Question 1

The nurse is providing care to a patient newly diagnosed with multiple sclerosis. When the patient expresses the desire to communicate with other people living with the disorder, the nurse refers the patient to which source?

A) An e-mail list with the patient's contacts
B) A social media blog
C) A listserv concerning multiple sclerosis
D) Facebook, Twitter, and LinkedIn

Accepted Answer

Listservs can be used in health care to connect groups of patients with common problems or to send updated information to large groups. E-mail has become a common means of communication but would not be focused on the patient's issues. Social media include online technologies such as Facebook, Twitter, and LinkedIn that allow people to communicate easily by the Internet to share information and resources, but they are more general than listservs. These technologies enable a potentially massive community of participants to collaborate, providing a mechanism for tapping into collective power in ways previously unachievable. A blog is a social medium that is usually maintained by an individual and has regular entries of commentary, descriptions of events, or other material such as graphics or videos. Most blogs are interactive, allowing visitors to leave comments and message each other. Many blogs focus on health care issues.

Question 2

The hospital has recently implemented computer charting. The nurse knows the computerization of nursing practice has what impact?&#10;A) It enhances and increases the time spent on documentation.&#10;B) It makes patient data immediately available to the health care team.&#10;C) It makes retrieval of data more difficult but safer.&#10;D) It is enhanced by limiting the use of point-of-care technology.

Accepted Answer

Patient data collected by a nurse and recorded electronically are immediately available to all members of the health care team. The computerization of nursing practice data enables capture, storage, retrieval, organization, processing, and analysis of information. The information can be used to make a diagnosis, plan for care, provide nursing decision support, enhance documentation, and identify nursing care trends and costs. Systems that support data collection at the point of care can directly enhance patient care by decreasing the time spent on documentation, reducing the potential for errors, and supporting improved assessment and data communication. Computers, tablets, or pocket devices used at the bedside for documentation are examples of point-of-care technology.

Question 3

The nurse understands that computerized provider order entry (CPOE) is beneficial for what reason?&#10;A) CPOE decreases the number of transcribing errors.&#10;B) CPOE enhances provider acceptance because of new technology.&#10;C) CPOE decreases workflow issues in general.&#10;D) CPOE reduces dependence on technology and computers.

Accepted Answer

Computerized provider order entry (CPOE) allows orders to be directly communicated to the appropriate department. CPOE systems ensure legible orders and have the potential to reduce ordering and transcribing errors. Disadvantages of CPOE include workflow issues, provider resistance to new technology, and overdependence on technology (AHRQ, 2012).

Question 4

The nurse realizes that information technology (IT) can be used to increase patient safety in what way?&#10;A) By creating redundancy in orders making them safer&#10;B) By removing the need for verification by the nurse&#10;C) By analyzing errors to develop prevention strategies&#10;D) By eliminating the need for bar codes in medication administration

Accepted Answer

IT can be used to increase patient safety. Errors are analyzed to develop strategies for prevention. Diagnostic test results are available faster to support treatment decisions and avoid redundancy in orders. When technology such as a bar-code medication administration (BCMA) system is used as part of the process of medication administration, fewer errors are made. After signing into the system or scanning his/her identification (ID) badge, the nurse electronically scans the bar codes of the patient ID, the medication administration record (MAR), and the drug to determine that the right patient is getting the right drug and dose at the right time. An alert signals a potential error, and it is the nurse's responsibility to verify all information before administration.

Question 5

Patients frequently seek sources for health information online, and nurses, as advocates, need to be prepared to help patients evaluate online sources. To do this, the nurse asks who sponsors the site, is the author listed, and the author's credentials. The nurse is evaluating what concept?

A) Purpose
B) Coverage
C) Currency
D) Authority

Accepted Answer

Authority involves knowing who the sponsor or publisher is. Is this a personal page? Where does it come from? Is the author or organization listed? What are the author's credentials? Purpose is determining to focus of the site. Does the site inform? Explain? Share? Disclose? Sell? What is the intended audience? Coverage tries to determine if citations are correct. Is there a balance of text and images? Currency refers to when the site was created. How often is it updated?

Question 6

The home health nurse provides care for a patient with congestive heart failure. Daily the patient weighs himself and takes his own temperature, pulse, respirations, and blood pressure. That information is sent as electronic data to the patient's physician and nurse daily to adjust the plan of care as indicated. The nurse understands this is an example of which concept?

A) Telehealth nursing
B) Computerized decision support system (DSS)
C) Computerized provider order entry (CPOE)
D) Point-of-care technology

Accepted Answer

Telehealth nursing is the transmission by a nurse of electronic data, images, or audio from a patient's bedside or home to other health providers for the purpose of providing care and improving outcomes. Patients may have telehealth hardware in their homes to provide in-home monitoring and direct reporting to their health care providers. Computerized decision support systems (DSSs) include safe practice alerts and reminders that improve the quality of care. Some DSSs assist in determining a correct diagnosis and choosing an appropriate medication. Computerized provider order entry (CPOE) allows orders to be directly communicated to the appropriate department-diet orders to dietary, medication orders to the pharmacy, laboratory orders to the laboratory. Computers, tablets, or pocket devices used at the bedside for documentation are examples of point-of-care technology. Patient data collected by a nurse and recorded electronically are immediately available to all members of the health care team.

Question 7

The Technology Informatics Guiding Education Reform (TIGER) initiative identified a set of skills needed by all nurses practicing in the 21st century. The nurse identifies the TIGER Vision Pillars include which concepts?

A) Management and leadership
B) Certification by HIMSS
C) Communication and Collaboration
D) Informatics design
E) IT policy and culture

Accepted Answer

The Technology Informatics Guiding Education Reform (TIGER) initiative identified a set of skills needed by all nurses practicing in the 21st century. The nurse identifies the TIGER Vision Pillars include which concepts?

A) Management and leadership
B) Certification by HIMSS
C) Communication and Collaboration
D) Informatics design
E) IT policy and culture

Question 8

When the nurse manager on a medical-surgical floor has met education and experience requirements in nursing informatics, hospital administration may request the nurse to pursue what additional verification of competence in this area?

A) Technical competencies
B) Utility competencies
C) Certification from ANCC
D) Leadership competencies

Accepted Answer

After meeting the educational and experience requirements, the nurse can receive certification in nursing informatics from the Health Care Information and Management Systems Society (HIMSS) and through the American Nurses Credentialing Center (ANCC). Technical competencies pertain to the use of computers and other technological equipment and the use of a variety of software programs for word processing, spreadsheet and database development, presentation, referencing, and e-mail. Utility competencies address critical thinking and evidence-based practice applications. Nurses who have a utility competency recognize the relevance of nursing data for improving practice and can access multiple information sources for gathering evidence for clinical decision making. Leadership competencies address the ethical and management issues related to using IT in nursing practice, education, research, and administration. Specific leadership competencies include the application of accountability, maintenance of privacy and confidentiality, and quality assurance. Technical, utility, and leadership competencies can be achieved without certification.

Question 9

The nurse knows that computerized provider order entry (CPOE) has which outcome?&#10;A) CPOE allows orders to be communicated to the appropriate department.&#10;B) CPOE creates an intermediary for order transcription.&#10;C) CPOE slows documentation and provider communication.&#10;D) CPOE may lead to increased ordering and transcription errors.

Accepted Answer

Computerized provider order entry (CPOE) allows orders to be directly communicated to the appropriate department-diet orders to dietary, medication orders to the pharmacy, laboratory orders to the laboratory. Elimination of an intermediary for order transcription decreases the potential for errors related to the ambiguity of handwritten orders and allows quicker responses by appropriate departments. Legibility and availability of computerized documentation improve provider communication. The Agency for Healthcare Research and Quality (AHRQ) recommends CPOE as one of the safe practices for better health care. CPOE systems ensure legible orders and have the potential to reduce ordering and transcribing errors. Disadvantages of CPOE include workflow issues, provider resistance to new technology, and overdependence on technology (AHRQ, 2017).

Question 10

Nurses working surrounded by computers and mobile IT must develop skills in the use of all available technology. At the same time, it is important for nurses to recognize what fact?&#10;A) The technology in use today will be the same tomorrow.&#10;B) Cell phones are not usually allowed in the acute care setting.&#10;C) Most forms of mobile technology are in violation of HIPAA guidelines.&#10;D) The technology supports bedside and remote charting.

Accepted Answer

Nurses working surrounded by computers and mobile IT must develop skills in the use of all available technology. At the same time, it is important to recognize that the rapid advancement of IT means that the technology in use today may be entirely different tomorrow. Some facilities have computer access at every bedside, and others have mobile computers, sometimes called workstations on wheels (WOWs), that can be taken to each bedside. Nurses using technology as part of patient care need to work within facility policy and HIPAA guidelines. The technology supports bedside and remote charting. Nurses may use a portable device such as a smartphone or tablet computer to access reference materials, including medical information and vast amounts of drug information. Some facilities issue these devices to staff.

Question 11

The nurse can see data relationships, can make judgments based on trends and patterns in the data, is skilled in information management and the use of computer technology, and is able to suggest areas for IT system improvement. The nurse's level of informatics competency can be described by which term?

A) Beginner
B) Experienced
C) Specialist
D) Innovator

Accepted Answer

The answer of The nurse can see data relationships, can...

Question 12

Which statement does the nurse recognize as accurate regarding the use of electronic medical records (EMR)?&#10;A) EMR holds the documentation of a single episode of care.&#10;B) EMR is a longitudinal record of care for each patient.&#10;C) EMR is widely used for individual health care encounters.&#10;D) EMR includes progress notes for all disciplines.

Accepted Answer

The answer of Which statement does the nurse recognize as...

Question 13

The patient asks the nurse about how to evaluate websites and standards used to evaluate Internet health sites. The nurse appropriately refers the patient to which agency?&#10;A) The Computer Ethics Commission&#10;B) The U.S. Food and Drug Administration&#10;C) The Health on the Net Foundation&#10;D) The U.S. Federal Trade Commission

Accepted Answer

The answer of The patient asks the nurse about how...

Question 14

One classification system for nursing informatics competencies uses technical, utility, and leadership categories. The nurse recognizes leadership competencies involve which concept?&#10;A) Maintaining privacy and confidentiality&#10;B) Using computers and other technological equipment&#10;C) Using a variety of software programs&#10;D) Addressing critical thinking applications

Accepted Answer

The answer of One classification system for nursing informatics competencies...

Question 15

The nurse recognizes the use of telemonitoring offers the opportunity to complete which tasks?&#10;A) Reduce cost of health care.&#10;B) Improve patient satisfaction.&#10;C) Increase duplicate orders.&#10;D) Improve patient outcomes.&#10;E) Improve organization.

Accepted Answer

The answer of The nurse recognizes the use of telemonitoring...

Question 16

While adopting new technology to enhance patient care and safety, nurses can continue to provide what service?&#10;A) Compassionate care&#10;B) Consumer empowerment&#10;C) Self-management of wellness&#10;D) Education about health care

Accepted Answer

The answer of While adopting new technology to enhance patient...

Question 17

The nurse understands that the focus of nursing informatics is which concept?&#10;A) Direct patient care&#10;B) Increasing documentation time&#10;C) The introduction of different EHRs&#10;D) How patient care can be improved

Accepted Answer

The answer of The nurse understands that the focus of...

Question 18

The Computer Ethics Institute has developed guidelines for ethics in the development and use of computer technologies. The nurse knows these guidelines are identified by which term?&#10;A) The Ten Commandments of Computer Ethics&#10;B) The eHealth Code of Ethics&#10;C) HIPAA guidelines&#10;D) The Health on the Net Foundation

Accepted Answer

The answer of The Computer Ethics Institute has developed guidelines...

Question 19

When technology such as a bar-code medication administration (BCMA) system is used as part of the process of medication administration, fewer errors are made. The nurse knows that the proper procedure when using the BCMA includes which action?

A) Signing into the system using the patient's ID number
B) Typing in the patient's name and room number
C) Scanning the patient's ID, MAR, and medication
D) Discontinuing the medication if the system signals an error

Accepted Answer

The answer of When technology such as a bar-code medication...

Question 20

The nurse knows the integration of nursing, computers, and information science for the management and communication of data, information, knowledge, and wisdom is identified by which term?&#10;A) Nursing informatics&#10;B) Computer science&#10;C) Medical informatics&#10;D) Informatics

Accepted Answer

The answer of The nurse knows the integration of nursing,...

Question 21

The nurse recognizes which statements to be accurate regarding The Health Insurance Portability and Accountability Act (HIPAA) of 1996?&#10;A) Requires the user to have verification codes.&#10;B) Ensures access to information without fear of audits.&#10;C) Sets the standards on how information is maintained.&#10;D) Sets the penalties for any breach in security of health data.&#10;E) Has no legal authority relative to security issues.

Accepted Answer

The answer of The nurse recognizes which statements to be...

Question 22

In reviewing a patient's written chart, the nurse notes the use of the terms "bedsore," "decubitus ulcer," and "pressure ulcer." The nurse knows to reach maximum potential in computerized charting and data analysis that a standardized nursing terminology must be utilized. The nurse knows what concepts are associated with standardizing nursing terminology?

A) The Nursing Minimum Data Set (NMDS) was the first attempt to do so.
B) The focus was to provide a shared understanding of patient problem labels.
C) The NMDS data was completed and is the definitive source of patient labels.
D) The ICNP was developed to provide a standard for international nurses.
E) Standardized terminology can lead to better utilization of resources.

Accepted Answer

The answer of In reviewing a patient's written chart, the...

Deck 15: Nursing Informatics