Exam 25: E-Documentation in Health Information Technology Systems

What term is used to identify the process of obtaining, organizing, and conveying patient health information to others in print or electronic format?

Which pair best describes two key elements of collaborative work in nursing?

Which nursing classification system used internationally is the best researched and most widely implemented?

The nurse recognizes which of the following as a true statement about a nursing classification system?

Which is the best definition of the term interoperability?

What is the advantage of coding in the use of electronic health records (EHRs)?

Which statement concerning electronic records in NOT true?

Which actions for electronic health records (EHR) use are universally accepted as good practice?

"A hierarchical method of classifying a vocabulary of items according to certain rules" is the definition for what term?

When documenting patient care, the nurse recognizes that which of the following is true about documentation of care?

Which of the following is a computer charting system related to predicting patient outcomes in home health care?

rWhich of these engages patients as partners in health care, is an expectation at the beginning staff nurse job level, and is among items tested on licensure exams?

What statement is accurate when describing characteristics of an electronic health information technology system?