NURS 272 FINAL EXAM QUESTIONS & ANSWERS
INFORMATICS
What is this definition:
"Use information and technology to communicate, manage knowledge, mitigate error,
and support decision making" - Answer -Informatics
INFORMATICS
What did the American Recovery and Reinvestment Act of 2009 do? - Answer -Medical
record to be online to enhance health care communication
INFORMATICS
What is the act that has been the driver in the adoption of EHRs through established
provisions to promote meaningful use of patient health information and improve patient
care? - Answer -HITECH
INFORMATICS
What is a EHR - Answer -Digital version if a patient health record over a lifetime
INFORMATICS
What is a EMR - Answer -Digital version of a single encounter for a patient and part of
the EHR
INFORMATICS
Required components of HITECH - Answer -Provide a lifetime record
Patient problem list
Rationale for diagnosis
Confidential/privacy/passwords/firewalls/appropriate disposal of info (HIPPA)
Continuing access to users at the same time
Links to supporting information - databases or other support care
Direct order entry by providers
INFORMATICS
Benefits of Technology - Answer -Decrease cost
More efficient, decrease errors
Improve communication and access to information
Support collaboration
Compare current and prior patient data to find trends and track records
Improve patient outcomes and increase safety
Aid in quality improvement projects and research
Increased job satisfaction
Easy access to records by patients
Engage patients in their own care
INFORMATICS
,Challenges of Technology - Answer -Computer systems and software do not always
"communicate" between facilities
Buy-in and reluctance from health care providers to use technology
INFORMATICS
What types of systems does the healthcare team use? - Answer -Monitoring systems
(vitals, O2, heart monitoring)
Order entry systems (provide orders, nursing supply orders)
Laboratory, radiology, and pharmacy systems
Administrative (appointments, staff scheduling)
INFORMATICS
What are clinical decision support systems (what do they do and give examples) -
Answer -Alerts, warnings, links to other evidence-based information to help make
decisions
EX: order meds - alert tells you they have an allergy
EX: Identify patient as a smoker - information on smoking cessation
EX: Low fall risk assessment - fall risk interventions appear
INFORMATICS
What is a set of abilities allowing individuals to 'recognize when information is needed
and how to locate, evaluate, and effectively use the needing information" - Answer -
Information Literacy
SELF
What is this definition?
"The totality of the individual, consisting of all characteristics, attributes, conscious and
unconscious, mental and physical" - Answer -Self
SELF
What is effective (adaptive) responses through realistic perception of self - Answer -
Nurse identifies and promotes adaptation with responses that patients might have -
identify strengths
SELF
"Thinks about him/herself an individual's view on self that is conscious and unconscious
that includes thoughts and attitudes" - Answer -Self-concept/perception
SELF
"How a person feels about him/herself (thoughts come first) often times people react on
feelings" - Answer -Self-esteem
SELF
"Recognizing self-quality or potential. Who they really are always and all the time" -
Answer -Self-identity
,SELF
"Individual patterns of values (values, attitudes, beliefs, emotions, and needs are
recognized by the individual and the impact on ourselves and others. Ongoing
throughout the lifetime (Very first step in giving effective patient care) - Answer -Self-
Awareness
SELF
"Abstract standards that represent an ideal for us. These are deep held beliefs that align
with attitudes. What we value should always guide our behavior. These are not likes or
dislikes of superficial behaviors." - Answer -Values
SELF
What populations have those with role performance stressors - Answer -New parents,
empty nesters, caring for aging parent or loved one (disease)
SELF
3 steps about values? - Answer -CHOOSE (freely after considering all alternatives)
PRIZE (proud of the value and you let others know that)
ACT (value consistently in a response to a choice)
SELF
Nursing Interventions? - Answer -Health Promotion (primary prevention)
Restorative and continuing care
Strengthen or maintain patient's coping skills
Referral to community services
Minimize Stressors
THERAPEUTIC COMMUNICATION
"Communication that is a goal directed and focused dialogue between the nurse and
patient, specifically fitted to the needs of the patient" - Answer -Therapeutic
communication
THERAPEUTIC COMMUNICATION
Characteristics and Purpose - Answer -Client-Centered approach
Goal Directed (mutual goals - nurse and patient)
Defined rules and boundaries
Individualized strategies
Nonjudgmental
THERAPEUTIC COMMUNICATION
What is high anxiety = low readiness to understand anything for direction or education -
Answer -Emotional Readiness
THERAPEUTIC COMMUNICATION
Requires through nursing assessment (LOC, emotional trauma, fatigued) - Answer -
Energy conservation
, THERAPEUTIC COMMUNICATION
What is the vocalization or variation in our voice - sighing, pitch, tone, inflection (affects
how message is interpreted) - Answer -Paralanguage
THERAPEUTIC COMMUNICATION
What does active listening require? - Answer -Energy or presence
THERAPEUTIC COMMUNICATION
What is active listening? - Answer -Hears client's message
Decodes its meaning
Provides feedback to the client concerning nurse's understanding of the message
SOLER position: 5 behaviors that demonstrate active listening: nonverbal and show
empathy
THERAPEUTIC COMMUNICATION
What is SOLER? - Answer -S - sit square or perhaps angle facing the person
O - open posture (no crossing arms or legs and hunch soldiers)
L - Lean forward - listening
E - Eye-contact to the comfort of the patient
R - Relax (no fidgeting)
THERAPEUTIC COMMUNICATION
Questions to start open-ended questions
What can't you answer with?
What should you start with?
What should you never start with? - Answer -Yes or no
How or what
Why
THERAPEUTIC COMMUNICATION
Questions to closed-ended questions
What are the answers?
What do you start with?
What can you sometimes use - Answer -Yes or no
Did or Will
Can
THERAPEUTIC COMMUNICATION
Questions to focus questions
What is it?
How to start?
Examples? - Answer -Limiting but more than yes or no?
When and Where
EX: What is your birthdate
EX: Where were you born
INFORMATICS
What is this definition:
"Use information and technology to communicate, manage knowledge, mitigate error,
and support decision making" - Answer -Informatics
INFORMATICS
What did the American Recovery and Reinvestment Act of 2009 do? - Answer -Medical
record to be online to enhance health care communication
INFORMATICS
What is the act that has been the driver in the adoption of EHRs through established
provisions to promote meaningful use of patient health information and improve patient
care? - Answer -HITECH
INFORMATICS
What is a EHR - Answer -Digital version if a patient health record over a lifetime
INFORMATICS
What is a EMR - Answer -Digital version of a single encounter for a patient and part of
the EHR
INFORMATICS
Required components of HITECH - Answer -Provide a lifetime record
Patient problem list
Rationale for diagnosis
Confidential/privacy/passwords/firewalls/appropriate disposal of info (HIPPA)
Continuing access to users at the same time
Links to supporting information - databases or other support care
Direct order entry by providers
INFORMATICS
Benefits of Technology - Answer -Decrease cost
More efficient, decrease errors
Improve communication and access to information
Support collaboration
Compare current and prior patient data to find trends and track records
Improve patient outcomes and increase safety
Aid in quality improvement projects and research
Increased job satisfaction
Easy access to records by patients
Engage patients in their own care
INFORMATICS
,Challenges of Technology - Answer -Computer systems and software do not always
"communicate" between facilities
Buy-in and reluctance from health care providers to use technology
INFORMATICS
What types of systems does the healthcare team use? - Answer -Monitoring systems
(vitals, O2, heart monitoring)
Order entry systems (provide orders, nursing supply orders)
Laboratory, radiology, and pharmacy systems
Administrative (appointments, staff scheduling)
INFORMATICS
What are clinical decision support systems (what do they do and give examples) -
Answer -Alerts, warnings, links to other evidence-based information to help make
decisions
EX: order meds - alert tells you they have an allergy
EX: Identify patient as a smoker - information on smoking cessation
EX: Low fall risk assessment - fall risk interventions appear
INFORMATICS
What is a set of abilities allowing individuals to 'recognize when information is needed
and how to locate, evaluate, and effectively use the needing information" - Answer -
Information Literacy
SELF
What is this definition?
"The totality of the individual, consisting of all characteristics, attributes, conscious and
unconscious, mental and physical" - Answer -Self
SELF
What is effective (adaptive) responses through realistic perception of self - Answer -
Nurse identifies and promotes adaptation with responses that patients might have -
identify strengths
SELF
"Thinks about him/herself an individual's view on self that is conscious and unconscious
that includes thoughts and attitudes" - Answer -Self-concept/perception
SELF
"How a person feels about him/herself (thoughts come first) often times people react on
feelings" - Answer -Self-esteem
SELF
"Recognizing self-quality or potential. Who they really are always and all the time" -
Answer -Self-identity
,SELF
"Individual patterns of values (values, attitudes, beliefs, emotions, and needs are
recognized by the individual and the impact on ourselves and others. Ongoing
throughout the lifetime (Very first step in giving effective patient care) - Answer -Self-
Awareness
SELF
"Abstract standards that represent an ideal for us. These are deep held beliefs that align
with attitudes. What we value should always guide our behavior. These are not likes or
dislikes of superficial behaviors." - Answer -Values
SELF
What populations have those with role performance stressors - Answer -New parents,
empty nesters, caring for aging parent or loved one (disease)
SELF
3 steps about values? - Answer -CHOOSE (freely after considering all alternatives)
PRIZE (proud of the value and you let others know that)
ACT (value consistently in a response to a choice)
SELF
Nursing Interventions? - Answer -Health Promotion (primary prevention)
Restorative and continuing care
Strengthen or maintain patient's coping skills
Referral to community services
Minimize Stressors
THERAPEUTIC COMMUNICATION
"Communication that is a goal directed and focused dialogue between the nurse and
patient, specifically fitted to the needs of the patient" - Answer -Therapeutic
communication
THERAPEUTIC COMMUNICATION
Characteristics and Purpose - Answer -Client-Centered approach
Goal Directed (mutual goals - nurse and patient)
Defined rules and boundaries
Individualized strategies
Nonjudgmental
THERAPEUTIC COMMUNICATION
What is high anxiety = low readiness to understand anything for direction or education -
Answer -Emotional Readiness
THERAPEUTIC COMMUNICATION
Requires through nursing assessment (LOC, emotional trauma, fatigued) - Answer -
Energy conservation
, THERAPEUTIC COMMUNICATION
What is the vocalization or variation in our voice - sighing, pitch, tone, inflection (affects
how message is interpreted) - Answer -Paralanguage
THERAPEUTIC COMMUNICATION
What does active listening require? - Answer -Energy or presence
THERAPEUTIC COMMUNICATION
What is active listening? - Answer -Hears client's message
Decodes its meaning
Provides feedback to the client concerning nurse's understanding of the message
SOLER position: 5 behaviors that demonstrate active listening: nonverbal and show
empathy
THERAPEUTIC COMMUNICATION
What is SOLER? - Answer -S - sit square or perhaps angle facing the person
O - open posture (no crossing arms or legs and hunch soldiers)
L - Lean forward - listening
E - Eye-contact to the comfort of the patient
R - Relax (no fidgeting)
THERAPEUTIC COMMUNICATION
Questions to start open-ended questions
What can't you answer with?
What should you start with?
What should you never start with? - Answer -Yes or no
How or what
Why
THERAPEUTIC COMMUNICATION
Questions to closed-ended questions
What are the answers?
What do you start with?
What can you sometimes use - Answer -Yes or no
Did or Will
Can
THERAPEUTIC COMMUNICATION
Questions to focus questions
What is it?
How to start?
Examples? - Answer -Limiting but more than yes or no?
When and Where
EX: What is your birthdate
EX: Where were you born
