After years of caregiving in the home, a family has recently moved their family member to a nursing home. Which of the following would be appropriate nursing actions at this time?
1. An assessment of the core process of celebration
2. Emphasize the family's opportunities, since the nursing home will replace the family member's caregiving responsibilities.
3. An assessment for ambiguous loss in the core process of cathexis
4. Use motivational interviewing techniques to guide family behavioral changes.
Question 2The term interoperability is used when discussing the large scale electronic exchange of health care information across enterprises for the purpose of accessing and maintaining longitudinal health records.
The term interoperability is understood to mean which of the following? Select all that apply. 1. Has the ability to exchange the structure of the data, but not the meaning of data
2. Has the ability to exchange the structure of data and meaning of data
3. Has the ability to exchange the meaning of data, but not the structure of data
4. Is the ability of two entities, whether human or machine, to exchange and use data
5. It is accurate to use the term interoperability interchangeably with the term interface
Question 3Family-focused nursing actions view a family within the larger social system. Which of the following statements reflect accurate understandings of this view of family nursing practice?
1. Effective nursing address the complexity of an individual's illness, as well as their family and social networks.
2. Nurses who practice in the hospital seldom need to address the patient's community networks.
3. Effective family nursing practice maintains a focus on the current situation.
4. Family nursing practice is based on one model of nursing care that places the family as the unit care.
Question 4The master patient index (MPI) saves work because vital information can be obtained from the database rather than rekeyed with each client visit.
This decreases the possibility of making a mistake and eliminates the inadvertent creation of duplicate records. Which of the following are key features of an effective MPI? Select all that apply. 1. It is flexible enough to allow inclusion of additional identification.
2. It facilitates the evaluation of client care.
3. It locates records in real time for timely retrieval of information.
4. It is easily reconfigured to accommodate network changes.
5. It can grow to fit an organization of any size.
Question 5The master patient index (MPI) is a database that lists all identifiers assigned to one client in all the information systems used within an enterprise.
It assigns a global identification number for each client and allows clients to be identified by demographic information provided at the point of care. When the MPI cannot match a client's record based on demographic data, what is provided to the user? 1. The data dictionary resources
2. Non-citizen information so that the user may find a different identifier
3. All possible matches so that the user may view and select
4. The Social Security number
Question 6Health Level Seven (HL7) standards are not the only standards that are evolving to fit the changing health care model.
What other organizations are instrumental in supporting the development of standards and helping to define data exchange? Select all that apply. 1. Department of Defense
2. Centers for Medicare and Medicare Services
3. National Science Foundation
4. Institute of Medicine
5. American Medical Informatics Association
Question 7Which of the following statements reflect an accurate understanding family core processes?
1. Core family processes focus on family structure
2. Core processes influence the health of family, rather than the individual
3. Core family processes can guide family nursing practices.
4. Nursing actions focused on family core processes focus on individual with an illness.
Question 8A nurse is making a visit to the home following a family member's discharge from the hospitalization. Which of the following data would be most helpful?
1. Identify potential areas of strengths in the family.
2. Plan for family care based on assessment of core processes.
3. View the priority of the home visit as the individual who was hospitalized.
4. Conduct a family assessment that remains focused on management of the symptoms.
Question 9The timely flow of information is critical to institutional survival. Which of the following statements about interfaces is accurate?
1. Interfaces use an open systems technology provided by the vendor.
2. Interfaces require installation of a Health Level Seven (HL7) device.
3. Interface connections between different information systems are invisible to the user.
4. Interfaces physically join two or more disparate information systems.
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