Author Question: The role of the nurse in the system integration efforts should include which of the following? ... (Read 12 times)

SO00 · **on:** Jul 7, 2018

The role of the nurse in the system integration efforts should include which of the following? Select all that apply.

1. Ensuring that data will be collected in only one system and shared as needed among others
2. Involvement in the formation and maintenance of the electronic health record
3. Promoting the development and maintenance of archetypes
4. Determining measures to assure the quality of data
5. Identifying and defining data elements

Question 2

A nurse is caring for a 62-year-old woman with respiratory failure who has an advance directive that indicates her wishes related to resuscitation. The woman has two adult children and a husband who express differing views about the directive.

The nurse decides to lead a family meeting. Which of the following would be the best purposes of this particular family meeting? 1. Provide information that convinces the family to follow the health-care team's directions.
2. Assist individual family members to share individual beliefs and understandings.
3. Increase efficiency of the nurse by decreasing the number of questions.
4. Create an environment where prior stresses and conflicts can be resolved.

asware1 · **Reply #1 on:** Jul 7, 2018

Answer to Question 1

1,2,4,5
Rationale: The role the nurse in the system integration efforts should include the formation and maintenance of the electronic health record; ensuring that data will be collected in only one system and shared among all other systems requiring it (eliminates redundant efforts while ensuring data integrity); identifying and defining data elements; and assuring the quality of data. Developing archetypes and creating communications standards would not be appropriate for nurses.

Answer to Question 2

2

Feedback
1 The focus of a family meeting is listening to the family, rather than convincing them to follow the health-care team directions. Sharing an exchange of information will be a way build consensus.
2 Sharing family beliefs and understandings is a purpose of a family meeting.
3 The nurse's efficiency may be an outcome of the family meeting, but it is not a purpose.
4 Resolving prior conflicts may not be the best use of a family meeting at this time when there are current concerns.