Information Technology In The Clinical Setting
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- The Evolution of Professional NursingThe Contemporary Image of Professional NursingThe Influence of Contemporary Trends and Issues on Nursing EducationNursing Licensure and CertificationTheories of Nursing PracticeNursing Research and Evidence-Based PracticePaying for Health Care in America: Rising Costs and ChallengesLegal Issues in Nursing and Health CareEthical and Bioethical Issues in Nursing and Health CareCultural Competency and Social Issues in Nursing and Health CareComplementary and Alternative HealingPalliative CareWorkforce Advocacy for a Professional Nursing Practice EnvironmentCollective Bargaining and Unions in Today’s WorkplaceInformation Technology in the Clinical SettingEmergency Preparedness and Response for Today’s WorldNursing Leadership and ManagementBudgeting Basics for NursesEffective Communication and Conflict ResolutionEffective Delegation and SupervisionStaffing and Nursing Care Delivery ModelsQuality Improvement and Patient SafetyHealth Policy and Politics: Get Involved!Making the Transition from Student to Professional NurseManaging Time: The Path to High Self-PerformanceContemporary Nursing Roles and Career OpportunitiesJob Search: Finding Your MatchThe NCLEX-RN Examination
Question 1
Free
Multiple Choice
Consumers are concerned with security issues related to their confidential health information being placed in an electronic health record (EHR). However, when the security of the EHR is compared with that of paper-and-pencil records, the EHR is:
Choose correct answer/s
more secure.
less secure.
equivalent.
not comparable with the paper-and-pencil record.
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Question 2
Free
Multiple Choice
During a search for the term informatics, when the nurse finds the domain ".edu," the site is affiliated with a(n):
Choose correct answer/s
government agency.
commercial site.
educational institution
Internet service provider.
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Question 3
Free
Multiple Choice
When paper-and-pencil medical records are compared with computer-based records:
Choose correct answer/s
paper-and-pencil records provide controls to determine who has viewed the health information.
information contained in a paper-and-pencil record has the capability of being more in-depth than that found in computer-based records.
patients have the right to know that the confidentiality of their records is strictly maintained, regardless of the type of medical record used.
patients must sign for each item of information released on the computer record.
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Question 4
Free
Multiple Choice
A nurse is preparing a scholarly publication on the prevalence of hepatitis A worldwide. The most efficient and effective means of conducting an Internet search to gather information for this publication is to use:
Choose correct answer/s
a search engine such as Google or Yahoo.
a consumer health website.
a decision support system.
MEDLINE database.
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Question 5
Free
Multiple Choice
A consumer is learning about electronic health records at a local health fair and states, "I am worried that someone can read my health information and I really don't understand the difference between privacy and confidentiality." The nurse explains that an example of confidentiality would be:
Choose correct answer/s
a pledge that states, "I will hold matters pertaining to my patients in strict intimacy."
a patient who does not tell the physician that he has been treated for a sexually transmitted disease.
a teenager who sustains a broken arm and in the emergency department and withholds information about her use of recreational drugs.
locking medical records in cabinets to prevent unauthorized users from accessing patient information.
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Question 6
Multiple Choice
A physician has installed a computer-based patient records system. An outside care provider who requests medical information must obtain the patient's signed consent and then is assigned a password to gain access to the medical information. A monthly audit is conducted to determine for whom and for what purpose patient records have been accessed. This protection is referred to as:
Choose correct answer/s
privacy.
confidentiality.
security.
data capture.
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Question 7
Multiple Choice
A nurse walks up to a computer in the hallway and presses the index finger to the sensor, thereby gaining access to patient data. A few moments later another nurse performs the same steps and is granted access. A visitor who is watching from a room walks over and places the index finger on the sensor, only to receive an "error and access denied" message. Security is being maintained by:
Choose correct answer/s
robot technology.
biometric technology.
telehealth.
ubiquitous computing.
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Question 8
Multiple Choice
A nurse who is teaching a class to introduce telehealth to the staff would include which example?
Choose correct answer/s
A robot performs menial housekeeping chores for an invalid patient.
A computer software program alerts the nurse or physician who is reviewing orders that an order for a new drug can cause synergy of the theophylline inhaler.
A physician speaks into a computer, and the admission history is recorded and saved in the patient file.
While a patient in Wyoming performs peritoneal dialysis, a nurse watches remotely from California to ensure that all steps are being followed correctly.
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Question 9
Multiple Choice
An advanced practice nurse inputs into a computer software program the following clinical manifestations: open wound with tibia exposed, petechial hemorrhage, and temporary loss of consciousness. The computer diagnosis of fat emboli is generated by a system known as:
Choose correct answer/s
decision support.
telehealth.
robotic technology.
biometric technology.
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Question 10
Multiple Choice
A nurse is preparing a presentation using different websites to collect information. The nurse is concerned that contact information and the author's credentials are not listed for one of the websites reviewed. Which criterion required to establish a reputable website is missing?
Choose correct answer/s
Authority
Objectivity
Usability
Currency
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Question 11
Multiple Choice
A nurse is interested in locating reliable information concerning noninvasive blood glucose monitoring. Information is located, and the author is a scientist who conducted studies within the last year on the effectiveness of a particular noninvasive blood glucose monitor. The scientist received funding from a pharmaceutical company to support the studies. The URL indicates the pharmaceutical company site.com. The nurse is concerned about this information's:
Choose correct answer/s
authority.
objectivity.
accuracy.
currency.
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Question 12
Multiple Choice
A nurse providing care at the bedside receives an "alert" that a patient's stat potassium level is 2.5 and digoxin (Lanoxin) is scheduled. The nurse holds the medication and prevents a possible complication. This feature of the Electronic Health Record is available through which core function of EHR?
Choose correct answer/s
Order entry/order management
Decision support
Patient support
Administrative support
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Question 13
Multiple Choice
A nurse works on a unit where electronic health records (EHR) are being initiated and asks, "What is meant by 'meaningful use' standards that are in our education packet?" The best answer is that "meaningful use":
Choose correct answer/s
identifies a set of EHR proficiencies and benchmarks that EHR systems must meet to be certain that they are functioning to their maximum capacity and meeting this standard allows companies/organizations to qualify for funds to defray cost of the EHR from Medicare.
refers to training competencies that all users must achieve to be able to access and transfer patient data/information.
refers to a requirement that at least 50% plus one of all patients have data entered into the EHR.
the requirement that rigorous confidentiality security is in place to protect all patient information from sources which have no right to the data.
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Question 14
Multiple Choice
A nurse is caring for a patient who is to receive an antibiotic drug that causes severe skin damage when infiltrated. The order reads, "infuse over 1 hour by portacath." The nurse accesses the Personal Digital Assistant for software that lists the steps to access a portacath. The nurse is using:
Choose correct answer/s
electronic health records.
point-of-care technology.
data management.
telehealth.
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Question 15
Multiple Choice
The Institute of Medicine (IOM) (2003) recommends that EHR systems offer eight functionalities. A patient has a severe allergy to eggs and penicillin. Which of the eight functions of the EHR would address sharing this information?
Choose correct answer/s
Health information and data capture
Results/data management
Provider order entry management
Clinical decision support
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Question 16
Multiple Choice
A new nurse asks, "Since Electronic Medical Records can improve quality care by having seamless data available for a patient, why doesn't everyone just replace paper and pencil charts"? Barriers to a universal health information infrastructure include the fact that: (select all that apply)
Choose correct answer/s
competition from individual companies to build EMR prevent a universal infrastructure.
cost is prohibitive even with federal funding for larger health care systems.
preventive health reminders for immunizations and yearly screenings such as mammograms are used in clinical decision making.
insurance companies have halted sharing of some patient data due to fear of law suits.
the full capacity of EHRs has not been realized with only Stage 1 of 3 nearing completion.
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Question 17
Multiple Choice
A nurse interested in quality improvement tools performed a search for cause and effect diagrams using www.ishikawa.com. A page opened that provided images and templates for performing fishbone diagrams. Which type of search did the nurse conduct?
Choose correct answer/s
Quick and dirty
Advanced
Brute force
Link searching
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Question 18
Essay
Software programs that process data to produce or recommend valid choices are known as ______________ .
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