Deck 14: Information Technology in the Clinical Setting

Question 1

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

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

Answer 1

MEDLINE database.

Question 2

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 explains that an example of confidentiality would be:

A) a pledge that states, "I will hold matters pertaining to my patients in strict intimacy."
B) a patient who does not tell the physician that he 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 her use of recreational drugs.
D) locking medical records in cabinets to prevent unauthorized users from accessing patient information.

Answer 2

a pledge that states, "I will hold matters pertaining to my patients in strict intimacy."

Question 3

A nurse providing care at the bedside receives an "alert" that a patient's stat potassium level is 2.5 and digoxin (Lanoxin) 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

Answer 3

Decision support

Question 4

During a search for the term informatics, when the nurse finds the domain ".edu," the site is affiliated with a(n):

A) government agency.
B) commercial site.
C) educational institution
D) Internet service provider.

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 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?" The best solve is that "meaningful use":

A) identifies a set of EHR proficiencies and benchmarks that EHR systems must meet to be certain that they are functioning to their maximum capacity and meeting this standard allows companies/organizations to qualify for funds to defray cost of the EHR from Medicare.
B) refers to training competencies that all users must achieve to be able to access and transfer patient data/information.
C) refers to a requirement that at least 50% plus one of all patients have data entered into the EHR.
D) the requirement that rigorous confidentiality security is in place to protect all patient information from sources which have no right to the data.

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

The Institute of Medicine (IOM) (2003) recommends that 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 9

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 portacath." The nurse accesses the Personal Digital Assistant for software that lists the steps to access a portacath. The nurse is using:

A) electronic health records.
B) point of care technology.
C) data management.
D) telehealth.

Question 10

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. Security is being maintained by:

A) robot technology.
B) biometric technology.
C) telehealth.
D) ubiquitous computing.

Question 11

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 a system known as:

A) decision support.
B) telehealth.
C) robotic technology.
D) biometric technology.

Question 12

A physician 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. This protection is referred to as:

A) privacy.
B) confidentiality.
C) security.
D) data capture.

Question 13

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 is:

A) more secure.
B) less secure.
C) equivalent.
D) not comparable with the paper-and-pencil record.

Question 14

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 15

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 16

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 particular 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 this information's:

A) authority.
B) objectivity.
C) accuracy.
D) currency.

Question 17

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

Question 18

A new nurse asks, "Since Electronic Medical Records can improve quality care by having seamless data available for a patient, why doesn't everyone just replace paper and pencil charts"? Barriers to a universal health information infrastructure include the fact that: (Select all that apply.)

A) competition from individual companies to build EMR prevent 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.