CHAPTER 15: NURSING INFORMATICS

7. A global perspective on nursing practice might best be obtained from a. NANDA, NIC, and NOC. b. ICD9 Codes. c. SNOMED-CT. d. ICNP.

D

8. When using electronic medical records (EMR), the nurse knows that the EMR: a. holds the documentation of a single episode of care. b. is a longitudinal record of care for each patient. c. is widely used for individual health care encounters. d. includes progress notes for all disciplines.

A

8. The standard of how security and confidentiality of health care information must be maintained is determined by a. NANDA-I. b. HIPAA. c. each health care facility. d. the Computer Ethics Institute.

B

4. Social media includes such sites as (Select all that apply.) a. HIPAA. b. Twitter. c. Facebook. d. LinkedIn.

B, C, D

1. The integration of nursing, computers, and information science for the management and communication of data, information, knowledge, and wisdom is: a. nursing informatics. b. computer science. c. medical informatics. d. informatics.

A

18. While adopting new technology to enhance patient care and safety, nurses can continue to provide: a. compassionate care. b. consumer empowerment. c. self-management of wellness. d. education about health care.

A

3. Which items are supported by point-of-care use of information technology? (Select all that apply.) a. More accurate documentation b. Direct access to diagnostic results c. Confidentiality d. Direct access to records by patients e. Access to medication profiles

A, B, C, E

2. The Technology Informatics Guiding Education Reform (TIGER) initiative identified a set of skills needed by all nurses practicing in the 21st century. The TIGER Vision Pillars include: (Select all that apply.) a. management and leadership. b. certification by HIMSS. c. communication and Collaboration. d. informatics design. e. IT policy and culture.

A, C, D, E

11. The nurse can see data relationships, can make judgments based on trends and patterns in the data, is skilled in information management and the use of computer technology, and is able to suggest areas for IT system improvement. The nurse's level of informatics competency can be described as: a. beginner. b. experienced. c. specialist. d. innovator.

B

2. The hospital has recently implemented computer charting. The computerization of nursing practice: a. enhances and increases the time spent on documentation. b. makes patient data immediately available to the health care team. c. makes retrieval of data more difficult but safer. d. is enhanced by limiting the use of point-of-care technology.

B

2. Which description is an example of data? a. A print-out of a patient's history and physical examination b. A patient's blood pressure and pulse rate c. The nurse's knowledge of a disease d. A nurse's interpretation of a change in the patient's condition

B

3. Standardized nursing terminologies include a. the ABC coding system. b. NANDA, NIC, and NOC. c. SNOMED-CT. d. ICD9 codes.

B

13. Patients frequently seek sources for health information online, and nurses, as advocates, need to be prepared to help patients evaluate online sources. To do this, the nurse asks who sponsors the site, is the author listed, and the author's credentials. The nurse is evaluating what? a. Purpose b. Coverage c. Currency d. Authority

D

17. The focus of nursing informatics is: a. direct patient care. b. increasing documentation time. c. the introduction of different EHRs. d. how patient care can be improved.

D

3. Nurses working surrounded by computers and mobile IT must develop skills in the use of all available technology. At the same time, it is important to recognize that: a. the technology in use today will be the same tomorrow. b. cell phones are not usually allowed in the acute care setting. c. most forms of mobile technology are in violation of HIPAA guidelines. d. the technology supports bedside and remote charting.

D

1. Nurses at the beginner level of informatics competencies stress the need to (Select all that apply.) a. be computer literate. b. be Internet literate. c. become a software developer. d. be able to suggest areas for IT system improvement.

A, B

3. It is unethical to (Select all that apply.) a. use proprietary software for which you have not paid. b. assume a false identity. c. access your own patient's records. d. take another person's intellectual output and claim it as your own.

A, B, D

5. A famous rock star has just been admitted to Unit 12A after an automobile accident. A nurse on Unit 12B who is a fan of the musician uses the electronic health record (EHR) to find out how the patient is doing. Which is true regarding the use of a patient's EHR? a. Only staff caring for the patient should access this record. b. Permission from a supervisor is needed to read this record. c. The patient's record can be discussed with the nurse's co-worker. d. The nurse can call a friend who works at the local newspaper.

A

4. The Health Insurance Portability and Accountability Act (HIPAA) of 1996: (Select all that apply.) a. requires the user to have verification codes. b. ensures access to information without fear of audits. c. sets the standards on how information is maintained. d. sets the penalties for any breach in security of health data. e. has no legal authority relative to security issues.

A, C, D

9. Which behaviors are expected of the nurse at the experienced informatics competency level? (Select all that apply.) a. Collect accurate assessment data. b. Conduct informatics research. c. Group assessment data. d. Document data appropriately on the electronic health record (EHR). e. Integrate information science, computer science, and nursing science.

A, C, D

6. When technology such as a bar-code medication administration (BCMA) system is used as part of the process of medication administration, fewer errors are made. The proper procedure when using the BCMA includes: a. signing into the system using the patient's ID number. b. typing in the patient's name and room number. c. scanning the patient's ID, MAR, and medication. d. discontinuing the medication if the system signals an error.

C

15. One classification system for nursing informatics competencies uses technical, utility, and leadership categories. Leadership competencies involve: a. maintaining privacy and confidentiality. b. using computers and other technological equipment. c. using a variety of software programs. d. addressing critical thinking applications.

A

16. The Computer Ethics Institute has developed guidelines for ethics in the development and use of computer technologies. These guidelines are called: a. the Ten Commandments of Computer Ethics. b. the eHealth Code of Ethics. c. HIPAA guidelines. d. the Internet Healthcare Coalition.

A

4. The home health nurse provides care for a patient with congestive heart failure. Daily the patient weighs himself and takes his own temperature, pulse, respirations and blood pressure. That information is sent as electronic data to the patient's physician and nurse daily to make adjustments to the plan of care as indicated. This is an example of: a. telehealth nursing. b. computerized decision support system (DSS). c. computerized provider order entry (CPOE). d. point of care technology.

A

6. Which activity by a unit nurse demonstrates information literacy? a. Researching a patient's diagnosis online b. Entering patient data into the electronic health record (EHR) c. Organizing patient data to study trends d. Learning a new electronic health record system

A

9. Computerized provider order entry (CPOE): a. allows orders to be communicated to the appropriate department. b. creates an intermediary for order transcription. c. slows documentation and provider communication. d. may lead to increased ordering and transcription errors.

A

2. Which are major areas to be addressed when evaluating a website? (Select all that apply.) a. Authority b. Purpose c. Popularity d. Verification

A, B, D

1. The use of telemonitoring offers the opportunity to: (Select all that apply.) a. reduce cost of health care. b. improve patient satisfaction. c. increase duplicate orders. d. improve patient outcomes. e. improve organization.

A, B, D, E

3. In reviewing a patient's written chart, the nurse notes the use of the terms "bed sore," "decubitus ulcer." And "pressure ulcer." The nurse knows in order to reach maximum potential in computerized charting and data analysis that a standardized nursing terminology must be utilized. In an attempt to standardize nursing terminology: (Select all that apply.) a. The Nursing Minimum Data Set (NMDS) was the first attempt to do so b. The focus was to provide a shared understanding of patient problem labels. c. The NMDS data was completed and is the definitive source of patient labels. d. The ICNP was developed to provide a standard for international nurses. e. Standardized terminology can lead to better utilization of resources.

A, B, E

4. The hospital has implemented a new electronic medication administration record (MAR). What is true about the use of this new tool? a. Verifies medication dosages b. Reduces medication administration errors c. Eliminates the need to count narcotics d. Requires a hard copy of the MAR to be printed

B

5. Information can be best defined as a. organized and processed information that can be applied to problem solving and decision making. b. organized and processed data that can be communicated and are meaningful and useful to the recipient. c. the transformation of patient data to clinical information. d. the appropriate application of knowledge.

B

1. Which descriptions are advantages of health care information technology (IT)? (Select all that apply.) a. Increases health care delivery costs b. Improves communication among providers c. Improves administration functions d. Increases time necessary to document care e. Decreases the safety of providing care

B, C

1. Data are best described as a. organized information. b. facts, observations, and measurements. c. knowledge used to make decisions. d. the appropriate application of knowledge.

BA, B,

10. The nurse is providing care to a patient newly diagnosed with multiple sclerosis. The patient expresses the desire to communicate with other people living with the disorder. The nurse appropriately refers the patient to: a. an e-mail list with the patient's contacts. b. a social media blog. c. a listserv concerning multiple sclerosis. d. Facebook, Twitter, and LinkedIn.

C

10. Which description is true about the Nursing Minimum Data Set (NMDS)? a. An admission assessment tool b. A discharge summary c. The core nursing data for collection across all sites d. An organization of nursing diagnoses

C

12. The director of nursing on a medical-surgical floor has met education and experience requirements in nursing informatics. The nurse might expect administration to request that he/she pursue: a. technical competencies. b. utility competencies. c. certification from ANCC. d. leadership competencies.

C

14. The patient asks the nurse about how to evaluate websites and standards used to evaluate Internet health sites. The nurse appropriately refers the patient to: a. World Health Organization. b. the U.S. Food and Drug Administration. c. the Internet Healthcare Coalition. d. the U.S. Federal Trade Commission.

C

4. Information Literacy is best defined as a. knowing how to access an electronic library. b. understanding data processing. c. knowing how to recognize when information is needed and to locate, evaluate, and effectively use the needed information. d. knowledge of computers and the ability to use them efficiently.

C

5. Information technology (IT) can be used to increase patient safety. The nurse uses IT in this way by: a. creating redundancy in orders making them safer. b. removing the need for verification by the nurse. c. analyzing errors to develop prevention strategies. d. eliminating the need for bar codes in medication administration.

C

7. The nurse is assigned to administer medications to a patient on a unit that has just implemented bar code medication administration (BCMA). Which step is proper for the nurse to follow? a. Open the medication packages at the nurses' station. b. Ask the patient to verify his or her address. c. Scan the nurse's ID, the patient's ID, and the code on the medication package. d. Ask the patient to name two patient identifiers.

C

8. Which statement is correct concerning the implementation of computerized provider order entry (CPOE)? a. The unit secretary transcribes the physician's orders into the computer. b. The nurse must ensure that orders go to the appropriate departments. c. Physician orders go directly to the appropriate department. d. Handwriting legibility is a major problem.

C

Which nursing action demonstrates the category of utility in the informatics competency classification system? a. computer and software use b. maintenance of privacy c. critical thinking and evidence-based practice d. application of accountability and quality assurance

C

14. Which of the following is the biggest advantage of mobile technology in the health care setting? a. improvement in research awareness b. advancement of computer skills c. increased job satisfaction d. prevention of medication errors

D

2. A listserv is best described as a. a website. b. an online library source. c. a blog. d. a program that sends messages to multiple e-mail addresses.

D

6. Computer Literacy is best defined as a. knowing how to access an electronic library. b. understanding data processing. c. knowing how to recognize when information is needed and to locate, evaluate, and effectively use the needed information. d. knowledge of computers and the ability to use them efficiently.

D