NUR 3870 Nursing Informatics Final EXAM Chapters 182122232425 For 12 19 19 1 .docx PDF

Preview

Summary

Final Exam practice questions. This will help you prepare for exam...

Description

Name: __________________________ Date: _____________

∙

1.What is an ELECTRONIC MEDICAL RECORD (EMR). Describe an EMR.

1. A nursing informatics specialist is conducting a presentation about the electronic medical record (EMR) to a group of facility staff. Which statement would the nurse specialist most likely include when describing the EMR? A) The EMR is transportable. B)

The data in the EMR are owned by the client.

C)

It describes the care rendered during an agency visit.

D) The EMR lacks standardized vocabulary. 2. Most important benefit of electronic documentation system 2. An electronic documentation system will be implemented in an agency. As part of the process, the staff is receiving education about the system and the overall benefits. Which benefit would be mentioned as the most important? A) Availability of an audit trail for information ∙

B)

Decreased decentralization of the healthcare delivery system

C)

Enhanced ability to extract information

D) Improvement in client care outcomes

3. A group of nurses are reviewing information related to the Health Information Technology for Economic and Clinical Health (HITECH) Act. The group demonstrates understanding of this act when they identify which examples as core objectives for supporting healthcare during stage 1? Select all that apply. A) Performing medication reconciliation B)

Including clinical lab test results in the EHR

C)

Using computerized provider order entry

D) Using a clinical decision support rule E)

Sending secure client reminders for follow-up care ∙

3. Strengths and weaknesses of paper and electronic documentation

Page 1

4. A nurse is preparing a presentation to a group of staff members comparing paper and electronic documentation. Which weaknesses of paper records would the nurse include? Select all that apply. A) Legibility B)

Lack of a backup system

C)

Difficult to transport

D) Slowness in charting E)

Easily damaged

5. A nurse is reviewing a client's electronic health record. Based on the nurse's understanding of data standards, which would the nurse identify as defining what data are shared? A) Clinical Document Architecture B)

Continuity of Care Document

C)

Health information system

D) Electronic medical record

6. A nurse is reading a journal article about electronic health records and how they can fill in the gaps between evidence and practice. Which benefits would the nurse most likely read about? Select all that apply. A) Monitoring quality improvement outcomes B)

Encouraging client partnering with the healthcare provider

C)

Providing information about controlled clinical trials

D)

Identifying information that can affect clinical outcomes

E)

Allowing implementation after extensive long-term knowledge discovery

Page 2

7. A group of nurses are involved in a lively debate about the strengths and weakness of paper documentation. Which statements would the group use to defend the position for using paper documentation? Select all that apply. A) "Paper records are easily transported." B)

"Paper records are much more complete."

C)

"Paper records are quick to retrieve."

D) "Paper records are permanent." E)

"Paper records from past stays are easy to obtain."

8. A nursing informatics specialist has been asked to prepare a presentation for a group of staff nurses about an electronic documentation system that is being implemented in the facility. Which features would the nurse specialist include as promoting continuity of care? Select all that apply. A) Ability to have real-time documentation B)

Inclusion of an audit trail about detailed record access

C)

Use of decision support systems and alerts

D) Ability to obtain trends about practice E)

Ability for instant communication among providers

9. When describing meaningful use, which statement would be most appropriate to include? A) Use of information from EHRs to improve healthcare delivery B)

A way to provide a picture of a client's health information

C)

A means for providing a common structure for clinical documents

D) Use of an audit trail to identify information about record access

Page 3

10. Which component is associated with HIPAA law? Select all that apply. A) Outcomes B)

Privacy

C)

Client engagement

D) Security E)

Care coordination

11. A new graduate nurse is working at a facility that uses electronic documentation. The nurse has questions about the policies and procedures related to data security. The nurse would identify which person as being responsible for the policies and procedures related to data security? A) Nurse manager B)

Nursing informatics specialist

C)

Client's primary care provider

D) HIPAA security officer

12. A nurse is working on a committee that is involved with electronic documentation. The committee is currently working on stage 1. On which action would the committee be focusing? A) Advanced clinical processes B)

Data analysis for improved care

C)

Data capturing and sharing

D) Improve outcomes

13. While working as a member of a group tasked with addressing meaningful use with electronic data, the group has met the criteria for stage 1 and is now moving onto stage 2. Which action would now become a focus for the group? A) Recording smoking status for those 13 years of age and older B)

Submitting electronic data to immunization registries

C)

Transmitting prescriptions electronically

D) Maintaining an up-to-date diagnosis list

Page 4

14. As part of the facility orientation, a nursing informatics specialist is describing the different types of client records to a group of newly hired nurses. Which facts would the nurse specialist include when describing electronic medical records (EMRs)? Select all that apply. A) The client owns the data. B)

It is an electronic version of the traditional record.

C)

The EMR is transportable.

D) It provides a connection between the EHR and ePHR. E)

A client can have many EMRs.

15. After reviewing information about the benefits of electronic health records, a nurse demonstrates understanding of the information by identifying which as one of the most important benefits? A) Continuity of care B)

Privacy

C)

Analyzable information

D) Improved quality

16. A nursing informatics specialist is describing meaningful use of electronic health records to a group of newly hired nurses at the facility. Which requirement would the nurse specialist include? A) An interoperable healthcare information system B)

Computer literacy

C)

Incentives to foster adoption

D) Public trust about information security

Page 5

17. A nursing informatics specialist is describing the benefits of electronic records to a group of facility administrators. The nurse specialist would address which aspect as resulting from searchable and analyzable information? A) Creation of knowledge for informed practice B)

Immediate communication with other providers

C)

Improvement in scheduling of diagnostic tests

D) Reduction in transcription errors

18. Which statement best reflects the status of the adoption of electronic records in the United States? A) A majority of hospitals have at least a basic EHR system. B)

Security for sharing electronic health information is still low.

C)

Adoption of electronic health records has plateaued over the past 5 years.

D) Data standards are the focus of all EHR efforts of interoperability.

19. A nursing informatics specialist is working as part of a group that is tasked with addressing the core objectives for meaningful use. The group is addressing stage 2 objectives. Which objectives would be addressed? Select all that apply. A) Using secure electronic messaging to communicate with clients B)

Providing clinical summaries for each office visit

C)

Protecting electronic health information

D) Including clinical lab test results in the EHR E)

Performing medication reconciliation

Page 6

20. A committee is working on stage 1 core objectives for meaningful use. Which would the committee be most likely to address as menu objectives at this stage? Select all that apply. A) Implementing drug formulary checks B)

Creating client lists by condition for quality improvement

C)

Recording client notes electronically

D) Reporting cancer cases to public health cancer registry E)

Being able to submit electronic syndrome surveillance data

21. A nurse is working on a committee involved in adopting electronic healthcare systems for the agency. Currently, the agency has clinical documentation, a clinical decision support system (CDSS) with error checking, and a picture archive and communication system (PACS) in place. The committee determines that the agency is at which stage of adoption? A) Stage 0 B)

Stage 1

C)

Stage 2

D) Stage 3

22. When adopting the electronic healthcare record (EHR), which aspect would be considered the ultimate goal? A) Sharing of information B)

Client as the most important focus

C)

Cost-effectiveness

D) Improved time management

Page 7

23. An administrative group at an agency involved in adopting healthcare information technology is developing a strategic plan. Which component would they include? A) Plan that covers 2 to 3 years B)

Structured guide that does not change

C)

Expenditures offset by client outcome benefits

D) Demonstration of a slight return on investment

24. A nurse using a clinical information system is required to document the same data in more than one area because the data do not "flow over" to the other areas and the data fields are not universally designed. Which component is lacking? A) Interoperability B)

Intangibles

C)

Return on investment

D) Biometrics

25. A nursing informatics specialist is conducting a seminar on the need for uniformity in user design for data entry screens based on the understanding that: A) Most healthcare providers involved in the design process have background knowledge. B) Database design skills are common in those serving on EHR committees. C)

Most providers approach user design using a paper chart thinking process.

D) Screen design issues are limited, rarely affecting the time for documentation.

26. When developing a plan for workflow redesign and the use of computerized documentation, which item would be the first thing to consider? A) The number of computers needed B)

Location of the computers

C)

Wheeled or bedside type of computer

D) Theft prevention

Page 8

27. A nursing informatics specialist is describing the use of health information technology to meet national safety goals to a group of nurse managers. The nurse specialist determines that the group needs additional teaching based on which statement? A) "Barcodes aid in meeting the required two client identifiers for improved client safety." B) "Agencies are using barcode identification for one-person identification and blood transfusion." C) "Clinical decision support systems could alert providers of critical lab values." D) "Alarms should be used on all devices to ensure prompt response to safety issues."

28. A nurse is creating a password for use in accessing the healthcare information system in the agency. Which action would be most appropriate for the nurse to do in creating this password? A) Select mostly lowercase letters. B)

Select a combination of letters and numbers.

C)

Use numbers sparingly.

D) Use a word familiar to the nurse.

29. When describing the various biometric methods for authentication, which method would the nursing informatics specialist identify as most secure? A) Fingerprint B)

Voiceprint

C)

Retinal scan

D) Iris scan

30. A nursing informatics specialist is describing the similarities and differences between the two types of radio frequency identification (RFID) to a group of agency administrators. Which type would a nursing informatics specialist include as being associated with the passive type? A) Increased cost B)

Read–write capability

C)

Readable from a distance of 1 to 10 feet

D) Implantable under the skin

Page 9

31. A nursing informatics specialist is conducting a seminar for agency staff about the benefits of a fully integrated electronic health record. The nurse specialist determines the need for additional teaching when the group identifies which aspect as a benefit to the client? A) Individualized treatment B)

Ability to check the record's accuracy

C)

Capability of decision support

D) Knowledge of persons with access to the data

32. A nursing informatics specialist is working as part of a team developing a strategic plan for the adoption of healthcare information technology at the institution. Which information would the nurse specialist identify as being an important component of this plan? Select all that apply. A) Overall design flexibility B)

Short-term time frame focus

C)

Inclusion of resource acquisition

D) Support for the use of information technology E)

A brief overview of the agency's goals

33. A committee is reviewing the strategic plan for the agency's return on investment. The committee identifies the tangibles for the plan. Which items would the committee be addressing? Select all that apply. A) Improved decision-making B)

Decreased lengths of stay

C)

Reduced charges per admission

D) Enhanced user satisfaction E)

Improved communication

Page 10

34 A nurse is reading a journal article about syndromic surveillance. The nurse would . expect the article to provide which description of this concept? A) Meeting the Joint Commission's client safety goals B)

Identifying unintended consequences of healthcare technology

C)

A way to measure quality of care and client outcomes

D) Providing early detection of potential disease

35. A nurse is working as part of a committee involved in creating passwords for the healthcare agency's network. Which password would be the strongest? A) Nursing B)

NuRs1N9gY

C)

1234567

D) GniSrun

36. A nursing informatics specialist is working as part of a group working with an agency transitioning from the paper record to the electronic record. The nurse identifies that the agency is currently at stage 3 of the adoption model based on which information? A) Flow sheets for clinical documentation are in place. B)

Closed loop medication administration is integrated.

C)

Computerized provider order entry is in use.

D) Data warehousing is available.

37. The use of which method would be most effective as the first line of defense in providing data protection from entry by outsiders? A) Audit trail B)

Firewall

C)

Spear phishing

D) Data backup

Page 11

38. A nursing informatics specialist is preparing a presentation for the staff about computerized provider order entry. Based on the nurse specialist's understanding of the unintended consequences of this system, which issue would the nurse specialist include in the presentation? Select all that apply. A) Problematic communication between the nurses and physicians B)

Changes in workflow

C)

Need for more personnel for maintenance

D) Possible continuation of unnecessary daily orders E)

Improved ease in how to enter orders

39. A nurse is preparing to access a client's electronic record. The system verifies that the nurse is the person logging into the system and grants access to the information. This process is known as: A) Phishing. B)

Biometrics.

C)

Authentication.

D) Voice recognition.

40. A nursing informatics specialist is conducting an in-service presentation for nurses at a local agency about the importance of maintaining confidentiality of electronic health information. The nurse specialist determines that the teaching was successful when the group identifies which method as a way to protect client confidentiality? Select all that apply. A) Passwords B)

Single sign-ons

C)

Voice recognition

D) Palm vein technology E)

Automatic logout

Page 12

41. While talking with a client, a nurse determines that the client is participating in real-time telehealth based on the understanding that this involves: A) Stored images sent for interpretation at a later time. B)

Asynchronous transmission of clinical data.

C)

Affordable method for practice in rural communities.

D) Same-time interaction of the client and provider via video.

42. A nurse is describing telehomecare to a group of clients, incorporating the knowledge that this method of care is cost-effective because: A) It provides care in the comfort of the client's home. B)

It promotes self-management for clients with chronic illnesses.

C)

It allows early detection, reducing the need for unnecessary emergency visits.

D) It minimizes the time spent with office appointments.

43. In which locations would a nurse expect to find telemental health? Select all that apply. A) Prison facilities B)

Rural areas

C)

Large cities

D) War-torn areas E)

Acute care facilities

44. A nurse is preparing a presentation about various telehealth practices for a group of nurses in the community. Which description would the nurse include about e-intensive care (e-ICU)? A) They require minimal planning for execution. B)

Workflow typically requires redesign.

C)

Enhanced communication results.

D) Involvement of other departments is limited.

Page 13

45. A nurse is reading a journal article about teletrauma care. Which description would the nurse most likely find? A) Use of trauma care experts for second opinions B)

Trauma specialist guiding trauma care via video

C)

Emergency care provided via robotics

D) Ed...