Informatics Exam #3 Practice Questions
Wikis can be used as a tool in the classroom. Which of the following are advantages of using a wiki in education? Standard Text: Select all that apply. 1. Wikis can foster collaboration. 2. Wikis can connect learners in different time zones. 3. Wikis can provide links to online resources. 4. Wikis can be used for asynchronous learning. 5. Wikis can serve as an online content-management system.
1,2,3,4,5
Which of the following topics must be addressed when giving a presentation to physicians on the benefits of the electronic medical record (EMR)? Standard Text: Select all that apply. 1. Easier access to previous documented encounters 2. Facilitation of clinical pathways 3. Chart access speed 4. Trends and graphics are not available on demand 5. Reduced liabilities through accurate documentation
1,2,3,5
The Bush administration called for the adoption of the electronic health record (EHR) by 2014 as a means to help transform U.S. health care. Who owns the individual client record when an EHR is used? 1. The client 2. Ownership is unclear 3. The institution at which the record is created 4. The health care providers who enter the data
2
The relationship between meaningful use and the adoption of the EHR in hospitals, physician offices, and other settings is best described as which of the following? 1. The meaningful use requirement must be considered before beginning the development process. 2. The meaningful use requirement is achieved with the adoption and use of the EHR system as part of the daily routine. 3. The meaningful use requirement is unique to every health care provider. 4. The meaningful use requirement and use of EHR systems are unrelated.
2
The use of HL7 standards in individual applications can improve the integration of applications with other applications or systems through the use of which of the following? 1. Digital imaging and communications in medicine (DICOM) 2. Interface engine 3. Radiology information system (RIS) 4. Current procedural terminology (CPT) codes
2
There are a number of bibliographic online databases. Which of the following databases is dedicated to providing nurses with full-text articles? 1. Emerald Insight 2. Cumulative Index to Nursing and Allied Health Literature (CINAHL) 3. Google Books 4. ProQuest
2
What is the primary purpose of system integration in a health care facility? 1. Provide reliable flow of information between facility and physician offices 2. Offer seamless data exchange among disparate information systems 3. Prevent system data errors via large scale electronic exchanges 4. Customize information systems within a department
2
What uses archetypes (clinical models of content and process) as a means of exchanging clinical documents between systems? 1. Service oriented architecture 2. HL7 3. Open EHR 4. Semantic interoperability
2
Which agency has a comprehensive website dedicated to improving the quality, safety, efficiency, and effectiveness of health care for all Americans? 1. Joint Commission 2. Agency for Healthcare Research and Quality (AHRQ) 3. American Nurses Credentialing Center 4. Pathway to Excellence Program
2
Which of the following is a classification system for surgical, diagnostic, and therapeutic procedures and is used for hospital billing and payer reimbursement? 1. NOC 2. CPT-4 3. NIC 4. NANDA
2
Registered nurses can use the Internet for a number of key functions pertaining to licensure. Which of the following answers reflects the usefulness of the Internet and licensure? 1. Nurses can renew their professional licenses online. 2. Nurses no longer have the option of renewing their licenses by mail. 3. Professional licensing agencies mandate license renewal online. 4. Professional licensing agencies do not have the technology to renew licenses online.
1
The computer-based patient record (CPR) is a comprehensive lifetime record that includes all information from all specialties. Most of the data included in the CPR is which of the following? 1. Structured data 2. Unstructured data 3. Fragmented data 4. Complete data
1
The mere implementation of an electronic medical record (EMR) does not guarantee that benefits will be achieved. Which of the following can affect data integrity? 1. System failure 2. Data analysis 3. Data downloading 4. Data mining
1
The system called Pay for Performance (P4P) is also known as which of the following? 1. Value-based purchasing (VBP) 2. Diagnostic related groups 3. Children's Health Initiative Program 4. Medicaid
1
Using what kind of strategy will permit data exchange within each hospital and across health care networks or enterprises? 1. Integration 2. Syntactic interoperability 3. Semantic interoperability 4. Using a clinical data repository
1
What is a computer program that tells two different systems how to exchange data? 1. An interface 2. Request for proposal 3. Syntactic operability 4. HL7
1
What is the rationale the AMA is using to oppose the do-not-pay list? 1. Physicians assert each patient's circumstances are unique and complications cannot always be prevented or explained. 2. The physicians assert this reimbursement ruling is unjust. 3. The physicians assert the do-not-pay list is punitive to health care providers. 4. The physicians assert do-not-pay list minimizes complications.
1
Which of the following organizations is the umbrella under which all regulatory agencies eventually fall because the health and welfare of the citizens of the nation are ultimately deemed to be federal responsibility? 1. Centers for Disease Control (CDC) 2. The U.S. Department of Health and Human Services (USDHHS) 3. Health and Human Services (HHS) 4. The Federal Employees Health Benefits Program (FEHBP)
2
Which of the following best describes the electronic medical record (EMR)? 1. Legal record created in hospitals 2. Legal record created by vendors 3. An electronic stand alone database 4. Method to identify outcomes
1
Which of the following depicts the best use of virtual worlds in the education of nurses? 1. The virtual world can simulate hospital life. 2. Virtual worlds offer students answers to NCLEX-RN® style questions. 3. Virtual worlds offer synchronous interaction with patients. 4. Virtual worlds are too expensive for classroom use.
1
Which of the following describes Questia? 1. Online library that provides 24/7 access to the world's largest online collection of books and journal articles 2. Comprehensive online nursing database 3. Interactive resource that answers complex patient care questions 4. Web-based tool with a complete listing of nursing diagnoses
1
Which of the following describes a wiki? 1. A shared online resource 2. Social media site 3. A pop-up 4. SPAM
1
Which of the following statements best defines a learning object? Standard Text: Select all that apply. 1. A learning object is an entity or learning event. 2. A learning object teaches an online lesson. 3. A learning object describes the usefulness of the Internet. 4. A learning object is embedded in HTML mark ups.
1
Which of the following statements is most accurate about social media and hospitals? 1. Social media has relevance to health care. 2. Health care and social media are unrelated. 3. Hospital marketing departments refuse to incorporate social media into their practice. 4. Social media is not relevant to hospital marketing or nursing practice.
1
Which of the following supports the development of an EHR by classifying and categorizing nursing data? 1. North American Nursing Diagnosis Association (NANDA) 2. HL7 3. Service oriented architecture (SOA) 4. SNOMED
1
Implementing an electronic health record in a small primary care practice can be cost prohibitive. To assist in the cost of the endeavor, the government has done which of the following? 1. Provided loans to physicians to purchase technology 2. Offered physicians stipends if they use the equipment correctly 3. Has given financial aid to larger practices to purchase equipment 4. Has given physicians the equipment to convert to electronic health records
1
Marketing services have become one of the important organizational uses of the Internet, therefore, multiple companies and organizations use websites as an opportunity to accomplish their goals. What are some of the reasons to use the Internet for marketing? 1. To offer virtual tours and job opportunity information 2. To share statistics regarding best practice models 3. To illustrate the usefulness of the intranet within the organization 4. To define the goals of the HIT
1
Medicare is an age or disability based benefit. How is Medicare funded? 1. Through tax dollars 2. Through the state lotteries 3. Through federal earmarks 4. From personal savings
1
Nurses must be involved in identifying and defining data elements that an interface may be able to supply. One way to ensure participation is to recruit staff nurses to do which of the following? 1. Provide input during the interface design. 2. Be a member of the technology committee 3. Participate in the creation of a RFP. 4. Define language needed for interoperability.
1
Which of the following responses is not a benefit of Pay for Performance (P4P) legislation? 1. The system rewards health care providers upon good service to consumers. 2. The system rewards physicians and other health care professionals when patients receive good results from that care. 3. Reimbursement is related to quality and efficiency of care provided. 4. Patients will play a more active role in the determination of performance-based payment.
2
One step in the integration process is the development of a uniform definition of terms, or language. The American Nurses Association sponsors the Congress of Nursing Practice Steering Committee on Databases. Which of the following is a primary goal of this steering committee? 1. Categorize interventions that nurses carry out. 2. Measure client outcome position. 3. Develop a mapping system to link various classification schemes. 4. Identify client care problems that nurses treat independently.
3
Which of the following statements is true about the projected results of the increase in federal and state mandated health care cost reform legislation? 1. The increase in governmental regulations provides for a higher quality of care. 2. Governmental oversight is something that has been lacking in health care over the past several years. 3. The burden of proof is placed on the health care community. 4. The increase in governmental oversight allows for improved outcomes with decreased FTEs.
3
While most hospitals have some level of automation, few have attained a fully electronic environment. Health care Information and Management Systems Society (HIMSS) analytics created an EMR adoption model that identifies eight levels of EMR capabilities. Your hospital has been designated as a Stage 3 facility. Which of the following is accurate about an organization at Stage 3 level? 1. Computerized provider order entry (CPOE) and better EBP clinical decision support is available. 2. Some clinical automation exists. 3. Basic clinical documentation is required. 4. Major ancillary clinical systems are all installed (laboratory, pharmacy, and radiology systems).
3
How can educators employ the use of a reusable learning object (RLO)? 1. An RLO is believed to enhance learning by offering complex material. 2. An RLO is believed to enhance learning by creating a virtual experience for the learner. 3. An RLO is believed to enhance learning by providing a virtual workspace for the learner. 4. An RLO is believed to enhance learning by chunking down complex material into smaller packets
4
One of the biggest pitfalls and concerns to health care providers to the transition to the ICD-10 by 2013 is which of the following? 1. Training staff to use the new system efficiently 2. Having enough qualified personnel available to troubleshoot impending issues 3. The need to overcome resistance to change in the health care setting 4. The cost to convert the current systems to accommodate the changes
4
Despite the negative responses by health care providers toward the transition from ICD-9 to ICD-10, which of the following statements is a clear benefit of the transition? 1. Over 100 countries have already adopted the ICD-10 coding system. 2. Coding solutions will be clearly understood by all health professionals. 3. The impact on small physician's practices will be negligible. 4. More nurses will be hired to maintain the systems.
1
Nursing can reap significant benefits from integration. Which of the following integration statements is accurate for nursing? 1. Trends in client care data and cost analysis can be used to justify nursing staffing levels. 2. Nursing should be sure that data will be collected in several systems for sharing. 3. The use of a data dictionary can interfere with system integration processes. 4. Nursing involvement is unnecessary so long as I.S. staff members are given requirements.
1
Organizations and credentialing agencies often use the Internet to share educational information. Which of the following makes this possible? 1. Podcasts and webinars 2. DVDs 3. E-mail 4. List-servs
1
The clinical data repository provides data definition consistency through which of the following? 1. Mapping 2. Interface engine 3. Point-to-point interface 4. Clinical data warehouse
1
Which of the following are found with the electronic health record (EHR) but are not found with the computer-based patient record (CPR)? Standard Text: Select all that apply. 1. Evidence-based decision support 2. Assists with the work of planning and delivering evidence-based care 3. Quality management 4. Public health disease surveillance and reporting 5. Comprehensive lifetime record that includes all information from all specialties
1,2,3,4
Which of the following are major impediments to the development of an electronic health record (EHR)? Standard Text: Select all that apply. 1. Development of an electronic infrastructure 2. Confidentiality 3. Cost 4. Lack of a common vocabulary 5. Information system vendors
1,2,3,4
As technology is implemented in health care systems, the role of the nurse who has informatics experience and education will be placed in leadership roles to do which of the following? Standard Text: Select all that apply. 1. Guide IT technicians 2. Work closely with physicians 3. Spearhead policy reform 4. Develop evidence based practice models 5. Participate in research initiatives
1,2,3,4,5
The role of the nurse in the system integration efforts should include which of the following? Standard Text: Select all that apply. 1. Ensuring that data will be collected in only one system and shared as needed among others 2. Involvement in the formation and maintenance of the electronic health record 3. Promoting the development and maintenance of archetypes 4. Determining measures to assure the quality of data 5. Identifying and defining data elements
1,2,4,5
Which of the following are considered impediments to a fully functional electronic health record (EHR) system? Standard Text: Select all that apply. 1. Development of an electronic infrastructure 2. Cost 3. Common vocabulary 4. Caregiver compliance 5. Privacy
1,2,5
The lack of which of the following has long been a barrier to effective data reporting and analysis? 1. Knowledge 2. Interoperability 3. Resources 4. Information technology
2
Which type of billing codes is used by Medicare to determine the level of severity and per diem rate? 1. POA 2. MS-DRG 3. ICD 4. PPAC
2
A three credit baccalaureate course meets four hours a week in the classroom and three hours per week through Blackboard. This is considered what type of learning environment? 1. On site 2. Mixed methods 3. Multimodality 4. Hybrid
4
Electronic data interchange (EDI) has been instrumental in facilitating the health care process. Which of the following responses best describes the impact of the EDI? 1. EDI has the potential to eliminate second opinions. 2. EDI interacts with multiple databases. 3. EDI supplies proof of recovery. 4. EDI facilitates the approval of patient claims.
4
_________________________ would permit the uniform capture of data required to build a longitudinal record comprised of integrated information systems from multiple vendors.
data exchange standards
The __________________________ was developed by Medicare in an effort to control quality and cost and minimize preventable complications.
do not pay list
The Centers for Medicare and Medicaid Services (CMS) mandated all providers, insurers and any middlemen involved in the health care industry submission of claims for reimbursement or registering of care, the verifying of eligibility, the precertification of services, or any other client- related information to adhere to a uniform format by October 2002. This action forced all providers to install_______________________ transmission programs in their billing and medical record systems.
electronic data interchange
Electronic data interchange (EDI) is an effort to help phase out paper claims except under extensive appeal circumstances. The result of this initiative is which of the following? 1. Health care providers were forced to install EDI transmission programs in their billing and medical record systems. 2. A large savings on paper supplies 3. An increased need for assistive software 4. A decrease in the denial of claims
1
Online resources are available for health care professionals to complete a number of important tasks. Which of the following are services offered by professional organizations? Standard Text: Select all that apply. 1. Cultural competence information is offered by Health Resources and Services Administration (HRSA) 2. HealthLink assists users to medical and health care information. 3. Healthcare Providers Service Organization (HPSO) offers licensure information. 4. State Boards of Nursing offer continuing education credits. 5. Second Life offers end-of-life content for bereavement counselors.
1,2
Pay for Performance (P4P) otherwise known as value-based purchasing (VBP) system has been developed through ObamaCare. Which of the following are considered goals of this initiative? Standard Text: Select all that apply. 1. Financial viability 2. Payment initiatives 3. Effectiveness 4. Ensuring access 5. Smooth transitions
1,2,3,4
The Internet offers a number of unique ways to market the organization. What are some of the ways companies use the Internet to create interest in their unique goods or services? Standard Text: Select all that apply. 1. Securing domain names for a business 2. Arranging for e-mail addresses 3. Hosting one or more websites 4. Designing a company website. 5. Creating application for smart phones
1,2,3,4
A hospital client sees the nurse documenting information into the computer. She asks the nurse why the computer is better than the "old patient chart like hospitals have always used." Which of the following points would be accurate to say about an electronic medical record? Standard Text: Select all that apply. 1. It captures the information needed for billing purposes. 2. It is more secure than a paper record. 3. More than one person can access the record at any given time. 4. The record is available when and where needed. 5. Data are in real-time, as things happen.
1,2,3,4,5
For many years the EMR applied to a single encounter with no ability, or very limited ability, to carry information from one visit to another within a care delivery system. That situation has changed; it is now possible to bring information forward from prior visits within the organization or delivery system. Which of the following answers are basic components of the EMR system? Standard Text: Select all that apply. 1. Clinical messaging and e-mail 2. Results reporting 3. Decision support 4. Clinical documentation 5. Order entry
1,2,3,4,5
Integration is a massive project within institutions and enterprises. It generally requires more time and effort than originally projected. Which of the following are factors that may slow down the integration process? Standard Text: Select all that apply. 1. Unrealistic institutional timetable 2. Lack of agreement among merged institution 3. Insufficient documentation 4. Changing user specifications
1,2,3,4,5
Interface engines work in the background and are not seen by the user. This technology allows applications to interact with hardware and other applications. Which of the following are considered benefits associated with the use of interface engines? Standard Text: Select all that apply. 1. Improves timeliness and availability of critical administrative and clinical data 2. Improves data quality because of data mapping and consistent use of terms 3. Allows clients to select the best system for their needs 4. Preserves institutional investment in existing systems 5. Preserves institutional investment in existing systems
1,2,3,4,5
Most professional organizations have a Web presence. What types of information should a professional organization's website offer to the reader? Standard Text: Select all that apply. 1. Educational opportunities 2. Career opportunities 3. Certification opportunities 4. Policy work and initiatives 5. News feed
1,2,3,4,5
The Internet has become the source of locating current research and literature for practicing nurses and students. Which of the following websites provide beneficial information for health care professionals to access in an attempt to improve practice? Standard Text: Select all that apply. 1. The Agency for Healthcare Research and Quality (AHRQ) 2. The American Nurses Credentialing Center (ANCC) 3. The Center for Disease Control (CDC) 4. National Institutes of Health (NIH) 5. Food and Drug Administration (FDA)
1,2,3,4,5
The electronic health record (EHR) has the potential to integrate all pertinent patient information into one record. It also has potential to improve the quality of health information, patient safety, and productivity, contain costs, support research, decrease wait time for treatment and contribute to the body of health care knowledge. Which of the following are reasons why traditional paper records on clients no longer meet the needs of today's health care industry? Standard Text: Select all that apply. 1. Paper records are episode-oriented with a separate record for each client visit. 2. Key information may be lost from one episode to the next, jeopardizing patient safety. 3. Only one person can access a paper record at any given time. 4. Different versions of the same information may be stored in several places. 5. Paper records cannot incorporate diagnostic studies that include images and sound.
1,2,3,4,5
The importance of billing codes and reimbursement for services cannot be overstated. Which of the following responses are true regarding accurate code input and claims processing? Standard Text: Select all that apply. 1. CPT codes were grouped into services by the first digit followed by four more digits that further described the procedure. 2. The number 9 is reserved for visits related to evaluation and management procedures. 3. The CPT code 99211 is an office visit and used for injections. 4. Two digit modifiers are used to further distinguish services and procedures altering the billing process. 5. Inaccurate code input will delay claims processing.
1,2,3,4,5
Which of the following answers are factors that slow systems integration? Standard Text: Select all that apply. 1. Vendors' false claims that their information systems are interoperable with other systems 2. Unrealistic institutional timetable set due to a lack of understanding of the complexity of the integration process. 3. Vendors who do not provide enough support and assistance to facilitate the integration efforts. 4. Existing systems are insufficiently documented. 5. Merged institutions do not agree on which systems to use.
1,2,3,4,5
Which of the following terms denote learning that uses the Internet? Standard Text: Select all that apply. 1. E-learning 2. Web-based learning 3. Internet training 4. Online learning 5. Computer-assisted learning
1,2,3,4,5
Which of the following statements are true about virtual worlds? Standard Text: Select all that apply. 1. The simulated environment may reflect contemporary life, a setting found in works of fiction, or a setting unique to a world-developer's imagination. 2. Other terms for virtual world include: digital worlds, simulated worlds, multi-user virtual environments (MUVE), and massively multiplayer online games (MMOGs). 3. Gaming cannot be part of a virtual world. 4. Commercial virtual worlds focus on community building and socializing. 5. A virtual world is not an appropriate learning tool.
1,2,4
An emerging technology related to electronic health record (EHR) progress is the use of the personal health record (PHR). PHRs store client information that will eventually contribute to the development of a comprehensive, longitudinal record. Which of the following are found in a PHR but not found in the EHR? Standard Text: Select all that apply. 1. Periodic risk assessment survey results 2. Herbal supplements 3. Legal documentation created in a hospital 4. Decision support 5. Health status parameters such as exercise
1,2,4,5
Consumers are the primary source of information about their health history and medications. The patient-carried record (PCR) addresses this. Which of the following are potential problems associated with the PCR? Standard Text: Select all that apply. 1. Loss of the record 2. Legibility 3. Portability 4. Privacy 5. Liability
1,2,4,5
Healthcare Information and Management Systems Society (HIMSS) has defined and described the term electronic Personal Health Record (ePHR). Which of the following are included in the HIMSS definition and description? Standard Text: Select all that apply. 1. Universally accessible 2. Owned and managed by the individual (or legal proxy) 3. Usually considered a legal record 4. Common data set of electronic health information 5. Lifelong tool for managing relevant health information
1,2,4,5
What are the benefits of data integration? Standard Text: Select all that apply. 1. Potential for improved remote access of clinical data from various systems 2. Trend analysis of financial and clinical data 3. Encouraging the use of systems customized to meet department specifications 4. Development of a computer-based patient record 5. Facilitation of data collection for accreditation purposes
1,2,4,5
Which of the following statements about Medicare Part A are correct? Standard Text: Select all that apply. 1. Medicare Part A has an annual deductible. 2. Medicare Part A covers immunizations. 3. Medicare Part A covers facility related expenses. 4. Medicare Part A covers medical supplies. 5. Medicare Part A is also called the Advantage Plan
1,3
Social media is currently used to update subscribers on current events and updated content. Which of the following avenues can be used by health care professionals to share information? Standard Text: Select all that apply. 1. Twitter 2. Textbook companion websites 3. Facebook 4. Linked In 5. YouTube
1,3,4,5
The effects of the new regulatory and reimbursement laws instigated subtle changes which will have an impact on the physician office as well as outpatient facilities, ancillary services, and hospitals. In order to become, or perhaps soon remain, a Medicare/Medicaid provider, a medical compliance program must be in place. According to the Fox Group's website (n.d., p. 1) that includes which of the following measures? Standard Text: Select all that apply. 1. Compliance with health and safety laws and regulations 2. Compliance with fraud complaints 3. Compliance with environmental laws and regulations 4. Compliance with human resources laws and regulations 5. Compliance with HIPAA laws and regulations
1,3,4,5
The master patient index (MPI) saves work because vital information can be obtained from the database rather than rekeyed with each client visit. This decreases the possibility of making a mistake and eliminates the inadvertent creation of duplicate records. Which of the following are key features of an effective MPI? Standard Text: Select all that apply. 1. It is flexible enough to allow inclusion of additional identification. 2. It facilitates the evaluation of client care. 3. It locates records in real time for timely retrieval of information. 4. It is easily reconfigured to accommodate network changes. 5. It can grow to fit an organization of any size.
1,3,4,5
Which of the following Web-based learning objects can educators use to support the learning experience? Standard Text: Select all that apply. 1. Video 2. Cryptic usernames and passwords 3. Audio clips 4. Applications 5. Animations
1,3,4,5
Which of the following are advantages to asynchronous learning? Standard Text: Select all that apply. 1. Teachers and learners can connect in the classroom at different times 2. Teachers and learners can connect in the classroom at the same time 3. Asynchronous learning is more flexible than on-ground learning 4. Asynchronous learners must commute to the classroom 5. Asynchronous learners can access online library databases
1,3,5
A female client goes to the clinic's office complaining of a cough and fever. She gives her name and date of birth at the admitting registration desk. The registration clerk verifies her current address and asks if she is still covered by IVY insurance. Client responds yes, is given a chart with the number 3948JAV04830 on it, and is directed to the physician's exam room. The physician orders a chest x-ray. The client is sent to the radiology department and checks in with the registration desk. The registration clerk verifies her current address and asks if she is still covered by IVY insurance. The client responds yes and is given an order sheet with the number 3948JAV04830 on it. The admitting office for the clinic and the radiology office use different information systems. The process depicted in this scenario illustrates the use of which of the following? 1. Uniform language 2. Master patient index 3. Data dictionary 4. Clinical data repository
2
Information in the electronic health record (EHR) may be owned by the patient or stakeholder. Which of the following about the EHR is different than the electronic medical record (EMR)? 1. It does not provide interactive client access. 2. Clients may append information if desired. 3. Dental records components are not included. 4. The EHR records and manages only episodic information.
2
Mrs. Owens has come to the clinic to see the nurse practitioner about her persistent cough. Recently, she was laid off from her job at the retail store and lost all benefits. She has had a fever and chills for several days. As the nurse begins the assessment, Mrs. Owens begins to cry and says: "I have no money to pay for medicine or this visit. Please do not order an antibiotic, because I cannot pay for it." The nurse's best response would be which of the following? 1. "I understand your concerns, Mrs. Owens. I have free medicine from donors to give you." 2. "I understand your concerns Mrs. Owens. It looks like you will qualify for Medicaid benefits." 3. "Don't worry Mrs. Owens, I won't prescribe an antibiotic." 4. "Mrs. Owens, perhaps you can be seen in the emergency department. They can give you free antibiotics."
2
On October 1, 2013, the federal government will implement the mandatory transition to the International Classification of Diseases, Tenth Revision (ICD-10). Of the following responses, which is the most reasonable rationale for the upgrade? 1. The ICD-10 is an easier method of coding to use in a complicated health care delivery system. 2. The ICD-10 transition is to better manage the quality of health care data through more precise and accurate diagnostic coding. 3. The ICD-10 initiative is to ensure improved patient outcomes. 4. The ICD-10 has been designed to improve the collection of data at the point of care.
2
Which of the following statements about meaningful use is correct? 1. Meaningful use will provide invaluable information that will define the numbers of staff members needed at the bedside. 2. Meaningful use will provide invaluable information that will improve patient outcomes and population health changing many current practices as we transform our health care delivery system. 3. Meaningful use is an ongoing process and not an issue associated with the EHR. 4. Meaningful use is an issue that must be addressed before implementing any upgrade.
2
Which of the following statements is the best response when a health care provider is asked by a patient to be their "friend" on Facebook? 1. "Great idea. I would love to keep in touch with you." 2. "I am flattered that you want to be my friend, but it is not appropriate for me to 'friend' you on Facebook." 3. "Absolutely, I 'friend' all of my former patients." 4. "Why would you want to be my friend? Are you lonely?"
2
Health Level Seven (HL7) standards are not the only standards that are evolving to fit the changing health care model. What other organizations are instrumental in supporting the development of standards and helping to define data exchange? Standard Text: Select all that apply. 1. Department of Defense 2. Centers for Medicare and Medicare Services 3. National Science Foundation 4. Institute of Medicine 5. American Medical Informatics Association
2,3,4,5
Electronic medical record (EMR) result reporting and data repository components include unstructured data. Which of the following are examples of unstructured data? Standard Text: Select all that apply. 1. Automated laboratory results 2. History and physical 3. Consultation findings 4. Magnetic resonance imaging 5. A social services text report
2,3,5
The term interoperability is used when discussing the large scale electronic exchange of health care information across enterprises for the purpose of accessing and maintaining longitudinal health records. The term interoperability is understood to mean which of the following? Standard Text: Select all that apply. 1. Has the ability to exchange the structure of the data, but not the meaning of data 2. Has the ability to exchange the structure of data and meaning of data 3. Has the ability to exchange the meaning of data, but not the structure of data 4. Is the ability of two entities, whether human or machine, to exchange and use data 5. It is accurate to use the term interoperability interchangeably with the term interface
2,4
President Obama signed into law on March 23, 2010, The Health Care and Education Reconciliation Act of 2010 (Pub.L.111-152, 124Stat.1029), which amended the Patient Protection and Affordable Care Act (PPAC) and further strengthened the federal grip on health care regulation in the United States. Which of the following statements best reflects the intentions of the act? 1. The health care of children under the age of 15 will be covered by local government funds. 2. Veterans from the Iraq War will have all health insurance benefits excluding dental. 3. The act guarantees health insurance for every citizen. 4. The act moves regulation of federal health insurance to the state levels.
3
The Patient Protection and Affordable Care Act of March 2010 (PPACA) Section 1561 will, when fully activated by 2014, extend affordable health care to an estimated 32 million more people. Which of the following is not a financial impact of the Act? 1. A need for increased supplies 2. The need to hire more staff 3. The need to monitor patient outcomes 4. The need to hire additional health information technology (HIT) coordinators
3
The master patient index (MPI) is a database that lists all identifiers assigned to one client in all the information systems used within an enterprise. It assigns a global identification number for each client and allows clients to be identified by demographic information provided at the point of care. When the MPI cannot match a client's record based on demographic data, what is provided to the user? 1. The data dictionary resources 2. Non-citizen information so that the user may find a different identifier 3. All possible matches so that the user may view and select 4. The Social Security number
3
The ratification of the Title XVIII and Title XIX Acts in 1965 led to which of the following? 1. The GI Bill 2. State informatics and licensing agencies 3. Medicare and Medicaid 4. Welfare benefits
3
The role of the informatics nurse is important to the success of the implementation of the EHR. Which of the following statements is true about the expanded role of the informatics nurse? 1. The informatics nurse has the responsibility of maintaining the compliance procedures of the health care setting. 2. The informatics nurse has the responsibility of analyzing the coding system. 3. The informatics nurse has the responsibility to serve as the liaison between physician and patient and physician and agency. 4. The informatics nurse has the responsibility of creating meaningful use policies.
3
The timely flow of information is critical to institutional survival. Which of the following statements about interfaces is accurate? 1. Interfaces use an open systems technology provided by the vendor. 2. Interfaces require installation of a Health Level Seven (HL7) device. 3. Interface connections between different information systems are invisible to the user. 4. Interfaces physically join two or more disparate information systems.
3
There has been an impact of the Health Insurance Reform Act, also known as The Patient Protection and Affordable Care Act, on system use and design. Which of the following actions was enacted upon the president's signature? 1. Young people can remain on their parents insurance until 24 years old. 2. Children with preexisting conditions are no longer covered. 3. New plans must offer free preventive care. 4. There are lifetime limits on benefits.
3
Which of the following is a major component of the computer-based patient record (CPR)? 1. Results reporting including unstructured data reports 2. Legal record created in hospitals and ambulatory environments 3. Support for links to local or remote information resources 4. Integration of all pertinent patient information into one record
3
Which of the following statements is true about the do-not-pay list? 1. If a patient develops a complication, Medicare will reimburse for all services. 2. If a patient develops complications, Medicaid will reimburse for all services. 3. If a patient has certain complications during the hospital stay, Medicare will not reimburse the hospital at the higher rate for the treatment. 4. If a patient develops a preventable complication, Medicare will demand the immediate transfer of the patient to a different health care setting.
3
Personal health record (PHR) security issues relate to HIPAA and physical security of data. HIPAA only covers PHRs provided by covered entities such as health plans, health care clearinghouses, and providers. No governmental coverage exists for other sites unless it is at the state level. To avoid these types of breaches, the American Health Information Community's consumer empowerment working group made a recommendation. Which of the following was recommended for PHRs in order to avoid breaches? 1. Deletion of sensitive data 2. Educating the general consumer about PHRs 3. Restricting the number of authorized users 4. A PHR certification process
4
The EHR offers benefits to nurses, physicians, and other health care providers, the health care enterprise, and most importantly, the consumer. Much must be done before the benefits associated with the EHR can be realized. Which of the following is one action that has been proposed by experts? 1. Health care professionals should institute major changes in the way they work. 2. Consumers need education to choose providers based upon appropriate financial and insurance considerations. 3. Individual consumers should have lesser responsibility for data. 4. Government intervention should promote information exchange among software vendors and health care systems.
4
The goals of implementing the EHR in all health care systems are fraught with a number of roadblocks. The largest barrier facing most institutions is which of the following? 1. The lack of fully trained professional staff 2. A technology committee that cannot agree on the institution's needs 3. Indecision regarding the choice of vendors 4. Cost
4
The impact of the mandated technology use has created change throughout the health care community. How has the Affordable Health Care Act affected nursing? 1. Nursing professionals will spend more time at the computer and less time at the bedside. 2. There will be surge in applications for certified nursing assistant positions. 3. There will be a decreased need for point-of-care nurses. 4. There will be an increased need for nurse informatics specialists.
4
Web-based tools can provide benefits of an alternative method for obtaining patient information from diverse information systems. Which of the following is accurate regarding recent advances toward interoperability? 1. The framework has been built and is in place. 2. National priorities will be set within the next five years. 3. Data exchange standards need to be developed. 4. Interoperability of electronic health data will be costly.
4
Which is the most accurate statement about Second Life? 1. Second Life has a single spot on the Internet and is easy to find. 2. Second Life is a gathering place where residents have housing built for them. 3. The focus of Second Life is not to build a community but to define an individual's place in the virtual world. 4. Second Life is an immersive world that fosters creativity.
4
Which of the following statements is true about the benefits of the electronic health record (EHR)? 1. It improves the quality of health care. 2. Health care executives have developed strong organizational structures around the EHR. 3. The EHR fosters continuity of health care. 4. Little scientific evidence now exists on what benefits are actually delivered.
4
With the onslaught of electronic mail in professional boxes, nurses must be cognizant of the impact on which of the following? 1. Patient knowledge 2. Patient diagnosis 3. Patient outcomes 4. Patient privacy
4
The computer-based patient record (CPR) is a comprehensive lifetime record that includes all information from all specialties. The Institute of Medicine (IOM) identified major components of the CPR that are considered to be the "gold standard" attributes. Which of the following are CPR components? Standard Text: Select all that apply. 1. Lack of confidentiality 2. Direct entry for physicians will be available 3. Tools cannot measure cost 4. Provides sporadic access to data 5. Provides a patient problem list
5
The_____________________ focuses on making available to individual registered nurses and organizations where nurses practice resources for pursing excellence in practice.
American Nurses Credentialing Center