NMNC 1110 Exam 2 UPDATED ACTUAL Questions and CORRECT
Answers
At the end of your training session on your clinic's new -Avoiding reliance on memory
EHR, you are handed a two-sided laminated card titled
"Quick Start Guide." It provides step-by-step instructions
for basic tasks such as entering orders and writing daily
notes in the EHR.
This is an example of:
-Using forcing functions and constraints
-Automating carefully
-Simplifying
-Avoiding reliance on memory
The first time you admit a patient using your health -Forcing function
system's new EHR, you see a screen pop up as you are
attempting to enter orders. At the top it says, "You must
enter orders for DVT (blood clot) prevention before
completion of this admission order set. Click here to
complete this order."
This pop-up box is an example of the use of:
-Forcing function
-Simplification
-Redundancy
-A and B (Forcing function AND Simplification)
Which of the following is a basic strategy for minimizing -Standardizing how the process is completed
the opportunity for error in a process?
-Reducing reliance on technology
-Standardizing how the process is completed
-Trying harder to perform the process correctly
-A and C (Reducing reliance on technology AND Trying
harder to perform the process correctly)
,Your hospital is implementing an electronic health record it needs to be simplified
(EHR) and is teaching all staff how to use it. As you go
through the EHR training, you notice that it takes five
clicks to bring up the vital signs for a patient. In the past,
when you wanted to see a patient's vital signs, you could
simply look at the sheet of paper clipped onto the end of
the bed.
Which of the following likely needs to be improved about
the new process to review vital signs?
-It needs to be standardized
-It needs to be simplified
-It needs redundancies added
-It needs to avoid reliance on memory
Which of the following is a basic strategy for minimizing Checklists prompt providers to remember and appreciate the importance of tasks.
the opportunity for error in a process?
-The human brain can only remember approximately 22
pieces of information at once.
-Completing checklists gives people a sense of
accomplishment.
-Checklists prompt providers to remember and
appreciate the importance of tasks.
-None of the above; checklists should not typically be
used because they insult the intelligence of providers
and staff.
At the end of a double shift, an experienced nurse with -Improving medication administration processes
an excellent track record gives a medication to the wrong
patient. Based on human factors principles, what would
you recommend as the best way to prevent the same
error from recurring?
-Ensuring staff training is up-to-date
-Incentivizing nursing staff to remain vigilant
-Improving medication administration processes
-A and B (Ensuring staff training is up-to-date AND
Incentivizing nursing staff to remain vigilant)
Human factors is the study of: all of the above
-Interactions among humans
-Interactions between humans and machines
-Interactions between humans and the environment
-All of the above
Which of the following is an example of unconscious -A and C (Optical illusions AND Mistaking one drug for another because of look-
processing by the brain? alike packages)
-Optical illusions
-Skipping a step on a checklist to save time
-Mistaking one drug for another because of look-alike
packages
-A and C (Optical illusions AND Mistaking one drug for
another because of look-alike packages)
, Which of the following factors can increase human risk all of the above
for error?
-Predisposing mental and physiological states (e.g.,
fatigue, stress, dehydration, hunger, and boredom)
-Factors that directly enable decision making (e.g.,
perception, attention, memory, reasoning, and judgment)
-Factors that directly enable decision execution (e.g.,
communication and being able to carry out the intended
action)
-All of the above
You're caring for a patient with diabetes who was -The pump helps automate a complex care process
admitted to your hospital with an elevated blood glucose
level. She is on an insulin pump that is programmed to
deliver one unit of insulin per hour through her
intravenous (IV) line.
How does this technology help make her care safer?
-The pump eliminates the need for providers to be
involved in her care.
-The pump eliminates the possibility of a medication
error.
-The pump helps automate a complex care process
-All of the above
As a caregiver, which of the following common health IT -Incomplete data entries into the computer
issues would you be in the best position to help solve?
-Incomplete data entries into the computer
-Delays due to connectivity issues
-Out-of-date software
-None of the above
Which of the following is the best example of using -Giving nursing assistants electronic tablets to ensure there's no delay in recording
technology to improve safety and prevent errors? patients' vital signs
-Providing inpatients with electronic tablets so that they
can keep in better touch with the outside world
-Implementing redundancies, in which providers double-
check each other's electronic inputs
-Giving nursing assistants electronic tablets to ensure
there's no delay in recording patients' vital signs
-Switching to an electronic health record (EHR) platform
that is of comparable quality but lower cost
Answers
At the end of your training session on your clinic's new -Avoiding reliance on memory
EHR, you are handed a two-sided laminated card titled
"Quick Start Guide." It provides step-by-step instructions
for basic tasks such as entering orders and writing daily
notes in the EHR.
This is an example of:
-Using forcing functions and constraints
-Automating carefully
-Simplifying
-Avoiding reliance on memory
The first time you admit a patient using your health -Forcing function
system's new EHR, you see a screen pop up as you are
attempting to enter orders. At the top it says, "You must
enter orders for DVT (blood clot) prevention before
completion of this admission order set. Click here to
complete this order."
This pop-up box is an example of the use of:
-Forcing function
-Simplification
-Redundancy
-A and B (Forcing function AND Simplification)
Which of the following is a basic strategy for minimizing -Standardizing how the process is completed
the opportunity for error in a process?
-Reducing reliance on technology
-Standardizing how the process is completed
-Trying harder to perform the process correctly
-A and C (Reducing reliance on technology AND Trying
harder to perform the process correctly)
,Your hospital is implementing an electronic health record it needs to be simplified
(EHR) and is teaching all staff how to use it. As you go
through the EHR training, you notice that it takes five
clicks to bring up the vital signs for a patient. In the past,
when you wanted to see a patient's vital signs, you could
simply look at the sheet of paper clipped onto the end of
the bed.
Which of the following likely needs to be improved about
the new process to review vital signs?
-It needs to be standardized
-It needs to be simplified
-It needs redundancies added
-It needs to avoid reliance on memory
Which of the following is a basic strategy for minimizing Checklists prompt providers to remember and appreciate the importance of tasks.
the opportunity for error in a process?
-The human brain can only remember approximately 22
pieces of information at once.
-Completing checklists gives people a sense of
accomplishment.
-Checklists prompt providers to remember and
appreciate the importance of tasks.
-None of the above; checklists should not typically be
used because they insult the intelligence of providers
and staff.
At the end of a double shift, an experienced nurse with -Improving medication administration processes
an excellent track record gives a medication to the wrong
patient. Based on human factors principles, what would
you recommend as the best way to prevent the same
error from recurring?
-Ensuring staff training is up-to-date
-Incentivizing nursing staff to remain vigilant
-Improving medication administration processes
-A and B (Ensuring staff training is up-to-date AND
Incentivizing nursing staff to remain vigilant)
Human factors is the study of: all of the above
-Interactions among humans
-Interactions between humans and machines
-Interactions between humans and the environment
-All of the above
Which of the following is an example of unconscious -A and C (Optical illusions AND Mistaking one drug for another because of look-
processing by the brain? alike packages)
-Optical illusions
-Skipping a step on a checklist to save time
-Mistaking one drug for another because of look-alike
packages
-A and C (Optical illusions AND Mistaking one drug for
another because of look-alike packages)
, Which of the following factors can increase human risk all of the above
for error?
-Predisposing mental and physiological states (e.g.,
fatigue, stress, dehydration, hunger, and boredom)
-Factors that directly enable decision making (e.g.,
perception, attention, memory, reasoning, and judgment)
-Factors that directly enable decision execution (e.g.,
communication and being able to carry out the intended
action)
-All of the above
You're caring for a patient with diabetes who was -The pump helps automate a complex care process
admitted to your hospital with an elevated blood glucose
level. She is on an insulin pump that is programmed to
deliver one unit of insulin per hour through her
intravenous (IV) line.
How does this technology help make her care safer?
-The pump eliminates the need for providers to be
involved in her care.
-The pump eliminates the possibility of a medication
error.
-The pump helps automate a complex care process
-All of the above
As a caregiver, which of the following common health IT -Incomplete data entries into the computer
issues would you be in the best position to help solve?
-Incomplete data entries into the computer
-Delays due to connectivity issues
-Out-of-date software
-None of the above
Which of the following is the best example of using -Giving nursing assistants electronic tablets to ensure there's no delay in recording
technology to improve safety and prevent errors? patients' vital signs
-Providing inpatients with electronic tablets so that they
can keep in better touch with the outside world
-Implementing redundancies, in which providers double-
check each other's electronic inputs
-Giving nursing assistants electronic tablets to ensure
there's no delay in recording patients' vital signs
-Switching to an electronic health record (EHR) platform
that is of comparable quality but lower cost
