Professional II Exam 1

What is the triple aim?

-population health -experience of care -per capita cost

What are the 3 parts of evidence based practice?

1. best research evidence 2. clinical expertise 3. patient values & preferences

Consequences for a staff nurse related to the use of health informatics include: A. Clinical decision support tools. B. Confidentiality of health data. C. Decreased cost of health care. D. Personal health record.

A

The nurse is entering a client's data in the electronic health record. What action should the nurse take to minimize ambiguity and confusion? A. Use consistent and clear terminology B. Record the data in the client's presence C. Enter the data in the client's native language D. Upload scanned copies of the client's record

A

When discussing the purposes of nursing health care informatics with a nurse during orientation, a nurse educator would be concerned if the nurse orientee stated that which is a primary purpose of informatics? A. Develop a data management system B. Improve disease tracking C. Improve a health provider's workflow D. Increase administrative efficiencies

A

Which are consequences for a staff nurse related to the use of health informatics? A. Clinical decision support tools B. Confidentiality of health data C. Decreased cost of health care D. Personal health record

A

Which of the following concepts would a nurse consider to have the strongest links to technology and informatics? A. Clinical judgement B. Ethics C. Leadership D. Professionalism E. Safety

A, B, C, E

barcode medication administration

Allows nurses to effectively and safely administer medications to patients

clinical informatics

Application of information and communication technologies to the delivery of healthcare services

health information technology

Application of information processing involving both computer hardware and computer software that deals with storage, retrieval, sharing, and use of healthcare data, information, and knowledge for communication and decision making

public health informatics

Application of information, computer science, and technology to public health science to improve the health of populations

A nurse who has worked at Essentia for 3 years in oncology is moving to St. Lukes to work in the ICU. She is familiar with Epic and is now learning to work on Meditech. She is able to get an understanding right away on how to chart assessments and medications. This is what type of skill? A. Critical Thinking Skill B. Transferable Skill C. Technology Skill D. Nursing Skill

B

While entering data for a client in the electronic health record (EHR), the nurse uses North American Nursing Diagnosis Association (NANDA) International terminology to document which part of the nursing process? A. Planning B. Diagnosis C. Outcomes D. Interventions

B

A nurse was upset about a client's behavior and feels very angry. The nurse wants to discuss it with someone but doesn't know what to do. Which of the following potential responses from the nurse constitutes a HIPAA violation? Select all that apply. A. Talking to the client about the client's behavior and how it makes the nurse feel B. Talking to her spouse about the situation C. Talking with a professional counselor about the situation D. Discussing the situation with the provider in charge of the care E. Commenting on social media without using any client identification

B & E

The charge nurse on a healthcare unit walks into the conference room and finds another nurse looking up private health information on the computer for a client that the nurse is not assigned to. The charge nurse knows that protecting health information, according to HIPAA, is designed for which of the following? A. Prevent those who are involved with direct care from accessing personal information about the client B. Prevent those in law enforcement from finding out any information about the client C. Impose criminal penalties if a client's privacy rights are violated D. Avoid reporting of private information to public health officials

C

The nurse working in a cardiac center is preparing to enter client data using health information technology. The nurse needs to refer to this data during subsequent follow-up client visits. Which type of record should the nurse use to enter client's data? A. Personal Health Record B. Electronic Health record C. Electronic Medical record D. Regional Health Information Organization health record

C

To address a goal of improving the health of populations, a nurse is most likely to use informatics in which domain? A. Certified clinical information B. Clinical health care informatics C. Public health/population informatics D. Translocational bioinformatics

C

To address a goal of improving the health of populations, a nurse is most likely to use informatics in which domain? A. Certified clinical information systems B. Clinical health care informatics C. Public health/population informatics D. Translocational bioinformatics

C

Which of the following is the best way to define health literacy? A. Being able to read an apple watch B. Knowing how to use google C. Bigger predictor of overall health D. Understanding how to search for s/s on PubMed

C

You are reviewing Health Insurance Portability and Accountability Act (HIPAA) regulations with your patient during the admission process. The patient states, "I've heard a lot about these HIPAA regulations in the news lately. How will they affect my care?" Which of the following is the best response? A. HIPAA allows all hospital staff access to your medical record. B. HIPAA limits the information that is documented in your medical record. C. HIPAA provides you with greater control over your personal health care information. D. HIPAA enables healthcare institutions to release all of your personal information to improve continuity of care.

C

Electronic Health Record (EHR)

Can decrease the fragmentation of care by improving care coordination Help to organize patient health information

The specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice is known as which specialty? A. Computer science B. Health informatics C. Health information technology D. Nursing informatics

D

computerized nursing documentation

Enables nurses to document all activities associated with the nursing process and serves as a respiratory for stored nursing data and information that can facilitate clinical decision making and interprofessional communication

organizational science

Focuses on the behavior of organizations and includes a wide variety of topics such as individual, group, and organizational decision making, the management of human resources and the design of organizations and interorganizational networks

What does HIPPA stand for?

Health Insurance Portability and Accountability Act

health informatics

Health data are stored, analyzed, and disseminated through the application of information and communication technology

information science

Interprofessional science primarily concerned with the analysis, collection, classification, manipulation, storage, retrieval, and dissemination of information

technology

Knowledge and use of tools, machines, materials, and processes to help solve human problems

clinical decision support systems

Provide electronic tools that can provide the information and knowledge to assist the nurse in clinical decision making

clinical research informatics

Relates to informatics whose objective is to advance the biomedical/health sciences through the humane and ethical use of informatics

What is SBAR?

S: Situation B: Background A: Assessment R: Recommendation

clinical healthcare informatics

Seeks to transform health care and enhance human health through a creative and innovative use of informatics

computer science

Studies computation and computer technology, hardware, and software as well as the theoretical foundations of information and computation techniques

cognitive science

Study of mind, intelligence, and behavior from an information processing perspective. It encompasses how people think, understand, remember, synthesize, access, and respond to stored information and knowledge

Interoperability

The ability, generally by adoption of standards, of systems to work together

informatics

The science that encompasses information science and computer science to study the process, management, and retrieval of information

AMIA (American Medical Informatics Association)

Transitional bioinformatics as the development of storage, analytic, and interpretive methods to optimize the transformation of increasingly voluminous biomedical and genomic data to proactive, predictive, preventative, and participatory health

consumer informatics

a field of study related to healthcare information that is accessible to consumers in a useful, understandable manner

health literacy

a person's capacity to learn about and understand basic health information and services, and to use these resources to promote one's health and wellness

data integrity

data is only as good as the date that is entered

informatician

person who works in the field of informatics

nursing informatics

specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice