Deck 15: The Electronic Health Record and Clinical Informatics

Question 1

_________________ is the ability to manage results of all types electronically including laboratory and radiology procedure reports, both current and historical.

A) Data warehousing
B) Results management
C) Digital manipulation
D) Electronic searching

Answer 1

B

Question 2

Patient data in an electronic health record includes demographics, medical and nursing diagnoses, and:

A) medication lists.
B) allergies.
C) test results.
D) All of these are correct.

Answer 2

D

Question 3

John, a 78-year-old male patient in a hospital, is referred to a pulmonary specialist for a consult on his breathing problems. The specialist orders a CT scan of the lungs and is alerted by the electronic health record that a CT scan was performed 1 week ago. This alert is designed to prevent duplicate testing and is part of which essential electronic health record component?

A) Decision support system
B) Cost savings function
C) Physician assist system
D) Testing management system

Answer 3

A

Question 4

Although first proposed in 2004, electronic health record implementation blossomed after passage of the HITECH Act in 2009 because:

A) the president discussed electronic health records in the State of the Union address.
B) monetary incentives and potential penalties were administered by the Centers for Medicare and Medicaid Services.
C) implementation support was provided by information technology professionals.
D) All of these are correct.

Question 5

A change management plan developed for implementing an electronic health record will include all of the following except:

A) disciplinary measures for addressing resistance by professionals.
B) involving subject-matter experts to validate workflow.
C) hosting end-user usability testing sessions.
D) formal training activities.

Question 6

A nursing student asks an informatics nurse who certifies electronic health records against standards and test procedures. Which of the following is the correct response by the informatics nurse?

A) "The National Institute of Standards and Technology performs this certification."
B) "Certification is performed by the healthcare organizations locally."
C) "The Centers for Medicare and Medicaid Services conducts this certification."
D) "The medical associations of each state conduct these certifications."

Question 7

The informatics nurse is reviewing an electronic health record and understands that the eight essential components emphasize which of the following?

A) The promotion of patient safety
B) The ease of data collection
C) The promotion of interoperability
D) The ease in data mining

Question 8

An informatics nurse has been asked to consult on the selection of an electronic health record for a healthcare organization. Which of the following should the nurse identify when choosing an electronic health record?

A) Possible barriers to implementation of the electronic health record
B) Key metrics to measure success of the electronic health record
C) When to host end-user usability testing sessions
D) Staff training needs for the electronic health record

Question 9

A nurse is describing benefits and problems associated with the electronic health record (EHR) to a nursing student. Which statement by the nurse is correct?

A) "There is faster turnaround time for laboratory results in the EHR."
B) "Doctors' orders are harder to interpret in the EHR."
C) "Medication recalls are not effectively communicated to patients in the EHR."
D) "The EHR helps reduce the amount of nursing documentation for every patient."

Question 10

The use of electronic health records has demonstrated a reduction in adverse drug reactions through the use of computerized physician order entry.

Question 11

What are the implications for nursing education as the EHR becomes the standard for caring for patients?

Question 12

What are the ethical considerations related to interoperability and a shared EHR?

Question 13

You are asked about a diagnosis with which you are unfamiliar. Where would you start looking for information? How would you determine the validity of the information?

Question 14

Think about the documentation and knowledge management functions of your specialty. If you had the opportunity to create a wish list, what would you include in an EHR to support your work?