NUR 211 2

Which of the following is a standardized tool used to outline daily nursing care to clients who have common needs or medical conditions?

Critical pathway

True or False: The components of an EHR make it a more beneficial system than a paper record system.

True

True or False: The order entry management component of EHRs has the ability to decrease medical errors.

True

True or false: In Lewin's Field theory, moving is when the change is implemented.

True

Which stages of change are associated with Lewin's field theory? (Select all that apply.)

Unfreezing Moving Refreezing

Lewin's field theory focuses on what aspect of change related to adopting new innovations?

Forming a positive attitude about change

What are key benefits to Computerized Provider Order Entry (CPOE)? (Select all that apply.)

Promotes safety, Saves money, Saves time

True or false: Failed rollouts of new EHR systems are rare.

False

When considering health information technology (HIT), what does the term interoperability mean?

Two or more health-related service providers can access and share information.

A newly licensed nurse is expected to do which of the following?

Use technology to obtain information about unfamiliar procedures.

Testing for networking and connectivity issues in hardware, software, and user interfaces occurs as a last step before a go-live event.

False

True or false: Only nurses who work in the lab need to learn about the laboratory information system (LIS).

False

True or false: The three concepts involved in Lewin's Force Field Theory are behavioral disruptions, behavioral compliance, and balance.

False

True or False: EHR Incentives programs have largely stayed the same since their original inception with the HITECH Act.

False

True or False: Only the system's executive stakeholders need to be involved in the initiating phase of an EHR implementation project.

False

Which of the following best describes a recommended pace for a rollout of a new EHR?

Gradual

When administering a client's medication, a nurse uses which of the following actions as the best way to reduce preventable medication errors?

Visually verify the medication, and ask the client to state her name and date of birth

A new staff member asks a nurse what the abbreviation CDSS means. The correct response is

clinical decision support system

The purpose of using critical pathways to help manage the care of clients who have specific clinical problems is to

improve client outcomes by providing timely interventions

Which of the following accurately reflects the overall trend seen in EHR adoption rates among health care providers?

increase

How has the federal government attempted to support health care providers with compliance requirements associated with the adoption of electronic health records (EHRs)?

Financial incentives

The foremost goal of 'meaningful use' is to use information from EHRs to do which of the following?

Improve quality of care

With the proper credentials, what role can the nurse with informatics knowledge assume? Select all that apply

Systems educator An information technology advocate Clinical systems coordinator Researcher

Which of the following are examples of EHR government incentives programs?

The HITECH Act, Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

The American Nurses Association (ANA) Scope and Standards for Nursing Informatics Practice has established how many standards to be met?

Six

True or false: On Feb. 17, 2009, President Obama signed the American Recovery and Reinvestment Act of 2009 (Recovery Act or ARRA), a critical measure to stimulate the economy.

True

True or false: Computer competency alone is sufficient for a career in informatics.

False

How can cognitive theory help the informatics nurse in designing decision-making tools?

Improves understanding of how nurses process information when making decisions

Which of the following are crucial considerations for EHR implementation?

Investment costs Stakeholder engagement User training

Which type of funds are distributed through Medicare and Medicaid incentive payments to eligible professionals (EPs) and hospitals who are 'meaningful EHR users'?

Federal funds

In terms of EHR implementation, a provider with concerns around how the new system will change patient care services, an administrative employee with questions around how it will impact their job duties, and a patient wanting to know how they might access their electronic records are all examples of which of the following?

Stakeholder interests

What is a key benefit to a Picture Archiving and Communication System (PACS)?

Stores diagnostic images and scans including from ultrasounds, MRIs, CTs and more

True or false: Hospitals and eligible professionals are required to use EHR technology to receive payments from Medicaid and Medicare.

True

Which of the following actions would best support a successful EHR implementation?

Schedule additional staff to reduce patient loads Engage staff actively with the system Create a contingency plan for potential rollback

The primary goal of nursing informatics is to do which of the following?

Improve health by optimizing information management and communication

True or False: As long as an EHR functions efficiently to meet a single department's needs, it is considered sufficient for that organization.

False

True or False: The HIPAA law protects all patient information.

False

True or False: There is no difference between the roles of an informatics nurse and informatics nurse specialist.

False

On which area of privacy is the Health Insurance Portability and Accountability Act (HIPAA) focused?

Patient Privacy

Nursing informatics training is offered for which of the following types of programs?

All of the above

True or false: As a nurse, you will not be considered a stakeholder in your agency's EHR.

False

True or false: Because it is a newer field, the focus of nursing informatics education remains consistent from program to program.

False

A nurse should recognize that to be a meaningful user of EHR, he should do which of the following?

Respond appropriately to all clinical decision-making support systems and alerts

Confidential information in a secure network is most often breached by

unauthorized access to and disclosure of information by authorized users

How were most of today's practicing informatics nurses prepared for their role?

Self learning

Which of the following are examples of EHR subsystems?

Laboratory Radiology Pharmacy

During which year did eligible providers (EPs) who are meaningful users officially begin to receive EHR incentive payments?

2011

Which of the following reflect benefits of EHRs? (Select all that apply.)

Accessibility Quality improvement Security Data reporting

Which of the following are key advantages of electronic health records?

Accessibility, Efficiency, Quality of care

Which of the following is a risk to electronic health records?

Hacking Natural disasters Equipment failures

In an EHR implementation project, stakeholders can include which of the following roles?

Healthcare agency executives Financial personnel Nursing clinicians System users Patients

An informatics nurse specialist may engage in numerous roles. Which of the following roles is specific to her qualifications?

Liason between health care professionals, information technology department, and administration

Risks associated with the use of information technologies include which of the following

Loss of electronic information due to glitches and external threats to security

Which of the following is NOT a fitting quality for a nurse informaticist?

Low tolerance for change

What term is used to identify requirements associated with the implementation of electronic health records (EHRs) that are designed to improve the delivery of health care?

Meaningful use

During an EHR implementation project, a lack of which of the following in particular can discourage trust and confidence among users and team members?

Planning

The P in HIPAA stands for:

Portability

Which job title is reserved for only an informatics nurse specialist?

Researcher

Certified Electronic Health Record Technology (CEHRT) use for continuous quality improvement was implemented in which stage of EHR incentive program?

Stage 2

Which situation is an example of how a hospital's interoperable EHR subsystems support nursing care?

The nurse determines that a patient is likely to be discharged after reviewing daily laboratory results.

True or False: If a healthcare provider violates HIPAA, they could face legal ramifications including fines.

True

True or False: HIPAA provides guidance to healthcare providers regarding the storage and use of protected health information.

True

True or False: It can be said incentives programs have been largely successful at increasing EHR adoption rates.

True

Which of the following is NOT a component of Electronic Health Records (EHRs)?

Medical billing

A home health nurse uses a laptop computer to document her patient assessments. In order to be compliant with HIPAA regulations, what must be in place?

A plan to prevent the loss of the patient data on the laptop.

Which of the following are considered part of the Scope and Standards for Nursing Informatics Practice established by the American Nurses Association (ANA)?

Assessment, Diagnosis, Outcome Identification, Planning, Implementation, Evaluation

True or false: In Phase 1 of preparing for the go-live event of an EHR, the target date should be determined after all necessary training and procedural changes have taken place.

False

Which of the following roles would be open to an informatics nurse?

Clinical systems analyst who troubleshoots system problems

Which of the following theories or disciplines is related to nursing informatics?

Cognitive science theory

Which of these is not one of the stages in Lewin's Field theory?

Melt

Which of the following are benefits of meaningful use for a patient?

Patients can personally engage in their health care Privacy and security of health information

True or False: The primary need for healthcare records to be electronic is to improve patient care.

True

True or false: EPs who can participate in either the Medicare or Medicaid EHR incentive programs will be subject to the payment adjustments, unless they are meaningful users under one of the EHR incentive programs.

True

True or false: Health care providers who receive payments from CMS for their services are required to participate in Quality Payment Program (QPP) and are held accountable for quality patient outcomes

True

True or false: Providers must attest to demonstrating meaningful use every year to receive an incentive and avoid a Medicare payment adjustment.

True

True or false: Today, the trend is to require advanced formal academic preparation in the field of nursing informatics.

True

In the third step before an EHR go-live event, all staff must be actively __________ with the new systems.

engaged

How often must providers and hospitals demonstrate meaningful use?

every year