Nokea
A nurse uses informatics to plan nursing care for a patient. Which three terms best describes this science as it is applied to nursing?
- A. data, information, knowledge
- B. process, documentation, analysis
- C. research, controls, variables
- D. hypothesis, nursing, practice
Correct Answer: A
Rationale: Nursing informatics involves transforming data into information and knowledge to support patient care.
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What is the nurses best defense if a patient alleges nursing negligence?
- A. testimony of other nurses
- B. testimony of expert witnesses
- C. patients record
- D. patients family
Correct Answer: C
Rationale: The patient's record is the most objective and reliable evidence of the care provided, serving as the nurse's best defense against allegations of negligence.
Which of the following abbreviations are on the Joint Commission do not use abbreviations? Select all that apply.
- A. U (unit)
- B. QD (daily)
- C. NPO (nothing per os)
- D. mL (milliliters)
- E. > (greater than)
- F. mcg (micrograms)
Correct Answer: A,B,E
Rationale: The Joint Commission prohibits abbreviations like U, QD, and > due to their potential for misinterpretation, which can lead to medication errors.
In which of the following cases should a progress note be written? Select all that apply.
- A. for any nursepatient interaction
- B. when admitting a patient
- C. when receiving a patient postoperatively
- D. when assisting a patient with ADLs
- E. when a procedure is performed
- F. when a patient sends back an untouched dinner tray
Correct Answer: B,C,E
Rationale: Progress notes are required for significant events such as admissions, postoperative care, and procedures, as they reflect critical changes in the patient's condition or care.
What is the primary purpose of focus charting?
- A. nursing diagnoses
- B. medical problems
- C. patient concerns
- D. expected outcomes
Correct Answer: C
Rationale: Focus charting centers on patient concerns, allowing nurses to document issues and responses systematically.
Which of the following are examples of incidental disclosures of patient health information that are permitted? Select all that apply.
- A. A nurse working in a physicians office puts out a sign-in sheet for incoming patients.
- B. Two nurses are overheard talking about a patient through the door of an empty patient room.
- C. A nurse places a patient chart in a holder on the examining room door with the name facing out.
- D. A nurse leaves an x-ray on a light board in the hallway that leads to the examining rooms.
- E. A nurse calls out the name of a patient who is seated in the waiting room.
- F. A nurse leaves a reminder for an appointment on a patients answering machine along with the results of lab work.
Correct Answer: A,B,E
Rationale: Incidental disclosures like sign-in sheets, overheard conversations in clinical settings, and calling names in waiting rooms are permitted if reasonable safeguards are in place.