NUR 410: Final NCLEX Comprehensive Questions and Questions with Answers 100% Accuracy|Updated 2024

Quality improvement - ANS What is a way to advance the practice of healthcare with objective, measurable, information; this information is collected and analyzed in systematic and quantifiable formats in order to improve health care and health care services? Quality assurance - ANS What consists of ongoing efforts of organizations outside of the health care setting to consistently evaluate, the client outcomes and ensure that criteria and standards are being upheld for client safety and health? One, day - ANS On average, patients are subjected to at least ____________________ medication error each ___________________ with high costs to patients, families, health care professionals, hospitals, and insurance companies. Model for improvement (MFI) - ANS The _____________________ asks three questions: (1) What are we trying to accomplish? (Establishing the vision for the proposed improvement); (2) How will we know that a change is an improvement? (Outlining the steps to achieve the desired outcome); (3) What changes can we make that will result in improvement? (Generating idea's for testing proposals) Plan - ANS The ____________________ part of the PDSA method involves choosing the question or problem; decide what data to collect and who will collect it. Do - ANS The _____________________ part of the PDSA method involves make the change/action and collect the data. Study - ANS The ___________________ part of the PDSA method involves reviewing and analyzing the data collected. Act - ANS The _____________________ part of the PDS method involves deciding upon the next steps to take and then implement in those stops? evidence based practice - ANS What is using research in clinical practice involving the client to give quality care and use of best practice? Shared Goverenence - ANS In a ____________________model, all staff nurses are actively engaged in quality improvement by: identifying areas needing improvement; active in auditing and measuring indicators on your unit daily/weekly/monthly etc.; collaborating with interdisciplinary healthcare team in process improvements; serving on hospital QI research projects; transparency: read emails with information sent to you. Six sigma - ANS What is a business problem-solving model developed to reduce variations in practice and reduce errors? Define, measure, analyze, improve, control - ANS What are the five steps of the six sigma process? Clinical indicators - ANS What are the foundations for monitoring and evaluation; they are measurable? National Database of Nursing Quality Indicators (NDNQI) - ANS What is a program based upon surveying nurses to identify hospital nursing concerns and ways to promote change and quality improvement? Regulatory and accreditation agencies - ANS What drive quality improvement efforts in health care facilities? Just culture - ANS In this culture, nurses hold each other accountable not a blame culture? The Joint Commission - ANS Established in 1951, ____________________ evolved as an impartial national organization that accredits hospitals and other healthcare facilities based on their safety performance, policy, procedures, practice, and outcomes. Medical errors - ANS The eight leading cause of death in the US is _____________________. PDSA - ANS The ____________________ method for quality improvement is not a one and done process. The Joint Commission - ANS ____________________facility evaluation performance scores include the monthly submission of the hospital's safety and quality performance outcomes to an independent vendor that quantifies and identifies safety trends, both positive and negative, four times a year; these quarterly performance measures can be tracked as well as the action plans specific for that outcome. National Patient Safety Goals (NPSG) and Standards of Compliance - ANS What was initiated in 2002 by TJC that identifies established relevant safety practices health care institutions should accomplish? Standards of Compliance - ANS Since most health care organizations embrace and routinely practice these goals, they are cataloged into the register of adopted ____________________ that must be met on a consistent basis. 250 - ANS There are over ____________________ standards of compliance. Adverse events and sentinel events - ANS Newly created and approved National Safety Goals are endorsed every year based on the ____________________ that have trended nationally in health care facilities. Country - ANS The Joint Commission National Patient Safety Goals are based on data from sentinel events from all over the ____________________. RN's - ANS In many instances ____________________ are the last line of defense in avoiding patient harm. risk management - ANS ____________________ is the process of reducing the risk of errors by understanding the causes and beginning to change the culture with communication and collaboration of individual staff and management. Near miss - ANS Nurse's role also includes reporting not only real errors, but also ____________________ errors that are caught before they reach a patient. Sentinel - ANS ____________________ events are reportable events. Incident reports - ANS What are the documentation of errors and factors leading up to and including when an error occurs in the healthcare system? Never events - ANS What are medical errors that are identifiable, preventable, and have potential for serious risk to clients; the occurrence of a never event reveals a problem in the safety and credibility of a health care facility? Sentinel event - ANS The Joint Commission Defines a ____________________ as an incident of unsafe practice that resulted in extreme harm, short-term harm, permanent disability, or death of a client. Sentinel - ANS The term ____________________ is derived from the military and means to keep watch or on high alert. Root cause analysis - ANS ____________________, also called an RCA, follows The Joint Commission's directive to investigate an incident to determine what happened and how to prevent it from happening again. Best practice, standards, pathways - ANS The use of standardized practices are also known as ____________________, ____________________, and ____________________. Pathways - ANS Clinical guidelines or ____________________ outline the optimal sequencing and timing of clinical interventions for a diagnosis or procedure. Protocols - ANS Clinical algorithms or ____________________ outline decision paths that a practitioner might take during a particular care episode or need. policy - ANS What deliberate course of action to address an issue, the product or process by which this happens; occurs at local, state, or federal level? public policy - ANS What are laws (decisions) made by public or government officials to solve a problem; all laws unrelated to healthcare? health policy - ANS What are laws and government actions aiming to improve health outcomes? health in all policy - ANS What means legislations that (indirectly) affects health? nursing practice - ANS What is highly regulated by health policy in order to safeguard the consumer? policy and procedure - ANS ____________________ manuals provide the standards of care that meets regulatory/accreditation requirements that promotes safety. False - ANS True or False: Delaware County has its own health department. regulations - ANS What are written rules from the executive branch agency that administers the law? priority setting - ANS What requires ordering your decisions about: setting patients (who first), when assessments are done, when interventions are provided, when procedures and other client care is done? assigning - ANS What is the process of transferring the authority, accountability, and responsibility of client care to another member of the HC team? delegating - ANS What is the process of transferring the authority and responsibility to another team member to complete a task while retaining accountability? supervising - ANS What is the process of directing, monitoring, and evaluating the performance of tasks by another member of the HC team? delegation - ANS High cost of health care makes ____________________ an economic necessity. not - ANS RNs can ____________________ delegate any task that involves to assistive personnel TAPE (teaching, assessment, planning, evaluation). right task - ANS What is relatively non-invasive, repetitive, minimal supervision? right circumstance - ANS What are delegated tasks that do not require independent nursing judgement? right person - ANS What is one who is qualified and competent? right direction and communication - ANS What is a clear explanation about the task and outcomes and when the delegatee should report back to the RN? right supervision and evaluation - ANS What is feedback to assess and improve the process; evaluate patient outcomes? task, circumstance, person, direction/communication, supervision/evaluation - ANS What are the five rights of delegation? leadership - ANS What is the ability to guide or influence others to achieve a desired outcome? management - ANS What is the coordination of resources (time, people, supplies) to achieve outcomes? power - ANS What is the ability to motivate people to get things done with or without the formal right granted by the organization? authority - ANS What is the legitimate right to direct others through an authorized position in an organization? 24 - ANS Managers have a ____________________ hour accountability for nursing care on the unit. informal leadership - ANS What is exercised by the person who has no official authority to act but influences others in the work group? formal leadership - ANS What is practiced by the nurse who is appointed to an approved position and is given the authority by the organization to act? trait theory - ANS What is based on the assumption that leaders/managers are born with certain characteristics? transactional types - ANS What leaders establish standards, highlight obligations, concentrate on monitoring behaviors, and use rewards or punishments based on how tasks are compared? transformational types - ANS What leaders establish a common mission and vision and, in turn, encourage employees to heighten their level of performance? laissez-faire - ANS What leaders are hands-off that oversee and encourage their team to work independently, providing little direct control over decision making? autocratic/bureaucratic - ANS What leaders are "by-the-book" who relies heavily on consistency and adherence to rules within a top-down decision-making organization? situational - ANS What type of leadership transition or move from one leadership style to another depending on the circumstances. skill, expertise - ANS At the staff nurse level of management, a considerable amount of technical ____________________ and clinical ____________________ is needed. organizing - ANS What establish or enacts the formal structure to define the lines of authority, communication, and decision making? change - ANS What is the only constant in nursing? staff developer - ANS Who offers learning and training opportunities to enhance professional and personal growth for all employees? emotional intelligence - ANS What is taking a more structured approach to being aware of and modifying our emotions and reactions to them? Verbal - ANS What type of communication is the spoken word? Attitude - ANS ____________________ that accompanies a verbal interaction is more meaningful than the actual words spoken. Nonverbal - ANS When verbal and nonverbal messages do not agree, the receiver is more likely to believe the ____________________ message. Eye contact - ANS It is important for the nurse to demonstrated undivided ____________________ to the patient. Active listening - ANS ____________________ greatly improves the likelihood that the correct message will be received. Open ended - ANS ____________________ questions or statements require more information than a yes or no. Feedback - ANS The sender should ask for ____________________ to be certain that the receiver is correctly interpreting what is being said. Trust - ANS The development of ____________________ is enhanced by openness on the part of the nurse as well as honesty, integrity, and dependability. Communicating clearly, keeping promises, being available - ANS Developing trust is achieved by ____________________, ____________________, and ____________________. Western - ANS Eye contact is a ____________________ value. Trust - ANS Making and then breaking promises destroy ____________________ in any interpersonal relationship. Empathy - ANS What is the ability to mentally place oneself in another person's situation to better understand the individual? Positioning, movement - ANS Body ____________________ and ____________________ send loud messages to others. Touch - ANS Nurse should be sensitive to each patient's preferences in terms of ____________________. Therapeutic silence - ANS ____________________ means that it is ok to say nothing and just be present. I messages - ANS What messages are less accusatory? Blocking - ANS What occurs when the nurse responds with noncommittal and/or generalized answers? False assurances - ANS Answers such as "don't worry" or "it'll be okay" in response to serious questions or concerns are examples of ____________________; they may be interpreted by the patient as placating or showing a lack of concern or a lack of knowledge. Psychosocial, physiological - ANS Client's ____________________ and ____________________ factors, as well as those of the nursing staff, can influence communication effectiveness. Disagree - ANS No one should ____________________ when messages are communicated with safety as a goal. CUS - ANS Use the ____________________ method to express safety concerns (I'm concerned, I'm uncomfortable, This is a patient safety issue). Conflicts - ANS ____________________ stemming from differences in goals or desires are not good or bad. Equality - ANS What is the concept that all participants in the process are equal; respect for individual differences is apparent; people are comfortable expressing themselves freely and openly? Empathy - ANS What is feeling what the other person is feeling and seeing the situation as he/she sees it; believing that the other person's feelings are valid, legitimate, and justified? Openness - ANS What is the concept of feelings and thoughts states directly and honestly; no attempt to disguise real object of disagreement? Positiveness - ANS What is the concept of using agreement as a basis for approaching disagreements and impasses; conflict is viewed as positive? Avoidance - ANS This conflict resolution style involves one person using passive behaviors and withdraws from the conflict; neither person can pursue goals. Accomodation - ANS This conflict resolution style involves one person putting aside his/her goals in order to satisfy the other person's desires. Force - ANS This conflict resolution style involves one person achieving his/her own goals at the expense of the other person. Compromise - ANS This conflict resolution style involves both people giving up something to experience partial goal attainment. Collaboration - ANS This conflict resolution style involves both people actively try to find solutions that will satisfy them. Safety - ANS What should be made the focus in communication and conflict management? Lateral Violence - ANS What is also known as peer incivility, bullying, horizontal violence? Zero - ANS There is ____________________ tolerance for lateral violence in the work place. Reality shock - ANS What occurs when the new nurse experiences the differences between the real world of nursing and nursing school? honeymoon phase, shock or rejection phase, recovery phase, resolution phase - ANS What are the phases of reality shock? Honeymoon Phase - ANS What occurs when everything in the work world is just as the new graduate imagined; most often occurs during the orientation period? Shock (Rejection) Phase - ANS What occurs when the new graduate experiences conflicting viewpoints, different ways of performing skills, lack of security of an expert always available as a recourse? Native - ANS What is an inappropriate coping mechanism during the shock phase that adopts ways of least resistance and mimics other nurses? Runaway - ANS What is the inappropriate coping mechanism where the real world is too difficult; leaves profession or returns to graduate school with a goal to flee the bedside? rutter - ANS What is the inappropriate coping mechanism that considers nursing just a job, not a profession or identity? Burned out - ANS What is the inappropriate coping mechanism that bottles up conflict; fatigued, depressed, angry? compassion fatgiue - ANS What is the inappropriate coping mechanism where there is decline in compassion overtime from exposure to events that have traumatized patients? Loner - ANS What is the inappropriate coping mechanism that adopts the attitude to "just do the job and keep your mouth shut"? New nurse on the block - ANS What is the inappropriate coping mechanism that changes jobs frequently and is always the "new" nurse, not progressing from novice stage in any job? Recovery phase - ANS What is where the nurse begins to understand the culture of professional nursing, reconciles the differences form the cultural of school; experience less anxiety, and healing begins as experience grows; recommit in your heart to your goals? Novice, advanced beginner, competent, proficient, expert - ANS What are the five levels of proficiency? Novice - ANS What nurse is beginner level with no previous experience? Advanced beginner - ANS What is a nurse that demonstrates acceptable performance and has experienced enough real clinical experiences to note the recurring components of the situation? Competent - ANS This nurse is efficient and organized in care; analytically thinks for clinical problems; still relies heavily on references. Proficient - ANS This nurse perceives clinical situations as wholes rather than chopped up parts; learns from experience what to expect and BIG PICTURE; recognizes when the expected normal clinical picture does not develop. Expert - ANS This nurse no longer relies on guidelines or rules to connect his/her understanding of the situation; initiates appropriate actions independently; able to define the problem without many alternative diagnoses and solutions. Competent - ANS What nurse makes the best preceptor for a graduate nurse? Yale - ANS In 1923, ____________________ established the first BSN program. Sheppard-Towner - ANS The ____________________ Act of 1921 was the first legislation to assist special populations and provide public health nurses with resources to promote health and well-being of women, infants, and children. Nurse Training - ANS The ____________________ Act of 1943 was the first instance of federal funding to support nurse training. State Board Test pool - ANS By 1950, all states had adopted the ____________________. Hill-Burton - ANS The ____________________ Act provided funding to construct hospitals; created a hospital construction boom that increased the demand for professional nurses. medicaid - ANS During the 1960s Title XIX of the Social Security Act of 1965 set up ____________________. medicare - ANS During the 1960s Title XVIII of the Social Security Act of 1965 set up ____________________. increased - ANS Medicare reimbursement increased hospital occupancy resulting in an ____________________ need for nurses. universal precautions - ANS During the AIDS epidemic during the 1990s, new procedures for infection control were required and ____________________ were mandated. 50% - ANS Every six years, nursing knowledge increases by ____________________. Quality and Safety Education for Nurses - ANS The ____________________ has six competencies for knowledge, skills, and attitudes that nursing students need to develop while in a nursing program. patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, informatics - ANS What are the six QSEN competencies? generalist - ANS Med surg, mental health, maternity, pediatrics, and community health are considered ____________________ nursing practice. educator - ANS 80,000 qualified US applicants were turned away from nursing programs in because of nurse ____________________ shortages. ADN - ANS Today, the largest percentage of nurses graduating are ____________________ graduates. bachelor - ANS ____________________ prepared nurses are 61% of the RN workforce. nurse anesthetist, nurse midwife, clinical nurse specialist, nurse practitioner - ANS What are the four advance practice RN roles? PhD, DNP, DNSc - ANS What are the three doctoral degree options in nursing? accredited - ANS It is important for the prospective nursing student to ensure the program they are interested in is ____________________. ACEN - ANS The Neumann University Nursing Program is accredited by the ____________________. protection - ANS The primary purpose of nursing licensure is the ____________________ of the public. State Board of Nursing - ANS Who develops rules for examination and licensure of nurses and govern the practice of nursing to protect the title of RN? governors - ANS Membership of the board of nursing is usually appointed by the ____________________ office. nurse practice acts - ANS What establish permissible functions and activities of the professional nurse; you need to be aware of the one set in the state you practice? enhanced nurse licensure compact - ANS The ____________________ first formed in 1997 provides for individual state boards to adopt an interstate compact, allowing nurses licensed in one state to practice in all other states and territories without applying for multiple licensess. first state - ANS Compact state license is based on the ____________________ in which you were licenses (or the state of your primary residence if you have moved). Sigma Theta Tau - ANS What is the international honor society for nursing? American Nurses Association - ANS What is one of the oldest and largest most well-known professional nursing organization's and is the strongest voice for the profession politically? recidencies - ANS Nurse ____________________ help with transition from education to practice. transparency - ANS Some states have ____________________ laws where hospitals have to publicly post staff to patient ratios. acuity - ANS Staffing based on ____________________ is not a good model because this can change. acuity - ANS The ANA is focused on ____________________ systems for staffing. real time - ANS It is important that documentation is done in ____________________. overtime - ANS Chronic ____________________ should not be a long term solution to short staffing. overtime - ANS In PA, mandated ____________________ is illegal unless catastrophic event is formally declared or there is an "emergency". chain of command - ANS Before blowing the whistle, the ____________________ must be followed. lawyer - ANS It may be beneficial to consult a ____________________ before whistle blowing. professional practice model - ANS What is a system or framework that supports nurses in their practice (i.e., shared governance)? nursing shared governance - ANS What is a professional practice model in which nursing-based clinical decisions are made and leadership is shared to ensure high-quality and safe patient care? MAGNET - ANS The ____________________ recognition program serves the purpose to attract top notch nurses, keep them, empower to transform to meet the future, and empower to achieve organizational goals and meet outcomes. positive - ANS The Pathway to Excellence Program rewards hospitals that promote and support a ____________________ nursing practice environment confidential - ANS To achieve pathway to excellence, nurses must provide input via a ____________________ survey. 60% - ANS To achieve pathway to excellence, ____________________ of eligible nurses must finish the survey. 50% - ANS To achieve pathway to excellence, ____________________ of eligible nurses must respond strongly agree on ALL 28 survey questions. 75% - ANS To achieve pathway to excellence, ____________________ of eligible nurses must respond strongly agree or agree on at least 21 out of the 28 survey questions. Abington - ANS The only hospital in our area with both Magnet and Pathways is ____________________. National Labor Relations - ANS In 1935 congress passed the ____________________ Act where employers were given the right to self-organize, form labor unions, and bargain collectively. Taft-Hartley - ANS In 1947 congress passed the ____________________ act which exempt charitable institutions, including non-profit hospitals from the 1935 NLRA; was repealed in 1974 National Nurses United - ANS What is the largest union in the United States representing 185,000 RNs? union authorization card - ANS Once the ____________________ is signed, it designates the union as his or her bargaining agent. Right-to-Work - ANS ____________________ laws allow employees to work without being compelled to join a union; nurses in these states can choose not to become a union member yet receive the benefits resulting from the union contract management - ANS Nurses eligible to vote for union are nurses engaged in patient care and not in ____________________ positions. 24 - ANS Unions can not hold meetings within ____________________ hours of an election. data - ANS Nurses need to collect ____________________ to support change. nursing research - ANS What is a systematic inquiry or study conducted to generate new knowledge or to refine existing knowledge? collecting, analyzing, communicating - ANS The components of the nursing research process include ____________________ and ____________________ of data and ____________________ of conclusions. medicaid, medicare - ANS In 1965 the creation of ____________________ and ____________________ programs make comprehensive health care available to millions of Americans. medicare - ANS Who was the largest single payer of hospital charges? Diagnostic Related Groups (DRGs) - ANS Payment to the hospital set based on ____________________ regardless of the length of hospital stay or # of procedures/tests performed reduce - ANS With DRGs, hospitals face a strong financial incentive to ____________________ length of stay and minimize procedures performed. managed care - ANS The primary commonality of ____________________ is to oversee the use of health services. Value-Based Purchasing - ANS With ____________________, hospitals are reimbursed based on patient experience of care based on the hospitals scores. Patient Protection and Affordable Care Act - ANS What provides affordable health insurance options through an insurance marketplace that requires US citizens/legal residence to have qualifying health insurance or pay a penalty? government - ANS What is the biggest influence in the health insurance market, generating 50% of hospital revenues and 25% of physician incomes? medicare - ANS What is the largest health insurance program in the United States? CHIP - ANS What provides free or low cost insurance to children under 19 years? readmission - ANS What is defined as admission to a hospital within 30 days of discharge? never events - ANS Medicare no longer pays hospitals for the extra costs of treating preventable errors commonly referred to as ____________________. total patient care - ANS In this nursing care delivery model the nurse is responsible for planning, organizing, and performing all patient care during the assigned shift. functional nursing - ANS In this nursing care delivery model staff members are assigned to complete certain tasks for a group of patients rather than care for specific patients. team nursing - ANS In this nursing care delivery model the RN functions as a team leader and coordinated care for a small group of patients. primary nursing - ANS In this nursing care delivery model the RN assumes 24-hour responsibility for planning, directing, and evaluating the patient's care from admission through discharge; provides total patient care while on duty; while off duty care is provided by an associate nurse who follows the care plan established by the primary nurse? case management - ANS What is a collaborative approach to provide and coordinate health services; identify and facilitate options and services for meeting health needs; decrease fragmentation and duplication of care; enhance quality, cost-effective clinical outcomes? common law - ANS What is law created by judges? statutory law - ANS What is law created by congress? Title 42 - ANS What defines minimal standards of care for hospitals to receive money from Medicare? never events - ANS What decrease funding for hospitals? California - ANS What is the first state to enact laws for minimum nurse-patient ratios in acute care? Pennsylvania - ANS What state mandates all healthcare workers to report abuse? State Board of Nursing - ANS The first step in reporting abuse is to call the ____________________. state - ANS What laws regulate standards for nursing homes, hospitals, and rehabilitation centers? Rowe v Sisters of Pallottine Missionary Society - ANS What case reinforced the law that nurses must independently act to prevent harm to patients? tort - ANS What is another term for a civil wrong? negligence - ANS What is a failure to act as a reasonably prudent nurse? malpractice - ANS What is a type of negligence that causes harm to a patient? proximate cause - ANS What is the direct cause and effect i.e. evidence shows that the nurse did not meet the standard of care and this caused a patient injury? best - ANS A negotiated assignment is the ____________________ approach when asked to float. governmental immunity - ANS What states that federal employees are protected from personal responsibility for damages awarded in malpractice cases? vicarious liability - ANS What is when a plaintiff can hold the employer responsible for the negligence of its employees? objectively - ANS Documentation must always be written ____________________. event report - ANS Never write on the patients chart that an ____________________ was written. legal - ANS Nurses do not sign ____________________ documents. right to refuse - ANS The patient as a ____________________ a diagnostic test, treatment, or care. health care provider - ANS If a patient is requesting to leave AMA, the nurse must inform the ____________________. refuse to pay - ANS It is important to notify the patient that if they leave AMA, the insurance company may ____________________ for any treatment done. imprisonment - ANS Physical restraints are a form of ____________________. least - ANS The goal is to use the ____________________ restrictive restraint when all other strategies to ensure patient safety are exhausted. nursing ethics - ANS What is the system of principles that govern the actions of the nurse in relation to patients, families, other heath care providers, policy makers, and society? code of ethics - ANS What is the implicit standards and values for the profession? bioethics - ANS What is an interdisciplinary field within health care that has evolved with modern medicine to address questions that arise as science and technology produce new ways of knowing? values - ANS Nurses must determine their own ____________________ and seek to understand the values of others. values clarification - ANS What is a process by which people attempt to examine the values they hold and how those values function as a part of the whole? value - ANS What is a personal belief about worth that acts as a guide to behavior? value system - ANS What is the entire framework on which actions are based? moral development - ANS What is forming a worldview and value system through an evolving, continuous, dynamic process that moves along a continuum of development? Diane Ustal - ANS Who was the first nurse leader to describe the role of values clarification? utilitarianism - ANS What is when the nurse tries to determine which actions will do the most good/least harm for all persons involved in the dilemma ? deontology - ANS What is a universal principle to consistently act in one way based on principles that are consistent, objective and right? autonomy - ANS What is the principle that people are free to form their own judgement sand actions as long as they do not infringe on the autonomous actions of others? beneficence - ANS What is the principle to promote goodness, kindness, and charity; to abstain from injuring others and to help others further their own well-being by removing harm; risks of harm must be weighed against possible benefits? nonmaleficence - ANS What implies a duty not to inflict harm; to abstain from injuring others; to help others further their own well-being by removing harm? veracity - ANS What is the principle of truth-telling; belief that truth could at time be harmful held for many years? justice - ANS What is the obligation to act fairly in healthcare decisions? informatics - ANS What is defined as the use of information and technology to communicate, manage knowledge, mitigate error, and support decision making? nursing informatics - ANS What is defined as the integration of technology and physical devices with nursing knowledge and nursing clinical decision-making skills? scanning bar codes - ANS The practice of ____________________ has assisted greatly in improving client safety and accurate documentation to the health record. electronic health record - ANS What is a systematic, digitized documentation system to improve client care; provides a comprehensive record of a person's health history as well as a means of communication for all health care providers involved in a client's care? knowledge tool - ANS EHR' serves as a primary source of information for patient care and quality, thus it is a ____________________. independent agency - ANS For providers to qualify for EHR incentive payments, their EHR must be certified as a meaningful use EHR by an ____________________. court of law - ANS Accounts of every treatment, diagnosis, and provider visit for billing all component of an EHR can be used in a ____________________. ensure privacy and security, improve population health, improve safety and quality, engage patients and families, coordinate care - ANS What are the five pillars of meaningful use? clinical decision support - ANS What is an automatic reminder about preventive practice; drug alerts for dosing and interaction; electronic recourses for data interpretation and clinical decision making? computerized provider order entry (CPOE) - ANS What is a clinician with ordering authority directly enters patient care orders into a computer and eliminates lost orders and illegible handwriting? need to know - ANS Access to PHI must be to employees with a ____________________ specific information. HIPAA - ANS Developed in 1990, this focuses on the privacy and security of patient data. telemedicine - ANS As opposed to telehealth, ____________________ is done by a licensed person who makes a diagnosis or performs treatment (MD or NP) using technology. homecare - ANS Telehealth and telemedicine are affecting the ____________________ industry. 3 - ANS Standard ____________________ of information literacy for nurses states the information literate nurse critically evaluates the procured information and its sources, and as a result, decides whether to modify the initial query and/or seek additional sources and whether to develop a new research process. 5 - ANS Standard ____________________ of the information literacy for nurses states that the information literate nurse understands many of the economic, legal, and social issues surrounding the use of information and accesses and uses information ethically and legally. authority - ANS What term describes the author and author's credentials? authority, objectivity, accuracy, currency, usability - ANS When evaluating information found on the internet it is important to asses for ____________________, ____________________, ____________________, ____________________, ____________________. client health literacy - ANS What is the client's ability to obtain, read, and understand basic health information? 5th - ANS Patient handouts should be at a ____________________ grade reading level or below. health literacy - ANS Healthy People 2030 names ____________________ as a subheading to the social determinant of health and health care. personal health literacy - ANS What is the degree to which individuals have the ability to find, use information and services to inform related decisions and actions for others?