Deck 15: Information Technology in the Clinical Setting

Question 1

During a search for the term informatics,what should the nurse determine about the site's affiliation when the domain ".edu," is noted?

A) It's a government agency.
B) It's a commercial site.
C) It's an educational institution.
D) It's an internet service provider.

Answer 1

It's an educational institution.

Question 2

A nurse is caring for a patient who is to receive an antibiotic drug that causes severe skin damage when infiltrated.The order reads,"infuse over 1 hour by port-a-cath." When the nurse accesses the Personal Digital Assistant that lists the steps to access a port-a-cath,what type of computer software is being used?

A) Electronic health records
B) Point-of-care technology
C) Data management
D) Telehealth

Answer 2

Point-of-care technology

Question 3

A nurse works on a unit where electronic health records (EHR)are being initiated and asks,"What is meant by 'meaningful use' standards that are in our education packet?" What statement provides the best answer to the nurse's question?

A) It identifies a set of EHR proficiencies and benchmarks that must meet assure the process is functioning to maximum capacity.
B) It refers to training competencies that all users must achieve to be able to access and transfer patient data/information.
C) It refers to a requirement that at least 50% plus one of all patients have data entered into the EHR.
D) It meets the requirement that rigorous confidentiality security is in place to protect all patient information from sources which have no right to the data.

Answer 3

It identifies a set of EHR proficiencies and benchmarks that must meet assure the process is functioning to maximum capacity.

Question 4

Software programs that process data to produce or recommend valid choices are known as ______________.

Question 5

A nurse is preparing a presentation using different websites to collect information.The nurse is concerned that contact information and the author's credentials are not listed for one of the websites reviewed.Which criterion required to establish a reputable website is missing?

A) Authority
B) Objectivity
C) Usability
D) Currency

Question 6

A nurse who is teaching a class to introduce telehealth to the staff would include which example?

A) A robot performs menial housekeeping chores for an invalid patient.
B) A computer software program alerts the nurse or physician who is reviewing orders that an order for a new drug can cause synergy of the theophylline inhaler.
C) A physician speaks into a computer,and the admission history is recorded and saved in the patient file.
D) While a patient in Wyoming performs peritoneal dialysis,a nurse watches remotely from California to ensure that all steps are being followed correctly.

Question 7

A nurse interested in quality improvement tools performed a search for cause and effect diagrams using www.ishikawa.com.A page opened that provided images and templates for performing fishbone diagrams.Which type of search did the nurse conduct?

A) Quick and dirty
B) Advanced
C) Brute force
D) Link searching

Question 8

Consumers are concerned with security issues related to their confidential health information being placed in an electronic health record (EHR).However,when the security of the EHR is compared with that of paper-and-pencil records,the EHR has been proven to be what?

A) More secure
B) Less secure
C) Equivalent
D) Not comparable

Question 9

What statement accurately describes findings when paper-and-pencil medical records are compared with computer-based records?

A) Paper-and-pencil records provide controls to determine who has viewed the health information.
B) Information contained in a paper-and-pencil record has the capability of being more in-depth than that found in computer-based records.
C) Patients have the right to know that the confidentiality of their records is strictly maintained,regardless of the type of medical record used.
D) Patients must sign for each item of information released on the computer record.

Question 10

A nurse providing care at the bedside receives an "alert" that a patient's stat potassium level is 2.5 and a dose of digoxin is scheduled.The nurse holds the medication and prevents a possible complication.This feature of the Electronic Health Record is available through which core function of EHR?

A) Order entry/order management
B) Decision support
C) Patient support
D) Administrative support

Question 11

A nurse is preparing a scholarly publication on the worldwide prevalence of hepatitis A.The most efficient and effective means of conducting an Internet search to gather information for this publication is to use what resource?

A) A search engine such as Google or Yahoo
B) A consumer health website
C) A decision support system
D) MEDLINE database

Question 12

A nurse is interested in locating reliable information concerning noninvasive blood glucose monitoring.Information is located,and the author is a scientist who conducted studies within the last year on the effectiveness of a noninvasive blood glucose monitor.The scientist received funding from a pharmaceutical company to support the studies.The URL indicates the pharmaceutical company site .com.The nurse is concerned about what component associated this information?

A) Authority
B) Objectivity
C) Accuracy
D) Currency

Question 13

A nurse walks up to a computer in the hallway and presses the index finger to the sensor,thereby gaining access to patient data.A few moments later another nurse performs the same steps and is granted access.A visitor who is watching from a room walks over and places the index finger on the sensor,only to receive an "error and access denied" message.This security feature is a result of what form of technology?

A) Robotics
B) Biometric
C) Telehealth
D) Ubiquitous computing

Question 14

The Institute of Medicine (IOM)(2003)recommends that electronic health records (EHR)systems offer eight functionalities.A patient has a severe allergy to eggs and penicillin.Which of the eight functions of the EHR would address sharing this information?

A) Health information and data capture
B) Results/data management
C) Provider order entry management
D) Clinical decision support

Question 15

An advanced practice nurse inputs into a computer software program the following clinical manifestations: open wound with tibia exposed,petechial hemorrhage,and temporary loss of consciousness.The computer diagnosis of fat emboli is generated by what information associated system?

A) Decision support
B) Telehealth
C) Robotic technology
D) Biometric technology

Question 16

A new nurse asks,"Since electronic medical records (EMR)can improve quality care by having seamless data available for a patient,why doesn't everyone just replace paper and pencil charts"? What barriers to a universal health information infrastructure exist? (Select all that apply. )

A) Competition from individual companies to build EMR prevents a universal infrastructure.
B) Cost is prohibitive even with federal funding for larger health care systems.
C) Preventive health reminders for immunizations and yearly screenings such as mammograms are used in clinical decision making.
D) Insurance companies have halted sharing of some patient data due to fear of law suits.
E) The full capacity of EHRs has not been realized with only Stage 1 of 3 nearing completion.

Question 17

A consumer is learning about electronic health records at a local health fair and states,"I am worried that someone can read my health information and I really don't understand the difference between privacy and confidentiality." The nurse provides what as an example of confidentiality?

A) A pledge that states,"I will hold matters pertaining to my patients in strict intimacy"
B) A patient who does not tell the primary health care provider that he or she has been treated for a sexually transmitted disease
C) A teenager who sustains a broken arm and in the emergency department and withholds information about personal use of recreational drugs
D) Locking medical records in cabinets to prevent unauthorized users from accessing patient information

Question 18

A primary health care provider has installed a computer-based patient records system.An outside care provider who requests medical information must obtain the patient's signed consent and then is assigned a password to gain access to the medical information.A monthly audit is conducted to determine for whom and for what purpose patient records have been accessed.What term is used to refer to this type of protection?

A) Privacy
B) Confidentiality
C) Security
D) Data capture