Nursing Quiz 3, Spirituality, Culture, Informatics

Front 1

The student nurse has completed a research paper detailing the pros and cons of a medical ethical issue. This paper reflects which element of informatics?

- Wisdom

- Information

- Data

- Knowledge

Back 1

- Knowledge

Front 2

In informatics, raw, unprocessed numbers, symbols, or words that have no meaning by themselves are called which of the following?

- Information

- Data

- Knowledge

- Wisdom

Back 2

- Data

Front 3

The Health Information Technology for Economic and Clinical Health (HITECH) encouraged implementation of electronic health records (EHR) by what means?

- Fining facilities that did not convert to EHRs by 2015

- Mandating that all facilities implement EHRs within the year

- Providing incentive payments to facilities that converted to EHRs

- Restricting providers’ access to traditional patient health records

Back 3

- Providing incentive payments to facilities that converted to EHRs

Front 4

A nurse is entering a pharmacy request or patient medication in the patient’s electronic health record (EHR) while seated at a computer in the nursing station. A physician approaches her and asks to access another patient’s EHR so that he can look at the patient’s laboratory report. Which of the following is the best action for the nurse to take?

- Access the lab report for the physician

- Log off the computer before proceeding

- Quickly finish the pharmacy requisition before the physician logs on

- Allow the physician to access the laboratory report immediately

Back 4

- Log off the computer before proceeding

Front 5

The nurse sits at the unit computer to begin her shift documentation for a client. She notes the previous user of the computer, the physical therapist, did not log off appropriately. The nurse should

- Report the physical therapist to the unit manager

- Complete the log off for the physical therapist before beginning her documentation

- Proceed with her documentationbecause it will be in a different screen

- Call the physical therapist andhave her come back and log off

Back 5

- Complete the log off for the physical therapist before beginning her documentation

Front 6

The nurse is preparing to pass the0900 medications prescribed for her patients. She removes the medications from the automated dispensing unit. When scanning the medication, an alert notifies the nurse that the patient is allergic to this medication. What action should the nurse take? Select all that apply.

- Override the alert and administer the medication

- Confirm the patient’s allergies and type of reaction

- Notify the prescriber of the patient medication allergy

- Be sure an antidote is available at the patient’s bedside.

Back 6

- Confirm the patient’s allergies and type of reaction

- Notify the prescriber of the patient medication allergy

Front 7

Which feature of an EHR improves the safety of patient related to physicians tasks?

- Computer physician order entry (CPOE)

- Decision support tools

- NANDA standards

- Improved accessibility

Back 7

- Computer physician order entry (CPOE)

Front 8

Computer are important for evidence-based practice because:

- Computer access is available to all healthcare staff

- Additional training is not required for information retrieval

- Information can be accessed and managed more efficiently

- All of the best evidence is available on the internet

Back 8

- Information can be accessed and managed more efficiently

Front 9

Which of the following is considered a “practice” (as opposed to a belief or value)?

- Drinking water after exercise

- Thinking often about cleanliness

- Placing an emphasis on success

- Maintaining youth

Back 9

- Drinking water after exercise

Front 10

An elderly patient tells the charge nurse that she wants another nurse to take care of her. When the charge nurse questions the patient, she states, “I don’t want a man taking care of me.”Which cultural barrier is this patient exhibiting?

- Ethnocentrism

- Racism

- Sexism

- Chauvinism

Back 10

- Sexism

Front 11

A patient had surgery 8 hours ago and has not voided. The physician prescribed an indwelling urinary catheter to be inserted. Which of the following statements should the nurse use to describe the procedure to the patient? “I need to:

-put a foley in you because you haven’t voided since your surgical procedure”

-insert a tube into your bladder to drain the urine because you haven’t urinated since surgery”

- catheterize you because you haven’t urinated since having your surgery”

- place a catheter in your bladder because you haven’t voided since surgery”

Back 11

-insert a tube into your bladder to drain the urine because you haven’t urinated since surgery”

Front 12

As a nursing student and nurse, you will encounter many patients from diverse cultures. When caring for a culturally diverse patient, what initial question can you ask your patient that will best assist you to improve your cultural competency?

- “Can you tell me about your culture and cultural practices?”

- “Do you understand how we do things here in the United States?”

- “What matters most to you about your illness and treatment?”

- “Can you please make me a list of your cultural preferences?”

Back 12

- “What matters most to you about your illness and treatment?”

Front 13

A client incorporates alternative healthcare into her regular health practices. For which alternative therapy should the patient visit a formally trained practitioner?

- Use of herbs and roots

- Application of oils and poultices

- Burning of dried plants

- Acupuncture

Back 13

- Acupuncture

Front 14

The most important concept about vulnerable subcultures guiding nursing care is that persons belonging to these groups:

- Receive different health care

- Have difficulty complying with their therapy

- Never have insurance

- Often have limited access to healthcare

Back 14

- Often have limited access to healthcare

Front 15

Vulnerable populations are most likely to develop health problems and poor outcomes because of limited access to care and lack of resources. When caring for a patient from a vulnerable group,what is most important for the nurse to focus on?

- Methods to connect the patient with a social worker

- Family members and their interactions in planning care

- Identifying the patient’s difficulties and risks

- Identifying the patient’s strengths and resources

Back 15

- Identifying the patient’s strengths and resources

Front 16

The nurse notes that the client’s grandmother is looked to for input whenever questions arise about the client’s care choices. Which cultural specific will guide the nurse’s plan of care?

- Communication

- Social organization

- Environmental control

- Biologic variations

Back 16

- Communication

Front 17

Which statement made by the nurse to a Jehovah’s Witness patient indicates a need for further learning?

- “I documented in your medical records that you do not want blood transfusions or blood products.”

- “I will decorate your room with holiday ornaments.”

- “Happy Birthday. I will have the dietary department sendup a cake for you.”

- “The organ donation center wasnotified that you did not want to donate an organ”

Back 17

- “I will decorate your room with holiday ornaments.”

- “Happy Birthday. I will have the dietary department send up a cake for you.”

Front 18

Which question is most important to ask of a newly admitted patient to effectively incorporate spiritual care in the nursing care plan?

- “What is your family’s religious background?”

- “With what organized religion are you affiliated?”

- “Do you go to church, and if so,how often?”

- “What are your personal spiritual beliefs?”

Back 18

- “What are your personal spiritual beliefs?”

Front 19

A female patient tells the charge nurse that she does not want a male nurse caring for her. Which intervention by the charge nurse is best?”

- Explain that hospital policy does not allow nursing assignments based on the gender of the nurse.

- Explore with the patient her beliefs and determine which might have caused her to make this statement.

- Assure the patient that each nurse is capable of providing professional care, regardless of gender.

- Comply with the patient’s request and assign a female nurse to care for the patient

Back 19

- Explore with the patient her beliefs and determine which might have caused her to make this statement.

Front 20

Over the past few centuries,nurses have placed less attention on spiritual care primarily because:- Nurses providing care are less religious and spiritual now.

- Spirituality and religion are unproven with regard to influencing health.

- Greater emphasis has been placed on science and scientific evidence

- Nurses are uncomfortable when discussing spiritual aspects of care.

Back 20

- Greater emphasis has been placed on science and scientific evidence

Front 21

The nurse is caring for a patient diagnosed with cancer. The patient states, “I never believed in a god or followed any religion. Should I do something now?” What is the most appropriate response by the nurse?

- “Religion and spirituality are not for everyone. If you’ve not had it in your life to this point, you may not need it.”

- “I am a Catholic and it works for me. Would you like me to tell you about my religion?”

- “It is important to have some religion or spirituality in your life as it can help you get through difficult times.”

- “It is up to you. If you would like, I can arrange for one of our nondenominational chaplains to come and speak with you.”

Back 21

- “It is up to you. If you would like, I can arrange for one of our nondenominational chaplains to come and speak with you.”

Front 22

What are some possible barrier(s)for nurses in providing spiritual care? Select all that apply.

- Spiritual care is related to end-of-life care and many nurses do not work in this area.

- Greater emphasis in nursing is placed on meeting patients’ physical needs.

- Many nurses experience time constraints and inadequate staffing.

- Many nurses lack an understanding of their own spiritual belief systems.

Back 22

- Greater emphasis in nursing is placed on meeting patients’ physical needs.

- Many nurses experience time constraints and inadequate staffing.

- Many nurses lack an understanding of their own spiritual belief systems.

Front 23

The nurse notes on the admission forms that the client has indicated “no religious preference.” He understands that the client:

- Does not follow the tenets of a specific faith

- Is in denial about his religious beliefs

- Does not believe in God or a higher power

- Will not want to pray or visit with the chaplain

Back 23

- Does not follow the tenets of a specific faith

Front 24

Term for managing and processing information applying to nursing practice, education, and research

Back 24

Nursing informatics

Front 25

Term for unprocessed numbers, symbols, words; no contect

Back 25

data

Front 26

Term for groupings of processed data

Back 26

information

Front 27

term for meaningful information created by grouping and compiling information

Back 27

knowledge

Front 28

term for appropriate use of knowledge (i.e. usig patient information and developing a plan for care, management and problem solving)

Back 28

wisdom

Front 29

T/F, Electronic medical records do not interact with outside systems

Back 29

True

Front 30

T/F, Electronic health records include data from all specialties and exchanges outside the agency, and the patient can interact with the system

Back 30

True

Front 31

What are the most important components and essential functions of an electronic health record?

Back 31

Administrative procceses: must have billing capability

Health information and data: problem lists, past medical hx, family med hx, demographics (facilitates evidence practice for nurses)

Results management: Diagnostic studies, labs

Front 32

What are the 5 "rights" that bar-coding medications can verify?

Back 32

Right Patient

Right drug

Right dose

Right time

Right route

Front 33

What is a CPOE

Back 33

Computer physician order entry

Front 34

What is NANDA

Back 34

the North American Nursing Diagnosis Association

Front 35

What are the NANDA Diagnoses Related to Spirituality

Back 35

Moral distress

Spiritual distress

Risk for spiritual distress

Readiness for enhanced spiritual well-being

Front 36

Thisis the tendency to think that your own group (cultural, professional, ethnic,or social) is superior to others and to view behaviors and beliefs that differgreatly from your own as somehow wrong, strange, or unenlightened. The tendencyto ethnocentrism exists in all groups, not just in the dominant culture.

Back 36

Ethnocentrism

Front 37

Immigrants (newmembers of a group or country) assume the characteristics of that culturethrough a learning process called. Aperson who is acculturated accepts both his own and the new culture, adoptingelements of each.

Back 37

Acculturation

Front 38

occurswhen the new members gradually learn and take on the essential values, beliefs,and behaviors of the dominant culture. Assimilation is complete when thenewcomer is fully merged into the dominant cultural group.

Back 38

Cultural assimilation

Front 39

an example of aperson or thing—something that is recurrent—and it has its basis in facts.Therefore, it becomes a symbol for remembering some of the culture specificsand is usually not negative

Back 39

Archetypes

Front 40

ThiscombinesWestern biomedical beliefs with traditional North American values ofself-reliance, individualism, and aggressive action. This system is also knownas Western medicine and allopathic medicine.

Back 40

Biomedical healthcare system

Front 41

Thisincludes diet therapy, mind-body control methods, therapeutic touch,acupressure, reflexology, naturopathy, kinesiology, and chiropractic

Back 41

Alternative healthcare

Front 42

Thisconsists of folk medicine and traditionalhealing methods,which may also include over-the-counter (OTC) and self-treatment remedies.

Back 42

Indigenous healthcare system

Front 43

Thisis run by a set of professional healthcare providers who have been formallyeducated and trained for their appropriate roles and responsibilities. In NorthAmerica, professional healthcare is dominated by the biomedical healthcaresystem, which combines Western biomedical beliefs with traditional NorthAmerican values of self-reliance, individualism, and aggressive action. Thissystem is also known as Western medicine and allopathic medicine.

Back 43

Professional healthcare system

Front 44

sustainsclients’ cultural lifestyles in meaningful ways. These are actions that helpthe client retain or preserve cultural values related to health.

Back 44

Cultural carepreservation/maintenance

Front 45

adaptsclients’ lifestyles or nurses’ actions. The nurse supports and enables theclient to adapt to therapies or to negotiate with professionals to achievesatisfying health outcomes. Negotiationacknowledges the gap between the nurse’s and client’s perspectives. You mustnegotiate when folk or traditional practices might be harmful to the client.

Back 45

Cultural careaccommodation/negotiation

Front 46

changesnurses’ actions or clients’ lifestyles into different patterns. The nursesupports and encourages the client to greatly modify his or her behaviors andto adopt new, different, and beneficial health behaviors, while stillrespecting the client’s cultural values and beliefs

Back 46

Cultural care repatterning/restructuring

Front 47

wasdeveloped and is commonly used by nurses Cutting acrossreligious and atheistic belief systems, it assesses three key dimensions: (1)faith/belief, (2) life/self-responsibility, and (3)life-satisfaction/self-actualization.

Back 47

JARELSpiritual Well-Being Scale

Front 48

what does SPIRIT stand for?

Back 48

SP—Spiritual/religiousbelief system

I—Integrationwithin a spiritual communityR—Ritualizedpractices and restrictions

I—Implicationsfor medical care

T—Terminalevents planning

Front 49

HOPE is

Back 49

H—sourcesof Hope

O—Organizedreligion

P—Personalspirituality/Practices

E—Effectson medical care and end-of-life issues

Front 50

This is experienced when the personmakes an ethical or moral decision but then is unable to carry out the chosenaction. Defining characteristics include anguish, powerlessness, guilt,frustration, anxiety, self-doubt, and fear over the inability to act on themoral choice.

Back 50

Moraldistress

Front 51

Thisis the “impaired ability to experience and integrate meaning and purpose inlife through a person’s connectedness with self, others, art, music,literature, nature, or a power greater than oneself”

Back 51

Spiritualdistress

Front 52

§This exists when the patientexperiences energy-consuming anxiety, low self-esteem, mental illness, physicalillness, blocks to self-love, poor relationships, physical or psychologicalstress, substance abuse, loss of loved one, natural disasters, situationallosses, maturational losses, or inability to forgive. Illness creates countlessrisk factors for spiritual distress.

Back 52

Riskfor spiritual distress

Front 53

the“ability to experience and integrate meaning and purpose in life throughconnectedness with self, others, art, music, literature, nature, and/or a“power” greater than oneself that can be strengthened”

Back 53

Readinessfor enhanced spiritual well-being

Front 54

difficulty in exercising orimpaired ability to exercise reliance on beliefs or to participate in ritualsof a faith tradition (e.g., go to church, take communion).

Back 54

ImpairedReligiosity

Front 55

occurs when risk factors forImpaired Religiosity are present but symptoms are not. Risk factors may becategorized as developmental, environmental, physical, psychological,sociocultural, or spiritual. Specific examples include life transitions, lackof transportation, pain, depression, social isolation, and suffering.

Back 55

Riskfor impaired Religiosity

Front 56

the ability to increase reliance on religious beliefs and/or participate inrituals of a particular faith tradition. The patient is not experiencing aproblem but wishes to make a satisfactory situation even better.

Back 56

Readinessfor Enhanced Religiosity

Front 57

may occur when a person experiencesa combination of awareness of death, loss of relationships, loss of self, lossof purpose, and loss of control. However, this combination of negativeexperiences can be balanced by having a life-affirming and transcending purposeand an internal sense of control. The presence and quality of Spiritual Pain isdetermined by the degree to which the person is experiencing each component,and by the relationship of the components to each other.

Back 57

SpiritualPain

Front 58

Which informatics concept concerns the appropriate use of knowledge in managing or solving human problems?

1)Wisdom

2)Data

3)Knowledge

4)Information

Back 58

1)Wisdom

Front 59

You are a preceptor for a new nursing employee at the local hospital. She needs to access a patients electronic health record (EHR) to retrieve laboratory results; however, the newly hired nurse has not yet received a computer password. What action should you take?

1)Give her your password to use until she obtains her own password.

2)Log on and remain with her while she views the record.

3)Notify your supervisor that the new employee needs a password.

4)Inform her that she will not receive a password until her orientation is complete.

Back 59

3)Notify your supervisor that the new employee needs a password.

Front 60

Review the following: 38 years old; growth in height to 52; female gender; weight gain of 15 pounds. This list can be referred to as which of the following?

1)Information

2)Knowledge

3)Data

4)Patient record

Back 60

1)Information

Front 61

CINAHL is a(n):

1)Popular periodical.

2)Internet site.

3)Scholarly journal.

4)Literature database

Back 61

4)Literature database

Front 62

What is (are) the primary benefit(s) of computer physician order entry (CPOE)?

1)Increased privacy

2)Improved access to patient data

3)Cost savings

4)Reduced medication errors

Back 62

4)Reduced medication errors

Front 63

1. Which of the following are main functions of a computer? Choose all that apply.

1)Process

2)Storage

3)Memory

4)Output

Back 63

ANS: 1, 2, 4

Front 64

Which of the following aspects of a computer determine its power? Choose all that apply.

1)User friendliness

2)Speed of operations

3)Accessibility for the user

4)Data storage capacity

Back 64

ANS: 2, 4

Front 65

Which of the following health information is protected in the electronic health record? Choose all that apply.

1)Social Security number

2)Insurance information

3)Physicians name

4)Laboratory results

Back 65

ANS: 1, 2, 4

Front 66

___ such as NIC, NOC, NANDA-I, and PNDS can be used to describe the unique nursing contributions to patient care.

Back 66

Standardized nursing languages