C468 Informatics Study Guide Combination OA, Study Guides, Projects, Research of Computer Science

C468 Informatics Study Guide Combination OA

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C468 Informatics Study Guide Combination OA
An informatics nurse and an emergency nurse are conducting an analysis of a patient admission
from the ER? Which tool should these nurses use for a process analysis?
A. Flowchart diagram
B. Gap prioritization
C. SWOT template
D. Strategic goals and mission examination
What is an effective way to reduce the risk of access of electronic protected health information
(ePHI) by unauthorized users?
A. Make sure all users have personalized passwords that meet the security criteria of
the facility.
B. Make sure all users with access to EPHI use the same ID/ Password
C. Make sure all the users adhere to security and confidential policy set forth
by the facility.
How does a healthcare policy assure access to health information by authorized users?
A. It creates a reliable method to verify the identities of users accessing
health information.
B. It defines a standard of transmitting instant authorization.
C. It increases the encryption technology.
D. It ensures data sharing is governed by cloud
computing. Which statement describes the application of meaningful
use?
A. Provider needs to show the use of EHRS technology
B. Patient satisfaction is improved which results in better patient satisfaction scores
C. Electronic patient tracking is used throughout the organization
What is the typical role of an informatics nurse?
A. Facilitates the development implementation and integration for an
agency information system
B. Participates in the development of new information systems including
designing developing and marketing solutions
C. Plans coordinates and facilitates education for all computer applications
and software for nursing or clinical user group
A patients glucose blood sugar is 400. What is a one-time kind of report?
A. Temporary
B. Standing
C. Ad Hoc
Which clinical information technology enables providers to document patient
assessments? Vitals signs capture
A patient is being transferred to another hospital, however the hospital he is being
transferred to does not have access to the EHR since they use EPIC. How will they receive
his EHR? Continuity care record from AMR
Which statement best describes NI? “Computer science, decision science,
information science, management science, cognitive science, and organizational theory.”
The nurse receives report that there are new orders to review. Where does the nurse
look to verify this information? The Kardex
What is the goal of MIPS and MU? Patient quality care.
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C468 Informatics Study Guide Combination OA

An informatics nurse and an emergency nurse are conducting an analysis of a patient admission from the ER? Which tool should these nurses use for a process analysis? A. Flowchart diagram B. Gap prioritization C. SWOT template D. Strategic goals and mission examination What is an effective way to reduce the risk of access of electronic protected health information (ePHI) by unauthorized users? A. Make sure all users have personalized passwords that meet the security criteria of the facility. B. Make sure all users with access to EPHI use the same ID/ Password C. Make sure all the users adhere to security and confidential policy set forth by the facility. How does a healthcare policy assure access to health information by authorized users? A. It creates a reliable method to verify the identities of users accessing health information. B. It defines a standard of transmitting instant authorization. C. It increases the encryption technology. D. It ensures data sharing is governed by cloud computing. Which statement describes the application of meaningful use? A. Provider needs to show the use of EHRS technology B. Patient satisfaction is improved which results in better patient satisfaction scores C. Electronic patient tracking is used throughout the organization

- What is the typical role of an informatics nurse? A. Facilitates the development implementation and integration for an agency information system B. Participates in the development of new information systems including designing developing and marketing solutions C. Plans coordinates and facilitates education for all computer applications and software for nursing or clinical user group - A patients glucose blood sugar is 400. What is a one-time kind of report? A. Temporary B. Standing C. Ad Hoc - Which clinical information technology enables providers to document patient assessments? Vitals signs capture - A patient is being transferred to another hospital, however the hospital he is being transferred to does not have access to the EHR since they use EPIC. How will they receive his EHR? Continuity care record from AMR - Which statement best describes NI? “Computer science, decision science, information science, management science, cognitive science, and organizational theory.” - The nurse receives report that there are new orders to review. Where does the nurse look to verify this information? The Kardex - What is the goal of MIPS and MU? Patient quality care.

- What is a type of phishing? Trojan - What is Data governance? Defines who can take what action, upon what data, in what situations, using what methods. - A provider at the hospital had his laptop stolen from his vehicle. What should be on his laptop to protect it from data breach? Encryption - What is the name of the process that begins with conception and continues through implementation? SDLC - What is the intent of the CDSS? This is an application that supports healthcare practitioners in making patient-care decisions. - What is the term for sharing a person’s personal information with other individuals electronically? Information sharing - When a physician arrives on the unit, a nurse is asked about the fluid status of a patient. Where should the nurse find this information? The intake and output chart - why is it important to control the number of warnings in EHR? Alert fatigue - which change theory begins with creating urgency? Kotter's Models - which act in 2009 did MU originate? ARRA act in 2009 - which two technologies support the standardization of healthcare data? HL7 (Health Level 7) and DICOM - what is the primary concern driving Nursing informatic initiative**?

  • Patient safety
  • w** hat can be installed to allow one operation to access another to enable the exchange of data? Integration - Which type of chart uses rectangle, oval and diamonds in both? Flowchart - what is the intent of the CDSS? PROVIDING CLINICIANS WITH KNOWLEDGE AND PERSON - SPECIFIC INFORMATION - Information may be kept secret to those with an only need to know? what is this? Information privacy is the right to choose the conditions under which information is shared, and to ensure the accuracy of collected information. - which statement defines interoperability? THE EXTENT TO WHICH SYSTEMS AND DEVICES CAN EXCHANGE DATA AND INTERPRET THAT SHARED DATA - which two statement defines healthcare informatics? standardized languages and terminologies to ensure consistent meanings across all settings - what is a physical safeguard of ePHI? Lock on hard drive. Facility Access Controls Workstation Use Workstation Security - Device and Media Controls - what is a technical safeguard ePHI? Access control. Audit controls. Authentication. - An informatics nurse and an ER nurse are conducting an analysis of a patient admission form the er. which tool should these nurses use for a process analysis? SWOT - which government agency recommended to use of bar code medication administration? FDA - an informatics nurse is developing a web-based application for patient care. which statement accurately describes the internet? a. A Safe secured location controlled by the government b. A network or network c. A place to search the web

- If your Pt’s barcode bracelet is not working and you needed to pass meds what would you do? a. Hold meds and call the pharmacy b. Call the physician c. Make a report d. Check the armband for damage, change the band if necessary - Which is a physician’s clinical informatics assessment? a. Discharge/transfer b. Vital signs c. Lab and clinical values - What are the ICD ICD10 international classification of diseases? LOINC and SNOMED - Provider wants you to change an order what tab would you look under? a. Order entry tab b. Order summary tab c. Kardex d. Flowsheet - The Operating room uses a different system than what is integrated in the EMR. What do you do? a. Chart twice b. Chart in one system and it will automatically show up in both systems c. Wait to chart after the shift d. Chart in the paper chart - There are different systems for L &D and the hospital, how would you check for orders and medications? a. Call provider for verbal confirmation b. Log out of L&D system and log into the Hospital system c. Call Pharmacy for orders. - What should providers have on their personal mobile devices to protect it from sharing information when stolen? Authentication and encryption. - Which government agency recommended the use of the barcode medication administration? A. HITECH B. ONCHIT - What are two barriers of adopting the CDS in an EHR? a. Limited resources b. Communication information exchange - What should healthcare staff who use mobile devices to access ePHI do to protect devices before they are lost or stolen? A. Charge device B. Turn screen off C. Turn off share files. - What is a physical safeguard? A covered entity that limits physical access to facilities while ensuring authorized access is allowed. - Which stage of the SDLC would data be collected from the systems users regarding their analysis?

A. Needs B. Development C. Design

- Where is the continuity of care documented? EHR - Which phase of the system life cycle involves using needs assessment to identify the exportation of the system? Needs/Design - The nurse receives report that there are new orders to review. Where does the nurse look to verify this information? The Kardex - A physician’s group would like to change the current EBP protocol for treating asthma. How should the IN determine validity of the new EBP protocol? Solid clinical trials. - Which MIPS merit-based incentive payment system performance replaces MU for physicians? HITCECH act. - Which area of the EHR is used to guide a nurse on the task that needs to be completed during the shift? Workflow - When developing new clinical workflow, what is one of the first steps that should be taken? Review old progress and old documents. - You are contacted by a confused user because their legend changes on each screen they go into, would you tell them? a. The screen symbols change on each screen depending on the activities done b. Use the help icon on the top right of the screen c. Tell them to keep reading to figure it out. - which feature will allow a user to navigate between authorized applications and resources within a single organization? Interface - A nurse is entering a verbal medication order and encounters a warning the entry is a duplicate. which action does the nurse take? a. Call the pharmacy b. Call the nurse practitioner and have them verify order c. Call MD and verify order and MD enter order remotely d. Delete warning and continue putting in the order. - what are three common reasons for HIPPA violation citations? a. Lost or stolen unencrypted devices b. Social media postings c. Facilitating an electronic visit between a patient and family d. Providing laboratory test information to the patient e. Discussing results over the phone with a provider f. Taking a patient photo with a personal phone - Which item enhances interoperability between organizations when exchanging patient data electronically? a. Patient messaging between provider and patient b. Continuity of Care Document (CDD) or Continuity of Care Record (CCR) via direct messaging c. Faxing or mailing of patient records from provider to provider d. Scanning patient records into a patient-provider electronic health record (EHR)

- What should an informatics nurse do to support the entry of standardized data into an electronic health record (EHR)? a. Use terminologies approved by the ANA b. Create hybridization of clinical data in the HER c. Allow documentation to be typed into the HER d. Use parallel system conversion - 11. A new computerized provider order entry is being implemented in the hospital. The nurse informaticist plays a role in all areas of this implementation. Which measure is crucial for a successful implantation? a. Post-live training and evaluation b. Workflow design c. Being selective of the number of patient records d. Selecting a steering committee - Which change theory beings with creating urgency? a. Kotter b. Rogers c. Systems d. Chaos - When deciding on a technology tool for the delivery of EBP information, which information should the nurse informaticist seek? a. Information that generates numerous alters and reminders b. Information that the physician deems acceptable c. Information that is accurate, timely, complete, concise, and relevant d. Information that requires end users to create workarounds - EBP is essential for clinical decision making. Which model supports EBP? a. Awareness, desire, knowledge, ability, reinforcement (ADKAR) b. Value stream mapping c. Problem, intervention, comparison, outcome, time (PICOT) d. Turley - What did meaningful use promote? a. Increased interoperability b. Increased ancillary testing c. Decreased nurse-patient ratios d. Decreased length of stay - Which statement describes the application of meaningful use? a. Providers need to show the use of certified EHR technology b. Patient satisfaction is improved, which results in better patient satisfaction scores c. Electronic patient tracking is used throughout the organization d. All health systems are certified by a nationally recognized organization

  1. What describes the goal of EHR incentive programs, such as meaningful use? a. To promote the achievement of quality, safety, and efficiency measures b. To promote patient reimbursement via Medicare and Medicaid c. To promote the use of telehealth in underserved populations d. To promote compliance with The Office of the National Coordinator initiatives
  2. In conducting and providing a quality audit, it was noted the provider was free texting data instead of selecting the proper codes to capture and bill for their services. When educating this

provider on properly selecting codes and decreasing free texting what is a rationale for why this is important? a. Integration b. Interoperability c. HIPPA security d. HIPPA privacy

  1. The use of standardized data sets is critical for EHR. Which 2 standards support the interoperability of healthcare data? a. AMA standards b. DICOM standards c. HL7 standards d. QSEN standards
  2. What is a typical role of an informatics nurse? a. Participate in the development of clinical information research systems and generates informatics theories b. Facilitates the development, implementation, and integration for laboratory information systems c. Plans, coordinates, and facilitates clinical expertise for all health information applications d. Provides expert solutions, opinions, and suggestions from clinical experiences.
  3. What is the responsibility of a superuser? a. To provide expert advice, opinions, and recommendations from a consultant’s area of expertise b. To support the system in a given unit and assist users with functionality and procedural issues c. To document information in an EHR and to extract and analyze data d. To develop training materials for all user groups on clinical computer applications
  4. A nursing clinical analyst is being interviewed by a nursing student who is requesting a detailed explanation of the role of a nursing informaticist. Which nursing informaticist goals would this clinical analyst offer in response? a. The goals replace nursing decision-making through the use of technology b. The goals facilitate an environment where technology, information, and understanding directs nurses’ judgment c. The goals allow for knowledge and technology to compete d. The goals increase awareness of the nursing process through the use of technology
  5. What is the role of the informatics nurse working with EHR? a. To increase data stored for research purposes b. To improve patient safety c. To improve patient satisfaction d. To increase collaboration among the interdisciplinary team
  6. What is a reason to have standardized terminology within a healthcare setting? a. It allows improvement in provider-patient interaction b. It provides patients the ability to review their chart c. It provides the effective exchange of information between providers d. It allows for a patient and family to view portal information
  7. What is the harmonization of terminologies?

a. Shared infrastructure b. Data blocking c. Semantics standardization d. Interface cost

  1. What is considered to be clinical decision support (CDS) within the EHR? a. The scanned lab results b. The diagnosis and procedure list c. The condition or disease-specific order sets d. The demographic information
  2. Unit managers want to be assured nurses are signing completed clinical documentation. What can managers do to determine documentation completion? a. Randomly run EHR reports and list noncompliant nurses b. Manually review the clinical documentation and list noncompliant nurses c. Make rounds on assigned units and ask the nurse about their charting d. Request the software vendor send analysts to retrain the nurses
  3. Which area of the EHR is sued to guide a nurse on the tasks that need to be completed during the shift? a. The free test note section b. The worklist c. The flowsheet d. The dashboard
  4. When a physician arrived in the unit, a nurse was asked about the fluid status of a patient. Where should this nurse find this information? a. The fluid graphic section b. The oral and IV fluid intake section c. The urine output section d. The intake and output section
  5. On admission, a patient reports several allergies. Where does the nurse confirm the documentation of this information? a. In the results tab b. In the patient summary tab c. In the medication administration tab d. In the advance directives tab
  6. A nurse has a new order to begin antiarrhythmic medication via IV drip. What needs to be done electronically before this medication can be safely administered? a. Scan the patient’s armband and the medication b. Search the medication list for prior antiarrhythmics c. Wait for the pharmacy to send the medication d. Document the patient education in the EHR
  7. What is the primary purpose of a clinical decision support system (CDSS)? a. It notifies other departments when a patient is discharged b. It increases revenue generation for the clinician c. It provides clinicians with suggested care information d. It replaces decision-making for the clinician
  8. How is clinical decision support system (CDSS) represented in an EHR?

a. Through assessment dashboards b. Through alerts and reminders c. Through result review sets d. Through data display by role

  1. In a healthcare setting, there is resistance towards using a new EHR. The staff insists the prior system was much faster than navigating this new EHR. Which method should be used to motivate staff to adopt this EHR? a. Complete a time study in the time it takes to document common tasks b. Encourage staff to attend quarterly training on the new EHR c. Supply the staff with scholarly journal articles on the benefits of the new EHR d. Involve staff in the implementation process
  2. Which tool highlights the areas in which information technology can improve efficiency and support an interdisciplinary healthcare team? a. A SWOT analysis b. A project management chart c. A Gantt chart d. A workflow analysis
  3. Which statement defines electronic protected health information (ePHI)? a. It is information used to aggregate individuals’ information b. It is information shared across family members c. It is information used to specifically identify an individual d. It is information used to identify healthcare inequity
  4. An informatics nurse is developing a web-based application for patient care. Which statement accurately describes the internet? a. A network controlled by a high-level government agency b. A physical cable connecting all associated computers c. A secure way of processing data d. An unregulated network of networks
  5. What is role-based access an example of? a. Privacy b. Integrity c. Confidentiality d. Authenticity
  6. Which term refers to ensuring confidentiality when sharing a patient’s electronic personal health information? a. Privacy b. Security c. Authenticity d. Integrity
  7. What advice should be taken to avoid a security breach of protected health information? a. Never open emails from unknow people or organizations, create passwords that are easy to remember, and use computers only from the organization to access ePHI b. Open emails that contain ePHI only from an unencrypted computer, user the same password for logging in to the EHR as email, and store ePHI off-site of the local network c. Open emails only from trusted sources, change passwords as stipulated by the organization,

c. A root cause analysis (RCA ) d. A quality and safety education for nurses (QSEN)

  1. Which form allows stored information in an EHR to be instantly searched, retrieved, combined, and reported in different ways? a. Continuous data b. Text data c. Discrete data d. Clinical data
  2. What are 3 purposes of using bar code medication administration (BCMA)? a. It alerts the nurse to drug-drug-interactions b. It saves administration time for the nurse c. It reduces errors of administration d. It saves costs for the facility by charging medications upon dispensing e. It supports the 5 rights of medication administration f. It increases the likelihood that the patients will refuse to take their medications
  3. Why was BCMA adopted by healthcare facilities? a. To reduce nursing positions b. To prevent medication administration errors c. To increase the speed on medication administration d. To improve patient satisfaction
  4. What describes the role of decision support within the EHR? a. It is designed to eliminate errors b. It is designed to assist with timely clinical decision making c. It is a computer program that replaces human reasoning d. It is installed on all computers to help IT monitor patients
  5. Healthcare staff members become overwhelmed when using EHR, and they begin to ignore clinical decision support messages. Why is it important to control the number of warnings in an EHR? a. Care coordination b. Medication refusals c. Alert fatigue d. Care delays
  6. Which merit-based incentive payment system (MIPS) performance category replaces meaningful use for physicians? a. Cost of services b. Advancing care information c. Quality of care d. Improvement activities
  7. What do the goals of meaningful use and merit-based incentive programs have in common? a. Advancing care information b. Improving the usage rate of EHR c. Increasing the number of tests ordered d. Improving quality of care
  8. Which government organization oversees the meaningful use program? a. The office of national coordinator for health information technology (ONC) b. The social security administration (SSA)

c. The U.S. department of labor occupational safety and health administration (OSHA) d. The centers for Medicare and Medicaid services (CMS)

  1. What were 2 objectives of meaningful use as defined by the American reinvestment and recovery act (ARRA)? a. Document patient collected data directly into the EHR b. Submit electronic data to health information exchanges (HIEs) c. Exchange drug formulary data across organizations d. Include clinical lab test results in the electronic patient portal
  2. A healthcare provider had a hospital laptop stolen from its vehicle. What should be on the laptop to protect it from a data breach? a. Two-minute signoff b. File-sharing applications c. Two-factor authentication d. A hot spot device
  3. What should healthcare staff who use mobile devices to access electronic protected information (ePHI) do to protect devices before they are lost or stolen? a. Auto connect to the hot spot b. Create a backup of the device c. Install a serial number tracker d. Turn off file sharing
  4. What is the name of the process that begins with conception and continues through implementation? a. Systems development life cycle (SDLC) b. SWOT plan c. Return on investment (ROI) d. Needs analysis
  5. During which phase of the systems development life cycle should a system be activated to effectively be used by end users? a. Implementation b. Testing c. Development d. Planning
  6. What 3 tasks in the design phase during the systems development life cycle (SDLC)? a. Plan the project, define the scope, and conduct the SWOT analysis b. Install system upgrades, aggregate data, and obtain research funding c. Configure screen layouts, create dashboards, and customize views d. Develop short-term training plans, transmit data, and analyze help desk tickets
  7. The initiating phase involves analyzing the project goals and needs. What is the term to describe unanticipated growth of a project? a. Regression testing b. Workflow analysis c. System of life d. Scope creep
  8. A healthcare facility is changing to a new health information system. Information from the old system needs to be input into the new system. What will the IT department do to complete this