CLINICAL MANAGEMENT EXAM 2
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Johns Hopkins University
School of Nursing
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
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Clinical Management Exam 2
1 A nurse manager was orienting new staff members to computerized charting.
To understand computerized charting, staff members
must understand informatics. The three core concepts in informatics are:
a. hardware, software, and printers.
b. data, information, and knowledge.
c. decision making, data gathering, and reporting.
d. wireless technology, voice recognition, and handheld devices.
B
Informatics is the application of technology to all fields of nursing to facilitate and
extend nurses' decision-making abilities and to
support nurses in the use, storage, and linkage of clinical information to provide
effective and efficient patient care.
TOP: AONE competency: Business Skills
2. The nursing manager of a surgical unit has been asked by administration to
evaluate client outcomes post cardiac catheterization.
Using data about client outcomes post cardiac catheterization for the past 6
months in order to modify practice is an example of:
a. information.
b. cost-effective care.
c. meeting standards.
d. evidence-based practice.
D
Technology enables evidence-based practice by collecting good clinical knowledge,
translating nursing knowledge into reference
materials that can be accessed at the point-of-care, and, potentially, assisting nurses
to take action based on best evidence for
practice.
TOP: AONE competency: Knowledge of the Health Care Environment
6. A home health nurse has been assigned to cover a 300-square-mile area of
remote Montana. Mrs. Baker has just been discharged
home following bowel surgery and has a new colostomy. She will need daily
contacts for at least 2 weeks and then regular weekly
contact following that week. Because it is not possible to visit Mrs. Baker in
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person every day and see all of the other clients, the
nurse gives her a laptop computer with net meeting software installed. Each
morning, both dial in at an agreed-upon time and
discuss her progress. The home health nurse assesses whether or not the
client needs to be seen that day and is able to view the
colostomy site. This type of technology is called:
a. distance learning.
b. knowledge software.
c. telecommunications.
d. biomedical technology.
C
Telecommunications and systems technology facilitate clinical oversight of health
care via telephone or cable lines, remote
monitoring, information links, and the Internet. Patients sitting in front of the
teleconferencing camera can be diagnosed, treated,
monitored, and educated by nurses and physicians. EKGs and radiographs can be
viewed and transmitted.
7. At a newly built outpatient surgical center, an integrated information system
has been purchased. The chief nursing officer creates a series of staff
development classes to orient the staff to this new system. One of the
advantages of an integrated information system is that client-care data from all
sites can be stored in and retrieved from a:
a. nursing information system.
b. central data repository.
c. nurse expert system.
d. handheld device.
B
Computer information systems manage large volumes of data, examine data
patterns and trends, solve problems, and answer
questions. In other words, computers can help translate data into information from
both within and among organizations. Data from
all patient encounters with the healthcare system are stored in a central data
repository, where they are accessible to authorized
users. Patient information in a centralized database is organized, legible, and easily
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retrievable from a variety of sources and
reflects a variety of data.
8. Nurses need to know how to operate a computer, compare data across time,
and look for patterns in client responses to treatments.
These are examples of:
a. JCAHO standards.
b. information systems.
c. informatics competencies.
d. requirements for nursing licensure.
C
The Quality and Safety Education for Nurses (QSEN) project identified informatics
competency as a necessary component of the
knowledge, skills, and attitudes for quality patient care. Nurses are anticipated to be
able to use information and technology to
communicate, manage knowledge, mitigate error, and support decision making.
Nurses must utilize hospital database management,
decision support, and expert system programs to access information and analyze
data from disparate sources for use in planning for
patient care processes and systems.
TOP: AONE competency: Business Skills
9. Leaders in nursing must advocate for information and knowledge systems
that support nursing practice. This is best accomplished
by:
a. participating in organizational information technology committees.
b. submitting written requests for needed information systems.
c. requesting budgetary funds needed for systems.
d. sending staff nurses to conferences that discuss cutting-edge technologies.
A
Nurse leaders and direct care nurses must be members of the selection team,
participate actively, and have a voice in the selection
decision. The information system must make sense to the people who use it and fit
effectively with the processes for providing
patient care.
TOP: AONE competency: Business Skills