Which of the following legislative acts stipulate that clients be allowed to see & make correc-
tions to their health care records?
A. Health Information Technology for Economic & Clinical Health (HITECH) Act.
B. Health Information Portability & Accountability Act (HIPAA).
C. American Recovery & Reinvestment Act (ARRA). - ANSWER B
(one privacy rule of HIPAA is to establish client ownership of the health care record & allow
for client-initiated corrections & amendments.)
Which of the following illustrates the integration of informatics into a health care system to
support cost containment?
A. Offering free wireless internet access to visitors.
B. Installing barcodes on medications with alerts for low supplies.
C. Integrating an electronic health care record on a platform compatible with computers &
tablets. - ANSWER B
(This illustrates cost containment by allowing inventory management related to supply & de-
mand, directly affecting management of medication & supply costs.)
Which of the following uses of technology would constitute a violation of HIPAA?
A. Sharing a client's lab results with a consulting provider via email on the healthcare facility
intranet.
B. Charting client data on electronic health care record while at the beside with family mem-
bers present.
C. Texting a picture of a client's wound from one nurse to another nurse related to wound
care protocol. - ANSWER C
(This is a violation of client confidentiality due to identifiable client assessment data shared
outside the health care facility. even though the nurse sent the photo to another nurse re-
lated to wound care protocol, this is not acceptable use of technology and violates HIPAA.)
1
, A health facility recently opened a research department to collect & analyze data related to
improve client outcomes. Which of the following examples represents integration of tech-
nology to support creation of scholarly knowledge?
A. Administration of an online survey for new nurses post-orientation regarding satisfaction
with teaching methods.
B. Electronic collection of healing times of sacral wounds post-hyperbaric treatment, with
and without antibiotic administration.
C. Piloting an instant messaging system between hand-held computers for nursing & phar-
macy. - ANSWER B
(This supports research through data collection examining and intervention and comparison
intervention. Technology supports the timely & accurate collection & analysis of data related
directly to client outcomes. This helps support the creation of scholarly knowledge)
A nurse off duty receives a photo on her cell phone from a fellow nurse who is at work. The
photo shows a celebrity receiving physical therapy. Which of the following actions should
the nurse take first?
A. Make factual notes of the event that occurred.
B. Notify the nursing administration, explaining who sent the photo.
C. Delete the photo. - ANSWER C
(deleting the photo is the correct action to prevent further violation of HIPAA & is the first
action for the nurse to take)
The Centers for Medicare & Medicaid Services electronically reports specific quality outcome
measures based on data collected from hospitals. These data allow the public to compare
hospitals that...
A. have the best health care providers.
B. have the most up to date surgical services.
C. have a higher percentage of hospital acquired infections. - ANSWER C
(hospital acquired infection is one of the quality outcome measures publicly reported by the
Centers for Medicare & Medicaid Services -CMS- these measures hold hospitals accountable
2
tions to their health care records?
A. Health Information Technology for Economic & Clinical Health (HITECH) Act.
B. Health Information Portability & Accountability Act (HIPAA).
C. American Recovery & Reinvestment Act (ARRA). - ANSWER B
(one privacy rule of HIPAA is to establish client ownership of the health care record & allow
for client-initiated corrections & amendments.)
Which of the following illustrates the integration of informatics into a health care system to
support cost containment?
A. Offering free wireless internet access to visitors.
B. Installing barcodes on medications with alerts for low supplies.
C. Integrating an electronic health care record on a platform compatible with computers &
tablets. - ANSWER B
(This illustrates cost containment by allowing inventory management related to supply & de-
mand, directly affecting management of medication & supply costs.)
Which of the following uses of technology would constitute a violation of HIPAA?
A. Sharing a client's lab results with a consulting provider via email on the healthcare facility
intranet.
B. Charting client data on electronic health care record while at the beside with family mem-
bers present.
C. Texting a picture of a client's wound from one nurse to another nurse related to wound
care protocol. - ANSWER C
(This is a violation of client confidentiality due to identifiable client assessment data shared
outside the health care facility. even though the nurse sent the photo to another nurse re-
lated to wound care protocol, this is not acceptable use of technology and violates HIPAA.)
1
, A health facility recently opened a research department to collect & analyze data related to
improve client outcomes. Which of the following examples represents integration of tech-
nology to support creation of scholarly knowledge?
A. Administration of an online survey for new nurses post-orientation regarding satisfaction
with teaching methods.
B. Electronic collection of healing times of sacral wounds post-hyperbaric treatment, with
and without antibiotic administration.
C. Piloting an instant messaging system between hand-held computers for nursing & phar-
macy. - ANSWER B
(This supports research through data collection examining and intervention and comparison
intervention. Technology supports the timely & accurate collection & analysis of data related
directly to client outcomes. This helps support the creation of scholarly knowledge)
A nurse off duty receives a photo on her cell phone from a fellow nurse who is at work. The
photo shows a celebrity receiving physical therapy. Which of the following actions should
the nurse take first?
A. Make factual notes of the event that occurred.
B. Notify the nursing administration, explaining who sent the photo.
C. Delete the photo. - ANSWER C
(deleting the photo is the correct action to prevent further violation of HIPAA & is the first
action for the nurse to take)
The Centers for Medicare & Medicaid Services electronically reports specific quality outcome
measures based on data collected from hospitals. These data allow the public to compare
hospitals that...
A. have the best health care providers.
B. have the most up to date surgical services.
C. have a higher percentage of hospital acquired infections. - ANSWER C
(hospital acquired infection is one of the quality outcome measures publicly reported by the
Centers for Medicare & Medicaid Services -CMS- these measures hold hospitals accountable
2
