Chapter 22. Information Technology and the
Advanced Practice Nurse
MULTIPLE CHOICE
1. A nurse returns to practice after 15 years in retirement. Her life savings became depleted
due to several poor investments and an Internet scam. It has been several years since the
nurse worked on a patient care unit. During orientation the nurse asked the instructor, Are
patient charts still kept at the front desk? The best response by the instructor would be
that the hospital has integrated informatics into patient care and they now use:
a. CIS.
b. EHR.
c. FAX.
d. e-mail.
ANS: B
The instructor would inform the nurse that the hospital now uses electronic health
records (EHR). Clinical information systems (CIS) consist of a collection of software
programs and associated hardware that supports the entry, retrieval, update, and
analysis of patient care information and associated clinical information related to
patient care. FAX machines and e-mail are not patient records but tools for
communicating.
PTS: 1 DIF: Analysis
REF: HEALTH INFORMATION SYSTEMS IMPORTANT TO NURSING
,2. A client is concerned about whether private matters shared between the client and the
health care workers will be disclosed to others. The nurse understands that the act of
limiting disclosure of a clients private matters is known as which of the following?
a. Privacy
b. Security
c. Confidentiality
d. Identifier
ANS: C
Confidentiality refers to the act of limiting disclosure of private matters. Privacy
refers to the right of an individual to keep information about oneself from being
disclosed to anyone. Security refers to the means to control access and protect
information from accidental or intentional disclosure to unauthorized persons and the
alteration, destruction, or loss of information. A persons computer identity can be
determined by many types of data in addition to common identifiers such as name and
number.
PTS: 1 DIF: Application REF: SECURITY
3. A student nurse asks a nurse educator about the beginnings of modern computing. The
nurse educator informs the student that the first phase (Phase I) of modern computing is
considered which of the following?
a. PC era
b. UC era
c. Mainframe era
d. Calm technology
ANS: C
Phase I of the history of modern computing is called the mainframe era, in which
many people shared one computer. Phase II in modern computing is the PC era, which
is characterized by one person to one computer. Phase III is the era of ubiquitous
computing (UC), in which there will be many computers for each person. This era
, will result in calm technology in which computers do not cause stress and anxiety for
the user.
PTS: 1 DIF: Comprehension
REF: DEVELOPMENT OF MODERN COMPUTING
4. A new treatment modality involves putting people inside a computergenerated world. The
nurse understands that this is considered:
a. ubiquitous computing.
b. virtual reality.
c. personal computing.
d. smart toilet.
ANS: B
Virtual reality puts people inside a computer-generated world, and ubiquitous
computing puts the computer out in the world with people. Personal computing is
characterized by one person to one computer. Smart toilet is ubiquitous computing
that includes an online, real-time health monitoring system.
PTS: 1 DIF: Application
REF: VIRTUAL REALITY
5. The PHR is maintained by the:
a. hospital.
b. nurse.
c. physician.
d. patient.
ANS: D
A PHR is typically a health record that is initiated and maintained by an individual.
An ideal PHR would provide a complete and accurate summary of the health and
Advanced Practice Nurse
MULTIPLE CHOICE
1. A nurse returns to practice after 15 years in retirement. Her life savings became depleted
due to several poor investments and an Internet scam. It has been several years since the
nurse worked on a patient care unit. During orientation the nurse asked the instructor, Are
patient charts still kept at the front desk? The best response by the instructor would be
that the hospital has integrated informatics into patient care and they now use:
a. CIS.
b. EHR.
c. FAX.
d. e-mail.
ANS: B
The instructor would inform the nurse that the hospital now uses electronic health
records (EHR). Clinical information systems (CIS) consist of a collection of software
programs and associated hardware that supports the entry, retrieval, update, and
analysis of patient care information and associated clinical information related to
patient care. FAX machines and e-mail are not patient records but tools for
communicating.
PTS: 1 DIF: Analysis
REF: HEALTH INFORMATION SYSTEMS IMPORTANT TO NURSING
,2. A client is concerned about whether private matters shared between the client and the
health care workers will be disclosed to others. The nurse understands that the act of
limiting disclosure of a clients private matters is known as which of the following?
a. Privacy
b. Security
c. Confidentiality
d. Identifier
ANS: C
Confidentiality refers to the act of limiting disclosure of private matters. Privacy
refers to the right of an individual to keep information about oneself from being
disclosed to anyone. Security refers to the means to control access and protect
information from accidental or intentional disclosure to unauthorized persons and the
alteration, destruction, or loss of information. A persons computer identity can be
determined by many types of data in addition to common identifiers such as name and
number.
PTS: 1 DIF: Application REF: SECURITY
3. A student nurse asks a nurse educator about the beginnings of modern computing. The
nurse educator informs the student that the first phase (Phase I) of modern computing is
considered which of the following?
a. PC era
b. UC era
c. Mainframe era
d. Calm technology
ANS: C
Phase I of the history of modern computing is called the mainframe era, in which
many people shared one computer. Phase II in modern computing is the PC era, which
is characterized by one person to one computer. Phase III is the era of ubiquitous
computing (UC), in which there will be many computers for each person. This era
, will result in calm technology in which computers do not cause stress and anxiety for
the user.
PTS: 1 DIF: Comprehension
REF: DEVELOPMENT OF MODERN COMPUTING
4. A new treatment modality involves putting people inside a computergenerated world. The
nurse understands that this is considered:
a. ubiquitous computing.
b. virtual reality.
c. personal computing.
d. smart toilet.
ANS: B
Virtual reality puts people inside a computer-generated world, and ubiquitous
computing puts the computer out in the world with people. Personal computing is
characterized by one person to one computer. Smart toilet is ubiquitous computing
that includes an online, real-time health monitoring system.
PTS: 1 DIF: Application
REF: VIRTUAL REALITY
5. The PHR is maintained by the:
a. hospital.
b. nurse.
c. physician.
d. patient.
ANS: D
A PHR is typically a health record that is initiated and maintained by an individual.
An ideal PHR would provide a complete and accurate summary of the health and
