WGU 468 - OA Information Management and the Application of Technology

PRE-ASSESSMENT: INFORMATION MANAGEMENT AND THE APPLICATION OF TECHNOLOGY PIGC Attempt #2 Status: Passed 1. How is information related to data? Information is data that have been interpreted Information forms the base for accurate data collection Data provide an explanation of information Data is constructed through information synthesis 2. How does information literacy support the use of evidence-based-practice (EBP) in nursing? Choose 2 answers The nurse can discern research findings that can be applied to practice Nurses consistently role-model this behavior in their practice environment Nurses are comfortable in performing data base searches Nurses must frequently consult resources including peers and general internet searches 3. A nurse documents care of a patient with a decubitus ulcer in the electronic health record. Which term describes the electronic health record in this situation? Information system Information science Information technology Information processing 4. Which statement describes nurses as knowledge workers? Nurses design and maintain knowledge. Nurses generate knowledge as a product. Nurses evolve knowledge based on information. Nurses provide efficient means of capturing knowledge. 5. Match the level of nurse practice with appropriate skill criteria. Answer options may be used more than once or not at all. YOUR ANSWER Beginning nurse Uses information systems to manage patients Experienced nurse Focuses on nursing's information needs Informatics innovator Generates informatics theory Informatics nurse specialist Pulls trends out of data 6. Label the descriptions as belonging to the role of either the informatics nurse or the informatics nurse specialist. Answer options may be used more than once or not at all. YOUR ANSWER The RN who works in the area of informatics Informatics nurse YOUR ANSWER Has an interest or experience, but no formal training in informatics Informatics nurse specialist Plays an active role in research and theory development Informatics nurse specialist Has advanced graduate training in nursing informatics Informatics nurse Ensures that information is disseminated at appropriate times for appropriate uses Informatics nurse 7. Which of the following uses database applications to sift through large amounts of data and looks for previously hidden trends? Evidence-Based Practice Quantitative Analysis Data Mining Digital Library 8. A nurse is reviewing a patient's pneumonia vaccination status in the electronic medical record. The nurse determines the patient needs this vaccine before discharge to meet the requirements of a current clinical pathway. Why would the nurse use information systems in this manner? To ensure cost effectiveness To control communicable disease To promote desired clinical outcomes To meet requirements of the nurse practice act 9. A nursing informatics specialist at a small, rural hospital implemented a clinical information system utilizing an electronic health record (EHR). She obtained input from nurses regarding selection of the specific EHR. She noted that some of the nurses had negative attitudes towards a change to the EHR, but she encouraged them to try the system and note its benefits. She implemented the system after all nurses were trained about the EHR. There were numerous complaints about the EHR, which the Nursing Informatics Specialist decided to ignore since the personnel were new to the system. Which barrier to implementing technology is present in the scenario? Inadequate training Lack of continued support Lack of end user involvement Ignoring attitudes early in the process 10. A computer program was implemented at a hospital that required nurses to wait until the patient arrived in the emergency room and was registered into the program before orders for critical time-sensitive treatment could be written. How could this program become a barrier to the nurses attempting to deliver patient-centered care? The computer program could intimidate the nurses and cause them to shy away from the patients. The time spent waiting for the program to register the patient could allow the nurses to restock patient rooms. The computer program could interest the nurses more than the patients do, thus entertaining the nurses away from their focus on the patient. The time spent waiting for the program to register the patient could delay critical care being delivered in a timely manner. 11. Which national trend is related to nursing informatics? Barcode scanning for medication administration Blogging with other nurses about latest treatments Texting another nurse in a patient's room to come help Taking pictures with smartphones of patients' wounds 12. Which standardized nursing terminology is composed of nursing diagnoses, nursing actions, and nursing outcomes? NIC NOC ICNP NANDA 13. Which of the following requires standardized nursing terminology to meet its criteria? HIPAA Meaningful Use HITECH Act The TIGER initiative 14. What is a challenge to the adoption of eHealth strategies? Variability in Web access capabilities of health care consumers Creating economic incentives and policies that providers view as essential to accomplishing their financial and professional goals Readiness to adopt mechanisms to comply with HIPAA Difficulty in finding appropriate health care Web site designers 15. What is the importance of a nurse's active participation in electronic patient information? To identify the roles and titles of nurses across the continuum of care To anticipate the educational and professional needs of nurses and staff To provide replicate information across the system for the healthcare team To ensure patient information will be current and accessible to the healthcare team 16. A nurse is working on a medical surgical unit and is concerned over a patient's worsening heart failure. The nurse calls the provider to discuss the assessments. How does the electronic medical record facilitate a collaborative discussion in this situation? Choose 2 answers The provider can enter new orders remotely. The provider can visualize the chest x-ray remotely. The provider has access to the data being discussed. The primary care past medical record can be reviewed. 17. What are three types of clinical information systems? Choose 3 answers Registration system Laboratory system Order entry system Scheduling system Monitoring system 18. What are common features of the various health information systems? Choose 3 answers Physicians only are allowed to enter data Creates a comprehensive record of the patient's medical history Are standardized to be exactly the same to allow for continuity of care Is unique in the way they function and provide information to clinicians Collects, processes and distributes patient centered data to manage and provide care 19. Match each term with its healthcare information system. Answer options may be used more than once or not at all. YOUR ANSWER Admission, discharge, and transfer system Clinical Information Systems Radiology information system Clinical Information Systems Financial system Administrative Information Systems Clinical documentation system Administrative Information Systems Scheduling system Administrative Information Systems 20. Which health information system is used to collect and store client identification and demographic data that are verified and updated at the time of each visit? Scheduling system Risk Management system Expert system Registration system 21. Administration in an acute care clinic is considering adopting a health information system. A team is formed with members of clinical areas, software vendors, and an executive team of stakeholders. Which collaborative tasks are important for this team to accomplish with regard to selecting the health information system? Choose 3 answers Determine which type of computer to use Determine who will be accountable for the project Access patient records to view personal information Determine how resources will be allocated to support the system Assess potential for process improvement while using the system 22. An admission nurse is awaiting notification of whether a patient being monitored by telehealth will be admitted to the hospital. The physician has already documented the admission orders in the digital medical record. Due to miscommunication, the admitting nurse did not access the digital medical record. There was a significant delay in the patient’s admission, which led to decreased patient satisfaction with the admission process. How can the use of the digital health record improve this process? Choose 2 answers It prevents the delay of tests and services. It allows for easy access to patient information. Information is recorded and stored in brief episodes. The nurse no longer needs to obtain an admission order. 23. What are the essential components of an electronic health record? Choose 3 answers Vital signs Lab results Demographics Name of workplace Cost of procedures Expected discharge date 24. Which function is performed within an electronic health record system? Bar scanning medications and patients Verifying the accuracy of laboratory data Determining availability of generic drug substitutes Automating prescriptions based on patient profiles 25. What can a nurse, working in a hospital, use to access a patient's electronic health record and prescription drugs from a medication administration system? Nursing license Bar coded identification cards Magnetic strip on driver's license Nurse manager's log on information 26. Which mechanism is used to streamline caregivers' workflow that needs to include past medical history, patient demographics, immunizations, and medication history? Database warehouse Electronic health record Health information system Managed care information system 27. What are some benefits of using an electronic health record (EHR) system in an ambulatory care clinic? Choose 4 answers Decrease medication errors Increase clinic reimbursement Improve provider documentation Increase delivery of guideline based care Less complicated patient treatment regimens 28. A local medical clinic is attempting to develop an electronic health record (EHR) system. Which challenges should the organization anticipate? Choose 2 answers Ensuring Internet access when documenting in the EHR Preparing for increased utilization of patient care services Identifying data needs for differing nursing practice specialties Implementing standardization of documentation across physician offices 29. A nurse is administering a new medication to a patient who has never taken this medication in the past. The patient is already taking seven different medications at this time. Which nursing intervention should the nurse do before administering this medication? Review the drug–to–drug, drug–allergy check in electronic health record Assess the patient’s own knowledge about the medication Go over common side effects about this medication with the patient Notify the pharmacist that the patient has not had this medication in the past 30. Classify the mechanisms as either physical or logical security measures for protecting electronic information. Answer options may be used more than once or not at all. YOUR ANSWER Authentication Logical YOUR ANSWER Placing computers, servers and routers in restricted Physical Installing a firewall Logical Automatic sign-off Logical Setting up surveillance Physical 31. Which statement represents one of the principle provisions of the Health Information Portability and Accountability Act (HIPAA) related to information security? A nurse may share information about a high profile patient with another nurse. A patient electronic health record can be sent to another hospital without consent. Patients are not allowed to obtain a complete copy of their own electronic health records. Nurses should notify a supervisor immediately when observing a breach of patient confidentiality. 32. What is a principle provision of the Health Information Technology for Economic and Clinical Health (HITECH) Act? To secure patient confidentiality and security of patient records To create a universal single-payer healthcare system in the United States To improve healthcare quality by enhancing coordination of services among providers To decrease the number of uninsured Americans and reducing the overall costs of healthcare 33. You are a nurse manager at a hospital. The informatics department at the hospital has established a no flash drive policy. In addition, all patient files must be saved on the secure O: drive. What would be an appropriate way to describe these changes to your staff?