Deck 21: Electronic Healthcare System Issues

Question 1

A nurse is working on a committee involved in adopting electronic healthcare systems for the agency. Currently, the agency has clinical documentation, a clinical decision support system (CDSS) with error checking, and a picture archive and communication system (PACS) in place. The committee determines that the agency is at which stage of adoption?

A) Stage 0
B) Stage 1
C) Stage 2
D) Stage 3

Answer 1

Stage 3

Question 2

When adopting the electronic healthcare record (EHR), which aspect would be considered the ultimate goal?

A) Sharing of information
B) Client as the most important focus
C) Cost-effectiveness
D) Improved time management

Answer 2

Client as the most important focus

Question 3

An administrative group at an agency involved in adopting healthcare information technology is developing a strategic plan. Which component would they include?

A) Plan that covers 2 to 3 years
B) Structured guide that does not change
C) Expenditures offset by client outcome benefits
D) Demonstration of a slight return on investment

Answer 3

Expenditures offset by client outcome benefits

Question 4

A nurse using a clinical information system is required to document the same data in more than one area because the data do not "flow over" to the other areas and the data fields are not universally designed. Which component is lacking?

A) Interoperability
B) Intangibles
C) Return on investment
D) Biometrics

Question 5

A nursing informatics specialist is conducting a seminar on the need for uniformity in user design for data entry screens based on the understanding that:

A) Most healthcare providers involved in the design process have background knowledge.
B) Database design skills are common in those serving on EHR committees.
C) Most providers approach user design using a paper chart thinking process.
D) Screen design issues are limited, rarely affecting the time for documentation.

Question 6

When developing a plan for workflow redesign and the use of computerized documentation, which item would be the first thing to consider?

A) The number of computers needed
B) Location of the computers
C) Wheeled or bedside type of computer
D) Theft prevention

Question 7

A nursing informatics specialist is describing the use of health information technology to meet national safety goals to a group of nurse managers. The nurse specialist determines that the group needs additional teaching based on which statement?

A) "Barcodes aid in meeting the required two client identifiers for improved client safety."
B) "Agencies are using barcode identification for one-person identification and blood transfusion."
C) "Clinical decision support systems could alert providers of critical lab values."
D) "Alarms should be used on all devices to ensure prompt response to safety issues."

Question 8

A nurse is creating a password for use in accessing the healthcare information system in the agency. Which action would be most appropriate for the nurse to do in creating this password?

A) Select mostly lowercase letters.
B) Select a combination of letters and numbers.
C) Use numbers sparingly.
D) Use a word familiar to the nurse.

Question 9

When describing the various biometric methods for authentication, which method would the nursing informatics specialist identify as most secure?

A) Fingerprint
B) Voiceprint
C) Retinal scan
D) Iris scan

Question 10

A nursing informatics specialist is describing the similarities and differences between the two types of radio frequency identification (RFID) to a group of agency administrators. Which type would a nursing informatics specialist include as being associated with the passive type?

A) Increased cost
B) Read-write capability
C) Readable from a distance of 1 to 10 feet
D) Implantable under the skin

Question 11

A nursing informatics specialist is conducting a seminar for agency staff about the benefits of a fully integrated electronic health record. The nurse specialist determines the need for additional teaching when the group identifies which aspect as a benefit to the client?

A) Individualized treatment
B) Ability to check the record's accuracy
C) Capability of decision support
D) Knowledge of persons with access to the data

Question 12

A nursing informatics specialist is working as part of a team developing a strategic plan for the adoption of healthcare information technology at the institution. Which information would the nurse specialist identify as being an important component of this plan? Select all that apply.

A) Overall design flexibility
B) Short-term time frame focus
C) Inclusion of resource acquisition
D) Support for the use of information technology
E) A brief overview of the agency's goals

Question 13

A committee is reviewing the strategic plan for the agency's return on investment. The committee identifies the tangibles for the plan. Which items would the committee be addressing? Select all that apply.

A) Improved decision-making
B) Decreased lengths of stay
C) Reduced charges per admission
D) Enhanced user satisfaction
E) Improved communication

Question 14

A nurse is reading a journal article about syndromic surveillance. The nurse would expect the article to provide which description of this concept?

A) Meeting the Joint Commission's client safety goals
B) Identifying unintended consequences of healthcare technology
C) A way to measure quality of care and client outcomes
D) Providing early detection of potential disease

Question 15

A nurse is working as part of a committee involved in creating passwords for the healthcare agency's network. Which password would be the strongest?

A) Nursing
B) NuRs1N9gY
C) 1234567
D) GniSrun

Question 16

A nursing informatics specialist is working as part of a group working with an agency transitioning from the paper record to the electronic record. The nurse identifies that the agency is currently at stage 3 of the adoption model based on which information?

A) Flow sheets for clinical documentation are in place.
B) Closed loop medication administration is integrated.
C) Computerized provider order entry is in use.
D) Data warehousing is available.

Question 17

The use of which method would be most effective as the first line of defense in providing data protection from entry by outsiders?

A) Audit trail
B) Firewall
C) Spear phishing
D) Data backup

Question 18

A nursing informatics specialist is preparing a presentation for the staff about computerized provider order entry. Based on the nurse specialist's understanding of the unintended consequences of this system, which issue would the nurse specialist include in the presentation? Select all that apply.

A) Problematic communication between the nurses and physicians
B) Changes in workflow
C) Need for more personnel for maintenance
D) Possible continuation of unnecessary daily orders
E) Improved ease in how to enter orders

Question 19

A nurse is preparing to access a client's electronic record. The system verifies that the nurse is the person logging into the system and grants access to the information. This process is known as:

A) Phishing.
B) Biometrics.
C) Authentication.
D) Voice recognition.

Question 20

A nursing informatics specialist is conducting an in-service presentation for nurses at a local agency about the importance of maintaining confidentiality of electronic health information. The nurse specialist determines that the teaching was successful when the group identifies which method as a way to protect client confidentiality? Select all that apply.

A) Passwords
B) Single sign-ons
C) Voice recognition
D) Palm vein technology
E) Automatic logout