In a busy Emergency Department, a recent nursing graduate triages a patient with a severe foot wound. She uses a computerized patient classification system and receives an alert about the patient’s tetanus immunization status. What kind of technology produces this alert?

Clinical Decision Support

Electronic Health Record

WL Technology

Computerized Provider Order

Answer and Explanation

The Correct Answer is A

Choice A Reason:

Clinical Decision Support (CDS) systems are designed to provide healthcare professionals with knowledge and patient-specific information, intelligently filtered or presented at appropriate times, to enhance patient care. In this scenario, the CDS system generates an alert about the patient’s tetanus immunization status, prompting the nurse to take necessary actions. CDS systems are integral in improving healthcare quality and safety by ensuring that critical information is available when needed.

Choice B Reason:

Electronic Health Records (EHRs) are digital versions of patients’ paper charts and contain comprehensive patient data, including medical history, diagnoses, medications, treatment plans, immunization dates, and test results. While EHRs store the information that the CDS system uses to generate alerts, they do not independently produce alerts about specific clinical actions like immunization status. The alert functionality is typically a feature of the CDS system integrated within the EHR.

Choice C Reason:

WL Technology is not a recognized term in the context of healthcare technology. It appears to be a typographical error or a misunderstanding. Therefore, it does not apply to the scenario described and cannot be considered a valid option.

Choice D Reason:

Computerized Provider Order Entry (CPOE) systems allow healthcare providers to enter and manage orders for medications, laboratory tests, and other services electronically. While CPOE systems can improve the accuracy and efficiency of order processing, they do not typically generate alerts about immunization status. Such alerts are more commonly associated with CDS systems that analyze patient data and provide clinical recommendations.

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Correct Answer is B

Explanation

Choice A Reason:

Introducing substitute staff with fresh perspectives can harm the unit’s culture. While introducing substitute staff can bring fresh perspectives, it can also disrupt the established team dynamics and culture. Frequent changes in staff can lead to inconsistencies in patient care and communication issues among team members. However, this is not the primary consequence of absenteeism.

Choice B Reason:

Unacceptable patient care may result. The most significant consequence of absenteeism in a nursing unit is the potential for unacceptable patient care. When nurses are absent, the remaining staff may be overworked, leading to fatigue and burnout. This can result in errors, missed care, and overall lower quality of patient care. Ensuring adequate staffing levels is crucial to maintaining high standards of care and patient safety.

Choice C Reason:

Lower personnel numbers lead to reduced salary expenses, creating a positive variance. While it is true that fewer staff members can reduce salary expenses, this is not a positive outcome in the context of healthcare. Reduced staffing can compromise patient care quality and increase the workload for the remaining staff, leading to burnout and higher turnover rates. Therefore, this is not a desirable consequence of absenteeism.

Choice D Reason:

It may encourage other team members to engage in absenteeism. Absenteeism can indeed create a negative work environment where other team members may feel justified in also being absent. This can lead to a cycle of absenteeism, further exacerbating staffing issues and negatively impacting patient care. However, this is a secondary consequence compared to the direct impact on patient care quality.

A. Applying strategies that aid in the adoption of research in practice. B. Providing the results of research studies to practitioners. C. Conducting an integrative review of the literature. D. Searching the literature for a systematic review.

Correct Answer is A

Explanation

Choice A Reason:

Applying strategies that aid in the adoption of research in practice. Translating research into practice (TRIP) involves implementing strategies that facilitate the integration of research findings into clinical practice. This process is essential for ensuring that evidence-based practices are adopted and utilized effectively to improve patient outcomes. TRIP focuses on overcoming barriers to implementation and ensuring that research findings are applied in real-world settings. This choice accurately reflects the goal of TRIP, which is to bridge the gap between research and practice by applying practical strategies.

Choice B Reason:

Providing the results of research studies to practitioners. While disseminating research findings to practitioners is an important step, it does not encompass the full scope of TRIP. Simply providing results does not ensure that the research will be adopted into practice. TRIP involves more than just dissemination; it includes developing and applying strategies to facilitate the adoption and integration of research findings into clinical practice. Therefore, this choice is not the best description of TRIP.

Choice C Reason:

Conducting an integrative review of the literature. An integrative review of the literature is a method of synthesizing research findings from multiple studies to provide a comprehensive understanding of a particular topic. While this is a valuable research activity, it is not the primary focus of TRIP. TRIP is concerned with the application of research findings in practice, rather than the synthesis of existing research. Thus, this choice does not accurately describe TRIP.

Choice D Reason:

Searching the literature for a systematic review. Conducting a systematic review involves a thorough and structured search of the literature to identify and summarize all relevant studies on a specific topic. Although systematic reviews are important for evidence-based practice, they are not the main focus of TRIP. TRIP is about implementing strategies to ensure that research findings are adopted in clinical practice, rather than conducting literature searches. Therefore, this choice does not best describe TRIP.

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In a busy Emergency Department, a recent nursing graduate triages a patient with a severe foot wound. She uses a computerized patient classification system and receives an alert about the patient’s tetanus immunization status. What kind of technology produces this alert?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse manager understands that the primary consequence of absenteeism on the nursing unit is:

Correct Answer is B

Explanation

The chief director of nursing of a metropolitan hospital develops classes to improve the translation of research into practice (TRIP). Which of the following selections best describes TRIP?

Correct Answer is A

Explanation

A nurse from a medical floor is serving on a committee that is performing an outcome audit of the hospital. Which of the following aspects of client care is measured by an outcome audit?

In the intensive care unit, nurses disagree with a new policy imposed by the manager. The decision sparks mistrust among the team. What’s the most likely outcome?

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A manager observes a rise in medication errors following staffing changes. What approach should the manager consider to decrease errors?

A nurse manager is planning to request two new mechanical ventilators at a cost of approximately $50,000 each. This item would typically be included in which budget?

To develop an effective staffing budget, the nurse manager should:

The primary strategy a nurse should adopt when dealing with an emotionally distressed employee is to:

A legal consultant recommends that the nurse manager and staff members create a group agreement before addressing conflicts. According to Yoder Wise and Sportsman, agreements about how team members will collaborate are essential because: