Chapter 41: Nursing Informatics

As you are checking a medication order in a patient's electronic health record (EHR), you notice that the dosage prescribed is highlighted in red because it is outside the recommended safe range. Which feature of the EHR is helping to prevent a medication error in this case? 1) Automation 2) Interoperability 3) Audit trail 4) Accessibility

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Which of the following is the most accurate definition of informatics? 1) The managing and processing of information necessary to make decisions 2) Discrete entities that are described objectively without interpretation 3) Groupings of data processed into a meaningful, structured form 4) Groupings of information among which relationships can be recognized

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You are looking for current information regarding best nursing practices related to administration of total parenteral nutrition. Which of the following online sources would be best for you to consult? 1) CINAHL 2) Cochrane Library 3) Health and Wellness Resource Center 4) MEDLINE

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SATA. In practicing intravenous catheter insertion, you decide to consult some nursing videos on YouTube. Later, you decide to post your own video in which you demonstrate proper blood pressure measurement technique. Which of the following should you keep in mind as you make use of social media in this way? 1) Be careful to consult videos produced by credentialed experts. 2) Look for specific videos by typing in the search term "nursing videos." 3) Make sure you have your technique validated by an experienced nurse before posting your own video. 4) If you've made a video that you'd rather your employer not see, post it but don't tell anyone at work. 5) Avoid including patient information in any videos that you make. 6) Remember that potential employers may be looking at anything you post.

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SATA. You are trying to persuade the manager of the health clinic where you work to adopt an electronic health record (EHR) system for the clinic. Which of the following should you mention as benefits of such a system over traditional paper records? 1) Improved efficiency 2) Increased likelihood of redundant tests being performed 3) Ability of physicians and nurses to access a patient's chart simultaneously from multiple remote locations 4) Increased access of patient information to unauthorized personnel 5) Reduced medication errors resulting from illegible handwriting 6) Availability of clinical support tools

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SATA. You have found a Website that contains much information related to a research topic that interests you. However, you are concerned about the legitimacy of the site. Which of the following characteristics of the site would indicate that it is authoritative and legitimate? 1) The URL contains "nih.gov," a reference to the National Institutes of Health. 2) The Web page was last updated 6 years ago. 3) The Web page was posted as an assignment for a high school science class. 4) Sources are documented with footnotes and links to scholarly sources. 5) Several typos and factual errors are evident in the content. 6) At the bottom of the Web page is a request from the author to support him as a candidate in an upcoming election.

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You glance down at a patient's health record and see the number 300. This number may best be described as which of the following? 1) Informatics 2) Data 3) Information 4) Knowledge

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You work in a clinic where paper health records are still used. When you are reviewing a patient's record, you notice that another nurse has written the nursing diagnosis "Not eating well." You ask the nurse whether this means the patient has Imbalanced Nutrition: less than body requirements. The nurse replies, "No, dear—the patient is obese. He's just eating too much junk food." This miscommunication is an example of which of the following? 1) Error of execution 2) Lack of use of a standardized language 3) Redundancy 4) Lack of privacy

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SATA. How does the use of computers affect evidence-based practice? 1) It increases the likelihood that nurses will base their practice on inaccurate information. 2) It increases the speed with which nurses can access current practice information. 3) It decreases the scope of information from which nurses are likely to draw. 4) It ensures that nurses will adopt the most current nursing practices. 5) It allows nurses to learn about nursing practices from around the world. 6) It limits the times at which nurses can access current practice information.

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As you are importing information for a client's electronic health record (EHR) from the client's previous healthcare provider, you see that some data pertaining to vital signs are missing. When you look more closely, you see that the former provider's EHR uses different terms for vital signs than the ones used in your practice's EHR, such as "pulse rate" instead of "heart rate." This is an example of which of the following problems? 1) Lack of accessibility 2) Lack of legibility 3) Lack of interoperability 4) Lack of privacy

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The Health Information Technology for Economic and Clinical Health Act, passed in 2009, focuses on improving healthcare quality and efficiency. As a result of the passage of this act, what percentage of all eligible hospitals have received an incentive payment for adopting, implementing, upgrading, or meaningfully using an electronic healthcare record (EHR)? 1) 60% 2) 70% 3) 80% 4) 90%

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Throughout your day at work, you use computer information systems for various purposes. Which of the following is an example of computer use for nursing administration? 1) Recording a patient's intake and output in his electronic health record 2) Attending a webinar on disaster preparedness 3) Using an appointment application to reserve a conference room for a staff meeting 4) Conducting a search using the Cochrane Library

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You have a client who takes several medicinal herbs and supplements to promote her health. You would like to learn more about the physiological effects of these agents. Which of the following online sources would be best for you to consult? 1) CINAHL 2) Cochrane Library 3) Health and Wellness Resource Center 4) MEDLINE

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Throughout your day at work, you use computer information systems for various purposes. Which of the following is an example of computer use for nursing research? 1) Recording a patient's intake and output in his electronic health record 2) Attending a webinar on disaster preparedness 3) Using an appointment application to reserve a conference room for a staff meeting 4) Conducting a search using the Cochrane Library

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SATA. You have begun a new job in which you have been given access to a patient electronic health record (EHR) system. Which of the following rules should you keep in mind while managing your password for this system? 1) Share your password only with your immediate supervisor. 2) Use only letters in your passwords. 3) Use basic information about yourself when creating a password, such as your pet's name or your birthday. 4) Change your password frequently. 5) Don't record your password in an easily accessible place. 6) Make your password as simple as possible.

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