Deck 19: Healthcare Informatics and Technology

Question 1

Emotional connectivity between nurses and patients is endangered by use of technology. By focusing solely on this issue, which other issue is often overlooked?

A) The cost of implementing technological advances
B) The cost of not implementing technological advances
C) The isolationalism that can occur through using technology
D) Third party payers' demands for demonstration of outcomes

Answer 1

The isolationalism that can occur through using technology

Question 2

Which technologic advancement would improve emotional connectivity while providing patient care?

A) Using a laptop computer in the patient's room.
B) Using telemedicine for consults.
C) Using point-of-service bar coding for documentation.
D) Using personal data assistants (PDAs) to access information.

Answer 2

Using telemedicine for consults.

Question 3

The nurse works in a healthcare clinic in which providers communicate with one another and with patients using e-mail. What guideline associated with this method of communication should the healthcare providers follow?

A) Categorize patients according to major medical diagnosis and create groups educational e-mails.
B) Delete messages as soon as possible to protect confidentiality.
C) Inform patients of anyone else who will be reading messages.
D) Use e-mail as the primary method of communication.

Answer 3

Inform patients of anyone else who will be reading messages.

Question 4

The nurse answers a "nurse call" line for a hospital. Which resources will this nurse use to guide patients using this technology? Select all that apply.

A) Protocols
B) Research articles
C) Algorithms
D) Guidelines
E) Internet search engines

Question 5

The healthcare organization has elected to move towards use of electronic medical records (EMR). In order to be most successful, management should involve nurses in which part of this work? Select all that apply.

A) Reviewing the EMR systems available
B) Implementation of staff training
C) Funding decisions related to purchase of EMR
D) Developing the process of implementing the EMR
E) Long-term evaluation of use of the EMR

Question 6

The human resources (HR) department is developing a newspaper advertisement for nurse positions. In order to meet National Academy (NAM) guidelines, which information technology skills should be included as a job requirement? Select all that apply.

A) Use of presentation software
B) Use of the Internet
C) Basic computer programming
D) Basic hardware troubleshooting
E) Ability to transfer files

Question 7

Physicians, nurses, and other healthcare providers within the hospital have complained that the current documentation system is slow and that information is often not accessible when needed. Which system would increase the speed and accuracy of provider-to-provider communication?

A) Clinical data repository
B) Point-of-care clinical documentation system
C) Handheld communication devices
D) Narrative documentation

Question 8

A rural hospital has resisted moving to electronic record keeping, but now believes moving to a clinical information system is unavoidable. Place in order the steps this hospital should take to develop its clinical information system strategic plan. Choice

A) Identify the organization's future view of itself in a clinical vision statement. Choice
B) Develop specific strategic goals associated with the information system. Choice
C) Develop clinical strategies that include the general organization activities to support the organization's vision. Choice
D) Take strategic clinical vital signs. Choice
E) Evaluate the system to determine needed improvements.

Question 9

The nursing student states, "I use information and technology all the time to keep in touch with my friends and family. I didn't know it was used in healthcare, too." Which statements, made by a fellow student, would explain the healthcare uses of information and technology? Select all that apply.

A) "I read that information and technology have improved patient safety and quality of care."
B) "The textbook says that information and technology have improved efficiency and effectiveness of interprofesssional practice."
C) "The simulators we use in lab practice are a result of information and technology improvements."
D) "Information and technology have allowed nurses better ability to connect emotionally with their patients."
E) "The automated medication system we use in clinical is a result of advances in information and technology."

Question 10

Which statement regarding the National Academy of Medicine (NAM) position on the use of information technology (IT) by healthcare professionals is accurate?

A) These skills should be required only of IT nurses or healthcare providers.
B) The use of IT is included in the IOM/NAM core competencies for all healthcare providers.
C) IT is important for physicians and pharmacists, but is not required of nurses or licensed therapists.
D) IT can be dangerous for healthcare professionals who are not expert in their use.

Question 11

The large healthcare organization is determined to develop and support technological processes and structures to help nursing staff members manage the data generated in the direct care of patients. Which person would be best for the organization to hire to achieve this goal?

A) A computer programmer
B) A software analyst
C) A nursing informatics specialist
D) An information technology specialist

Question 12

The patient expresses concern about the confidentiality of his medical information since, "so much of it gets faxed around nowadays." How should the nurse respond to this concern?

A) "The hospital follows the Health Insurance Portability and Accountability Act, which identifies steps we must take to keep your information confidential."
B) "Since computers have moved away from linear thinking to a greater systems approach, concerns about information confidentiality have decreased."
C) "We use point-of care, a documentation system that will not allow your information to be shared."
D) "This is a really big concern. You never know who could be reading those faxes that we send. There is no way to be sure that they are really going to the person they are sent to."

Question 13

The nurse educator would like to participate in the development of a single standardized language to be used across all settings and by all healthcare professions. What should this nurse consider about this goal? Select all that apply.

A) The work has already been done and such a language is in use today.
B) Significant changes in curriculum of nursing schools across the country will be required.
C) This should be a relatively easy goal to achieve as the terminology currently used is similar in all professions.
D) To achieve this goal, compromise among healthcare providers will be necessary.
E) Individual languages for professions may be tied to the profession's desire to preserve its individuality.

Question 14

Which statement best describes the National Academy of Medicine (NAM) position on the use of North America Nursing Diagnosis Association (NANDA) approved nursing diagnosis (NDX) statements?

A) IOM supports the use of three-part NDX statements.
B) IOM states that the use of these NDX statements is confusing to students, practicing nurses, physicians, and other healthcare providers.
C) IOM supports the use of Nursing Intervention Classifications (NIC) rather than NANDA diagnoses.
D) IOM states that the use of NANDA nursing diagnoses along with Nursing Intervention Classifications (NIC) is the clearest way to explain a patient's plan of care.

Question 15

The hospital's risk management team has recommended that the hospital adopt an automated medication administration system. What benefits can the hospital expect from this change? Select all that apply.

A) The system will help caregivers ensure that the "five rights" are being followed.
B) There will be an opportunity for data collection by providing clinical experiential information.
C) The system will assist quality improvement efforts.
D) There will be a substantial direct cost savings.
E) Use of this system will meet Institute for Safe Medication Practices guidelines.

Question 16

The public health nurse is planning an education session on healthcare literacy for the community. What topics should the nurse include in this session? Select all that apply.

A) How to recognize what information is needed
B) How to locate information
C) How to evaluate information
D) How to disseminate information to others
E) How to use the information located

Question 17

The hospital is considering implementation of the following technology upgrades. Which one will have the most direct implications for patient confidentiality?

A) Medical e-mail
B) Handheld communication systems
C) Remote telemetry monitoring
D) Point-of-care clinical documentation systems

Question 18

The hospital has identified telehealth as a potential addition to its services and is conducting cost-benefit analysis. Which barrier to developing this service is likely to emerge?

A) Patients become so empowered that they don't use as many services.
B) There is a limited reimbursement mechanism in place at this time.
C) There is decreased contact with practitioners using telehealth technology.
D) The lack of practice standards makes telehealth risky from a liability perspective.

Question 19

Telehealth has been used for some time in rural areas. In order to expand the use of telehealth, it has been proposed that it would be useful in which other areas? Select all that apply.

A) Private physician obstetrical practice
B) Home healthcare
C) School-based healthcare in inner cities
D) Inpatient surgery centers
E) Emergency departments

Question 20

The nurse educator would like to promote the use of standardized language in healthcare with nursing students. Which occurrence would be the most significant toward this nurse's goal?

A) Development of the Nursing Minimum Data Set (NMDS)
B) Development of the Nursing Management Minimum Data Set (NMMDS)
C) Development of the Omaha system
D) Development of the Systematic Nomenclature of Medical Clinical Terms (SNOMED CT)

Question 21

What is the primary impact that cannot be avoided by an HCO if the HCO does not apply meaningful use?

A) Poor quality care
B) No federal reimbursement or other federal funds
C) Better patient education
D) Shorter lengths of stay

Question 22

You want to improve acceptance of a new EMR/EHR. What strategies might you use to address the problem that staff think using a computer in care areas will limit their relationship with patients? Select all that apply.

A) Use a system that relies less on typing and more on clicking, dragging and so on.
B) Use hardware that is easy to carry and not large.
C) Reassure staff that they are important.
D) Limit how long a staff member can use the computer for documenting.
E) Explain the benefits of using computers.

Question 23

Which of the following activities relates to the first goal of the 2015-2020 Federal Health IT Strategic Plan?

A) Increase evaluation of care.
B) Increase research about health IT.
C) Increase protection of patient information.
D) Increase adoption of EMR/EHR by healthcare organizations.

Question 24

In which way will information technology affect nursing research?

A) The complexities of this technology may make some aspects of research unappealing.
B) It will make data mining more difficult.
C) It will likely increase research activity.
D) It will make working with statistics more difficult.

Question 25

Which part of the nursing process is key to successful telenursing?

A) Assessment
B) Diagnosis
C) Implementation
D) Evaluation

Question 26

Why is the professional order entry system important to nurses?

A) Nurses do not have to spend so much time writing orders.
B) It provides a point-of-care system for the nurse.
C) Errors increase due to ease of making errors when typing.
D) This system decreases need for nurses to be policeman.

Question 27

Which conditions served as the focus for development of web-based programs for patient monitoring and interactive video-based programs? Select all that apply.

A) Congestive heart disease
B) Normal pregnancy
C) Kidney disease
D) Diabetes
E) Coronary disease

Question 28

The healthcare organization has developed a new website. This website can be used for which purposes? Select all that apply.

A) Recruitment of staff
B) Patient education
C) Nursing continuing education
D) Dissemination of committee activities
E) Patient contact information

Question 29

Increased availability and use of technology has affected nursing education. What change has this development supported?

A) A decrease in clinical learning requirements
B) Faculty have become facilitators of learning.
C) A move towards pedagogy
D) Students who are very similar in culture and interests

Question 30

What are the ways that an HCO website might benefit nursing within the HCO? Select all that apply.

A) Provide information about nursing staff.
B) Share information about admission process.
C) Provide information about cost for specific procedures.
D) Identify specific medications used for certain illnesses and surgery preparation.
E) Listing of patient rights

Question 31

Which of the following supports the acquisition, storage, manipulation, and distribution of clinical information throughout an HCO?

A) Decision Support System
B) Databank
C) Clinical Information System
D) Clinical Data Repository