TEST 3 CHAPTERS 19,20,21,28
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Questions and Answers

What are the four types of outcomes in the evaluation process?

  • Intelligence, Motor Skills, Emotional, Physical
  • Cognitive, Psychomotor, Affective, Physiologic (correct)
  • Psychological, Emotional, Physical, Cognitive
  • Mental, Behavioral, Affective, Physiological

    • Which type of outcome involves observing patient behavior and conversation?

  • Affective (correct)
  • Physiologic
  • Psychomotor
  • Cognitive

    • What is the first classic element of evaluation according to the text?

  • Identifying evaluate criteria and standards (correct)
  • Interpreting and summarizing findings
  • Collecting data to determine whether criteria and standards are met
  • Documenting judgments

    • What is the key factor highlighted as important in the planning process?

    <p>Time</p> Signup and view all the answers

    What does telemedicine refer to?

    <p>Supporting the delivery of medical, diagnostic, and treatment-related services</p> Signup and view all the answers

    What is the benefit of patient portals?

    <p>Better health outcomes</p> Signup and view all the answers

    What factors contribute to falls in patients?

    <p>Vitamin D deficiency</p> Signup and view all the answers

    What is the immediate action as per RACE protocol during a fire emergency?

    <p>Rescue anyone in immediate danger</p> Signup and view all the answers

    When should a safety event report be completed in a health care facility?

    <p>After any accident or incident that compromises safety</p> Signup and view all the answers

    What is the purpose of health teaching in schools?

    <p>All of the above</p> Signup and view all the answers

    What does telecare refer to?

    <p>Technology that allows consumers to stay safe and independent in their own homes</p> Signup and view all the answers

    What are some safety considerations for older adults?

    <p>All of the above</p> Signup and view all the answers

    What is the role of patient portals in communicating with providers?

    <p>Communicating securely and conveniently with providers</p> Signup and view all the answers

    What are the crucial steps to improve performance in healthcare?

    <p>Discover a problem, plan a strategy, implement a change, assess the change, and adapt</p> Signup and view all the answers

    What is the purpose of handoff communication in healthcare?

    <p>To facilitate effective transfer of patient care by providing essential information</p> Signup and view all the answers

    What are the elements of effective nursing documentation?

    <p>Consistent, complete, accurate, concise, factual, organized, timely, legally prudent, and confidential</p> Signup and view all the answers

    What are the short-term goals in healthcare typically focused on?

    <p>Achieving improvements within 7 days</p> Signup and view all the answers

    What are the key components of handoff communication in healthcare?

    <p>indentity/introduction, situation, background, assessment, recommendation, and read back of orders/ response</p> Signup and view all the answers

    What is the primary purpose of meaningful use of EHR (Electronic Health Records)?

    <p>To improve quality, safety, efficiency and engage patients and families</p> Signup and view all the answers

    What is the objective of system development lifecycle in healthcare technology?

    <p>To analyze and plan new technology implementation</p> Signup and view all the answers

    What is the significance of effective nursing documentation?

    <p>It serves as a legal record and facilitates quality care</p> Signup and view all the answers

    Which of the following is NOT one of the four types of outcomes in the evaluation process?

    <p>Physical</p> Signup and view all the answers

    What is the primary purpose of the first classic element of evaluation according to the text?

    <p>Identifying evaluate criteria and standards</p> Signup and view all the answers

    In the context of the evaluation process, what action should be taken if an outcome is considered 'partially met'?

    <p>The outcome should be modified</p> Signup and view all the answers

    What type of outcome involves the observation of patient behavior and conversation?

    <p>Affective</p> Signup and view all the answers

    What is the significance of effective nursing documentation in the evaluation process?

    <p>It determines whether criteria and standards are met</p> Signup and view all the answers

    What does telemedicine refer to in the healthcare context?

    <p>Providing medical care through video conferencing</p> Signup and view all the answers

    What is the key factor highlighted as important in the planning process for evaluating outcomes?

    <p>Setting realistic time frames</p> Signup and view all the answers

    What are some examples of evaluative statements according to the text?

    <p>Deciding how well an outcome was met (met, partially met, or not met)</p> Signup and view all the answers

    What is the primary focus of telehealth?

    <p>Providing long-distance clinical health care and education</p> Signup and view all the answers

    What is the key difference between telemedicine and telecare?

    <p>Telemedicine supports delivery of all types of medical services, while telecare focuses on patient safety</p> Signup and view all the answers

    What is a common benefit associated with patient portals?

    <p>Better health outcomes</p> Signup and view all the answers

    What are the main factors contributing to falls in patients?

    <p>Mobility issues, orthostatic hypotension, and environmental hazards</p> Signup and view all the answers

    When should safety event reports be completed in a healthcare facility?

    <p>Immediately after any accident or incident compromising safety</p> Signup and view all the answers

    What is the primary function of handoff communication in healthcare?

    <p>To communicate essential patient information during care transitions</p> Signup and view all the answers

    What is the primary purpose of conducting a literature search in technology evaluation steps?

    <p>To identify relevant information for technology assessment</p> Signup and view all the answers

    Which element is NOT part of the handoff communication in healthcare?

    <p>Treatment</p> Signup and view all the answers

    What is the primary purpose of meaningful use of EHR in healthcare?

    <p>Reduces medical errors</p> Signup and view all the answers

    What is the first step in the system development lifecycle (SDLC) for healthcare technology?

    <p>Analyze and plan</p> Signup and view all the answers

    What are the crucial steps to improve performance in healthcare according to the text?

    <p>Discover problem, plan strategy, implement change, assess change or plan a new strategy if outcome is not met</p> Signup and view all the answers

    What are the elements of effective nursing documentation according to the text?

    <p>Complete, timely, concise, factual</p> Signup and view all the answers

    What is the significance of handoff communication in healthcare according to the text?

    <p>Enhances continuity of care</p> Signup and view all the answers

    What is the key difference between telemedicine and telecare?

    <p>Location of services provided</p> Signup and view all the answers

    What is the primary focus of purposeful rounding in healthcare according to the text?

    <p>Conducting environmental assessments</p> Signup and view all the answers

    What is the main purpose of seven crucial conversations in healthcare as highlighted in the text?

    <p>Improving team communication</p> Signup and view all the answers

    What are the main components of handoff communication in healthcare?

    <p>ID/introduction, situation, background, assessment, recommendation, readback of order/response.</p> Signup and view all the answers

    What are formats nursing documentation?

    <p>all of the above</p> Signup and view all the answers

    What is the primary objective of system development lifecycle in healthcare technology?

    <p>Facilitate successful implementation and maintenance of technology</p> Signup and view all the answers

    Which of the following is NOT one of the seven conversations in healthcare, as mentioned in the text?

    <p>Poor communication</p> Signup and view all the answers

    True or false: Short term goals are typically focused on outcomes within about 30 days.

    <p>False</p> Signup and view all the answers

    True or false: Cognitive outcomes involve observing patient behavior and conversation.

    <p>False</p> Signup and view all the answers

    True or false: Physiologic outcomes involve physical changes in the patient.

    <p>True</p> Signup and view all the answers

    Telehealth refers to the use of electronic information and telecommunications technologies to support and promote long-distance clinical health care, patient and professional health-related education, public health, and health administration.

    <p>True</p> Signup and view all the answers

    Telemedicine is the use of telecommunications technologies to support the delivery of all types of medical, diagnostic, and treatment-related services, usually by physicians or nurse practitioners.

    <p>True</p> Signup and view all the answers

    Restraints in health care facilities may lead to increased possibility of serious injury due to fall, skin breakdown, contractures, incontinence, depression, delirium, anxiety, aspiration and respiratory difficulties, and death.

    <p>True</p> Signup and view all the answers

    The uses of patient portals include accessing medical history and other health information, completing various forms and questionnaires online, and communicating securely and conveniently with providers.

    <p>True</p> Signup and view all the answers

    Factors that contribute to falls in patients include poor gait and balance, strength issues, visual impairment, problems with feet, comorbidities, and hazards in the home or community.

    <p>True</p> Signup and view all the answers

    The immediate action according to the RACE protocol during a fire emergency is to rescue anyone in immediate danger, activate the fire code and notify appropriate person, confine the fire by closing doors and windows, and evacuate patients and other people to a safe area.

    <p>True</p> Signup and view all the answers

    The primary purpose of health teaching in schools includes monitoring the child’s use of the Internet, getting involved in school activities and asking pertinent questions, volunteering for safety committees, and ensuring that the school’s emergency preparedness plan is current.

    <p>True</p> Signup and view all the answers

    Patient safety includes orienting the person to surroundings, preventing falls in the health care facility, and using restraints in health care facilities.

    <p>False</p> Signup and view all the answers

    Telecare refers to technology that allows consumers to stay safe and independent in their own homes.

    <p>True</p> Signup and view all the answers

    Patient portals can be used for requesting prescription refills, paying bills, reviewing lab results, scheduling appointments, and receiving reminders for appropriate screenings.

    <p>True</p> Signup and view all the answers

    Adjusting diagnosis/problem, outcome statement, time criteria, nursing interventions are the key components of handoff communication in healthcare.

    <p>False</p> Signup and view all the answers

    Discovering a problem in healthcare involves asking patients about their condition and planning strategies based on their responses.

    <p>True</p> Signup and view all the answers

    One of the crucial conversations in healthcare involves dealing with lack of support, incompetence, and poor teamwork.

    <p>True</p> Signup and view all the answers

    Documentation in healthcare includes assessing, diagnosing, planning, implementing, and evaluating patient interactions.

    <p>True</p> Signup and view all the answers

    All patient information, including name, address, phone number, and reason for visit, must be kept confidential in healthcare documentation.

    <p>True</p> Signup and view all the answers

    Nursing documentation includes only computerized documentation and progress notes.

    <p>False</p> Signup and view all the answers

    Purposeful rounding in healthcare involves addressing patients' needs by focusing on three P's (potty, pain, and personal belongings).

    <p>False</p> Signup and view all the answers

    Match to the correct answer

    <p>Cognitive = increase the patients knowledge Psychomotor = patient’s achievement of new skills Affective = changes in patient’s values, beliefs and attitudes Physiologic = physical changes in the patient</p> Signup and view all the answers

    Match to the correct answer

    <p>Cognitive = asking patient to repeat information or apply new knowledge Psychomotor = asking patient to demonstrate new skill Affective = observing patient behavior and conversation Physiologic = using physical assessment skill to collect and compare data</p> Signup and view all the answers

    List the 5 Classic elements of evaluation in order Hint #5 is terminating, continuing, or modifying the plan.

    <p>1 = Identifying evaluate criteria and standards 2 = collecting data to determine whether criteria and standards are met. 3 = interpreting and summarize findings 4 = documenting judgements</p> Signup and view all the answers

    Match the technology evaluation steps with their description

    <p>Determine what will be evaluated. = Determine what to evaluate. Examples: Adoption and use of the patient portal Safety of using copy/paste function in the EHR Effectiveness of modified early warning system on reducing codes called outside of the ICU Effectiveness of allergy alerting Determine the question. = A clear, focused question helps the team determine what data will need to be collected and how the data ultimately should be reported. Examples: Has the implementation of the nurse-driven urinary catheter protocol reduced the number of catheter days for patients? Have the new admission assessment screens resulted in timesaving and improved support of workflow for nurses? What is the estimated amount of financial savings if automated report printouts were reduced by 50%? Conduct a literature search. = Searches should be conducted in peer-reviewed journals by searching available databases such as Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, and Cochrane Reviews. Has this topic been studied before? What data was collected? What were the findings? Can we replicate the methods of the study? Determine the needed data. = In this step, the specific data elements to be collected need to be determined. What data is needed to answer the question? Is it available? Can the data be easily queried and pulled into a report or spreadsheet for data manipulation? Who will collect it? What data collection tool will be used?</p> Signup and view all the answers

    Match the steps of technology evaluation with their description

    <p>Determine the study type. = When determining your study design, first take into account the question you are asking, and the data you are collecting to answer the question. Determine the data collection method and sample size. = Clarify exactly how the data will be collected. Is the data already available in the EHR database (or other database), and you will need the assistance of someone skilled in running a query or developing a report? Will you need to conduct a manual chart review? Will you need to observe end users as they interact with the system? Will you need to conduct a survey? Will you need a focus group to gather data? Check sample size and date ranges in previous studies on the same topic Collect, analyze, and display data. = Whether using a table, bar chart, pie chart, or other method, ensure data displays include: Title with date range and sample size as appropriate Legends that clearly explain the content and colors Labels on the x and y axis so the numerical value can be understood Other descriptors necessary for interpretation Document your outcome evaluation. = Without comprehensive documentation of your evaluation, the chance that any practice improvements occur becomes unlikely. Can use STARE-HI guidelines: <a href="http://www.imia-medinfo.org/new2/Stare-HI_as_published.pdf">http://www.imia-medinfo.org/new2/Stare-HI_as_published.pdf</a></p> Signup and view all the answers

    Match the technology evaluation steps in order

    <p>Determine what will be evaluated &amp; Determine the question. = Steps 1 &amp; 2 Conduct a literature search &amp; Determine the needed data. = Steps 3 &amp; 4 Determine the study type &amp; Determine the data collection method and sample size. = Steps 5 &amp; 6 Collect, analyze, and display data &amp; Document your outcome evaluation.. = Steps 7 &amp; 8</p> Signup and view all the answers

    all of the following are uses of patient portals

    -Access medical history and other health information -Complete various forms and questionnaires online -Communicate securely and conveniently with providers -Request prescription refills -Pay bills -Review lab results -Schedule appointments -Receive reminders for appropriate screenings -Enter clinical data, such as blood pressure, glucose levels, weight, Fitbit data, and other activity tracking data -Review progress notes -Access educational materials based on diagnosis or procedure

    <p>True</p> Signup and view all the answers

    -Computerized documentation/Electronic health records (EHRs) -Source-Oriented Records a. Progress notes; narrative notes -Problem-Oriented Medical Records b. SOAP notes SOAP-Subjective, Objective, Assessment and Plan -PIE Charting: Problem, Intervention, Evaluation -Focus Charting -Charting by Exception

    are all methods of documentation

    <p>True</p> Signup and view all the answers

    -All information about patients written on paper, spoken aloud, saved on computer a. Name, address, phone, fax, social security number b. Reason the person is sick c. Treatments patient receives d. Information about past health conditions

    is all confidential

    <p>True</p> Signup and view all the answers

    a long term goal is ...

    <p>For when the patient goes home</p> Signup and view all the answers

    What are the elements of documentation?

    <p>Content, Timing, Format, Accountability, Confidentiality</p> Signup and view all the answers

    -Analyze and plan -Design and develop -Test -Train -Implement -Maintain -Evaluate

    are all components of (SDLC) System development Lifecycle

    <p>True</p> Signup and view all the answers

    What is SDLC?

    <p>System Development Lifecycle</p> Signup and view all the answers

    Match to the correct answers

    <p>Telehealth = the use of electronic information and telecommunications technologies to support and promote long-distance clinical health care, patient and professional health-related education, public health, and health administration Telemedicine = the use of telecommunications technologies to support the delivery of all types of medical, diagnostic, and treatment-related services, usually by physicians or nurse practitioners Telecare = refers to technology that allows consumers to stay safe and independent in their own homes Ted Bundy = A murderer</p> Signup and view all the answers

    Match to the correct answer.

    Another one is • User acceptance testing- is it accepted?

    <p>Unit Testing = testing certain small portions; not testing the whole thing yet. Small portions Function Testing = does it work? Does it function? Is it working the way I told you? Integration Testing = integrating little by little; not just throwing someone in there to the wolves. Performance Testing = if it’s working in the designed area.</p> Signup and view all the answers

    The following are Safety Consideration for Adults -Remind them of effects of stress on lifestyle and health -Enroll in defensive driving course -Counsel about unsafe health habits (reliance on drugs and alcohol) -Evaluate workplace for safety -Counsel about domestic violence

    <p>True</p> Signup and view all the answers

    The following are what should be in a change of shift/handoff report  Basic identifying information about each patient: name, room number, bed designation, diagnosis, and attending and consulting physicians  Current appraisal of each patient’s health status  Current orders (especially any newly changed orders)  Abnormal occurrences during your shift  Any unfilled orders that need to be continued onto the next shift  Patient/family questions, concerns, needs  Reports on transfers/discharges

    <p>True</p> Signup and view all the answers

    Study Notes

    • Jimenez walks through 15 steps with Lajesus to promote patient health and discuss goals, response to care plan, and adjustments.

    • Short-term goals: within 7 days, long-term goals: post-discharge.

    • Actions based on patient response: modify diagnosis, change outcome statement, adjust time criteria, change nursing interventions.

    • Crucial steps to improve performance: discover a problem, plan a strategy, implement a change, assess the change, and adapt.

    • Seven conversations in healthcare: broken rules, mistakes, lack of support, incompetence, poor teamwork, disrespect, and micromanagement.

    • Documentation: legal record of interactions with patients, includes data, facilitates quality care, and serves as financial and legal records.

    • Effective documentation: consistent, complete, accurate, concise, factual, organized, timely, legally prudent, and confidential.

    • Documentation elements: content, timing, format, accountability, and confidentiality.

    • Nursing documentation formats: initial assessment, care plan, progress notes, flow sheets, medication administration record, and discharge summary.

    • Handoff communication: ID/introduction, situation, background, assessment, recommendation, and read back of orders.

    • Purposeful rounding: using C-I-CARE, accomplishing tasks, addressing the four Ps, personal needs, conducting an environmental assessment, and documenting the round.

    • Meaningful use of EHR: improves quality, safety, efficiency, reduces health disparities, engages patients and families, and improves care coordination and population health.

    • System development lifecycle: analyze and plan, design and develop, test, train, implement, maintain, and evaluate.

    • Analyze and plan: purpose of the new technology, problem to solve, current state, and workflow incorporation.

    • Design and develop: screen display, workflow support, and design effectiveness.

    • Testing: unit testing for small portions and functional testing for overall functionality.

    • Jimenez walks through 15 steps with Lajesus to promote patient health and discuss goals, response to care plan, and adjustments.

    • Short-term goals: within 7 days, long-term goals: post-discharge.

    • Actions based on patient response: modify diagnosis, change outcome statement, adjust time criteria, change nursing interventions.

    • Crucial steps to improve performance: discover a problem, plan a strategy, implement a change, assess the change, and adapt.

    • Seven conversations in healthcare: broken rules, mistakes, lack of support, incompetence, poor teamwork, disrespect, and micromanagement.

    • Documentation: legal record of interactions with patients, includes data, facilitates quality care, and serves as financial and legal records.

    • Effective documentation: consistent, complete, accurate, concise, factual, organized, timely, legally prudent, and confidential.

    • Documentation elements: content, timing, format, accountability, and confidentiality.

    • Nursing documentation formats: initial assessment, care plan, progress notes, flow sheets, medication administration record, and discharge summary.

    • Handoff communication: ID/introduction, situation, background, assessment, recommendation, and read back of orders.

    • Purposeful rounding: using C-I-CARE, accomplishing tasks, addressing the four Ps, personal needs, conducting an environmental assessment, and documenting the round.

    • Meaningful use of EHR: improves quality, safety, efficiency, reduces health disparities, engages patients and families, and improves care coordination and population health.

    • System development lifecycle: analyze and plan, design and develop, test, train, implement, maintain, and evaluate.

    • Analyze and plan: purpose of the new technology, problem to solve, current state, and workflow incorporation.

    • Design and develop: screen display, workflow support, and design effectiveness.

    • Testing: unit testing for small portions and functional testing for overall functionality.

    • Jimenez walks through 15 steps with Lajesus to promote patient health and discuss goals, response to care plan, and adjustments.

    • Short-term goals: within 7 days, long-term goals: post-discharge.

    • Actions based on patient response: modify diagnosis, change outcome statement, adjust time criteria, change nursing interventions.

    • Crucial steps to improve performance: discover a problem, plan a strategy, implement a change, assess the change, and adapt.

    • Seven conversations in healthcare: broken rules, mistakes, lack of support, incompetence, poor teamwork, disrespect, and micromanagement.

    • Documentation: legal record of interactions with patients, includes data, facilitates quality care, and serves as financial and legal records.

    • Effective documentation: consistent, complete, accurate, concise, factual, organized, timely, legally prudent, and confidential.

    • Documentation elements: content, timing, format, accountability, and confidentiality.

    • Nursing documentation formats: initial assessment, care plan, progress notes, flow sheets, medication administration record, and discharge summary.

    • Handoff communication: ID/introduction, situation, background, assessment, recommendation, and read back of orders.

    • Purposeful rounding: using C-I-CARE, accomplishing tasks, addressing the four Ps, personal needs, conducting an environmental assessment, and documenting the round.

    • Meaningful use of EHR: improves quality, safety, efficiency, reduces health disparities, engages patients and families, and improves care coordination and population health.

    • System development lifecycle: analyze and plan, design and develop, test, train, implement, maintain, and evaluate.

    • Analyze and plan: purpose of the new technology, problem to solve, current state, and workflow incorporation.

    • Design and develop: screen display, workflow support, and design effectiveness.

    • Testing: unit testing for small portions and functional testing for overall functionality.

    • Long term patient care goals: adjusting diagnosis/problem, outcome statement, time criteria, nursing interventions based on patient response to care plan

    • Discovering a problem in healthcare: asking patients about their condition and planning strategies based on their responses

    • Seven crucial conversations in healthcare: dealing with broken rules, mistakes, lack of support, incompetence, poor teamwork, disrespect, and micromanagement

    • Documentation in healthcare: written or electronic legal record of patient interactions, includes assessing, diagnosing, planning, implementing, and evaluating, facilitates quality care, serves as financial and legal record, supports clinical research, and aids in decision analysis

    • Characteristics of effective documentation: consistent with professional and agency standards, complete, accurate, concise, factual, organized, timely, legally prudent, and confidential

    • Confidentiality in healthcare documentation: all patient information, including name, address, phone number, social security number, reason for visit, treatments, and past health conditions, must be kept confidential

    • Nursing documentation: various formats including computerized documentation, progress notes, problem-oriented medical records, and purposeful rounding, includes initial nursing assessment, care plan, critical collaborative pathways, progress notes, flow sheets, medication administration records, and discharge summaries

    • Hand-off communication: includes identity/introduction, situation, background, assessment, recommendation, and read back of orders

    • Purposeful rounding: addressing patients' needs by focusing on four P's (potty, pain, personal belongings, and position) and accomplishing scheduled tasks, using open communication and documenting the round

    • Meaningful use of electronic health records: improves quality, safety, efficiency, reduces health disparities, engages patients and families, improves care coordination, and maintains privacy and security of patient health information

    • System development lifecycle: analyzing and planning, designing and developing, testing, training, implementing, maintaining, and evaluating technology changes to solve problems and improve workflow for nurses.

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    Description

    Test your knowledge of evaluation methods and outcomes in healthcare with this quiz. Explore the process of identifying evaluation criteria, collecting data, interpreting findings, and documenting judgments. Understand the four types of outcomes in healthcare: Cognitive, Psychomotor, Affective, and Health status.

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