Deck 7: E-Medicine in Respiratory Care

Question 1

When coupled with electronic health records, clinical decision support is particularly useful in:

A) disease management.
B) influenza care.
C) respiratory therapy.
D) post-trauma care.

Answer 1

A
Explanation: When coupled with other computerized tools such as clinical decision support applications, EHRs have enhanced treatment and disease management.

Question 2

Which of the following is/are benefit(s) of the computerized physician order entry (CPOE) system?
1) Saves time and reduces transcription errors resulting from handwriting clarity issues.
2) Has built in stop-gaps and prescribing templates.
3) Alerts RTs and other clinicians of new, expired, or changed orders.
4) Helps facilitate patient care and reduce medical errors.

A)1 only
B)1 and 2 only
C)1, 2, and 4 only
D)1, 2, 3, and 4

Answer 2

D

Question 3

Microprocessors can benefit mechanical ventilation by doing which of the following?
1) Equilibrate measured values with target values on a breath-by-breath basis.
2) Control ventilator alarms.
3) Archive the history of set and measured values.
4) Change clinician set parameters as needed.

A)1 and 3 only
B)1 and 4 only
C)1, 2, and 3 only
D)1, 3, and 4 only

Answer 3

C

Question 4

Which of the following are advantages of computerized ventilator charting applications?
1) Improve the consistency of ventilator charting.
2) Improve the accuracy of ventilator charting.
3) Automate ventilator charting with verification by respiratory therapist.
4) Other clinicians not allowed to monitor their progress.

A)1 and 4 only
B)2 and 4 only
C)1, 2, and 3 only
D)1, 2, 3, and 4

Question 5

Therapists-driven protocols are used to:

A) extend the length of stay.
B) allocate and titrate respiratory care services.
C) resist automation of treatment based on patient data.
D) avoid confrontation with nurses regarding patient care.

Question 6

For which of the following is there the most interest in using eHealth applications to improve health outcomes in a cost-effective manner?

A) Lung cancer
B) Pediatric heart disease
C) Chronic diseases
D) Heart attack victims

Question 7

Which of the following is included in the purposes of Telemedicine?

A) e-mailing test results to patients.
B) Support health care at a geographically different location from the patient to increase access to specialty care.
C) Allow access to patient's family members remotely.
D) Acquire patient assessment information in order to skip a patient home care visit.

Question 8

Computers are often used to interpret which of the following tests in respiratory care patients?

A) Chest radiograph
B) Complete blood count
C) Pulmonary function testing
D) EEG testing

Question 9

Which of the following is an application that allows for imaging storage, portability communication, and clinical integrations of all imaging modalities?

A) PACS
B) POCT
C) HITECH
D) CPOE

Question 10

Clinical decision support systems perform which of the following tasks?
1) Match individual patients with proper drug doses.
2) Provide standing patient care orders.
3) Remind patients of when to reorder meds.
4) Provide directions to the best local pharmacy.

A)2 and 4 only
B)3 and 4 only
C)1, 2, and 3 only
D)1, 2, 3, and 4

Question 11

In what area are computers used to apply quality assurance measures in respiratory care departments?

A) Arterial blood gas analyzers
B) O₂ delivery systems
C) Interpreting ECGs
D) Equipment cleaning and sterilization

Question 12

Hospital-based applications for clinical decision support include:
1) Cardiac ischemia
2) Decreasing fluid given in resuscitation efforts
3) Appropriate tidal volume and plateau pressure monitoring in acute respiratory distress syndrome
4) Decreasing exacerbations in asthma patients

A)1 and 2
B)1, 2 and 3
C)1, 3, and 4
D)1, 2, 3, and 4

Question 13

Which of the following is/are advantage(s) of a wireless hand-held computer for charting patient care?
1) Documentation is more legible.
2) Documentation is available to others more quickly.
3) It is less expensive.
4) There is improved fulfillment of physicians' orders.

A)1 only
B)1 and 2 only
C)2, 3 and 4 only
D)1, 2, and 4 only

Question 14

In what way do computers assist smokers who want to quit?

A) By providing Internet sites with smoking cessation plans
B) By measuring blood carbon monoxide levels
C) By providing genetic information on the risk of smoking
D) By allowing smokers to order low-risk cigarettes through the Internet

Question 15

Which of the following are ways health care workers and facilities conform to HIPPA regulations concerning securing patient confidentiality within electronic medical records?
1) Refraining from sharing passwords
2) Accessing electronic personal health information on a need-to-know basis
3) Utilizing thumbprint protected security
4) Allowing only close family members to view personal health information in the hospital computer

A)1 and 2 only
B)1, 3, and 4 only
C)1, 2, and 3 only
D)1, 2, 3, and 4

Question 16

Which of the following is/are step(s) to help prevent computer infiltration by malicious software?
1) Users should never share or use their password on public unsecured devices.
2) Users should install a virus scanning program and regularly update it.
3) Users should refrain from updating their computers with security patches.
4) Users should be careful when opening e-mail file attachments and refrain from downloading applications from unknown sources.

A)1 only
B)1 and 2 only
C)1, 2, and 4 only
D)1, 2, 3, and 4

Question 17

Which of the following refers to a set of tools that permit capture, storage, and transformation of data into useful and actionable information?

A) Key performance indicators
B) Business intelligence
C) Clinical decision support
D) Computerized physician order entry

Question 18

Computerized reminders increase:
1) The proportion of indicated influenza vaccinations
2) Adherence to medications
3) Necessary hospital admissions for appropriately diagnosed cardiac ischemia

A)2 only
B)3 only
C)2 and 3 only
D)1, 2, and 3

Question 19

Which of the following is considered an emerging application of information technology that may improve national health care issues in the future?

A) Clinical simulation for training
B) A nationally available electronic health record
C) Medical ID bracelets
D) The national database for organ donors

Question 20

In what automated respiratory care protocol has it been shown that use of a hand-held computer helped shorten the patient's stay in the intensive care unit?

A) Ventilator initiation
B) Ventilator weaning
C) High-flow oxygen (O₂) therapy
D) Airway care

Question 21

The process by which the underlying primary, secondary, and other notable causes of a medical error are identified is referred to as?

A) Continuous quality improvement
B) A root-cause analysis
C) Value-based purchasing
D) Web analytic