Deck 14: The Electronic Health Record and Clinical Informatics

Question 1

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

Answer 1

No Answer

Question 2

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

Answer 2

No Answer

Question 3

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?

Answer 3

No Answer

Question 4

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?

Question 5

Which of the following is an advantage of electronic health record use?

A) Support for home telemonitoring
B) Improved communications
C) Improved medication administration safety
D) All of these are correct.

Question 6

An electronic health record can be used by nurses for:

A) decision support and documentation of care.
B) patient education and information exchange.
C) discharge planning.
D) All of these are correct.

Question 7

A decision support system in the electronic health record consists of:

A) reminders and alerts to improve the diagnosis of a patient.
B) screening for drug selection, dosing, and interactions.
C) preventive health reminders.
D) All of these are correct.

Question 8

Positive impacts noted with using an informatics system to manage patients with chronic illness include:

A) guidelines adherence.
B) a decrease in emergency department visits.
C) improved provider documentation.
D) All of these are correct.

Question 9

The universal denominator in the development of electronic health records is:

A) user-friendliness.
B) patient safety.
C) affordability.
D) All of these are correct.

Question 10

Health information and data in the electronic health record consist of:

A) demographics.
B) medical diagnoses.
C) medication lists and allergies.
D)All of these are correct.

Question 11

A basic knowledge of electronic health records and nursing informatics is now considered to be an advanced informatics competency.

Question 12

Stage 1 meaningful use criteria focused on health information exchange and patient control over health data.

Question 13

Under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), there is now an explicit requirement for providers and hospitals to use a certified electronic health record that meets a set of standard functional definitions to be eligible for reimbursement incentives.

Question 14

Order entry management functions in the electronic health record are limited to physicians.

Question 15

Most electronic health record benefits studies are hypothesis-testing studies.

Question 16

Patient notification of drug recalls is a benefit of an electronic health record.

Question 17

The electronic health record may be used to identify patients who qualify for research studies.

Question 18

A clinical information system may be used effectively as a staff development tool.

Question 19

Electronic health records hold the promise of transforming health care by improving all aspects of patient safety and promoting patient-centered care.

Question 20

An electronic health record may help to lower healthcare costs by integrating patient information from multiple sources.

Question 21

Which use reflects implementation of the basic electronic health records in a healthcare facility?

A) Nurses document patient care in the electronic health record.
B) Nurses use the medication administration tools in an electronic health record.
C) The inpatient care data in the electronic health record is interfaced with emergency and outpatient facilities.
D) Physicians document patient care in progress notes in the electronic health record.

Question 22

An informatics nurse is educating staff on a medication administration tool in an electronic health record (EHR). This tool supports which benefit of EHRs?

A) Reduction in medication errors
B) Decreased use of care
C) Increased ability to monitor for disease
D) Increased delivery of standardized care

Question 23

A nurse is documenting in the electronic health record and uses standardized terminology, which is important because:

A) it captures and codifies the work of nursing.
B) it ensures the right diagnosis code will be used.
C) it classifies clinical data in storage.
D) it reduces interoperability.

Question 24

An electronic health record (EHR) developer needs to validate the EHR workflow design and content build. Whom should the developer consult?

A) Subject-matter experts
B) Nursing executives
C) Hospital administrators
D) Computer technologists

Question 25

An informatics nurse is consulting with a healthcare organization for expansion of the electronic health record (EHR). Which of the following is a barrier to expansion of EHRs in healthcare organizations?

A) Financial barriers
B) Need to decrease interoperability
C) Lack of meaningful use incentives
D) Lack of interprofessional collaboration

Question 26

Healthcare facilities do not have a reduction in expenses in medical records with use of an electronic health record.

Question 27

The implementation of an electronic health record impacts only healthcare providers of a healthcare organization.

Question 28

A healthcare organization is using an electronic health record to improve the quality of care and patient safety. Which of the following will the organization receive from the Centers for Medicare and Medicaid Services?

A) Increased reimbursement rates
B) Increased research funding
C) Matching patient care dollars
D) National recognition of technology use

Question 29

An informatics nurse is explaining that certification criteria are used for electronic health records to a group of staff nurses. Which statement is correct by the informatics nurse?

A) "The certification criteria are updated often to make the electronic health record more robust and functional for the needs of users and patients."
B) "There are 10 criteria each electronic health record must meet in order to be implemented."
C) "The certification criteria involve documentation functions only."
D) "The certification criteria do not address interoperability."

Question 30

A nurse is documenting laboratory results in an electronic health record (EHR), which meets which Institute of Medicine component of EHRs?

A) Results management
B) Security management
C) Privacy management
D) Interoperability standards

Question 31

A nurse is using standardized terminology in nursing documentation in a healthcare organization that has multiple campuses. Which of the following demonstrates interoperability?

A) A healthcare provider at another campus is able to review the nursing documentation and understand its meaning and significance.
B) Multiple nurses are able to enter information into the nursing documentation at the same time.
C) A physician is able to enter physician orders into the patient's chart while the nurse is completing documentation.
D) A laboratory technician is able to enter lab results into the patient's chart simultaneously.

Question 32

Nursing staff has adopted the use of an electronic health record (EHR) in day-to-day practice. This is considered which of the following?

A) Successful ownership of the EHR
B) Expected results of EHR staff training
C) Acceptance of commercial offerings
D) Readiness for change in technology

Question 33

A nurse is working with a new patient monitor that interfaces with the electronic health record (EHR). This demonstrates which capability of the EHR?

A) Biomedical device integration
B) Increased clinical reporting
C) Expansion of health information exchange
D) Vendor expansion of products

Question 34

An informatics nurse is consulting with healthcare administrators on receiving incentives for the implementation of electronic health records (EHRs). Which statement by the informatics nurse is correct?

A) "EHRs with data sharing capabilities are important to provide quality, coordinated care that is incentivized."
B) "EHRs with complex nomenclature systems are key to incentive programs."
C) "EHRs should not include a care management system for incentive programs."
D) "EHRs should maintain patient privacy and not share any data across the technology."

Question 35

Informatics nurses and nursing executives should partner with electronic health record developers to capture nursing content using standardized terminologies.