Pre-Assessment C468
Beginning Nurse
Uses information systems to manage patients
Match each term with its healthcare information system. Answer options may be used more than once or not at all: Admission, discharge, and transfer system:
Administrative Information System
Match each term with its healthcare information system. Answer options may be used more than once or not at all: Financial System
Administrative Information System
Match each term with its healthcare information system. Answer options may be used more than once or not at all: Scheduling System
Administrative Information System
Match each term with its healthcare information system. Answer options may be used more than once or not at all: Clinical documentation System
Clinical Information System
Match each term with its healthcare information system. Answer options may be used more than once or not at all: Radiology Information System:
Clinical Information System
Label the description as belonging to the role of either the informatics nurse or the informatics innovator: The RN who works in the area of informatics:
Informatics Nurse
Informatics Nurse Specialist
Focuses on nursing's information needs
Informatics Innovator
Generates informatics theory
Label the description as belonging to the role of either the informatics nurse or the informatics innovator: Has advanced graduate training in nursing informatics
Informatics Innovator
Label the description as belonging to the role of either the informatics nurse or the informatics innovator: Plays an active role in research and theory development:
Informatics Innovator
Label the description as belonging to the role of either the informatics nurse or the informatics innovator: Ensures that information is disseminated at appropriate times for appropriate uses:
Informatics Nurse
Label the description as belonging to the role of either the informatics nurse or the informatics innovator: Has an interest or experience, but no formal trainings in informatics:
Informatics Nurse
Classify the mechanisms as either physical or logical security measures for protecting electronic information. Answer options may be used more than once or not at all: Authentication
Logical
Classify the mechanisms as either physical or logical security measures for protecting electronic information. Answer options may be used more than once or not at all: Automatic sign-off
Logical
Classify the mechanisms as either physical or logical security measures for protecting electronic information. Answer options may be used more than once or not at all: Installing a firewall
Logical
. Match the situation with the appropriate and effective telecommunication strategy. Answers options may be used more than once or not at all (Real-time remote monitoring, Online classroom, Teleconsultant, Telephony): A nurse is struggling to work full-time in a hospital setting time while completing her Masters:
Online classroom
Classify the mechanisms as either physical or logical security measures for protecting electronic information. Answer options may be used more than once or not at all: Placing computers, servers and routers in restricted areas
Physical
Classify the mechanisms as either physical or logical security measures for protecting electronic information. Answer options may be used more than once or not at all: Setting up surveillance
Physical
Experience Nurse
Pulls trends out of data
. Match the situation with the appropriate and effective telecommunication strategy. Answers options may be used more than once or not at all (Real-time remote monitoring, Online classroom, Teleconsultant, Telephony): A family member is unsure what to do for a home hospice patient who is restless and agitated during the night:
Real-time remote monitoring
Match the situation with the appropriate and effective telecommunication strategy. Answers options may be used more than once or not at all (Real-time remote monitoring, Online classroom, Teleconsultant, Telephony): An Elderly home-bound patient is concerned about the palpitations she is feeling:
Real-time remote monitoring
. Match the situation with the appropriate and effective telecommunication strategy. Answers options may be used more than once or not at all (Real-time remote monitoring, Online classroom, Teleconsultant, Telephony): A cardiologist with a rural office practice has no one to cover his patients when he is away:
Teleconsultant
Which statement represents one of the principle provisions of the Health Information Portability and Accountability Act (HIPAA) related to information security?
a. A nurse may share information about a high-profile patient with another nurse b. A patient electronic health record can be sent to another hospital without consent c. Patients are not allowed to obtain a complete copy of their own electronic health records. d. Nurses should notify a supervisor immediately when observing a breach of patient confidentiality.
What is a prominent socioeconomic factor driving telehealth medicine?
a. An aging urban population b. Advanced computer technologies c. An increase in chronic disease conditions d. An increase in rural access to healthcare
Which function is performed within an electronic health record?
a. Bar scanning medications and patients b. Verifying the accuracy of laboratory data c. Determining availability of generic drug substitutes d. Automating prescriptions based on patient profiles.
Which national trend is related to nursing informatics?
a. Barcode scanning for medication administration b. Blogging with other nurses about the latest treatments c. Text another nurse in a patient's room to come help d. Taking pictures with smartphones of patients' wounds
A nurse uses an internet blog to give a patient shift report to a nurse coming on to the next shift. Why is this nursing action a problem? Choose 2 answers
a. Blog information is not always reliable b. The blog is a private place to give nursing reports c. Giving a nursing report via a blog does not meet HIPAA requirements d. Healthcare information discussed on the blog violates a patient's privacy
A student is behind on morning medication administration. The instructor is pressuring the student to pass quickly without any errors. One of the clients assigned to the student's care ask for pain medication. Which nursing intervention is questionable?
a. Call the charge nurse for assistance b. Double check dose of pain medication with another nurse c. Computer scan the meds and come back later to administer them d. Use a PDA to look up rate of infusion for intravenous pain medication
During a crisis, a nurse manager is looking for the written hospital-wide procedural policy. The nurse is unable to locate it. What can the nurse manager use to solve this issue?
a. Change agents b. Nursing process c. Point of care charting d. Decision support tools
How does meaningful use of electronic health records (EHR) relate to quality patient care? Choose 2 answers
a. Computerized of prescriber order entry (CPOE) b. Decreasing the storage of medical files c. Maintenance of active patient medication lists d. Fosters segregation of care
Which mechanism is used to streamline caregivers' workflow that needs to include past medical history, patient demographics, immunizations, and medical history?
a. Database warehouse b. Electronic health record c. Health information system d. Managed care information system
What are some benefits of using an electronic health record (EHR) system in an ambulatory care clinic? Choose 4 answers
a. Decrease medications errors b. Increase clinic reimbursement c. Improve provider documentation d. Increase delivery of guideline-based care e. Less complicated patient treatment regimen
Administration in an acute care clinic is considering adopting a health information system. A team is formed with members of clinical areas, software vendors, and an executive team of stakeholders. Which collaborative tasks are important for this team to accomplish with regard to selecting the health information system? Choose 3 answers
a. Determine which type of computer to use b. Determine who will be accountable for the project c. Access patient records to view personal information d. Determine how resources will be allocated to support the system e. Assess potential for process improvement while using the system
A nurse learns that a colleague has accessed electronically stored health information of a patient that the colleague is not involved in treating. What should the nurse do?
a. Disregard the incident b. Confront the colleague c. Report the colleague to their employer d. Report the incident to a hospital security guard
Which example is a telehealth non-clinical application?
a. Distant patient education via computer b. Monitoring maternal contractions remotely c. Utilizing live video feed for remote assessment d. Transmitting a radiology image for assessment
A local medical clinic is attempting to develop an electronic health record (HER) system. Which challenges should the organization anticipate? Choose 2 answers
a. Ensuring internet access when documenting in the HER b. Preparing for increased utilization of patient care services c. Identifying data needs for differing nursing practice specialties d. Implementing standardization of documentation across physician offices.
Which of the following uses databases applications to sift through large amounts of data and looks for previously hidden trends?
a. Evidence-Base Practice b. Quantitative Analysis c. Data Mining d. Data Library
Which of the following requires standardized nursing terminology to meet its criteria?
a. HIPAA b. Meaningful Use c. HITECH ACT d. The TIGER initiative
What represents the greatest potential threat to data security?
a. Hospital system networks b. Removable storage device c. Data stored on local hard drives d. Internet access on hospital computers
A nursing informatics specialist at a small, rural hospital implemented a clinical information system utilizing an electronic health record (EHR). She obtained input from nurses regarding selection of the specific EHR. She noted that some of the nurses had negative attitudes towards a change to the HER, but she encouraged them to try the system and note its benefits. She implemented the system after all nurses were trained about the EHR. There were numerous complaints about the EHR, which the Nursing Informatics Specialist decide to ignore since the personnel were new to the system. Which barrier to implementing technology is present in the scenario?
a. Inadequate training b. Lack of continued support c. Lack of end user involvement d. Ignoring attitudes early in the process
How is information related to data
a. Information is data that have been interpreted b. information forms the base for accurate data collection c. Data provide an explanation of information d. Data is constructed through information synthesis.
A nurse documents care of a patient with a decubitus ulcer in the electronic health record. Which term describes the electronic health record in this situation?
a. Information system b. Information science c. Information technology d. Information processing
In regards to a secure network, what gives employees confidence that the information they are reading is true?
a. Integrity b. Availability c. Accessibility d. Confidentiality
What is a function of a clinical decision support tool?
a. Intersecting of computer, information, and nursing science b. Educating by research generated evidence of best practices c. Creating new understandings generated in research into practice d. Providing clinicians with knowledge and person-specific information
A nurse manager identifies several advanced practice nurses at an ICU workstation responding to multiple patient alarms. She notices that the acuity of one patient drastically increases the demand for staff resources. How can workflow analysis impact practice in this situation?
a. It dictates a protocol approach to review and modify hospital policy b. It provides observation and documentation of what is happening in the current environment. c. It provides evidence for development of an online triage program to improve team dynamics d. It involves the upper administration input on proper use of hospital resources in future similar events.
What is one way that technology acts as a change agent in the nursing process?
a. It increases time spent on documentation b. It reduces the time spent on documentation c. It increases the need for advanced degrees for nurses d. It reduces the amount of education required for nurses
An admission nurse is awaiting notification of whether a patient being monitored by telehealth will be admitted to the hospital. The physician has already documented the admission orders in the digital medical record. Due to miscommunication, the admitting nurse did not access the digital medical record. There was a significant delay in the patient's admission, which led to decreased patient satisfaction with the admission process? Choose 2 answers
a. It prevents the delay of test and services b. It allows for easy access to patient information c. Information is recorded and stored in brief episodes d. The nurse no longer needs to obtain an admission order
Which standardized nursing terminology is composed of nursing diagnoses, nursing actions, nursing outcomes?
a. NIC b. NOC c. ICNP d. NANDA
Which statement describes nurses as knowledge workers?
a. Nurses design and maintain knowledge b. Nurses generate knowledge as a product c. Nurses evolve knowledge based on information d. Nurses provide efficient means of capturing knowledge
What can a nurse, working in a hospital, use to access a patient's electronic health record and prescription drugs from a medication administration system?
a. Nursing license b. Bar coded identification cards c. Magnetic strip on drivers' license d. Nurse manager's log on information
What are the features of a clinical decision support tool? Choose 3 answers
a. Offers technical support b. Provides practice guidelines c. Delivers online information retrieval d. Issues computerized alerts and reminders e. Provides access to printed policies and procedures
Which type of technology offers support during the medication administration cycle
a. Online chats during nursing conference sessions b. Virtual reality exercise involving anchoring a urinary catheter c. Viewing of the digital health record during a home health visit d. Watching a webcast regarding pathophysiology of renal failure
Which informatics tools are commonly used for collection and analyzing patient data? Choose 2 answers
a. PDAs b. You Tube c. Nursing textbooks d. Bedside computers
What are common features of the various health information systems? Choose 3 answers
a. Physicians only are allowed to enter data b. Creates a comprehensive record of the patient's medical history c. Are standardized to be exactly the same to allow for continuity of care d. Is unique in the way they function and provide information to clinicians e. Collects, processes and distributes patient centered data to manage and provide care
A patient is in the ICU after a motorcycle accident. The patient sustained multiple contusions and fractures. Various digital monitoring devices are being used to track the patient's vital signs, pulse oximetry, and cardiac rhythm. How can the appropriate use of these technologies impact this patient's outcome? Choose 2 answers
a. Prevent infection b. Improved wound healing c. Decreased recovery time d. Timely treatment of potential complications
Which procedures are essential to creating and maintaining a culture of safety during the medication administration cycle? Choose 2 answers
a. Pulling all medications from the dispensing cabinet for your assigned patients at one time b. Situational awareness c. Performing double verification among nurses when administering high alert medications d. Barcode scanning the patient and the medication to ensure positive patient ID
What are three types of clinical information systems?
a. Registration system b. Laboratory system c. Order entry system d. Scheduling system e. Monitoring system
A nurse is reviewing a patient's pneumonia vaccination status in the electronic medical record. The nurse determines the patient needs this vaccine before discharge to meet the requirement of a current clinical pathway. Why would the nurse use information systems in this manner?
a. To ensure cost effectiveness b. To control communicable disease c. To promote desired clinical outcomes d. To meet requirements of the nurse practice act
A nurse is administring a new medication to a patient who has never taken this medication in the past. The patient is already taking seven different medications at this time. Which nursing intervention should the nurse do before administering this medication?
a. Review the drug-to-drug-allergy check in the electronic health record b. Assess the patient's own knowledge about the medication c. Go over common side effects about this medication with the patient d. Notify the pharmacist that the patient has not had this medication in the past.
Which health information system is used to collect and store client identification and demographic data that are verified and updated at the time of each visit?
a. Scheduling system b. Risk Management System c. Expert System d. Registration System
You are the informatics nurse at a hospital. You are running a random report evaluating users on your new electronic health record (EHR). You notice that the charge nurse from the emergency department just underwent a radical mastectomy and is recovering on the surgical floor. You then notice that four nurses from the ER have accessed this record. What should you do? Choose 3 answers
a. Talk to the patient and let her know her friends care about her condition b. Talk to each nurse and explain the legal and ethical ramifications of accessing the EHR. c. Explain to the patient their information has been breached. d. Provide training to nurses in the emergency department about protected patient information.
A computer program was implemented at a hospital that required nurses to wait until the patient arrived in the emergency room and was registered into the program before orders for critical time-sensitive treatment could be written. How could this program become a barrier to the nurses attempting to deliver patient-centered care?
a. The computer program could intimidate the nurses and cause them to shy away from the patients. b. The time spent waiting for the program to register the patient could allow the nurses to restock patient rooms. c. The computer program could interest the nurses more than the patients do, thus entertaining the nurses away from their focus on the patient d. The time spent waiting for the program to register the patient could delay critical care being delivered in a timely manner.
You are a nurse manager at a hospital. The Informatics department at the hospital has established a no flash drive policy. In addition, all patient files must be saved on the secure O: drive. What would be an appropriate way to describe these changes to your staff? Choose 2 answers
a. The hospital is streamlining staff access to computers to prevent medical mistakes. b. The hospital is implementing a security program to prevent patient data for being compromised. c. The hospital is eliminating the need for flash drives to prevent the loss of sensitive data. d. The hospital has decided nurses do not need sensitive patient data
Which statements by the nurse demonstrates understanding of the reason for a clinical information system? Choose 2 answers
a. The information replaces unit training needs. b. The information retrieved can be used for research c. It improves compliance with nursing documentation d. It replaces the need for unit evidenced-based projects
How does information literacy support the use of evidence-based-practice (EBP in nursing)? Choose 2 answers
a. The nurse can discern research findings that can be applied to practice b. Nurses consistently role-model this behavior in their practice environment c. Nurses are comfortable in performing data base searches d. Nurse must frequently consult resources including peers and general internet searches
What is an important legal consideration in the use of telehealth nursing?
a. The nurse is aware of computer software programming b. The nurse has the data available to monitor the patient for changes c. The nurse is competent in aspects of technical support of the program d. The nurse is licensed in each state in which the remote clients are located.
A nurse is working on a medical surgical unit and is concerned over a patient's worsening heart failure. The nurse calls the provider to discuss the assessments. How does the electronic medical record facilitate a collaborative discussion in this situation? Choose 2 answers
a. The provider can enter new orders remotely. b. The provider can visualize the chest x-ray remotely. c. The provider has access to the data being discussed d. The primary care past medical record can be reviewed.
What are two common characteristics of telehealth? Choose 2 answers
a. The use of video streaming technology b. Hands-on assessments performed remotely c. The need for specialized computer knowledge d. Transmission of biological data from remote location
How can clinical decision support tools lead to safer patient care? Choose 2 answers
a. They provide more human resources to assist with patient care b. They give timely information to nurses and other healthcare providers c. They give nurses access to information they would not normally have d. They reduce waste of nurse's time looking through medical record
What is the importance of a nurse's active participation in electronic patient information?
a. To identify the roles and titles of nurses across the continuum of care b. To anticipate the educational and professional needs of nurses and staff c. To provide replicate information across the system for the healthcare team d. To ensure patient information will be current and accessible to the healthcare team
What is a principle provision of the Health Information Technology for Economic and Clinical Health (HITECH Act?
a. To secure patient confidentiality and security of patients records b. To create a universal single-layer healthcare system in the United States c. To improve healthcare quality by enhancing coordination of services among providers To decrease the number of uninsured American and reducing the overall costs of health
What are common personal data access security threats in healthcare? Choose 2 answers
a. Unencrypted data b. Weak passwords c. Digital charting template d. Electronic physicians' orders
A nurse receives a computerized alert of a critical lab value on her patient. This computerized alert informs the nurse that an action needs to be taken and provides suggestions for clinical intervention. Which technology did the nurse employ to achieve an enhanced safe practice environment?
a. Use of clinical guidelines b. Use of a clinical information system c. Use of a clinical decision support system d. Use of a clinical documentation system
A nurse manager views patient data collected over the last three months of hospital admissions. Trends show that nosocomial infections have increased on the geriatric unit. Which actions can patient data facilitate quality improvement in the future? Choose 2 answers
a. Using the data to implement evidence-based practice procedures b. Using the data to remove hand sanitizers in low-risk patient rooms c. Using the data to monitor infection trends d. Using the data to increase stock of gowns and masks for other hospital units
What is a challenge to the adoption of eHealth strategies?
a. Variability in Web access capabilities of health care consumers b. Creating economic incentives and polices that providers view as essential to accomplishing their financial and professional goals c. Readiness to adopt mechanisms to comply with HIPAA d. Difficulty in finding appropriate health care Website designers
What are the essential components of an electronic health record? Choose 3 answers
a. Vital signs b. Lab results c. Demographics d. Name of workplace e. Cost of procedures f. Expected discharge date
