Integrated Module 3

Telehealth provides alternative method of providing care to the patients in various places. Which of the following legal issues that can implicate this practice? A. The license of a practitioner from one place may not be honored by in the area from where the client is residing B. Different culture may not accept telehealth nursing C. No legal implications D. Language barrier may play a major legal implications in the deliverance of care

A. The license of a practitioner from one place may not be honored by in the area from where the client is residing

.gov is a government based website that can usually be trusted to have reliable information. A. True B. False

A. True

Nursing has traditionally acquired knowledge through traditions, authority, trial and error and personal experiences. A. True B. False

A. True

Characters, numbers or facts gathered for analysis and possibly later action. Ex: 14 days, African American, divorced, 100 beats/minute A. Information B. Data C. Knowledge D. Wisdom

B. Data

Anna, nurse supervisor assesses whether a result of the health care management is significant or occurred by chance. What component of nursing informatics is this? A. Data B. Information C. Knowledge D. Wisdom

B. Information

A diabetic client who lives 50 miles from the endocrinologist is able to send information from the glucose meter via the phone to the doctor. The home health nurse tells the client that this is useful for the client in that: A. It saves the physician's time. B. The client is getting up-to-the-minute monitoring. C. The nurse does not have to visit as often. D. The system saves charting time for professionals.

B. The client is getting up-to-the-minute monitoring. Rationale For the client who lives at a long distance from the physician, this type of system allows for up-to-the-minute monitoring by the physician. Whether the client comes to the office or sends the information, the physician still needs to review results. The nurse would continue to visit because physical assessment is imperative. Saving charting time for professionals is not really a benefit to the client.

Which of the following made by a nurse on information technology needs further correction? A. "It enhances the quality of service and healthcare." B. "It build strong relationship to patients." C. "It allows us to become less dependent on clinical knowledge." D. "It develops sound decision making."

C. "It allows us to become less dependent on clinical knowledge."

Using an office computer system to identify a patient whom the linked hospital information system identifies as having positive cultures for pneumonia, a primary care provider orders the patient's antibiotic. This scenario exemplifies: A. A health information exchange. B. A system to update patient records. C. A violation of privacy regulations. D. An electronic health record.

A. A health information exchange.

The staff nurse is planning an educational session about computer systems and infection control. Which item is the most appropriate for the nurse to include in the educational​ session? A. Disinfect computer keyboards and mice daily. B. Avoid using sealed computer keyboards with​ built-in covers. C. Wear gloves when using a computer keyboard or mouse. D. Use a diluted bleach solution to clean computer keyboards.

A. Disinfect computer keyboards and mice daily. Rationale Because keyboards carry the highest risk for​ contamination, some manufacturers have built sealed keyboards that can be easily cleaned or can be equipped with covers for easier cleaning and protection of the electronic equipment. Guidelines for preventing the spread of infection due to contaminated computer systems include disinfecting keyboards and mice daily and when visibly soiled with body​ fluids, and following manufacturer recommendations for cleaning equipment. The nurse should not touch keyboards or mice with gloved hands.

A computerized lifelong health care record for an individual that incorporates data from all sources that provide treatment for the individual. A. Electronic health record B. Electronic medical record C. Personal health record D. Portable health record

A. Electronic health record

The nurse administrator is presenting an educational session about telehealth. Which item should be included when discussing the most significant potential​ barriers? A. Healthcare provider licensure B. Access to care C. Cost of services D. Healthcare quality

A. Healthcare provider licensure Rationale: Benefits of telehealth include the potential to decrease​ costs, improve quality of​ care, and increase access to care for clients in​ rural, urban,​ community, and international settings. Barriers to telehealth include healthcare provider licensure​ restrictions, such as medical boards limiting telemedicine licenses that permit this practice across state lines.

Synthesis of information from several sources to produce a single concept, based on a logical process of analysis and provides order to thoughts and ideas and decreases uncertainty. A. Knowledge B. Data C. Information D. Wisdom

A. Knowledge

To impact cost containment in the delivery of health care, the nurse suggests the need for future research studies. The nurse would look to studies that would: A. Promote healthy lifestyles. B. Examine end-of-life care. C. Improve client safety. D. Evaluate the emergency response to disaster.

A. Promote healthy lifestyles. Rationale Nurses can help with health cost containment by concentrating on wellness, healthy lifestyles, and disease prevention. It is more cost effective to prevent illness than to treat illness. Improving client safety would not have much impact on cost containment. End-of-life care is a study need but would not produce cost containing results. Evaluating emergency response is more appropriate at the government level.

A diabetic client lives 50 miles from the endocrinologist who is following the client's care. The client is able to send information from the glucose meter via the phone to the endocrinologist. The client asks the home health nurse how this is useful for the client. The nurse tells the client that: A. The client is getting up-to-the-minute monitoring. B. It saves the physician's time. C. The nurse does not have to visit as often. D. The system saves charting time for professionals.

A. The client is getting up-to-the-minute monitoring. Rationale: For the client who lives at great distance from the physician, this type of system allows for up-to-the-minute monitoring by the physician. Whether the client comes to the office or sends the information, the physician still needs to review results. The nurse would continue to visit because physical assessment is imperative. Saving charting time for professionals is not really a benefit to the client.

A small hospital is installing computers for the nursing department. Several nurses are on the committee that is evaluating various systems because: A. The system adopted must support nurses in their practice. B. The system must be compatible with the administrative system. C. The system should not contain medical information. D. Nurses will be teaching everyone else how to use the system.

A. The system adopted must support nurses in their practice. Rationale A goal of this type of system should be the support of the practice of nursing and nurses should have input. Nurses may or may not teach others the system as the IT department usually conducts these teaching sessions. The system does not have to be compatible with the administrative system, but it is easier when these systems are compatible. Having medical information that nurses can use as a reference is a definition of supporting nurses in their practice.

The student is having problem in researching for journals and articles which will support his study. Which of the following bibliographical site should you recommend? A. Google.com B. CINAHL C. ERICA D. MedOnline

B. CINAHL

What computer based system that is designed for collecting, storing, manipulating and making clinical information important to health care delivery process? A. Clinical and hospital information system B. Clinical information system C. Patient information system D. Electronic health record

B. Clinical information system

The newly admitted patient , 28 year old, female, is diagnosed with pneumonia. His vital signs upon admission are as follows. BP 110/80 mm Hg, RR 32 cpm, HR 62 bpm, temp 38 Celsius and weight is 65. This is an example of A. Wisdom B. Data C. Information D. Knowledge

B. Data

Informatics nursing is distinguished from other nursing specialties by its focus on: A. Computerized medical records. B. Data and information content and representation. C. Data coding and the use of abbreviations. D. Training and education.

B. Data and information content and representation.

A graduate nurse is instructed to use the mnemonic PICOT to define and formulate a clinical question that will contribute to Evidenced Based Practice (EBP). The nurse understands that this question will include all except: A. Population of clients B. Implementation of hypothesis C. Comparison of interventions D. Outcomes

B. Implementation of hypothesis Rationale The nurse utilizing the PICOT format to formulate a clinical question understands that the mnemonic includes: Population of clients, Issue of interest, Comparison of interventions, Outcomes, and Time frame. Implementation of hypothesis is not a part of the PICOT format.

Because several disciplines support the foundation of informatics nursing, it is important for the informatics nurse to understand that: A. Informatics nursing differs from other disciplines, as it focuses on supporting the process of obtaining data. B. Informatics nursing uses the concepts, tools, and methods of various disciplines to facilitate nursing process. C. Information technology and nursing technology are synonymous, as they have the same goal. D. The boundaries between the various disciplines are clearly defined.

B. Informatics nursing uses the concepts, tools, and methods of various disciplines to facilitate nursing process.

When performing a literature review for evidence, nurses look for scientific elements in the journal article, including all except: A. A written conclusion B. Names of patients involved in the data collection C. The abstract D. An overview of the study conducted

B. Names of patients involved in the data collection Rationale Looking for clinical evidence from research sources usually includes a review of the pertinent literature. When doing a literature review for evidence, nurses look for scientific elements in the journal article including the abstract, an overview or summary of the study conducted, a written conclusion. Revealing the names of patients involved in the data collection is a violation of HIPAA laws and does not occur.

According to research design, once the research problem is defined, what is the next step in the process? A. Define variables. B. Review the literature. C. Formulate a hypothesis. D. Select a design.

B. Review the literature. Rationale Before progressing with the research design, the researcher determines what is known and not known about the problem. A thorough review of the literature provides the foundation on which to build new knowledge. Next, a hypothesis is formulated, variables are defined, and the research design is selected.

Which of the following can be considered as major development in Community Health Nursing in terms of information technology? A. Medication dispensing B. Telehealth C. Patient Monitoring D. Prevention of epidemiological diseases through quality care

B. Telehealth

The nurse is learning about the computer system at a new job. Which system would the nurse expect to use when charting client care? A. The DVD system B. The clinical information system (CIS) C. The administrative information system (AIS) D. A secondary memory storage system

B. The clinical information system (CIS) Rationale Large healthcare organizations have two systems: The CIS is used by various medical professionals to input data, such as assessments or treatments, into the client's electronic record; the AIS is demographics, insurance, and other administrative information added on admission that the professional rarely adds to but views for information regarding the client's history. A DVD is a recording system. Secondary memory storage is part of the computer's hard drive.

The nurse is learning about the computer system at a new hospital job. The nurse expects to use which system when charting client care? A. The DVD system B. The clinical information system (CIS) C. The administrative information system (AIS) D. A secondary memory storage system

B. The clinical information system (CIS) Rationale: Large health care organizations have two systems. The CIS is used by various medical professionals to input data, such as assessments or treatments, into the client's electronic record. The AIS is demographics, insurance, and other administrative information added on admission that the professional rarely adds to, but views for information regarding the client's history. A DVD is a recording system. Secondary memory storage is part of the computer's hard drive.

The nurse informaticist is delivering a webinar about electronic medical records​ (EMRs). Which statement should be included in the​ webinar? A. "EMRs are not useful in identifying the need for routine preventive maintenance." B. "The EMR is also called the administrative information system." C. "EMRs focus on diagnosis and treatment." D. "Most EMRs are designed to be portable."

C. "EMRs focus on diagnosis and treatment." Rationale Electronic medical records​ (EMRs), which are similar to electronic​ charts, help track client data and identify when routine preventive health maintenance​ (such as vaccines or​ mammograms) is needed. EMRs focus is on diagnosis and treatment. Most EMRs are designed to stay within a clinical​ setting, so clients who are referred to other care providers may need printed versions of the EMR to take with them. An administrative information system provides support and management for the business aspects of health care.

The nurse researcher is giving a presentation about the applications of geographic information system​ (GIS) technology. Which statement is appropriate for the nurse researcher to include in the​ presentation? A. "GIS technology is used strictly within the healthcare system." B. "GIS technology is not useful for tracking acute health problems." C. "GIS technology can be used to plot and analyze lifestyle​ choices, such as improper nutrition." D. "GIS technology is not dependent on satellite imaging or global positioning systems ​(GPSs)."

C. "GIS technology can be used to plot and analyze lifestyle​ choices, such as improper nutrition." Rationale GIS technology has been used both inside and outside of health care. To capture geographical​ data, GIS relies on satellite imaging and global positioning systems​ (GPSs). The many uses of GIS technology include plotting and analyzing lifestyle​ choices, such as improper​ nutrition, and tracking acute health problems.

A student nurse asks the nursing instructor how nurses use informatics when they practice nursing. What is the best response by the nurse instructor? A. "Nurses use computers to chart medication administration only." B. "Nurses do not need to be proficient in informatics to care for clients." C. "Nursing informatics is an important science used daily in the care of clients." D. "Physicians use computers more than nurses."

C. "Nursing informatics is an important science used daily in the care of clients." Rationale Nursing informatics is the science of using computers in the practice of nursing, from daily assessments to nursing research. Medication administration is only one aspect of computer use by nurses. Nurses do need to become proficient in the use of computers. All medical disciplines use informatics in the care of clients.

The nursing student is giving a presentation about nursing research. Which statement is most appropriate for the student to include in the​ presentation? A. "Nursing research is illustrated by the client​'s choice to use an alternative treatment." B. "Nursing research combines the best evidence from current​ studies, clinical nursing​ expertise, and client preferences." C. "Nursing research tests hypotheses about​ health-related conditions and nursing care." D. "Nursing research is clinical​ knowledge, expert​ opinion, or information resulting from research."

C. "Nursing research tests hypotheses about​ health-related conditions and nursing care." Rationale Nursing research tests hypotheses about​ health-related conditions and nursing care. ​Evidence-based practice​ (EBP) combines the best evidence from the most current research studies​ available, the​ nurse's clinical​ expertise, and the​ client's preferences, including​ needs, values, and choices. Choosing an alternative treatment is an example of a client preference. Evidence is clinical​ knowledge, expert​ opinion, or information resulting from research.

The new nurse is interested in learning more about nursing research. The nurse preceptor would describe a literature review as all except: A. Is part of the evidence retrieval process of the research process B. A means for the student nurse to identify past research findings on the research topic C. A non-essential part of the research process D. A way to look for clinical evidence from research sources

C. A non-essential part of the research process Rationale Looking for clinical evidence from research sources usually includes a review of the pertinent literature related to the subject. It provides a means to identify past research finding on the research topic, is a part of the evidence retrieval process of the research, and is an essential part of the research process.

A new aspect of the informatics system that the nurse finds helpful when caring for clients is: A. Ability to look up client phone numbers B. E-mails from the manager C. An intranet that has access to medical and nursing information D. Use of passwords for access to the computer system

C. An intranet that has access to medical and nursing information Rationale Intranets within a system offer nurses access to information about treatment and disease that enables them to become more informed about client conditions. Being able to look up the client's phone number is not new nor all that helpful when delivering care. E-mails from the manager have more to do with unit policies and changes than with client care. The intranets offer a wide range of medical and nursing information, which is very helpful for newer nurses when dealing with rare conditions. Passwords do not help the nurse to provide better care other than ensuring protection of the client's privacy.

The nurse is working in an agency that uses a nursing informatics system. A new aspect of the system that the nurse finds helpful when caring for clients is: A. Ability to look up client phone numbers. B. E-mails from the manager. C. An intranet that has access to medical and nursing information. D. Use of passwords for access to the computer system.

C. An intranet that has access to medical and nursing information. Rationale: Intranets within a system offer nurses access to information about treatment and disease that enables them to become more informed about client conditions. Being able to look up the client's phone number is not new nor all that helpful when delivering care. E-mails from the manager have more to do with unit policies and changes than with client care. The intranets offer a wide range of medical and nursing information, which is very helpful when dealing with rare conditions or for newer nurses. Passwords do not help the nurse to provide better care other than ensuring protection of the client's privacy.

Adherence to a standardized nursing language will lead to: A. A barrier in national interoperability. B. A larger database of interventions. C. Improved evaluation of nursing outcomes. D. Increased nursing competencies.

C. Improved evaluation of nursing outcomes

The nursing student is designing a poster that outlines strategies through which informatics can address the increasing national problem with prescription opioid addiction and overdose. Which strategy should be included on the​ poster? A. Linking computerized written orders with client electronic health records to identify and monitor healthcare providers who prescribe opioids B. Increasing efforts to enhance electronic tracking of opioid prescriptions at the community level C. Improving the ability to identify individuals who engage in "doctor shopping" to obtain narcotics for abuse or illegal sale D. Monitoring data to identify clients who sell opioids and their buyers

C. Improving the ability to identify individuals who engage in "doctor shopping" to obtain narcotics for abuse or illegal sale Rationale Strategies through which informatics can address the increasing national problem with prescription opioid addiction and overdose include increasing efforts to enhance electronic tracking of opioid prescriptions at the state​ level; linking computerized written orders with client electronic health records regionally and​ nationally, to identify and monitor individuals who are at risk for opioid​ abuse, and potentially to decrease the prevalence of opioid misuse and​ overdose; improving the ability to identify individuals who engage in "doctor shopping" to obtain narcotics for abuse or illegal​ sale; and identifying healthcare providers who write bogus opioid prescriptions in exchange for payment from sellers.

Ability to recognize when information is needed, as well as the skills to find, evaluate, and use needed information effectively. A. Computer literacy B. Nursing literacy C. Information literacy D. Evidence based practice

C. Information literacy

Which of the following refers to a collective term for system of data records and activities that processes and translate the data to information in an automated process. A. Nursing informatics B. Informatics C. Information system D. Health information technology

C. Information system

The informatics nurse violates a patient's legal right to privacy and confidentiality, by: A. Discussing a patient's diagnosis with an authorized family member. B. Discussing care-related information with the patient's physical therapist. C. Looking up a colleague's diagnosis and laboratory results while he or she is hospitalized. D. Providing a handoff report containing patient information to another department

C. Looking up a colleague's diagnosis and laboratory results while he or she is hospitalized.

During the unit tour, the new nurse notes which ergonomic measure to prevent injuries to the staff that use nursing informatics? A. Notebook computers B. Wrist supports on the keyboard C. Lumbar supports on the chairs D. Computer monitors above eye level

C. Lumbar supports on the chairs Rationale Lumbar supports on the chairs help avoid back fatigue and injury. Wrist supports actually aggravate carpal tunnel syndrome, whereas a flat surface for the palm is helpful. Computer monitors should be just below eye level. Notebooks encourage poor posture.

A student is asking his instructor regarding distance learning. Which these will best describe e-learning? A. It requires every participants to log on at the same time B. It provides unstructured type of learning C. Provide alternative learning to those who can not access traditional schooling D. Synchronous provide 24/7 schedule session

C. Provide alternative learning to those who can not access traditional schooling

Ease of navigation, appropriate language, efficiency of use, ease of learning, and intuitiveness are all examples of: A. Affective skills. B. Behavioral needs. C. System usability. D. User ergonomics.

C. System usability.

The nurse is critically appraising a research study. Which statement is reflective of an appraisal of the​ study's reliability? A. ​"Although the study was supposed to measure the​ client's wound​ healing, it really measured the​ client's satisfaction with​ care." B. "The study's results are applicable to clinical​ practice." C. ​"The original study was repeated three​ times, but it did not produce consistent​ results." D. ​"The study's results are not applicable to clinical​ practice."

C. ​"The original study was repeated three​ times, but it did not produce consistent​ results." Rationale Reliability is the​ study's ability to produce consistent results with each use. Validity is the degree to which the study measured what it intended to measure. Usefulness is reflective of the​ study's application to clinical practice.

What is used to access client data that is used to plan, implement, and evaluate care. A. Administrative Information Systems B. Information Systems C. Hospital Information System D. Clinical Information Systems

D. Clinical Information Systems

Karen, medical director of St. Luke Hospital was asking for a computerized system that is designed to meet the information needs on patient information processing and patient registration. She is referring to what system? A. Records management B. Patient information management C. Health management D. Clinical and hospital information system

D. Clinical and hospital information system

Which is NOT a factor in the demand for change to electronic-based records. A. An increase in medical errors B. Rising health care costs C. Need for coordination of care D. Need for saving paper

D. Need for saving paper

The nurse is participating in conducting a research study and needs to determine if an individual qualifies to be a participant. Which criteria must be met for inclusion in a research​ study? ​(Select all that​ apply.) A. The individual has given informed consent. B. The individual receives payment for participation. C. The individual meets all the inclusion criteria. D. The individual must waive the right to anonymity. E. The individual is informed of all aspects of the study.

A, C, E Rationale: Research participants are defined as volunteers for a specific study project who meet all the inclusion​ criteria, have been informed of all aspects of the​ study, and have given informed consent. Adherence to the ethical principle of justice requires protection of the research​ participant's anonymity. Payment is not a mandatory condition of participation in research.

A staff nurse having computer access to health care information such as trauma history, vital signs, and current treatments, in summary form with graphics depicting trends, is an example of: A. A clinical decision support system. B. Artificial intelligence. C. A point of care system. D. Healthcare technology

A. A clinical decision support system.

Nursing Administration also affected by information technology. Which of the following can be considered as benefits from IT? (Select all that apply) A. It provide absolute protection from web threats B. Projection of trends in terms of cases, patients and medical diagnoses can be done C. It limits errors in various fields D. Help in communicating to different employees

B, C, D

During a class about research​ methods, a nursing student asks the​ instructor, "What is the difference between qualitative and quantitative ​research?" Which response by the instructor is the most​ appropriate? A. "Quantitative research explores individuals​' subjective experiences." B. "Quantitative research uses precise measurement to collect data and analyze it statistically." C. "Qualitative research is used to test relationships between variables." D.. "Qualitative research does not use the scientific method.

B. "Quantitative research uses precise measurement to collect data and analyze it statistically." Rationale Quantitative research uses precise measurement to collect data and to analyze it​ statistically; this method is used to test relationships between variables. Qualitative research investigates a question through narrative data to explore the subjective experiences of human​ beings; this method is used to clarify the​ nurse's understanding of the​ client's perspective. The scientific method may be applied to both the qualitative method and the quantitative method of research.

A client asks the nurse why the physician refers to the electronic health record (EHR) and the nurse refers to the electronic medical record (EMR). The best explanation by the nurse is: A. "The EHR is a small part of the EMR." B. "The EHR is your entire health history." C. "The EMR tracks only your medications." D. "The EMR is used only by physical therapy."

B. "The EHR is your entire health history."

A group of nursing students are discussing clinical research questions. In describing the difference between background questions and foreground​ questions, which student​'s statement is the most​ appropriate? A. "The answer to a foreground question addresses multiple clinical issues." B. "Background questions address a range of clinical issues." C. "Answers to background questions may be found in drug guides." D. "Foreground questions are ​knowledge-based."

C. "Answers to background questions may be found in drug guides." Rationale Background questions are​ knowledge-based and seek more information about a​ topic, such as medications or diseases. Answers to background questions can be found in​ textbooks, drug​ guides, medical​ dictionaries, and other education resources. Foreground questions are​ practice-based and, compared to background​ questions, they are narrower in scope. Foreground questions focus on a specific clinical issue and their answers identify useful information about direct client care that may guide the formulation of nursing interventions that improve client outcomes.

The clinical nurse educator is designing an online course about the use of patient portals for consumer and client​ e-health. Which item should be included when designing the online​ course? A. To use the​ portal, the client must first register in person at the healthcare facility. B. Prescription refill requests are not permitted when using a portal. C. Clients must provide a user identification and password for each portal visit. D. Protected health information is encrypted and securely transmitted via the portal.

C. Clients must provide a user identification and password for each portal visit. Rationale Patient portals require online​ registration, and a user identification and password are needed for each visit. Not all portals are encrypted to allow secure transmission of protected health information. Functions offered by certain patient portals include scheduling routine​ appointments, requesting prescription​ refills, and communicating electronically with a healthcare provider.

The nurse informaticist is summarizing the function and findings of the Technology Informatics Guiding Educational Reform​ (TIGER) Summit for a group of staff nurses. Which statement should be included in the​ presentation? A. "TIGER is developing plans to include informatics in all baccalaureate nursing programs." B. "TIGER concluded that knowledge of informatics is important for certain healthcare professionals." C. "TIGER was attended mainly by nurse administrators from major healthcare institutions." D. "TIGER is examining ways to reach out to nurses who lack the informatics skills that are needed to practice."

D. "TIGER is examining ways to reach out to nurses who lack the informatics skills that are needed to practice." Rationale The 2006 Technology Informatics Guiding Educational Reform​ (TIGER) Summit was attended by nursing informatics leaders from major nursing organizations.​ TIGER's findings included that knowledge of informatics is mandatory for all healthcare professionals. TIGER is developing plans to include informatics courses in all levels of nursing education. TIGER is also examining the best ways to reach out to nurses who lack skills needed to practice in a healthcare environment that is becoming increasingly more interactive and reliant on technology systems.