NR 599 FINAL EXAM QUESTIONS &
ANSWERS PASSED LATEST VERSION
100%
Ethical Decision Making - Correct Answer ✔✔ ○ When making choices about ethical
issues based on the standards of right vs wrong. ○ It requires a systematic framework
for addressing the complex and often controversial moral questions.
Bioethical Standards - Correct Answer ✔✔ ○ The study of healthcare ethics ○ Bioethics
takes on relevant ethical problems seen by healthcare providers in relation to care
Telehealth - Correct Answer ✔✔ ○ wide range of health services that are delivered by
telecommunications ready tools, such as telephone, videophone, and computer ○ is
needed to help fill the nursing shortage allowing nursing to see more patients quicker,
as well as the aging population ○ Telecommunication technologies used to deliver
health-related services or to connect patients and healthcare providers to maximize
patients' health status. ○ A relatively new term in the medical/nursing vocabulary,
referring to a wide range of health services that are delivered by telecommunications-
ready tools such as the telephone, videophone, and compute
Medical Applications - Correct Answer ✔✔ ○ Software developed for medical purposes,
including home medical monitoring system, medical databases for healthcare
professionals, etc.
Medical Devices - Correct Answer ✔✔ ○ is any device intended to be used for medical
purposes
● Privacy - Correct Answer ✔✔ ○ An important issue related to personal information ○
Restricted access of patient information or data
● Confidentiality - Correct Answer ✔✔ ○ To ensure that all personal information is
protected by ensuring that limited access is only given to those who are authorized to
view that information.
■ Protecting privacy of personal information or data
Cybersecurity - Correct Answer ✔✔ ○ the state of being protected against the criminal
or unauthorized use of electronic data, or the measures taken to achieve this. ○ With
the expansion of technology. Facilities are taken more precautions to prevent cyber
attacks. With the move towards advancing cybersecurity is important, technology
continues to grow.
,○ Ensure all systems are adequately protected and patients remain safe from harm ○ NI
are frequently called on to evaluate the safety and effectiveness of new devices and
software.
Computer-aided translators - Correct Answer ✔✔ ○ is a form of language translation in
which a human translator uses computer hardware to support and facilitate the
translation process.
HIPPA
when was is established and by who - Correct Answer ✔✔ ○ was established in the
U.S. in 1996 to protect an individual's personal health care information. ○ Signed by
Pres. Bill Clinton ○ Healthcare institutions are required to meet all standards and comply
with the appropriate security measures in order to safeguard patient data. ○ Four parts
to HIPAA's Administrative Simplification ■ Electronic transactions and code sets
standards requirements. ■ Privacy requirements. ■ Security requirements. ■ National
identifier requirements.
ICD-10 Coding - Correct Answer ✔✔ ○ An alphanumeric code used by doctors, health
insurance companies, and public health agencies across the world to represent
diagnoses. ○ The system offers accurate and up-to-date procedure codes to improve
health care cost and ensure fair reimbursement policies ○ The current codes specifically
help healthcare providers to identify patients in need of immediate disease management
and to tailor effective disease management programs.
Similarly ICD and CPT coding go together - Correct Answer ✔✔ ● Is a medical code set
that is used to report medical, surgical, and diagnostic procedures and services to
entities such as physicians, health insurance companies and accreditation
organizations.
Evaluation and Management Coding - Correct Answer ✔✔ ○ Is a medical coding
process in support of medical billing ○ Practicing health care providers in the United
States must use E/M coding to be reimbursed by Medicare, Medicaid programs, or
private insurance for patient encounters.
Reimbursement Coding - Correct Answer ✔✔ Is based on claims and documentation
filed by providers using medical diagnosis and procedure codes. ○ Commercial payers
must use standards defined by the U.S. Department of Health and Human Services
(HHS) but are largely regulated state-by-state.
Clinical Support Tools - Correct Answer ✔✔ ○ are designed to help sift through
enormous amounts of digital data to suggest next steps for treatments, alert providers to
available information they may not have seen, or catch potential problems, such as
dangerous medication interactions ○ Such as CDS clinical decision support, a program
used by providers. ○ Or various applications use by healthcare professionals to allow for
communicate between provider to provider and provider to patient ○ The tools are all
used to benefit patient outcome
, Workflow analysis - Correct Answer ✔✔ ○ Not an optional part of clinical
implementations, but rather a necessity for safe patient care fostered by technology. ○
The ultimate goal of workflow analysis is not to "pave the cow path," but rather to create
a future-state solution that maximizes the use of technology and eliminates non-value-
added activities. ○ Although many tools and methods can be used to accomplish
workflow redesign, the best method is the one that complements the organization and
supports the work of clinicians. ○ needs to be done as well as working in optimization
(moving conditions past their current state into a more effective method of performing.
Clinical Decision Support (CDS) - Correct Answer ✔✔ ○ Generate patient specific
interventions, assessments and recommendations ○ CDS tools existed prior to
development of EHRs ○ The primary goal of implementing a CDS tool is to leverage
data and the scientific evidence to help guide appropriate decision making
CDS improving healthcare - Correct Answer ✔✔ ○ Reducing clinical variation and
duplicative testing ○ Ensuring patient safety
○ Avoiding complications that may result in readmissions ○ Create alerts about drug-
drug interactions ○ Drug allergy contraindications
CDS challenging healthcare - Correct Answer ✔✔ ○ Alarm fatigue ○ Clinical burnout ○
Occur with poorly implemented CDS features ○ Financial burden
Workflow Design - Correct Answer ✔✔ ○ Used to describe the action or execution of a
series of tasks in a prescribed sequence ○ Progression of steps (tasks, events,
interactions) that constitute a work process ○ In a sequential workflow, each step
depends on the occurrence of the previous step; in a parallel workflow, two or more
steps can occur concurrently. ○ Nursing informatics is uniquely positioned to engage in
the analysis and redesign of processes and tasks surrounding the use of technology.
Changes in workflow causes - Correct Answer ✔✔ poor system design and usability
issues, lack of understanding about these systems and their capabilities, user errors
and system errors, and lack of defined protocols can all lead to process breakdowns
and errors.
EHR and information systems provide what? - Correct Answer ✔✔ provide POC
decision support to prevent medical errors to save lives and money
Barriers to implement technology: - Correct Answer ✔✔ cost & length of time to
incorporate it, frequent upgrades interrupting the workflow
American Recovery and Reinvestment Act (ARRA)- used financial incentives to
implement Meaningful Use (MU) rules and regulations
3 stages - Correct Answer ✔✔ ○ Stage 1: data capturing and sharing ○ Stage 2:
advanced clinical processes ○ Stage 3: improve outcomes
ANSWERS PASSED LATEST VERSION
100%
Ethical Decision Making - Correct Answer ✔✔ ○ When making choices about ethical
issues based on the standards of right vs wrong. ○ It requires a systematic framework
for addressing the complex and often controversial moral questions.
Bioethical Standards - Correct Answer ✔✔ ○ The study of healthcare ethics ○ Bioethics
takes on relevant ethical problems seen by healthcare providers in relation to care
Telehealth - Correct Answer ✔✔ ○ wide range of health services that are delivered by
telecommunications ready tools, such as telephone, videophone, and computer ○ is
needed to help fill the nursing shortage allowing nursing to see more patients quicker,
as well as the aging population ○ Telecommunication technologies used to deliver
health-related services or to connect patients and healthcare providers to maximize
patients' health status. ○ A relatively new term in the medical/nursing vocabulary,
referring to a wide range of health services that are delivered by telecommunications-
ready tools such as the telephone, videophone, and compute
Medical Applications - Correct Answer ✔✔ ○ Software developed for medical purposes,
including home medical monitoring system, medical databases for healthcare
professionals, etc.
Medical Devices - Correct Answer ✔✔ ○ is any device intended to be used for medical
purposes
● Privacy - Correct Answer ✔✔ ○ An important issue related to personal information ○
Restricted access of patient information or data
● Confidentiality - Correct Answer ✔✔ ○ To ensure that all personal information is
protected by ensuring that limited access is only given to those who are authorized to
view that information.
■ Protecting privacy of personal information or data
Cybersecurity - Correct Answer ✔✔ ○ the state of being protected against the criminal
or unauthorized use of electronic data, or the measures taken to achieve this. ○ With
the expansion of technology. Facilities are taken more precautions to prevent cyber
attacks. With the move towards advancing cybersecurity is important, technology
continues to grow.
,○ Ensure all systems are adequately protected and patients remain safe from harm ○ NI
are frequently called on to evaluate the safety and effectiveness of new devices and
software.
Computer-aided translators - Correct Answer ✔✔ ○ is a form of language translation in
which a human translator uses computer hardware to support and facilitate the
translation process.
HIPPA
when was is established and by who - Correct Answer ✔✔ ○ was established in the
U.S. in 1996 to protect an individual's personal health care information. ○ Signed by
Pres. Bill Clinton ○ Healthcare institutions are required to meet all standards and comply
with the appropriate security measures in order to safeguard patient data. ○ Four parts
to HIPAA's Administrative Simplification ■ Electronic transactions and code sets
standards requirements. ■ Privacy requirements. ■ Security requirements. ■ National
identifier requirements.
ICD-10 Coding - Correct Answer ✔✔ ○ An alphanumeric code used by doctors, health
insurance companies, and public health agencies across the world to represent
diagnoses. ○ The system offers accurate and up-to-date procedure codes to improve
health care cost and ensure fair reimbursement policies ○ The current codes specifically
help healthcare providers to identify patients in need of immediate disease management
and to tailor effective disease management programs.
Similarly ICD and CPT coding go together - Correct Answer ✔✔ ● Is a medical code set
that is used to report medical, surgical, and diagnostic procedures and services to
entities such as physicians, health insurance companies and accreditation
organizations.
Evaluation and Management Coding - Correct Answer ✔✔ ○ Is a medical coding
process in support of medical billing ○ Practicing health care providers in the United
States must use E/M coding to be reimbursed by Medicare, Medicaid programs, or
private insurance for patient encounters.
Reimbursement Coding - Correct Answer ✔✔ Is based on claims and documentation
filed by providers using medical diagnosis and procedure codes. ○ Commercial payers
must use standards defined by the U.S. Department of Health and Human Services
(HHS) but are largely regulated state-by-state.
Clinical Support Tools - Correct Answer ✔✔ ○ are designed to help sift through
enormous amounts of digital data to suggest next steps for treatments, alert providers to
available information they may not have seen, or catch potential problems, such as
dangerous medication interactions ○ Such as CDS clinical decision support, a program
used by providers. ○ Or various applications use by healthcare professionals to allow for
communicate between provider to provider and provider to patient ○ The tools are all
used to benefit patient outcome
, Workflow analysis - Correct Answer ✔✔ ○ Not an optional part of clinical
implementations, but rather a necessity for safe patient care fostered by technology. ○
The ultimate goal of workflow analysis is not to "pave the cow path," but rather to create
a future-state solution that maximizes the use of technology and eliminates non-value-
added activities. ○ Although many tools and methods can be used to accomplish
workflow redesign, the best method is the one that complements the organization and
supports the work of clinicians. ○ needs to be done as well as working in optimization
(moving conditions past their current state into a more effective method of performing.
Clinical Decision Support (CDS) - Correct Answer ✔✔ ○ Generate patient specific
interventions, assessments and recommendations ○ CDS tools existed prior to
development of EHRs ○ The primary goal of implementing a CDS tool is to leverage
data and the scientific evidence to help guide appropriate decision making
CDS improving healthcare - Correct Answer ✔✔ ○ Reducing clinical variation and
duplicative testing ○ Ensuring patient safety
○ Avoiding complications that may result in readmissions ○ Create alerts about drug-
drug interactions ○ Drug allergy contraindications
CDS challenging healthcare - Correct Answer ✔✔ ○ Alarm fatigue ○ Clinical burnout ○
Occur with poorly implemented CDS features ○ Financial burden
Workflow Design - Correct Answer ✔✔ ○ Used to describe the action or execution of a
series of tasks in a prescribed sequence ○ Progression of steps (tasks, events,
interactions) that constitute a work process ○ In a sequential workflow, each step
depends on the occurrence of the previous step; in a parallel workflow, two or more
steps can occur concurrently. ○ Nursing informatics is uniquely positioned to engage in
the analysis and redesign of processes and tasks surrounding the use of technology.
Changes in workflow causes - Correct Answer ✔✔ poor system design and usability
issues, lack of understanding about these systems and their capabilities, user errors
and system errors, and lack of defined protocols can all lead to process breakdowns
and errors.
EHR and information systems provide what? - Correct Answer ✔✔ provide POC
decision support to prevent medical errors to save lives and money
Barriers to implement technology: - Correct Answer ✔✔ cost & length of time to
incorporate it, frequent upgrades interrupting the workflow
American Recovery and Reinvestment Act (ARRA)- used financial incentives to
implement Meaningful Use (MU) rules and regulations
3 stages - Correct Answer ✔✔ ○ Stage 1: data capturing and sharing ○ Stage 2:
advanced clinical processes ○ Stage 3: improve outcomes
