D220 Information Technology in Nursing Practice
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Free D220 Information Technology in Nursing Practice Questions
1. The client asks the nurse why an electronic health record (EHR) system is being used. Which response by the nurse indicates an understanding of the rationale for an EHR system?
- It includes organizational reports of unusual occurrences that are not part of the client's record.
- This type of system consists of combined documentation and daily care plans.
- It improves interdisciplinary collaboration that improves efficiency in procedures.
- This type of system tracks medication administration and usage over 24 hours.
Explanation
Electronic Health Record (EHR) systems are designed to integrate patient information from multiple healthcare providers, allowing for seamless sharing and collaboration across disciplines. The use of EHRs enhances interdisciplinary communication, ensuring that all members of the healthcare team have access to up-to-date patient data, which improves efficiency, reduces duplication, and supports better clinical decision-making. Unlike older systems, EHRs provide comprehensive records beyond just daily documentation or medication tracking—they serve as a unified platform for care coordination and patient safety.
2. What is a key feature of ambulatory care information systems that enhances patient care?
- Real-time data access
- Manual data entry
- Limited communication tools
- Infrequent updates
Explanation
A key feature of ambulatory care information systems is real-time data access, which allows healthcare providers to immediately view, share, and update patient information during visits or consultations. This capability promotes accurate and timely decision-making, reduces redundancy in tests or procedures, and enhances coordination across different providers. Real-time data also enables clinicians to respond quickly to changes in a patient’s condition, improving both the efficiency and quality of care delivery in outpatient settings.
3. A nurse is tasked with developing a care plan for a patient with a complex medical history. How would the use of a lifetime clinical repository enhance the nurse's ability to create an effective care plan?
- By limiting access to only the most recent patient data.
- By providing comprehensive documentation that includes past treatments, medications, and outcomes, allowing for a more informed and tailored care plan.
- By automating the care planning process without the need for patient history.
- By ensuring that the nurse does not need to communicate with other healthcare providers.
Explanation
A lifetime clinical repository is a centralized database that stores a patient’s entire medical history, including past diagnoses, treatments, medications, allergies, and outcomes across different healthcare settings. By accessing this comprehensive information, a nurse can develop a more personalized and evidence-based care plan tailored to the patient’s unique health needs and previous responses to treatment. This continuity of information helps identify potential risks, avoid duplicate procedures, and ensure safer medication management. Moreover, it promotes coordinated care among multidisciplinary teams, leading to better clinical decisions and improved patient outcomes.
4. Which parameters are specifically mentioned as important for evaluating cardiovascular function?
- Blood pressure, heart rate, and respiratory rate
- Cardiac output, volume status, and arrhythmia patterns
- Oxygen saturation, blood glucose levels, and cholesterol levels
- Electrolyte balance, renal function, and liver enzymes
Explanation
In critical care and nursing practice, cardiac output, volume status, and arrhythmia patterns are key parameters used to evaluate cardiovascular function. Cardiac output measures the efficiency of the heart in pumping blood, while volume status reflects the patient’s fluid balance and circulatory stability. Arrhythmia patterns indicate the electrical activity of the heart, helping identify abnormal rhythms that may compromise cardiac performance. Monitoring these parameters allows nurses and physicians to make informed decisions regarding fluid therapy, medication administration, and overall patient management, ensuring optimal cardiovascular support in critical situations.
5. What is the primary purpose of Electronic Health Records (EHR) data in healthcare?
- To reduce the physical storage space needed for patient records
- To facilitate real-time, patient-centered records that are secure and easily accessible by authorized users
- To eliminate the need for patient consent when sharing medical information
- To increase the billing cycles for medical services
Explanation
The primary purpose of Electronic Health Records (EHR) is to provide real-time, patient-centered digital records that improve the accuracy, accessibility, and coordination of care. EHR systems ensure that authorized healthcare providers can access up-to-date patient information securely, supporting better clinical decisions and continuity of care across different settings. This integration enhances safety, efficiency, and quality of healthcare delivery.
6. What is the main goal of Community Health Nursing (CHN)?
- To provide individualized patient care in hospitals
- To promote and preserve the health of populations
- To conduct research in nursing practices
- To manage healthcare facilities
Explanation
The main goal of Community Health Nursing (CHN) is to promote, protect, and preserve the health of populations through preventive care, health education, and community-based interventions. CHN emphasizes wellness rather than illness by addressing health determinants such as environment, lifestyle, and access to healthcare services. Nurses working in community health settings focus on disease prevention, early detection, and health promotion at the family and community levels. This approach not only improves overall public health outcomes but also reduces the burden on hospital-based care systems.
7. What is one of the primary goals of community health centers?
- To provide specialized surgical services
- To promote health equity among underserved populations
- To conduct advanced medical research
- To offer luxury healthcare services
Explanation
The primary goal of community health centers (CHCs) is to promote health equity by ensuring that all individuals—especially those in underserved or low-income populations—have access to quality healthcare services. CHCs focus on preventive care, health education, and early intervention to reduce disparities in health outcomes. They serve as a bridge between communities and healthcare providers, emphasizing accessibility, affordability, and community-based approaches to care rather than specialized or profit-driven services.
8. In a critical care scenario, a patient exhibits signs of shock. Which of the following actions should a nurse prioritize based on the parameters used to evaluate cardiovascular function?
- Administering antibiotics immediately
- Monitoring cardiac output and volume status closely
- Increasing the patient's oxygen supply without further assessment
- Documenting the patient's vital signs for future reference
Explanation
In a critical care setting, when a patient shows signs of shock, the nurse’s priority is to assess and monitor the patient’s cardiovascular status to guide timely interventions. Monitoring cardiac output and volume status provides crucial information about tissue perfusion and the heart’s ability to pump blood effectively. This continuous evaluation helps detect changes early, allowing the healthcare team to adjust fluid therapy, medications, or other life-saving measures appropriately. Acting based on real-time cardiovascular data is essential to prevent organ failure and stabilize the patient’s condition.
9. Explain the significance of the American Heart Association's standards for arrhythmia analysis systems in the context of nursing practice.
- They ensure that nurses can administer medications safely.
- They provide guidelines for effective communication among healthcare providers.
- They help in evaluating the effectiveness of arrhythmia detection technologies.
- They outline the procedures for patient discharge.
Explanation
The American Heart Association’s (AHA) standards for arrhythmia analysis systems are significant in nursing practice because they establish benchmarks for accuracy, reliability, and consistency in detecting and interpreting cardiac rhythms. By following these standards, healthcare facilities can ensure that the monitoring systems used for arrhythmia detection provide valid and dependable data, supporting timely and accurate clinical decisions. This is critical in both life-threatening and non-life-threatening cardiac events, as it enables nurses to respond effectively to rhythm changes and improve patient outcomes. These standards also promote uniformity across devices, ensuring patient safety and quality of care in cardiac monitoring.
10. A public health nurse received a report that there were several uninsured children at a local free clinic that meets once per month. What would be the best way to increase enrollment in the Children's Health Insurance Plan?
- Create a public health service announcement that can be broadcasted in between after school programming directed at children
- Giving applications to parents with kids under the age of 19 who come to the emergency room uninsured
- Handing out applications to college students
- Giving out applications to pediatrician offices in the area
Explanation
The most effective way to increase enrollment in the Children’s Health Insurance Plan (CHIP) is by directly reaching the parents or guardians of eligible children. Providing applications to parents who come to the emergency room with uninsured children under the age of 19 ensures that outreach efforts target those most in need of coverage. This approach facilitates immediate access to information, connects families with enrollment resources, and helps bridge gaps in preventive and routine care for uninsured children. It also ensures that the message reaches the intended demographic directly rather than relying on indirect communication strategies.
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