Deck 48: Informatics

Question 1

In preparation for the next quality improvement committee meeting,the nurse manager accesses the clinical decision support system to run an outcomes report.How will the committee use this report?

A) To eliminate unnecessary care
B) To measure the length of hospital stays
C) To assist in modifying policies and procedures
D) To validate appropriate place of treatment

Answer 1

To assist in modifying policies and procedures

Question 2

During a home visit,the nurse inputs admission information into a computer-based medical record system.The client asks what prevents a neighbor from accessing the information when the nurse visits the client.Which response by the nurse is appropriate?

A) "I send your information and then delete it."
B) "A password is required to access your information."
C) "I use a new computer for each client."
D) "I keep the notebook computer in my hands at all times."

Answer 2

"A password is required to access your information."

Question 3

The nurse is evaluating the components of the computer system used in the healthcare organization.Which should the nurse realize about the functions of the clinical information system and administrative information system? Select all that apply.

A) They serve as tools to manage finances.
B) They are used to store demographics.
C) The systems are separate.
D) The systems support each other.
E) They are two independent systems.

Answer 3

They serve as tools to manage finances.
They are used to store demographics.
The systems support each other.
They are two independent systems.

Question 4

The nurse is providing discharge instructions about medications and exercise to a client with congestive heart failure.Which action by the nurse ensures that the client is fully informed?

A) Make sure a relative attends the discharge teaching session.
B) Repeat the discharge teaching sessions twice.
C) Ask the physician to reinforce teaching prior to discharging the client.
D) Print the discharge instructions and hand them to the client prior to discharge.

Question 5

The clinical information system committee at a major healthcare organization is designing a plan to ensure the protection of client information.Which approaches should this committee include in the implementation plan? Select all that apply.

A) Design policies to address password protection and log-in information.
B) Determine how to handle clients who desire to "friend" staff through social media.
C) Identify applications that interface with smartphones.
D) Create interfaces so that health data can be inputted by the client.
E) Identify a procedure if information is inputted in the incorrect client record.

Question 6

The nurse is documenting in the electronic medical record (EMR)after providing care in the client's room.The client's asks the nurse why a computer is being used.Which response by the nurse is appropriate?

A) "The information that is uploaded is available for anyone to view."
B) "Computers improve client care because information is readily available."
C) "The computer decreases documentation time for nurses."
D) "Computers allow you access to your medical record."

Question 7

The nurse educator trains case managers on the use of an electronic medical record when providing client care.Which participant statements indicate that training has been effective? Select all that apply.

A) "The record reduces the cost of health care."
B) "The record allows trending of client progress."
C) "Client education is to be documented in the system."
D) "Quality metrics can be observed to reduce readmission rates."
E) "Coordination of care is improved."

Question 8

The nurse who uses the computer during client care notices increased eyestrain since the organization began using the electronic medical record for nursing documentation.Which action by the nurse would minimize the eyestrain experienced during documentation?

A) Use a firm board to rest the palm.
B) Use a glare filter.
C) Obtain a paper chart for nursing documentation.
D) Use a lumbar support.

Question 9

The nurse is providing care for a client recently diagnosed with type 2 diabetes mellitus.Which is the reason for using the Nursing Outcomes Classification (NOC)system when formulating client outcomes when planning care?

A) The NOC looks more professional in the plan of care.
B) The NOC allows better nursing communication.
C) The NOC facilitates the collection of client care data.
D) It would be easier than forming other types outcomes.

Question 10

A rural home health nurse is caring for a client recovering from a myocardial infarction.The client is concerned that the community clinic does not have the ability to provide the necessary monitoring for the health problem.Which response by the nurse is most appropriate?

A) "It is not necessary for you to be monitored after a myocardial infarction."
B) "Through technological advances such as telehealth, we can send your information to the cardiologist."
C) "You are right. We will be sending you to the city every month."
D) "We use an intranet in this facility."

Question 11

The nurse is caring for a client who has a foot wound that is not healing appropriately.How will accessing the clinical decision support (CDS)system help with this client's care?

A) Allows the nurse to view options from experts
B) Facilitates available medical research
C) Makes the decision for the next step
D) Points the nurse in the next direction

Question 12

The nurse is planning care for a client with a below-the-knee amputation.How will the use of informatics help the nurse plan this client's care?

A) Find out what was done on the previous admission
B) Search for research to support evidence-based practice
C) Look for standardized nursing language
D) Search the Internet for information about the surgical procedure

Question 13

A student nurse studying informatics would be aware that which are examples of clinical decision support tools? Select all that apply.

A) Documentation templates
B) Clinical guidelines
C) Condition-specific order sets
D) Budgeting spreadsheets
E) Focused data reports

Question 14

A client diagnosed with cancer is receiving care through a facility that is 100 miles from the client's home.After explaining how telehealth will be used to enhance this client's care,which client statements indicate that teaching about telehealth has been effective? Select all that apply.

A) "I will have to move closer to the provider."
B) "My health record can stay where I am."
C) "I can participate in the videoconference."
D) "I will have to change doctors."
E) "This will help lower some costs of care."

Question 15

The nurse administrator of a local hospital is attending training on the new informatics system the hospital will be implementing.Which information will the nurse administrator be able to manage from the dashboard? Select all that apply.

A) Staffing
B) Budgets
C) Patient
D) Quality initiatives
E) Plans of care

Question 16

The nurse manager is meeting with the director of human resources to review information about current clinical staff.How does the clinical decision support system support human resource functions?

A) Determining if staff are correctly coding client care procedures
B) Identifying staff who are incorrectly charging for resources used for client care
C) Recognizing staff who are not discharging clients according to identified lengths of stay
D) Evaluating the number of staff with licensure due to expire

Question 17

The nurse educator is conducting a class for staff nurses on the importance of uniform language within health care documentation.Which statement regarding uniform language made by the one of the staff nurses would indicate the need for further instruction?

A) "Uniform language refers to use of a standardized language across multiple disciplines."
B) "The use of uniform language within the electronic health record only provides benefits to the profession of nursing and the health organization."
C) "The Do Not Use abbreviation list is one example of uniform language."
D) "Continuity of care improves for the client when standardized terminology is used."

Question 18

The nurse is preparing discharge instructions for a client with a foot wound.How will the nursing information system support this client's learning needs?

A) Improves documentation about the client's status
B) Summarizes the list of charges that will appear on the client's bill
C) Provides a record of all medications received while hospitalized
D) Prints discharge instructions to use for teaching

Question 19

The nurse is preparing an educational to teach clients how to determine the validity of content obtained from health-related Internet websites.Which information should the nurse plan to include in this teaching tool? Select all that apply.

A) Source for the information
B) Sponsor of the website
C) Ways to identify if the site is selling a product
D) Number of visitors to the website
E) Date the content was last reviewed

Question 20

The nurse on the hospital research committee is assigned the task of reviewing literature on the impact of an electronic medical record when documenting client care.Which action will allow the nurse to find the most appropriate information for this study?

A) Look for articles at the medical library.
B) Use Google to search for information.
C) Access bibliographic databases online.
D) Seek journals in the nursing library.

Question 21

A newly licensed nurse is attending the hospital orientation training class.Which statement made by the newly licensed nurse indicates understanding of the term "point of care"?

A) "Point of care refers to interventions or testing that takes place using a transportable, portable, or a handheld device near or at the bedside of the client."
B) "Point of care interventions and testing do not include any type of specimen testing."
C) "Point of care refers only to testing that takes place using a handheld device near the client."
D) "Point of care refers to the name of the handheld device."

Question 22

The nurse at an acute care facility is being trained as a case manager.In which ways does the electronic medical record assist the case managers in their job duties? Select all that apply.

A) Allow for trending of client progress
B) Allow for easier collection of payment
C) Allow for documentation of client education
D) Allow for observation of client metrics
E) Allow for easier access to client payment history