Contemporary Nursing: Issues, Trends, and
Management, 7th Edition
MULTIPLE CHOICE
1. Consumers are concerned with security issues related to their confidential health
information being placed in an electronic health record (EHR). However, when the security
of the EHR iscompared with that of paper-and-pencil records, the EHR is:
a. more secure.
b. less secure.
c. equivalent.
d. not comparable with the paper-and-pencil record.
ANS: A
Computer-based patient record systems, such as EHRs, provide better protection than
paper-based systems. The EHR allows only authorized users to view data, and access to
records can be audited for inappropriate use.
DIF: Comprehension REF: p. 271
2. During a search for the term informatics, when the nurse finds the domain “.edu,” the site
isaffiliated with a(n):
a. government agency.
b. commercial site.
c. educational institution
d. Internet service provider.
ANS: C
The domain of an educational institution is .edu.
DIF: Knowledge REF: p. 276
3. When paper-and-pencil medical records are compared with computer-based records:
a. paper-and-pencil records provide controls to determine who has viewed the
healthinformation.
b. information contained in a paper-and-pencil record has the capability of
beingmore in-depth than that found in computer-based records.
Page 1 of 204
,c. patients have the right to know that the confidentiality of their records is
strictlymaintained, regardless of the type of medical record used.
d. patients must sign for each item of information released on the computer record.
ANS: C
Regardless of the type of record used, the Health Insurance Portability and Accountability Act
(HIPAA) protects the confidentiality of the patient’s medical information and imposes legal
consequences for those who breech confidentiality.
DIF: Comprehension REF: p. 271
Page 2 of 204
,4. A nurse is preparing a scholarly publication on the prevalence of hepatitis A worldwide.
Themost efficient and effective means of conducting an Internet search to gather
information for this publication is to use:
a. a search engine such as Google or Yahoo.
b. a consumer health website.
c. a decision support system.
d. MEDLINE database.
ANS: D
MEDLINE is one of the scientific and research scholarly databases, and it would be the most
appropriate for use in gathering information for a scholarly publication.
DIF: Comprehension REF: p. 276
5. A consumer is learning about electronic health records at a local health fair and states, “I
amworried that someone can read my health information and I really don’t understand
the difference between privacy and confidentiality.” The nurse explains that an example of
confidentiality would be:
a. a pledge that states, “I will hold matters pertaining to my patients in
strictintimacy.”
b. a patient who does not tell the physician that he has been treated for a
sexuallytransmitted disease.
c. a teenager who sustains a broken arm and in the emergency department
andwithholds information about her use of recreational drugs.
d. locking medical records in cabinets to prevent unauthorized users from
accessingpatient information.
ANS: A
Confidentiality is keeping private the personal information that was given to a health care
provider, unless others have a legitimate need to know.
DIF: Application REF: p. 271
6. A physician has installed a computer-based patient records system. An outside care
providerwho requests medical information must obtain the patient’s signed consent and
then is assigned a password to gain access to the medical information. A monthly audit is
conductedto determine for whom and for what purpose patient records have been
accessed. This protection is referred to as:
a. privacy.
b. confidentiality.
c. security.
d. data capture.
Page 3 of 204
, ANS: C
Security is the limitation of access to health care information through passwords and other
precautions.
DIF: Comprehension REF: p. 271
Page 4 of 204
Management, 7th Edition
MULTIPLE CHOICE
1. Consumers are concerned with security issues related to their confidential health
information being placed in an electronic health record (EHR). However, when the security
of the EHR iscompared with that of paper-and-pencil records, the EHR is:
a. more secure.
b. less secure.
c. equivalent.
d. not comparable with the paper-and-pencil record.
ANS: A
Computer-based patient record systems, such as EHRs, provide better protection than
paper-based systems. The EHR allows only authorized users to view data, and access to
records can be audited for inappropriate use.
DIF: Comprehension REF: p. 271
2. During a search for the term informatics, when the nurse finds the domain “.edu,” the site
isaffiliated with a(n):
a. government agency.
b. commercial site.
c. educational institution
d. Internet service provider.
ANS: C
The domain of an educational institution is .edu.
DIF: Knowledge REF: p. 276
3. When paper-and-pencil medical records are compared with computer-based records:
a. paper-and-pencil records provide controls to determine who has viewed the
healthinformation.
b. information contained in a paper-and-pencil record has the capability of
beingmore in-depth than that found in computer-based records.
Page 1 of 204
,c. patients have the right to know that the confidentiality of their records is
strictlymaintained, regardless of the type of medical record used.
d. patients must sign for each item of information released on the computer record.
ANS: C
Regardless of the type of record used, the Health Insurance Portability and Accountability Act
(HIPAA) protects the confidentiality of the patient’s medical information and imposes legal
consequences for those who breech confidentiality.
DIF: Comprehension REF: p. 271
Page 2 of 204
,4. A nurse is preparing a scholarly publication on the prevalence of hepatitis A worldwide.
Themost efficient and effective means of conducting an Internet search to gather
information for this publication is to use:
a. a search engine such as Google or Yahoo.
b. a consumer health website.
c. a decision support system.
d. MEDLINE database.
ANS: D
MEDLINE is one of the scientific and research scholarly databases, and it would be the most
appropriate for use in gathering information for a scholarly publication.
DIF: Comprehension REF: p. 276
5. A consumer is learning about electronic health records at a local health fair and states, “I
amworried that someone can read my health information and I really don’t understand
the difference between privacy and confidentiality.” The nurse explains that an example of
confidentiality would be:
a. a pledge that states, “I will hold matters pertaining to my patients in
strictintimacy.”
b. a patient who does not tell the physician that he has been treated for a
sexuallytransmitted disease.
c. a teenager who sustains a broken arm and in the emergency department
andwithholds information about her use of recreational drugs.
d. locking medical records in cabinets to prevent unauthorized users from
accessingpatient information.
ANS: A
Confidentiality is keeping private the personal information that was given to a health care
provider, unless others have a legitimate need to know.
DIF: Application REF: p. 271
6. A physician has installed a computer-based patient records system. An outside care
providerwho requests medical information must obtain the patient’s signed consent and
then is assigned a password to gain access to the medical information. A monthly audit is
conductedto determine for whom and for what purpose patient records have been
accessed. This protection is referred to as:
a. privacy.
b. confidentiality.
c. security.
d. data capture.
Page 3 of 204
, ANS: C
Security is the limitation of access to health care information through passwords and other
precautions.
DIF: Comprehension REF: p. 271
Page 4 of 204
