NR599 Final Exam P2 Questions and Answers (Latest Update 2023) Verified Answers, Exams of Nursing

Download NR599 Final Exam P2 Questions and Answers (Latest Update 2023) Verified Answers and more Exams Nursing in PDF only on Docsity! NR599 Final exam P2 Questions and Answers (Latest Update 2023) Verified Answers Smart documentation forms - correct answers ✅forms that are tailored based on patient data to emphasize data elements pertinent to the patient's conditions and healthcare needs. Order sets, care plans and protocols - correct answers ✅Structured approaches to encourage correct and efficient ordering, promote evidence- based best practices, and provide different management recommendations for different patient situations. Parameter guideline - correct answers ✅algorithms to promote correct entry of orders and documentation. Critiques and "immediate warnings" - correct answers ✅Alerts that are presented just after a user has entered an order, a prescription or a documentation item, to show a potential hazard or a recommendation for further information. Relevant data summaries - correct answers ✅A single-patient view that summarizes, organizes and filters a patient's information to highlight important management issues. NR599 Final exam P2 Questions and Answers (Latest Update 2023) Verified Answers Multiple monitors - correct answers ✅a display of activity among all patients on a care unit, which helps providers prioritize tasks and ensures that important activities are not omitted while providers are multitasking among patients. Predictive and retrospective analytics: - correct answers ✅Analytic methods that combine multiple factors using statistical and artificial intelligence techniques to provide risk predictions, stratify patients and measure progress on broad initiatives. "Info" buttons - correct answers ✅filtered reference information and knowledge resources within fields or "buttons" where info is provided to the end user in the context of the current data display also referred to as metadata, or "data about data". Expert workup and management advisers - correct answers ✅Diagnostic and expert systems that track and advise a patient workup and management of the patient based on evidence-based protocols. NR599 Final exam P2 Questions and Answers (Latest Update 2023) Verified Answers Process Map - correct answers ✅a typical output of workflow analysis is a visual depiction of the process called a ______ ________; this provides an excellent tool to identify specific steps in the workflow analysis process. - it also provides a vehicle for communication and a tool upon which to build educational material, procedures and policies. - an example is the swim-lane technique workflow - correct answers ✅- a term used to describe the action or execution of a series of tasks in a prescribed sequence. - a progression of steps (tasks, events, interactions) that consitute: 1) a work process 2) involves two or more persons 3) creates and adds value to the organizations activities. - also known as a process or process flow particularly in the context of implementation. swim-lane technique - correct answers ✅because workflow crosses many different care providers, it may be useful to construct the process map using NR599 Final exam P2 Questions and Answers (Latest Update 2023) Verified Answers this technique, which uses categories such as functional work groups and roles to visually depict groups of work and to indicate who performs the work. Value-added activity - correct answers ✅- is a step that brings the process closer to completion or changes the product or service for the better. - an example is placing a label or name tag on a specimen sample, The name tag is necessary for the laboratory personnel to identify the specimen. Non-Value-Added Activities - correct answers ✅does not alter the outcome of a process or product - activities such as handling, moving, and holding. these activities should be evaluated during workflow analysis. -ex: manipulating papers, moving through computer screens, and walking or transporting items. - Tasks that are not necessary for the purpose of compliance or regulatory reasons should be eliminated. waste - correct answers ✅a key underpinning of the lean philosophy is the removal of _____ activities. NR599 Final exam P2 Questions and Answers (Latest Update 2023) Verified Answers - Seven forms: 1. overproduction 2. waiting 3. transport 4. inappropriate processing 5. unnecessary inventory 6. unnecessary motion 7. defects Variation - correct answers ✅in workflow this is considered the enemy of all good processes and should be eliminated when possible. - this occurs when workers perform the same function in different ways. - it usually arises because of flaws in the way a process was originally designed, lack of knowledge about the process, or inability to execute a process as originally designed due to disruption or disturbances in the workflow gap analysis - correct answers ✅necessary to move from the current state to the future state; NR599 Final exam P2 Questions and Answers (Latest Update 2023) Verified Answers Big Data - correct answers ✅many different types - including indexes; images and videos; social networks such as Twitter and Facebook; surveillance data; company records including medical records; and data heavy fields such as astronomy; genetics and economics. - the masses of unstructured textually rich data within the EHR are among the prime examples. 5 Uses of Big data in the healthcare industry - correct answers ✅1.) Big data explorations and mining techniques to improve decision making. 2.) 360-degree view of the customer, extending the ability to view the healthcare consumer by internal and external data sources. 3.) Security and intelligence to lower risk, detect fraud and monitor cybersecurity. 4.) Operational and clinical analysis to improve healthcare outcomes, quality and cost. 5.) Ability to augment data warehouse capabilities to integrate and use big data to increase efficiencies and improve outcomes. Data mining - correct answers ✅a method in computer science that is used to discover patterns and trends within large data sets. NR599 Final exam P2 Questions and Answers (Latest Update 2023) Verified Answers Anomaly detection - correct answers ✅a data mining technique - pattern detection of data errors or unusual deviations from the norm - ex: detection of disease outbreaks. Association rule learning - correct answers ✅a data mining technique that identifies association between variables to predict outcomes. - Identifies relationships in variables associated with an outcome of interest; can be preliminary work to predictive modeling Cluster Analysis - correct answers ✅- Discovering groups or structures in the data - a data mining technique that discovers groups or structures in the data, such as clusters of patients who tend to go to one hospital in a given ZIP code or county. Classification - correct answers ✅a data mining technique - Generalizing known structure to new data or information NR599 Final exam P2 Questions and Answers (Latest Update 2023) Verified Answers - Classifying patient safety errors related to HIT can support taxonomy development Regression Modeling - correct answers ✅a data mining technique - Modeling data for prediction or explaining some phenomenon with the least amount of error as possible - often used for predictive analytics such as predicting factors that are associated with mortality or 30-day readmission. Summarization - correct answers ✅a data mining technique - business intelligence (BI) tools that aggregate cubic views of data or report certain outcomes. - tools allow an end user to drag and drop and quickly identify patterns and trends in the data based on the summarization of tables. mobile health (mHealth) - correct answers ✅- the use of wireless communication to support efficiency in public health and clinical practice. - generation, aggregation, and dissemination of health information via mobile or wireless device. NR599 Final exam P2 Questions and Answers (Latest Update 2023) Verified Answers affect the structure or any function of the body of man, the mobile app is a device under section 201h of the FD&C act ; - if a software function is intended for use in performing a medical device function it is a medical device, regardless of the platform on which it runs. ex: mobile apps intended to run on smartphones to analyze and interpret EKG waveforms to detect heart function irregularities would be considered similar to software running on a desktop computer that serves the same function, which is regulated by the FDA. -FDA applies oversight and regulation only to those software applications whose functionality could pose a risk to a patient's safety if the software application were to no function as intended. Examples of regulated medical devices - correct answers ✅glucose test system, calculator processing module for clinical use, monitoring spirometer, esophageal stethoscope with electrical conductors, apnea monitor, blood pressure computer, etc. apps providing access to electronic copies - correct answers ✅mobile apps that are intended to provide access to electronic "copies" (e.g. e-books, audio books) of medical textbooks or other reference materials with generic text search capabilities. NR599 Final exam P2 Questions and Answers (Latest Update 2023) Verified Answers NOT considered medical devices because they are intended to be used as reference materials and not for diagnosis, tx, mitigation, cure, prevention of disease or to replace clinical judgment. Examples of apps providing access to electronic copies. - correct answers ✅ex: Medical dictionaries, medical textbooks and literature articles such as the physician's desk reference or diagnostic and statistical Manual of Mental Disorders; library of clinical descriptions for disease and conditions, encyclopedia for first-aid and emergency care information; medical abbreviations and definitions; translations of medical terms across multiple languages. Apps for general patient education - correct answers ✅mobile apps that facilitate patient access to commonly used reference information; These apps can be patient-specific (i.e. filter info to pt-specific characteristics), but are intended for increased patient awareness, education, and empowerment and ultimately to support patient-centered care. - NOT considered a medical device because they are intended generally for pt education. NR599 Final exam P2 Questions and Answers (Latest Update 2023) Verified Answers examples of mobile apps for general patient education - correct answers ✅- provide a portal for healthcare providers to distribute educational information (e.g., interactive diagrams, useful links and resources) to their patients regarding their disease, condition, treatment, or up-coming procedures. -help guide patients to ask appropriate questions to their provider relevant to their particular disease, condition, or concern. - provide information about gluten-free food products or restaurants - help match patients with potentially appropriate clinical trials. - provide tutorials or training videos on how to administer first-aid or CPR. - Allow users to input pill shape, color or imprint and display pictures and names of pills that match this description. - find the closest medical facilities and providers. - provide lists of emergency hotlines and physician/nurse advice lines. - provide and compare costs of drugs and medical products at pharmacies in the user's location. generic aids or general purpose apps examples - correct answers ✅- use a mobile platform as a magnifying glass (but are not specifically intended for medical purposes) NR599 Final exam P2 Questions and Answers (Latest Update 2023) Verified Answers - manage shifts for providers manage or schedule hospital rooms or bed-spaces. - provide wait times and electronic check-in for hospital emergency rooms and urgent care facilities. - allow healthcare providers and staff in healthcare settings process payments using HIPAA compliant apps. - track or perform patient satisfaction surveys after an encounter or a clinical visit. - enable individuals to interact with PHR systems or EHR systems. Mobile apps that provide or facilitate supplemental clinical care, by coaching or prompting, to helps patients manage their health in their daily environment - correct answers ✅examples include apps that coach patients with conditions such as cardiovascular disease, hypertension, diabetes, or obesity, and promote strategies for maintaining a healthy weight, getting optimal nutrition, exercising and staying fit, managing salt intake, or adhering to pre-determined medication dosing schedules by simple prompting. NR599 Final exam P2 Questions and Answers (Latest Update 2023) Verified Answers mobile apps that provide patients with simple tools to organize and track their health information - correct answers ✅apps that provide simple tools for patients with specific conditions or chronic diseases (e.g. obesity, anorexia, arthritis, diabetes, heart disease), to log, track, or trend their events or measurements (e.g. blood pressure measurements, drug intake times, diet, daily routines or emotional state) and share this information with their health care provider as part of a disease-management plan. Mobile apps that provide easy access to information related to patients' health conditions or treatments (beyond providing an electronic "copy" of a medical reference) - correct answers ✅- apps that use a patient's diagnosis to provide a clinician with best practice treatment guidelines for common illnesses or conditions such as influenza; - apps that are drug-drug interaction or drug-allergy look-up tools. mobile apps that are specifically marketed to help patients document, show, or communicate to providers, potential medical conditions - correct answers ✅- apps that serve as videoconferencing portals specifically intended for medical use and to enhance communications between patients, healthcare providers, and caregivers. NR599 Final exam P2 Questions and Answers (Latest Update 2023) Verified Answers - apps specifically intended for medical uses that utilize the mobile device's built-in camera or a connected camera for purposes of documenting or transmitting pictures (e.g. photos of a patient's skin lesion or wounds) to supplement or augment what would otherwise be a verbal description in a consultation between healthcare providers or between healthcare providers and patients/caregivers. mobile apps that perform simple calculations routinely used in clinical practice - correct answers ✅examples of such general purpose tools include medical calculators for Body Mass Index (BMI), total body water/urea volume of distribution. mobile apps that enable individuals to interact with PHR and EHR systems - correct answers ✅ex include apps that provide patients and providers with mobile access to health records systems or enables them to gain electronic access to health information stored within a PHR or EHR. Mobile apps that meet the definition of Medical Devices Data Systems - correct answers ✅ex include apps that are intended to transfer, store, convert format, and display medical device data, without controlling or altering the functions or parameters of any connected medical device. NR599 Final exam P2 Questions and Answers (Latest Update 2023) Verified Answers knowledge acquisition - correct answers ✅involves the telenurse receiving the informationi from the telehealth device via a variety of communication modes - for ex, the telenurse receives the patient's vital signs taken in the home and the patient's response to customized questions, which is transmitted to a central server or website. knowledge processing - correct answers ✅- the result of the telenurse's knowledge acquisition - understanding a set of information and the ways it can be applied to a specific task. - the telenurse assess the patient's vital signs along with subjective data received from the patient as a result of of the customized questions that were asked. - the telenurse then combines this info with the overall pt history and diagnosis to get an up-to-date view of the pt's status and considers where this information fits into the clinical picture being presented for the patient. knowledge generation - correct answers ✅- by using skills and clinical knowledge of the disease process, the telenurse considers all of the data as NR599 Final exam P2 Questions and Answers (Latest Update 2023) Verified Answers they apply to the pt and decides the best course of action to take and acts on the data. - the telenurse may then ask a variety of questions to ensure that a complete and accurate decision about next steps for the patient is made. questions might include: - Do i need to gather additional data? - do I need to call the patient? - do I need to call the physician and inquire about a change in the current plan of care? knowledge dissemination - correct answers ✅the telenurse determines how the knowledge will be used and distributed. Various question that were posed in the knowledge generation stage are acted on, including the following possibilities: - calling the doctor - obtaining a change in medication orders. -calling the pt and instructing her in a medication change - reviewing activities that could have led to changes (e.g. eating salty foods) - educating the patient on the disease process, symptoms management, and self- management techniques. NR599 Final exam P2 Questions and Answers (Latest Update 2023) Verified Answers Foundation of knowledge Model and Telehealth - correct answers ✅the nurse uses various technologies to acquire data; interpret the meaning of the data, thus generating information and knowledge; and then using that knowledge and wisdom to intervene appropriately. At Home Telemonitoring - correct answers ✅- the ability to provide better healthcare is the number one benefit of using telehealth. - info collected in the home becomes much more convenient for the pt, and the quality and timeliness of the info is improved dramatically. - this is an enhancement to care - it allows more direct, physical intervention to occur only when it is actually needed. - care is not directed by pre-scheduled appointment or subjective perceptions of condition, but instead can be determined by objective measures of physical status. - with telehealth, care can be delivered at the most appropriate site of care reducing reliance on emergency departments and inpatient facilities. Driving Forces for telehealth - correct answers ✅1. Demographics: more individuals with disability/unable to leave home