Which issues are considered impediments to a fully functional electronic health record (EHR) system? (Select all that apply.)
a. Cost
b. Standardization
c. Care coordination
d. Organizational culture
e. Privacy and confidentiality
f. Education
ANS: A, B, D, E
Despite the many advances in technology, there are still many issues to resolve associated with implementation costs, ownership, data integrity, privacy and confidentiality, organizational culture, human factors, and development of an infrastructure to support a nationwide EHR. Care coordination is considered an advantage, and education is not a major issue.
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Which statements would the nurse manager interpret as indicating a nurse understands the critical thinking skills necessary for disaster management? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Standard Text: Select all that apply. 1. "It is just like critical thinking in the emergency department or critical care unit, only done faster." 2. "The nurse's prioritization will be different in a disaster." 3. "Clinical judgment skills will be an essential part of nursing's contribution to disaster management." 4. "Decision making will basically be done by following established protocols." 5. "The nurse's abilities will make the difference in successful management of a disaster."
A patient has been experiencing significant psychosocial stress in recent weeks. The nurse is aware of the hormonal effects of stress, including norepinephrine release
Release of this substance would have what effect on the patient's gastrointestinal function? Select all that apply. A) Decreased motility B) Increased sphincter tone C) Increased enzyme release D) Inhibition of secretions E) Increased peristalsis
How should you determine whether a murmur is systolic or diastolic?
A) Palpate the carotid pulse. B) Palpate the radial pulse. C) Judge the relative length of systole and diastole by auscultation. D) Correlate the murmur with a bedside heart monitor.
The nurse is reviewing the different layers of the central nervous system (CNS). Which
is the function of the pia mater? A) To adjust impulses from proprioceptors in muscles B) To bring oxygen to nourish the nervous tissues C) To remove the cellular waste from nerve tissue D) To protect and support the CNS