80 Questions
What information in the electronic medical record (EMR) can help a nurse plan and manage a patient's post-operative care after open-heart surgery?
Laboratory results over the last 72 hours
In addition to nursing flowsheets and provider orders, what information in a patient's electronic medical record (EMR) helps a nurse plan and manage fluctuations in blood glucose levels?
MAR
What list of information in the electronic medical record (EMR) will help a nurse plan the care for a patient admitted to the hospital with COVID-19?
Laboratory results over the last 72 hours
According to the United States Core Data for Interoperability (USC DI) standards, which clinical note type is exempt from being shared with patients?
Psychotherapy notes
What resolution can improve the workflow issue of increased turnaround time between surgical cases blamed on the manual tracking system?
Radiofrequency identification (RFID) in patient labels
What is an effective way to reduce the risk of access to electronic protected health information (ePHI) by unauthorized users?
Regularly updating and strengthening security protocols
What is the intent of the Clinical Decision Support (CDS) System?
Providing clinicians with knowledge & person-specific information.
Where should a nurse find the fluid status of a patient when asked by a physician?
The intake & output chart
In a healthcare setting, which method should be used to motivate staff to adopt a new Electronic Health Record (EHR)?
Involve staff in the implementation process.
What represents privacy & security risks for telehealth technology?
Patients have the option to use the speakerphone in the telehealth apps.
Which government organization oversees the meaningful use program?
CMS (Centers for Medicare and Medicaid Services)
What form allows stored information in an Electronic Health Record (EHR) to be instantly searched, retrieved, combined, & reported in different ways?
Text data
Which act in 2009 did Meaningful Use (MU) originate?
'American Recovery and Reinvestment Act' (ARRA)
'MRSA' requires which type of precautions?
'Contact precautions'
'Which area of the Electronic Health Record (EHR) is used to guide a nurse on the task that needs to be completed during the shift?'
'Workflow'
What is the primary purpose of predictive modeling/analytics?
To forecast the likelihood of an event occurring
What is the fundamental principle of non-maleficence and fidelity related to?
Promoting patient safety
What does HIPAA stand for and in which year did it form?
Health Insurance Portability & Accountability Act, 1996
What is the action taken when two nurses commit HIPAA violations by discussing lab reports in the cafeteria?
Fines imposed
During which phase of the systems development life cycle should a system be activated to effectively be used by end users?
Implementation
What is the barrier to using biometrics in healthcare?
Financial limitations
Where should a nurse find the information to put a homeless man IV drug user in isolation within the EMR?
Medical history and diagnosis
What system alerts a nurse when a medication alert pops up?
Clinical Decision Support (CDS) System
What graph or chart is used when comparing infection rates across the states?
Bar graph
What is the main way to keep HIPAA compliance?
Passwords
What represents the goal of Health Information Exchange?
Facilitating communication between healthcare providers
What would be the causes to put someone in isolation?
MRSA, Influenza, TB
What is included in the concept of meaningful use?
Adoption of electronic health records (EHR)
What is the best method of Electronic Medical Record charting for nursing or data Entry fields?
Checklist-based entry
When can you get notes from the provider quickly?
Health Information Exchange
What element is considered Protected Health Information (PHI)?
'Date of birth (DOB)'
Which of the following is a potential disadvantage of template-based charting in electronic health records (EHR)?
Increased risk of human errors
What is the primary concern when planning discharge teaching for a patient with diabetes?
Time of day for teaching
In the context of informatics, how can a person's health literacy be assessed?
Evaluating the patient's current understanding
What type of information representation are pie charts primarily used for?
Percentages
When does discharge planning typically begin for patients?
On admission
Which solution could potentially address the challenge of overwhelming data-entry fields in electronic health records?
Cascading documentation
What must be protected under HIPAA regulations when handling records for insurance purposes?
Name and birthdate/year
What should a nurse do upon discovering 100 errors in coding?
Report the errors to the relevant authorities
What is the purpose of regression testing in software development?
To ensure the software still functions as expected after updates or changes
What is the potential drawback of a high number of data-entry fields in electronic health records?
Difficulty finding where information should be documented
Which visual representation can be used to evaluate patient safety, quality performance, and compare services?
Trending graph
What graph represents COVID positive results best for statistical analysis?
Scatterplot
What is an example of the benefit of using Computerized Provider Order Entry (CPOE) & DSS for a physician?
Alerts when ordering Viagra (sildenafil) when patient is taking a cardiac med
Why is it important to control the number of warnings in an Electronic Health Record (EHR)?
To minimize alert fatigue
From which act in 2009 did Meaningful Use (MU) originate?
ARRA act
Which two technologies support the standardization of healthcare data?
DICOM & HL7 (Health Level 7)
What tool should informatics and ER nurses use for a process analysis of a patient admission form?
SWOT analysis
Which government agency recommended the use of bar code medication administration?
FDA (Food and Drug Administration)
What type of report should nurse informaticists create for a one-time request of patients with blood glucose >400 mg/dL in July, using information stored in the electronic health record?
"Short-time" report
What represents an ethical/legal issue with rural hospital & tele-radiology?
State licensing issue
What is the benefit of Internet/externet in healthcare settings?
Enhanced team collaboration
What role can a nurse informaticist help support & change in the context of EHR challenges?
Analyzing & redesigning workflows
What is the primary goal of EHR incentive programs, such as meaningful use?
To promote the achievement of quality, safety, & efficiency measures
What can managers do to determine completion of clinical documentation by nurses?
Randomly run EHR reports & list noncompliant nurses
Which data set informs the decision to review the protocol for falls on the med-surg unit?
The radiology reports of pts with a reported fall on the med-surg unit
What data in a medical record informs the management of the pt's condition following a surgical procedure?
Nursing assessment from the prior shift & the doctor's orders
Which data in the pt's medical record would tell a nurse to implement infection control precautions?
The nursing flow sheet documenting wound status
What represents 2 barriers that prevent interoperability between health systems?
Data blocking & interface cost
'Where can a nurse find the fluid status of a patient when asked by a physician?'
'In the nursing flow sheet documenting wound status'
What system alerts a nurse when a medication alert pops up?
Medication administration records system for the unit
Which solution could potentially address the challenge of overwhelming data-entry fields in electronic health records?
Standardizing healthcare data across systems
What is the dollar amount price range for a HIPAA fine per violation?
$100-50,000
What is the Act that recognizes patients' need for more power in their healthcare and emphasizes access to information?
21st Century Cures Act
What should a nurse do when a hospital employee falls and their manager calls for an update?
Provide limited information
What is the best practice for HIPAA compliance when a patient's employer calls asking for information on a patient who got hurt at work?
Ask employer to submit a signed agreement to protect the patient info
What is the recommended action when Clinical Decision Support System (CDSS) is ignored?
Educate staff on the importance
What does a focus group primarily do in healthcare settings?
Gathering uses to discuss
What is the goal of Health Information Exchange (HIE)?
To allow insurance companies & providers to share data
What does a peripheral biometric device primarily do?
Monitor high blood pressure
What is the most correct method for electronically capturing patient vital signs without manual entry?
Biomedical device integration
What is the primary purpose of predictive modeling/analytics?
To identify trends and patterns in healthcare data
What represents the goal of Health Information Exchange (HIE)?
To improve interoperability and accessibility of patient information across healthcare organizations
What can managers do to determine completion of clinical documentation by nurses?
Conduct regular audits and reviews of clinical documentation completion rates
What element is considered Protected Health Information (PHI)?
Patient's social security number
What should a nurse recommend to promote nurse to patient interactions?
Use technology to enhance communication with patients
What is an effective way to reduce the risk of access to electronic protected health information (ePHI) by unauthorized users?
Implementing role-based access controls for ePHI
What is the barrier to using biometrics in healthcare?
Concerns about the accuracy and privacy of biometric data
Which visual representation can be used to evaluate patient safety, quality performance, and compare services?
Bar graph
What is the potential drawback of a high number of data-entry fields in electronic health records?
Overwhelming healthcare providers with excessive documentation requirements
Test your knowledge on the information in an electronic medical record (EMR) that helps a nurse plan and manage post-operative care, fluctuations in blood glucose levels, and care for patients admitted with COVID-19.
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