Question 1

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?

Accepted Answer

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 2

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?

Accepted Answer

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.

Question 3

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

Accepted Answer

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 4

Why is the professional order entry system important to nurses?

Accepted Answer

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 5

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

Accepted Answer

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.

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.

Accepted Answer

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

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.

Accepted Answer

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 8

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

Accepted Answer

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

Question 9

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.

Accepted Answer

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 10

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.

Accepted Answer

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 11

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?

Accepted Answer

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.

Exam 19: Healthcare Informatics and Technology