Deck 6: Healthcare Information Systems

Question 1

___________________________ aid in and strengthen the selection of viable options using the information of an organization or a field to facilitate decision making and overall efficiency.

Answer 1

Decision support systems
Rationale : Decision support systems aid in and strengthen the selection of viable options using the information of an organization or a field to facilitate decision making and overall efficiency. Decision support software organizes information to fit new environments. It provides analysis and advice to support a choice. The final decision rests with the practitioner.

Question 2

____________________________ are large, computerized database management systems that support several types of activities that may include provider order entry, result retrieval, documentation, and decision support across distributed locations.

Answer 2

Clinical information systems
Rationale : Clinical information systems (CISs) are large, computerized database management systems that support several types of activities that may include provider order entry, result retrieval, documentation, and decision support across distributed locations.

Question 3

Which of the following describes home care information systems?

A)Supports the way that users function, and allows flexibility and improved access to information and tools
B)Uses monitoring technology which, when integrated into information systems, provides a way to care for the target population
C)Requires integration for the improvement of quality of care and business survival
D)Provides assistance to organizations to better manage their resources and improve efficiency

Answer 3

Uses monitoring technology which, when integrated into information systems, provides a way to care for the target population

Question 4

Medication errors have been on the rise over the past decade. A national initiative to minimize or eliminate the errors can be supported through which of the following responses?

A)Electronic medical administration records are generated weekly and compared to the clients' physician orders.
B)The client's medication administration record is compared to the client's identification bracelet before the medication is given.
C)The bar codes of the nurse, client's identification bracelet, and prescription medication are scanned and compared.
D)The client's medication administration record bar code is compared to the clients' prescription medications.

Question 5

Which of the following is characteristic of an automated radiology information system (RIS)?

A)Once a test is completed, the film is scanned to an optical imaging disc.
B)As each test is ordered, the user is prompted to answer questions such as the purpose of the test.
C)Images may be faxed to other institutions for timely consultations.
D)As soon as the test is performed, the system interprets the results and sends an electronic report.

Question 6

Which of these is an advantage of implementing a computerized order entry system?

A)Physicians argue for the option to continue traditional methods for ordering
B)Each department is notified simultaneously as orders are processed through the system
C)Increased system access or response time is available to the health care provider
D)Clinicians readily accept the new system, related to work process changes

Question 7

Which of the following systems supports the use and documentation of nursing processes and activities, and provides tools for managing the delivery of nursing care?

A)Administrative information system
B)Nursing information system
C)Computerized provider order entry (CPOE)
D)Clinical information system

Question 8

Which of the following are true about using automated pharmacy systems?

A)An automated system pulls in laboratory results and client information from the HIS more quickly to identify allergy and interaction problems.
B)Costs for operating automated pharmacy systems are not as important as the improved communication among departments.
C)Expenses used in starting up an automated pharmacy system are considerable, including personnel training.
D)The use of these systems is limited only to pharmacists.
E)Individual client data is integrated and provides the pharmacist with up-to-date information.

Question 9

Which of the following supports the automation of nursing documentation?

A)The use of standardized nursing languages (SNLs) accepted by the American Nurses Association
B)The use of a SOAP note in narrative form to support assessment of client cardiopulmonary system
C)The use of interventions such as "turn, cough, and deep breathe" as determined by the Nursing Interventions Classifications (NIC)
D)The use of client-specific charting by exception, addressing only exceptions to normal
E)The use of nursing diagnoses such as "Alteration of Comfort" as defined by the North American Nursing Diagnosis Association (NANDA)

Question 10

_________________________ systems use clinical information to generate charges for care.

Question 11

Which of the following is the best example of a monitoring system?

A)Manual blood pressure of 132/82 is entered into the vital sign section of the graphic sheet.
B)The automatic blood pressure machine takes one reading of 164/104 and is turned off.
C)Blood glucose readings of 162 for 7:30 a.m.and 198 for 11:30 a.m.are obtained and entered into the computer system.
D)A temperature probe is connected to the pulmonary artery catheter to continuously monitor core temperature.

Question 12

The following answers are standardized languages used across the discipline of nursing that allow nurses to describe nursing problems, treatments, and outcomes in a manner that is understood by all nurses except which?

A)HIS
B)NANDA
C)NOC
D)NIC

Question 13

_____________and wireless technology can be used with CISs to allow information entry and retrieval at the point of care or wherever it is needed by the health care professional.

Question 14

Which of the following can identify the client in all information systems across the organization?

A)Client identification code
B)Billing system
C)Nursing information system
D)Administrative information systems

Question 15

Which of these is an example of a decision support system (DSS)?

A)A system used to schedule client visits for follow up care after extensive abdominal surgery
B)A system used to register clients who are admitted to an acute health care facility for surgery
C)A system used by emergency room administration to bill clients once their diagnoses are verified
D)A system used by physicians to provide suggestions for diagnostic tests according to selected admitting diagnoses

Question 16

A nursing information system should identify variances to the anticipated outcomes as they are charted and provide aggregate variance data for analysis by the providers. This information can be used to fine tune and improve _______________________________, thereby contributing to improved client outcomes.

Question 17

____________________________ can be used to fine tune and improve critical pathways thereby contributing to improved client outcomes.

Question 18

Which statement indicates the nurse is correctly documenting according to a critical pathway?

A)Nursing documentation is entered separately from that of other health care team members
B)Nursing documentation is entered in nursing diagnoses and outcome statements framework
C)Variances are identified if client outcomes are not as anticipated
D)Only one critical pathway is selected at a given time for a given client

Question 19

The client registration system is also known as which of the following?

A)Admission system
B)Admission/discharge/transfer system
C)Transfer system
D)Discharge system

Question 20

Which of the following statements suggests that the use of mobile devices in the health care setting can enhance patient care?

A)Personal access to patient's home address
B)Portable devices have a finite amount of space to receive instantaneous lab results.
C)The elimination of paper copies of lab reports
D)The elimination of a unit secretary position since all data is housed on the mobile device

Question 21

Which of the following are considered benefits of electronic prescriptions?

A)Eliminates phone calls for refills
B)Reviews clients drug histories before prescribing
C)Provides reminders for prescriptions
D)Alerts provider about drug reactions
E)Provides a longitudinal prescription record

Question 22

Which type of software has been developed by the consumer to meet specific needs usually because no suitable commercial package is available?

A)Off-the-shelf
B)Home grown
C)Administrative spreadsheets
D)Critical pathway

Question 23

Information systems interact to provide checks and alerts throughout the medication ordering and administration process. Which of the following are steps in this process in which bar codes are utilized for medication ordering and administration?

A)Bar code on patient's door is scanned
B)Bar code on the medication label is scanned
C)Bar code on patient's identification bracelet is scanned
D)Bar code on patient's chart is scanned
E)Bar code on nurse's identification badge is scanned

Question 24

Which of the following can be used with CISs to allow information entry and retrieval at the point of care or wherever it is needed by the health care professional?

A)Mobile and wireless technology
B)Computerized order entry
C)Bar coding systems
D)Monitoring systems

Question 25

A nursing information system is considered to be effective if which of the following goals are accomplished?

A)Supports nursing and enhances practice
B)Collects data and creates new theories of nursing
C)Disseminates best practices and identifies variances
D)Finds medication errors and creates new protocols

Question 26

Which of the following clinical system functions allows the nurse to provide more efficient patient care?

A)Electronic presentations
B)Order entry
C)Identification coding
D)Help desk

Question 27

Clinical information systems (CISs) can have a positive impact on which of the following?

A)Pharmacy
B)Radiology
C)Order entry
D)Laboratory department
E)Nursing department

Question 28

Which of the following depicts the nationwide initiative to prevent medication errors?

A)Adverse events are reported through MedWatch
B)Federal Drug Administration (FDA) rejects applications for new drug names that are similar to older drug names.
C)Advocating clinical decision support (CDS) systems
D)Denies reimbursement for extended hospital stays based as a result of a medication error.
E)The Institute for Safe Medication Practices publishes a consumer newsletter on medication errors.