Chapter 13 Information Technology in the Clinical Setting

Chapter 13  Information Technology in the Clinical Setting

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Consumers are concerned with security issues related to their confidential health information when placed in an electronic health record (EHR). However, when the security of the EHR is compared with that of paper-and-pencil records, the EHR is
A.
more secure.
B.
less secure.
C.
equivalent.
D.
not comparable with the paper-and-pencil record.

ANS: A
(A) is correct because computer-based patient record systems, such as EHRs, provide better protection than paper-based systems. The EHR allows only authorized users to view data, and access to records can be audited for inappropriate use. (B) is incorrect because paper-and-pencil medical records have no means of limiting who views the health information or determining how often confidentiality is breached. (C) is incorrect because the EHR must comply with strict laws and regulations related to confidentiality, as well as to the aforementioned security functions. (D) is incorrect because the paper-and-pencil record cannot ensure the same level of security as found in computer-based systems.

DIF: Comprehension REF: Page 293

2. When patient-focused clinical information systems (CISs) are compared with department-focused CISs,
A.
the nurse who wishes to review how a patient’s plan of care deviated from the established criteria would use the patient-focused CIS.
B.
the patient-focused CIS would stand alone because of confidentiality.
C.
order entry always is done with the department-focused CIS.
D.
results reporting is done with the department-focused CIS.

ANS: A
(A) is correct because the patient-focused CIS includes order entry, results reporting, clinical documentation, care planning, and clinical pathways. (B) is incorrect because early billing systems stood alone and were a type of department-focused CIS; the department-focused CIS also must protect and maintain confidentiality. (C) is incorrect because order entry is included in the patient-focused CIS, along with care plans and clinical guidelines. (D) is incorrect because results reporting is patient specific and is part of the patient-focused CIS.

DIF: Knowledge REF: Page 289

3. During a search for the term informatics, when the nurse finds the domain “.edu,” the site is affiliated with a(n)
A.
government agency.
B.
commercial site.
C.
educational institution
D.
Internet service provider.

ANS: C
(C) is correct because edu is the domain of an educational institution. (A) is incorrect because gov is the domain of a government site. (B) is incorrect because com is the domain of a commercial site. (D) is incorrect because net is the domain of an Internet service provider.

DIF: Knowledge REF: Page 307

4. When paper-and-pencil medical records are compared with computer-based records, it can be seen that
A.
paper-and-pencil records provide controls to determine who has viewed the health information.
B.
information contained in a paper-and-pencil record has the capability of being more in-depth than that found in computer-based records.
C.
patients have the right to know that the confidentiality of their records is strictly maintained, regardless of the type of medical record that is used.
D.
patients must sign for each item of information released on the computer record.

ANS: C
(C) is correct because regardless of the type of record used, HIPAA (the Health Insurance Portability and Accountability Act) protects the confidentiality of the patient’s medical information and imposes legal consequences for those who breech confidentiality. (A) is incorrect because the computer-based record has security controls that limit or prohibit entry by unauthorized users and that track attempts to access the record. (B) is incorrect because information in the computer-based record is more comprehensive than that found in a linear paper record. (D) is incorrect because patients may sign a release one time for information to be released to entities such as an insurance company.

DIF: Application REF: Pages 293, 296-297