x x
HandbookxofxInformaticsxforxNursesx&xHealthcarexProfessionals,x7thxEditionxbyxTonixL.xHebdaxMelod
yxRosexKathleenxHunterxPatriciaxCzar
Chapterx1-20
Chapterx1 AnxOverviewxofxInformaticsxinxHealthcare
1) xHealthcarextodayxshouldxaddressxthexQuintuplexAim.xWhatxofxthexfollowingxbestxdemonstratesx
howxhealthcarexinformationxtechnologyxmightxbexusedxtoxhelpxaddressxdisparitiesxinxcare?
A) Collectxdataxelementsxthatxcouldxbexusedxtoxidentifyxvulnerablexindividuals
B) Usexcollectedxdataxtoxidentifyxvulnerablexindividuals
C) IncorporatexGPSxlocatorsxintoxpredictions
D) AxandxBx
Answer:x x D
Explanation:x A)xManyxdemographicxandxotherxrelevantxdataxelementsxare/orxcouldxeasilyxbexcollec
txthatxcouldxbexusedxtoxidentifyxvulnerablexindividuals.
B) Collectedxdataxcanxbexusedxandxleveragedxtoxidentifyxvulnerablexindividuals.
C) Locationxmayxbexanxindicatorxofxriskxbutxzipxcodexalonexdoesxnotxindicatexvulnerability.xOtherxf
actorsxthatxincludexfamilialxpredisposition,xoccupationalxrisks,xeconomicxlevel,xpersonalxhealthxha
bits,xlivingxconditions,xandxcommunityxsupportxallxfactorxintoxdeterminationxofxvulnerability.
D) BothxAxandxBxtogetherxcomprisexthexbestxresponse.x
PagexRef:x1-2
CognitivexLevel:x x Applying
QSENxGrad.xCompetencies:x x A3,xB1
AACNxEssen.xCompetencies:x x 8.1g,h;x8.2i;x8.3g
2) Whichxofxthexfollowingxbestxreflectsxbenefitsxrealizedxfromxthexusexofxhealthxinformationxt
echnology?
A) Improvedxsafety,ximprovedxefficiencies,xdecreasedxclinicianxdocumentationxtimes
B) Improvedxsafety,ximprovedxefficiencies,ximprovedxchargexcapture,ximprovedxcommunication
C) Improvedxsafety,ximprovedxefficiencies,ximprovedxprotectionxofxpersonalxhealthxinformation
D) Improvedxsafety,ximprovedxefficiencies,xsignificantxreductionxinxcostsxforxcare,ximprovedx
protectionxofxpatientxinformation
Answer:x x B
Explanation:x A)xHITxcanxresultxinximprovedxsafetyxthroughxmeasuresxsuchxasxpositivexpatientxiden
tificationxandxmayximprovexefficienciesxbutxclinicianxdocumentationxburdenxisxanxissuexseenxwithxp
oorlyxdesignedxandxpoorlyxusedxsystems.
B) HITxcanxresultxinximprovedxsafetyxthroughxpositivexpatientxidentification,xalerts,xandxsimilarx
measures.xHITxmayximprovexsomexefficienciesxsuchxasximprovedxchargexcapturexandxshortenedxr
evenuexcyclexandxtheoreticallyximprovesxcommunication.
C) HITxcanxresultxinximprovedxsafetyxandximprovedxefficienciesxinxsomexrespectsxbutxdespitexsafe
guardsxtoxprotectxpatientxhealthxinformationxitxalsoxincreasesxvulnerabilitiesxinxsomexrespects.
D) Despitexitsxpromisextoxsignificantlyxreducexcostsxforxcarexcostsxassociatedxwithxthexpurchasexandx
maintenancexofxHIT,xamongxotherxU.S.xissuesxhavexnotxresultedxinxsignificantxreductionxinxcostsxforxc
are.
PagexRef:x1-2
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Copyrightx©x2024xPearsonxEducation,xInc.
,CognitivexLevel:x x Applying
QSENxGrad.xCompetencies:x x A1,4;xC1,5
AACNxEssen.xCompetencies:x x 8.1j,k;x8.2xI;x8.3i;x8.4g
3) Inxwhichxwaysxcanxhealthxinformationxtechnologyxsupportxthexlearningxhealthxsystem?
A) Incorporationxofxevidence-
basedxpracticexandxbigxdataxfindingsxtoxprovidexcarexinterventionsxthatxarexprovenxtoxbexeffective
B) Real-timexanalysisxofxdata
C) Integrationxofxdevicesxandxthexdataxthatxtheyxcollectxtoxinformxcarexdecisions
D) Allxofxthexabovex
Answer:x D
Explanation:x A)xBigxdataxfindingsxsupplementxEBPxoftenxprovidingxinformationxandxknowledgexi
nxaxmorextimelyxfashion.
B) Real-
timexanalysisxofxdataxcanxbexparticularlyxusefulxwhenxhealthcarexdeliveryxsystemsxandxprovidersxare
xfacingxchallengesxthatxarexnewxtoxthemxasxwasxseenxwithxthexemergencexofxaxbodyxofxknowledgexrel
ativextoxtheximpactxofxCOVIDxandxmostxsuccessfulxtreatmentxmodalities.
C) Dataxstreamsxfromxallxrelevantxsourcesxprovidexaxmorexcompletexpicture.
D) Axcombinationxofxresearchxandxbigxdataxfindingsxfromxaxmyriadxofxsourcesxthatxisxanalyzedxinxr
ealxtimexprovidesxaxquickxturnaroundxtoxsupport,xandxfurtherximprove,xcarexdelivered.
PagexRef:x3-4
CognitivexLevel:x x Applying
QSENxGrad.xCompetencies:x A5;xB8,x9,x11;xC1,x2xA
ACNxEssen.xCompetencies:x x 8.1g;x8.2f;x8.3j;x8.4f
4) Whichxofxthexfollowingxarexconsideredxnecessaryxcomponentsxtoxcreatexaxlearningxorxinformaticsxc
ulture?xSelectxallxthatxapply.
A) Standardizedxlanguagesxandxterminologies
B) Dataxinxdigitalxformat
C) Interoperabilityxandxdataxsharing
D) Prerequisitexinformationxknowledgexandxskillsx
Answer:x A,xB,xC,xD
Explanation:x A)xStandardizedxlanguagesxandxterminologiesxensurexthatxconceptsxmaintainxaxunifor
mxmeaningxacrossxsettingsxandxthexabilityxtoxgeneralizexresults.
B) Dataxinxdigitalxformatxisxconducivextoxelectronicxcapture,xstorage,xanalysis,xtransmission,xandxr
e-use.
C) Inxorderxtoxhavexvaluexdataxmustxbexshareablexwhichxisxbestxattainedxwhenxsystemsxarexi
nteroperable.
D) Computer,xinformation,xandx(forxthexconsumer),xhealthxliteracyxarexfoundationalxskillsxinxthexlea
rningxhealthxsystemxwherexdata,xinformation,xandxknowledgexarexconstantlyxgeneratedxasxaxresultxofxc
arexprocessesxasxwellxasxthexintegrationxofxresearchxfindingsxtoxsupportxbestxpracticesxforxpatientxcare.
PagexRef:x9-13
CognitivexLevel:x x Knowledge
QSENxGrad.xCompetencies:x A5;xB2,x11;xC1,x4xAAC
NxEssen.xCompetencies:x 8.1g;x8.2i;x8.4g
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Copyrightx©x2024xPearsonxEducation,xInc.
,5) WhenxaskedxtoxexplainxwhatxthexSAFERxGuidesxarexandxtheirxrelevancexforxHITxwhatxshouldxthexi
nformaticsxnursexfirstxknow?
A) SAFERxGuidesxarexaxresourcexprovidedxbyxthexCentersxforxMedicarexandxMedicaidxtoxguidexr
eimbursement.
B) SAFERxGuidesxarexaxresourcexprovidedxbyxthexConsortiumxofxVendorsxforxselectionxofxHIT.
C) SAFERxGuidesxarexaxresourcexprovidedxbyxthexONCHITxtoxensurexbestxpracticesxforxHITxi
mplementationxandxuse.
D) SAFERxGuidesxarexthexresultxofxaxreportxbyxthexCommonwealthxFundxtoximprovexU.S.xhealthxo
utcomes.
Answer:x x C
Explanation:x A)xSAFERxGuidesxhavexnothingxtoxdoxwithxreimbursementxalthoughxthexCentersxforx
MedicarexandxMedicaidxaddedxthemxtoxensurexanxongoingxfocusxonximprovingxinteroperabilityxandxp
atientxaccessxtoxhealthxinformation.
B) SAFERxGuidesxcomplementxtoolsxandxresearchxdevelopedxbyxthexAgencyxforxHealthcarex
ResearchxandxQualityxandxthexONCHIT,xnotxfromxvendors.
C) ThexSAFERxacronymxstandsxforxSafetyxAssurancexFactorsxforxEHRxResiliencexandxarexthereforexi
ntendedxtoxguideximplementationxpracticesxandxusexforxHIT,xandxEHRsxinxparticular.
D) SAFERxGuidesxhavingxnothingxtoxdoxwithxthexCommonwealthxFundxreports.x
PagexRef:x6
CognitivexLevel:x x Applying
QSENxGrad.xCompetencies:x x B1,x12
AACNxEssen.xCompetencies:x x 8.1g,h;x8.4f,k
6) Axlargexhealthcarexorganizationxisxplanningxtoximplementxaxnewxelectronicxhealthxrecord.xWhatxs
houldxbexconsideredxwhenxselectingxthisxsystem?
A) Whetherxtrainingxisxrequired
B) Nursingxstaffxdocumentationxrequirementsxarexthextopxpriority
C) Thexorganizationxneedsxtoxmeetxmultiplexcompetingxdemands
D) Integrationxwithxlaboratoryxandxpharmacyxwouldxbexnicex
Answer:x C
Explanation:x x A)xNoxevidencexsupportsxlimitingxtrainingxonxthexsystem.
B) Everyxdepartmentxinxaxlargexhealthcarexorganizationxhasxanxessentialxrolexinxpatientxcare.
C) Thexhealthcarexorganizationxtodayxisxaxcomplexxsystemxfacedxwithxmultiple,xcompetingx
demands.
D) Everyxdepartmentxinxaxlargexhealthcarexorganizationxhasxanxessentialxrolexinxpatientxcare.x
PagexRef:x1-2
CognitivexLevel:x x Applying
QSENxGrad.xCompetencies:x GA1,xGA3xAAC
NxEssen.xCompetencies:x 8.1k.x8.3e,x8.3g
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Copyrightx©x2024xPearsonxEducation,xInc.
, 7) Thexleadershipxteamxofxaxmultisystemxhealthcarexorganizationxisxreplacingxthexcurrentxelectronicx
medicalxrecordxwithxonexthatxwouldxintegratexinformationxthroughoutxthexentirexsystem.xThexadvan
tagesxofxthisxproposedxapproachxwouldxincludexwhichxofxthexfollowing?xSelectxallxthatxapply.
A) Decreasedxsupportxcosts
B) Reducexstaffxturnover
C) Improvedxcommunication
D) Improvedxsafetyxandxqualityxofxcare
E) Ensurexcarexisxprovidedxinxanxeffective,xefficientxmannerx
Answer:x A,xC,xD,xE
Explanation:x A)xTechnologyxisxaxpervasivexpartxofxeveryxaspectxofxsociety,xincludingxhealthcarexdelive
ry.xHealthxinformationxtechnologyx(HIT)xprovidesxthextoolsxtoxdecreasexcosts.
B) Technologyxisxaxpervasivexpartxofxeveryxaspectxofxsociety,xincludingxhealthcarexdelivery.xHealthxi
nformationxtechnologyx(HIT)xisxnotxidentifiedxasxaxmechanismxtoxreducexstaffxturnover.
C) Technologyxisxaxpervasivexpartxofxeveryxaspectxofxsociety,xincludingxhealthcarexdelivery.xHealthxi
nformationxtechnologyx(HIT)xprovidesxthextoolsxtoximprovexcommunication.
D) Technologyxisxaxpervasivexpartxofxeveryxaspectxofxsociety,xincludingxhealthcarexdelivery.xHealthxi
nformationxtechnologyx(HIT)xenablesxthexdeliveryxofxsafe,xqualityxcare.
E) Technologyxisxaxpervasivexpartxofxeveryxaspectxofxsociety,xincludingxhealthcarexdelivery.xHealthxi
nformationxtechnologyx(HIT)xensuresxcarexisxprovidedxinxanxeffective,xefficientxmanner.xSharingxda
taxenablesxlearning.
PagexRef:x1-8
CognitivexLevel:x x Knowledge
QSENxGrad.xCompetencies:x A1-
4;xB1,x5,x8,x12;xc1,x2xAACNxEssen.xCompetencies:x 8.2i;x8.3g
8) Thexinformaticsxnursexisxpreparingxaxpresentationxforxnewxnursingxstaff.xWhichxdefinitionxshouldxt
hexnursexusexwhenxexplainingxinformaticsxtoxthesexcolleagues?
A) Axsubspecialtyxofxnursingxthatxfocusesxonxtrainingxinxthexusexofxcomputers
B) Axspecificxareaxofxmedicinexthatxhighlightsxtheximportancexofxtechnologyxinxpatientxcare
C) Axprofessionxthatxisxseekingxanxidentityxseparatexfromxmedicine,xnursing,xorxotherxbehavioralxs
ciences
D) Anxinterdisciplinaryxfieldxthatxincludesxcomputer,xdecision,xinformation,xmanagement,xandx
cognitivexsciences
Answer:x x D
Explanation:x A)xInformaticsxisxaxsubspecialtyxofxnursingxbutxitsxfocusesxextendsxwellxbeyondxthexus
exofxcomputers.
B) Informaticsxisxnotxaxspecificxareaxofxmedicinexthatxhighlightsxtheximportancexofxtechnologyxinxp
atientxcare.
C) Informaticsxisxnotxaxprofessionxthatxisxseekingxanxidentityxseparatexfromxmedicine,xnursing,xorxo
therxbehavioralxsciences.
D) ThexAmericanxMedicalxInformaticsxAssociationxstatesxthatxinformaticsxisxanxinterdisciplinaryxf
ieldxthatxdrawsxfrom,xasxwellxasxcontributesxto,xcomputerxscience,xdecisionxscience,xinformationxsc
ience,xmanagementxscience,xandxcognitivexscience.
PagexRef:x2-3
CognitivexLevel:x Knowledgex QSE
NxGrad.xCompetencies:x B2,xC1xAAC
NxEssen.xCompetencies:x 8.3i
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Copyrightx©x2024xPearsonxEducation,xInc.