C HAPTER 17: T HE I MPACT OF
T ECHNOLOGY
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. As the head nurse involved in leading determination of which patient
surveillance systems to acquire for your unit, one of your aims is to avoid
adverse events through the implementation of appropriate technology.
This particular aim recognizes that:
a. human error is significant in contributing to adverse events.
b. documentation of patient data is often illegible and therefore,
misinterpreted.
c. data systems provide backup documentation with adverse events that
staff cannot provide.
d. physiologic monitoring systems e nable detection of earl y changes
before an adverse event occurs.
ANS: D
Data about adverse events suggests that a majorit y of physiologic
abnormalities are not detected earl y enough and may be present hours
before the event actuall y occurs. Physiologic m onitoring aids in earl y
detection of changes.
TOP: AONE competency: Knowledge of the Health Care
Environment
,2. A 39-year-old patient awaits a kidney transplant. Because he must
immediatel y arrange to get to the hospital when a donor kidney is
available, it is important that he can be reached anywhere and at any time.
To ensure that he receives the message, what t ype of technology is most
effective?
a. Internet
b. Telecommunications
c. WL pager
d. CDS
ANS: C
Wireless (WL) communication is an extension of an existing w ired
network environment and uses radio -based systems to transmit data
signals through the air without any physical connections. Patients
awaiting organ transplants are provided with W L pagers so that they
can be notified if a donor is found.
TOP: AONE competency: Business Skills
3. A recent nursing graduate in a busy Emergency Department triages a
patient who has sustained a large, deep puncture wound in his foot while
working at a construction site. He is bleeding and is in pain. The nurse
enters the triage data that she has obtained from the patient into a
computerized, standard emergency patient -classification system. After she
enters the assessment data, she notices an alert on the computer screen
that prompts her to ask the patient about the status of h is tetanus
immunization. What system of technology is involved in generating the
alert?
, a. Clinical decision support
b. WL technology
c. Computerized provider order
d. Electronic health record
ANS: A
Clinical decision support (CDS) is a clinical computer system,
computer application, or process that helps health professionals make
clinical decisions to enhance patient care. The clinical knowledge
embedded in computer applications or work processes can range from
simple facts and relationships to best practices for ma naging patients
with specific disease states, new medical knowledge from clinical
research, and other types of information.
TOP: AONE competency: Business Skills
4. Despite the implementation of bar -code medication administration
(BCMA) on your busy medical unit, you notice that the number of
medication errors has not significantl y decreased. Which of the following
reasons might explain the lack of change in errors?
a. A number of new medications have been introduced into the hospital
pharmacy that are not yet recognized in the CDS.
b. There have been an unusuall y high number of patients on the unit
who have been unable to confirm their identit y at the time of
medication administration.
c. Lack of staff understanding and support for BCMA has led to
overrides or failur es to scan bar codes during busy times.
d. Clinical data that have been entered into the system to guide
administration of the medications are outdated.
T ECHNOLOGY
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. As the head nurse involved in leading determination of which patient
surveillance systems to acquire for your unit, one of your aims is to avoid
adverse events through the implementation of appropriate technology.
This particular aim recognizes that:
a. human error is significant in contributing to adverse events.
b. documentation of patient data is often illegible and therefore,
misinterpreted.
c. data systems provide backup documentation with adverse events that
staff cannot provide.
d. physiologic monitoring systems e nable detection of earl y changes
before an adverse event occurs.
ANS: D
Data about adverse events suggests that a majorit y of physiologic
abnormalities are not detected earl y enough and may be present hours
before the event actuall y occurs. Physiologic m onitoring aids in earl y
detection of changes.
TOP: AONE competency: Knowledge of the Health Care
Environment
,2. A 39-year-old patient awaits a kidney transplant. Because he must
immediatel y arrange to get to the hospital when a donor kidney is
available, it is important that he can be reached anywhere and at any time.
To ensure that he receives the message, what t ype of technology is most
effective?
a. Internet
b. Telecommunications
c. WL pager
d. CDS
ANS: C
Wireless (WL) communication is an extension of an existing w ired
network environment and uses radio -based systems to transmit data
signals through the air without any physical connections. Patients
awaiting organ transplants are provided with W L pagers so that they
can be notified if a donor is found.
TOP: AONE competency: Business Skills
3. A recent nursing graduate in a busy Emergency Department triages a
patient who has sustained a large, deep puncture wound in his foot while
working at a construction site. He is bleeding and is in pain. The nurse
enters the triage data that she has obtained from the patient into a
computerized, standard emergency patient -classification system. After she
enters the assessment data, she notices an alert on the computer screen
that prompts her to ask the patient about the status of h is tetanus
immunization. What system of technology is involved in generating the
alert?
, a. Clinical decision support
b. WL technology
c. Computerized provider order
d. Electronic health record
ANS: A
Clinical decision support (CDS) is a clinical computer system,
computer application, or process that helps health professionals make
clinical decisions to enhance patient care. The clinical knowledge
embedded in computer applications or work processes can range from
simple facts and relationships to best practices for ma naging patients
with specific disease states, new medical knowledge from clinical
research, and other types of information.
TOP: AONE competency: Business Skills
4. Despite the implementation of bar -code medication administration
(BCMA) on your busy medical unit, you notice that the number of
medication errors has not significantl y decreased. Which of the following
reasons might explain the lack of change in errors?
a. A number of new medications have been introduced into the hospital
pharmacy that are not yet recognized in the CDS.
b. There have been an unusuall y high number of patients on the unit
who have been unable to confirm their identit y at the time of
medication administration.
c. Lack of staff understanding and support for BCMA has led to
overrides or failur es to scan bar codes during busy times.
d. Clinical data that have been entered into the system to guide
administration of the medications are outdated.
