Test Bank for Nursing Delegation and Management of
Patient Care 3rd Edition by Kathleen Motacki &
Kathleen Burke – Updated 2025/2026 Comprehensive
Leadership and Management Nursing Exam
Resource.
Electronic Health Record - ANSWER-Information relating to the past or
future physical/mental health, or condition of an individual that resides
in electronic systems used to capture, transmit, receive, store, or
manipulate data for the primary purpose of providing health-related
services
Electronic Medical Record - ANSWER-Information relating to the
medical care received by an individual; usually institution specific
residing in electronic systems that are hospital or health system based
Decision Support - ANSWER-Provision of assistance via a computer
application for the purpose of assisting the nurse in decision making
Clinical Information Systems - ANSWER-Used for the collection,
integration, and distribution of information to the appropriate department
Nursing Information System - ANSWER-Part of a hospital system that
standardizes nursing records across the system
,Computerized Provider Order Entry - ANSWER-Automated systems for
providers to enter patient care orders and to access decision support
databases
Advantages of EHR - ANSWER-• Storing data in small space
• Accessible from remote sites to many people at the same time
• Information retrieval is almost instantaneous.
• Provides clinical alerts, expert systems, and reminders
• Links clinicians to protocols, care plans, critical paths, literature
databases, pharmaceutical information, and other databases of health
care knowledge
• Automated programs can create customized views to meet the needs of
various specialties.
• Improves risk management and provides outcomes assessment
• Improves clinicians' productivity
• Provides more accurate capture of financial charges and billing
efficiency
• Increases patient satisfaction
Disadvantages of EHR - ANSWER-• Startup costs for hardware,
software, installation, maintenance, increased technical personnel,
training, and future upgrades are considerable.
• Learning curve for a new system of documentation is steep.
• Confidentiality, privacy, and security of the information are concerns.
,• New hardware is nonportable or portable and breakable.
• Issues surrounding entry of data remain.
• Technical understanding is required to maintain the system.
• Downtime is an issue.
Primary and Secondary Uses f Hospital Wide Info Systems - ANSWER-
Primary Uses
• Patient care delivery
• Patient care management
• Patient care support processes
• Financial and other administrative processes
Secondary Uses
• Education
• Regulation
• Research
• Public health and Homeland Security
• Policy support
Functionality of Information System - ANSWER-• Improve patient
safety—Each year in the United States, tens of thousands of people die
as a result of preventable adverse events in health care (IOM, 2000).
, • Support the delivery of effective care—It has been suggested that only
about 55% of Americans receive recommended medical care that is
consistent with evidence-based practice guidelines (McGlynn et al.,
2003).
• Facilitate the management of chronic illness—More than half of people
with chronic conditions have three or more health providers. Physicians
and patients report difficulty in the coordination of care with multiple
providers (Leatherman and McCarthy, 2002; Partnership for Solutions,
2002).
• Improve efficiency—Efficiency is the avoidance of waste. With the
staffing and financial challenges faced by many institutions, it is
imperative that processes be improved.
• Feasibility of implementation—This takes into account the financial
capability of an institution to support such a system, as well as the
personnel capacity for support (Committee on Data Standards for Patient
Safety, 2003).
The core functionalities for a computerized health information system
are as follows:
• Health information and data—EHRs with defined datasets such as
medical and nursing diagnoses, a medication list, allergies,
demographics, clinical narratives, and laboratory test results can ensure
access to current patient data by those who need it.
• Results management—Managing all types of results (laboratory tests,
radiograph results) electronically has the distinct advantage of allowing
access to the results in a more efficient timeframe than with paper-based
results. The automated display of results may also lead to a decrease of
redundant testing (Bates and Gawande, 2003).
Patient Care 3rd Edition by Kathleen Motacki &
Kathleen Burke – Updated 2025/2026 Comprehensive
Leadership and Management Nursing Exam
Resource.
Electronic Health Record - ANSWER-Information relating to the past or
future physical/mental health, or condition of an individual that resides
in electronic systems used to capture, transmit, receive, store, or
manipulate data for the primary purpose of providing health-related
services
Electronic Medical Record - ANSWER-Information relating to the
medical care received by an individual; usually institution specific
residing in electronic systems that are hospital or health system based
Decision Support - ANSWER-Provision of assistance via a computer
application for the purpose of assisting the nurse in decision making
Clinical Information Systems - ANSWER-Used for the collection,
integration, and distribution of information to the appropriate department
Nursing Information System - ANSWER-Part of a hospital system that
standardizes nursing records across the system
,Computerized Provider Order Entry - ANSWER-Automated systems for
providers to enter patient care orders and to access decision support
databases
Advantages of EHR - ANSWER-• Storing data in small space
• Accessible from remote sites to many people at the same time
• Information retrieval is almost instantaneous.
• Provides clinical alerts, expert systems, and reminders
• Links clinicians to protocols, care plans, critical paths, literature
databases, pharmaceutical information, and other databases of health
care knowledge
• Automated programs can create customized views to meet the needs of
various specialties.
• Improves risk management and provides outcomes assessment
• Improves clinicians' productivity
• Provides more accurate capture of financial charges and billing
efficiency
• Increases patient satisfaction
Disadvantages of EHR - ANSWER-• Startup costs for hardware,
software, installation, maintenance, increased technical personnel,
training, and future upgrades are considerable.
• Learning curve for a new system of documentation is steep.
• Confidentiality, privacy, and security of the information are concerns.
,• New hardware is nonportable or portable and breakable.
• Issues surrounding entry of data remain.
• Technical understanding is required to maintain the system.
• Downtime is an issue.
Primary and Secondary Uses f Hospital Wide Info Systems - ANSWER-
Primary Uses
• Patient care delivery
• Patient care management
• Patient care support processes
• Financial and other administrative processes
Secondary Uses
• Education
• Regulation
• Research
• Public health and Homeland Security
• Policy support
Functionality of Information System - ANSWER-• Improve patient
safety—Each year in the United States, tens of thousands of people die
as a result of preventable adverse events in health care (IOM, 2000).
, • Support the delivery of effective care—It has been suggested that only
about 55% of Americans receive recommended medical care that is
consistent with evidence-based practice guidelines (McGlynn et al.,
2003).
• Facilitate the management of chronic illness—More than half of people
with chronic conditions have three or more health providers. Physicians
and patients report difficulty in the coordination of care with multiple
providers (Leatherman and McCarthy, 2002; Partnership for Solutions,
2002).
• Improve efficiency—Efficiency is the avoidance of waste. With the
staffing and financial challenges faced by many institutions, it is
imperative that processes be improved.
• Feasibility of implementation—This takes into account the financial
capability of an institution to support such a system, as well as the
personnel capacity for support (Committee on Data Standards for Patient
Safety, 2003).
The core functionalities for a computerized health information system
are as follows:
• Health information and data—EHRs with defined datasets such as
medical and nursing diagnoses, a medication list, allergies,
demographics, clinical narratives, and laboratory test results can ensure
access to current patient data by those who need it.
• Results management—Managing all types of results (laboratory tests,
radiograph results) electronically has the distinct advantage of allowing
access to the results in a more efficient timeframe than with paper-based
results. The automated display of results may also lead to a decrease of
redundant testing (Bates and Gawande, 2003).
