Informatics ATI- FINAL

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Questions and Answers

A nurse is reviewing the impact low health literacy has for clients with a newly licensed nurse. Which of the following information should the nurse include?

Increase in mortality rate (correct)

Decrease in health care costs

Decrease in use of emergency services

Increase in use of preventative services

A nurse is reviewing discharge instructions with a client who has low health literacy. Which of the following actions should the nurse take?

Speak quickly.

Provide examples. (correct)

Discourage questions.

Use medical terminology

A nurse is assisting with teaching a class about HIPAA. Which of the following information should the nurse include? (Select all that apply.)

HIPAA protects the unauthorized release of a client's protected health information. (correct)

HIPAA prohibits clients from obtaining their medical record.

A breach in HIPAA should be reported within 60 days after the breach is discovered is correct. (correct)

The loss of a provider's cell phone that contains a client's protected health information is considered a data breach is correct (correct)

A nurse is assisting with teaching a newly licensed nurse about using barcode technology in client care. The nurse should include that barcode technology is used to reduce errors during which of the following phases of the medication process?

Administering Signup and view all the answers

A nurse is reviewing the role of health information technology in client care with a newly licensed nurse. Which of the following information should the nurse include? (Select all that apply.)

Facilitates care coordination Signup and view all the answers

A nurse is reviewing the use of electronic documentation with a newly licensed nurse. Which of the following statements should the nurse make?

"Electronic documentation provides evidence of care provided." Signup and view all the answers

A nurse is assisting with teaching a newly licensed nurse about the use of electronic health records (EHRs). Which of the following is an outcome associated with the use of EHRs that the nurse should include?

Saves time Signup and view all the answers

A nurse is preparing to use a video-enabled device to communicate with a client who is at home. Which of the following actions should the nurse plan to take?

Instruct the client to use a computer for the video conference. Signup and view all the answers

A nurse is assisting with teaching a client about remote patient monitoring (RPM) devices. Which of the following information should the nurse include? (Select all that apply.)

The transfer of data is accomplished using wireless devices. Signup and view all the answers

A nurse is assisting with teaching a class about using health information technology for client care. Which of the following examples should the nurse include?

Using a barcode to verify a client's medication Signup and view all the answers

A nurse is assisting with teaching a class about using simulation for clinical education. Which of the following information should the nurse include?

The use of simulation improves communication skills. Signup and view all the answers

A nurse is teaching a class about using smart infusion pumps to administer intravenous medications. Which of the following information should the nurse include?

Nurses enter client information into the smart infusion pump. Signup and view all the answers

A nurse is completing a medication reconciliation on a newly admitted client. Which of the following information should the nurse include? (Select all that apply.)

Current prescribed medications Signup and view all the answers

A nurse is discussing clinical pathways with a newly licensed nurse. Which of the following information should the nurse include?

Clinical pathways use evidence-based practice guidelines for health care delivery. Signup and view all the answers

A nurse is reviewing the HIPAA regulatory rules. Which of the following rules is restricted to electronic protected health information (e-PHI)?

The Security Rule Signup and view all the answers

A student nurse is participating in a simulation experience. Which of the following statements about simulation is true?

Simulation allows students to make errors without causing harm Signup and view all the answers

Match the HIPAA Regulatory Components. (Drag the options on the left to the matching options on the right.)

The breach notification rule = Mandates the reporting clients of a breach of unsecured PHI The privacy rule = Established the standards which personal health information (PHI) in any form could be used and disclosed The security rule = Establishes safeguards for electronic PHI n/a = n/a Signup and view all the answers

Which of the following statements is true regarding the Breach Notification Rule?

This rule requires that a facility notify a client of a potential breach via mail Signup and view all the answers

Which of the following actions can nurses and providers use to prevent the accidental disclosure of an adolescent client’s PHI to their parents?

Use a personal code to protect adolescent clients PHI Signup and view all the answers

A nurse is scheduling a Telehealth appointment for a client. Which of the following statements by the client indicates an understanding of the format for the appointment?

"I will use my computer for videoconferencing for my appointment" Signup and view all the answers

Medication errors are a common problem in the United States. Which of the following statements is true regarding mortality related to these errors?

Medication errors are comparable to chronic lower respiratory disease, the third leading cause of death Signup and view all the answers

Which of the following outcomes is associated with a low health literacy level?

Decreased use of preventative services Signup and view all the answers

Study Notes

Impact of Low Health Literacy

Clients with low health literacy have difficulty understanding health information & instructions.
Consequences
- Increased hospital readmissions
- Poorer health outcomes
- Lower adherence to treatment plans
- Higher healthcare costs

Discharge Instructions for Clients with Low Health Literacy

Use plain language & avoid medical jargon.
Keep instructions short & simple.
Use visuals like pictures & diagrams.
Repeat important information.
Confirm understanding with the client.

HIPAA (Health Insurance Portability and Accountability Act)

Ensures the privacy & security of protected health information (PHI).
PHI includes name, address, date of birth, medical records, and insurance information.
Key Components: Privacy Rule, Security Rule, Breach Notification Rule, Enforcement Rule.
Privacy Rule: Establishes standards for the use, disclosure, and protection of PHI.
Security Rule: Specifies security standards for e-PHI to protect against unauthorized access, use, or disclosure.
Breach Notification Rule: Requires covered entities to notify individuals & the Department of Health and Human Services (HHS) about breaches of unsecured PHI.
Enforcement Rule: Outlines the process for enforcing HIPAA regulations.

Barcode Technology in Medication Administration

Used to reduce medication errors during:
- Ordering
- Dispensing
- Administration
- Documentation

Role of Health Information Technology in Client Care

Benefits:
- Improved communication & collaboration among healthcare providers.
- Enhanced access to client information.
- Standardized documentation for better data analysis.
- Reduced medication errors.
- Increased client safety.

Using Electronic Documentation

Key points:
- Electronic health records (EHRs) are digital versions of paper charts.
- Benefits
  - Improved accuracy & efficiency of documentation.
  - Reduced duplication of information.
  - Access to real-time data for better clinical decisions.
  - Outcomes
    - Increased patient engagement
    - Improved patient safety
    - Reduced healthcare costs

Using Video-Enabled Devices to Communicate with Clients

Considerations:
- Ensure privacy & confidentiality.
- Obtain client consent & explain the process.
- Use clear & concise language.
- Observe nonverbal cues.

Using Remote Patient Monitoring (RPM) Devices

Information to include:
- Explain how the device collects data.
- Describe the purpose & benefits of RPM.
- Discuss the potential risks & limitations.
- Ensure the client knows how to use the device and report any problems.

Examples of Health Information Technology for Client Care

Telehealth: Virtual healthcare consultations.
Patient portals: Secure online platforms for clients to access their health records.
Electronic prescribing (e-Prescribing): Sending prescriptions electronically to pharmacies.
Mobile health (mHealth) apps: Health-related mobile applications for monitoring and managing health conditions.

Simulation for Clinical Education

Benefits:
- Provides a safe environment to practice skills and make mistakes.
- Improves decision-making skills and critical thinking abilities.
- Offers opportunities for feedback and reflection.
- Enhances teamwork and communication skills.

Using Smart Infusion Pumps

Information to include:
- Explain the features & capabilities of the pump.
- Demonstrate how to program & operate the pump.
- Discuss the safety features & alarms.
- Emphasize the importance of double-checking medication orders and infusion rates.

Medication Reconciliation

Information to include:
- Verify the client's medication list.
- Compare the current list with the home medication list.
- Identify any discrepancies or missing medications.
- Document all medications and their dosages.

Clinical Pathways

Key Information:
- Standardized care plans for specific conditions.
- Outline the expected course of treatment & interventions.
- Provide guidelines for care coordination & communication.
- Improve efficiency and consistency of care.

HIPAA Regulatory Rules

Restrictions to e-PHI:
- Security Rule: Applies specifically to electronic protected health information (e-PHI).
- Key areas covered: Access control, audit trails, encryption, and data integrity.

Simulation Experiences

True Statements:
- Simulations provide a realistic environment for training and practicing skills.
- They help learners develop critical thinking and problem-solving skills.
- They offer opportunities for reflection and feedback on performance.

HIPAA Regulatory Component Matching

Privacy Rule: Establishes standards for the use & disclosure of PHI.
Security Rule: Sets security standards for e-PHI.
Enforcement Rule: Outlines the process for enforcing HIPAA regulations.
Breach Notification Rule: Requires covered entities to notify individuals about breaches of unsecured PHI.

Breach Notification Rule

True statement:
- Covered entities must notify individuals affected by a breach of unsecured PHI.

Accidental Disclosure of Adolescent Client’s PHI to Parents

Actions to prevent:
- Respect the client's privacy by discussing their care confidentially.
- Obtain the client's consent before disclosing information to parents.
- Ensure the client understands their rights regarding their PHI.

Understanding Telehealth Appointments

Statement indicating understanding:
- “I'll be able to see the provider through a video call on my computer or phone.”

Medication Errors & Mortality

True statement:
- Medication errors are a significant cause of preventable patient harm.

Low Health Literacy Outcomes

Associated outcomes:
- Clients may struggle to understand medication instructions.
- They may not be able to follow treatment plans.
- They may have difficulty accessing healthcare services.
- They may experience higher healthcare costs.

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Description

This quiz focuses on the crucial aspects of health literacy and its effects on patient care, specifically for newly licensed nurses. Understanding health literacy is vital to ensure effective communication and improved health outcomes for clients. Engage in this quiz to enhance your knowledge on this important topic.