Deck 15: Nursing Informatics

Question 1

Computerized provider order entry (CPOE):

A) allows orders to be communicated to the appropriate department.
B) creates an intermediary for order transcription.
C) slows documentation and provider communication.
D) may lead to increased ordering and transcription errors.

Answer 1

allows orders to be communicated to the appropriate department.

Question 2

The director of nursing on a medical-surgical floor has met education and experience requirements in nursing informatics. The nurse might expect administration to request that he/she pursue:

A) technical competencies.
B) utility competencies.
C) certification from ANCC.
D) leadership competencies.

Answer 2

certification from ANCC.

Question 3

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 make adjustments to the plan of care as indicated. This is an example of:

A) telehealth nursing.
B) computerized decision support system (DSS).
C) computerized provider order entry (CPOE).
D) point of care technology.

Answer 3

telehealth nursing.

Question 4

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:

A) World Health Organization.
B) the U.S. Food and Drug Administration.
C) the Internet Healthcare Coalition.
D) the U.S. Federal Trade Commission.

Question 5

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 proper procedure when using the BCMA includes:

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.

Question 6

The hospital has recently implemented computer charting. The computerization of nursing practice:

A) enhances and increases the time spent on documentation.
B) makes patient data immediately available to the health care team.
C) makes retrieval of data more difficult but safer.
D) is enhanced by limiting the use of point-of-care technology.

Question 7

The use of telemonitoring offers the opportunity to: (Select all that apply.)

A) reduce cost of health care.
B) improve patient satisfaction.
C) increase duplicate orders.
D) improve patient outcomes.
E) improve organization.

Question 8

Information technology (IT) can be used to increase patient safety. The nurse uses IT in this way by:

A) creating redundancy in orders making them safer.
B) removing the need for verification by the nurse.
C) analyzing errors to develop prevention strategies.
D) eliminating the need for bar codes in medication administration.

Question 9

While adopting new technology to enhance patient care and safety, nurses can continue to provide:

A) compassionate care.
B) consumer empowerment.
C) self-management of wellness.
D) education about health care.

Question 10

One classification system for nursing informatics competencies uses technical, utility, and leadership categories. Leadership competencies involve:

A) maintaining privacy and confidentiality.
B) using computers and other technological equipment.
C) using a variety of software programs.
D) addressing critical thinking applications.

Question 11

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:

A) the technology in use today will be the same tomorrow.
B) cell phones are not usually allowed in the acute care setting.
C) most forms of mobile technology are in violation of HIPAA guidelines.
D) the technology supports bedside and remote charting.

Question 12

The focus of nursing informatics is:

A) direct patient care.
B) increasing documentation time.
C) the introduction of different EHRs.
D) how patient care can be improved.

Question 13

The Computer Ethics Institute has developed guidelines for ethics in the development and use of computer technologies. These guidelines are called:

A) the Ten Commandments of Computer Ethics.
B) the eHealth Code of Ethics.
C) HIPAA guidelines.
D) the Internet Healthcare Coalition.

Question 14

The Technology Informatics Guiding Education Reform (TIGER) initiative identified a set of skills needed by all nurses practicing in the 21st century. The TIGER Vision Pillars include: (Select all that apply.)

A) management and leadership.
B) certification by HIMSS.
C) communication and Collaboration.
D) informatics design.
E) IT policy and culture.

Question 15

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?

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

Question 16

The integration of nursing, computers, and information science for the management and communication of data, information, knowledge, and wisdom is:

A) nursing informatics.
B) computer science.
C) medical informatics.
D) informatics.

Question 17

Computerized provider order entry (CPOE) allows orders to be directly communicated to the appropriate department. Other advantages of CPOE include:

A) decrease in number of transcribing errors.
B) enhanced provider acceptance because of new technology.
C) decreased work flow issues in general.
D) less dependence on technology and computers.

Question 18

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 as:

A) beginner.
B) experienced.
C) specialist.
D) innovator.

Question 19

When using electronic medical records (EMR), the nurse knows that the EMR:

A) holds the documentation of a single episode of care.
B) is a longitudinal record of care for each patient.
C) is widely used for individual health care encounters.
D) includes progress notes for all disciplines.

Question 20

The nurse is providing care to a patient newly diagnosed with multiple sclerosis. The patient expresses the desire to communicate with other people living with the disorder. The nurse appropriately refers the patient to:

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.

Question 21

In reviewing a patient's written chart, the nurse notes the use of the terms "bed sore," "decubitus ulcer." And "pressure ulcer." The nurse knows in order to reach maximum potential in computerized charting and data analysis that a standardized nursing terminology must be utilized. In an attempt to standardize nursing terminology: (Select all that apply.)

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.

Question 22

The Health Insurance Portability and Accountability Act (HIPAA) of 1996: (Select all that apply.)

A) requires the user to have verification codes.
B) ensures access to information without fear of audits.
C) sets the standards on how information is maintained.
D) sets the penalties for any breach in security of health data.
E) has no legal authority relative to security issues.