Deck 22: Information Technology and the Advanced Practice Nurse

Question 1

The nurse is educating a new registered nurse (RN) on the electronic health record. Which statement by the RN indicates that learning has been effective?

A) "The electronic health record allows only health-care providers to access client records."
B) "Clients can designate individuals who can access their medical information."
C) "Health-care providers pay a small fee for each client who signs up to use the electronic health record."
D) "The electronic health record does not include past medical records."

Answer 1

"Clients can designate individuals who can access their medical information."

Question 2

Which of the following is a central objective of the meaningful use of the electronic health record incentive program?

A) Low-cost health-care provisions
B) General education
C) Paper prescription reintegration
D) Public health reporting

Answer 2

Public health reporting

Question 3

Which of the following is a benefit of the electronic health record?

A) Reduction in medical errors
B) Costs related to implementation
C) Workflow reorganization
D) Health information safety

Answer 3

Reduction in medical errors

Question 4

When using the electronic health record, which of the following is a disadvantage?

A) Increased medical errors
B) Adherence to evidence-based guidelines
C) Ongoing training
D) Clinical decision support

Question 5

Which action can the advanced practice nurse (APN) take to reduce threats to privacy when using the electronic health record?

A) Create a secure login and password for staff use.
B) Attend a local seminar on electronic health record safety.
C) Send protected health information by secure attachment via e-mail.
D) Follow up on erroneous information.

Question 6

The advanced practice nurse (APN) is listening to a lecture on health information exchange. Which statement indicates that learning has occurred?

A) "Query-based exchange involves sending client care summaries."
B) "Direct exchange allows the provider to discover health information."
C) "Query-based exchange allows clients to access their own health information."
D) "Direct exchange allows health-care providers to receive laboratory data."

Question 7

The advanced practice nurse (APN) manager is working in a busy primary care office. Which benefit does the manager see in regard to the use of health information exchanges?

A) Cost reductions
B) Improvement in employee teamwork
C) Improvement in physician-client communication
D) Increased client satisfaction

Question 8

The nurse is discussing the benefits of computerized provider order entry. Which benefit should the nurse mention?

A) Alert fatigue no longer occurs.
B) Medical errors are reduced by 95%.
C) Physicians can still handwrite prescriptions.
D) Orders are transmitted directly to the pharmacy.

Question 9

Which action by the advanced practice nurse (APN) shows the use of clinical decision support?

A) Creating workplace guidelines for caregiver support
B) Using general diagnosis treatment guidelines
C) Reporting an alert regarding duplicate testing to the health-care provider
D) Referring a client to a specialist

Question 10

Which change in care should the nurse expect with the expanse of health information technology?

A) Remains focused in large hospitals
B) Increases in primary care facilities
C) Shifts to the home
D) Increases in specialist offices