PrepU Chapter 20: Informatics

An informatics nurse specialist teaches a group of staff nurses how to document client care in the new electronic health record. To document assessment findings, the nurses are to select the correct information from a drop-down list. During the teaching session, one of the nurses asks, "Why do we have to use this list. Why can't we just type in what we want to say?" Which response by the informatics nurse specialist would reflect the most important reason for documenting in this way?

"Documenting this way allows nurses' actions to be measured."

A staff nurse at a facility asks an informatics nurse, "What training or education did you need to become an informatics nurse?" Which response by the informatics nurse would be most appropriate?

"I basically got my training on the job."

An informatics nurse specialist is working on a team that is considering a new technological system for the facility. Which aspect would be most important for the team to do as the first step?

Determine the need or problem to be solved

A nurse is reading a journal article about telemedicine. The nurse demonstrates understanding of this concept by identifying which type of service as being provided? Select all that apply.

* Diagnostic testing * Access to specialist at a different location * Client progress monitoring

A facility is considering the addition of an alert system to the current electronic documentation system. The goal is to identify clients at risk for post-operative complications based on client data. A team consisting of an informatics nurse specialist, information technology experts, and nurses work on this. The team is currently in the "analyze and plan" phase of the system development lifecycle. Which activity would the team be involved with at this time? Select all that apply.

* Identifying the specific purpose for this system * Collecting data to determine the seriousness of postoperative complications * Evaluating how the system might affect the current electronic documentation system * Assessing how the system can be incorporated into the nurses' current workflow patterns

An informatics nurse specialist is involved in evaluating a new clinical information system recently implemented at the facility. As part of the evaluation process, the nurse specialist is preparing to conduct a study to evaluate the system. Which aspect would the nurse specialist need to consider when determining the type of study to be done? Select all that apply.

* Question being asked * Data being collected

An informatics nurse specialist is working with a team designing an update to a clinical information system being used by the nursing staff. When selecting the language to be used with the system, which characteristic would be most appropriate to address? Select all that apply.

* Terminology is clear and concise for the nurses * Terminology is familiar to the user * Terminology reflects the users work context

An informatics nurse is participating in an online continuing education course about informatics, health information technology, and the use of standard terminology. The informatics nurse demonstrates understanding of the information presented in the course by identifying which aspect as a characteristic of nursing standard terminologies? Select all that apply.

* The terminology identifies concepts related to the delivery of nursing care. * The terminology is structurally organized to reflect nursing knowledge. * The terminology provides a means to code the delivery of nursing care. * The terminology aids in promoting interoperability.

An informatics nurse specialist is partnering with the health care team to implement a planned update to the clinical information system. The nurse specialist demonstrates the competency of implementation based on achievement of which outcome? Select all that apply.

* The update was implemented on the day it was to happen. * The update was implemented within the budget developed for it. * The update was implemented using the specified requirements of the plan.

The nurse is caring for a client in the intensive care unit who must be administered multiple medications. The client is often unresponsive and cannot offer information during assessment. When administering the medication, which step by the nurse is most important to avoid confusion and ensure safety?

Compare the client's wristband to the eMAR and EHR information if the client is unresponsive, then verify the medication has the same identifying information.

An informatics nurse is applying the informatics framework to a clinical situation. Which component of the framework would the nurse apply first?

Data

An informatics nurse specialist is describing the framework underlying informatics practice. Which component of the framework would the nurse specialist describe as discrete entities without interpretation?

Data

An informatics nurse is evaluating a new clinical information system for usability. The nurse notes that the system requires the user to complete a maximum of 3 steps to complete a task. The system also provides shortcuts to frequent users of the system. The nurse would determine that which concept of usability is being addressed?

Efficient interactions

An informatics nurse is assisting with the evaluation of a newly implemented system for electronic documentation of client assessments. The nurse is planning to involve staff nurses in this process. When beginning the evaluation process, the informatics nurse would focus on which area first?

Identifying what will be evaluated

An informatics nurse specialist is working with a group of staff nurses who are testing an electronic documentation system. The nurses using the system find that the different components of the system are working as they should from the time a client is admitted and throughout the client's care. The group is involved with which phase of testing?

Integration

A client comes to see the cardiologist for a routine follow-up visit. At the visit, the nurse reviews the client's electronic health record. The nurse is able to access a report from the client's last visit to the primary care provider last month and the report from an emergency department visit two weeks ago for reports of shortness of breath. The record also lists two changes in the client's medication based on the emergency department visit. The nurse's ability to access this information reflects which concept?

Interoperability

A healthcare provider in a different state is reviewing the x-rays and scans of a patient who lives in another state. The patient's primary care provider has asked the other healthcare provider for their interpretation of the tests and to obtain the provider's opinion about the diagnosis. Which technology is being used?

Telehealth

An informatics nurse specialist is conducting an in-service education program for a group of staff nurses. The topic is ensuring electronic client data is secure and private. The specialist determines that the teaching was successful when the group identifies which aspect as essential to ensuring the security of electronic data when using clinical systems?

Use of strong passwords

A nurse is conducting a client assessment and documenting the findings in the client's electronic health record (EHR). Which description would the nurse most likely enter as data in the system to document the client's activity level?

Walks without assistance

An informatics nurse specialist is describing the role of informatics in health care to a group of staff at a facility. The nurse specialist determines that the teaching was successful when the group identifies which as a core practice area?

electronic health record

During a recent visit to the clinic, a client tells the nurse, "I've been using my cell phone to track and record the foods that I eat so that I can better understand if I'm making healthy food choices." The nurse interprets the client's statement as reflecting which technology?

mHealth