ATI- Informatics

Which of the following support the integration of informatics into nursing practice to support safety in client care? (Select all that apply) ​1) Embedded medication alerts for side effects in an electronic health care record ​2) Immediate access to digital X-rays ​3) Use of phones that connect directly to an assigned nurse for clients ​4) Integration of telehealth to follow up with clients in rural locations ​​5) Wireless Internet access for clients from the health care facility

1,2,3,4 Embedded medication alerts for side effects in an electronic health care record is correct. This promotes safe, effective nursing care through notifications to prevent medical errors and enhanced communication within and outside the health care facility. ​Immediate access to digital X-rays is correct. This promotes safe, effective nursing care through notifications to prevent medical errors and enhanced communication within and outside the health care facility. ​Use of phones that connect directly to an assigned nurse for clients is correct. This promotes safe, effective nursing care through notifications to prevent medical errors and enhanced communication within and outside the health care facility. ​Integration of telehealth to follow up with clients in rural locations is correct. This promotes safe, effective nursing care through notifications to prevent medical errors and enhanced communication within and outside the health care facility.

A nurse needs to determine the use of technology as an assistive device to facilitate discharge teaching for a client. Which of the following represents an appropriate application of technology in this situation? (Select all that apply) 1) Using translation software for a Spanish-speaking client who has a new diagnosis of acute renal failure ​2) Providing instruction for access to the facility's free wireless Internet ​3) Supplying the link to a website with a video demonstrating home care for a client after a knee arthroplasty ​4) Explaining the use of automatic email reminders to increase medication compliance ​5) Accessing an iPad to review side effects of medications with a client

1,3,4,5 ​Using translation software for a Spanish-speaking client who has a new diagnosis of acute renal failure is correct. ​Supplying the link to a website with a video demonstrating home care for a client after a knee arthroplasty is correct. This facilitates nurse and client communication regarding discharge teaching through integration of technology. ​Explaining the use of automatic email reminders to increase medication compliance is correct. This facilitates nurse and client communication regarding discharge teaching through integration of technology. ​Accessing an iPad to review side effects of medications with a client is correct. This facilitates nurse and client communication regarding discharge teaching through integration of technology.

Which of the following electronic resources should a nurse use to obtain clinical practice guidelines and interventions to reduce the risk of negative client outcomes while in a hospital? A) Centers for Disease Control (CDC) B) Agency for Healthcare Research and Quality (AHRQ) C) Quality & Safety Education for Nursing (QSEN)

B ​AHRQ supports research designed to improve the quality of health care, including providing evidence-based guidelines.

Which of the following legislative acts stipulate that clients be allowed to see and make corrections to their health care records? A) Health Information Technology for Economic and Clinical Health (HITECH) Act B) Health Information Portability and Accountability Act (HIPAA) C) American Recovery and Reinvestment Act (ARRA)

B ​One privacy rule of HIPAA is to establish client ownership of the health care record and allow for client-initiated corrections and amendments.

which of the following illustrates the integration of informatics into a health care system to support cost containment? A) Offering free wireless Internet access to clients and visitors B) ​Installing bar codes on medications with alerts for low supplies C) ​Integrating an electronic health care record on a platform compatible with computers and tablets

B ​This illustrates cost containment by allowing inventory management related to supply and demand, directly affecting management of medication and supply costs.

A health care facility recently opened a research department to collect and analyze data related to improved client outcomes. Which of the following examples represents integration of technology to support creation of scholarly knowledge? ​A) Administration of an online survey for new nurses post-orientation regarding satisfaction with teaching methods B) ​Electronic collection of healing times of sacral wounds post-hyperbaric treatment, with and without antibiotic administration C) ​Piloting an instant messaging system between hand-held computers for nursing and pharmacy

B ​This supports research through data collection examining and intervention and comparison intervention. Technology supports the timely and accurate collection and analysis of data related directly to client outcomes. This helps support the creation of scholarly knowledge.

Which of the following illustrates the use of technology to improve communication with a client who is cognitively impaired? ​A) Provide the client with an online video as a teaching aid that allows multiple viewings. B) Use an electronic drawing screen allowing the client to create pictures during an assessment. ​C) Offer translation software for the client.

B ​When a client has a cognitive impairment, understanding and reactions are often diminished. Allowing the client to communicate through use of pictures is effective.

A nurse off duty receives a photo on her cell phone from a fellow nurse who is at work. The photo shows a celebrity receiving physical therapy. Which of the following actions should the nurse take first? A) ​Make factual notes of the event that has occurred. ​B) Notify nursing administration, explaining who sent the photo. ​C) Delete the photo.

C ​Deleting the photo is the correct action to prevent further violation of HIPAA and is the first action for the nurse to take.

The Centers for Medicare and Medicaid Services electronically reports specific quality outcomes measures based on data collected from hospitals. These data allow the public to compare hospitals that A) have the best health care providers. ​B) have the most up-to-date surgical services. C) have a higher percentage of hospital-acquired infections.

C ​Hospital-acquired infection is one of the quality outcome measures publicly reported by the Centers for Medicare and Medicaid Services (CMS). These measures hold hospitals accountable for client care and provide useful information to health care consumers when choosing hospital care.

Which of the following uses of technology would constitute a violation of HIPPA? ​A) Sharing a client's lab results with a consulting provider via email on the health care facility intranet ​B) Charting client data on an electronic health care record while at the bedside with family members present ​C) Texting a picture of a client's wound from one nurse to another nurse related to wound care protocol

C ​This is a violation of client confidentiality due to identifiable client assessment data shared outside the health care facility. Even though the nurse sent the photo to another nurse related to wound care protocol, this is not acceptable use of technology and violates HIPAA.