NUR 206Contemporary Nursing Issues Trends (15-
b b b b b
28) Chapter 15: Information Technology in the Clinical Setting
b b b b b b b b
Cherry & Jacob: Contemporary Nursing: Issues, Trends, and Ma
b b b b b b b b
nagement, 7thEdition/2023,VSU
b b
Chapterb15:bInformationbTechnologybinbthebClinicalbSetting
Cherryb&bJacob:bContemporarybNursing:bIssues,bTrends,bandbManagement,b7thbEditio
n
b
b
1) Consumersbarebconcernedbwithbsecuritybissuesbrelatedbtobtheirbconfidentialbhealthbinformationbb
eingbplacedbinbanbelectronicbhealthbrecordb(EHR).bHowever,bwhenbthebsecuritybofbthebEHRbisbco
mparedbwithbthatbofbpaper-and-pencilbrecords,bthebEHRbis:
a. morebsecure.
b. lessbsecure.
c. equivalent.
d. notbcomparablebwithbthebpaper-and-pencilbrecord.
ANS:b A
Computer-
basedbpatientbrecordbsystems,bsuchbasbEHRs,bprovidebbetterbprotectionbthanbpaper-
basedbsystems.bThebEHRballowsbonlybauthorizedbusersbtobviewbdata,bandbaccessbtobrecordsb
canbbebauditedbforbinappropriatebuse.
DIF: Comprehension REF:b p.b271
2) Duringbabsearchbforbthebtermbinformatics,bwhenbthebnursebfindsbthebdomainb“.edu,”bthebsitebisba
ffiliatedbwithba(n):
a. governmentbagency.
b. commercialbsite.
c. educationalbinstitution
d. Internetbservicebprovider.
ANS:b C
, NUR 206Contemporary Nursing Issues Trends (15-
b b b b b
28) Chapter 15: Information Technology in the Clinical Setting
b b b b b b b b
Cherry & Jacob: Contemporary Nursing: Issues, Trends, and Ma
b b b b b b b b
nagement, 7thEdition/2023,VSU
b b
Thebdomainbofbanbeducationalbinstitutionbisb.edu.
DIF: Knowledge REF:b p.b276
3) Whenbpaper-and-pencilbmedicalbrecordsbarebcomparedbwithbcomputer-basedbrecords:
a. paper-and-
pencilbrecordsbprovidebcontrolsbtobdeterminebwhobhasbviewedbthebhealthbinformation
.
b. informationbcontainedbinbabpaper-and-
pencilbrecordbhasbthebcapabilitybofbbeingbmorebin-
depthbthanbthatbfoundbinbcomputer-basedbrecords.
c. patientsbhavebthebrightbtobknowbthatbthebconfidentialitybofbtheirbrecordsbisbstrictlyb
maintained,bregardlessbofbthebtypebofbmedicalbrecordbused.
d. patientsbmustbsignbforbeachbitembofbinformationbreleasedbonbthebcomputerbrecord.
ANS:b C
Regardlessbofbthebtypebofbrecordbused,bthebHealthbInsurancebPortabilitybandbAccountabilitybActb(
HIPAA)bprotectsbthebconfidentialitybofbthebpatient’sbmedicalbinformationbandbimposesblegalbcon
sequencesbforbthosebwhobbreechbconfidentiality.
DIF: Comprehension REF:b p.b271
, NUR 206Contemporary Nursing Issues Trends (15-
b b b b b
28) Chapter 15: Information Technology in the Clinical Setting
b b b b b b b b
Cherry & Jacob: Contemporary Nursing: Issues, Trends, and Ma
b b b b b b b b
nagement, 7thEdition/2023,VSU
b b
4) AbnursebisbpreparingbabscholarlybpublicationbonbthebprevalencebofbhepatitisbAbworldwide.bTheb
mostbefficientbandbeffectivebmeansbofbconductingbanbInternetbsearchbtobgatherbinformationbforbt
hisbpublicationbisbtobuse:
a. absearchbenginebsuchbasbGoogleborbYahoo.
b. abconsumerbhealthbwebsite.
c. abdecisionbsupportbsystem.
d. MEDLINEbdatabase.
ANS:b D
MEDLINEbisbonebofbthebscientificbandbresearchbscholarlybdatabases,bandbitbwouldbbebthebmostba
ppropriatebforbusebinbgatheringbinformationbforbabscholarlybpublication.
DIF: Comprehension REF:b p.b276
5) Abconsumerbisblearningbaboutbelectronicbhealthbrecordsbatbablocalbhealthbfairbandbstates,b“Ibamb
worriedbthatbsomeonebcanbreadbmybhealthbinformationbandbIbreallybdon’tbunderstandbthebdiffer
encebbetweenbprivacybandbconfidentiality.”bThebnursebexplainsbthatbanbexamplebofbconfidentia
litybwouldbbe:
a. abpledgebthatbstates,b“Ibwillbholdbmattersbpertainingbtobmybpatientsbinbstrictbi
ntimacy.”
b. abpatientbwhobdoesbnotbtellbthebphysicianbthatbhebhasbbeenbtreatedbforbabsexuallybtr
ansmittedbdisease.
c. abteenagerbwhobsustainsbabbrokenbarmbandbinbthebemergencybdepartmentbandb
withholdsbinformationbaboutbherbusebofbrecreationalbdrugs.
d. lockingbmedicalbrecordsbinbcabinetsbtobpreventbunauthorizedbusersbfrombaccessingb
patientbinformation.
ANS:b A
Confidentialitybisbkeepingbprivatebthebpersonalbinformationbthatbwasbgivenbtobabhealthbcarebp
rovider,bunlessbothersbhavebablegitimatebneedbtobknow.
, NUR 206Contemporary Nursing Issues Trends (15-
b b b b b
28) Chapter 15: Information Technology in the Clinical Setting
b b b b b b b b
Cherry & Jacob: Contemporary Nursing: Issues, Trends, and Ma
b b b b b b b b
nagement, 7thEdition/2023,VSU
b b
DIF: Application REF:b p.b271
6) Abphysicianbhasbinstalledbabcomputer-
basedbpatientbrecordsbsystem.bAnboutsidebcarebproviderbwhobrequestsbmedicalbinformationbmus
tbobtainbthebpatient’sbsignedbconsentbandbthenbisbassignedbabpasswordbtobgainbaccessbtobthebmedi
calbinformation.bAbmonthlybauditbisbconductedbtobdeterminebforbwhombandbforbwhatbpurposebpa
tientbrecordsbhavebbeenbaccessed.bThisbprotectionbisbreferredbtobas:
a. privacy.
b. confidentiality.
c. security.
d. databcapture.
ANS:b C
Securitybisbtheblimitationbofbaccessbtobhealthbcarebinformationbthroughbpasswordsbandbotherbp
recautions.
DIF: Comprehension REF:b p.b271
b b b b b
28) Chapter 15: Information Technology in the Clinical Setting
b b b b b b b b
Cherry & Jacob: Contemporary Nursing: Issues, Trends, and Ma
b b b b b b b b
nagement, 7thEdition/2023,VSU
b b
Chapterb15:bInformationbTechnologybinbthebClinicalbSetting
Cherryb&bJacob:bContemporarybNursing:bIssues,bTrends,bandbManagement,b7thbEditio
n
b
b
1) Consumersbarebconcernedbwithbsecuritybissuesbrelatedbtobtheirbconfidentialbhealthbinformationbb
eingbplacedbinbanbelectronicbhealthbrecordb(EHR).bHowever,bwhenbthebsecuritybofbthebEHRbisbco
mparedbwithbthatbofbpaper-and-pencilbrecords,bthebEHRbis:
a. morebsecure.
b. lessbsecure.
c. equivalent.
d. notbcomparablebwithbthebpaper-and-pencilbrecord.
ANS:b A
Computer-
basedbpatientbrecordbsystems,bsuchbasbEHRs,bprovidebbetterbprotectionbthanbpaper-
basedbsystems.bThebEHRballowsbonlybauthorizedbusersbtobviewbdata,bandbaccessbtobrecordsb
canbbebauditedbforbinappropriatebuse.
DIF: Comprehension REF:b p.b271
2) Duringbabsearchbforbthebtermbinformatics,bwhenbthebnursebfindsbthebdomainb“.edu,”bthebsitebisba
ffiliatedbwithba(n):
a. governmentbagency.
b. commercialbsite.
c. educationalbinstitution
d. Internetbservicebprovider.
ANS:b C
, NUR 206Contemporary Nursing Issues Trends (15-
b b b b b
28) Chapter 15: Information Technology in the Clinical Setting
b b b b b b b b
Cherry & Jacob: Contemporary Nursing: Issues, Trends, and Ma
b b b b b b b b
nagement, 7thEdition/2023,VSU
b b
Thebdomainbofbanbeducationalbinstitutionbisb.edu.
DIF: Knowledge REF:b p.b276
3) Whenbpaper-and-pencilbmedicalbrecordsbarebcomparedbwithbcomputer-basedbrecords:
a. paper-and-
pencilbrecordsbprovidebcontrolsbtobdeterminebwhobhasbviewedbthebhealthbinformation
.
b. informationbcontainedbinbabpaper-and-
pencilbrecordbhasbthebcapabilitybofbbeingbmorebin-
depthbthanbthatbfoundbinbcomputer-basedbrecords.
c. patientsbhavebthebrightbtobknowbthatbthebconfidentialitybofbtheirbrecordsbisbstrictlyb
maintained,bregardlessbofbthebtypebofbmedicalbrecordbused.
d. patientsbmustbsignbforbeachbitembofbinformationbreleasedbonbthebcomputerbrecord.
ANS:b C
Regardlessbofbthebtypebofbrecordbused,bthebHealthbInsurancebPortabilitybandbAccountabilitybActb(
HIPAA)bprotectsbthebconfidentialitybofbthebpatient’sbmedicalbinformationbandbimposesblegalbcon
sequencesbforbthosebwhobbreechbconfidentiality.
DIF: Comprehension REF:b p.b271
, NUR 206Contemporary Nursing Issues Trends (15-
b b b b b
28) Chapter 15: Information Technology in the Clinical Setting
b b b b b b b b
Cherry & Jacob: Contemporary Nursing: Issues, Trends, and Ma
b b b b b b b b
nagement, 7thEdition/2023,VSU
b b
4) AbnursebisbpreparingbabscholarlybpublicationbonbthebprevalencebofbhepatitisbAbworldwide.bTheb
mostbefficientbandbeffectivebmeansbofbconductingbanbInternetbsearchbtobgatherbinformationbforbt
hisbpublicationbisbtobuse:
a. absearchbenginebsuchbasbGoogleborbYahoo.
b. abconsumerbhealthbwebsite.
c. abdecisionbsupportbsystem.
d. MEDLINEbdatabase.
ANS:b D
MEDLINEbisbonebofbthebscientificbandbresearchbscholarlybdatabases,bandbitbwouldbbebthebmostba
ppropriatebforbusebinbgatheringbinformationbforbabscholarlybpublication.
DIF: Comprehension REF:b p.b276
5) Abconsumerbisblearningbaboutbelectronicbhealthbrecordsbatbablocalbhealthbfairbandbstates,b“Ibamb
worriedbthatbsomeonebcanbreadbmybhealthbinformationbandbIbreallybdon’tbunderstandbthebdiffer
encebbetweenbprivacybandbconfidentiality.”bThebnursebexplainsbthatbanbexamplebofbconfidentia
litybwouldbbe:
a. abpledgebthatbstates,b“Ibwillbholdbmattersbpertainingbtobmybpatientsbinbstrictbi
ntimacy.”
b. abpatientbwhobdoesbnotbtellbthebphysicianbthatbhebhasbbeenbtreatedbforbabsexuallybtr
ansmittedbdisease.
c. abteenagerbwhobsustainsbabbrokenbarmbandbinbthebemergencybdepartmentbandb
withholdsbinformationbaboutbherbusebofbrecreationalbdrugs.
d. lockingbmedicalbrecordsbinbcabinetsbtobpreventbunauthorizedbusersbfrombaccessingb
patientbinformation.
ANS:b A
Confidentialitybisbkeepingbprivatebthebpersonalbinformationbthatbwasbgivenbtobabhealthbcarebp
rovider,bunlessbothersbhavebablegitimatebneedbtobknow.
, NUR 206Contemporary Nursing Issues Trends (15-
b b b b b
28) Chapter 15: Information Technology in the Clinical Setting
b b b b b b b b
Cherry & Jacob: Contemporary Nursing: Issues, Trends, and Ma
b b b b b b b b
nagement, 7thEdition/2023,VSU
b b
DIF: Application REF:b p.b271
6) Abphysicianbhasbinstalledbabcomputer-
basedbpatientbrecordsbsystem.bAnboutsidebcarebproviderbwhobrequestsbmedicalbinformationbmus
tbobtainbthebpatient’sbsignedbconsentbandbthenbisbassignedbabpasswordbtobgainbaccessbtobthebmedi
calbinformation.bAbmonthlybauditbisbconductedbtobdeterminebforbwhombandbforbwhatbpurposebpa
tientbrecordsbhavebbeenbaccessed.bThisbprotectionbisbreferredbtobas:
a. privacy.
b. confidentiality.
c. security.
d. databcapture.
ANS:b C
Securitybisbtheblimitationbofbaccessbtobhealthbcarebinformationbthroughbpasswordsbandbotherbp
recautions.
DIF: Comprehension REF:b p.b271
