WGU - C468 Information Management and the Application of Technology PA

How is information related to data? Answer- Information is data that have been interpreted How does information literacy support the use of evidence-based-practice (EBP) in nursing? Choose 2 answers Answer- The nurse can discern research findings that can be applied to practice Nurses must frequently consult resources including peers and general internet searches A nurse documents care of a patient with a decubitus ulcer in the electronic health record. Which term describes the electronic health record in his situation? Answer- Information system Which statement describes nurses as knowledge workers? Answer- Nurses generate knowledge as a product. Match the level of nurse practice with appropriate skill criteria. Answer- Beginning nurse Uses information systems to manage patients Match the level of nurse practice with appropriate skill criteria. Answer- Experienced nurse Pulls trends out of data Match the level of nurse practice with appropriate skill criteria. Answer- Informatics innovator Generates informatics theory Match the level of nurse practice with appropriate skill criteria. Answer- Informatics nurse specialist Focuses on nursing's information needs The RN who works in the area of informatics Informatics nurse Answer- Informatics nurse Has an interest or experience, but no formal training in informatics Answer- Informatics nurse Plays an active role in research and theory development Answer- Informatics nurse specialist Has advanced graduate training in nursing informatics Answer- Informatics nurse speicalist Ensures that information is disseminated at appropriate times for appropriate uses Answer- Informatics nurse Which of the following uses database applications to sift through large amounts of data and looks for previously hidden trends? Answer- Data mining A nurse is reviewing a patient's pneumonia vaccination status in the electronic medical record. The nurse determines the patient needs this vaccine before discharge to meet the requirements of a current clinical pathway. Why would the nurse use information systems in this manner? Answer- To promote desired clinical outcomes A nursing informatics specialist at a small, rural hospital implemented a clinical information system utilizing an electronic health record (EHR). She obtained input from nurses regarding selection of the specific EHR. She noted that some of the nurses had negative attitudes towards a change to the EHR, but she encouraged them to try the system and note its benefits. She implemented the system after all nurses were trained about the EHR. There were numerous complaints about the EHR, which the Nursing Informatics Specialist decided to ignore since the personnel were new to the system. Which barrier to implementing technology is present in the scenario? Answer- Lack of continued support A computer program was implemented at a hospital that required nurses to wait until the patient arrived in the emergency room and was registered into the program before orders for critical time-sensitive treatment could be written. How could this program become a barrier to the nurses attempting to deliver patient- centered care? Answer- The time spent waiting for the program to register the patient could delay critical care being delivered in a timely manner. Which national trend is related to nursing informatics? Answer- Barcode scanning for medication administration Which standardized nursing terminology is composed of nursing diagnoses, nursing actions, and nursing outcomes? Answer- ICNP Which of the following requires standardized nursing terminology to meet its criteria? Answer- Meaningful Use What is a challenge to the adoption of eHealth strategies? Answer- Creating economic incentives and policies that providers view as essential to accomplishing their financial and professional goals What is the importance of a nurse's active participation in electronic patient information? Answer- To ensure patient information will be current and accessible to the healthcare team A nurse is working on a medical surgical unit and is concerned over a patient's worsening heart failure. The nurse calls the provider to discuss the assessments. How does the electronic medical record facilitate a collaborative discussion in this situation? Choose 2 answers Answer- The provider can visualize the chest x-ray remotely. The provider has access to the data being discussed. What are three types of clinical information systems? Choose 3 answers Answer- Laboratory system Order entry system Monitoring system What are common features of the various health information systems? Choose 3 answers Answer- Creates a comprehensive record of the patient's medical history Is unique in the way they function and provide information to clinicians Collects, processes and distributes patient centered data to manage and provide care Admission, discharge, and transfer system Answer- Administrative Information Systems Radiology Information System (RIS) Answer- Clinical Information Systems financial system Answer- Administration Information Systems Clinical documentation system Answer- Clinical Information Systems scheduling system Answer- Administration Information Systems Which health information system is used to collect and store client identification and demographic data that are verified and updated at the time of each visit? Answer- Registration system Administration in an acute care clinic is considering adopting a health information system. A team is formed with members of clinical areas, software vendors, and an executive team of stakeholders. Which collaborative tasks are important for this team to accomplish with regard to selecting the health information system? Choose 3 answers Answer- Determine who will be accountable for the project Determine how resources will be allocated to support the system Assess potential for process improvement while using the system An admission nurse is awaiting notification of whether a patient being monitored by telehealth will be admitted to the hospital. The physician has already documented the admission orders in the digital medical record. Due to miscommunication, the admitting nurse did not access the digital medical record. There was a significant delay in the patient's admission, which led to decreased patient satisfaction with the admission process. How can the use of the digital health record improve this process? Choose 2 answers Answer- It prevents the delay of tests and services. It allows for easy access to patient information. What are the essential components of an electronic health record? Choose 3 answers Answer- Vital signs Lab results Demographics Which function is performed within an electronic health record system? Answer- Bar scanning medications and patients What can a nurse, working in a hospital, use to access a patient's electronic health record and prescription drugs from a medication administration system? Answer- Bar coded identification cards Which mechanism is used to streamline caregivers' workflow that needs to include past medical history, patient demographics, immunizations, and medication history? Answer- Electronic health record What are some benefits of using an electronic health record (EHR) system in an ambulatory care clinic? Choose 4 answers Answer- Decrease medication errors Increase clinic reimbursement Improve provider documentation Increase delivery of guideline based care A local medical clinic is attempting to develop an electronic health record (EHR) system. Which challenges should the organization anticipate? Choose 2 answers Answer- Identifying data needs for differing nursing practice specialties Implementing standardization of documentation across physician offices A nurse is administering a new medication to a patient who has never taken this medication in the past. The patient is already taking seven different medications at this time. Which nursing intervention should the nurse do before administering this medication? Answer- A nurse is administering a new medication to a patient who has never taken this medication in the past. The patient is already taking seven different medications at this time. Which nursing intervention should the nurse do before administering this medication? YOUR ANSWER CORRECT ANSWER Review the drug-to-drug, drug-allergy check in electronic health record Which statement represents one of the principle provisions of the Health Information Portability and Accountability Act (HIPAA) related to information security? Answer- Nurses should notify a supervisor immediately when observing a breach of patient confidentiality. What is a principle provision of the Health Information Technology for Economic and Clinical Health (HITECH) Act? Answer- To improve healthcare quality by enhancing coordination of services among providers You are a nurse manager at a hospital. The informatics department at the hospital has established a no flash drive policy. In addition, all patient files must be saved on the secure O: drive. What would be an appropriate way to describe these changes to your staff? Choose 2 answers Answer- The hospital is implementing a security program to prevent patient data for being compromised. The hospital is eliminating the need for flash drives to prevent the loss of sensitive data. You are the informatics nurse at a hospital. You are running a random report evaluating users on your new electronic health record (EHR). You notice that the charge nurse from the emergency department just underwent a radical mastectomy and is recovering on the surgical floor. You then notice that four nurses from the ER have accessed this record. What should you do? Answer- Talk to the patient and let her know her friends care about her condition. Talk to each nurse and explain the legal and ethical ramifications of accessing the EHR. Explain to the patient their information has be breached. Provide training to nurses in the emergency department about protected patient information. 35. In regards to a secure network, what gives employees confidence that the information they are reading is true? Answer- Integrity What represents the greatest potential threat to data security? Answer- Removable storage device What are common personal data access security threats in healthcare? Choose 2 answers Answer- Unencrypted data Weak passwords A nurse learns that a colleague has accessed electronically stored health information of a patient that the colleague is not involved in treating. What should the nurse do? Answer- Report the colleague to their employer How does meaningful use of electronic health records (EHR) relate to quality patient care? Choose 2 answers Answer- Computerization of prescriber order entry (CPOE) Maintenance of active patient medication lists What is one way that technology acts as a change agent in the nursing process? Answer- It reduces the time spent on documentation. A patient is in the ICU after a motorcycle accident. The patient sustained multiple contusions and fractures. Various digital monitoring devices are being used to track the patient's vital signs, pulse oximetry, and cardiac rhythm. How can the appropriate use of these technologies impact this patient's outcome? Choose 2 answers Answer- Decreased recovery time Timely treatment of potential complications A nurse manager identifies several advanced practice nurses at an ICU workstation responding to multiple patient alarms. She notices that the acuity of one patient drastically increases the demand for staff resources. How can workflow analysis impact practice in this situation? Answer- It provides observation and documentation of what is happening in the current environment. What are the features of a clinical decision support tool? Choose 3 answers Answer- Provides practice guidelines Delivers online information retrieval Issues computerized alerts and reminders What is a function of a clinical decision support tool? Answer- Intersecting of computer, information, and nursing science How can clinical decision support tools lead to safer patient care? Choose 2 answers Answer- They give timely information to nurses and other healthcare providers. They reduce waste of nurse's time looking through the medical record. A nurse receives a computerized alert of a critical lab value on her patient. This computerized alert informs the nurse that an action needs to be taken and provides suggestions for clinical intervention. Which technology did the nurse employ to achieve an enhanced safe practice environment? Answer- Use of a clinical decision support tool During a crisis, a nurse manager is looking for the written, hospital-wide procedural policy. The nurse is unable to locate it. What can the nurse manager use to solve this issue? Answer- Decision support tools Which procedures are essential to creating and maintaining a culture of safety during the medication administration cycle? Choose 2 answers Answer- Performing double verification among nurses when administering high alert medications Barcode scanning the patient and the medication to ensure positive patient ID Which informatics tools are commonly used for collecting and analyzing patient data? Choose 2 answers Answer- PDAs Bedside computers Which type of technology offers support during the medication administration cycle? Answer- Viewing of the digital health record during a home health visit A a student is behind on morning medication administration. The instructor is pressuring the student to pass quickly without any errors. One of the clients assigned to the student's care asks for pain medication. Which nursing intervention is questionable? Answer- Computer scan the meds and come back later to administer them Which statements by the nurse demonstrate understanding of the reason for a clinical information system? Choose 2 answers Answer- The information retrieved can be used for research. It improves compliance with nursing documentation. A nurse uses an internet blog to give a patient shift report to a nurse coming on to the next shift. Why is this nursing action a problem? Choose 2 answers Answer- Giving a nursing report via a blog does not meet HIPAA requirements Healthcare information discussed on the blog violates a patient's privacy A nurse manager views patient data collected over the last three months of hospital admissions. Trends show that nosocomial infections have increased on the geriatric unit. Which actions can patient data facilitate quality improvement in the future? Choose 2 answers Answer- Using the data to implement evidence-based practice procedures Using the data to monitor infection trends What are two common characteristics of telehealth? Choose 2 answers Answer- The use of video streaming technology Transmission of biological data from a remote location What is an important legal consideration in the use of telehealth nursing? Answer- The nurse is licensed in each state in which the remote clients are located. What is a prominent socioeconomic factor driving telehealth medicine? Answer- An increase in chronic disease conditions Which example is a telehealth non-clinical application? Answer- Distant patient education via computer