Pre-Assessment: Information Management and the Application of Technology PIGC

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Beginning nurse

Uses information systems to manage patients.

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. Information technology.

Which national trend is related to nursing informatics?

Barcode scanning for medication administration

Admission, discharge, and transfer system

Administrative Information Systems

Financial system

Administrative Information Systems

Scheduling system

Administrative Information Systems

Clinical documentation system

Clinical Information Systems

Radiology information system

Clinical Information Systems

What are common features of the various health information systems?

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 care.

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

Ensures that information is disseminated at appropriate times for appropriate uses

Informatics nurse

Has an interest or experience, but no formal training in informatics

Informatics nurse

The RN who works in the area of informatics

Informatics nurse

Informatics nurse specialist

Focuses on nursing's information needs

Informatics innovator

Generates informatics theory

Has advanced graduate training in nursing informatics

Informatics nurse specialist

Plays an active role in research and theory development

Informatics nurse specialist

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 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 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 are three types of clinical information systems?

Monitoring system, Order entry system, Laboratory system.

Which statement describes nurses as knowledge workers?

Nurses generate knowledge as a product.

Experienced nurse

Pulls trends out of data

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.

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

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.

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

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


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