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C468 Informatics Study Guide Combination OA
Typology: Study Guides, Projects, Research
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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**?
- 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
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
a. Shared infrastructure b. Data blocking c. Semantics standardization d. Interface cost
a. Through assessment dashboards b. Through alerts and reminders c. Through result review sets d. Through data display by role
c. A root cause analysis (RCA ) d. A quality and safety education for nurses (QSEN)
c. The U.S. department of labor occupational safety and health administration (OSHA) d. The centers for Medicare and Medicaid services (CMS)