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Exam (elaborations)

RN 502 EXAM 2 (1).

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Exam of 21 pages for the course SCS at SCS (RN 502 EXAM 2 (1).)

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  • July 12, 2024
  • 21
  • 2023/2024
  • Exam (elaborations)
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RN 502 EXAM 2
1. Which description best defines the electronic health record (EHR)?

a. An electronic version of the traditional paper record created and used by the healthcare
provider
b. An electronic stand-alone database implemented and used in hospitals
c. An electronic version of a patient's medical record used in the clinical setting
d. An electronic record of patient health information created by encounters across multiple
settings - ANS-d. An electronic record of patient health information created by encounters
across multiple settings

2. The Health Information Management Systems Society (HIMSS) developed an EMR adoption
model that includes eight stages toward creating a paperless patient record environment. All
application capabilities within each stage must be operational before the next stage can be
achieved. Your organization has implemented systems for Stages 1 and 2. Which system
should your organization consider as Stage 3 adoption?

a. Computerized provider order entry (CPOE) and clinical decision support
b. Nursing/clinical documentation (flow sheets) and clinical decision support
c. Closed-loop medication administration
d. Physician-structured documentation and clinical decision support - ANS-b. Nursing/clinical
documentation (flow sheets) and clinical decision support

3. Which system is recommended as a method to address patient safety and reduce errors that
occur during the actual administration of medicines?

a. Computerized provider order entry (CPOE)
b. Barcode medication administration (BCMA)
c. Electronic medication administration record (eMAR)
d. Electronic prescribing (ePrescribing) - ANS-b. Barcode medication administration (BCMA)

4. Which would be considered a niche application?

a. Computerized provider order entry (CPOE)
b. Laboratory information system (LIS)
c. Clinical decision support system (CDSS)
d. Surgical information system (SIS) - ANS-d. Surgical information system (SIS)

5. A university hospital wants to implement a closed-loop medication management system.
Current systems include registration, computerized provider order entry, electronic medication

,administration record, laboratory, radiology, and pharmacy. Which system is needed to complete
the loop?

a. Clinical documentation
b. Clinical decision support system
c. Barcoding system
d. Electronic prescribing - ANS-c. Barcoding system

6. As the United States moves toward the implementation of an interoperable EHR, which
statement about the future "ownership" of the patient record is appropriate?

a. The electronic medical record will be the property of the service institution.
b. Provider access to the electronic record would not require consumer consent.
c. Ownership may be driven by who has control and access to the data.
d. Consumers will control and own the record. - ANS-c. Ownership may be driven by who has
control and access to the data.

7. As EHR adoption expands to include data from multiple healthcare entities, more
opportunities for error exist. Which process can affect data integrity?

a. System failure
b. Data analysis
c. Data downloading
d. Data mining - ANS-a. System failure

8. Which issues are considered impediments to a fully functional electronic health record (EHR)
system? (Select all that apply.)

a. Cost
b. Standardization
c. Care coordination
d. Organizational culture
e. Privacy and confidentiality
f. Education - ANS-a. Cost
b. Standardization
d. Organizational culture
e. Privacy and confidentiality

9. The eight-stage EMR model requires which of the following to have been implemented by the
end of Stage 3? (Select all that apply.)
a. A basic CDS system

b. A PACS available outside Radiology
c. Closed-loop medication administration

, d. A full radiology-picture archiving and communication system
e. Major ancillary systems including Laboratory, Radiology, and Pharmacy - ANS-a. A basic
CDS system
b. A PACS available outside Radiology
e. Major ancillary systems including Laboratory, Radiology, and Pharmacy

10. The university hospital is getting ready to implement computerized provider order entry and
some decision support capabilities to include drug-drug and drug-allergy alerts. Which actions
should the implementation team take to increase user acceptance of the system? (Select all that
apply.)

a. Involve users early in the design, testing, and implementation of the system
b. Conduct a quantitative research study to provide deeper insight into CPOE issues c. Design
the new system to support communication and workflow
d. Educate clinicians on how to use the system features
e. Plan for continuous safety monitoring - ANS-a. Involve users early in the design, testing, and
implementation of the system
c. Design the new system to support communication and workflow
d. Educate clinicians on how to use the system features
e. Plan for continuous safety monitoring

11. The general attitude of consumers toward health information technology is positive. Which
items are perceived EHR benefits for the consumer? (Select all that apply.)

a. Collaborative interaction between patients and providers
b. Security and privacy of personal information
c. Timely access to personal health information
d. Online access to educational materials
e. Customized care through reminders - ANS-a. Collaborative interaction between patients and
providers
c. Timely access to personal health information
d. Online access to educational materials
e. Customized care through reminders

1. A financial information system (FIS) includes

a. accounts receivable management, accounts payable management, and fiscal reporting
management.
b. clinical systems management, accounts receivable management, and fiscal reporting
management.
c. accounts payable management, accounts receivable management, and clinical systems
management.

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