Contemporary Nursing Issues Trends (15-28) NUR 206
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Course
NUR 206
Institution
NUR 206
Edition
MULTIPLE CHOICE
1. 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:
a. more secure.
...
Contemporary Nursing Issues Trends (15-28)
NUR 206
Chapter 15: Information Technology in the Clinical Setting
Cherry & Jacob: Contemporary Nursing: Issues, Trends, and Management, 7th
Edition
MULTIPLE CHOICE
1. 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:
a.
more secure.
b.
less secure.
c.
equivalent.
d.
not comparable with the paper-and-pencil record.
ANS: A
Computer-based patient record systems, such as EHRs, provide better protection than
paper-based systems. The EHR allows only authorized users to view data, and access
to records can be audited for inappropriate use.
DIF: Comprehension REF: p. 271
2. During a search for the term informatics, when the nurse finds the domain “.edu,” the site is
affiliated with a(n):
a.
government agency.
b.
commercial site.
c.
educational institution
d.
Internet service provider.
ANS: C
The domain of an educational institution is .edu.
DIF: Knowledge REF: p. 276
3. When paper-and-pencil medical records are compared with computer-based records:
a.
paper-and-pencil records provide controls to determine who has viewed the
health information.
b.
information contained in a paper-and-pencil record has the capability of being
more in-depth than that found in computer-based records.
c.
patients have the right to know that the confidentiality of their records is strictly
maintained, regardless of the type of medical record used.
d.
patients must sign for each item of information released on the computer record.
ANS: C
Regardless of the type of record used, the Health Insurance Portability and Accountability Act
(HIPAA) protects the confidentiality of the patient’s medical information and imposes legal
consequences for those who breech confidentiality.
DIF: Comprehension REF: p. 271
,4. 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:
a.
a search engine such as Google or Yahoo.
b.
a consumer health website.
c.
a decision support system.
d.
MEDLINE database.
ANS: D
MEDLINE is one of the scientific and research scholarly databases, and it would be the most
appropriate for use in gathering information for a scholarly publication.
DIF: Comprehension REF: p. 276
5. 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:
a.
a pledge that states, “I will hold matters pertaining to my patients in
strict intimacy.”
b.
a patient who does not tell the physician that he has been treated for a sexually
transmitted disease.
c.
a teenager who sustains a broken arm and in the emergency department
and withholds information about her use of recreational drugs.
d.
locking medical records in cabinets to prevent unauthorized users from accessing
patient information.
ANS: A
Confidentiality is keeping private the personal information that was given to a health care
provider, unless others have a legitimate need to know.
DIF: Application REF: p. 271
6. 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:
a.
privacy.
b.
confidentiality.
c.
security.
d.
data capture.
ANS: C
Security is the limitation of access to health care information through passwords and other
precautions.
DIF: Comprehension REF: p. 271
, 7. 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:
a.
robot technology.
b.
biometric technology.
c.
telehealth.
d.
ubiquitous computing.
ANS: B
Biometric fingerprint identification uses personal characteristics to allow access to health
information.
DIF: Comprehension REF: p. 277
8. A nurse who is teaching a class to introduce telehealth to the staff would include which
example?
a.
A robot performs menial housekeeping chores for an invalid patient.
b.
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.
c.
A physician speaks into a computer, and the admission history is recorded and
saved in the patient file.
d.
While a patient in Wyoming performs peritoneal dialysis, a nurse watches
remotely from California to ensure that all steps are being followed
correctly.
ANS: D
Telehealth is the delivery of care to a patient who is at a distance from the health care
provider.
DIF: Application REF: p. 273
9. 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:
a.
decision support.
b.
telehealth.
c.
robotic technology.
d.
biometric technology.
ANS: A
Decision support systems are computer-based information systems that include
knowledge-based systems designed to support clinical decision making.
DIF: Comprehension REF: pp. 268-269
10. 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?
a.
Authority
b.
Objectivity
, c.
Usability
d.
Currency
ANS: A
Authority is the criterion that is related to the credentials and background that have prepared
an author to publish on the subject.
DIF: Comprehension REF: p. 276
11. 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:
a.
authority.
b.
objectivity.
c.
accuracy.
d.
currency.
ANS: B
Sites sponsored by organizations such as pharmaceutical companies may influence the
content.
DIF: Comprehension REF: p. 276
12. 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?
a.
Order entry/order management
b.
Decision support
c.
Patient support
d.
Administrative support
ANS: B
Decision support provides reminders about preventive practices, such as immunizations, drug
alerts for dosing and interactions, and clinical decision making.
DIF: Comprehension REF: pp. 268-269
13. 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”:
a.
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.
b.
refers to training competencies that all users must achieve to be able to access
and transfer patient data/information.
c.
refers to a requirement that at least 50% plus one of all patients have data entered
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