Chapter 23 Nursing Informatics

A nurse manager is lecturing staff nurses on the barriers to the full integration health information technology. The nurse manager judges the teaching to be effective when a staff nurse states: (Select all that apply.) a. "Barriers include lack of standardization across care areas." b. "A barrier to the full integration is funding." c. "Currently there are no barriers." d. "A current barrier is privacy laws." e. "Barriers to full integration are not likely to be overcome."

A, B, D "Barriers include lack of standardization across care areas." "A barrier to the full integration is funding." "A current barrier is privacy laws."

How does the IN/INS use HIPPA regulations and TJC requirements in daily practice? (Select all that apply.) a. Investigation of violations b. Writing of policies c. Involvement in the discipline process d. Writing of procedures e. Managing the nursing unit

A, B, D Investigation of violations Writing of policies Writing of procedures

A nurse is preparing to graduate with a degree in nursing informatics. The nurse is explaining career options to friends. The nurse understands the options when stating: (Select all that apply.) a. "I can work alongside engineers as they create new products." b. "I can work for a consulting firm and specialize in workflow improvement." c. "I cannot work for third-party payers." d. "I do not have the option of working for the government." e. "I am excited to work for an educational institution."

A, B, E "I can work alongside engineers as they create new products." "I can work for a consulting firm and specialize in workflow improvement." "I am excited to work for an educational institution."

Which action by the nurse incorporates standard practice for protecting patient privacy on mobile devices? (Select all that apply.) a. Keep careful physical control of the device at all times. b. Avoid use of mobile devices. c. Use a password and a time-out to authenticate the re-activation. d. Enable encryption. e. Keep security software up to date.

A, C, D, E Keep careful physical control of the device at all times. Use a password and a time-out to authenticate the re-activation. Enable encryption. Keep security software up to date.

The nurse has adequate understanding of HIPAA when stating that the major impact from this privacy regulation is in (Select all that apply.) a. "health information privacy law." b. "bedside nursing care." c. "nursing report communication." d. "data security standards." e. "electronic transaction standards."

A, D, E "health information privacy law." "data security standards." "electronic transaction standards."

The nurse manager is teaching a new nurse about computer monitoring on a telemetry unit. The nurse manager judges the teaching to be effective when the new nurse states: a. "Computer monitoring provides continuous streaming of data that allows nurses to respond to patient changes quickly." b. "Computer monitoring provides for continuous around-the-clock direct observation of patients." c. "Computer monitoring improves documentation of patient care." d. "Computer monitoring reduces the need for additional nurses to provide patient care."

A. "Computer monitoring provides continuous streaming of data that allows nurses to respond to patient changes quickly."

Which statement by the nurse indicates understanding of general systems theory in regards to nursing informatics? a. "General systems theory organizes interdependent parts that, when working together, can produce a product that none used alone could produce." b. "General systems theory provides theory support for a system that maintains confidentiality when handling patient data and information." c. "General systems theory incorporates external databases from state agencies to allow for performance comparison within a specific institution." d. "General systems theory is a nursing theory regarding the use of nurse informatics to integrate the systems within health care for support of nursing education and practice."

A. "General systems theory organizes interdependent parts that, when working together, can produce a product that none used alone could produce."

A nurse is self-educating on the role of the informatics nurse/informatics nurse specialist. The nurse has an adequate understanding when listing which as a primary success indicator? a. "Making sure that information technology did no harm to the patient." b. "There were no primary success indicators listed for the IN/INS." c. "There are not enough data on primary success indicators for the IN/INS role." d. "Primary success indicators include excellence in bedside patient care."

A. "Making sure that information technology did no harm to the patient."

Which statement by the nurse is true regarding the focus of nursing informatics? The focus of nursing informatics a. "is to improve patient care with health care technology." b. "is to improve patient care by increasing health care expertise." c. "is to improve patient care by improving nursing performance." d. "is to improve patient care by allowing the patient access to medical records."

A. "is to improve patient care with health care technology."

What are examples of regulatory agencies that will affect health care policy with regard to informatics? a. Health Insurance Portability and Accountability Act (HIPAA) b. American Nursing Credentialing Center (ANCC) c. American Nurses Association (ANA) d. Medicare/Medicaid authorization

A. Health Insurance Portability and Accountability Act (HIPAA)

The nurse understands the benefits of Computerized Provider Order Entry (CPOE) when stating: a. "CPOE does not change the process of patient care." b. "CPOE averts problems with hand-written orders." c. "CPOE benefits only the nurses in the health care system." d. "CPOE benefits only the pharmacists in the health care system."

B. "CPOE averts problems with hand-written orders."

A nurse is educating students on how to evaluate a website. The nurse judges the teaching to be effective when the students can state: a. "Internet information must go through careful screening before it can be posted." b. "Credibility, accuracy, and reasonableness of the information should be considered." c. "It is important to have the hospital librarian verify the authenticity of the website." d. "Most Internet information can be downloaded or beamed to a smartphone or handheld device (personal digital assistant [PDA])."

B. "Credibility, accuracy, and reasonableness of the information should be considered."

Which statement by the nurse indicates an understanding of the definition of nursing informatics? a. "Nursing informatics is a specialty area of hospital nursing in which management of patient care is done via computers." b. "Nursing informatics is the specialty practice of nursing integrating nursing science with computer science and information science." c. "Nursing informatics includes the input and retrieval of a patient's complete medical history via electronic data." d. "Nursing informatics is an area of computer system design and analysis to provide and retrieve patient health data during the period of hospitalization."

B. "Nursing informatics is the specialty practice of nursing integrating nursing science with computer science and information science."

Which action can the nurse take to evaluate an internet resource? a. Assume that the resource is credible if it is on an internet page. b. Determine if the resource provides evidence for claims made. c. Assess the popularity of the resource. d. Determine the date the resource was published; older material is more reliable.

B. Determine if the resource provides evidence for claims made.

A nurse manager is educating a group of staff nurse on violation of HIPPA standards. The manager judges the teaching to be effective when one of the staff nurses states: (Select all that apply.) a. "Violations of HIPPA standards no longer occur because the consequences are so severe." b. "Violations of HIPPA standards can result in termination of employment." c. "Violations of HIPPA standards can result in an indictment." d. "Violations of HIPPA standards are waived if it is your first offense." e. "Violations of HIPPA standards can result in prison time."

C, E "Violations of HIPPA standards can result in an indictment." "Violations of HIPPA standards can result in prison time."

Which of the following statements indicates the nurses understanding of the difference between the electronic health record (EHR) and electronic medical record (EMR) is: a. "EHR provides nursing with a standardized nomenclature of taxonomy to record nursing care." b. "EMR is the inclusion of only data collected by the patient (personal health record (PHR)." c. "EHR is a longitudinal record of the patient's health information." d. "EMR allows nurses to document nursing care in a system that is intuitive to their level of computer literacy."

C. "EHR is a longitudinal record of the patient's health information."

How can the nurse expect to be impacted by nursing informatics? a. The nurse would not be directly impacted unless he or she worked in nursing informatics. b. Nurses at the bedside are minimally impacted. c. Nurses are impacted by the use of barcode medication administration. d. Nurse managers are the only hospital staff who are impacted.

C. Nurses are impacted by the use of barcode medication administration.

Which statement by the nurse indicates understanding of the General Systems Theory? a. "It is a 5-step process of an individual's decision to adopt an innovation." b. "It is known as a change theory." c. "It includes knowledge, persuasion, decision, implementation, and confirmation." d. "It organizes interdependent parts working together to produce a product that none used alone could produce."

D. "It organizes interdependent parts working together to produce a product that none used alone could produce."

The nurse has an adequate understanding of the informatics nurse (IN) and informatics nurse specialist (INS) when making which of the following statements? a. "The IN/INS does not require any computer or network knowledge on entry into the profession." b. "The IN/INS does not interact directly with clinical staff." c. ""The IN/INS does not need prior knowledge of software or hardware implementation." d. "The IN/INS should be prepared to help with system implementation."

D. "The IN/INS should be prepared to help with system implementation."

The nurse is educating a nursing student on the difference between the informatics nurse and the informatics nurse specialist. The teaching has been effective when the nursing student states: a. "The informatics nurse has a graduate degree." b. "The informatics nurse specialist has experience in informatics but no advanced degree." c. "The informatics nurse supports consumers." d. "The informatics nurse specialist has an advanced degree."

D. "The informatics nurse specialist has an advanced degree."

A nursing student is interested in the field of nursing informatics. What should the student do to prepare for a career in this specialty as a nurse leader? a. Obtain a baccalaureate degree in nursing, b. Complete 5 years on a medical-surgical unit, c. Obtain critical care experience, d. Obtain a graduate degree,

D. Obtain a graduate degree,

What is the importance of using classification systems for nursing nomenclature to describe nursing practice? a. To provide a system to develop and use a patient care management system b. To allow nursing administration to project, define, and implement nursing care policies and guidelines c. To assist the quality control team to survey and gather data that will reflect the acuity classification of patients d. To facilitate collection of consistent data that can be accurately manipulated in an electronic medical record

D. To facilitate collection of consistent data that can be accurately manipulated in an electronic medical record