Question 1

The bar code medication administration (BCMA) system has been incorporated into practice in the facility where a nurse practices. Which of the following is a true statement related to use of the BCMA?

Accepted Answer

A)  Eliminates the potential for medication error 
B)  Reduces the potential for medication error 
C)  Increases the potential for medication error 
D)  None of these is correct. B

Question 2

What needs of populations in your region or state could be addressed with the use of telehealth? What ideas can you envision to assist in the access to and delivery of healthcare services where you live or work?

Accepted Answer

In my region, there are several needs of the population that could be addressed with the use of telehealth. One major need is access to healthcare services, especially for those living in rural or remote areas where there may be a shortage of healthcare providers. Telehealth can provide a way for these individuals to connect with healthcare professionals without having to travel long distances.

Additionally, telehealth can also address the need for mental health services, as there may be a stigma associated with seeking help in some communities. By offering telehealth options for counseling and therapy, individuals can access the support they need from the comfort and privacy of their own homes.

To assist in the access to and delivery of healthcare services in my region, I envision the implementation of telehealth kiosks in community centers or public spaces, where individuals can go to connect with healthcare providers virtually. This would provide a convenient and accessible way for people to receive medical advice and consultations.

Furthermore, I believe that partnerships between healthcare providers and local organizations, such as schools or community centers, could help to promote and facilitate the use of telehealth services. By raising awareness and providing resources for accessing telehealth, more individuals in my region could benefit from the convenience and efficiency of virtual healthcare. Additionally, offering training and support for healthcare professionals to effectively use telehealth technology would be crucial in ensuring the successful delivery of healthcare services through this platform.

Question 3

What is your role as a nurse in protecting patient healthcare information?

Accepted Answer

As a nurse, my role in protecting patient healthcare information is multifaceted and critically important to maintain the trust and safety of the patients under my care. Here are several key responsibilities that I would undertake to ensure the protection of patient healthcare information:

1. **Adherence to HIPAA and Other Regulations**: Understanding and complying with the Health Insurance Portability and Accountability Act (HIPAA) and other relevant privacy laws is fundamental. This includes knowing what constitutes protected health information (PHI) and ensuring it is only accessed and disclosed according to the regulations.

2. **Maintaining Confidentiality**: I must keep all patient information confidential, sharing it only with those who have a legitimate need to know for the purpose of providing care or as permitted by law. This includes conversations with colleagues, documentation, and electronic communications.

3. **Secure Handling of Information**: Ensuring that all patient records, whether electronic or paper, are stored securely and only accessible to authorized personnel. This includes using passwords, secure networks, and encryption when necessary to protect electronic health records (EHRs).

4. **Education and Training**: Staying informed about the latest best practices in information security and attending regular training sessions. I would also take the initiative to educate my colleagues about the importance of information security and the proper handling of patient data.

5. **Reporting Breaches**: If I become aware of a potential breach of patient information, it is my duty to report it immediately to the appropriate authorities within the healthcare facility so that swift action can be taken to mitigate any harm.

6. **Proper Disposal of Information**: Ensuring that any physical documents containing patient information are disposed of securely, such as through shredding, and that electronic information is properly deleted or de-identified when it is no longer needed.

7. **Access Control**: Making sure to log out of secure systems when not in use and not sharing login credentials with others. I would also ensure that I only access the information necessary to perform my job duties.

8. **Patient Education**: Informing patients about their rights regarding their personal health information and how they can protect it, including the importance of keeping their health information secure from unauthorized access.

9. **Advocacy for Patient Privacy**: Acting as an advocate for patients by ensuring that their privacy is respected by all members of the healthcare team and that policies and procedures are in place and followed to protect their information.

10. **Continuous Improvement**: Participating in audits and assessments of privacy practices and suggesting improvements to policies and procedures to better safeguard patient information.

By fulfilling these responsibilities, I would be playing a crucial role in maintaining the integrity and confidentiality of patient healthcare information, which is essential for providing high-quality care and maintaining the trust of the patients I serve.

Question 4

What is the purpose of the clinical decision support system (CDSS) in the electronic health record (EHR)?

Accepted Answer

A)  To lead the user through a decision-making process based on a set of data 
B)  To guide the user through a series of questions to narrow down the options for an effective treatment plan 
C)  To decrease the malpractice liability for the nurse and the healthcare facility 
D)  To guide the user through a series of questions to narrow down the options for an effective treatment plan and to decrease the malpractice liability for the nurse and the healthcare facility 
E)  To lead the user through a decision-making process based on a set of data and to guide the user through a series of questions to narrow down the options for an effective treatment plan

Question 5

A nurse demonstrates the ability to locate and evaluate information as well as the ability to communicate processed data from the electronic health record. Which component of the Technology Informatics Guiding Education Reform (TIGER) Informatics Competency Model is the nurse demonstrating?

Accepted Answer

A)  Basic communication skills 
B)  Information literacy 
C)  Information management 
D)  Basic communication skills and information management 
E)  Information literacy and information management

Question 6

What characteristics are recommended by the Institute of Medicine for software designers to consider in the creation of electronic information systems?

Accepted Answer

A)  Data should be accurate, timely, reliable, and entered directly into the system. 
B)  Evidence should be available at the point of care to aid in decision making. 
C)  Streamline workflow and automate mundane tasks. 
D)  Data should be easily imported and exchanged between systems. 
E)  All of these are correct.

Question 7

What is your role as a nurse in the evaluation of information on the Internet?

Accepted Answer

The answer of What is your role as a nurse...

Question 8

The nurse administrator of a rural hospital is committed to incorporating informatics in nursing practice within the facility. Which of the following reflects the ultimate goal(s) of incorporating informatics and technology in nursing practice?

Accepted Answer

A)  To elevate the reputation of the nursing profession 
B)  To improve healthcare quality 
C)  To improve patient safety 
D)  To improve healthcare quality and to elevate the reputation of the nursing profession 
E)  To improve healthcare quality and patient safety

Question 9

A state board of nursing is investigating a report of inappropriate disclosures related to the use of social media by a nurse. What are the grounds of such an investigation by a board of nursing?

Accepted Answer

A)  Unprofessional conduct 
B)  Breach of confidentiality 
C)  Falsification of patient records 
D)  Breach of confidentiality and falsification of patient records 
E)  Breach of confidentiality and unprofessional conduct

Question 10

How can you locate online sources for more information on a new treatment or medications for a health condition you discussed in a nursing class or clinical this week?

Accepted Answer

The answer of How can you locate online sources for...

Question 11

Discuss issues of the digital divide. Explore resources in your city and county for the general public to have free Internet access and assistance. What other technologic resources are available for underserved populations?

Accepted Answer

The answer of Discuss issues of the digital divide. Explore...

Question 12

The Principles for Social Networking published by the American Nurses Association provide guidance for nurses. Which of the following is included in the publication?

Accepted Answer

A)  Observe ethically prescribed professional patient-nurse boundaries. 
B)  Do not transmit or place online individually identifiable patient information. 
C)  Take advantage of privacy settings and seek to separate personal and professional information online. 
D)  Bring content that could harm a patient's privacy, rights, or welfare to the attention of appropriate authorities. 
E)  All of these are correct.

Question 13

Which of the following is included in the Health Insurance Portability and Accountability Act (HIPAA)?

Accepted Answer

A)  Standards for data transmission 
B)  Privacy regulations 
C)  Simplification of healthcare claims 
D)  All of these are correct. 
E)  None of these is correct.

Question 14

A state board of nursing has found evidence of inappropriate disclosures related to the use of social media. Which disciplinary action by the board of nursing may the nurse face?

Accepted Answer

A)  Reprimand or sanction 
B)  Assessment of a fine 
C)  Temporary or permanent loss of licensure 
D)  All of these are correct.

Question 15

Which of the following is included in most electronic health records (EHRs)?

Accepted Answer

A)  Pharmacological databases 
B)  Lab value databases 
C)  Clinical guidelines 
D)  Lab value databases and clinical guidelines 
E)  Pharmacological and lab value databases

Exam 11: Informatics in Professional Nursing Practice