Deck 48: Informatics

Question 1

The nurse is preparing an educational brochure to teach clients how to determine the validity of content obtained from health-related internet websites.Which information should the nurse plan to include in this teaching tool? Select all that apply.

A)Source for the information
B)Sponsor of the website
C)Ways to identify if the site is selling a product
D)Number of visitors to the website
E)Date the content was last reviewed

Answer 1

Source for the information
Sponsor of the website
Ways to identify if the site is selling a product
Date the content was last reviewed

Question 2

The nurse on the hospital research committee is assigned the task of compiling information related to the therapeutic and side effects of a specific drug.Which best describes how the nurse can use informatics to gain information about this topic?

A)Search for articles about the drug in the hospital's library.
B)Email other research committees to find out what they know about the drug.
C)Query electronic health records (EHRs)to determine client responses to the drug.
D)Look up the drug facts in the latest pharmacology textbook.

Answer 2

Query electronic health records (EHRs)to determine client responses to the drug.

Question 3

Under which circumstance would the use of a geographic information system (GIS)be beneficial for healthcare workers?

A)When sharing a traveling client's electronic health record (EHR)with an out-of-state provider
B)During a mass casualty incident
C)When tracking the sleep pattern of a client
D)During an influenza outbreak

Answer 3

During an influenza outbreak

Question 4

What is the primary advantage of electronic reminders in the electronic health record?

A)They help nurses decrease the length of stay.
B)They help nurses increase client safety.
C)They help nurses document assessments.
D)They help nurses track quality metrics.

Question 5

Which best describes how the use of a clinical decision support system can help the nurse plan care for a client with a particular condition?

A)It can help the nurse find out what was done on the previous admission.
B)It can help the nurse identify evidence-based guidelines for this client's condition.
C)It can help the nurse use standardized nursing language during documentation.
D)It can help the nurse search the internet for information about surgical procedures.

Question 6

The nurse is facing a problem with a long-term care client that is different from anything encountered by the nurse in the past.What nursing action is appropriate prior to taking the problem to the research committee?

A)Perform a review of the literature.
B)Ask the client's family if this is a recurring issue.
C)Bring the problem up for discussion in the next staff meeting.
D)Ask the physician for assistance.

Question 7

Which action by the nurse will help minimize the risk of eyestrain when engaging in computerized documentation?

A)Use a firm board to rest the palm.
B)Use an antiglare screen cover.
C)Obtain a paper chart for nursing documentation.
D)Use a lumbar support.

Question 8

A group of staff nurses is discussing the importance of uniform language within healthcare documentation.Which statement made by the one of the nurses indicates an understanding of uniform language in healthcare documentation?

A)"Uniform language is useful only when communicating with other staff nurses."
B)"Uniform language is the consistent use of the same terminology among all providers."
C)"Uniform language decreases the value of nursing interventions in the eyes of other providers."
D)"HIPAA and HITECH are examples of uniform languages used by nurses."

Question 9

The nurse administrator of a local hospital is attending training on the new informatics system the hospital will be implementing.Which information should the nurse administrator be able to manage from the dashboard? Select all that apply.

A)Staffing
B)Budgets
C)Clients
D)Quality initiatives
E)Plans of care

Question 10

Which administrative function related to medical records management may be made easier by the use of informatics?

A)Tracking client outcomes
B)Making sure charts are coded correctly
C)Ordering materials and supplies
D)Assigning a client to a hospital room

Question 11

The nurse is preparing discharge instructions for a client with a foot wound.How will the clinical information system support this client's learning needs?

A)Improves documentation about the client's status
B)Summarizes the list of charges that will appear on the client's bill
C)Provides a record of all medications received while hospitalized
D)Prints discharge instructions to use for teaching

Question 12

The nurse is part of the clinical information system committee at a major healthcare organization.When designing a plan to ensure the protection of client information,which approaches should the nurse suggest this committee include in the implementation plan? Select all that apply.

A)Design policies to address password protection and login information.
B)Determine how to handle clients who desire to "friend" staff through social media.
C)Identify applications that interface with smartphones.
D)Create interfaces so that health data can be inputted by the client.
E)Teach users to not leave protected health information unattended.

Question 13

Which organization specifically focuses on improving healthcare quality,safety,and outcomes through improving the use of information technology (IT)and systems?

A)Healthcare Information and Management Systems Society (HIMSS)
B)American Medical Informatics Association (AMIA)
C)Alliance for Nursing Informatics (ANI)
D)Technology Informatics Guiding Educational Reform (TIGER)

Question 14

A client diagnosed with cancer is receiving care through a facility that is 100 miles from the client's home.After the nurse explains how telehealth will be used to enhance this client's care,which client statements indicate that teaching about telehealth has been effective? Select all that apply.

A)"I will have to move closer to the provider."
B)"My health record can stay where I am."
C)"I can participate in the videoconference."
D)"I will have to change doctors."
E)"This will help lower some costs of care."

Question 15

Which factor increases nurses' use of clinical decision support systems (CDSS)?

A)Out-of-the-way workstations
B)Nursing experience
C)Caring for a new client
D)Reminder pop-ups

Question 16

How does the clinical decision support system support human resource functions?

A)Determining if staff are correctly coding client care procedures
B)Identifying staff who are incorrectly charging for resources used for client care
C)Recognizing staff who are not discharging clients according to identified lengths of stay
D)Evaluating the number of staff with licensure due to expire

Question 17

The nurse is caring for a client who has a condition that is not responding to standard interventions.How could accessing the clinical decision support system (CDSS)help with this client's care?

A)Provides evidence-based recommendations for care
B)Decreases the need to use critical thinking skills
C)Tells the nurse what the next step should be
D)Supports the nurse's "gut" instinct when providing care

Question 18

A rural home health nurse is caring for a client recovering from a myocardial infarction.The client is concerned that the community clinic does not have the ability to provide the necessary monitoring for the health problem.Which response by the nurse supports the use of informatics to meet client needs?

A)"It is not necessary for you to be monitored after a myocardial infarction."
B)"We can send your information to the cardiologist using telehealth."
C)"You are right.We will be sending you to the city every month."
D)"We use an intranet in this facility."

Question 19

In preparation for the next quality improvement committee meeting,the nurse accesses the clinical decision support system to run an outcomes report.How should the nurse anticipate the committee using this report?

A)To eliminate unnecessary care
B)To measure the length of hospital stays
C)To assist in modifying policies and procedures
D)To validate appropriate place of treatment

Question 20

The nurse is documenting in the electronic medical record (EMR)after providing care in the client's room.The client asks the nurse why a computer is being used.Which response by the nurse is appropriate?

A)"The information that is uploaded is available for anyone to view."
B)"Computers improve client care because information is readily available."
C)"The computer decreases documentation time for nurses."
D)"Computers allow you access to your medical record."

Question 21

What is one advantage of the standardization of health records in relation to client education?

A)It allows the nurse to print information for the client rather than reviewing the information in person.
B)Families can receive education rather than clients in order to ensure that the client receives proper care at home.
C)Clients can receive the same education about their condition regardless of where they receive treatment.
D)Clients can look up their health information at home after discharge.

Question 22

Several nurses are discussing the use of electronic medical records when providing client care.Which statements by the nurses indicate that they understand the advantages of electronic health records (EHRs)? Select all that apply.

A)"The record reduces the cost of healthcare."
B)"The record allows trending of client progress."
C)"Client education can be documented in the system."
D)"Quality metrics can be observed to reduce readmission rates."
E)"Coordination of care is improved."

Question 23

Which statement regarding the term "point of care" is correct?

A)"Point of care" refers to the use of a portable device to provide care near the client.
B)"Point of care" refers to the location that nurses document care of the client.
C)"Point of care" refers to care that takes place away from the client.
D)"Point of care" refers to care that takes place in the client's home.

Question 24

Advances in technology have made what information available to healthcare providers at the client's bedside?

A)Vital signs
B)Radiologic images
C)Allergy alerts
D)Dietary restrictions

Question 25

The nurse is providing discharge instructions about medications and exercise to a client who was hospitalized with a serious medical condition.Which action by the nurse ensures that the client is fully informed?

A)Make sure a relative attends the discharge teaching session.
B)Repeat the discharge teaching sessions twice.
C)Ask the physician to reinforce teaching prior to discharging the client.
D)Print the discharge instructions and hand them to the client prior to discharge.

Question 26

What function might be made easier for healthcare organizations through the use of a computerized contract management system?

A)Tracking changes in reimbursement rates
B)Sharing information between billing systems
C)Managing material and supply inventories
D)Planning organizational budgets