Question 1

The nurse informatics (NI) specialist incorporates nursing science, computer science, and information science to support nursing in utilization of the data collection.Priorities for an NI specialist include

Accepted Answer

Incorporation of the nursing language into the computer system is essential for accurate documentation.The other options are not included in the role of the NI specialist.

Question 2

Health care facilities are incorporating the use of electronic health records (EHRs), and nurses are responsible for entering data on their patients.Nurses understand that there are many advantages to this new form of charting.Which of these factors make the electronic EHR an advantageous health care record for the nurse?

Accepted Answer

The EHR provides a confidential, easily accessible, and legible record of the patient's health history and current admission.The other options are not true about the EHR.

Question 3

A hospital has just introduced a new electronic staffing system that allows staff to enter their shift preferences into the computer.What would the nurse identify as an advantage to the staff?

Accepted Answer

The nurse manager would have more time available to manage the clinical area with this system.Option A is incorrect because the system has the opposite effect.Option C is incorrect because the system allows only a predetermined number of staff on any day or shift.Option D is not true.

Question 4

Another type of technology currently being used in hospitals is the Automated Nurse Staffing System.What is the advantage of this system to the patient?

Accepted Answer

Staffing is based on the amount of care required by the patients with this system.The other options are not part of the points the system provides.

Question 5

All treatments and services for patients require two forms of patient identification prior to providing those services.Which would require an intervention if used by the nurse to identify a patient? (Select all that apply.)

Accepted Answer

The patient's roommate and another nurse on the unit are not good sources for patient identification and would require intervention if used.The patient's ID band is a good source for patient identification.Options A, D, and E are correct method for identifying patients and would not require an intervention.

Question 6

All treatments and services for patients require two forms of patient identification prior to providing those services.Which is the best method to use to identify the patient who is unable to communicate? (Select all that apply.)

Accepted Answer

Nurses should rely on the patient ID, family member identification, and admission photograph as types of patient identifications when patients are unable to communicate.Options B and E are not reliable forms for patient identification.

Question 7

To practice as a nursing informatics specialist, what must the nurse accomplish first?

Accepted Answer

Certification is required to practice.A nurse must accomplish this prior to certification.The other options don't apply.

Question 8

The Pyxis Specialty Station system automates the distribution, management, and control of medications and supplies.An advantage of this system to the patient is which of the following?

Accepted Answer

The greatest advantage to the patient is the availability of necessary medications and supplies.Options A and B are incorrect because this is supposed to be an advantage but is not in the clinical setting.Option C is incorrect because the greatest advantage to the patient is the availability of necessary medications and supplies.

Question 9

The electronic health record (EHR) provides information to all members of the health care team on their patients.The nurse manager and other team members recognize the advantages of the EHR, which include

Accepted Answer

One advantage to the EHR is the availability of those records for research purposes and for quality improvement initiatives within the institution.The other options are not true.

Question 10

The electronic health record (EHR) provides a particular advantage to those patients with chronic diseases.Which of the following patients would most likely benefit from the use of an EHR by the health care provider?

Accepted Answer

Patients with multiple chronic disorders have multiple providers, which makes care more difficult to coordinate.Option B represents a chronic disorder but it is newly diagnosed and would not present the multiple-provider obstacle to health care that the longstanding disorders produce.Option C can lead to long-term care needs but mostly from one provider (orthopedist).Option D represents a chronic disorder but it is newly diagnosed and would not present the multiple-provider obstacle to health care that the longstanding disorders produce.

Question 11

The computerized provider order entry (CPOE) is a component of the electronic health care system being used in hospitals.This system allows prescriptions to be written electronically and automatically sent to the pharmacy or other necessary facilities.The nurse understands that the greatest benefit of the CPOE is

Accepted Answer

Fewer errors occur with this system because there are no legibility issues and the entry is sent directly to pharmacy.The other options are not part of the process of the system.

Question 12

Technology is highly visible and accessible in the health care environment.All members of the health care team provide data to the patient's record.Which of these systems does the nurse understand to be a nursing data entry program?

Accepted Answer

The MAR is an exclusive program into which the nurse enters medication administration.Computerized provider order entry is a physician entry program.Pyxis is a computerized billing program.Pareto analysis is not a data entry program.

Question 13

Advantages to using the electronic health record (EHR) include that

Accepted Answer

The advantage of the EHR compared with the paper method is that the record is complete, easily accessible, and legible.Option A is incorrect because records continue to be stored but are stored on computer software, not paper.The other options are not true.

Question 14

A health care facility is using an electronic health record (EHR) system for documentation purposes.Every Thursday from 11:00 to 12:00 PM, the EHR shuts down for maintenance.Which would be of concern to the nurse during that weekly downtime?

Accepted Answer

When the EHR goes down for any reason, the health care providers no longer have access to current patient information and errors can occur.Options A and B cannot occur.Option D is not an area for concern.

Question 15

Hospitals beginning to use the electronic health record (EHR) for documentation of patient care are sometimes faced with many obstacles.What may be seen when the EHR system is first initiated?

Accepted Answer

The steep learning curve can lead to staff resistance to its implementation.The other options are not true.

Question 16

Which observation requires an intervention of a new graduate nurse by her preceptor?

Accepted Answer

An advantage to computerized charting is the availability of charting at the bedside at the time of care and charting before leaving the patient room, which makes that information immediately available to all health care providers.The other options are appropriate and does not require intervention.

Question 17

The Nursing Minimum Data Set (NMDS) is a collection of established uniform standards for collecting data.It includes the North American Nursing Diagnosis Association International (NANDA-I)-approved list of nursing diagnoses as well as other sources of nursing language.What is the advantage of the NMDS to the patient?

Accepted Answer

The goal of NMDS is to allow for data collected from other sources, such as blood glucose monitoring devices, ventilators, and monitors, to be downloaded into the patient record.The language referred to is the nomenclature used in the practice of nursing and not English.Option C is not necessary to memorize the NANDA diagnoses.Option D is not true.

Question 18

Health care facilities are incorporating the use of electronic health records (EHRs), and nurses are responsible for entering data on their patients.Nurses understand that there are many advantages to this new form of charting.Which of these is an advantage to the nurse when using the EHR? (Select all that apply.)

Accepted Answer

The EHR has many advantages for the nurse including access to computers at the bedside.The EHR has many advantages for the nurse including easy changes to errors made to documentation.The EHR has many advantages for the nurse including having all necessary information easily and quickly accessible for coordination of care.The other options are not true of the EHR.

Question 19

What is the greatest benefit to the nurse of technology in the health care setting?

Accepted Answer

The ease by which data can be retrieved is a great benefit to nurses in the clinical area.The other options are not part of the system information.

Question 20

Use of the Internet for health care information has produced a more-educated patient.What is the greatest benefit to the patient?

Accepted Answer

Access to current research is an advantage to the health care provider in making decisions for care.Options A and D generally do not benefit the patient.Option B is not true.

Quiz 16: Hospital Information Systems