Informatics Final
True or false; most mobile applications are free.
1. True 1. False According to the FDA most mobile apps are free. If most applications cost money people would not utilize them nearly as much.
True or false; leaving reviews on Facebook pages promotes hospitals
1. True 1. False Most all hospitals utilize Facebook because of how many users it has. This expands the amount of individuals there messages and announcements reaches promoting their health establishment.
Which of the following statements is a benefit of Global Health Records? a. Provide researchers with a wealth of global data that has not been previously available. b. The amount of funding required by local governments or the private sector. c. The healthcare standards that vary from country to country. d. Different languages that contribute to communication barriers.
A
What are the benefits of using simulation? Select all that apply. A. Decrease anxiety B. Decreased confidence C. Improve clinical performance D. Improve critical thinking
A, C, D Simulation decreases anxiety and improves critical thinking and clinical performance. Simulation increases confidence, so B is incorrect.
What are the FDA approved surgical sponge detection systems? (Select All That Apply) A. ORLOCATE system B. Radio frequency surgical detection system C. Safety sponge system D. RFID smart sponge system E. Expression MR 200
A. ORLOCATE system B. Radio frequency surgical detection system C. Safety sponge system D. RFID smart sponge system Rationale: The MR 200 is a MRI system that monitors vital signs
The BELT Framework developed by McGill University School of Nursing outlines what four areas to guide telehealth implementation? a. Bandwidth, Education, Leadership, and Technology b. Borders, Environment, Liaisons, and Trust c. Boundaries, Empathy, Listening, and Teaching d. Belief, Estimation, Labor, and Therapy
ANSWER: A. These are the four areas used to guide telehealth implementation, according to the BELT Framework.
REACH for TLC (Telephone Linked Care) is a system designed to provide an automated support system for caregivers of patients suffering from what disease using touch-tone telephones? A: Breast Cancer B: Alzheimer's disease C: HIV/AIDS D: Epilepsy
ANSWER: B Rationale: on slide 17 in presentation
What telehealth device, invented by Arthur Zang, performs 3, 6, or 12 lead ECG with wireless electrodes along with vitals and sends the information via Bluetooth technology from the patient in a remote geographical area to specialists in reference hospitals? a. iCardio b. CardioPad c. E-Cardio d. VitalBook
ANSWER: B. This technology is called the CardioPad.
True or False: Telehealth enables a collaborative approach to healthcare for patients in the rural setting.
ANSWER: True. Telehealth enables healthcare providers in rural settings to communicate to healthcare providers and specialists in other areas in order to provide a collaborative approach at providing care for that patient, no matter where they are located geographically.
What are a few of the challenges of healthcare in a rural setting (select all that apply): a. Shortage of primary and specialty health care providers b. Geographic barriers that force travel over long distances to receive the care needed c. Decreased prevalence of chronic disease d. Poverty
ANSWER: a, b, and d. All three of these present challenges to patients receiving healthcare in the rural setting. C is incorrect—there tends to be an increased incidence of chronic disease in the rural health setting.
In what ways is social media utilized, SELECT ALL THAT APPLY: A) Training medical personnel B) Live updates during procedures C) Communicate in the time of crisis D) Sharing personal patient information
Answer: A, B, C Rationale: From slide five, our resources said these are three of the five goals of how to utilize social media.
Virtual reality in necessary in nursing education due to (select all that apply): a. Hospital downsizing b. Short patient stays c. Less clinical time d. Shortened nursing program curriculum e. Virtual reality technology is inexpensive
Answer: A, B, C, D Rationale: According to Kilmon et al (2010) and Simpson (2002) these reasons increase the need for virtual reality in nursing education.
Some common uses for apps that are integrated with an EHR system (e.g. MyChart) include: (Select all that apply) A. Viewing lab results B. Viewing bills C. Viewing diagnoses D. Chatting with other patients who share your diagnosis E. Messaging your healthcare provider
Answer: A, B, C, and E Rationale: Because MyChart is integrated with EPIC, patients are able to see lab results, bills, and diagnoses. They are also able to send secure messages to their providers, but they are not able to chat with other patients. REF: Slide 9
By definition, virtual reality includes which of the following (select all that apply) a. Three Diminisional Image b. Ability to actively interact with virtual environment c. Includes olfactory feedback d. Includes visual and auditory feedback
Answer: A,B,D Rationale: Virtual reality does not provide olfactory feedback.
What do you need from a patient before posting personal information? A) Patient address B) Patient consent C) Patient email D) Fellow physicians consent
Answer: B Rationale: Patient consent is needed before any information is posted.
What is the most important part of the Home Health Care Nurse's responsibilities? A. Blood pressure and weight monitoring B. Monitoring activity Level C. Keeping patient involved in their treatment D. Medication administration
Answer: C Rationale: All are an important part of the Home Health Care Nurse's responsibilities, but patient education is the most important. If they do not assist in their own care, no matter what the nurse does, the patient will still not be able to stay in the home.
The home health nurse is providing patient education on the use of mobile apps to track blood glucose levels. The nurse knows that further education is required if the patient makes which of the following statements: A. "Some diabetes apps come with glucometers that can communicate directly with my smartphone." B. "I should find an app that allows me to email my blood glucose levels directly to my nurse." C. "All of these apps are required to comply with HIPAA, so I don't need to worry about the privacy of my information." D. "Some diabetes apps will also allow me to track my carbohydrate intake and insulin dosage."
Answer: C. Rationale: only mobile apps that can access Protected Health Information or that interact with a Covered Entity are required to comply with HIPAA, so this is an incorrect statement. Most diabetes apps are not required to comply with HIPAA.
What type of information should providers share? A) Private information B) Non-credible and non-relevant information C) Confidential information D) Credible and relevant information
Answer: D Rationale: From our resources, sharing information needs to be credible and relevant, in order to be put out there to share.
Which of the following treatments is NOT part of treatment at home in the care of the CHF patient? A. Treating the cause of the CHF B. Educating the patient C. Treatment with medications D. Surgery as necessary
Answer: D Rationale: Surgery is a possible last ditch treatment, but it is NOT done at home, rather in the hospital and the patient will not be back at home until stable.
The Executive Order 13335 was built on six key components. Which of the following was NOT a key component: A. Ensure appropriate information B. Improve healthcare quality, reduce medical errors, and advance evidence based practice (EBP) C. Reduce healthcare costs related to medical errors, insufficiency, inappropriate care, and incomplete information D. Reduce the coordination of care and information among several institutions
Answer: D Rationale: Answers A, B, and C were key components of the Executive Order 13335. The other key components included improving the coordination of care and information among institutions, and ensuring patients identifiable health information was protected.
HIPAA compliance features for apps that access protected health information or interact with covered entities (e.g. hospitals) include all of the following EXCEPT: A. Automatic log-off B. Passwords C. Encryption D. Secure Messaging E. Biometric Scanning
Answer: E Rationale: Biometric scanning, although it is used for several apps, is NOT a mandatory HIPAA compliance requirement for apps that are integrated with an HER system. REF: Slide 12
Sickweather is an app that allows users to track the geographical location of illnesses. Compared to other types of apps, Sickweather and other similar apps have the best security features [T/F]
Answer: F Rationale: Sickweather and other apps in its class do not access protected patient information so they are not required to have stringent security features. Apps that are integrated with EHR health care systems are the best in regards to security. REF: Slide 3
Family and spousal support is not required for the successful treatment of the home healthcare of the CHF patient. True or False
Answer: False Family and spousal support is an integral and very important part of the home health care of a patient. Support is needed to encourage the patient, make sure they take their medications and stick to the care plan. It is also important for safety reasons as the patient may not always recognize problems or important behavioral changes.
True or False: Once a comment, status, or post is deleted from a social media account, it is gone forever and there is no way to retrieve it
Answer: False Rationale: Post may be deleted but they may also be retrieved once you think you have deleted them. Things on the internet are never truly deleted.
Is it true that 56% of patients want their providers to use social media (diagnostic test results, appointment, setting, reminders and answer general questions)?
Answer: True Rationale: From our resources, this percent is proven by patients.
These tools are all required for home health care in the CHF patient. True or False? 1. Home Heart Defibrillator 2. Activity Sensor 3. Peak Flow Meter 4. Pulse Oximeter
Answer: True Rationale These are 4 of the many different tools needed in the home to monitor the CHF patient at home. The defibrillator is required to restart the heart, or regulate the rhythm in an emergency, the activity sensor will tell if the patient is still for too long of a period, which could indicate problems, or possibly a fall, the peak flow meter is required to monitor the respiration ability of the patient to look for decreases, to be able to treat as soon as possible, and the pulse oximeter monitors the patient's O2 levels to be able to react sooner to problems with respiration and oxygen saturation.
The nursing theorists who influenced virutal reality education are Benner, Kolb, and Ericsson
Answer: True Rationale: According to Simpson (2002) and Hangman (2013) these are the most noted theorists regarding current virtual reality education.
The two types of virtual reality are immersive and non-immersive.
Answer: True Rationale: According to Simpson (2002) the two types of virtual reality are immersive and non-immersive.
Simulation provides a real-world framework. What are the design characteristics of this framework? (Select all that apply) a. Realism b. Objectives c. Cues d. Debriefing e. Problematic f. Complexity
Answer: a, b, c, d, f Rationale: Realism is the use of simulation manikins that accompany simulation software controlled by the simulation coordinator. Objectives are used to evaluate nursing interventions, complete and document patient assessment. Cues are planned changes in the patient status. Debriefing allows students to interact with instructors and discuss the pros and cons of the simulation. Complexity allows the simulation to be as complex or as simple as the objectives required. Problematic is incorrect.
An IV arm is an example of what type of simulation? a. Mid-fidelity, standardized patient b. Low fidelity, task trainer c. Low fidelity, role play d. High fidelity, computerized mannequin
Answer: b. Low fidelity task trainer Rationale: Task Trainers are simulators that are used to practice a skill such as an IV arm that is used to practice IV insertions. Mid-fidelity simulations included simulations that utilize standardized patients, computer programs or video games. Low fidelity role-play involves asking learners to act out an event or situation. High fidelity computerized mannequin are, adult, child, or infant, which are capable of responding to certain medications, chest compressions, needle decompression, chest tube placement, and other physiologic interventions and subsequent responses.
Which of the following is NOT an INASCL Standard of Best Practice for Simulation? a. Professional Integrity of Participants b. Facilitation c. Technology d. Terminology
Answer: c. Technology Rationale: The INASCL Standards of Best Practice: Simulation are as follows: Standard I - Terminology, Standard II - Professional Integrity of Participants, Standard III - Participant Objectives, Standard IV - Facilitation, Standard V - Facilitator, Standard VI - Debriefing Process, Standard VII - Participant Assessment and Evaluation
What is the advantage of EHR in pre-op? SELECT ALL THAT APPLY A. Prevents delays in surgical start times. B. Faster time in placing lab orders. C. Slows down the pre-op process. D. Might operate on the wrong part of the body.
Answers: A, B Reasoning: A. Review of health record gives all information needed for pre-op. B. Lab requests and results are automatically sent and received.
What are the DISADVANTAGES of using telehealth for the nursing workflow? SELECT ALL THAT APPLY A. The patient may have difficulty learning how to use the equipment. B. The patient can see the nurse through video conferencing. C. Internet access may be limited or break down. D. Video connection may be blurry or distorted. E. The nurse may not have to see the patient at the clinic as often.
Answers: A,C,D Reasoning: A: Not all patients will have the ability to understand how to use the equipment. C: Internet can regularly have issues, making it difficult to maintain connection. D: Video connection may be unreliable, and blurry or distorted video will make it hard for the nurse to make a visual assessment.
What is NOT a reason that simulation should be utilized in nursing education? A. Simulation acts as a replacement for some clinical hours. B. Simulation has a positive effect on clinical skills. C. Simulation has lots of research supporting it's success. D. Simulation has received positive feedback from students.
C simulation in nursing education needs to be further researched. Refer to slide #12 and 18
The radio frequency waves of the ORLOCATE system is similar to what type of exposure? A. Microwaves B. X-rays C. Car radio D. Sun exposure
Car radio Rationale: Radio frequency is equivalent to ray exposure of a car radio
Select all that apply. Which of the following are some of the five characteristics described in the Diffusion of Innovations Theory? a) Observability b) Complexity c) Research d) Testing e) Compatibility
Correct Answer(s) Observability (a); Complexity (b); Compatibility (e) Rationale The 5 characteristics are listed on slide 21 and can also be found at http://web.a.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=0bb 94e47-686b-422c-b88a-a47b41f59a4f%40sessionmgr4003&vid=4& hid=4209.
Which of the following is NOT a benefit of global health records? a) Cost Benefits b) Research Benefits c) Access Benefits d) Construction Benefits
Correct Answer: D, Construction Benefits. Rationale: There are long term cost, research and access benefits to global electronic health records (Slide 4).
A major barrier to global EHR adoption from the top government level down to the private sector has been the cost of implementation. True or False
Correct Answer: True. Rationale: The costs of implementation have been a major barrier to global electronic health records (Slides 5 & 7).
The BSN trained nurse must be skilled in many forms of computer technology and knows that early terminology for electronic health records includes: (select all that apply) A. Computer Record B. Digitally Compressed Record of Patient Health (DCRPH) C. Computer Health Record (CHR) D. Computer Patient Record (CPR) E. Techno-chart
Correct Answers: A, C, D Rationale: Early terms were overly simplistic and included computer record, computer health record (CHR), and computer patient record (CPR). CPR quickly fell out of favor with providers of healthcare. Digitally Compressed Record of Patient Health (DCRPH) and Techno-chart are not early terminology for electronic health records.
What year did the researches at Massachusetts General Hospital launch the computer Stored Ambulatory Record Project? a. 1910 b. 1915 c. 1930 d. 1968
D
All sponge tracking devices deliver all of these except... A. Patient safety B. Essential efficiency C. Cost effective D. 100% guarantee
D. 100% guarantee Rationale: Sponge tracking systems help deliver patient safety, essential efficiency, cost effective, proven performance and compliance & credibility.
What is the most common used social media? 1. Twitter 1. My Space 1. Facebook 1. Instagram
Facebook is the largest social media site and is used by over a billion users a month. Twitter, My space and Instagram though used do not have as many users as Facebook.
It's ok to post general information about a patient on Facebook, as long as there is no specific identifying information about the patient. True/False
False
True or False: Global informatics is technology only available in the United States.
False
True or False: The use of electronic health records do not improve nursing workflow.
False Reasoning: Electronic health records improve nursing workflow by decreasing the amount of time spent documenting and retrieving information, and provides the nurse more time for direct patient care.
Identify whether or not the statement is True or False. Remote patient monitoring is use to collect data on a patient and to help decrease readmission.
STATEMENT IS TRUE. True- Remote Patient monitoring is used to collect information when a patient is sent to their home or assisted living home and reduces readmission rates.
What are the benefits of telehealth? Select all that apply. A. Reduces health care costs B. Help anyone manage their chronic illness C. Nurses don't have to spend the time building rapport with the patients. D. Individuals are less informed about their health if they cannot come in and see their doctor or nurse.
THE CORRECT ANSWER IS A AND B. A- this is true because it prevents people from going to the hospital or a doctors office for something a nurse can inform them of over the phone. This is especially useful for patient education in which their trip to the healthcare facility would be unnecessary B - this is also true because someone living with a chronic illness will be in pain frequently and also have an increased health bill. Being able to call or video chat a nurse will save them time, energy and money
What led to the development of telehealth in third world countries? A. A decreased cost of information and communication technologies (ICT) B. The demands of world leaders C. Moral values of nurses D. The demands of physicans
THE CORRECT ANSWER IS A. A- Decreased costs make the ICT's more available to be utilized by countries who lack of funds that previously made telehealth unobtainable.
What is necessary to participate in Telehealth? (Select all that apply) a) medical supplies b) camera c) internet d) computer
THE CORRECT ANSWER IS B, C, AND D. According to Harvard University, all that is required in order to be able to participate in Telehealth is access to a computer, camera, and internet.
Identify whether or not this statement is True or False. Patient controls cause patient information to remain unintegrated and harder to access in all domains.
THE CORRECT ANSWER IS FALSE. Vendor controls cause patient information to remain unintegrated because some vendors are private offices and other vendors don't want to share information over multiple domains.
True or False: Cross cultural barriers can be broken at the point of contact when communicating globally using technology
True
True or false: Does critical thinking increase with higher levels of clinical experience?
True critical thinking and other clinical skills will increase with higher levels of clinical experience. Refer to slide #8.
True or false: Does the state of Colorado allow simulation lab to replace 25% of clinical hours?
True Colorado does allow simulation lab to replace 25% of clinical hours. Refer to slide #6.
True or False? The most frequently retained surgical item is cotton gauze.
True Rational: According to the Nothing Left Behind system the most frequently retained surgical item that requires a second operation to remove, is a cotton gauze sponge.
The earliest occurrence of a training mannequin for nursing was in the early 1900's. True or False
True Rationale: Mrs. Chase, the first simulation model, was created in the early 1900s and first used by Hartford Hospital.
True or False: Pyxis machines make it easier for nurses to manage medications.
True Reasoning: Pyxis machine automatically dispenses the amount of medication you need.
As the use of social media increases in the health care setting... 1. Intelligence decreases. 1. There is an increased potential for patient privacy breaches. 1. Patients are seeking more medical advice for healthcare providers. 1. There is an decrease in the spread of info.
Whenever technology is used the risk of a privacy breach is present. From ANA textbook.
Social media can be used by a healthcare provider to: (Select all that apply) __ Advertise about upcoming health fairs __ Share information on diseases __ Give a client lab results __ Share recipes for healthy eating
_X_ Advertise about upcoming health fairs _X_ Share information on diseases _X_ Share recipes for healthy eating
Which of the following is a pro of using social media in health care?(Select all that apply) __ Mistakes can be corrected quickly __ Healthcare workers were able to respond quicker for after the Boston Marathon bombing than they would have in the past __ Healthcare workers get a false sense of security, especially when they think their profiles are set to private __ Many nurses have lost their jobs from things they have posted on Facebook
_X_ Mistakes can be corrected quickly _X_ Healthcare workers were able to respond quicker for after the Boston Marathon bombing than they would have in the past
What is the HITECH Act? __ Standards to transmit clinical data electronically and to strengthen privacy and security __ An act to teach people how to use social media properly __ Standards on how to figure out if a website is reliable or not __ Standard saying that healthcare workers should practice professionalism online like they would offline
_X_ Standards to transmit clinical data electronically and to strengthen privacy and security
Question: What are advantages of social media in healthcare? (select all that apply) a) Social network sites promote building relationships among people with similar interests and activities b) Provides educational materials c) Link patients to support groups d) Delivers ideas and education everywhere e) Shares professional experiences on personal Facebook page
answer A, B, C, D