Deck 16: Hospital Information Systems

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

A)developing computer information systems for the hospital.
B)incorporating common nursing nomenclature into the system.
C)researching evidence-based practice.
D)developing restrictions of certain patient information to insurance companies.

Answer 1

incorporating common nursing nomenclature into the system.

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?

A)Record keeping is safe and accurate.
B)Documentation is timely.
C)Corrections to the record can be made at the end of the shift.
D)Coordination of vital signs to prescribed medications is automatic.

Answer 2

Record keeping is safe and accurate.

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?

A)Decrease in nurse manager availability
B)Increase in nurse manager availability
C)More available staff
D)Requests cannot be entered

Answer 3

Increase in nurse manager availability

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?

A)Reduces health care costs by predicting supplies needed
B)Determines staffing based on acuity of patients
C)Determines staffing based on cost of patient care
D)Determines order of being floated

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.)

A)Referring to the patient ID band
B)Asking the roommate
C)Asking another nurse on the unit
D)Asking the patient
E)Asking a family member

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.)

A)Patient ID band
B)Roommate
C)Family member
D)Admission photograph
E)Asking another nurse who has cared for the patient previously

Question 7

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

A)Pass the NCLEX exam.
B)Be actively involved in research.
C)Demonstrate practice by working for a minimum of 2 years in an intensive care unit.
D)Achieve certification from the ANCC.

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?

A)Accurate charging of supplies
B)Accurate dosage of medications
C)Separate storage for each patient
D)Availability of 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

A)being handy for patients to carry with them.
B)protecting patient privacy.
C)being easier for patients to read.
D)making data available for research and continuous performance improvement.

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?

A)A patient with diabetes, heart failure, and end-stage renal disease
B)A patient with heart failure following a myocardial infarction
C)A patient following an automobile accident with multiple fractures to the lower extremities
D)A patient with newly diagnosed hypertension

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

A)lowered cost of prescriptions.
B)faster delivery of medications from pharmacy.
C)that fewer errors occur.
D)that the nurse must confirm prescriptions directly with physician.

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?

A)Computerized medication administration system
B)Computerized provider order entry.
C)Pyxis
D)Pareto analysis

Question 13

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

A)hospitals no longer need to store medical records.
B)medical records are complete and easily accessible to health care providers.
C)unit secretaries can still call for "old records."
D)diagnostic tests are not available for direct visualization.

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?

A)Illegal access to records can take place.
B)Loss of previous documentation can occur.
C)Loss of coordination of medication list and vital signs can occur.
D)Sometimes passwords are lost.

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?

A)Limited storage for records
B)Resistance from staff
C)Many "crashes" of the system
D)Many disruptions from the access of multiple users

Question 16

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

A)Administering a medication after checking the patient's name and birth date.
B)Leaving patient room without charting vital signs.
C)Reporting a patient's change in level of consciousness to the nurse practitioner.
D)Checking the apical pulse on a patient receiving digoxin (Lanoxin).

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?

A)Data can be entered from multiple sources into the patient's record.
B)Nurses must be able to speak and understand English.
C)Nurses must know all the NANDA diagnoses.
D)Patient receives a daily update of charges.

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.)

A)Not all documentation is accessible to the nurse.
B)Documentation occurs at the patient's bedside.
C)Corrections are easily made when errors are inadvertently made.
D)Coordination of vital signs to prescribed medications is easy and quick.
E)Nurses must identify the assessment parameters to be included.

Question 19

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

A)Patient acuity is reduced.
B)Determination of the time of discharge of patient is aided.
C)There is easy, quick access to relevant data.
D)Data may be more difficult to interpret.

Question 20

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

A)Background information on physicians
B)Reduced health care costs
C)Health care provider access to current peer-reviewed information for clinical decision making
D)Anecdotal information

Question 21

Nurse managers play an integral role in the adoption of the hospital's information system.There are three levels of competency in this leadership role.What functions can be observed in the modifier level nurse manager? (Select all that apply.)

A)Participate in changes processes
B)Participate in evaluation of system
C)Participate in design of certain tools
D)Use the system to evaluate clinical performance
E)Use the system to promote research

Question 22

Which observation requires an intervention with a new graduate nurse by his preceptor? (Select all that apply.)

A)Data entry on the wrong patient
B)Entry of I&O values at end of shift
C)Incomplete pain assessment
D)Notifying pharmacy of unavailability of a medication
E)Failing to complete an admission profile

Question 23

Nurse managers play an integral role in the adoption of the hospital's information system.There are three levels of competency in this leadership role.What functions can be observed in the innovator level nurse manager? (Select all that apply.)

A)Stress importance of the ergonomic work station importance
B)Develop and design programs to be used
C)Implement initiatives related to practice
D)Protect the patient's rights to confidentiality
E)Use research in managing the system

Question 24

Point-of-care systems are currently being used in health care facilities.Which is an advantage of the point-of-care systems to the patients? (Select all that apply.)

A)Immediate access to decision support systems
B)Rapid accurate charging of services to patients
C)Faster discharge
D)Documentation at the bedside
E)Documentation at the time of care

Question 25

Nurse managers play an integral role in the adoption of the hospital's information system.There are three levels of competency in this leadership role.What functions can be observed in an initial-level nurse manager? (Select all that apply.)

A)Entry of incident reports
B)Use applications for data entry
C)Use applications for administration data entry
D)Actively involve nurses in the overall use of the system
E)Use system for email to other managers