Exam 15: The Role of Standardized Terminology and Languages in Informatics

Standard terminologies have been scientifically investigated for their effectiveness and impact on patient care. The use of standard terminologies can, therefore, facilitate the use of which of the following?

Terminologies can be incorporated within the electronic health record (EHR) thereby improving practice. Which of the following are considered uses for this technology in health care?

Meaningful use requirements mandate the use of _________________________ for data collection and reporting of established quality measures.

Which of the following can be used to document the elements of the nursing process within the care plan?

In the last decade, and with the requirement to build EHRs that meet the 2009 meaningful use criteria, the use of which type of data has expanded to include pay-for-performance initiatives, care coordination, patient safety monitoring, and public health surveillance?

The use of standardized nursing terminology will result in better ______________________ among the interdisciplinary team.

The use of SNOMED CT within electronic health records has multiple benefits. Which of the following are considered benefits of SNOMED CT?

Gonzalez is scheduled to undergo a hip replacement after he slipped on an icy step. During the preoperative phase, the nurse begins to enter the assessment findings into the database. Which of the following standardized terminologies will the nurse most likely use?

Which of the following is a nursing classification designed to document the six steps of the nursing process across the care continuum?

Which of the following terminologies have been approved by the American Nurses Association?

___________________________ facilitates the monitoring of trends and problems of the health of populations, developing clinical decision support, and expanding our knowledge of diseases and treatments and outcomes through research and clinical data mining.

Implementing standardized terminology has many benefits to multiple beneficiaries. Which of the following are benefits of standardized terminology?

Multiple benefits have emerged from the use of structured terminologies within health care records. Which of the following are considered benefits of the health information technology (HIT)?

The American Nurses Association established criteria for recognizing standardized terminologies. The terminologies must meet established criteria to be approved. Which of the following are instrumental in the approval process?

The Omaha System has a multitude of functions. The system can store data describing problems, symptoms, modifiers, interventions, and outcomes. One of the benefits of the stored data is which of the following?

The impact of standardized terminology throughout the U.S. health care system has grown exponentially. Medicare and Medicaid have begun to offer financial incentives to health care providers to promote adoption and meaningful use of interoperable health information systems and a qualified health record. Which of the following statements best describes meaningful use?

______________________________ is a globally recognized controlled health care vocabulary that provides a common language for electronic health applications.

Which of the following answers depicts the use of the ANA recognized nursing classifications to codify data?

_______________________________________ is standardized classification of interventions that describes the activities that nurses perform.

Clinical terminologies consist of concepts that support which of the following facets of health care?