WGU D220 OA EXAM ANSWERS
NEWEST
Which information in an electronic medical record (EMP) helps a nurse plan & manage a
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patient's post-operative care after open-heart surgery - Provider order
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Which information in a patient's electronic medical record (EMA), in addition to the
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nursing flowsheets & provider orders, helps a nurse plan & manage fluctuations in blood
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glucose levels - MAR
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A nurse is planning the care for a patient admitted to the hospital with COVID-19 Which
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list of information in the electronic medical record (EMR) will help the nurse plan the care
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for this patient - The patient's laboratory results over the last 72 hours.
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Which clinical note type is exempt from being shared with patients according to the United
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States Core Data for Interoperability (USC DI) standards - Psychotherapy notes
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Operating room (OR) staff are reliant upon a manual whiteboard for patient tracking.
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Recently, surgeons have complained that the turnaround time between surgical cases
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has increased & blame the manual tracking system. An informatics nurse recommends
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expanding the use of the existing surgical information system (SIS). Which resolution can
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improve this workflow issue? - Radiofrequency identification (RFID) in patient labels
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What is an effective way to reduce the risk of access to electronic protected health
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information (ePHI) by unauthorized users - Make sure all the users adhere to the security
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& confidential policy set forth by the facility.
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A patient is being transferred to another hospital, however, the hospital he is being
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transferred to does not have access to the Electronic Health Record (EHR) since they use
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EPIC. How will they receive his Electronic Health Record (EHR)? - Continuity care
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record from AMR
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When a physician arrives on the unit, a nurse is asked about the fluid status of a patient.
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Where should the nurse find this information? - The intake & output chart
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Which act in 2009 did Meaningful Use (MU) originate - American Recovery &
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Reinvestment Act (ARRA) act in 2009
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II What is the intent of the Clinical Decision Support (CDS) System - Providing clinicians
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II with knowledge & person-specific information.
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Which government organization oversees the meaningful use program - CMS (Centers
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for Medicare and Medicaid Services
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, A Nursing Innovator & a medsurg nurse want to capture how many patients were seen in
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a day of 24 hours, how would they best see this - Flowsheet
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II Process for discovering root causes of problems & ID the solution - Root cause analysis
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What should providers have on their personal mobile devices to protect them from
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sharing information when stolen? - Authentication & encryption
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Which area of the Electronic Health Record (EHR) is used to guide a nurse on the task
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that needs to be completed during the shift - Workflow
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How does the health information exchange (HIE) improve interoperability within a
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healthcare organization - It allows patient information to be accessible despite where the
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patient is receiving care.
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In a healthcare setting, there is resistance to using a new Electronic Health Record
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(EHR). The staff insists the prior system was much faster than navigating this new
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Electronic Health Record (EHR). Which method should be used to motivate staff to adopt
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this Electronic Health Record (EHR) - Involve staff in the implementation process.
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Which statement defines electronic protected health information (ePHI) - It is the
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information used to specifically identify an individual.
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An informatics nurse is developing a web-based application for patient care. Which
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statement accurately describes the internet? - An unregulated network of networks
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What represents privacy & security risks for telehealth technology? - Patients have the
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option to use the speakerphone in the telehealth apps.
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A restraint committee has been assembled to oversee the need & proper usage of
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restraints. Which data element would this committee find least useful in this report? -
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Patient allergy history
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What is a structured method used to analyze serious adverse events? - A root cause
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analysis (RCA)
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Which form allows stored information in an Electronic Health Record (EHR) to be instantly
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searched, retrieved, combined, & reported in different ways? - Text data
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Why was Barcode Medication Administration (BCMA) adopted by healthcare facilities -
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To prevent medication administration errors
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, Which info in Electronic Medical Records will help nurses manage post-op care for
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appendectomy - Doctor's orders
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The act that recognizes patients need more power in their healthcare, & access to
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information is key to making that happen or What act puts patients in charge of their
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healthcare records? - 21st Century Cures Act
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II Tapping badge - Improves documentation time.
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II Action that demonstrates data mining to improve patient outcomes - HbA1c
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What to do when Clinical Decision Support (CDS) System is ignored - Educate staff on
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the importance.
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Spouse requests patient's medical records - Refer the family member to medical
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records.
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II Comparing infection rates across the states - bar graph II II II II II II II II II II
II Promoting the adoption & implementation of telehealth programs - Advocacy
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Mom calls asking for the child's info that was seen at the clinic - Clinic is unable to
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provide the medical records.
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Metrics related to stroke care & compare them across the country in a presentation -
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Benchmarking
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Confirming data accuracy or Analyzing a single piece of data in multiple ways -
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Triangulation
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II What is included in meaningful use - Use of electronic prescribing
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What is the goal of the Health Information Exchange - To allow insurance companies &
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providers to be able to share data
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II Groups at risk for decreased health literacy? - elderly
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II The main way to keep HIPPA compliance? - passwords
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II The element that is PHI - DOB
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The best method of Electronic Medical Record charting for nursing?
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or
Data Entry fields - Cascading
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