PMHNP ANCC Exam Review Questions Compiled in 2022 From Real Exams (2000+ Questions) A patient with borderline personality disorder experiences intense anxiety when an adult psychiatric and mental ... health nurse practitioner goes on vacation. The best explanation for this reaction is that the patient: A. has failed to develop clear ego boundaries. B. has failed to master object constancy. C. is employing primitive idealization. D. is employing projective identification. - ✔✔B. has failed to master object constancy 2. A patient has been taking escitalopram (Lexapro) 10 mg daily for four weeks. Initially, the patient reported depression and suicidal thoughts. The patient's sleep, appetite, energy, and appearance have now begun to improve. Which statement applies to this patient? A. The medication should be discontinued. B. The medication should be increased. C. The patient's risk for suicide is not a concern. D. The patient's suicide potential is increased. - ✔✔D. The patient's suicide potential is increased. 3. Which behavior reflects existentially oriented therapy? A. Attempting to understand a patient's subjective world B. Challenging a patient's irrational beliefs C. Developing specific plans for change D. Establishing general group goals - ✔✔A. Attempting to understand a patient's subjective world 4. Serving as a member on a crisis team, an adult psychiatric and mental health nurse practitioner provides crisis intervention to the survivors of a plane crash. Forty-eight hours after the accident, the survivors describe vivid flashbacks, startle reactions, and disrupted sleep patterns. The nurse practitioner responds by:A. advising the survivors to consider using a hypnotic medication for a brief period. B. educating the survivors about prodromal symptoms of posttraumatic stress disorder. C. encouraging the survivors to rest during the day. D. suggesting that the survivors join a posttrauma support group. - ✔✔B. educating the survivors about prodromal symptoms of posttraumatic stress disorder. 5. An adult psychiatric and mental health nurse practitioner uses the interpersonal therapy model with a patient to establish a therapeutic alliance based upon empathy and trust. The nurse practitioner recognizes the patient's readiness to terminate therapy when the patient demonstrates: A. an understanding that leaving a significant other may be painful, but also presents an opportunity for growth. B. breathing and muscle relaxation exercises that decrease muscle tension and anxiety. C. free association, and considers the nurse practitioner's interpretation of the patient's dreams. D. new adaptive skills and responses after completing "homework assignments." - ✔✔A. an understanding that leaving a significant other may be painful, but also presents an opportunity for growth. 6. An Hispanic patient informs an adult psychiatric and mental health nurse practitioner during a wellness visit that he or she occasionally uses hot chili juice to relieve a "nervous condition." The patient denies any complaints related to this practice. The nurse practitioner's response is to: A. actively discourage the patient from continuing this treatment. B. offer a medication to treat the nervous condition. C. suggest an alternative food to relieve the nervous condition. D. view this as a self-care ritual that needs to be preserved. - ✔✔D. view this as a self-care ritual that needs to be preserved. 7. Before an older adult patient initiates pharmacotherapy with a medication that is cleared by the kidneys, an adult psychiatric and mental health nurse practitioner assesses the patient's: A. blood urea nitrogen level. B. creatinine clearance. C. specific gravity. D. urinary sediment. - ✔✔B. creatinine clearance.8. An adult psychiatric and mental health nurse practitioner uses a cognitive-behavioral approach to help an adolescent patient change self-defeating behaviors. After identifying the initial stressor that is causing the inappropriate behavior, the therapeutic intervention is to identify: A. alternative positive responses to the stressor. B. negative consequences of the behavioral response to the stressor. C. possible outcomes of alternative responses. D. rational and irrational beliefs about the stressor. - ✔✔D. rational and irrational beliefs about the stressor. 9. Which characteristic of fluoxetine (Prozac) provides the greatest degree of safety for patients who have severe depression? A. Greater efficacy than tricyclic antidepressants B. Less potential for drug interaction C. Less potential for injury with intentional overdose D. Less potential for suicidal thinking - ✔✔C. Less potential for injury with intentional overdose 10. When lobbying a local congressional representative to include nurse practitioners in reimbursement for services in all areas of the country, an adult psychiatric and mental health nurse practitioner emphasizes the: A. ability of nurse practitioners to provide health care that patients need. B. fact that nurse practitioners are caring in their patient care delivery. C. importance of broadening the scope of nursing practice. D. necessity of offering equivalent services both to urban and rural patients. - ✔✔A. ability of nurse practitioners to provide health care that patients need. 11. For 12 years, a 65-year-old patient with bipolar affective disorder has been treated with lithium (Eskalith) 900 mg daily. When oral hydrochlorothiazide (HCTZ) 12.5 mg daily is added for hypertension, the patient develops nausea, vomiting, ataxia, and muscle weakness and the patient's serum lithium level is 2.0 mEq/L. The interaction of the lithium and the thiazide diuretic has induced: A. hypokalemia. B. hyponatremia.C. increased renal clearance of lithium. D. reduced renal clearance of lithium. - ✔✔D. reduced renal clearance of lithium. 12. Which statement by a male patient who has posttraumatic stress disorder (PTSD) and chronic persistent suicidal ideation indicates a need for hospital assessment? A. "I feel so bad all the time. I wish I were dead." B. "My wife is so scared that she has taken all my guns out of the house." C. "My wife just left with the children. I have no one left and no future." D. "Those medications you gave me make me feel worse. I stopped taking them." - ✔✔C. "My wife just left with the children. I have no one left and no future." 13. A male patient informs an adult psychiatric and mental health nurse practitioner that he has not slept in three days, has poor concentration, and denies fatigue. The patient's diagnosis is: A. attention-deficit hyperactivity disorder. B. bipolar disorder. C. panic disorder. D. primary insomnia. - ✔✔B. bipolar disorder. 14. During patient education about sertraline (Zoloft), an adult psychiatric and mental health nurse practitioner focuses upon the potential side effect of: A. agranulocytosis. B. hypernatremia. C. sexual dysfunction. D. weight loss. - ✔✔C. sexual dysfunction 15. The neurochemical pathophysiology of Tourette disorder involves: A. decreased levels of gamma-aminobutyric acid and increased levels of glutamate in the brain. B. deficits in the prefrontal cortex-mediated executive functions of the brain. C. imbalances in dopaminergic, serotonergic, and noradrenergic systems in multiple regions of the brain.D. overstimulation of noradrenergic activity located in the locus coeruleus of the brain. - ✔✔C. imbalances in dopaminergic, serotonergic, and noradrenergic systems in multiple regions of the brain. 16. Before implementing evidence-based practice changes, an adult psychiatric and mental health nurse practitioner's initial action is to: A. brainstorm with stakeholders and draft a detailed problem list. B. compare data with internal and external benchmarks, and coordinate ongoing education. C. facilitate a collaborative multidisciplinary group to synthesize evidence and compare key themes. D. identify potential barriers and facilitators that reflect patients' values and expectations. - ✔✔D. identify potential barriers and facilitators that reflect patients' values and expectations. 17. Symptoms of anxiety and panic are associated with a low level of which neurotransmitter? A. Cortisol B. Dopamine C. Gamma-aminobutyric acid D. Glutamate - ✔✔C. Gamma-aminobutyric acid 18. An outpatient mental health clinic-based adult psychiatric and mental health nurse practitioner treats a 32-year-old patient who has diabetes and a major depressive disorder. The patient reports an improved and stable mood on a trial of duloxetine (Cymbalta), but experiences continued neuropathic pain. The nurse practitioner's initial intervention is to: A. add gabapentin (Neurontin) to the treatment regimen. B. conduct additional diagnostic tests. C. contact the patient's endocrinologist. D. increase the dosage of duloxetine (Cymbalta). - ✔✔D. increase the dosage of duloxetine (Cymbalta). 19. According to current clinical guidelines for treating a patient with bipolar I disorder mania with psychotic features, an adult psychiatric and mental health nurse practitioner prescribes: A. alprazolam (Xanax). B. citalopram (Celexa). C. lamotrigine (Lamictal).D. quetiapine (Seroquel). - ✔✔D. quetiapine (Seroquel). 20. A hospital-based adult psychiatric and mental health nurse practitioner collaborates with a multidisciplinary team that is charged with establishing a psychiatric outpatient clinic. Advocating for the role of advanced practice nurses, the nurse practitioner initially educates the team that advanced practice nurses: A. are readily available to meet patient needs. B. can autonomously provide a full range of comprehensive services. C. can perform case management functions. D. provide cost-effective care delivery. - ✔✔B. can autonomously provide a full range of comprehensive services. 21. Which nonpharmacologic treatment modality is recommended for depression? A. Biofeedback B. Dialectical behavioral therapy C. Eye movement desensitization and reprocessing therapy D. Supportive group therapy - ✔✔D. Supportive group therapy 22. An adult psychiatric and mental health nurse practitioner is using rational emotive therapy to treat a patient with depression and anxiety. An effective strategy for helping the patient recognize the connections between affect, cognition, and behavior is to: A. focus on mindfulness techniques. B. provide an injunction to address assumptions. C. reinforce behaviors that have a sense of self-efficacy. D. substitute reality-oriented interpretations for the distorted thoughts. - ✔✔D. substitute realityoriented interpretations for the distorted thoughts. 23. An adult psychiatric and mental health nurse practitioner is a member of a mental health advisory board in an area where many patients with mental illness are indigent. The nurse practitioner also owns stock in a corporation that provides psychiatric care in the area. When the advisory board votes to recommend a site for a mental health clinic in which nursing services will be expanded, the nurse practitioner's action is to:A. abstain from casting a vote. B. vote and influence the board members' decisions, because public health care needs are at stake. C. vote in support of the least expensive proposal, considering the indigent population. D. vote in support of the proposal and offer to provide personal consultations. - ✔✔A. abstain from casting a vote. 24. A 16-year-old male patient is hospitalized for depression after attempting suicide by overdose. Several days later, the patient reports feeling less depressed and having fewer suicidal thoughts, but begins to threaten suicide "if things do not work out." Nursing staff members report feeling resentful and manipulated, but fear for the patient's safety. The adult psychiatric and mental health nurse practitioner's intervention is to: A. assist the staff in developing a treatment plan that limits contact with the patient to one person per shift. B. develop a "no suicide" pact with the patient to decrease his helplessness and increase his feelings of control. C. encourage the patient to express his fears of improving and being abandoned or of leaving the safe environment. D. increase supervision and restrict milieu participation to decrease the secondary gain from manipulation. - ✔✔C. encourage the patient to express his fears of improving and being abandoned or of leaving the safe environment. 25. A mother telephones an adult psychiatric and mental health nurse practitioner to report that her 13- year-old son has been unusually active, irritable, and unable to sleep for more than a few hours each night. The adolescent has been diagnosed with a major depressive disorder and has been taking fluoxetine (Prozac) for six weeks. The nurse practitioner is most concerned about the possibility that: A. a therapeutic level of the drug has not been reached. B. an addition of hypnotic medication is warranted. C. the adolescent has been misdiagnosed. D. the adolescent is experiencing side effects. - ✔✔C. the adolescent has been misdiagnosed.HIPPA only applies to organizations that have electronic health records. True False - ✔✔False The Informatics nurse is involved with measure to protect the security and confidentiality of patient data because: a. it is a joint commission mandate b. it is regulated by HIPPA legislation c. the major cause of security breaches is human error d. both B and C are correct - ✔✔d. It is regulated by HIPPA Legislation and The Major cause of security breeches is human error. Controls to protect data privacy and integrity are both logical and: a. physical b. analytical c. theoretical d. psychological - ✔✔b. analytical Which of the following is not a mechanism for protecting the security of health data: a. Automatic sign-offs b. A Strong Password c. Having one password per nursing unit d. Firewalls - ✔✔C. Having one password per nursing unit. An audit trail is : a. a log of which project meetings and events have been completed b. an electronic tool that can track system access by individual user who viewed a specific client record. c. a proactive tool to monitor who will be using a system and modifying data.d. used primarily as a data integrity tool - ✔✔b. an electronic tool that can track system access by individual user who viewed a specific client record. Data can be represented by all EXCEPT: a. text b. audio c. transmission waves d. video - ✔✔a. text Things to consider related to disaster planning include: a. should have only 1 database to make it easier to recover b. all data should be stored onsite so it is accessible c. must have a solid communication plan during disaster and recovery. d. an association or group that shows uniformity - ✔✔C. Must have a solid communication plan during disaster and recover. Some examples of physical security for healthcare data are fences, walls, locks, safes, vaults, armed guards, sensors, alarms. True False - ✔✔TRUE One way to track the activity that is occurring in a system is: a. a GANTT chart b. an audit trail c. a data backup d. biometrics - ✔✔b. an audit trail PHI stands for : a. physician hospital interchangeb. password hint indicator c. potential hardware incursion d. protected health information - ✔✔d. Protected Health Information If the informatics nurse is concerned that a computer system may not function well during peak times of access the type of testing needed is: a. Functional Testing b. System Integrated testing c. Black box testing d. Load volume testing - ✔✔Load Volume Testing What is Load Volume Testing? - ✔✔Load/volume testing is a non-functional testing for reliability that assesses the ability of the system to function under various loads, such as at peak times when multiple users in multiple departments are accessing the system. The purpose of load/volume testing is to determine the maximum load capacity and to identify the load at which problems begin to occur. Testing is done at both the safe working load (SWL) and above the SWL. In preparation for the workflow redesign necessitated for implementation of an EHR, the first step should be to a. Assess the EHR requirments b. Conduct surveys about the workflow c. Assess compatibility with the EHR d. Map the current workflow - ✔✔map the current workflow Which resource for evidence-based research is provided by the National Library of Medicine? a. BMJ Publishing b. CINAHL c. PubMed d. World View on Evidence based- nursing - ✔✔PubMed is a resource for evidence-based research that is provided by the National Library of Medicine, which was developed by the National Center for Biotechnology Information (NCBI). PubMed provides access to numerous databases with 24 million citations from MEDLINE (the National Library of Medicine's bibliographic database with references to lifesciences and biomedical sciences), life science journals, and electronic books with links to full text when it is available. When considering transitioning to cloud storage and assessing vendors, the most critical assessment relates to: a. regulatory compliance b. monitoring mechanisms c. cost analysis d. interoperability - ✔✔The most critical assessment relates to compliance with regulatory requirements because if the vendor cannot verify that the company meets HIPAA requirements and satisfies the Code of Federal Regulations Title 21, Part 11 (which provides regulations regarding electronic records and electronic signatures), then security of patient data may be inadequate. Other important considerations include cost analysis (including cost of implementation and ongoing costs), monitoring mechanisms, and interoperability. When utilizing a prioritization matrix to prioritize activities as a project manager, the informatics nurse must first establish: a. rating scale and categories b. criteria and timeframe c. criteria and rating scale d. rating scale and timeframe - ✔✔the informatics nurse must first establish criteria and a rating scale. The criteria includes those factors that are utilized to determine how important each project is; for example, a project mandated by regulations is more important than a project that may improve customer satisfaction. A rating scale for each project should be established with numeric values (such as 1 to 10) used to demonstrate how effective the project is in meeting the criteria. A typical prioritization matrix may have up to a dozen criteria. An advantage of an identity and access management (IAM) system is that the IAM system: a. provides HIPAA-required encryption for PHI b. satisfies the Code of Federal Regulations Title 21, Part 11 c. meets HIPAA's Security Rule requirements regarding access to PHI d. meets HIPAA's Privacy Rule requirements regarding identification - ✔✔An advantage of an identity and access management (IAM) system is that the IAM system meets HIPAA's Security Rule requirements regarding access to PHI through identity management. An IAM system provides, captures, updates, andrecords user IDs and provides appropriate access privileges, preventing "privilege creep," which increases risks to security. The IAM system should provide authentication (single sign-in and session management), authorization (based on roles, rules, and attributes), user management (provisioning and password management), and a central directory. When utilizing a prioritization matrix to prioritize activities as a project manager, the informatics nurse must first establish: a. rating scale and categories b. criteria and timeframe c. criteria and rating scale d. rating scale and timeframe - ✔✔first establish criteria and a rating scale. The criteria includes those factors that are utilized to determine how important each project is; for example, a project mandated by regulations is more important than a project that may improve customer satisfaction. A rating scale for each project should be established with numeric values (such as 1 to 10) used to demonstrate how effective the project is in meeting the criteria. A typical prioritization matrix may have up to a dozen criteria. An advantage of an identity and access management (IAM) system is that the IAM system: a. provides HIPAA-required encryption for PHI b. satisfies the Code of Federal Regulations Title 21, Part 11 c. meets HIPAA's Security Rule requirements regarding access to PHI c. meets HIPAA's Privacy Rule requirements regarding identification - ✔✔provides HIPAA-required encryption for PHI Which of the following standardized nursing terminologies is comprised of (1) a problem classification scheme, (2) an intervention scheme, and (3) a problem rating scale for outcomes? a. NANDA-I b. PNDS c. OMAHA c. ICNP - ✔✔OMAHA is standardized nursing terminology that is comprised of (1) a problem classification scheme, (2) an intervention scheme, and (3) a problem rating scale for outcome. OMAHA was developed by the Visiting Nurse Association in Omaha, Nebraska, in the 1970s and was later developed further through research projects funded by the US Department of Health and Human Services. OMAHA is in the public domain but must be used as published (as opposed to modified).The smallest possible piece of data utilized in computer processing is the: a. byte b. zettabyte c. nibble d. bit - ✔✔Bit The smallest piece of data utilized in computer processing is the bit (binary digit), which comprises zeros (off) and ones (on). Four bits equal one nibble, eight bits equal one byte, 1024 bytes equal one kilobyte, 1024 kilobytes equal one megabyte, and 1024 megabytes equal one gigabyte. Communication software is most commonly used for: a. video files b. e-mail and IM c. audio files d. documents - ✔✔e-mail and IM. The network that connects the departments in an organization is likely a(n): a. WAN b. VSN c. MAN d. LAN - ✔✔LAN When an institution is transitioning to a CPOE, a primary role of the informatics nurse is that of: a. system designer b. purchasing agent c. liaison d. software modifier - ✔✔Liason - When an institution is transitioning to a CPOE, a primary role of the informatics nurse is that of liaison to promote multidisciplinary collaboration and cooperation among the various members of the healthcare team, including nurses, physicians, and IT specialists, to ensure that the end-product has the functionality that is needed for workflow and that it meets therequirements for safety and security. Needs regarding both hardware and software must be clearly communicated to IT personnel. The field of science that attempts to create intelligent technologies and then apply these technologies to the field of informatics is: a. cognitive science b. information science c. artificial intelligence d. cognitive informatics - ✔✔AI - Artificial Intelligence. Researchers in artificial intelligence must engineer general intelligence and reasoning skills into the artificial intelligence programs as well as the ability to develop and learn from experiences and errors and to process natural language. One example of an artificial intelligence program is Siri®, which responds to verbal queries and is found on Apple devices, such as the iPhone and iPad. In an EHR with CPOE and CDS, allergy alerts should be triggered: a. after orders are written b. on physician request by accessing a link c. before orders are written d. in response to contraindicated drug orders - ✔✔in response to contraindicated drug order. The human-technology interface (HTI): a. connects a user device to the Internet b. allows user interaction with technology c. standardizes applications utilized in all devices d. allows access to the technology only to authorized people - ✔✔Allows user interaction with technology. The nurse informaticist (NI) is working on the implementation of a replacement laboratory system. One major consideration in order to have a fully operational system is: A. End-user support B. Stress testingC. Executive level support D. Data conversion - ✔✔D. Data Conversion - All responses are important, but in order to move from one system to another the data needs to be moved. The organization has agreed to be the first major test site in which software will be installed. This site is known as a/an: A. Primary site B. Secondary site C. Alpha site D. Beta site - ✔✔D. Beta site. Beta site testing is the final stage of testing (usually before commercial release). Primary and secondary sites are not the appropriate terms and alpha site is an initial phase of testing often used in development of software. The Informatics Nurse Specialist is developing a test scenario to determine if the admissions, discharge, and transfer application will work with the clinical documentation and laboratory results reporting modules of a larger electronic health record. This is known as: A. Unit testing B. Acceptance testing C. Integration testing D. System Testing - ✔✔C. Integration testing - Integration testing is testing between systems. Unit testing only tests one discrete function and acceptance testing occurs when users test entire system to determine if the system meets the specified requirements of the design. The implementation team has determined that the conversion to the new system will occur department by department, with two weeks in between each installation. This is known as: A. Parallel installation B. Phased installation C. Big bang installation D. Risky installation - ✔✔b. phase installation - Phased installation is when the implementation is done in stages, where one phase leads to another.Parallel installation defined: - ✔✔Parallel installation occurs when old and new system are implemented simultaneously, and the 2 systems run simultaneously (i.e. paper and electronic, "old" system and "new" system). Which of the following is NOT a major phase in implementation and testing? A. Education and Training B. Conversion and "Go Live C. Operations and Language Barriers D. Implementation Strategies - ✔✔C. Operations and language barriers Rationale: Operations and Language Barriers are not a major phase in implementation and testing. In a formal plan for implementation and testing it is not necessary to include: A. Team members B. Vendor representatives C. Executive Staff D. Crisis Coaches - ✔✔Crisis coaches. Formal Plan must include: - Staff - Team members - Vendors - Executive staff - External resources A domain is: A. A copy of the software system, or environment, in a particular state B. An implementation strategy involving reiteration C. A go-live conversion factor involving conversion discrepancies D. A data storage device - ✔✔A. A copy of the software system, or environment, in a particular state. Rationale: A domain is a copy of the software system, or environment, in a particular state. For example, test system (or domain); development system (or domain), training system and production system. "Bugs" in computer language are not really insects, but A. A testing methodology B. Commentary within the code indicated with an asterisk (*)C. Aberrancies and failures in the system D. The nickname of the coder who designed the first EHR - ✔✔c. Abberancies Rationale: "Bugs" in computer language are defined as aberrancies and failures in the system or a coding error. System and Functional Testing: A. Does not include security testing of databases B. Is done in an ad hoc fashion as staff are available C. Addresses cultural impacts of new processes D. Includes multiple subsystems and phases of testing - ✔✔D. includes multiple subsystems and phases of testing. Rationale: Systems are usually made up of subsystems and all must be tested. System and Functional Testing must include security testing and must be structured and controlled. Cultural impacts of new processes is not an aspect of testing. When the SDLC is done correctly: A. All steps are done in order for all areas. B. End users have final say on all aspects of the project. C. There is a formal change management process throughout to address new information as it comes to light. D. There is only one phase of implementation. - ✔✔There is a formal change management process throughout to address new information as it comes to light. Change management is vital to the installation of a system. There may be several phases, particularly during a phased approach and endusers do not have final say on all aspects of the project and not all steps are done in order for all areas. What are the pieces that require ongoing evaluation? A. Hardware and software B. Interfaces and integrations C. Support D. All of the above - ✔✔d. all of the above. Ongoing evaluation is needed on all aspects of the system - hardware, software, interfaces and integrations (which are software), and support. Support can include training as well as help desk operations.Financial evaluation should: A. Have the maximum budget finalized prior to assessment and purchases of priority items conformed to that ceiling, which will not be adjusted B. Involve primarily clinicians working to design the system C. Include both tangible and intangible costs D. Focus on costs for stages one and two primarily - ✔✔C. Include both tangible and intangible costs Which is NOT true about backup and recovery: A. Use multiple backup devices B. Perform backups on Wednesdays during peak use C. Use full backups to minimize the time to restore databases D. Test the backups periodically to make sure data can be restored - ✔✔B. Perform backups on Wednesdays during peak use Rationale: Backups do not need to happen on a particular day of the week. In practice it is best to backup during periods of least use. The Informatics Nurse is concerned with user support. Procedure manuals will be developed that will: A. Include policies that are changed by the system B. Describe how to perform business tasks while using the system C. Provide step-by-step instructions on how to program the applications D. Outline security controls in the system - ✔✔B. Describe how to perform business tasks while using the system Rationale: Users will need to know how to perform their job using the automated system. Most users will not be involved in programming the applications, only using them. During the evaluation phase which of the following tools are used for construction and consistency? A. Setting defaults B. Amending the databaseC. Formatting and transferring data D. All of the above - ✔✔D. all of the above Rationale: All of the above are tools used for construction and consistency. Which of the following is NOT part of documentation testing? A. Proofreading B. Subscriber color preferences C. Readability and accuracy D. Punctuation and grammar - ✔✔B. subscriber color preferences. Rationale: Subscriber color preferences is an aspect of usability, not documentation testing. Quality Monitoring: A. Focuses on audit trails to see who is accessing which patient data B. Is one single methodology C. Does not include integration and interfaces D. Is part of system performance maintenance strategies - ✔✔D. Is part of system performance maintenance strategies. Rationale: Quality monitoring may include audit trails, but it is more than one methodology. It is a component of a system performance maintenance strategy. Evaluation and support: A. Should be outlined in the original project plan as an ongoing process. B. Are unnecessary once the implementation is complete. C. Does not require dedicated resources. D. Can be done by assigned super users - ✔✔a. Should be outlined in the original project plan as an ongoing process. Rationale: Evaluation is a major component of the system design life cycle and planning for evaluation should be included in the original project plan. Work flow:A. Almost never changes with the implementation of a system B. Is reflected solely in policies and procedures C. Changes in many ways including culture, productivity, and clinical practice during an implementation D. Can be determined by individual departments and specialties - ✔✔C. Changes in many ways including culture, productivity, and clinical practice during an implementation Rationale: Workflow WILL change with the implementation of the system and is more than simply documenting policies and procedures. The workflow must be determined organization-wide and not be left to individual departments as systems and processes must be integrated. Which is NOT a type of maintenance? A. Corrective B. Preventative C. Flexible D. Emergent - ✔✔C. Flexible Rationale: According to the chart in the Module, three types of maintenance are corrective, preventative, and emergent. What are the techniques that apply algorithms for extracting patterns from data stored in data warehouses that are typically not apparent to human decision makers are known as: A. Data mining or knowledge discovery in databases. B. Statistical generation from warehoused data c. Evidence generation from warehoused data d. Data retrieval and cleansing - ✔✔A. Data mining or knowledge discovery in databases There is no examples of wisdom in nursing practice, as it is merely a theoretical concept. True False - ✔✔FALSE. Rationale: wisdom is defined as understanding, applying and applying with compassion. An example is selecting a protocol to caring for a patient based on [Show More]
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During DKA, insulin counter-regulatory hormones, such as catecholamines and cortisol, increase. Profound insulin deficiency results in: As the young mother is walking to her car, she becomes aware th...
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