Deck 18: Electronic Health Records and Incentives for Use

Question 1

A nursing informatics specialist is conducting a presentation about the electronic medical record (EMR) to a group of facility staff. Which statement would the nurse specialist most likely include when describing the EMR?

A) The EMR is transportable.
B) The data in the EMR are owned by the client.
C) It describes the care rendered during an agency visit.
D) The EMR lacks standardized vocabulary.

Answer 1

It describes the care rendered during an agency visit.

Question 2

An electronic documentation system will be implemented in an agency. As part of the process, the staff is receiving education about the system and the overall benefits. Which benefit would be mentioned as the most important?

A) Availability of an audit trail for information
B) Decreased decentralization of the healthcare delivery system
C) Enhanced ability to extract information
D) Improvement in client care outcomes

Answer 2

Improvement in client care outcomes

Question 3

A group of nurses are reviewing information related to the Health Information Technology for Economic and Clinical Health (HITECH) Act. The group demonstrates understanding of this act when they identify which examples as core objectives for supporting healthcare during stage 1? Select all that apply.

A) Performing medication reconciliation
B) Including clinical lab test results in the EHR
C) Using computerized provider order entry
D) Using a clinical decision support rule
E) Sending secure client reminders for follow-up care

Answer 3

Using computerized provider order entry
Using a clinical decision support rule

Question 4

A nurse is preparing a presentation to a group of staff members comparing paper and electronic documentation. Which weaknesses of paper records would the nurse include? Select all that apply.

A) Legibility
B) Lack of a backup system
C) Difficult to transport
D) Slowness in charting
E) Easily damaged

Question 5

A nurse is reviewing a client's electronic health record. Based on the nurse's understanding of data standards, which would the nurse identify as defining what data are shared?

A) Clinical Document Architecture
B) Continuity of Care Document
C) Health information system
D) Electronic medical record

Question 6

A nurse is reading a journal article about electronic health records and how they can fill in the gaps between evidence and practice. Which benefits would the nurse most likely read about? Select all that apply.

A) Monitoring quality improvement outcomes
B) Encouraging client partnering with the healthcare provider
C) Providing information about controlled clinical trials
D) Identifying information that can affect clinical outcomes
E) Allowing implementation after extensive long-term knowledge discovery

Question 7

A group of nurses are involved in a lively debate about the strengths and weakness of paper documentation. Which statements would the group use to defend the position for using paper documentation? Select all that apply.

A) "Paper records are easily transported."
B) "Paper records are much more complete."
C) "Paper records are quick to retrieve."
D) "Paper records are permanent."
E) "Paper records from past stays are easy to obtain."

Question 8

A nursing informatics specialist has been asked to prepare a presentation for a group of staff nurses about an electronic documentation system that is being implemented in the facility. Which features would the nurse specialist include as promoting continuity of care? Select all that apply.

A) Ability to have real-time documentation
B) Inclusion of an audit trail about detailed record access
C) Use of decision support systems and alerts
D) Ability to obtain trends about practice
E) Ability for instant communication among providers

Question 9

When describing meaningful use, which statement would be most appropriate to include?

A) Use of information from EHRs to improve healthcare delivery
B) A way to provide a picture of a client's health information
C) A means for providing a common structure for clinical documents
D) Use of an audit trail to identify information about record access

Question 10

Which component is associated with HIPAA law? Select all that apply.

A) Outcomes
B) Privacy
C) Client engagement
D) Security
E) Care coordination

Question 11

A new graduate nurse is working at a facility that uses electronic documentation. The nurse has questions about the policies and procedures related to data security. The nurse would identify which person as being responsible for the policies and procedures related to data security?

A) Nurse manager
B) Nursing informatics specialist
C) Client's primary care provider
D) HIPAA security officer

Question 12

A nurse is working on a committee that is involved with electronic documentation. The committee is currently working on stage 1. On which action would the committee be focusing?

A) Advanced clinical processes
B) Data analysis for improved care
C) Data capturing and sharing
D) Improve outcomes

Question 13

While working as a member of a group tasked with addressing meaningful use with electronic data, the group has met the criteria for stage 1 and is now moving onto stage 2. Which action would now become a focus for the group?

A) Recording smoking status for those 13 years of age and older
B) Submitting electronic data to immunization registries
C) Transmitting prescriptions electronically
D) Maintaining an up-to-date diagnosis list

Question 14

As part of the facility orientation, a nursing informatics specialist is describing the different types of client records to a group of newly hired nurses. Which facts would the nurse specialist include when describing electronic medical records (EMRs)? Select all that apply.

A) The client owns the data.
B) It is an electronic version of the traditional record.
C) The EMR is transportable.
D) It provides a connection between the EHR and ePHR.
E) A client can have many EMRs.

Question 15

After reviewing information about the benefits of electronic health records, a nurse demonstrates understanding of the information by identifying which as one of the most important benefits?

A) Continuity of care
B) Privacy
C) Analyzable information
D) Improved quality

Question 16

A nursing informatics specialist is describing meaningful use of electronic health records to a group of newly hired nurses at the facility. Which requirement would the nurse specialist include?

A) An interoperable healthcare information system
B) Computer literacy
C) Incentives to foster adoption
D) Public trust about information security

Question 17

A nursing informatics specialist is describing the benefits of electronic records to a group of facility administrators. The nurse specialist would address which aspect as resulting from searchable and analyzable information?

A) Creation of knowledge for informed practice
B) Immediate communication with other providers
C) Improvement in scheduling of diagnostic tests
D) Reduction in transcription errors

Question 18

Which statement best reflects the status of the adoption of electronic records in the United States?

A) A majority of hospitals have at least a basic EHR system.
B) Security for sharing electronic health information is still low.
C) Adoption of electronic health records has plateaued over the past 5 years.
D) Data standards are the focus of all EHR efforts of interoperability.

Question 19

A nursing informatics specialist is working as part of a group that is tasked with addressing the core objectives for meaningful use. The group is addressing stage 2 objectives. Which objectives would be addressed? Select all that apply.

A) Using secure electronic messaging to communicate with clients
B) Providing clinical summaries for each office visit
C) Protecting electronic health information
D) Including clinical lab test results in the EHR
E) Performing medication reconciliation

Question 20

A committee is working on stage 1 core objectives for meaningful use. Which would the committee be most likely to address as menu objectives at this stage? Select all that apply.

A) Implementing drug formulary checks
B) Creating client lists by condition for quality improvement
C) Recording client notes electronically
D) Reporting cancer cases to public health cancer registry
E) Being able to submit electronic syndrome surveillance data