D220 Updated 2023-2024 /245 Questions With Verified Answers Graded (A+), Exams of Nursing

Download D220 Updated 2023-2024 /245 Questions With Verified Answers Graded (A+) and more Exams Nursing in PDF only on Docsity! D220 Updated 2023-2024 /245 Questions With Verified Answers Graded (A+) Quiz :Informatics - √Answer :An interdisciplinary field that draws from, as well as contributes to "computer, decision, information, management, cognitive science, and organizational theory. Its broad scope encompasses natural language processing, data mining, research, decision support, and genomics. Quiz :Nursing informatics - √Answer :the use of technology and information to help support all aspects of THE NURSING PRACTICE. Quiz :Information literacy - √Answer :The ability to read and understand the written word and numbers as well as the ability to recognize when information is needed. Quiz :Beginning nurse - √Answer :Expected to have fundamental information management and computer technology skills and use existing information systems and establish information management practices Quiz :Experienced nurse - √Answer :Be skilled in using information management and computer technology; have strong analytic skills to learn from relationships between different data elements, and be able to collaborate with the informatics nurse specialist to suggest improvement to systems. Specific area of expertise. Quiz :Informatics specialist - √Answer :A nurse with advanced skills specific to health information management and computer technology. Focus on information needs for practice of nursing, including, education, administration, research, clinical practice, and use critical thinking. Quiz :Informatics innovator - √Answer :Expected to be educationally prepared to conduct informatics research and generate informatics theory. Advanced understanding and skills in information management and computer technology. Quiz :Evidence based practice (EBP) - √Answer :Use current best evidence for patient decisions to improve the consistency and quality of patient outcomes. Foundation of clinical guidelines and clinical decision support tools. Quiz :The American Recovery and Reinvestment act (ARRA) - √Answer :In 2009, along with HITECH provided economic stimuli and incentives for the adoption of EHRs and the goal that each person in the US would have a certified digital health record by 2014. Quiz :Health Information Technology for Economic and Clinical Health (HITECH) - √Answer :Strongly recommends that hospitals and healthcare providers increase the meaningful use of health information technology (HIT). To decrease overall health costs and IMPROVE POPULATION HEALTH OUTCOMES. Quiz :Joint Commission - √Answer :An independent non for profit organization that accredits and certifies approx. 21,000 hospitals and other HC organizations. A symbol of quality and means organizations are exceeding standards. Quiz :TIGER - √Answer :Formed to advance nursing competencies related to informatics. The primary objective was to develop a US nursing workforce capable of using EHR to improve delivery of care. Improving nurse education, practice and delivery of patient care using HIT. Quiz :Information system - √Answer :A COMBINATION of computer hardware and software that can process data into information to solve a problem. Quiz :Clinical Decision Support - √Answer :Supports decision making and efficiency. Decreases pt. safety risks and increasing positive pt. outcomes. Uses alerts, clinical pathways, order sets, dashboards, diagnostic support, and drug- drug interaction tools. Quiz :Expert system - √Answer :A type of decision support system that implements the knowledge of one or more human experts without human intervention Quiz :Alert fatigue - √Answer :The phenomenon where too many CDSS warnings, or recommendations are presented and providers begin to dismiss them regardless of the importance Quiz :Admission, transfer, discharge system - √Answer :system integrated with other admit and clinical systems and tracks a patients activities and looking from hospital or clinic Quiz :Phase one of the project management cycle DESIGN - √Answer :includes the creation and development of tools needed to manage the project: scope and charter documents guide how system will be implemented. Quiz :Scope Creep - √Answer :Unapproved change in a project, which can cause serious delays or even project failure Quiz :Gap analysis - √Answer :used to identify needed changes in the current workflow once moving to the new system. Quiz :With change, many feelings can be observed including resistance, and feelings of loss similar to what theory? - √Answer :Kubler ross's theory of grief Quiz :Lewin's Change Theory - √Answer :unfreezing, changing, refreezing Quiz :Project implementation team/committee - √Answer :Interdisciplinary team that plans, tests, and trains. The project team needs to be actively involved as end users. Quiz :The implementation committee tasks - √Answer :Develop plan (WBS), Committee should represent ALL disciplines. Quiz :Super User - √Answer :Members of the implementation committee, who's sole purpose is to support end users. Quiz :Nurses role in informatics - √Answer :Project manager, provides oversight of the 5 phases of EHRS implementation, facilitates communication Quiz :personal health record (PHR) - √Answer :Can follow a person across their life longitudinal. Is a collection of patient data controlled by the patient and accessible by the patient and providers. The consumer enters and maintains all info. Quiz :The use of EHRS results in - √Answer :improved quality, safety, and efficiency while reducing inconsistencies in healthcare, increase pt, and family active involvement in their care, advances the health of the public, safeguards personal health data and information. Quiz :Stage 1 requirements for meaningful use - √Answer :1. record demographic info. 2. computerized provider order entry 3. Clinical decision support and ability to track compliance 4. Automatic, real-time drug-drug and drug-allergy interaction checks 5. Maintain an active medication list 6. Maintain active medication allergy list 7. Record and retrieve VS 8. Record smoking status for patients 13 yrs and older 9. Mechanisms to protect information created or maintained by certified EHR technology include access control 10. Electronically exchange key clinical information among providers and parent authorized entities 11. Supply patients with an electronic copy of their health info upon request 12. Supply an electronic copy of DC instructions upon request' 13. Report required clinical quality measures to CMS 14. Maintain up to date problem lists of current and active diagnose Quiz :MU stage 2 requirments - √Answer :Called for patients to view, download, or transmit their health information online and for the capability for secure messaging between providers and patients and reporting public health measures. Quiz :Meaningful use - √Answer :Improve population health, requires standardized nursing terminology, geared to spur the adoption and use of electronic health records for the purpose of gathering and reporting data that can be used to improve population health. Incentive program to assure EHRSs are used according to standards that achieve quality, safety, and efficiency measures. Quiz :All states have implemented HIEs with the oversight of - √Answer :ONC- HIT Quiz :Audit trial - √Answer :Software used for detecting problems, and flaws in apps by recording activity by users and systems Quiz :privacy - √Answer :The right to control access and disclosure or nondisclosure of information pertaining to oneself and to control the circumstances, timing, and extent to which information may be disclosed. Quiz :Confidentiality - √Answer :Refers to a situation in which a relationship has been established, and private information is shared but not disclosed. Quiz :Trojan Horses - √Answer :Appear to do one function while performing another undesired action. They do not self replicate and are easily confined once discovered. Ex. A regular system login but records usernames and passwords for another program for illicit use. Quiz :HIPAA - √Answer :ACT that contains penalties for breach of confidentiality within the healthcare environment. Can result in disciplinary action, fines, civil and criminal action, and even termination. Quiz :HITECH ACT - √Answer :Authorized incentive payments for early adopters and lead to the development of MU criteria. Quiz :Security Rule - √Answer :Establishes a national set of security standards for protecting a certain set of health information that is held or transferred in electronic form. Protect the privacy of individuals health information while allowing covered entities to adopt new technologies to improve the quality and efficiency of patient care. Quiz :Information Security - √Answer :Occurs when realized that information has value and requires protection. Determines the survivability of the system. Quiz :Security measures - √Answer :1.Levels of access as appropriate, on a need to know basis 2.Automatic sign off- in case a HCP has to leave computer abruptly. 3.Firewalls 4. physical restrictions Quiz :Firewalls - √Answer :A barrier created from software and hardware designed to block unauthorized access while permitting authorized communications Quiz :Physical restrictions - √Answer :1.*Lock up in server room 2. surveillance 3. keeping cumputers, files, routers, etc behind locked doors 4. disable the drives 5. protect printers 6. daily backups Quiz :Data governance - √Answer :The term used to refer to the collection of policies, standards, processes, and controls applied to an organizations data to ensure that it is available to appropriate persons when and where it is needed, in the format that is needed, and is otherwise properly secured. Quiz :An informatics nurse and ER nurse are conducting an analysis of a patient admission from the ER. Which tool should these nurses use for a process analysis? - √Answer :SWOT Quiz :When developing a new clinical workflow, what is one of the first steps? - √Answer :recruit Quiz :Continutity of Care - √Answer :Intended to improve continuity and quality of care, including reduction of errors. Provides a snapshot of a persons current health and healthcare to a provider who does no have direct access to that persons EHR. Quiz :What can a nurse informaticist do to enhance the reporting of quality data? a. Develop prerequisites for health IT systems that will build linkages between nursing care and patient outcomes. b. Provide reports to centers for medicare and Medicaid services on quality data c. Implement standard capturing tools for reporting quality data in the electronic Health record (EHR) d. Educate providers on computerized provider order entry (CPOE) - √Answer :c. Implement standard capturing tools for reporting quality data in the electronic Health record (EHR) Quiz :What are two barriers of adopting the use of clinical decision support tools in an electronic health record EHR? a. Changes with meaningful use b. Implantation challenges c. Data sources are shared with the EHR providing CDS d. Multiple data sources with adequate information exchange - √Answer :c. Data sources are shared with the EHR providing CDS d. Multiple data sources with adequate information exchange Quiz :What are three informatics nurses roles are used in the design phase during the system development of life cycle? a. Change manager, system analyst and key stakeholder b. Project champion, scope author, product manager c. Subject matter expert, developer and usability tester d. Testing consultant, budget planner and help desk analyst - √Answer :c. Subject matter expert, developer and usability tester Quiz :During which phase of the systems development life cycle should a system be activated to effectively be used by end users? a. Implementation b. Validation c. Testing d. Development - √Answer :a. Implementation Quiz :A patient informs the nurse that the discharge medications are to be sent to the pharmacy of choice. Where should the nurse enter this information? a. Home medication entry b. Admission history c. Patient summary d. Medication reconciliation entry - √Answer :a. Home medication entry Quiz :A physician called the nurse to change the recent medication order made on a patient. Where does this nurse make the edit? a. In the order entry tab b. In the medication administrative summary c. In the order summary tab d. In the physicians favorites section - √Answer :a. In the order entry tab Quiz :A nurse receives an alert that there are new orders for review. Where does this nurse look to verify this information? a. Order summary tab b. Kardex c. Situation, background, assessment, recommendation (SBAR) tab d. Order entry tab - √Answer :a. Order summary tab Quiz :Where can a nurse find a copy of the POLST document? a. In the scanned documents section or media tab b. In the clinical managers office c. In the hard copy of chart components d. In the patients room - √Answer :a. In the scanned documents section or media tab Quiz :what describes an example of opt in or opt out choice regarding the disclosure of personal health information - √Answer :HIPAA Quiz :You are contacted by a confused user because their legend changes on the screen they go into, would you tell them? - √Answer :The screen symbols change on each screen depending on the activities done Quiz :Ways to protect providers personal mobile devices? - √Answer :Upgrade malware programs and updates Quiz :What should providers have on their personal mobile devices? - √Answer :passwords Quiz :Which is a physicians clinical informatics assessment? - √Answer :Labs and clinical values Quiz :What facility first used BMCA: - √Answer :The veterans hospital of topeka, kansas Quiz :If your patients barcode bracelet is not working and you need to pass meds you would? - √Answer :Check the armband for damage, change the armband if necessary Quiz :What happens in the second stage of meaningful use? - √Answer :Called for patients to view, download, or transmit their health information online, and for the capability for secure messaging between providers and patients and reporting public health measures. Must meet stage 2 requirements fot 2 full years. Quiz :Which analytic method is used to forecast the likelihood of an adverse event a. Data modeling b. Real time analytics c. Business intelligence d. Predictive monitoring - √Answer :d. Predictive monitoring Quiz :This defines the detail of collaborative effort: a.Project scope b.Proposal strategy c.Project plan d.Activity guide - √Answer :a.Project scope Quiz :Which is not a responsibility of the project implementation team? a.Present system design to management b.Execution system changes c.Active involvement in user participation d.Knowledge of current workflows - √Answer :a.Present system design to management Quiz :Not a phase of information system life cycle: a.Needs b.System implementation c.Selection d.Evaluation - √Answer :?notagoodQ Quiz :A common request contained request for information document includes a: a.Cost analysis b.Company history c.Hardware and software list d.Execution timeline - √Answer :b.Company history Quiz :What is the objective of user acceptance testing of a health information system - √Answer :The objective of the UAT was to give HFR users an opportunity to test all functionalities, identify any defects or bugs, and check whether the system met the required, agreed-on specifications. Quiz :An important part of a nurse informaticist's role is to report and use the data to evaluate the quality of healthcare against recognized quality standards. which statement describes quality reporting - √Answer :Quality reporting should have better documentation, fewer medical errors, cost saving and improved care coordination. Quiz :A nurse informaticist uses tools and methods to influence the change management process. which change theories? - √Answer :Theory applied to informatics - Lewin's Change Theory Quiz :what are statements examples of the use of evidence-based guidelines in clinical informatics? - √Answer :Examples of the ways in which practice- based research is being enabled by health IT tools and techniques include recruitment of patients for practice-based research studies via electronic data collection; translation of research into practice by re-engineering practices through strategic adoption of health IT; and identification of risk in a patient population using physician-coded data from an electronic medical system. Quiz :what is an objective of user acceptance testing of a health information system? - √Answer :The goal of user acceptance testing is to make sure the software, website or application can handle all required tasks in real-world scenarios, according to user specifications. Quiz :Where to document allergies in EHR? - √Answer :Allergy list Quiz :A nurse is entering a verbal medication order and encounters a warning the entry is a duplicate. Which action does the nurse take? - √Answer :Call the MD or Pharmacy Quiz :An informatics nurse is developing a web based application for patient care. Which statement accurately describes the internet? - √Answer :Unregulated networks of networks Quiz :The healthcare organization has a different surgery system that is integrated with the organizations main electronic health record. What should this healthcare team do to ensure all information is properly charted? - √Answer :Sign out and back in Quiz :Which statement best describes nursing informatics? - √Answer :Uses nursing knowledge along with information and communication technology to promote the health of individuals, families and entire populations Quiz :Which statement describes the application of meaningful use? - √Answer :Meaningful use means meeting measurable objectives for using an EHR system set forth by the centers for medicare and medicaid services in order to qualify for incentive programs. Quiz :When developing a new clinical workflow what is one of the first steps? - √Answer :Recruit Quiz :What is a technical safeguard ephi. Only allow access to authorized uses? - √Answer :Access control, audit controls integrity, person or entity, authentication transmission security ?? Quiz :What is a physical safeguard ePHI. Policies, procedures, disposal and station for use and access of PHI of limited access, hardware, software and or procedure mechanism to record and exam activities in information that are use for mobile devices - √Answer :Facility access controls Workstation use Workstation security Device and media controls USB port locks Quiz :What describes the relationship between meaningful use and merit based? - √Answer :Reimbursement Quiz :What are the maximum penalties for refraining from full participation in the mips in years 2017 through 2024? MIPS penalty for failing to comply? - √Answer :4-9% Quiz :What is a physical safeguard of ePHI.? - √Answer :Workstation use Workstation security device and media controls USB port locks Quiz :What is a technical safeguard of ePHI? - √Answer :Assess control Audit control integrity person or entity Authentification transmission security Quiz :What meaningful use stage can you generate and transmit rx electronically? - √Answer :Stage 3 Quiz :Which statement describes a successful electronic health record (EHR)? a.A project management application was used for development. b.A feasibility study was conducted during the planning stage. Quiz :The emergency room (ER) staff is hesitant to use the discharge planning module in the new electronic health record (EHR). What Is a method the nurse informaticist should use to encourage staff to utilize the new application in the EHR? a.Enlist feedback from staff or users b.Perform system maintenance c.Review steering committee recommendations d.Require staff to review policies and procedures - √Answer :a.Enlist feedback from staff or users Quiz :Evidence-based guidelines are used daily in the clinical field. What Is one area of the electronic medical record (EMR) in which evidence-based guidelines are found? a.In the note field under the physician's assessment b.In the standing physician's orders for a sepsis diagnosis c.In the home medication list d.In the intake and output record - √Answer :b.In the standing physician's orders for a sepsis diagnosis Quiz :What Is an output of systems analysis? a.Usability testing scripts b.Iterative code c.Project charter d.Technical requirements - √Answer :d.Technical requirements Quiz :Meaningful use was signed into law in 2009 to provide a means for eligible providers, hospitals, and critical access hospitals to use and communicate data to improve patient outcomes. What Is the purpose of stage 1? a.To allow the electronic health record (EHR) to capture and share data b.To improve clinical outcomes c.To allow end users to access advanced clinical processes to analyze data and make care improvements d.To gain the trust of the patients - √Answer :a.To allow the electronic health record (EHR) to capture and share data Quiz :Meaningful use (MU) of electronic health records (EHRs) is part of the Medicare and Medicaid incentive program. Which two statements best describe MU? Choose 2 answers. a.Certified information technologies provide the necessary functions to enable eligible providers to be compensated. b.Minimum standards for population health are described in MU. c.Ten stages are described for MU. d.MU is used by inpatient and outpatient facilities. - √Answer :a.Certified information technologies provide the necessary functions to enable eligible providers to be compensated. d.MU is used by inpatient and outpatient facilities. Quiz :What Is a goal of meaningful use? a.To engage patients and families in their healthcare b.To engage nurses to do more narrative charting c.To increase healthcare disparities d.To increase healthcare costs - √Answer :a.To engage patients and families in their healthcare Quiz :Which codes support outpatient billing? a.Codes for clinical diagnosis and care b.Current procedural terminology (CPT) c.Systematized nomenclature of medicine clinical terms (SNOMED CT) d.Disease classification scheme - √Answer :b.Current procedural terminology (CPT) Quiz :Nurses use electronic automation to communicate, document, and make decisions about improving the quality of patient care. Which system, organization, or regulation seeks to improve patient care through investments in electronic automation? a.Healthcare merit-based incentive payment system (MIPS) b.The Centers for Medicare and Medicaid Services (CMS) c.Healthcare computerized provider order entry (CPOE) d.Health Information Technology for Economic and Clinical Health Act (HITECH) - √Answer :d.Health Information Technology for Economic and Clinical Health Act (HITECH) Quiz :What are three roles of a nurse informatics specialist? Choose 3 answers. a.Assists users with functionality, procedural issues, and basic troubleshooting b.Provides expert advice, opinions, and recommendations from a consultant's area of expertise c.Develops and trains all user groups on clinical computer applications and online documentation processes d.Acts as a liaison between nursing and information services and is both a nursing resource and representative e.Acts as the sole decision maker for the organization and the vendor when acquiring a new system f.Approves the budget presented by the project manager when transferring data from the old system - √Answer :a.Assists users with functionality, procedural issues, and basic troubleshooting b.Provides expert advice, opinions, and recommendations from a consultant's area of expertise d.Acts as a liaison between nursing and information services and is both a nursing resource and representative Quiz :What Is the responsibility of a superuser? a.To document information in an electronic health record (EHR) and extract and analyze data b.To develop and train all user groups on clinical computer applications c.To support the system in a given unit and assist users with functionality and procedural issues d.To provide expert advice, opinions, and recommendations from a consultant's area of expertise - √Answer :c.To support the system in a given unit and assist users with functionality and procedural issues Quiz :What Is a major benefit of nursing informatics? a.It adds new tasks and changes workflow to improve patient care and utilization of resources. b.It helps nurses to be efficient, improve workflow, and finish tasks on time. c.It eliminates excess documentation and increases productivity. d.It improves communication among healthcare providers to improve patient care. - √Answer :d.It improves communication among healthcare providers to improve patient care. Quiz :What Is the focus of cognitive science in nursing informatics? a.To examine the effects of computerized systems on nursing care delivery b.To explore the nature of knowledge and its components, development, and use c.To capture data at the point of care and present it in a manner that facilitates the care of an individual patient - √Answer :b.To explore the nature of knowledge and its components, development, and use Which process allows interoperability of the health information exchange (HIE) between the two hospital systems? a.The staff at the trauma hospital will need to request the patient's records be faxed to them from the transferring hospital b.The transferring hospital should copy the patient's chart and send it with the patient via USB drive. c.The staff at the trauma hospital will obtain the patient's Consolidated-Clinical Document Architecture (C-CDA) via the EHR by the transferring hospital. d.The patient's family will be present at the trauma hospital to provide the medical information needed. - √Answer :c.The staff at the trauma hospital will obtain the patient's Consolidated-Clinical Document Architecture (C-CDA) via the EHR by the transferring hospital. Quiz :When printing discharge instructions for a patient,the nurse notices the physician electronically entered the prescriptions for discharge medications. Which other form of information is needed along with this patient's discharge instructions for these medications prescribed? a.The patient's bill for the visit to reference b.The nurse's information card for the patient to contact him with any further questions c.A printed document with detailed, supplemental information d.A printed chart for the patient to take with her - √Answer :c.A printed document with detailed, supplemental information Quiz :A nurse is to administer insulin coverage, and the electronic health record (EHR) is preventing the nurse from completing the administration documentation. Why has this occurred? a.The nurse is unsure of where to document the medication administration within the EHR. b.The EHR is malfunctioning. c.The nurse's EHR access has been denied. d.The EHR requires the dose verification and sign-off of another nurse - √Answer :d.The EHR requires the dose verification and sign-off of another nurse Quiz :What Is clinical decision support? Choose 2 answers. a.It reminds clinicians to call desk support for help. b.It provides clinicians with suggested care information. c.It reminds busy clinicians of items easy to forget or overlooked d.It reminds clinicians to check the patients and call the provider. - √Answer :b.It provides clinicians with suggested care information. c.It reminds busy clinicians of items easy to forget or overlooked Quiz :A nurse is creating a patient list and notes that there are "< >" symbols surrounding the patient's name. Which action should this nurse complete to determine what the symbols indicate? a.Contact the help desk b.Select the legend c.Ignore the brackets d.Ask the unit manager - √Answer :b.Select the legend Quiz :How can a nurse informaticist increase interoperability? a.Promote the use of standard vocabulary for documentation and coding b.Create different passwords for multiple systems that are used daily c.Allow each clinical area to develop its own workflows d.Ensure there is no interface between the lab and the hospital charting system - √Answer :a.Promote the use of standard vocabulary for documentation and coding Quiz :What Is one disadvantage of nurses frequently documenting in the free- text note section of the electronic health record (EHR) rather than within designated flow sheets? a.The practice of completing free-text notes is time consuming. b.Few clinicians will take the time to read free-text notes c.Free-text notes are too long. d.Running a report will not yield the free-text note data. - √Answer :d.Running a report will not yield the free-text note data. Quiz :A physician is looking for a current patient's vital signs. Which measure is included in the vital signs section, in addition to temperature, blood pressure, respiration, and heart rate? a.Oxygen delivery B.pain scale c.Oral intake d.Mean arterial pressure - √Answer :B.pain scale Quiz :What are examples of information stored in an electronic health record (EHR)? a.Patient histories, medical tests, medications, and images b.Past surgeries, genealogy, medications, and images c.Medications, images, heuristics, and exercise regime d.Metadata, heuristics, travel history, and medical tests - √Answer :a.Patient histories, medical tests, medications, and images Quiz :A patient is receiving an IV anticoagulant infusion. The nurse needs to know when the next partial thromboplastin time (PTT) should be drawn to determine dosing. How should this nurse find this information? a.By asking the charge nurse b.By reviewing the orders and results c.By reviewing the eMAR for infusion start time d.By calling the pharmacy - √Answer :b.By reviewing the orders and results Quiz :An end-of-shift report is given at the nurses' station desk, but it is not completed right away due to competing priorities of answering the telephone, limited access to desktop workstations, addressing patient situations, etc. Which action can a nurse suggest to initiate change? a.Complain to colleagues and do nothing b.Research how other hospitals provide shift reports, and report findings to unit manager c.Complete a time study report comparing logging data at a stationary desk versus using a workstation on wheels (WOW) d.Lodge a formal complaint with the hospital's administration - √Answer :c.Complete a time study report comparing logging data at a stationary desk versus using a workstation on wheels (WOW) Quiz :What Is a gap analysis in the electronic health record (EHR) process? a.It is a list of features and functions desired but not immediately available in the new system as identified b.It is information the vendor reveals that is missing elements of the system after the contract is signed c.It is a bridge between research and clinical practice that is established. d.It allows the information systems department to lead the team to automate the current workflow. - √Answer :a.It is a list of features and functions desired but not immediately available in the new system as identified Quiz :A nursing unit uses a medication administration system with locked cabinets to access patient medications. What Is needed for secure access? a.A unit-wide password that changes every month Quiz :Data security, accuracy, and integrity management are vital aspects of the informatics nurse role. How does an informatics nurse institute manual and automated procedures to manage data security, accuracy, and integrity? a.Monitors patterns and exceptions b.Maintains a stable system c.Implements security controls d.Separates duties among the information technology employees - √Answer :a.Monitors patterns and exceptions Quiz :Why would the results of a patient report containing wait time data in the hospital emergency room be of interest to the hospital's CEO? a.The information would be helpful to the CEO in determining if a bigger cafeteria is needed b.The CEO can use the information when budgeting for a new surgery wing for the hospital. c.The information is a piece of the puzzle needed when the CEO is determining patient satisfaction d.The information can be presented to the hospital board when the CEO asks for a raise. - √Answer :c.The information is a piece of the puzzle needed when the CEO is determining patient satisfaction Quiz :Which statement accurately represents the National Quality Forum (NQF)? a.NQF is a not-for-profit, membership-based organization that works to improve healthcare through meaningful measurement. b.NQF assesses fines for infractions of privacy and security via the Health Insurance Portability and Accountability Act (HIPAA). c.NQF has provided over 19 million dollars in funding for meaningful use legislation. d.NQF is an organization being discontinued due to the promoting interoperability (PI) initiative. - √Answer :a.NQF is a not-for-profit, membership-based organization that works to improve healthcare through meaningful measurement. Quiz :Which information would be useful in planning quality care for the next shift? a.Available critical care beds b.Satisfaction rates c.Hospital acquired infection rates d.Core measures - √Answer :a.Available critical care beds Quiz :What Is an advantage of using the bar code medication administration (BCMA) within a healthcare setting? a.It allows for real-time, automated documentation of the administration of the patient's medication. b.It gives the patient more time to communicate with his nurse. c.It decreases the amount of charting the nurse needs to do. d.It helps the nurse assess the patient better. - √Answer :a.It allows for real- time, automated documentation of the administration of the patient's medication. Quiz :What Is an effective use of the bar code medication administration system? a.Combining it with a computerized provider order entry, a pharmacy system, and an eMAR system b.Implementing it with computerized provider order entry, a multidose medication system, and the admissions and discharge system c.Deploying it with a pharmacy system and providing policies regarding access to information and data collection d.Combining it with an eMAR, multidose medication system, and an automated dispensing cabinet - √Answer :a.Combining it with a computerized provider order entry, a pharmacy system, and an eMAR system Quiz :What are two of the five rights of clinical decision support? Choose 2 answers a.The right time in the workflow b.The right place in the software c.The right person d.The right interface - √Answer :a.The right time in the workflow c.The right person Quiz :Alert Fatigue can arise when a nurse is prompted to concentrate on important conditions or recommendations based on a patient's clinical data. What are two consequences of alert fatigue? Choose 2 answers. a.User dissatisfaction b.Improved safety c.Reduced productivity d.Decrease overrides - √Answer :a.User dissatisfaction c.Reduced productivity Quiz :Which merit-based incentive payment system (MIPS) category replaces the reporting program that assesses care provided to Medicare patients,to ensure patients get the right care at the right time? a.Quality b.Cost c.Improved activities d.Advancing care information - √Answer :a.Quality Quiz :What are two items that exempt eligible clinicians from a merit-based incentive payment system (MIPS)? Choose 2 answers a.Small, rural, underserved practices of fewer than 15 clinicians b.Low-threshold provider who bills Medicare less than $90,000 yearly c.Virtual group of practitioners with different specialties and locations d.Two hundred or fewer Medicare patients seen annually - √Answer :b.Low- threshold provider who bills Medicare less than $90,000 yearly d.Two hundred or fewer Medicare patients seen annually Quiz :What Is a benefit of meaningful use (MU)? a.Data is secure. b.Participation is mandatory. c.Patient outcomes are improved. d.Patient interaction is minimized. - √Answer :c.Patient outcomes are improved. Quiz :What Is included in meaningful use stage 3? a.Direct patient billing for care provided b.Improvement in healthcare outcomes c.The use of electronic prescribing d.The use of patient engagement and coordination of care - √Answer :c.The use of electronic prescribing Quiz :What can healthcare staff do to keep patient information that has been accessed with a mobile device protected? a.Install device updates when available b.Set a time limit on the device for users c.Keep the idle device in a lock box d.Use the device only at work - √Answer :a.Install device updates when available Quiz :Which mobile device feature may reside on a device indefinitely? surveillance limit access to data center use rack mount servers safeguard workstations protect portable devices by limiting access and via encryption secure and physical backup media disable drivers protect printers and printouts Quiz :Most breaches of confidentiality occur as a. result of? - √Answer :carelessness Quiz :Technical security - √Answer :access control audit control person or entity authentication transmission security Quiz :administrative safeguard - √Answer :Restricting access of all authorized users of the EHR according to their position in the HC system Quiz :Meaningful use was changed to - √Answer :advancing care information and rolled out under the MIPS, "promoting interoperability" Quiz :MIPS-what is it and how is it similar to MU - √Answer :quality Quiz :What agency oversees MU - √Answer :Medicare Quiz :two factor authentification - √Answer :security? Quiz :ALWAYS TURN OFF - √Answer :FILE SHARING Quiz :What can you put on your laptop to avoid security breaches? - √Answer :authentications Quiz :Where to you document an assessment? - √Answer :ADT Quiz :Disadvantages of EHR - √Answer :Integration of behavioral health and primary care workflows. information exchange limited resources Work-arounds: variations in procedures and processes created to accomplish work when systems or workflows are deficient or inefficient which can, and frequently do, defeat positive features such as safety Quiz :Superuser - √Answer :Supports the system in a given unit and assists users with functionality and procedural issues Quiz :Master Patient Index (MPI) - √Answer :All client data can be associated with the correct client Quiz :interoperability - √Answer :improves healthcare organizations output interfaces are required for communication between systems and decision support Quiz :Kotter change theory begins with - √Answer :A sense of urgency Quiz :Kotter change theory steps - √Answer :urgency-coliation-vision- communication-empower-quick wins-build change- embed change Quiz :Examples o EBP - √Answer :infection control Giving o2 to COPD pts. non invasive BP in children Quiz :what can be installed to exchange information? - √Answer :Interface Quiz :TCP/IP - √Answer :Basic network code-allows computers to communicate Quiz :Gnatt Chart - √Answer :Developed with an owner for each specific task, subtask, and due date with start and end dates Quiz :ePHI - √Answer :Electronic protected health information is defined in HIPAA as any protected health information that is created, transmitted, stored or received in any electronic format. Quiz :When do end users use the system? - √Answer :implementation Quiz :What measure is important for the implementation phase to be successful? - √Answer :training? only after addressing end user needs can implementation be successful Quiz :Ad Hoc - √Answer :When necessary or needed. Creates report on a as needed basis Quiz :repository - √Answer :a central location in which data is stored and managed