Chapter 14 Handbook Of Informatics for Nurses & Healthcare Professionals 5th Edition

Chapter 14  Handbook Of Informatics for Nurses & Healthcare Professionals 5th Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCMA
A hospital client sees the nurse documenting information into the computer. She asks the nurse why the computer is better than the “old patient chart like hospitals have always used.” Which of the following points would be accurate to say about an electronic medical record?
Standard Text: Select all that apply.
1. It captures the information needed for billing purposes.
2. It is more secure than a paper record.
3. More than one person can access the record at any given time.
4. The record is available when and where needed.
5. Data are in real-time, as things happen.
Correct Answer: 1,2,3,4,5
Rationale 1: The nurse could also say that the traditional paper medical record no longer meets the needs of today’s health care industry.
Rationale 2: The nurse could also say that the traditional paper medical record no longer meets the needs of today’s health care industry.
Rationale 3: The nurse could also say that the traditional paper medical record no longer meets the needs of today’s health care industry.
Rationale 4: The nurse could also say that the traditional paper medical record no longer meets the needs of today’s health care industry.
Rationale 5: The nurse could also say that the traditional paper medical record no longer meets the needs of today’s health care industry.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:

Question 2
Type: MCMA
Which of the following topics must be addressed when giving a presentation to physicians on the benefits of the electronic medical record (EMR)?
Standard Text: Select all that apply.
1. Easier access to previous documented encounters
2. Facilitation of clinical pathways
3. Chart access speed
4. Trends and graphics are not available on demand
5. Reduced liabilities through accurate documentation
Correct Answer: 1,2,3,5
Rationale 1: II. Facilitates critical and clinical pathways.
III. Chart access is faster.
IV. Trends and clinical graphics are available on demand.
V. Liabilities can be reduced through better documentation.
VI. Prompts are provided to ensure administration and
documentation of medications and treatments.
Rationale 2: II. Facilitates critical and clinical pathways.
III. Chart access is faster.
IV. Trends and clinical graphics are available on demand.
V. Liabilities can be reduced through better documentation.
VI. Prompts are provided to ensure administration and
documentation of medications and treatments.
Rationale 3: II. Facilitates critical and clinical pathways.
III. Chart access is faster.
IV. Trends and clinical graphics are available on demand.
V. Liabilities can be reduced through better documentation.
VI. Prompts are provided to ensure administration and
documentation of medications and treatment.
Rationale 4: II. Facilitates critical and clinical pathways.
III. Chart access is faster.
IV. Trends and clinical graphics are available on demand.
V. Liabilities can be reduced through better documentation.
VI. Prompts are provided to ensure administration and
documentation of medications and treatments.
Rationale 5: II. Facilitates critical and clinical pathways.
III. Chart access is faster.
IV. Trends and clinical graphics are available on demand.
V. Liabilities can be reduced through better documentation.
VI. Prompts are provided to ensure administration and
documentation of medications and treatments.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:

Question 3
Type: MCSA
While most hospitals have some level of automation, few have attained a fully electronic environment. Health care Information and Management Systems Society (HIMSS) analytics created an EMR adoption model that identifies eight levels of EMR capabilities. Your hospital has been designated as a Stage 3 facility. Which of the following is accurate about an organization at Stage 3 level?
1. Computerized provider order entry (CPOE) and better EBP clinical decision support is available.
2. Some clinical automation exists.
3. Basic clinical documentation is required.
4. Major ancillary clinical systems are all installed (laboratory, pharmacy, and radiology systems).
Correct Answer: 3
Rationale 1: Basic clinical documentation is required for Stage 3. The stages of the model range from minimal automation at stage 0 to full automation at stage 7. Each subsequent stage presumes the existence of the functionalities listed for the preceding stage. Your choice “Computerized provider order entry (CPOE) and better EBP clinical decision support” matches Stage 4.
Rationale 2: Basic clinical documentation is required for Stage 3. The stages of the model range from minimal automation at stage 0 to full automation at stage 7. Each subsequent stage presumes the existence of the functionalities listed for the preceding stage. Your choice “Some clinical automation exists” matches Stage 0.
Rationale 3: Basic clinical documentation is indeed required for Stage 3. The stages of the model range from minimal automation at stage 0 to full automation at stage 7. Each subsequent stage presumes the existence of the functionalities listed for the preceding stage.
Rationale 4: Basic clinical documentation is required for Stage 3. The stages of the model range from minimal automation at stage 0 to full automation at stage 7. Each subsequent stage presumes the existence of the functionalities listed for the preceding stage. Your choice “Major ancillary clinical systems are all installed” matches a Stage 2.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:

Question 4
Type: FIB
The U.S. Department of Health and Human Services indicated that the ________________ is a digital collection of patient’s medical history.
Standard Text:
Correct Answer: EHR (Electronic Health Record)
Rationale : The U.S. Department of Health and Human Services indicated that the Electronic Health Record is a digital collection of patient’s medical history. Items included are: 
1. diagnosed medical conditions
2. prescribed medications
3. vital signs
4. immunizations
5. lab results
6. personal characteristics such as age and weight
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome: