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D220 EXAM STUDY SET 100% PASS
A doctor receives an urgent phone call from a nurse caring for a patient while the doctor is at a coffee shop. How should the doctor proceed to prevent a possible violation of HIPAA? - ANSWER d. the doctor should ask the nurse to text him rather than calling as the doctor is in a public location and unable to speak with the nurse on the phone at this time.
During a recent review for a clinical documentation improvement for an ambulatory surgery center, a nurse observed that the incorrect current procedural terminology (CPT) codes have been entered for over 100 outpatient procedures. Which set of standards for professional behaviors is the nurse demonstrating when reporting an occurrence to the supervisor? - ANSWER American Health Information Management Association (AHIMA) Code of Ethics
A nurse has been asked to set up a secure data capture and collection process for the evaluation of a practice process improvement project. Which approach should the nurse use to help ensure data security? - ANSWER Collect data on secure access servers
Information that can be used to identify an individual is known as PHI. This information includes addresses, medical record numbers, demographic information, and other elements that could potentially lead to the identity of the individual. Which term is used to reference this information? - ANSWER Individually identifiable health information
Which information technology best practice helps prevent HIPAA violations as an organization? - ANSWER Requiring devices to be password protected
In which area of informatics nursing should promote the adoption of and implementation of telehealth programs to increase access to health services belong? - ANSWER Advocacy
What is one role a nurse can have in the formulation of a health policy? - ANSWER Representing nurses on a national task force
A provider asks a nurse caring for a patient to send an update on the patient's condition in two hours. Which method is appropriate for the nurse to communicate this information to the provider given the laws that protect personal health care information?
In 1996, the United States passed HIPAA to modernize the flow of healthcare information and provide stipulators to protect this information from fraud and theft. Which information is specifically protected under this act? - ANSWER A patient's test results
Which federal government entity supports the adoption of health information technology
and promotes a nationwide exchange of HIPAA? - ANSWER Office of National Coordinator
A worker compensation insurance company calls a clinic to verify charges for a patient. A billing clerk verifies the patient's charges over the phone. Which allows the clerk to provide the patient's information to the insurance company? - ANSWER HIPAA Privacy Rule
Clinical users often request new technology applications or software features to reduce inefficiencies. An informatics nurse specialist may receive many requests that not all can or should be implemented. Which information should an informatics nurse specialist use to build the business case for the technology review committee to determine which requests should be approved. - ANSWER The cost of implementations, the cost of maintenance, and the return on investement.
What is the benefit of moving information in patient records previously stored in notes into a form or check box? - ANSWER Forms and checkboxes improve the reliability of data.
Healthcare organizations are encouraged to use standard language in the data they collect. This allows an organization to recommend improvements based on health information technology. What is the benefit of standardizing the data each organization must collect answers? - ANSWER Information can be combined from multiple organizations to research.
After a medication error, a workgroup is brought together to review a patient's health record and determine how the error reached the patient. Which type of root cause analysis should be used in the scenario to map out the various causes that affected the sentient event? - ANSWER Fishbone diagram
A clinical transformation group at a healthcare facility uses a flowchart to map the process of admitting a patient from the emergency department to impatient. - ANSWER Using a flowchart, the group can identify unnecessary steps in the admission process.
When is benchmarking an appropriate evaluation method for comparing data before and after adopting new guidelines? - ANSWER When determining improvement in patient outcomes after a change in process.
The HIPAA requires reporting standards to be followed if more than 500 incidents of unsecured PHI were released or authorized access took place. These reporting standards require notification to both the regulatory agency as well as individuals within the specific period. What is considered a reasonable period to file a violation report? - ANSWER 60 days.
In which scenario does a nurse exemplify effective documentation? - ANSWER A nurse records medication and the patient's response directly into a computer workstation.
A nurse working at a community clinic has access to an EHR. A patient recently
A nurse educator is asked to work with the nurses in the command center of a tele-ICU to address their hesitancy in using new technology. Which benefit of tele-ICU monitoring should be emphasized to address this hesitancy? - ANSWER It provides consistent support and expertise.
A rural hospital is planning to implement teleradiology in its busy ER. What is a security consideration in teleradiology imiplementaiton? - ANSWER Access to patient's images.
An ambulatory office uses telehealth to monitor patients with chronic illness by using in-home technology to transmit patient data to the office. Which type of telehealth is being used in this situation? - ANSWER Remote patient monitoring.
A facility has recently implemented dictation at the point of care and clinicians have voiced satisfaction with new technology. What is the expected evaluation outcome of implementing this feature. - ANSWER Clinicians can immediately edit and save documents.
A nurse manager reviews an incident report for a medication error. The physician admits to ignoring the EHR messages and ordering a medication the patient is allergic to. The physician describes being desensitized to the multiple alerts received through the shift. The nurse manager initiates a process improvement project aimed at preventing alert fatigue. What is an appropriate first action for the nurse manager? - ANSWER Organize a multidisciplinary alert management team
An ICU nurse electronically captures patients' vital signs in the EHR. What is the benefit of the electronic capture of patient data. - ANSWER Improving the accuracy of vital sign documentation.
A nurse receives a warning message when ordering blood products for a patient with religious conflicts with blood transfusions. Which health informaiton technology assisted the nurse? - ANSWER Clinical decision support (CDS)
Hospital staff are struggling to meet compliance with vaccine screening requirements due to lack of training methods such as classes, flyers, and storyboards, and nurses are
concerned about the time it will take them to review lengthy training documents. An electronic approach to education and streamlining this process is suggested. Which resolution is appropriate in this scenario? - ANSWER Develop computer-based training.
What is an example of data mining to improve patient outcomes. - ANSWER Generating the percentage of patients with therapeutic HgbA1c.
Perioperative staff at a hospital use a whiteboard to manually track patients. Recently, surgeons have complained that the turnaround time between surgical cases has increased and blame the manual tracking system. An informatics nurse recommends expanding the use of an existing surgical information system (SIS). What would improve the workflow? - ANSWER Switching to electronic boards for operating rooms or Radiofrequency identification (RFID) in pt labels.
A patient experiences a medical emergency while traveling. Hospital clinicians need rapid access to the patient's previous medical history from the oust-of-state primary care provider. Which health information technology should hospital clinicians use. - ANSWER Transmitting data using health information exchange.
Hospital clinicians have voiced dissatisfaction with the multiple steps and passwords required to access the EHRs. The informatics nurse researches the use of biometric technology for approval What is a hurdle of implementing biometric technology? - ANSWER Implementation cost.
Which health information system is used by imaging departments and includes scheduling appointments, storing patients' results, generating reports, and billing for imaging services? - ANSWER Radiology information system (RIS)
What does the acronym HIPAA stand for? - ANSWER Health information portability and accountability act
A discharge nurse recognizes patients are often disengaged in discharge education because they are distracted and impatiently waiting to return home. Which strategy should the nurse recommend increasing patient engagement toward discharge education. - ANSWER Implement a discharge readiness checklist to review throughout
A high number of data entry fields in EHRs can be overwhelming for staff and can make it difficult to find where information should be documented. Which informatics solution would solve this problem. - ANSWER Documentation using drop-down menu.
What is the danger of using unvalidated device data in a patient's EHR to make clinical decisions for patients? - ANSWER Data may be inaccurate.
What information in the patient's EHRs, in addition to the nursing flowsheets, and providers orders would help a nurse plan and manage fluctuations in the patient's blood glucose levels? - ANSWER I&Os and/or MAR
A nurse is planning the care for patients admitted to the hospital with COVID-19. Which information in the EHRs would help the nurse plan the care for these patients? - ANSWER The patients lab results over the last 72 hours.
Which information in the patient's EHRs would help a nurse plan and manage the patient's post-op care after open heart surgery? - ANSWER Provider orders
Which information in a patient's EHRs would help a nurse plan and manage the patient's post0op care after an appendectomy? - ANSWER Physician orders
How can informatics be used to assess a persons' health literacy? - ANSWER By evaluating a patient's current state and determining the resources needed to identify the level of understanding.
A nurse is receiving the report of a patient who will be transferred to the patient care unit from the emergency department. The patient is experiencing SOB, severe muscle pain, and a fever. What additional data in this patient's EHR would inform the decision to implement airborne precautions on admission? - ANSWER A nasal swab culture results indicate a pending result for COVID-
During the oncoming shift rounds, a nurse receives a report that a patient with multiple
episodes of loose stool has a new lab result for a stool specimen and may need to be placed on contact precautions. Which data in the patient's EHR would support the nurse's action to place the patient on contact precautions. - ANSWER I&O flowsheet and a positive lab result for C-diff.
Which information in an electronic health record would help a nurse plan care for a patient with COPD? - ANSWER Complete Health History.
Which data in the Patient's EHR would support a decision to implement airborne precautions? - ANSWER The radiology report impression and the H&P order the last 24 hours.
Which data in a patient EHR would inform the decision to implement contact precautions? - ANSWER The lab report indicates MRSA
A pt is admitted to a hospital. The pt is reporting chills, fever, and loss of appetite over the last seven days. Which data in the pt's EHR would inform the decision to implement infection control precautions? - ANSWER Lab results
After an extensive review of pt records from the ICU, it is determined that a combination of nursing interventions performed together can drastically decrease patient falls. When reviewing another ICU with similarly low rates of falls, this same conclusion could not be reached. What is the likely explanation for this? - ANSWER Different reviews can draw different conclusions.
Which view in an EHR should be reviewed to determine if a pt's blood glucose level is stabalizing? - ANSWER Graphical trending over time.
A pt who does not have housing is admitted to a hospital with complaints of stomach pains, nausea, and fatigue. The pt's history and physical shows they are an IV drug user. Which data in this pt's EHR would support the implementation of an infection control policy? - ANSWER A blood serum sample indicating the presence of HepA specific IgM antibodies.
department.
Under which conditions can PHI be released without pt consent? - ANSWER When information requested is required for payment of treatment provided.
The nursing director of a hospital is preparing an in-house presentation about the nursing minimum data set (NMDS). Which information represents the service elements of NMDS? - ANSWER Nursing, diagnosis, intervention, outcome.
What is an effective way to reduce the risk of access to electronic protected health information (ePHI) by unauthorized users? - ANSWER Make sure that all users adhere to the security & confidential policy set forth by the facility.
A pt 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? - ANSWER Continuity care records from AMR.
When a physician arrives on the unit, a nurse is asked about the fluid status of a pt. Where should the nurse find this information? - ANSWER The I&O chart
Which act in 2009 did meaningful use (MU) originate? - ANSWER American Recovery & Reinvestment Act (ARRA).
What is the intent of the Clinical Decision Support (CDS) System? - ANSWER Providing clinicians with knowledge & person-specific information.
Which government organization oversees the meaningful use programs? - ANSWER CMS (Centers for Medicare & Medicaid Services)
A Nursing innovator & a medsurg nurse want to capture how many pts were seen in a day of 24 hours, how would they best see this? - ANSWER Flowsheet.
Process for discovering root causes of problems & ID the solution? - ANSWER Root cause analysis
What should providers have on their personal mobile devices to protect them from sharing information when stolen? - ANSWER Authentication & encryption
Which area of the EHR is used to guide a nurse on the task that needs to be completed during the shift? - ANSWER Workflow
How does the health information exchange (HIE) improve interoperability within a healthcare organization? - ANSWER It allows pt information to be accessible despite where the pt is receiving care.
In a healthcare setting, there is resistance to 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? - ANSWER Involve staff in the implementation process.
Which statement defines electronic protected health information (ePHI)? - ANSWER It is the information used to specifically identify an individual.
An informatics nurse is developing a web-based application for pt. care. Which statement accurately describes the internet. - ANSWER An unregulated network of networks.
What represents privacy and security risks for telehealth technology? - ANSWER Pts have the option to use the speakerphone in the telehealth apps.
A restraint committee has been assembled to oversee the need & proper usage of restraints. Which data element would this committee find least useful in this report? - ANSWER Pt allergy history.
What is a structured method used to analyze serious adverse events. - ANSWER A root cause analysis (RCA).
Which element is PHI? - ANSWER DOB
The best method of electronic Medical Record charting for Nursing? - ANSWER Cascading
Physical taking care of a pt whose established care is somewhere else talking about HIE
When can you get notes from the provider quickly? - ANSWER HIE, query-based transfer
How to start an admission process when extremely busy? - ANSWER checklist
What would be the causes to put someone in isolation? - ANSWER MRSA, influenza, TB, COVID.
Nurse wants to optimize EH software with the goal of decreasing documentation time. - ANSWER Surveys.
Data visualization of oncology pt length of stays? - ANSWER Line graph
Universal precautions approach to health literacy? - ANSWER Treating all pts as if they are at risk of not understanding health information and speaking to pts in language-appropriate terminology.
Define predictive modeling/analytics - ANSWER Uses past and current data to forecast the likelihood that an event will occur.
What data source is used to track specific diseases and conditions? - ANSWER Disease surveillance.
Non-maleficence & fidelity promote accuracy & integrity. - ANSWER Fundamental principles.
What year did HITECH Act form? - ANSWER 2009
Two nurses are in the cafeteria talking about lab reports & They commit HIPAA violations. What is the action? - ANSWER Fines
A medication alert pops up. What system is alerting? - ANSWER Clinical Decision Support (CDS) System
What is used to monitor the pt's glucose level? - ANSWER Nursing flow sheets
During which phase of the systems development life cycle should a system be activated to effectively be used by end users - ANSWER implementation.
Homeless man IV drug user - ANSWER Find in the EMR which information helps you put him in isolation.
Treatment of pts related to blood pressure measures - ANSWER Medication administration
When does discharge planning begin? - ANSWER At admission.
Discharge teaching pt with diabetes - ANSWER important what time of day.
Rapid dictation advantage of template-based charting? - ANSWER they are available right away and eliminate human errors, more accurate documentation.
What is the role of the informatics nurse working with EHR? - ANSWER To improve pt safety.
What are 2 barriers that prevent interoperability between health systems? - ANSWER data blocking and interface cost.
Reported falls on the medsurg unit as compared to the previous quarter. Which data set informs the decision to review the protocol for falls on the med-surg unit? - ANSWER The radiology reports of pts with a reported fall on the medsurg unit.
Pt comes to the ED with a bump on the arm that is painful, edematous, & oozing sanguineous fluid. Which data in the pt's medical record would tell a nurse to implement infection control precautions. - ANSWER The nursing flow sheet states the wound has increased in edema, redness, & drainage over the past 12 hours.
Pt w/ scabies - ANSWER Crusted rash, CDC says that the diagnosis of scabies is by physical exam of skin.
Pt discharge, information planning. - ANSWER H&P notes about the reason the pt is admitted anyways.
Pts come in complaining of the same S/S - ANSWER Pt demographics
What is the dollar amount price range for a HIPAA fine per violation? - ANSWER 100-50,
Hospital employee falls, their manager wants an update. - ANSWER Nurse should not provide information.
Electronically captured pt VS without manually entering - ANSWER biomedical device integration.
A pt employer calls asking for information on pt that got hurt at work. - ANSWER Ask employer to submit a signed agreement to protect the pt information.
Gap analysis? - ANSWER transfer to new HER
What does a focus group do? - ANSWER Gathering uses to discuss
What is a peripheral biometric device - ANSWER High BP monitoring
What should a nurse recommend to promote nurse to pt interactions? - ANSWER Encourage pt to eliminate personal technology to increase their attention.
Role of an informatics nurse specialist is the knowledge & application of state & federal laws. Which role falls outside the scope of practice? - ANSWER Enforce operational procedures
