INfo exam 4 17, 19, 20-22

A nurse is reading a journal article about electronic health records and how they can fill in the gaps between evidence and practice. Which benefits would the nurse most likely read about? Select all that apply. P. 270 A) Monitoring quality improvement outcomes B) Encouraging client partnering with the healthcare provider C) Providing information about controlled clinical trials D) Identifying information that can affect clinical outcomes E) Allowing implementation after extensive long-term knowledge discovery

A, B, C, D, E

A committee is working on stage 1 core objectives for meaningful use. Which would the committee be most likely to address as menu objectives at this stage? Select all that apply. P. 275 A) Implementing drug formulary checks B) Creating client lists by condition for quality improvement C) Recording client notes electronically D) Reporting cancer cases to public health cancer registry E) Being able to submit electronic syndrome surveillance data

A, B, E

A nurse is preparing a presentation to a group of staff members comparing paper and electronic documentation. Which weaknesses of paper records would the nurse include? Select all that apply. P. 271-72 A) Legibility B) Lack of a backup system C) Difficult to transport D) Slowness in charting E) Easily damaged

A, B, E

A group of nurses are involved in a lively debate about the strengths and weakness of paper documentation. Which statements would the group use to defend the position for using paper documentation? Select all that apply. P. 271 A) "Paper records are easily transported." B) "Paper records are much more complete." C) "Paper records are quick to retrieve."

A, C

A nursing informatics specialist has been asked to prepare a presentation for a group of staff nurses about an electronic documentation system that is being implemented in the facility. Which features would the nurse specialist include as promoting continuity of care? Select all that apply. P. 272 A) Ability to have real-time documentation B) Inclusion of an audit trail about detailed record access C) Use of decision support systems and alerts D) Ability to obtain trends about practice E) Ability for instant communication among providers

A, C, E

A nursing informatics specialist is working as part of a group that is tasked with addressing the core objectives for meaningful use. The group is addressing stage 2 objectives. Which objectives would be addressed? Select all that apply. P. 275 A) Using secure electronic messaging to communicate with clients B) Providing clinical summaries for each office visit C) Protecting electronic health information D) Including clinical lab test results in the HER E) Performing medication reconciliation

A, D, E

An agency is selecting a healthcare information system that includes a collection of systems already interfaced. Which did the agency use? P. 294 A) Best-of-breed approach B) Integrated interface approach C) Integrated enterprise system

B

The use of which method would be most effective in providing data protection from entry by outsiders? P. 311 A) Audit trail B) Firewall C) Spear phishing

B

A nurse is attending a seminar on distance learning. Which use would the nurse expect to hear as the most common for this method? P. 341 A) Degree programs B) Certification C) Continuing education

C

A nurse is describing telehomecare to a group of clients, incorporating the knowledge that this method of care is cost-effective because: p. 323 A) it provides care in the comfort of the client's home. B) it promotes self-management for clients with chronic illnesses. C) it allows early detection, reducing the need for unnecessary emergency visits

C

A clinical nurse specialist is developing a teaching plan for new mothers on a maternal-newborn nursing unit. The nurse is incorporating educational software with computerized video clips, slide presentations, illustrations, and quiz questions developed by nurse experts in the field. The information can be changed in many ways to address the clinical nurse specialist's needs. Which type of instruction is the clinical nurse specialist using? P. 342 A) Computer-aided instruction B) Computer-based learning C) Learning management system D) Learning content management system

D

A nursing informatics specialist is describing the use of health information technology to meet national safety goals to a group of nurse managers. The nurse specialist determines that the group needs additional teaching by which statement? Allen said A) "Barcodes aid in meeting the required two client identifiers for improved client safety." B) "Agencies are using barcode identification for one-person identification and blood transfusion." C) "Clinical decision support systems could alert providers of critical lab values." D) "Alarms should be used on all devices to ensure prompt response to safety issues."

D

A nursing informatics specialist is talking with a group of agency administrators about implementing telehealth services. When discussing the issue of reimbursement for such services, which aspect would be most important for the nurse specialist to include? P. 330 A) Most telehealth services are paid for by clients as out-of-pocket expenses. B) Reimbursement is fairly consistent across the different insurers. C) Little progress has been made in reimbursement policies. D) Reimbursement is a large barrier to widespread adoption of telehealth

D

After reviewing information about the benefits of electronic health records, a nurse demonstrates understanding of the information by identifying which as one of the most important benefits? P. 273 A) Continuity of care B) Privacy C) Analyzable information D) Improved quality

D

An electronic documentation system will be implemented in an agency. As part of the process, the staff is receiving education about the system and the overall benefits. Which benefit would be mentioned as the most important? P. 273 A) Availability of an audit trail for information B) Decreased decentralization of the healthcare delivery system C) Enhanced ability to extract information D) Improvement in client care outcomes

D

When describing the various biometric methods for authentication, which method would the nursing informatics specialist identify as most secure? P. 317 A) Fingerprint B) Voiceprint C) Retinal scan D) Iris scan

D

While talking with a client, a nurse determines that the client is participating in real-time telehealth based on the understanding that this involves: p. 322 A) stored images sent for interpretation at a later time. B) asynchronous transmission of clinical data. C) affordable method for practice in rural communities. D) same-time interaction of the client and provider via video

D

A nurse is using an electronic clinical documentation system and enters the client's pulse rate. Which display would the nurse expect to see if the value is considered abnormal? P. 297 A) The value as a different color B) An asterisk placed before the value C) The block for the value shaded

A

A nursing informatics specialist is describing meaningful use of electronic health records to a group of newly hired nurses at the facility. Which requirement would the nurse specialist include? P. 274 A) An interoperable healthcare information system B) Computer literacy C) Incentives to foster adoption

A

A nurse is working as part of a committee involved in creating passwords for the healthcare agency's network. Which password would be the strongest? P. 316 A) Nursing B) NuRs1N9gY C) 1234567

B

Which device would most likely be used with store-and-forward technology? P. 322 A) Telephone B) Digital camera C) Videoconferencing

B

A nurse is working on a committee involved in adopting electronic healthcare systems for the agency. Currently, the agency has clinical documentation, a clinical decision support system (CDSS) with error checking, and a picture archive and communication system (PACS) in place. The committee determines that the agency is at which stage of adoption? P. 306 A) Stage 0 B) Stage 1 C) Stage 2 D) Stage 3

D

. A nurse is reading a journal article about teletrauma care. Which description would the nurse most likely find? P. 329 A) Use of trauma care experts for second opinions B) Trauma specialist guiding trauma care via video C) Emergency care provided via robotics

A

A group of nurse managers are discussing the possible use of a virtual reality for the unit staff to promote skill learning and training. The nurse managers would need to address which aspect of this type of learning before implementing the program with the staff? A) Navigating the virtual world B) Creating an avatar C) Developing broad goals

A

A nurse is participating in an e-learning program to achieve certification. Which action would be most important for the nurse to do to achieve success with the program? P. 343 A) Provide feedback about the electronic instruction B) Rely firmly on the instructor C) Keep appropriate records from the course

A

A nurse manager is reading a report that describes the Physician Quality Reporting System. The nurse manager would expect to find which concept associated with this system? P. 294 A) Provision of financial incentives to fee-for-service providers for cost-effective, high-quality care B) Payment for the quantity of clients served along with the number of resources that were consumed C) A focus on decreasing client care costs by decreasing the length of stay in an agency

A

A nurse using a clinical information system is required to document the same data in more than one area because the data do not "flow over" to the other areas and the data fields are not universally designed. Which component is lacking? P. 309 A) Interoperability B) Intangibles C) Return on investment

A

A nursing informatics specialist is describing the benefits of electronic records to a group of facility administrators. The nurse specialist would address which aspect as resulting from searchable and analyzable information? P. 273 A) Creation of knowledge for informed practice B) Immediate communication with other providers C) Improvement in scheduling of diagnostic tests

A

A nursing informatics specialist is working as a member of a committee tasked with managing client flow. A review of the agency's data indicates that clients are spending too much time in various departments, especially the emergency department. To help address this issue, the committee suggests implementing a tracking system in the emergency department to ensure that the time a client spends in the emergency department is less than: P. 301 A) 4 hours. B) 5 hours. C) 6 hours

A

A nursing informatics specialist is working as part of a group that is working with an agency that is transitioning from the paper record to the electronic record. The nurse identifies that the agency is currently at stage 3 of the adoption model because: P. 306 A) flow sheets for clinical documentation are in place. B) closed loop medication administration is integrated. C) computerized provider order entry is in used

A

When describing meaningful use, which statement would be most appropriate to include? P. 274 A) Use of information from EHRs to improve healthcare delivery B) A way to provide a picture of a client's health information C) A means for providing a common structure for clinical documents

A

When describing the electronic medication record (eMar) to a group of new nurses, the nurse manager would include which aspect as a required necessity for implementation? P. 299 A) Computerized provider order entry B) Positive patient identifier C) Picture archiving and communication system

A

When developing a plan for workflow redesign and the use of computerized documentation, which item would be the first thing to consider? P. 310 A) The number of computers needed B) Location of the computers C) Wheeled or bedside type of computer

A

When reviewing the core standards for telemedicine operations, which example would a nurse identify as a clinical standard? P. 331 A) Nursing practice standards of care B) Health Insurance Portability and Accountability guidelines C) Network connectivity standards

A

Which statement best reflects the status of the adoption of electronic records in the United States? Allen said A) Over half of the hospitals have at least a basic EHR system. B) Security for sharing electronic health information is still low. C) Adoption of electronic health records has plateaued over the past 5 years.

A

17. A nurse is participating in an online course and uses the course materials at various times that are convenient for her. The nurse is using which type of learning? P. 338 Allen said A) Streaming video B) Asynchronous C) Blended

B

A nurse is creating a password for use in accessing the healthcare information system in the agency. Which action would be most appropriate for the nurse to do in creating this password? P. 316 A) Select mostly lowercase letters B) Select a combination of letters and numbers C) Use numbers sparingly

B

A nurse is interested in e-learning opportunities and asks the nursing informatics specialist for advice. Which response by the nurse specialist would be most appropriate? P. 344 A) "Online learning activities are nice but they are costly." B) "You need to be motivated and disciplined with this type of learning." C) "Unless you are really skilled in computer technology, it's not for you."

B

A nurse is participating in an online certification course and is preparing to take the exam. According to the program, the exam uses computerized adaptive testing. The nurse understands that this type of exam: p. 352 A) primarily focuses on true-false type questions. B) provides subsequent questions on previous responses. C) involves hands-on skill testing.

B

A nurse is preparing a presentation about various telehealth practices for a group of nurses in the community. Which description would the nurse include about e-intensive care (e-ICU)? P. 328 A) They require minimal planning for execution. B) Workflow typically requires redesign. C) Enhanced communication results

B

A nurse is preparing an in-service program for staff nurses and is designing learning activities for the group. The nurse wants to focus on the highest level of learning. The nurse includes activity to achieve this goal? P. 340 A) Tutorials B) Case studies C) Animations

B

A nurse is reading a journal article about the use of healthcare information systems. The article is discussing financial systems and mentions that these systems are mission critical. The nurse interprets this to mean these are: P. 296 A) most important to implement. B) essential to the organization's existence. C) necessary for use of other information systems.

B

A nurse is reading an article about a surgeon who uses a combination of robotics and virtual reality along with special gloves and audio and video technology to perform surgery by manipulating surgical instruments at a remote site. The nurse is reading about: p. 322 A) store-and-forward technology. B) telepresence. C) real-time technology

B

A nurse is reviewing a client's electronic health record. Based on the nurse's understanding of data standards, which would the nurse identify as defining what data are shared? P. 270 A) Clinical Document Architecture B) Continuity of Care Document C) Health information system

B

A nurse is using passive RFID to administer medication to a client. Which barcode would the nurse scan first? P. 299 A) Medication barcode B) Nurse's ID badge barcode C) Client's armband barcode

B

A nurse who is attending a graduate educational program is referred to a Multimedia Educational Resource for Learning and Online Teaching (MERLOT) site as an excellent source for learning resources. The nurse would expect to find: P. 353 A) hundreds of learning activities. B) access to other digital libraries. C) no membership requirement

B

A nursing informatics specialist is conducting a program for agency staff about telehealth. Which aspect would the nurse specialist include as a benefit of this technology? P. 330 A) Increased travel time B) Increased productivity C) Increased face-to-face in-person client contact

B

When adopting the electronic healthcare record (EHR), which aspect would be considered the ultimate goal? P. 307 A) Sharing of information B) Client as the most important focus C) Cost-effectiveness

B

Which example demonstrates innovative reimbursement incentives being used to reward quality care? P. 294 A) Certification Commission for Healthcare Information Technology B) Physician Quality Report System C) HIMSS Analytics

B

Which statement would best describe the use of portable monitoring devices used in telehealth? P. 324 A) Most require access to a wireless connection. B) Many devices involve a touch screen for assessment. C) E-mail is used to address client education needs.

B

While working as a member of a group tasked with addressing meaningful use with electronic data, the group has met the criteria for stage 1 and is now moving onto stage 2. Which action would now become a focus for the group? P. 275 A) Recording smoking status for those 13 years of age and older B) Submitting electronic data to immunization registries C) Transmitting prescriptions electronically

B

Which component is associated with HIPAA law? Select all that apply. P. 276 A) Outcomes B) Privacy C) Client engagement D) Security

B, D

As part of the facility orientation, a nursing informatics specialist is describing the different types of client records to a group of newly hired nurses. Which facts would the nurse specialist include when describing electronic medical records (EMRs)? Select all that apply. P. 269 A) The client owns the data. B) It is an electronic version of the traditional record C) The EMR is transportable. D) It provides a connection between the EHR and ePHR. E) A client can have many EMRs.

B, E

11. A nurse is reading an article about the use of robotics and telehealth. Which outcome would the nurse expect research on this technology to reveal? P. 329 A) Increased response time B) Increased length of stay C) Improved client outcomes D) Increased costs

C

A client asks the nursing informatics specialist about the various wellness apps that are available. Which response by the nurse specialist would be most appropriate? P. 325 A) "The apps are usually quite expensive." B) "Your healthcare provider should prescribe one for you." C) "Not all the apps have been approved by the FDA."

C

A group of faculty from a local college of nursing are thinking about implementing an e-learning program involving fundamental skills for their students. An nursing informatics specialist is describing the advantages and disadvantages of e-learning programs to the group. The nurse specialist determines that the faculty members understand the information when they state: p. 344 A) "The learners will need to sign up for a time to use the program." B) "The programs are usually free of technological glitches." C) "The learners can set our own pace for learning with the program."

C

A group of nurse managers are working to develop a refresher course for staff nurses in cardiopulmonary resuscitation and want to use a high-fidelity patient simulator. The nurse managers decide this is the best method for teaching the staff for which reason? P. 346 A) Cost of the program is less than that for an online training program. B) Minimal time is needed for instructor training. C) Realistic learning helps to promote performance.

C

A group of nurses are putting together a proposal for the use of active RFID for medication administration. Which benefit would the nurses most likely cite as key? P. 300 A) Decrease in medication errors B) Improved client safety C) Decrease in disturbing clients

C

A nurse is preparing to access a client's electronic record. The system verifies that the nurse is the person logging into the system and grants access to the information. This process is known as: P. 316 A) phishing. B) biometrics. C) authentication.

C

A nurse is working on a committee that is involved with electronic documentation. The committee is currently working on stage 1. On which action would the committee be focusing? P. 274 A) Advanced clinical processes B) Data analysis for improved care C) Data capturing and sharing

C

A nurse manager is preparing a presentation for a group of new nurse managers about clinical documentation systems and using aggregated data. Which information would the nurse manager include about how the nurses could use of this type of data? P. 298 A) Identify trends for an individual client B) Confirm decision making as correct C) Determine best practices

C

A nursing informatics specialist is conducting a presentation about the electronic medical record (EMR) to a group of facility staff. Which statement would the nurse specialist most likely include when describing the EMR? P. 269 A) The EMR is transportable. B) The data in the EMR are owned by the client. C) It describes the care rendered during an agency visit.

C

A nursing informatics specialist is conducting a seminar for agency staff about the benefits of a fully integrated electronic health record. The nurse specialist determines the need for additional teaching when the group identifies which aspect as a benefit to the client? P. 308 A) Individualized treatment B) Ability to check the record's accuracy C) Capability of decision support

C

A nursing informatics specialist is conducting a seminar on the need for uniformity in user design for data entry screens based on the understanding that: P. 309 A) most healthcare providers involved in the design process have background knowledge. B) database design skills are common in those serving on EHR committees. C) most providers approach user design using a paper chart thinking process

C

A nursing informatics specialist is describing the similarities and differences between the two types of radio frequency identification (RFID) to a group of agency administrators. Which type would a nursing informatics specialist include as being associated with the passive type? P. 317 A) Increased cost B) Read-write capability C) Readable from a distance of 1 to 10 feet

C

An administrative group at an agency involved in adopting healthcare information technology is developing a strategic plan. Which component would they include? P. 307 A) Plan that covers 2 to 3 years B) Structured guide that does not change C) Expenditures offset by client outcome benefits

C

An educational software program has been developed to sharpen the skills of the nursing staff. The program incorporates a set of fill-in-the-blanks and true/false questions. These activities would promote development of: p. 340 A) synthesis. B) application. C) knowledge.

C

Technical standards for telehealth and telemedicine would include: P. 331 A) the HIPAA. B) research protocols. C) systems for network connectivity

C

The hospital has installed a clinical information system. Which would a nurse identify as a core information system? P. 296 A) Electronic medication administration record B) Computerized provider order entry C) Ancillary system

C

When developing learning outcomes, which action would be best to use to signify the highest level of learning? P. 340 A) Demonstrate B) List C) Create

C

A group of nurses are reviewing information related to the Health Information Technology for Economic and Clinical Health (HITECH) Act. The group demonstrates understanding of this act when they identify which examples as core objectives for supporting healthcare during stage 1? Select all that apply. P. 275 A) Performing medication reconciliation B) Including clinical lab test results in the EHR C) Using computerized provider order entry D) Using a clinical decision support rule

C, D

A group of nurses are attending an in-service program on computerized documentation. Which benefit would the group expect to hear as the major impact of using a computerized provider order entry (CPOE) system? P. 298 A) Time savings B) Cost-effectiveness C) Enhanced understanding D) Improved client safety

D

A new graduate nurse is working at a facility that uses electronic documentation. The nurse has questions about the policies and procedures related to data security. The nurse would identify which person as being responsible for the policies and procedures related to data security? P. 277 A) Nurse manager B) Nursing informatics specialist C) Client's primary care provider D) HIPAA security officer

D

A nurse is reading a journal article about syndromic surveillance. The nurse would expect the article to describe this concept as: P. 313 A) meeting the Joint Commission's client safety goals. B) identifying unintended consequences of healthcare technology. C) a way to measure quality of care and client outcomes. D) providing early detection of potential disease

D

EHR certification is use for which purpose? P. 295 A) Identify quality measures B) Provide financial incentives C) Reinforce ethical basis for improved care D) Ensure interoperability

D