Question 1

An nursing informatics specialist is preparing an in-service program for the nursing staff at a local health center about personal health records. As part of the program, the specialist discusses a system of rules for the exchange of data by computers. The specialist is describing:

Accepted Answer

A)  Protocols. 
B)  An identifier. 
C)  Security. 
D)  Privacy. A

Question 2

A nurse is working as part of a group in the facility to investigate the use of smart cards for healthcare data. Which advantages would the group recognize? Select all that apply.

Accepted Answer

A)  Provide immediate access to lifesaving information 
B)  Allow for data to be portable 
C)  Ensure privacy regardless of client condition via biometrics 
D)  Allow for unlimited life span of the card due to use of embedded battery 
E)  Provide protection against healthcare fraud and abuse A, B, E

Question 3

A nurse is reading a journal article about the evolution of consumer empowerment. The nurse would expect to read that this movement began around which time?

Accepted Answer

A)  1850s 
B)  Early 1900s 
C)  Late 1930s 
D)  Mid-1960s B

Question 4

Which serves as the foundation for secure information exchange over the Internet?

Accepted Answer

A)  Office of the National Coordinator (ON
C)  
B)  Nationwide Health Information Network (NwHIN) 
C)  Health Insurance Portability and Accountability Act (HIPA
A)  
D)  Health Information Technology for Economic and Clinical Health ACT (HITECH Act)

Question 5

An nursing informatics specialist is conducting a group discussion on the implementation of personal health records. Which aspect would the specialist include as being currently available for promoting interoperability?

Accepted Answer

A)  Protocols for use 
B)  Standardized data 
C)  Computer technology 
D)  Procedures for use

Question 6

A group of nurses are researching information about smart cards for healthcare information. The nurses are preparing a presentation for a staff meeting that will be introducing the implementation of this technology. The nurses demonstrate a need for additional research when they identify which data as being included on a smart card?

Accepted Answer

A)  Data for privacy protection 
B)  Unique consumer data 
C)  Clinical data 
D)  Financial data

Question 7

A client asks the nurse about possible resources for personal health records. After teaching the client about possible resources, the nurse determines that the client needs additional teaching when the client identifies which resource as an example?

Accepted Answer

A)  My Family Health Portrait 
B)  Microsoft HealthVault 
C)  MyPHR 
D)  MyMedicare.gov

Question 8

When describing privacy and security associated with personal health information, which issue would the nursing informatics specialist identify as most important for their maintenance?

Accepted Answer

A)  Standards 
B)  Policies 
C)  Consumerism 
D)  Confidentiality

Question 9

A nurse is reading an article about electronic health records in use by most healthcare agencies in the current healthcare climate. Based on this information, the nurse would expect to read about which type of record?

Accepted Answer

A)  Electronic medical record 
B)  Electronic health record 
C)  Personal health record 
D)  Patient health portal

Question 10

A nurse is speaking with a client who has just seen his healthcare provider for a routine follow-up appointment. The nurse is explaining to the client about the new client portal that is now available. When describing the portal, which functions would the nurse most likely include? Select all that apply.

Accepted Answer

A)  Notifying about appointments 
B)  Scheduling appointments 
C)  Renewing prescriptions 
D)  Alerting about immunizations 
E)  Testing blood glucose levels

Question 11

A nurse is preparing to recommend a personal health record resource to a client. Which step would be most appropriate for the nurse to do first?

Accepted Answer

A)  Look for reputable advertisements on the site 
B)  Evaluate the complete site 
C)  Read the privacy statement 
D)  Access one of the links shown on the site

Question 12

An electronic medical record is best described as a:

Accepted Answer

A)  Complete record of a client's healthcare information. 
B)  Record of a client's stay in an agency such as a hospital. 
C)  Record that is accessible by outside agencies. 
D)  Record that allows clients to enter data.

Question 13

When describing an electronic health record, which characteristic makes the software a true electronic health record?

Accepted Answer

A)  Information included in the record 
B)  Ability to interface with outside agencies 
C)  Access to information by clients 
D)  Healthcare information owned by the agency

Question 14

After participating in an informational program about electronic health records, an agency nurse asks the nursing informatics specialist, "What does it mean when they say that the records must be interoperable?" Which response by the specialist would be most appropriate?

Accepted Answer

A)  "The records need to have standardized language." 
B)  "The information in the records needs to be presented logically." 
C)  "The data contained in the records must be able to be shared electronically." 
D)  "Information contained in the record must be kept confidential."

Question 15

An agency is implementing the use of smart cards for healthcare. Which statement best describes this personal health record?

Accepted Answer

A)  Clients create their own card to be given to their providers. 
B)  The card is contained in a device that plugs into a USB port. 
C)  The card contains a microcontroller for managing data. 
D)  The card contains an encrypted microchip that can only be read.

Question 16

A nurse is preparing a presentation for a group of clinic clients about personal health records. Which information would the nurse most likely integrate into the presentation? Select all that apply.

Accepted Answer

A)  Encourages traditional medical model practice 
B)  Promotes collaborative care 
C)  Improves management of disease condition 
D)  Uses a consistent, unique means of identifying clients 
E)  Has a defined core set of data elements

Question 17

A nurse is caring for a client who has a smart card. The nurse understands that this card includes which components? Select all that apply.

Accepted Answer

A)  Encrypted microchip 
B)  Contact interface 
C)  Microcontroller 
D)  Embedded battery 
E)  Contactless RF interface

Question 18

Which software is considered to be the highest level of integration of healthcare information records?

Accepted Answer

A)  Electronic medical record 
B)  Electronic health record 
C)  Personal health record 
D)  Smart card

Question 19

An nursing informatics specialist is preparing a presentation for staff at a local agency about implementing personal health records. When discussing the barriers to implementation, which would the specialist most likely include?

Accepted Answer

A)  Inability to allow collaboration 
B)  Less effective disease management 
C)  Lack of personalization of care 
D)  Reluctance of some providers to relinquish autonomy

Question 20

A nurse is reading a journal article about implementing personal health records. Which benefit would the nurse expect to find? Select all that apply.

Accepted Answer

A)  Improved collaboration between provider and client 
B)  Enhanced privacy due to use of unique client identifiers 
C)  Greater standardization of data 
D)  Greater effectiveness in treating a client's disease 
E)  More useful methods of data presentation

Exam 13: Consumer Informatics Benefits