EAQ 4 - Informatics

Which statement about Healthcare Effectiveness Data and Information Set (HEDIS) needs correction?

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

Which professional organizations work towards identifying nursing informatics competencies? Select all that apply. One, some, or all responses may be correct.

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

The nursing student has enrolled in a Public Health Informatics (PHI) fellowship program. Which concept would the student expect to learn in this program? Select all that apply. One, some, or all responses may be correct.

> Designing new tools for biosurveillance > Developing online analytic processing tools > Methodologies for determining outbreak response

Which element, if missing from a newly admitted client's medication administration record (MAR), makes the record incomplete?

Allergies

Which radiographic test would be used to view the entire skeleton?

Bone scan

Which Quality and Safety Education for Nurses (QSEN) competency would the nurse address when sending email reminders to the community about vaccines and regular diabetic checkups?

Informatics

Which organization assists in establishing policies related to Medicare and Medicaid payment for meaningful use of electronic health records (EHRs)?

Center for Medicare and Medicaid Services (CMS)

Which specific responsibility does the nurse have when working for an organization that has Magnet status?

Collecting data for comparison against a national level

Which test provides information on bladder capacity, bladder pressure, and voiding reflexes?

Cystometrography (CMG)

Which test result would the nurse use to determine whether the daily dose is therapeutic when a client with a venous thrombosis is receiving warfarin?

International Normalized Ratio (INR)

Which objective was the goal of the Executive Order Incentives for the Use of Health Information Technology and Establishing the Position of the National Health Information Technology Coordinator?

Develop a nationwide health information technology system

The nurse witnesses a visitor have a syncopal episode and collapse on the floor. After providing initial care, maintaining the visitor's safety, and providing report to the charge nurse, which action would the nurse take next?

Document the incident.

The nurse working in a cardiac center is preparing to enter client data using health information technology. The nurse needs to refer to these data during subsequent follow-up client visits. Which type of record would the nurse use to enter the client's data?

Electronic medical record (EMR)

Where will the nurse place the V 1 lead when obtaining a 12-lead electrocardiogram?

Fourth intercostal space, right sternal border

Which database would the nurse use to find studies related to allied health sciences?

MEDLINE

Which record may the nurse use to document information specific to the client's health in a story-like format?

Narrative documentation

Which component is a subset of clinical health care informatics?

Nursing informatics (NI)

Which lobe of the brain would the nurse conclude is affected in a client unable to differentiate between heat or cold and sharp or dull sensory stimulation after a cerebrovascular accident (CVA)?

Parietal

After noting 12 mm of induration at the site of a tuberculosis skin test (TST) in a client with no tuberculosis risk factors, which information would the nurse give the client?

The result is negative, and follow-up is not needed.

Which term would the nurse use to document the rhythm when a client's cardiac rhythm strip shows more P waves than QRS complexes and there is no relationship between the atria and the ventricles?

Third degree AV block (complete heart block)

Which example illustrates public or population health informatics? Select all that apply. One, some, or all responses may be correct.

> Global health informatics > Community health informatics

Which information would the nurse document in the medical record regarding a client's reported allergies? Select all that apply. One, some, or all responses may be correct.

> Medication names > Type of allergic reaction > Epinephrine (EpiPen) use for allergic reaction

Which information would the nurse provide to clients regarding benefits of electronic health records (EHRs)? Select all that apply. One, some, or all responses may be correct.

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

Which action by the student nurse may inhibit clients from disclosing personal information?

Sharing clients' data with family members

The nurse uses a visual analogue scale to rate the pain experienced by a client receiving oxycodone therapy. Which terminology would the nurse use to enter the visual analogue scores in the client's electronic health record (EHR)?

Omaha System

Which statement demonstrates understanding of a computer-based client information system?

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

Through which organization can a registered nurse apply for certification as an informatics nurse?

American Nurses Credentialing Center

Which technology will be used for the treatment of electrical burns?

Hyperbaric oxygen therapy

Which objective was the underlying purpose of the national health information technology infrastructure that originated from the executive order Incentives for the Use of Health Information Technology issued by President George W. Bush in 2004?

Improves the quality, safety, and efficiency of health care

When the health care facility uses cardiac telemetry for a client, to which Quality and Safety Education for Nurses (QSEN) competency would this intervention adhere?

Informatics

A client with diabetes mellitus experiences a sudden fall in blood glucose levels while traveling by air. The client is not carrying any medications or a copy of a personal medical ord. Which type of health information technology would be beneficial for this client?

Personal health record (PHR)

Which role is a component of cognitive science in health informatics?

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

How does the International Classification of Nursing Practice (ICNP) help nurses deliver effective care to clients?

Provides vocabulary to include nursing data in computerized information systems

A client from China is referred to the National Cancer Institute in the United States for the treatment of a brain tumor. Which type of health information technology oversees the exchange of the client's health information among the client's health care providers and between the two countries?

Regional Health Information Organization (RHIO)

Which record would the nurse use to record client data from admission through discharge?

Source record

Which conclusion would the nurse suggest after identifying 12 mm of induration at the site of a client's tuberculin purified protein derivative (PPD) test?

The result indicates a need for further tests and a chest x-ray.

Which action would the nurse take to minimize ambiguity and confusion when entering a client's data in the electronic health record?

Use consistent, codified terminology