The nurse on the clinical information system committee is charged with locating information on technical infrastructure. Which federal agencies should the nurse research before the next committee meeting? Select all that apply.
A) The Joint Commission (TJC)
B) National Institutes of Health (NIH)
C) Centers for Medicare and Medicaid Services (CMS)
D) Agency for Healthcare Research and Quality (AHRQ)
E) Office of the National Coordinator for Health Information Technology (ONCHIT)
B) National Institutes of Health (NIH)
D) Agency for Healthcare Research and Quality (AHRQ)
E) Office of the National Coordinator for Health Information Technology (ONCHIT)
Explanation: A) TJC is not a federal agency that addresses technical infrastructure.
B) The NIH provides funding for research to improve health.
C) The CMS does not address technical infrastructure.
D) The AHRQ is a division of the U.S. Health and Human Services committed to research and evidence to improve the safety and quality of healthcare and to provide education for healthcare professionals that will enable them to improve care.
E) The ONCHIT was funded with a grant from the Public Health Service Act (PHSA) and provides electronic health record certification. Its structure includes multiple offices that are relevant for HIT.
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A patient being admitted in hypertensive crisis informs the nurse that he stopped taking his blood pressure medication 3 weeks ago. Which response by the nurse is best?
1) "You're lucky you didn't have a stroke; you really need to take your medication." 2) "Tell me more about your experience with your high blood pressure medication." 3) "Why did you stop taking your high blood pressure medication?" 4) "It's very important to take your blood pressure medication."
An older adult patient with breast cancer is reluctant to agree to the suggested treatment plan because "I have heard such horrible things about radiation therapy." The nurse responds
a. "Radiation therapy no longer causes such terrible side effects." b. "Your chances of recovery are best when radiation is included." c. "Ask the oncologist if there are alternative treatments." d. "Actually there is very effective symptom control now."
All of the following are true of bioethics EXCEPT
a. easy answers to health care issues are derived from its use b. it affects direct care of patients c. it is involved with the allocation of finances d. it affects utilization of staff
The laboring patient has rated her pain at 9 on a scale of 1–10, and requests IV pain medication. Which statement is most important for the nurse to make? "Narcotic medications:
1. "Can make you unsteady. You need to ask for help when you get up." 2. "Have a very rapid onset and begin to work in 2–3 minutes." 3. "Are metabolized by your body, so they don't last as long as an epidural." 4. "Can cause sleepiness in the baby that can be reversed with Narcan."