centralized access to client information c. Handheld wireless devices to provide continual information d. Point of care information e. Continual […]
QUESTION A client is 3 days postoperative from gallbladder surgery secondary to gallstones. Domain: Physiological. Class: Fluid and electrolyte balance. Activity: Check intravenous fluid rate intake every hour. Which of the following nursing coding systems is represented in this situation? a. North American Nursing Diagnosis (NANDA) b. Nursing intervention classification c. Nursing outcome classification d. […]
QUESTION A client slipped and fell in the bathroom. When filling out an incident report, the nurse should a. record complete, pertinent health information. b. write about the incident report in the client record. c. store the incident report in the client record. d. make untimely entries. ANSWER: ANS: A A mistake to avoid […]
QUESTION When working on a hospital unit, the nurse uses a cellular telephone as an aid to giving client care. When using a cellular telephone, the nurse recognizes that a barrier to this type of technology is a. cellular telephones lead to less productivity. b. cellular telephones can lead to a higher rate of hospital […]
QUESTION Which classification system is a comprehensive practice, documentation, and information management tool? a. NANDA b. NIC c. NOC d. Omaha system ANSWER: ANS: D The Omaha System is a comprehensive practice, documentation, and information management tool.
QUESTION Which of the following is a computer charting system related to predicting client outcomes in home health care? a. EHR b. OASIS c. NANDA d. HIPAA ANSWER: ANS: B Beginning in 1998, home care agencies phased in a new requirement to complete a functional health assessment on all Medicare clients before they begin […]
