A nurse manager wishes to hire a new nurse who has just graduated from nursing school. At the beginning level of informatics competencies, the nurse should be able to do which of the following?
1. Attain informatics nurse certification within six months of beginning practice.
2. Input vital signs and intake and output data in the electronic medical record.
3. Utilize the Internet to review trends in health care information technology.
4. Use an electronic spreadsheet to create staffing rotations.
Question 2A disadvantage to the utilization of the electronic medical record (EMR) includes which of the following?
1. Accessibility from several different locations simultaneously and by different levels of providers
2. The intensive training in the beginning needed to prepare staff members to use the EMR
3. Less time available for client care because more time is required for documentation activity
4. Inability to incorporate diagnostic images into the EMR because of space limitations
Question 3Which action indicates the nurse is functioning as a knowledge worker?
1. The nurse auscultates hypoactive bowel sounds while doing a client assessment eight hours postoperatively after abdominal surgery and documents the assessment in the electronic medical record.
2. The nurse administers four units of regular insulin to the client whose blood glucose is 240 at 11:30 a.m. per physician's sliding scale orders and documents it on the electronic medical administration record.
3. The nurse auscultates diminished breath sounds in a postoperative client the morning after abdominal surgery and encourages the client to turn, cough, and deep breathe every hour instead of every two hours.
4. The nurse obtains the client's vital signs of BP-120/82, P-112, and R-32, totals up the intake of 1040 ml and the output of 1100 ml, and records these data in the electronic medical record.
Question 4Describe at least three factors in the current healthcare delivery system that drive the implementation of information technology in the acute care setting.
1. Patient safety
2. Nursing shortage
3. Evidence-based practice
4. Increased numbers of digital natives in nursing practice
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