, Contemporary Nursing Issues Trends Cha
l l l l
pter 15 to Chapter 28
l l l l
Chapterl15:lInformationlTechnologylinlthelClinicallSettinglCherr
yl&lJacob:lContemporarylNursing:lIssues,lTrends,landlManagem
ent,l7thEdition
MULTIPLElCHOI
CE
1. Consumerslarelconcernedlwithlsecuritylissueslrelatedltoltheirlconfidentiallhealthlinfor
mationlbeinglplacedlinlanlelectroniclhealthlrecordl(EHR).lHowever,lwhenlthelsecuritylo
flthelEHRliscomparedlwithlthatloflpaper-and-pencillrecords,lthelEHRlis:
a. morelsecure.
b. lesslsecure.
c. equivalent.
d. notlcomparablelwithlthelpaper-and-pencillrecord.
ANS:l A
Computer-
basedlpatientlrecordlsystems,lsuchlaslEHRs,lprovidelbetterlprotectionlthanlpaper-
basedlsystems.lThelEHRlallowslonlylauthorizedlusersltolviewldata,landlaccessltorec
ordslcanlbelauditedlforlinappropriateluse.
DIF:l Comprehension REF:lp.l271
2. Duringlalsearchlforltheltermlinformatics,lwhenlthelnurselfindsltheldomainl“.edu,”
thelsitelisaffiliatedlwithla(n):
a. governmentlagency.
b. commerciallsite.
c. educationallinstitution
d. Internetlservicelprovider.
,ANS:l C
, Theldomainloflanleducationallinstitutionlisl.edu.lD
IF:l Knowledgel REF:lp.l276
3. Whenlpaper-and-pencillmedicallrecordslarelcomparedlwithlcomputer-basedlrecords:
a. paper-and-
pencillrecordslprovidelcontrolsltoldeterminelwholhaslviewedlthelhealthinf
ormation.
b. informationlcontainedlinlalpaper-and-
pencillrecordlhaslthelcapabilityloflbeingmorelin-
depthlthanlthatlfoundlinlcomputer-basedlrecords.
c. patientslhavelthelrightltolknowlthatlthelconfidentialitylofltheirlrecordslislstr
ictlymaintained,lregardlesslofltheltypeloflmedicallrecordlused.
d. patientslmustlsignlforleachlitemloflinformationlreleasedlonlthelcomputerlrecord.
ANS:l C
Regardlesslofltheltypeloflrecordlused,lthelHealthlInsurancelPortabilitylandlAccountabi
litylAct(HIPAA)lprotectslthelconfidentialityloflthelpatient’slmedicallinformationlandli
mposesllegallconsequenceslforlthoselwholbreechlconfidentiality.
DIF:l Comprehension REF:lp.l271
l l l l
pter 15 to Chapter 28
l l l l
Chapterl15:lInformationlTechnologylinlthelClinicallSettinglCherr
yl&lJacob:lContemporarylNursing:lIssues,lTrends,landlManagem
ent,l7thEdition
MULTIPLElCHOI
CE
1. Consumerslarelconcernedlwithlsecuritylissueslrelatedltoltheirlconfidentiallhealthlinfor
mationlbeinglplacedlinlanlelectroniclhealthlrecordl(EHR).lHowever,lwhenlthelsecuritylo
flthelEHRliscomparedlwithlthatloflpaper-and-pencillrecords,lthelEHRlis:
a. morelsecure.
b. lesslsecure.
c. equivalent.
d. notlcomparablelwithlthelpaper-and-pencillrecord.
ANS:l A
Computer-
basedlpatientlrecordlsystems,lsuchlaslEHRs,lprovidelbetterlprotectionlthanlpaper-
basedlsystems.lThelEHRlallowslonlylauthorizedlusersltolviewldata,landlaccessltorec
ordslcanlbelauditedlforlinappropriateluse.
DIF:l Comprehension REF:lp.l271
2. Duringlalsearchlforltheltermlinformatics,lwhenlthelnurselfindsltheldomainl“.edu,”
thelsitelisaffiliatedlwithla(n):
a. governmentlagency.
b. commerciallsite.
c. educationallinstitution
d. Internetlservicelprovider.
,ANS:l C
, Theldomainloflanleducationallinstitutionlisl.edu.lD
IF:l Knowledgel REF:lp.l276
3. Whenlpaper-and-pencillmedicallrecordslarelcomparedlwithlcomputer-basedlrecords:
a. paper-and-
pencillrecordslprovidelcontrolsltoldeterminelwholhaslviewedlthelhealthinf
ormation.
b. informationlcontainedlinlalpaper-and-
pencillrecordlhaslthelcapabilityloflbeingmorelin-
depthlthanlthatlfoundlinlcomputer-basedlrecords.
c. patientslhavelthelrightltolknowlthatlthelconfidentialitylofltheirlrecordslislstr
ictlymaintained,lregardlesslofltheltypeloflmedicallrecordlused.
d. patientslmustlsignlforleachlitemloflinformationlreleasedlonlthelcomputerlrecord.
ANS:l C
Regardlesslofltheltypeloflrecordlused,lthelHealthlInsurancelPortabilitylandlAccountabi
litylAct(HIPAA)lprotectslthelconfidentialityloflthelpatient’slmedicallinformationlandli
mposesllegallconsequenceslforlthoselwholbreechlconfidentiality.
DIF:l Comprehension REF:lp.l271
