Test Bank For Informatics and Nursing: Opportunities and
Challenges 5th Edition By Jeanne Sewell 9781451193206
Chapter 1-25 Complete Guide .
Successful pre-live strategies in a change management plan developed for implementing an electronic
health record will include all of the following except?
A. hosing end-user usability testing sessions.
B. involving subject-matter experts to validate workflow.
C. formal training activities.
D. disciplinary measures for addressing resistance by professionals. - ANSWER: D. disciplinary
measures for addressing resistance by professionals.
A decision support system in the electronic health record consists of:
A. reminders and alerts to improve the diagnosis of a patient.
B. screening for drug selection, dosing, and interactions.
C. preventive health reminders.
D. All of these are correct. - ANSWER: D. All of these are correct.
An electronic health record may lead to better clinical decision making by integrating patient
information from multiple sources.
T/F - ANSWER: True
Health information and data in the electronic health record consist of:
A. demographics.
B. medical diagnoses.
C. medication lists and allergies.
D. All of these are correct. - ANSWER: D. All of these are correct.
Positive impacts noted with using an informatics system to manage patients with chronic illness
include:
A. guidelines adherence.
B. a decrease in emergency department visits.
C. improved provider documentation.
D. All of these are correct. - ANSWER: D. All of these are correct.
Stage 1 meaningful use criteria focused on health information exchange and patient control over
health data.
T/F - ANSWER: False
The electronic health record may be used to identify patients who qualify for research studies.
T/F - ANSWER: True
_________________ is the ability to manage results of all types electronically including laboratory
and radiology procedure reports, both current and historical.
A. Digital manipulation
B. Data warehousing
, C. Electronic searching
D. Results management - ANSWER: D. Results management
A nurse is documenting in the electronic health record and uses standardized terminology, which is
important because:
A. it prevents information from being shared.
B. it ensures the right diagnosis code will be used.
C. it reduces interoperability.
D. it captures and codifies the work of nursing. - ANSWER: D. it captures and codifies the work of
nursing.
An informatics nurse is consulting with a healthcare organization for expansion of the electronic
health record (EHR). Which of the following is a barrier to expansion of EHRs in healthcare
organizations?
A. Need to decrease interoperability
B. Lack of meaningful use incentives
C. Nursing staff work support
D. Financial barriers - ANSWER: D. Financial barriers
According to the Agency for Healthcare Research and Quality, one way to balance the competing
cultural values of blamelessness versus accountability is to establish a "just culture."
T/F - ANSWER: True
Although nurses have an ethical duty to ensure patient safety, increasing demands on professionals in
complex and fast-paced healthcare environments may lead to workarounds. What is a workaround?
A. A practice that deviates from accepted and expected practice protocols
B. A shortcut to save time
C. An inappropriate action or omission of appropriate actions
D. All of these are correct. - ANSWER: D. All of these are correct.
Clinical decision making is guided by targeted information delivery ensuring that the five rights of
clinical decision support are implemented: the right information provided to the right person in the
right format through the right channel at the right time in workflow.
T/F - ANSWER: True
Integrating technology into the medication administration cycle helps to reduce errors by:
A.
performing electronic checks against a database of safe medication administration parameters and
providing alerts.
B.
increasing the workload and efficiency of clinicians.
C.
Employing human factors engineering principles to streamline workflow processes.
D.
All of these are correct. - ANSWER: A.
performing electronic checks against a database of safe medication administration parameters and
providing alerts.
Multiple false alarms may lead to alarm fatigue and compromise patient safety by slow response or
no response to physiologic alarms. Strategies to improve alarm response include:
Challenges 5th Edition By Jeanne Sewell 9781451193206
Chapter 1-25 Complete Guide .
Successful pre-live strategies in a change management plan developed for implementing an electronic
health record will include all of the following except?
A. hosing end-user usability testing sessions.
B. involving subject-matter experts to validate workflow.
C. formal training activities.
D. disciplinary measures for addressing resistance by professionals. - ANSWER: D. disciplinary
measures for addressing resistance by professionals.
A decision support system in the electronic health record consists of:
A. reminders and alerts to improve the diagnosis of a patient.
B. screening for drug selection, dosing, and interactions.
C. preventive health reminders.
D. All of these are correct. - ANSWER: D. All of these are correct.
An electronic health record may lead to better clinical decision making by integrating patient
information from multiple sources.
T/F - ANSWER: True
Health information and data in the electronic health record consist of:
A. demographics.
B. medical diagnoses.
C. medication lists and allergies.
D. All of these are correct. - ANSWER: D. All of these are correct.
Positive impacts noted with using an informatics system to manage patients with chronic illness
include:
A. guidelines adherence.
B. a decrease in emergency department visits.
C. improved provider documentation.
D. All of these are correct. - ANSWER: D. All of these are correct.
Stage 1 meaningful use criteria focused on health information exchange and patient control over
health data.
T/F - ANSWER: False
The electronic health record may be used to identify patients who qualify for research studies.
T/F - ANSWER: True
_________________ is the ability to manage results of all types electronically including laboratory
and radiology procedure reports, both current and historical.
A. Digital manipulation
B. Data warehousing
, C. Electronic searching
D. Results management - ANSWER: D. Results management
A nurse is documenting in the electronic health record and uses standardized terminology, which is
important because:
A. it prevents information from being shared.
B. it ensures the right diagnosis code will be used.
C. it reduces interoperability.
D. it captures and codifies the work of nursing. - ANSWER: D. it captures and codifies the work of
nursing.
An informatics nurse is consulting with a healthcare organization for expansion of the electronic
health record (EHR). Which of the following is a barrier to expansion of EHRs in healthcare
organizations?
A. Need to decrease interoperability
B. Lack of meaningful use incentives
C. Nursing staff work support
D. Financial barriers - ANSWER: D. Financial barriers
According to the Agency for Healthcare Research and Quality, one way to balance the competing
cultural values of blamelessness versus accountability is to establish a "just culture."
T/F - ANSWER: True
Although nurses have an ethical duty to ensure patient safety, increasing demands on professionals in
complex and fast-paced healthcare environments may lead to workarounds. What is a workaround?
A. A practice that deviates from accepted and expected practice protocols
B. A shortcut to save time
C. An inappropriate action or omission of appropriate actions
D. All of these are correct. - ANSWER: D. All of these are correct.
Clinical decision making is guided by targeted information delivery ensuring that the five rights of
clinical decision support are implemented: the right information provided to the right person in the
right format through the right channel at the right time in workflow.
T/F - ANSWER: True
Integrating technology into the medication administration cycle helps to reduce errors by:
A.
performing electronic checks against a database of safe medication administration parameters and
providing alerts.
B.
increasing the workload and efficiency of clinicians.
C.
Employing human factors engineering principles to streamline workflow processes.
D.
All of these are correct. - ANSWER: A.
performing electronic checks against a database of safe medication administration parameters and
providing alerts.
Multiple false alarms may lead to alarm fatigue and compromise patient safety by slow response or
no response to physiologic alarms. Strategies to improve alarm response include:
