Environmental science

Part 1: Mastrian: Chapters 2, 5, 8, 11, 17, and 19

Question 1 Data are dirty when there are errors such as: Duplicate entries Incomplete or outdated records Both duplicate entries and incomplete or outdated records None of these are correct. Question 2 Reliable information comes from: Reliable or clean data Authoritative sources Credible sources All of these are correct. Question 3 The awareness and understanding of a net of information and ways that information can be made useful to support a specific task or to arrive at a decision is called: Acquisition Dissemination Knowledge Information Question 4 Which statement best reflects the definition of information? It can be used for a variety of purposes. No errors exist in the data or information. It is whole, complete, correct, and consistent data. It is processed data that have meaning. Question 5 When processing data into information, it is important that the data: Have integrity and quality Reflect human inconsistencies Contain raw facts Contain duplicate facts Question 6 What do organizational BYOD (Bring Your Own Device) policies typically include? The device must be issued by the organization. The device is subject to routine audits. Both the device must be issued by the organization and the device is subject to routine audits. None of these are correct. Outside devices are forbidden according to HIPAA. Question 7 The intent of HIPAA was to: Curtail healthcare fraud and abuse and enforce standards for health information Guarantee the security and privacy of health information Assure health insurance portability for employed persons All of these are correct. Question 8 Which social conventions about right and wrong human conduct are so widely shared that they form a stable general agreement? Ethics Confidentiality Values Morals Question 9 New technologies in digital communications, electronic health records, and telehealth raise issues related to: Comprehensiveness of care The digital divide Justice and fidelity Privacy and confidentiality Question 10 Which principle of ethics has a nursing educator violated in failing to correctly teach his/her students how to calculate medication dosages? Autonomy Confidentiality Justice Nonmaleficence Question 11 In the design of human technology interface, what best describes the factor(s) to consider? Task and cost Medical opinion Nursing opinion User proficiency Question 12 The users see the effects of their actions on the technology when you bridge the: Gulf of execution Gulf of understanding Gulf of evaluation Gulf of assessment Question 13 Videoconferencing technology: Is easy to use Allows professionals to communicate more effectively and frequently with in-home patients Must be used for telehealth None of these are correct. Question 14 Task analysis examines: The number of tasks involved How the user approaches the task in order to accomplish it What the needed output is All of these are correct. Question 15 A cognitive walkthrough: Observes the steps users take to use the interface to accomplish typical tasks Detects problems early in the design process Is the least expensive method All of these are correct. Question 16 Online communication among healthcare teams is called: Order entry management Electronic communication and connectivity Clinical decision making Reporting and population health management Question 17 Patient data in an electronic health record (EHR) includes demographics, medical and nursing diagnoses, and: Medication lists Allergies Test results All of these are correct. Question 18 Positive impacts noted with using an informatics system to manage patients with chronic illness include: Guidelines adherence A decrease in emergency department visits Improved provider documentation All of these are correct. Question 19 The benefits of EHR use recognized in early studies include all of these, except: Increased delivery of guidelines-based care Enhanced capacity to perform surveillance and monitoring for disease conditions Reduction in medication errors Improved workflow Question 20 Organizations with the authority to accredit EHRs: Test EHRs Compare EHRs against NIST standards Develop and test EHRs Both test EHRs and compare EHRs against NIST standards Question 21 What is not a goal of evidence based practice? Improve professional satisfaction Decrease practice variability Increase patient safety Eliminate unnecessary cost Question 22 What is an important factor to assess when determining if it is possible to implement a study? Contextual meaning Number of people in the study Available technology Established guidelines Question 23 Context of care evidence may be gathered from: Audit and performance data The culture of the organization Local or national policy All of these are correct. Question 24 Sources of evidence for practice include: Synthesis of knowledge from research Retrospective or concurrent chart reviews Clinical expertise All of these are correct. Question 25 What indicates that a healthcare professional recognizes the value of providing evidence-based care? Provides the same care as always Includes research as part of current practice Is offended when patient asks about a new treatment Fails to effectively evaluate sources of information Question 26 Which statement best describes caring as defined by Watson’s Theory of Human Caring? Caring is cognitive energy focused on changing data into knowledge in a patient encounter. Caring is conscious awareness of one’s strengths and limitations in a patient encounter. Caring is healing consciousness and intentionality to care and promote healing. Caring is the focus of the energy on efficient completion of assessment and diagnosis in a patient encounter. Question 27 Patient-centered care means that practitioners should focus on: The subjective experience of patients Data gathered by technology Objective signs and symptoms Their interpretation of the patient’s experience Question 28 When professionals observes their work for a different perspective and generate insights about how healthcare services and processes could be improved, they are practicing: Centering Bracketing Reflection All of these are correct Question 29 Clearing the mind of preconceived notions and expectations based on a patient’s diagnosis is known as: Centered caring Bracketing Active listening Healing consciousness Question 30 Anne has a very busy personal life and is worried about her parents who live 100 miles away and are in failing health. She works as a physical therapist in a rehabilitation unit in a metropolitan hospital. She is the primary therapist for six patients today, one more than the ideal staffing pattern of five. Before entering the room of a particularly anxious patient, Anne takes a few moments to breathe deeply, clear her mind, and review the patient’s EHR on her tablet. She carries the tablet into the room and sets it aside. She moves toward the patient and smiles, making eye contact, and greeting the patient by name. She sits at the bedside and chats with the patient for a brief moment and then performs her assessment. Anne is practicing: Transcendent presence Physical presence Carative presence Cognitive presence

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