Deck 41: Nursing Informatics

Question 1

Which is the primary benefit of computerized physician order entry (CPOE)?
1)Increased privacy
2)Improved access to patient data
3)Cost savings
4)Reduced medication errors

Answer 1

4

Question 2

The nurse is caring for a patient newly diagnosed with diabetes. The patient tells the nurse, "After searching the Internet, I found out that I don't need insulin. All I need to do to control blood sugar is drink a mixture of vinegar and apple juice." Which teaching would the nurse provide?
1)Show the patient how to choose reputable, trustworthy healthcare Web sites.
2)Instruct the patient on the importance of adhering to the prescriber's instructions.
3)Inform the patient that the healthcare provider is always right and should be trusted.
4)Have the patient return to the Web site to obtain more detailed information.

Answer 2

1

Question 3

Which classification system promotes standardized language that will improve computer interoperability in nursing?
1)NANDA-I nursing diagnoses
2)National Patient Safety Goals
3)QSEN competencies
4)Patient Bill of Rights

Answer 3

1

Question 4

A nurse is entering a pharmacy request for patient medication in the patient's electronic health record (EHR) while seated at a computer in the nursing station. A physician approaches the nurse and asks for them to access another patient's EHR to review laboratory values. Which of the following is the best action for the nurse to take?
1)Access the lab report for the physician.
2)Log off the computer before proceeding.
3)Quickly finish the pharmacy requisition before the physician logs on.
4)Allow the physician to access the laboratory report immediately.

Question 5

Which of the following are main functions of a computer? Select all that apply.
1)Process
2)Storage
3)Memory
4)Output
5)Input

Question 6

Which database would the nurse use to restrict the search to nursing articles only?
1)MEDLINE
2)CINAHL
3)PsycINFO
4)ProQuest

Question 7

The nurse organizing an evidence-based practice committee has a computer with Internet access. Which would be most important to the committee when searching for the most current scientific evidence?
1)Medical and nursing textbooks
2)Database of health journals
3)Subscriptions to scholarly journals
4)Librarian in the facility

Question 8

The nurse is looking for the most current evidence related to safe medication administration. Which source provides the most reliable information?
1)Peer-reviewed scholarly journals
2)Popular periodicals
3)Social media Internet sites
4)Online drug reference

Question 9

The nurse reviews the patient's laboratory results. Which component of informatics is the nurse viewing?
1)Data
2)Information
3)Knowledge
4)Wisdom

Question 10

Which of the following sources provides the most current information regarding a medication newly approved by the U.S. Food and Drug Administration (FDA)?
1)The worldwide Web
2)Popular periodicals
3)Textbooks
4)Scholarly journals

Question 11

Which informatics concept concerns the appropriate use of knowledge in managing or solving human problems?
1)Wisdom
2)Data
3)Knowledge
4)Information

Question 12

Which of the following aspects of a computer determine its power? Select all that apply.
1)User-friendliness
2)Speed of operations
3)Accessibility for the user
4)Data storage capacity
5)Accuracy and reliability of operations

Question 13

The nurse is preparing to conduct a literature search to find evidence related to care of a patient with diabetes experiencing neuropathy. Which of the following keywords would the nurse use to best identify the information searched for?
1)Caring for diabetics
2)Nursing care of neuropathy
3)Diabetic neuropathy
4)Complications of diabetes

Question 14

Which patient may benefit the most from the use of telehealth?
1)A patient requiring a splenectomy
2)A patient who needs to see a cardiac specialist
3)A patient receiving daily chemotherapy for 3 weeks
4)A patient 41 weeks pregnant ready to deliver a third baby

Question 15

In informatics, raw, unprocessed numbers, symbols, or words that have no meaning by themselves are called which of the following?
1)Information
2)Data
3)Knowledge
4)Wisdom

Question 16

The seasoned nurse is precepting a novice nurse at the local hospital. The novice nurse needs to access a patient's electronic health record (EHR) to retrieve laboratory results but does not yet have a password. Which action would the seasoned nurse take?
1)Share a password with the novice nurse until they receive a password.
2)Log on and remain with the novice nurse while the record is viewed.
3)Notify the supervisor that the new employee needs a password.
4)Inform the novice nurse that a password will not be given until orientation is complete.

Question 17

The Health Information Technology for Economic and Clinical Health (HITECH) encouraged implementation of electronic health records (EHR) by which means?
1)Fining facilities that did not convert to EHRs by 2015
2)Mandating that all facilities implement EHRs within the year
3)Providing incentive payments to facilities that converted to EHRs
4)Restricting providers' access to traditional patient health records

Question 18

The nurse is writing a blog on caring for patients with chronic illness. Which posting can be identified as a breach of the Health Insurance Portability and Accountability Act (HIPAA)?
1)A male with a glucose in the 200 range
2)A female reporting chronic headaches
3)A patient in their 30s with a history of lymphoma
4)A 24-year-old female in intensive care unit bed 4 with lupus

Question 19

CINAHL is a(n):
1)Popular periodical
2)Internet site
3)Scholarly journal
4)Literature database

Question 20

The nurse is conducting a literature search. In which instance might the nurse question the reliability of the health information?
1)The author has a DNP degree.
2)The article has a list of references.
3)The Web address ends in .net.
4)The Publication date is 3 years old.

Question 21

The nurse is administering medications to patients by using a barcode-scanning device that scans the patient's identification bracelet and the medication to be administered to avoid a medication error. Which types of errors does this barcode-scanning device prevent? Select all that apply.
1)Errors of commission
2)Errors of omission
3)Errors in planning
4)Errors in execution
5)Errors in assessment

Question 22

The nurse practitioner dispenses a drug to administer to the patient and the electronic health record (EHR) flags the medication. For which reason might this occur? Select all that apply.
1)The medication has a similar name to another medication (sound-alike-look-alike-drug [SALAD]).
2)The medication ordered is higher than the normal recommended dose.
3)The pharmacist feels there is a better medication for the patient.
4)The drug is incompatible with another medication the patient is taking.
5)The patient has reported a drug allergy to the medication.

Question 23

Which of the following health information is protected in the electronic health record? Select all that apply.
1)Social Security number
2)Insurance information
3)Physician's name
4)Laboratory results
5)Patient's gender

Question 24

The nurse is using an electronic health record (EHR) system. Which feature does not improve the safety of patient care delivered by the nurse? Select all that apply.
1)Physician order entry
2)Decision support tools
3)Elimination of poor handwriting
4)Improved accessibility
5)Cost-effectiveness