A new nurse asks, "Since Electronic Medical Records can improve quality care by having seamless data available for a patient, why doesn't everyone just replace paper and pencil charts"?
Barriers to a universal health information infrastructure include the fact that: (Select all that apply.)
a. competition from individual companies to build EMR prevent a universal infrastructure.
b. cost is prohibitive even with federal funding for larger health care systems.
c. preventive health reminders for immunizations and yearly screenings such as mammograms are used in clinical decision making.
d. insurance companies have halted sharing of some patient data due to fear of law suits.
e. the full capacity of EHRs has not been realized with only Stage 1 of 3 nearing completion.
ANS: A, E
Correct:
a. It has been recommended that only a federal-based EMR would provide an infrastructure that allows access to comprehensive patient information.
e. The first stage, years 2011 and 2012, forms the foundation for electronic data capture and information sharing.
Incorrect:
b. Smaller organizations find cost to be a barrier even with federal funding.
c. Clinical decision making is an opportunity rather than a barrier.
d. Coordinated insurance billing and claims management and insurance eligibility are benefits rather than barriers.
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Which of the following were among the outcomes of the 1979 report Healthy People: The Surgeon General's Report on Health Promotion and Disease Prevention? (Select all that apply.)
a. A national committee was established to have hearings and study the problem further. b. Increased funds were allocated for health planning and health care. c. Many of the recommendations were adopted on the federal level. d. The Health Objectives Planning Act of 1990 was passed. e. The federal government began to identify and monitor national health care goals. f. The president addressed the American people about the need for health care reform.
The nurse identifies the diagnosis Risk for Impaired Gas Exchange to guide the care of a client with metabolic alkalosis. Which assessment data supports this nursing diagnosis?
Select all that apply. A) Respiratory rate 8 per minute B) Oxygen saturation 89% C) Urine output 25 mL/hr D) Restlessness and agitation E) Weight loss of 3 kg overnight
The nurse is conducting a physical assessment of a middle-age client upon admission to the cardiovascular care unit for cardiopulmonary problems. Which position is likely to be contraindicated for this client?
A) Sitting with back unsupported B) Supine (horizontal recumbent) C) Dorsal recumbent (back-lying) D) Sims (side-lying)
A nurse researcher has an idea that neonates perceive all interactions with humans as either stressors or comfort
She is conducting qualitative research to describe the types of stressors or comfort that neonates typically experience in the first 24 hours of life. Is this a theory, or a model, or what? a. A scientific theory b. A substantive theory c. An idea but not a theory or model yet d. A conceptual model