A nurse works on a unit where electronic health records (EHR) are being initiated and asks, "What is meant by 'meaningful use' standards that are in our education packet?" The best answer is that "meaningful use":
- A. identifies a set of EHR proficiencies and benchmarks that EHR systems must meet to be certain that they are functioning to their maximum capacity and meeting this standard allows companies/organizations to qualify for funds to defray cost of the EHR from Medicare.
- B. refers to training competencies that all users must achieve to be able to access and transfer patient data/information.
- C. refers to a requirement that at least 50% plus one of all patients have data entered into the EHR.
- D. the requirement that rigorous confidentiality security is in place to protect all patient information from sources which have no right to the data.
Correct Answer: A
Rationale: The correct answer is A because "meaningful use" standards in EHR refer to specific criteria that healthcare providers must meet to receive incentives for using EHR effectively. This includes improving quality, safety, efficiency, and reducing health disparities. By meeting these benchmarks, providers can qualify for funds from Medicare.
Choice B is incorrect because "meaningful use" is not just about training competencies but about how EHR systems are used to improve patient care.
Choice C is incorrect as it misinterprets the concept of meaningful use. It is not about a specific percentage of patients with data entered, but about the overall impact of EHR on healthcare delivery.
Choice D is incorrect because while confidentiality and security are important aspects of EHR, they are not the sole focus of meaningful use standards.
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A nurse would like to advocate for increased protective services and reporting mechanisms for elder abuse and attends the "meet the candidate" session at the town hall meeting. This is an important time for the nurse to:
- A. educate the public about the nurse's political platform.
- B. be spontaneous and not deliver a rehearsed speech.
- C. address the person as "candidate" rather than using a first name that implies a working relationship.
- D. learn what the key issues are in the candidate's platform.
Correct Answer: D
Rationale: The correct answer is D because the nurse's goal is to advocate for increased protective services for elder abuse. By learning about the key issues in the candidate's platform, the nurse can identify if the candidate supports policies related to elder abuse. This information will help the nurse assess the candidate's alignment with their advocacy goals and determine if the candidate is a suitable ally in advancing elder abuse prevention measures.
A, B, and C are incorrect because:
A: Educating the public about the nurse's political platform is not the primary purpose of attending the session.
B: Being spontaneous may lead to an ineffective communication strategy without proper preparation.
C: Addressing the candidate by their first name or title is a matter of personal preference and does not directly impact the nurse's advocacy efforts.
Which nurse died after deliberately acquiring two bites from yellow fever carrier mosquitoes to enable her to provide care to soldiers with yellow fever during the Spanish-American War?
- A. Florence Nightingale
- B. Margaret Hoolihan
- C. Clara Maas
- D. Sairy Gamp
Correct Answer: C
Rationale: The correct answer is C: Clara Maas. Clara Maas died after deliberately acquiring two bites from yellow fever carrier mosquitoes to provide care during the Spanish-American War. This is correct because Clara Maas was a real historical figure known for her selfless dedication to nursing and her sacrifice to help others. Florence Nightingale (A) is renowned for her work in nursing during the Crimean War, but she did not die from acquiring yellow fever. Margaret Hoolihan (B) and Sairy Gamp (D) are fictional characters and not relevant to the historical context of the Spanish-American War.
A concerned nursing student calls the office of an elected official to voice support for the bill to ban smoking in all public places. The secretary asks, "Are you a constituent?" What does the term constituent mean?
- A. A member of a professional organization who supports the organization's political issue
- B. A citizen who is registered and is eligible to vote for a representative
- C. An elected official who proposes legislation to be considered as a potential law
- D. A member of the House of Representatives who is seeking support for a particular bill
Correct Answer: B
Rationale: The correct answer is B because a constituent refers to a citizen who is registered and eligible to vote for a representative. In this scenario, the nursing student is calling the office of an elected official, indicating that they are a citizen who can vote for that official.
Choice A is incorrect as it refers to a member of a professional organization, not a citizen eligible to vote. Choice C is incorrect as it refers to an elected official, not a citizen. Choice D is incorrect as it refers to a member of the House of Representatives, not a citizen eligible to vote.
A novice nurse is placed in charge just after orientation ends. Which statement by the novice nurse would ensure a smooth delegation experience when delegating to an experienced staff member?
- A. "You have the patients in rooms 1 to
- B. "I need your help; let me know your suggestions."
- C. "You’re experienced, so take over and decide."
- D. "I’m in charge, so do as I say."
Correct Answer: B
Rationale: The correct answer is B because it demonstrates respect for the experienced staff member's expertise by asking for their input and suggestions. This approach fosters open communication, encourages collaboration, and shows a willingness to learn from others. Choice A lacks clarity and assumes the staff member knows the patients in question. Choice C is presumptuous and dismissive of the staff member's autonomy. Choice D is authoritarian and does not promote a positive working relationship. Ultimately, choice B promotes teamwork and mutual respect, leading to a smoother delegation process.
A prospective nursing student who researches universities that offer a baccalaureate degree in nursing would want to ensure that the program is accredited by the:
- A. American Nurses Association.
- B. Commission on Collegiate Nursing Education.
- C. National Institutes of Health.
- D. National Nursing Council.
Correct Answer: B
Rationale: The correct answer is B: Commission on Collegiate Nursing Education (CCNE). This accreditation ensures the nursing program meets national standards for quality and effectiveness. CCNE evaluates curriculum, faculty qualifications, student outcomes, and more. The American Nurses Association (A) is a professional organization, not an accrediting body. The National Institutes of Health (C) focuses on biomedical research, not nursing education accreditation. The National Nursing Council (D) is a fictitious organization and does not accredit nursing programs. In summary, choosing an accredited program by CCNE ensures the nursing student receives a quality education that meets national standards.