Informatics

Which health information system is used to collect and store client identification and demographic data that are verified and updated at the time of each visit?

Registration system

What represents the greatest potential threat to data security?

Removable storage device

A nurse learns that a colleague has accessed electronically stored health information of a patient that the colleague is not involved in treating. What should the nurse do?

Report the colleague to their employer

A nurse is administering a new medication to a patient who has never taken this medication in the past. The patient is already taking seven different medications at this time. Which nursing intervention should the nurse do before administering this medication?

Review the drug-to-drug, drug-allergy check in electronic health record

What are common personal data access security threats in healthcare? Choose 2 answers

Unencrypted data Weak passwords

A nurse receives a computerized alert of a critical lab value on her patient. This computerized alert informs the nurse that an action needs to be taken and provides suggestions for clinical intervention. Which technology did the nurse employ to achieve an enhanced safe practice environment?

Use of a clinical decision support tool

A nurse documents care of a patient with a decubitus ulcer in the electronic health record. Which term describes the electronic health record in this situation?

Information system

Which informatics tools are commonly used for collecting and analyzing patient data? Choose 2 answers

Bedside Computers and PDAs

What can a nurse, working in a hospital, use to access a patient's electronic health record and prescription drugs from a medication administration system?

Bar coded identification cards

Which function is performed within an electronic health record system?

Bar scanning medications and patients

Which national trend is related to nursing informatics?

Barcode scanning for medication administration

Match each term with its healthcare information system. Answer options may be used more than once or not at all.

Admission, discharge, and transfer system: Administrative Information Systems Radiology information system: Clinical Information Systems Financial system: Administrative Information Systems Clinical documentation system: Clinical Information Systems Scheduling system: Administrative Information Systems

Match the situation with the appropriate and effective telecommunication strategy. Answers options may be used more than once or not at all.

An elderly homebound patient is concerned about the palpitations she is feeling. Real-time remote monitoring A nurse is struggling to work full-time in a hospital setting time while completing her Masters. Online classroom A cardiologist with a rural office practice has no one to cover his patients when he is away. Teleconsultants A family member is unsure what to do for a home hospice patient who is restless and agitated during the night. Real-time remote monitoring

What is a prominent socioeconomic factor driving telehealth medicine?

An increase in chronic disease conditions

Classify the mechanisms as either physical or logical security measures for protecting electronic information. Answer options may be used more than once or not at all.

Authentication: Logical Placing computers, servers and routers in restricted Physical Installing a firewall Logical Logical Setting up surveillance Physical

Match the level of nurse practice with appropriate skill criteria.

Beginning nurse Uses information systems to manage patients Experienced nurse Pulls trends out of data Informatics innovator Generates informatics theory Informatics nurse specialist Focuses on nursing's information needs

How does meaningful use of electronic health records (EHR) relate to quality patient care? Choose 2 answers

Computerization of prescriber order entry (CPOE) Maintenance of active patient medication lists

What are common features of the various health information systems? Choose 3 answers

Creates a comprehensive record of the patient's medical history Is unique in the way they function and provide information to clinicians Collects, processes and distributes patient centered data to manage and provide

What is a challenge to the adoption of eHealth strategies?

Creating economic incentives and policies that providers view as essential to accomplishing their financial and professional goals

Which of the following uses database applications to sift through large amounts of data and looks for previously hidden trends?

Data Mining

During a crisis, a nurse manager is looking for the written, hospital-wide procedural policy. The nurse is unable to locate it. What can the nurse manager use to solve this issue?

Decision support tools

What are some benefits of using an electronic health record (EHR) system in an ambulatory care clinic? Choose 4 answers

Decrease medication errors Increase clinic reimbursement Improve provider documentation Increase delivery of guideline based care

A patient is in the ICU after a motorcycle accident. The patient sustained multiple contusions and fractures. Various digital monitoring devices are being used to track the patient's vital signs, pulse oximetry, and cardiac rhythm. How can the appropriate use of these technologies impact this patient's outcome? Choose 2 answers

Decreased recovery time Timely treatment of potential complications

Administration in an acute care clinic is considering adopting a health information system. A team is formed with members of clinical areas, software vendors, and an executive team of stakeholders. Which collaborative tasks are important for this team to accomplish with regard to selecting the health information system? Choose 3 answers

Determine who will be accountable for the project Determine how resources will be allocated to support the system Assess potential for process improvement while using the system

Which example is a telehealth non-clinical application?

Distant patient education via computer

Which mechanism is used to streamline caregivers' workflow that needs to include past medical history, patient demographics, immunizations, and medication history?

Electronic health record

A nurse uses an internet blog to give a patient shift report to a nurse coming on to the next shift. Why is this nursing action a problem? Choose 2 answers

Giving a nursing report via a blog does not meet HIPAA requirements Healthcare information discussed on the blog violates a patient's privacy

How is information related to data?

Information is data that have been interpreted

Which standardized nursing terminology is composed of nursing diagnoses, nursing actions, and nursing outcomes?

ICNP

A local medical clinic is attempting to develop an electronic health record (EHR) system. Which challenges should the organization anticipate? Choose 2 answers

Identifying data needs for differing nursing practice specialties Implementing standardization of documentation across physician offices

An admission nurse is awaiting notification of whether a patient being monitored by telehealth will be admitted to the hospital. The physician has already documented the admission orders in the digital medical record. Due to miscommunication, the admitting nurse did not access the digital medical record. There was a significant delay in the patient's admission, which led to decreased patient satisfaction with the admission process. How can the use of the digital health record improve this process? Choose 2 answers

It prevents the delay of tests and services. It allows for easy access to patient information.

A nurse manager identifies several advanced practice nurses at an ICU workstation responding to multiple patient alarms. She notices that the acuity of one patient drastically increases the demand for staff resources. How can workflow analysis impact practice in this situation?

It provides observation and documentation of what is happening in the current environment.

What is one way that technology acts as a change agent in the nursing process?

It reduces the time spent on documentation.

What are three types of clinical information systems? Choose 3 answers

Laboratory system Order entry system Monitoring system

A nursing informatics specialist at a small, rural hospital implemented a clinical information system utilizing an electronic health record (EHR). She obtained input from nurses regarding selection of the specific EHR. She noted that some of the nurses had negative attitudes towards a change to the EHR, but she encouraged them to try the system and note its benefits. She implemented the system after all nurses were trained about the EHR. There were numerous complaints about the EHR, which the Nursing Informatics Specialist decided to ignore since the personnel were new to the system. Which barrier to implementing technology is present in the scenario?

Lack of Continued support

Which of the following requires standardized nursing terminology to meet its criteria?

Meaningful Use

Which statement describes nurses as knowledge workers?

Nurses generate knowledge as a product.

Which statement represents one of the principle provisions of the Health Information Portability and Accountability Act (HIPAA) related to information security?

Nurses should notify a supervisor immediately when observing a breach of patient confidentiality.

Which procedures are essential to creating and maintaining a culture of safety during the medication administration cycle? Choose 2 answers

Performing double verification among nurses when administering high alert medications Barcode scanning the patient and the medication to ensure positive patient ID

What are the features of a clinical decision support tool? Choose 3 answers

Provides practice guidelines Delivers online information retrieval Issues computerized alerts and reminders

What is a function of a clinical decision support tool?

Providing clinicians with knowledge and person-specific information

You are the informatics nurse at a hospital. You are running a random report evaluating users on your new electronic health record (EHR). You notice that the charge nurse from the emergency department just underwent a radical mastectomy and is recovering on the surgical floor. You then notice that four nurses from the ER have accessed this record. What should you do? Choose 3 answers

Talk to each nurse and explain the legal and ethical ramifications of accessing the EHR. Explain to the patient their information has be breached. Provide training to nurses in the emergency department about protected patient information.

Label the descriptions as belonging to the role of either the informatics nurse or the informatics nurse specialist.

The RN who works in the area of informatics Informatics nurse Has an interest or experience, but no formal training in informatics Informatics nurse Plays an active role in research and theory development Informatics nurse specialist Has advanced graduate training in nursing informatics Informatics nurse specialist Ensures that information is disseminated at appropriate times for appropriate uses Informatics nurse

You are a nurse manager at a hospital. The informatics department at the hospital has established a no flash drive policy. In addition, all patient files must be saved on the secure O: drive. What would be an appropriate way to describe these changes to your staff? Choose 2 answers

The hospital is implementing a security program to prevent patient data for being compromised. The hospital is eliminating the need for flash drives to prevent the loss of sensitive data.

Which statements by the nurse demonstrate understanding of the reason for a clinical information system? Choose 2 answers

The information retrieved can be used for research. It improves compliance with nursing documentation.

How does information literacy support the use of evidence-based-practice (EBP) in nursing?

The nurse can discern research findings that can be applied to practice Nurses must frequently consult resources including peers and general internet searches

What is an important legal consideration in the use of telehealth nursing?

The nurse is licensed in each state in which the remote clients are located.

A nurse is working on a medical surgical unit and is concerned over a patient's worsening heart failure. The nurse calls the provider to discuss the assessments. How does the electronic medical record facilitate a collaborative discussion in this situation?

The provider can visualize the chest x-ray remotely. The provider has access to the data being discussed.

A computer program was implemented at a hospital that required nurses to wait until the patient arrived in the emergency room and was registered into the program before orders for critical time-sensitive treatment could be written. How could this program become a barrier to the nurses attempting to deliver patient-centered care?

The time spent waiting for the program to register the patient could delay critical care being delivered in a timely manner.

How can clinical decision support tools lead to safer patient care? Choose 2 answers

They give timely information to nurses and other healthcare providers. They reduce waste of nurse's time looking through the medical record.

What is the importance of a nurse's active participation in electronic patient information?

To ensure patient information will be current and accessible to the healthcare team

What is a principle provision of the Health Information Technology for Economic and Clinical Health (HITECH) Act?

To improve healthcare quality by enhancing coordination of services among providers

A nurse is reviewing a patient's pneumonia vaccination status in the electronic medical record. The nurse determines the patient needs this vaccine before discharge to meet the requirements of a current clinical pathway. Why would the nurse use information systems in this manner?

To promote desired clinical outcomes

What are two common characteristics of telehealth? Choose 2 answers

Transmission of biological data from a remote location The use of video streaming technology

A nurse manager views patient data collected over the last three months of hospital admissions. Trends show that nosocomial infections have increased on the geriatric unit. Which actions can patient data facilitate quality improvement in the future? Choose 2 answers

Using the data to implement evidence-based practice procedures Using the data to monitor infection trends

Which type of technology offers support during the medication administration cycle?

Viewing of the digital health record during a home health visit

What are the essential components of an electronic health record? Choose 3 answers

Vital signs Lab results Demographics

A a student is behind on morning medication administration. The instructor is pressuring the student to pass quickly without any errors. One of the clients assigned to the student's care asks for pain medication. Which nursing intervention is questionable?

computer scan the meds and come back later to administer them

In regards to a secure network, what gives employees confidence that the information they are reading is true?

integrity