EAQ _ Technology and Informatics

B. Nursing informatics (NI)

Which component is a subset of clinical health care informatics? A. Clinical informatics B. Nursing informatics (NI) C. Public health informatics D. Clinical research informatics

D. Regional Health Information Organization (RHIO)

A client from China is referred to the National Cancer Institute in the United States for the treatment of a brain tumor. Which type of health information technology oversees the exchange of the client's health information among the client's health care providers and between the two countries? A. Personal health record (PHR) B. Electronic medical record (EMR) C. The Decade of Health Information Technology D. Regional Health Information Organization (RHIO)

A. Personal health record (PHR)

A client with diabetes mellitus experiences a sudden fall in blood glucose levels while traveling by air. The client is not carrying any medications or a copy of a personal medical record. Which type of health information technology would be beneficial for this client? A. Personal health record (PHR) B. Clinical health care informatics C. Electronic medical record (EMR) D. Regional health information organization (RHIO)

C. Translational bioinformatics

The research nurse is conducting genomic analyses of clients with acquired immune deficiency syndrome (AIDS) to identify new biomarkers for AIDS. Which computational method would the nurse use for these analyses? A. Nursing informatics B. Public health informatics C. Translational bioinformatics D. Consumer health informatics

A. The nurse performed the actions correctly

During a newborn assessment the nurse identifies that the temperature, pulse, respirations, and other physical characteristics are within the expected range. The nurse records these findings on the electronic health record. In which way would the nurse's action be interpreted? A. The nurse performed the actions correctly B. This is a medical procedure, and the nurse overstepped scope of practice C. Nursing assessments are not equivalent to a primary health care provider's assessments D. The initial assessment of the infant's physical status is the responsibility of the client's primary health care provider

A. System end users

During orientation for new nurses, the nurse leader discusses client confidentiality and privacy when using the facility's electronic health record system. Which safeguard would the nurse leader include as the best way to protect client privacy? A. System end users B. Unique passwords C. Policies and procedures D. Data security agreements

C. Ensures that client information is meaningful to other health care professionals

For which reason would the nurse review standardized terminology before entering client data in the electronic medical record? A. Allows the nurse to retrieve the information the next time it is needed B. Stores client information properly to apply for Medicaid incentives C. Ensures that client information is meaningful to other health care professionals D. Confirms that clients can understand information within the electronic health record

C. Provides vocabulary to include nursing data in computerized information systems

How does the International Classification of Nursing Practice (ICNP) help nurses deliver effective care to clients? A. Gives information about medications and their side effects B. Provides information about various cultural practices and beliefs C. Provides vocabulary to include nursing data in computerized information systems D. Helps the nurse conduct biosurveillance and gives information on various diseases

A. Infection C. Prematurity D. Breast-feeding F. Maternal diabetes

Which conditions are risk factors that may place infants at a higher risk for developing jaundice? Select all that apply. One, some, or all responses may be correct. A. Infection B. African-American race C. Prematurity D. Breast feeding E. Formula feeding F. Maternal diabetes

C. Translational bioinformatics

The nurse is interested in obtaining information about the medical and genomic data of the people in a US state to conduct a research study on the predictive health of the population. Which domain of informatics would the nurse need? A. Public health informatics B. Clinical research informatics C. Translational bioinformatics D. Clinical health care informatics

A. Omaha system

The nurse uses a visual analogue scale to rate the pain experienced by a client receiving oxycodone therapy. Which terminology would the nurse use to enter the visual analogue scores in the client's electronic health record (EHR)? A. Omaha system B. Nursing Interventions Classification (NIC) C. American Medical Informatics Association (AMIA) D. North American Nursing Diagnosis Association (NANDA) International

B. Document the incident

The nurse witnesses a visitor have a syncopal episode and collapse on the floor. After providing initial care, maintaining the visitor's safety, and providing report to the charge nurse, which action would the nurse take next? A. Contact the family B. Document the incident C. Report the incident to the nurse manager D. Escort the client to the radiology department

C. Designing new tools for biosurveillance D. Developing online analytic processing tools E. Methodologies for determining outbreak response

The nursing student has enrolled in a Public Health informatics (PHI) fellowship program. Which concept would the student expect to learn in this program? Select all that apply. One, some, or all responses may be correct. A. Developing insurance policies B. Providing culturally competent care C. Designing new tools for biosurveillance tools D. Developing online analytic processing tools E. Methodologies for determining outbreak response

B. MEDLINE

Which database would the nurse use to find studies related to allied health sciences? A. EMBASE B. MEDLINE C. National Guidelines Clearinghouse D. Cochrane Database of Systematic Reviews

C. American Nurses Credentialing Center

Through which organization can a registered nurse apply for certification as an informatics nurse? A. National Institute of Health B. American Medical Informatics C. American Nurses Credentialing Center D. Office of the National Coordinator for Health IT

B. Informatics

Which Quality and Safety Education for Nurses (QSEN) competency would the nurse address when sending email reminders to the community about vaccines and regular diabetic checkups? A. Safety B. Informatics C. Quality improvement D. Evidence-based practice

D. Using data to monitor he outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems

Which action by the nurse would illustrate the quality improvement competency, according to Quality and Safety Education for Nurses (QSEN)? A. Using information and technology to communicate, manage knowledge, mitigate errors, and support decision-making B. Integrating best current evidence with clinical expertise along with client and family preferences and values for the delivery of quality health care C. Functioning effectively within nursing and interprofessional teams by fostering open communication, mutual respect, and shared decision-making to achieve quality client care D. Using data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems

D. Sharing clients' data with family members

Which action by the student nurse may inhibit clients from disclosing personal information? A. Use of clients' data for nursing research B. Use of client data for Medicaid payment C. Discussing a client's illness with the client D. Sharing client's data with family members

D. Enters symptoms and treatment provided to the client in the electronic health record (EHR)

Which action performed by the nurse is in accordance with the rules of the Centers for Medicare and Medicaid services (CMS)? A. Checks the prescription before administering medications to the client B. Refers the client to support systems and provides financial assistance C. Teaches safety measures to the client to prevent the risk of infection D. Enters symptoms and treatment provided to the client in the electronic health record (EHR)

A. Use consistent, codified terminology

Which action would the nurse take to minimize ambiguity and confusion when entering a client's data in the electronic health record? A. Use consistent, codified terminology B. Record the data in the client's presence C. Enter the data in the client's native language D. Upload scanned copies of the client's records

D. Employ electronic devices that provide alerts

Which action would the nurse take when caring for an older adult with a history of recent memory loss? A. Instruct the client to move slowly when changing positions B. Remind the client to look where he or she places the feet while walking C. Adjust the daily schedule to accommodate sleep pattern D. Employ electronic devices that provide alerts

D. Clinical health care informatics

Which domain of informatics would the nurse use to gather information about a rare genetic condition to provide high-quality client care? A. Public health informatics B. Clinical research informatics C. Translational bioinformatics D. Clinical health care informatics

B. Allergies

Which element, if missing from a newly admitted client's medication administration record (MAR), makes the record incomplete? A. Height B. Allergies C. Vital signs D. Body weight

D. Global health informatics E. Community health informatics

Which example illustrates public or population health informatics? Select all that apply. One, some, or all responses may be correct. A. Dental informatics B. Medical informatics C. Consumer informatics D. Global health informatics E. Community health informatics

A. Dosage and route B. Client's full name C. Time to be administered D. Frequency of administration E. Full name of prescribed medication

Which information must be clearly described in the medication administration record (MAR) before administering a medication? Select all that apply. One, some, or all responses may be correct. A. Dosage and route B. Client's full name C. Time to be administered D. Frequency of administration E. Full name of prescribed medication

A. Allergies

Which information will the nurse document to prevent injury when an adolescent is admitted to the hospital for a surgical procedure? A. Allergies B. Pain level C. Grade in school D. Emergency contact

A. Obtains Medicare and Medicaid payments D. Shares personal health information with selected family members E. Provides more accurate diagnoses and treatment in emergency conditions

Which information would the nurse provide to clients regarding benefits of electronic health records (EHRs)? Select all that apply. One, some, or all responses may be correct. A. Obtains Medicare and Medicaid payments B. Orders medications online at a reduced price C. Learns about food interactions with various medications D. Shares personal health information with selected family members E. Provides more accurate diagnoses and treatment in emergency conditions

D. Using a clinical decision support tool to determine if a client should receive the maximum dose of a pain medication

Which is an example of the use of knowledge technology to enhance client care decisions? A. Obtaining client medications from an automated dispensing cabinet B. Retrieving client data concerning recent vital signs before medication administration C. Monitoring readings from an intracranial pressure monitoring system for a postoperative client D. Using a clinical decision support tool to determine if a client should receive the maximum dose of a pain medication

B. Use information and technology to communicate, manage knowledge, mitigate error, and support decision-making

Which nursing action illustrates the Quality and Safety Education for Nurses (QSEN) competency called informatics? A. Ensure that the risk of harm to clients and health care workers is decreased by improving professional performance B. Use information and technology to communicate, manage knowledge, mitigate error, and support decision-making C. Integrate best current evidence with clinical expertise and client preferences and values to deliver quality health care D. Use data to monitor the outcomes of health care processes and implement improvement methods to design and test changes to improve quality of health care

A. Develop a nationwide health information technology system

Which objective was the goal of the Executive Order Incentives for the Use of Health Information Technology and Establishing the Position of the National Health Information Technology Coordinator? A. Develop a nationwide health information technology system B. Ensure availability of paper health records for all Americans C. Provide insurance coverage for all of the citizens of America D. Promote privacy and confidentiality of a client's information

B. Improves the quality, safety, and efficiency of health care

Which objective was the underlying purpose of the national health information technology infrastructure that originated from the executive order Incentives for the Use of Health Information Technology issued by President George W. Bush in 2004? A. Creates a new subspecialty of nursing informatics B. Improves the quality, safety, and efficiency of health care C. Provides a process for formulating pertinent nursing diagnoses D. Offers a set of tools to achieve quality client outcomes

C. American Medical Informatics Association (AMIA) D. Health Information Management Systems Society (HIMSS) E. Technology and Informatics Guiding Education Reform (TIGER) initiative

Which professional organizations work towards identifying nursing informatics competencies? Select all that apply. One, some, or all responses may be correct. A. American Nurses Credentialing Center (ANCC) B. Centers for Medicare and Medicaid Services (CMS) C. American Medical Informatics Association (AMIA) D. Health Information Management Systems Society (HIMSS) E. Technology and Informatics Guiding Education Reform (TIGER) initiative

D. Narrative documentation

Which record may the nurse use to document information specific to the client's health in a story-like format? A. Acuity record B. Source record C. Hand-off reports D. Narrative documentation

B. Source record

Which record would the nurse use to record client data from admission through discharge? A. Acuity record B. Source record C. Hand-off records D. Problem-oriented medical record (POMR)

C. Provides a structure for analysis of complex human performance in technology-based settings

Which role is a component of cognitive science in health informatics? A. Uses computer application for creating, describing, and transforming health information B. Understands how culture and social changes in an organization affect information technology C. Provides a structure for analysis of complex human performance in technology-based settings D. Uses statistics and mathematical applications for storing and retrieving health care information

C. Collecting data comparison against a national level

Which specific responsibility does the nurse have when working for an organization that has Magnet status? A. Following best-practices for quality improvement B. Using research-based practice to provide client care C. Collecting data for comparison against a national level D. Refraining from taking independent actions during client care

C. "A survey is conducted via a randomly selected sample of adults who were discharged from a hospital between 48hours and 6weeks ago"

Which statement about Healthcare Effectiveness Data and Information Set (HEDIS) needs correction? A. "Health plans throughout the United States rely on HEDIS as a quality measure" B. "HEDIS is the database of choice for the Centers of Medicare and Medicaid Services (CMS) C. "A survey is conducted via a randomly selected sample of adults who. were discharged from a hospital between 48hours and 6 weeks ago" D. "The National Committee for Quality Assurance (NCQA) created HEDIS to collect data to measure the quality of care and services provided by different health plans"

C. "Client information is immediately available when this system is used"

Which statement demonstrates understanding of a computer-based client information system? A. "More medication errors are made when this system is used" B. "It is disappointing that nurses are not allowed to use this system" C. "Client information is immediately available when this system is used" D. "I will have less time to provide direct care to my clients with this system"

B. Perioperative Nursing Data Set (PNDS)

Which terminology system would the nurse use to enter nursing diagnoses, interventions, and outcomes in electronic health records? A. Omaha system B. Perioperative Nursing Data Set (PNDS) C. Nursing Interventions Classification (NIC) D. North American Nursing Diagnosis Association (NANDA) International

A. Electronic health record (EHR)

Which type of health information technology would the nurse access to obtain health data for research purposes for all individuals at a multispecialty hospital? A. Electronic health record (EHR) B. Electronic medical record (EMR) C. Clinical information systems (CISs) D. Regional Health Information Organization (RHIO) health record