The impact of standardized terminology throughout the U.S. health care system has grown exponentially
Medicare and Medicaid have begun to offer financial incentives to health care providers to promote adoption and meaningful use of interoperable health information systems and a qualified health record. Which of the following statements best describes meaningful use? 1. The goal of meaningful use is to input data in a manner that creates evidence-based practice models.
2. The goal of meaningful use is to exchange clinical structured data in a manner that is accurate and complete to improve patient care in a cost-efficient way.
3. The goal of meaningful use is to provide a warehouse of data that supports medication renewal and patient teaching plans.
4. The goal of meaningful use is to offer the clinician patient care tools for improved outcomes.
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Rationale: The goal of meaningful use is to exchange clinical structured data in a manner that it is accurate and complete to improve patient care in a cost-efficient way. One of the primary facets of meaningful use is the use of standardized language.
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During an assessment of an 80-year-old patient, the nurse notices the following: an inability to identify vibrations at her ankle and to identify the position of her big toe, a slower and more deliberate gait, and a slightly impaired tactile sensation
All other neurologic findings are normal. The nurse should interpret that these findings indicate: a. CN dysfunction. b. Lesion in the cerebral cortex. c. Normal changes attributable to aging. d. Demyelination of nerves attributable to a lesion.
The nurse is caring for a trauma patient with the nursing diagnosis of Acute pain r/t fracture and muscle spasms. Which is an appropriate goal for this nursing diagnosis?
a. The patient will experience less pain when participating in physical therapy. b. The patient will describe meditation techniques that can be used to cope with pain. c. Nursing staff will explain the ordered pain management approach to the patient. d. The patient will feel less pain each day when range-of-motion therapy is performed.
A 77-year-old Hispanic woman is concerned that her 80-year-old husband, who has dementia is no longer able to speak English, and will therefore not be able to get care if she dies. Which is the best response by the nurse?
1. Offer to try to locate services that provide Spanish speaking clinicians. 2. Suggest that the family might want to pray for a solution to the problem. 3. Explain that the family will need to provide the care because care for Spanish-speaking patients is not readily available. 4. Explain that the idea of care that addresses a dementia patient's declining language abilities is unreasonable and it is important that the spouse adjust her expectations.
Monica is a nurse practitioner who is interested in working in a rural community. Which of the following factors would be a positive factor for her recruitment to this type of work?
a. Rural characteristics b. a friend who works in the rural community c. the limiting nature of rural nursing structure d. limited contact with support services