HSC 280 Exam 3

An informatics nurse specialist is presenting an in-service program for a group of staff nurses on using the electronic health record. As part of the presentation, the nurse specialist is emphasizing the need for maintaining security and privacy of the record. During a break in the program, the nurse specialist overhears a conversation among several of the staff nurses. Which statement would the nurse specialist identify as a cause for concern?

"I always put a sticky note on the computer terminal with my password on it in case I forget it."

What are violations of the nurse's responsibility when using electronic communication? Select all that apply.

-The nurse posted on a social media site, "Psychotic mean patient in Room 502 hit me," and, within 5 minutes, deleted the post. -The nurse accidentally texted a message about a new prescription for HIV medications to the wrong phone number

An informatics nurse specialist is partnering with the health care team to implement a planned update to the clinical information system. The nurse specialist demonstrates the competency of implementation based on achievement of which outcome? Select all that apply.

-The update was implemented on the day it was to happen. -The update was implemented within the budget developed for it. -The update was implemented using the specified requirements of the plan.

The nurse-manager of a home health facility includes which item in the capital budget?

A $1,200 computer upgrade

After assessment of a patient in an ambulatory clinic, the nurse records the data on the computer. The nurse recognizes which of the following as objective data?

Auscultation of the lungs

Besides accessing medical records, which form of communication should the nurse use to provide client details to the health care team coming on duty in the next shift?

Change-of-shift reports.

A nurse is manually documenting information related to a client's condition. When documenting this information, the nurse makes an error. Which is the best technique for correcting the error made in documentation?

Cross out the incorrect statement with a single line.

A nurse is reading a journal article about telemedicine. The nurse demonstrates understanding of this concept by identifying which type of service as being provided? Select all that apply.

Diagnostic testing Access to specialist at a different location Client progress monitoring

When assessing an elderly client, a nurse on the day shift notes redness in the sacral region. Close assessment reveals small breaks in the skin surface. The client says the area is tender and must have lost skin when a nursing assistant on the previous shift moved him. He tells the nurse, "The nursing assistant on the last shift was rough. I asked her to look at my backside, but she told me she was too busy." What should the nurse do first?

Document her findings.

It is acceptable for the nurse to accept a verbal order from the physician in which of these situations?

During a medical emergency.

An informatics nurse is evaluating a new clinical information system for usability. The nurse notes that the system requires the user to complete a maximum of 3 steps to complete a task. The system also provides shortcuts to frequent users of the system. The nurse would determine that which concept of usability is being addressed?

Efficient interactions

A nurse is using the computer when a client calls for pain medication. Which action by the nurse helps maintain computer security?

Logging out of the computer, then administering the pain medication

An informatics nurse specialist is teaching a group of health care providers about the different capabilities available for using electronic information and telecommunications technologies. When describing telehealth, which service would the nurse address as being supported? Select all that apply.

Long-distance imaging review Videoconferencing Provider training Administrative meetings Patient health-related education

An informatics nurse specialist is conducting a program for facility staff about creating strong passwords to promote secure and private data. The nurse determines that the teaching was successful when the staff identify which password as a strong password?

MaFrN610#

A group of nurses has established a focus group and pilot study to examine the potential application of personal data assistants (PDAs) in bedside care. This study is a tangible application of:

Nursing informatics.

A nurse is involved in a program that aims to increase the use of health informatics. What is the most likely outcome of this program if it is successful?

Rapid access to client information by everyone involved in the client's care

A day-shift nurse gives a client an injection of pain medication. The nurse forgets to document the injection on the medication administration record (MAR). The day-shift nurse tells the evening-shift nurse that she gave the client 4 mg of morphine at 2 p.m. for postoperative pain but didn't document the injection. The evening-shift nurse puts the day-shift nurse's initials and the date and time the dose was administered in the appropriate area of the MAR. The evening-shift nurse's action is considered to be which type of documentation error?

Unauthorized entry

A nurse is reading a journal article about informatics and use in health care. When reading the article, which concepts would the nurse likely expect to find as specifically related to this field? Select all that apply.

Usability Optimization Interoperability

The client lives in a remote area and has been referred to a specialist who travels to the area once a month. The client's condition requires an appointment as soon as possible. The low-income client has no reliable transportation. What would the nurse do to facilitate access to the specialist for the client?

Use videoconferencing to access the specialist.

A health care provider (HCP) is calling the pediatric unit and asking the nurse to go into the medical record for test results of a fellow pediatrician. How should the nurse respond to this request?

Verify that the caller is the HCP of record or has a need to know.

A nurse preparing to administer medications on the respiratory floor is using the computerized medication-dispensing system. Her password isn't working. The nurse should:

ask computer support to reset her password.

The nurse is obtaining statistical data regarding a health problem in the community from the electronic health records (EHRs). How can the nurse present the information so a viewer could easily visualize? Select all that apply.

bar charts pie charts maps bubble graphics

A nurse caring for a client who had a stroke is using the unit's new computerized documentation system. The nurse uses the information technology appropriately when she:

documents medications after administration.

The nursing department at a hospital sponsored a poster presentation for which nurses researched a problem related to nursing care. On each poster, the nurse identified a problem, cited research findings, and presented a conclusion about best practices. Which ANA Informatics Competencies are demonstrated by the poster presentation? Select all that apply.

education evidence-based research and practice quality of practice leadership

If a manual end-of-shift count of controlled substances isn't correct, the nurse's best action is to:

immediately report the discrepancy to the nurse-manager, nursing supervisor, and pharmacy.

A physician enters a computer order for a nurse to irrigate a client's nephrostomy tube every 4 hours to maintain patency. The nurse irrigates the tube using sterile technique. After irrigating the tube, the nurse decides that she can safely use the same irrigation set for her 8-hour shift if she covers the set with a paper, sterile drape. This action by the nurse is:

inappropriate because irrigation requires strict sterile technique.

A nurse manager of the pediatric unit is responsible for making sure that each staff member reviews the unit policies annually. What policy should the nurse manager emphasize with the clerical support staff?

logging off a computer containing client information

During a recent visit to the clinic, a client tells the nurse, "I've been using my cell phone to track and record the foods that I eat so that I can better understand if I'm making healthy food choices." The nurse interprets the client's statement as reflecting which technology?

mHealth

A nurse fails to give the evening dose of an IV antibiotic that is to be administered every 12 hours. The evening dose was scheduled for 1800; it is now 2200. The nurse should next:

report the incident to the health care provider.

A hospital is switching to computerized charting. The nurse recognizes that one advantage to an electronic client chart is:

retrieval of information is more efficient.

The admission of the client includes a health history and complete assessment. The admission data is entered into the client's health record. What does objective assessment information include? Select all that apply.

vital signs, height, and weight abdomen soft to palpation

When a client reports being allergic to amoxicillin even though the medication administration record and armband do not indicate medication allergies, the nurse should:

withhold the amoxicillin.

A nurse is caring for a client diagnosed with cardiomyopathy. The student nurse assigned to collaborate with the nurse begins data collection for the admission assessment. The student nurse violates information security when she:

writes the client's phone number on her clinical paperwork.

A staff nurse comments to the charge nurse that it is unnecessary to know how to formulate nursing diagnoses because the computerized documentation system generates them automatically. What is the most appropriate response by the charge nurse?

"A nurse is still responsible for utilizing critical thinking to determine the validity of the nursing diagnoses generated."

A physician writes an order for a client that says: "Digoxin .125 mg P.O. once daily." To prevent a dosage error, how should the nurse transcribe this order onto the medication administration record?

"Digoxin 0.125 mg P.O. once daily"

A family whose religion limits the use of some forms of technology is admitting their grandfather to your unit. They express skepticism about the fact that you are recording the admission data on a laptop computer. What would be your best response to their concerns?

"It's been found that using computers improves our patients' care and reduces their health care costs."

An informatics nurse is heading a team working on evaluating a newly implemented nurse-driven protocol for urinary catheter care. The team has completed the evaluation and is now ready to document the findings. One of the team members asks, "Why do we need to document this information. Isn't the fact that we evaluated the protocol enough?" Which response by the informatics nurse would be most appropriate as the priority reason for this documentation?

"Documentation helps ensure that any practice improvements needed can occur."

A staff nurse at a facility asks an informatics nurse, "What training or education did you need to become an informatics nurse?" Which response by the informatics nurse would be most appropriate?

"I basically got my training on the job."

A staff member on the transplant unit is having problems logging into the computer to chart client information. The staff member asks a nurse for her personal identification number (PIN) to log in. What is the nurse's best response?

"I'll be happy to contact Information Services to assist you with the problem."

The nurse is caring for a client whose spouse wishes to see the electronic health record. What is the appropriate nursing response?

"Only authorized persons are allowed to access client records."

A hospital utilizes the SOAP method of charting. Within this model, which of the nurse's following statements would appear at the beginning of a charting entry?

"Patient complaining of abdominal pain rated at 8/10."

An informatics nurse is working as part of a team considering an update to a clinical information system already in place. Which questions would be important for the team to ask first? Select all that apply.

"What is the purpose of the change?" "Will it improve overall usability?" "How will its use be incorporated into the nurse's current workflow?"

An informatics nurse is participating in an online continuing education course about informatics, health information technology, and the use of standard terminology. The informatics nurse demonstrates understanding of the information presented in the course by identifying which aspect as a characteristic of nursing standard terminologies? Select all that apply.

- The terminology identifies concepts related to the delivery of nursing care. -The terminology is structurally organized to reflect nursing knowledge. -The terminology provides a means to code the delivery of nursing care. -The terminology aids in promoting interoperability.

An informatics nurse specialist is part of a team that is evaluating a clinical information system being used at the facility. Place the initial steps below in the correct order from first to last that reflect the steps necessary for the team to evaluate the system.

-Determine what to evaluate. -Determine what data will need to be collected. -Conduct a literature review in peer-reviewed journals. -Determine specific data elements to be collected.

Which actions constitute a violation of client privacy, confidentiality, and professionalism? Select all that apply.

-The nurse asks a family member for assistance in completing an admission assessment form for a client who does not speak the dominant language. -The nurse posts a picture of an anonymous comatose client's pressure injury on a social media site. - The nurse looks up information for a client on another hospital unit who is a personal friend. -The nurse working on an inpatient unit uses the computer to access her own diagnostic data from when she was an outpatient

A nursing student is preparing for a debate with another student about e-mental health. Which would the nurse include to support its use?

Ability to provide services in a variety of locations

The nurse is on a committee at an agency that has the task of identifying a need related to a new electronic health record (EHR) and providing supporting baseline data. In the System Development Lifecycle, what is this phase called?

Analyze and Plan

Our world is connected by a sophisticated communication system that makes much health information instantly accessible, no matter where the patient is being treated. This instant access to health information has impacted health care delivery strategies, including the delivery of nursing care. What is one way the delivery of health care has been impacted by this phenomenon?

Brisk changes as well as swift obsolescence

An informatics nurse specialist is involved in evaluating a new electronic health record being used by the facility. The nurse specialist will be evaluating the effectiveness of the early warning system for rapid response on reducing the number of codes being called. The nurse specialist has also developed the following question: "Has the new alert system resulted in a reduction in the number of codes being reported?" What would be the nurse specialist's next step?

Complete a literature search of peer-reviewed journals

An informatics nurse specialist is preparing a presentation on nursing informatics for a group staff nurses. The group will be participating in the implementation of a new electronic system to support improved client care delivery. When describing the concepts that are key to nursing informatics, which concept would the informatics nurse specialist include? Select all that apply.

Data Information Knowledge Wisdom

An informatics nurse specialist attends a three-day seminar on current trends in health information technology. Experts are presenting sessions involving the current state of informatics, issues associated with this field, and new and innovative methods being developed based on current research. The informatics nurse specialist plans to share this information with the facility's health information technology team to see if they can incorporate it into the facility's current clinical information system. The informatics nurse specialist is demonstrating which ANA informatics competency? Select all that apply.

Education Evidence-based practice and research

A public health nurse is working in a community immunization clinic. Client information gathered at the clinic is stored and transported to the health unit on a portable memory device. Which of the following must the nurse do to protect the confidentiality of the information?

Ensure that the information on the memory device is protected.

A student nurse is reviewing physician orders written on a client's chart. Which entry is written incorrectly because it contains material from the "do not use" list of the Joint Commission on Accreditation of Healthcare Organizations (Joint Commission)?

Epoetin alfa 6500 U SQ daily.

An informatics nurse specialist is recommending the addition of an alert system tool to the facility's patient portal. The tool would be designed to send alerts to the client to schedule routine screenings and immunizations. This recommendation most likely reflects which ANA informatics competency?

Health teaching and health promotion

In which way does a nurse play a key role in error prevention?

Identifying incorrect dosages or potential interactions of ordered medications

What information should be included in an 8-year-old's pediatric history?

Immunizations

A nurse working in a primary care provider's office is using the clnical information system to review a client's health information. The nurse is able to review the client's last visit to the primary care provider as well as information from a recent hospitalization, and also a visit that the client made to the cardiologist last week. The nurse's ability to review this information is based on which aspect of the clinical information system?

Interoperability

A physician suggests that the nurse use the computer terminal that is available at the point of care or at the client's bedside. What is the probable reason for the physician's suggestion?

It keeps the nurse close to the source of the data.

The nurse is updating the records of a 10-year-old boy who had his appendix removed. Which action could jeopardize the privacy of the child's medical records?

Letting another nurse use the nurse's log-in session

The nurse managers of a home healthcare office wish to maximize nurses' freedom to characterize and record patient conditions and situations in the nurses' own terms. Which of the following documentation formats is most likely to promote this goal?

Narrative notes

The certified nurse practitioner planning discharge for a patient with congestive heart failure (CHF) wants to prevent readmission to the hospital within 30 days. Which method involves recent advances in health care monitoring capabilities?

Planning to monitor the patient at home using the Internet, Web cam, and cellular phone

An informatics nurse specialist is involved in evaluating a new clinical information system recently implemented at the facility. As part of the evaluation process, the nurse specialist is preparing to conduct a study to evaluate the system. Which aspect would the nurse specialist need to consider when determining the type of study to be done? Select all that apply.

Question being asked Data being collected

When taking a telephone order from a physician, the nurse verifies that he or she understands the order by:

Repeating the order back to the physician.

A nurse is preparing to administer cardiac medications to two clients with the same last name. She checks the medication three times before entering the room to administer medications to the first client. While leaving the room, the nurse realizes she didn't check the client's identification before administering the medication. Which action should the nurse take first?

Return to the room, check the client's identification against the medication administration record, and complete a variance report if needed.

An informatics nurse specialist is evaluating a newly implemented electronic medication alert system for usability. Which area would the nurse evaluate? Select all that apply.

Simplicity Naturalness Consistency

A nurse is assessing a client who comes to the clinic for an evaluation. During the assessment, the client tells the nurse, "I have this thing on my phone that reminds me to take my medicines when I'm supposed to." The nurse identifies this as reflecting which concept?

Telecare

A nurse says she's forgotten her computer password and asks to use another nurse's password to log on to the computer. Which response by the coworker demonstrates safe computer usage?

Telling the nurse that she may not use the password

Besides using the health care records, which form of communication should the nurse use to provide client details to the health care team coming on duty in the next shift?

change-of-shift reports

Which example may illustrate a breach of confidentiality and security of client information?

The nurse provides information over the phone to the client's family member who lives in a neighboring state.

The nurse uses the QSEN competency of Informatics when planning care for clients. What is an example of the use of this skill?

The nurse researches new technological advances in the treatment of cancer.

A nurse uses the computer to access health records of the clients. What care should the nurse take when using a computer to access health records?

The password and access number should be kept secret and changed regularly.

The nurse is providing care for a patient who is withdrawing from heavy alcohol use. The nurse and other members of the care team are present at the bedside when the patient has a seizure. In preparation for documenting this clinical event, the nurse should note which of the following?

The patient's activities immediately prior to the seizure.

A clinical information system at a provider's office is undergoing a change to the system. The change involves a simple addition to improve functionality. When preparing the training program for the staff, which type of training would be most appropriate for the informatics nurse specialist to use? Select all that apply.

Tip sheet Just-in-time training

The nurses who provide care in a large, long-term care facility utilize charting by exception (CBE) as the preferred method of documentation. This documentation method may have which of the following drawbacks?

Vulnerability to legal liability since nurse's safe, routine care is not recorded

An informatics nurse specialist is looking to evaluate the optimization of a clinical information system being used in the facility. On which area would the nurse focus? Select all that apply.

Ways to reduce errors Measures to eliminate inefficiencies in workflow Ways to improve clinical decision support Plans to improve basic processes

An informatics nurse specialist is describing the components of nursing informatics practice to a group of staff nurses considering a career in nursing informatics. The informatics nurse specialist is describing which component as the appropriate use of synthesized information to solve human problems?

Wisdom

The agency is planning to implement a new electronic health record (EHR). The nurse is on a committee for the Design and Build phase of the System Development Lifecycle. What are components of the Design and Build phase that the committee will be tasked to complete? Select all that apply.

design of the screen display consistency with the screen layouts mapping out the nurse's workflow nurses' contributions to client outcomes

What does the nurse recognize as purposes of the electronic health record? Select all that apply.

documenting continuity of care qualifying health care providers for government funds ensuring client safety facilitating health education and research

The nurse is thinking of a career in informatics. Before applying to a college to undertake the necessary coursework for Information Nurse Specialist, the nurse reviews qualifications for a position as Informatics Nurse (IN), a first step in changing to a career in informatics. Which would be qualifications and responsibilities for a position as an IN? Select all that apply.

is a superuser training is primarily on the job implements an electronic health record (EHR)

A client about to undergo gastric bypass surgery calls the nurse into the room. The client whispers to the nurse concern that friends will learn about her upcoming surgery. She pleads with the nurse to keep her surgery a secret. Which response by the nurse is best?

"I am not at liberty to discuss your case with anyone except those directly involved in your care unless you authorize me to do so."

A nurse is conducting a health assessment of an adult client when the client asks, "Why do you need all this health information and who is going to see it?" What is the nurse's best response?

"It is good you asked and you have a right to know; your information helps us to provide you with the best possible care, and your records are in a secure place."

While interviewing a client who has come to the clinic, the client says to the nurse, "I've seen all these apps that are available to monitor my health, but I'm not sure which one would be best. Do you have any suggestions?" Which response by the nurse would be most appropriate?

"It's important that the app is high quality. Be sure to make sure the app is credible."

You are admitting an elderly woman who is accompanied by her husband. The husband wants to know where the information you are obtaining is going to be kept and you follow up by describing the system of electronic health records. The husband states, "I sure am not comfortable with that. It is too easy for someone to break into computer records these days." What is your best response?

"This hospital is as concerned as you are about keeping our patients' records private. So we take special precautions to make sure no one can break into our patients' medical records."

The parent of an 18-year-old with chronic renal disease states, "My son has so many problems. I'm really worried that he won't get the right care if he gets sick at college." What is the nurse's best response?

"Your son can make an electronic history to facilitate his care if he gets sick away from home."

An informatics nurse is assisting with the evaluation of a new health information technology system implemented at the facility. When conducting the literature review, which source would be appropriate for the informatics nurse to use? Select all that apply,

-Cumulative Index to Nursing and Allied Health Literature (CINAHL) -PubMed -Cochrane database

An informatics nurse specialist working at an ambulatory care center is interviewing clients about their experiences in using the center's patient portal. A majority of the clients have voiced dissatisfaction, stating that they "find the display screen confusing and are not sure what to click on to get the necessary information." They also talk about difficulties in trying to find their test results. Based on this information, the nurse specialist identifies a need to talk with the information technology team about ways to make the portal easier for clients to use. The informatics nurse specialist is demonstrating which ANA informatics competency?

Collaboration

An informatics nurse is teaching a clinic staff about a newly implemented patient portal being used. The informatics nurse determines that the teaching was effective when the staff identify which aspect as being the focus of this technology?

Greater client engagement

A nurse is reading a journal article about health information technology and the need for this technology to demonstrate meaningful use. Which information would the nurse anticipate reading about as reflective of meaningful use? Select all that apply.

Improvement in health care quality Greater client engagement Reduction in privacy breaches of client information

A nurse has access to computerized standardized plans of care. After printing one for a patient, what must be done next?

Individualize it to the specific patient.

The nurse is preparing to administer 4 units of regular insulin to a client with type 1 diabetes mellitus. Which of the following equipment does the nurse need to perform the injection? Select all that apply.

Medication administration record 27-gauge, ½" needle

An informatics nurse specialist is preparing a presentation for a local community group about advances in technology in health care. Part of the presentation will focus on technological advances to promote greater client participation in managing health. Which component would the nurse likely describe as playing a major role?

Patient portal

An informatics nurse specialist is preparing a presentation about patient portals for a group of primary care providers in an office practice. When describing the tasks that can be accomplished by clients using the portal, which activity would the informatics nurse specialist include? Select all that apply.

Paying their bill Checking their lab test results Scheduling appointments Receiving screening reminders

A newly hired nurse is participating in the orientation program for the healthcare facility. Part of the orientation focuses on the use of the SOAP (subjective, objective, assessment, and plan) method for documentation which the facility uses. The nurse demonstrates understanding of this method by identifying which of the following as information to be recorded on the first line?

Problem addressed

Increasingly, healthcare institutions are implementing computerized plans of nursing care. A benefit of using computerized plans includes which of the following?

Reduction in the time spent on care planning

A client comes to the health care provider's office for a follow up. The client was recently hospitalized for heart failure. The nurse reviews the client's discharge plan, which included the client being supplied with telecommunications technology for monitoring daily weights and blood pressure. Then each day, after completing those tasks, the client would receive a phone call from the nurse practitioner about the results and adjust the client's medication schedule. The nurse identifies this specifically as reflecting which type of care?

Telemedicine

While working in an institution that uses computer documentation, the nurse understands the need to log out of the computer if it is not in use. Following this procedure is necessary because of what ethical problem in nursing?

The right of confidentiality is essential to protect each client's private information.

A nurse is serving on a task force to update the electronic health record. The task force should ensure that revisions of the medical record will: (Select all that apply.)

aid in client care. serve as a legal document. facilitate data collection for clinical research. guide performance improvement

A client is admitted with symptoms of psychosis. The nurse hurries to the client's room when she hears the client calling for help. She finds the client lying on the ground. The nurse assists the client back to the bed and performs a thorough assessment. The nurse informs the physician and completes the incident report. Which of the following statements should the nurse document in the incident report?

The client was found lying on the floor.

The nurse collects a client history including biographical data regarding the child being admitted. Which responsibiltiy is the most important related to the data collected?

This information is part of the legal record and should be treated as confidential.

Which client may be the most appropriate candidate for telepsychiatry?

A client whose depression does not warrant inpatient or outpatient care but who is motivated to maintain the client's health

What is the best way for a nurse to maintain security when using computerized client records?

A nurse shouldn't give her computer access code to other health care personnel involved in direct client care.

A family whose religion limits the use of some forms of technology is admitting their grandfather to the nurse's unit. They express skepticism about the fact that the nurse is recording the admission data on a laptop computer. What would be the nurse's best response to their concerns?

"It's been found that using computers improves our clients' care and improves communication." q

An informatics team is evaluating the implementation of a new system for admission assessments. The team has determined what to evaluate, developed the question for necessary data collection, and conducted a literature review. Place the steps listed below in the order that the team would follow to complete the evaluation.

-Identify the specific data elements to be collected. -Determine the design of the study. -Clarify how the data will be collected. -Display data that was collected and analyzed. -Document the outcome evaluation.

A physician's order for a client states the administration of a medication "b.i.d." How many times should the nurse administer the medication to the client?

Twice a day.

The nurse has started employment at a new agency and is assigned a user ID for the computer system. What steps would the nurse undertake to make a strong and confidential password? Select all that apply.

-does not share the password with anyone -develops a password that has not been used for other websites -uses at least eight characters in the password as recommended by the agency's computer

The nurse is gathering data on a child being admitted. Which would be considered collecting subjective data? Select all that apply.

-The nurse interviews the child's caregiver. -The nurse asks questions about the child's history. -The nurse finds out the reason for the child's visit to the health care setting

The primary care provider has implemented the use of a patient portal for his clients. A client who was diagnosed with hypertension 5 years ago has been struggling with adherence to the plan of care and, thus, had uncontrolled hypertension. Reminders about appointments and medication adherence and results of lab data are sent frequently to the client via email and text messages from the patient portal. The client, in turn, has been using the patient portal to research information about his disease, diet, exercise, and medications. After several months, what benefits would the client experience as a result of engaging in the use of the patient portal? Select all that apply.

-improved adherence to a medication regimen -participation in preventive health care -increased quality of life - better management of chronic health conditions

When documenting information in a client's medical record, which of the following should the nurse do consistently for each entry?

Sign each entry by name and title.

An informatics nurse specialist is conducting a presentation for a group of staff nurses about a planned implementation of a new electronic documentation system. As part of the presentation, the nurse specialist will address the use of standard terminologies with the system. Which information would the nurse specialist identify as a key reason for using these terminologies? Select all that apply.

-Allows for nursing activities to be measured -Permits nursing care to be represented in the delivery of care -Provides information about nursing's effects on client outcomes - Provides data to plan assignments based on client's status

An informatics nurse specialist is teaching a group of nurses about a new clinical information system that will be used in the facility. During the teaching, one of the group members asks, "What is a clinical information system." Which information would the nurse specialist integrate into the response? Select all that apply.

Computer-based system used to support health care A system for collecting, storing, manipulating, and making available clinical information.

An informatics nurse specialist is working as part of the team working on adding a new pain rating assessment tool to an already established electronic health record. The team is discussing which type of training would be best. After reviewing the various options available, the informatics nurse specialist determines that additional discussion is needed when the team identifies which type of training as being appropriate? Select all that apply.

Formal classroom sessions Tip sheet Just-in-time training

An informatics nurse specialist is part of the team working to maintain a new clinical information system recently implemented at the facility. When engaged in this process, which tasks would the informatics nurse specialist likely be engaged in? Select all that apply.

Obtaining monthly data bank loads Assisting with ongoing updates to preference lists Addressing quality measures updates

An informatics nurse specialist is reading a journal article about nursing terminologies used in clinical information systems. The nurse specialist demonstrates understanding of the article by identifying which set as an example addressing diagnoses, interventions, and outcome ratings? Select all that apply.

Omaha System Clinical Care Classification System

An informatics nurse is planning a training program for the staff of a facility. A new module for outcome identification and evaluation will be added to the current clinical information system. Which type of training would be most appropriate for the staff? Select all that apply.

Online training Web-based training

In many institutions, which of the following telephone or fax orders requires a signature within 24 hours by the ordering physician or nurse practitioner?

Orders for antibiotics.

An informatics nurse specialist is involved with testing an update to a facility's clinical information system. The specialist is in the integration testing phase. Which phase has the informatics nurse specialist already completed? Select all that apply.

Unit testing Function testing

A facility is planning to implement an update to the electronic health record. This update is designed to facilitate documentation of critical changes in clients' condition to save time that nurses spend when documenting these changes. An informatics nurse specialist asks a group of staff nurses to test this update to determine if it is working as it was designed. The nurses are involved in which type of testing?

User acceptance

A client comes to the primary care provider's office for a routine follow-up visit. While completing the assessment, the nurse tells that client about a new patient portal that the office has begun to use. The client asks the nurse, "I guess this is a good thing, but what is it and what does it do?" Which response by the nurse would be appropriate? Select all that apply.

-"It's a site you can access through your home computer or smartphone." -"It allows you to get information about your health status and care." -"You can communicate with your provider through the system." - "It allows you to request refills for your prescriptions."

An informatics nurse specialist is talking with a group of health care providers at a local clinic about implementing a patient portal system. During the presentation, one of the providers asks the nurse specialist, "I understand what this portal is, but how will it help our clients?" Which response by the nurse would be appropriate? Select all that apply. "

-"Your clients will be able to actively participate in their care." -"Your clients will be more motivated to get preventive care." - "Your clients will be more likely to seek out care if needed." - "Your clients will be able to manage their chronic problems better."

The nurse is explaining the uses of a patient portal to a new client of the outpatient health practice. The nurse shows the client the tabs in the patient portal on the computer titled Appointments, Current Medications, Latest Lab Results, Latest Statement, Recent Referrals, Medical Records (Personal Health Record and Visit Summary), Messages, and Education. What are benefits and activities the client will be able to do in the patient portal? Select all that apply.

The patient portal would allow the client to access educational materials. The client would be able to review lab results on the patient portal. The client could request prescription refills through the patient portal instead of calling the office. The client could schedule appointments by accessing the patient portal.

The hospital is implementing a new weight-based correction insulin regimen into the electronic health record (EHR). The education team has run test scripts on the program to ensure that the EHR will support the change. The team, consisting of nurses, is now ready to train the nurses in the hospital. What would be some effective ways to educate the nurses to use this new formula? Select all that apply.

-Develop an interactive computer program showing the nurses how to perform the calculations. -Hold mandatory in-service classes that the nurses would attend. -Develop a test that demonstrates competency with this new regimen; the nurses would be required to pass the test. -Place superusers on the floor on the day of rollout to guide the nurses in its use

An informatics nurse specialist is involved in the development of an electronic documentation system to be used by the nursing staff at the facility. The nurse specialist is planning to use standard terminology that focuses on both diagnoses and interventions. Which terminology set would be appropriate for the nurse specialist to consider using? Select all that apply.

-Omaha System -Perioperative Nursing Data Set -International Classification for Nursing Practice