Informatics: Questions and Answers for Nursing Students, Exams of Nursing

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D220 (245 QUESTIONS AND ANSWERS) 2024-

2025 (ACTUAL EXAM) LATEST UPDATED

GRADED A+

Informatics - Solution 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. Nursing informatics - Solution the use of technology and information to help support all aspects of THE NURSING PRACTICE. Information literacy - Solution The ability to read and understand the written word and numbers as well as the ability to recognize when information is needed. Beginning nurse - Solution Expected to have fundamental information management and computer technology skills and use existing information systems and establish information management practices Experienced nurse - Solution 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. Informatics specialist - Solution 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. Informatics innovator - Solution Expected to be educationally prepared to conduct informatics research and generate informatics theory. Advanced understanding and skills in information management and computer technology.

Evidence based practice (EBP) - Solution 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. The American Recovery and Reinvestment act (ARRA) - Solution 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. Health Information Technology for Economic and Clinical Health (HITECH)

• Solution 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. Joint Commission - Solution 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. TIGER - Solution 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. Information system - Solution A COMBINATION of computer hardware and software that can process data into information to solve a problem. Clinical Decision Support - Solution 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. Expert system - Solution A type of decision support system that implements the knowledge of one or more human experts without human intervention

Alert fatigue - Solution The phenomenon where too many CDSS warnings, or recommendations are presented and providers begin to dismiss them regardless of the importance Admission, transfer, discharge system - Solution system integrated with other admit and clinical systems and tracks a patients activities and looking from hospital or clinic The relationship of standardized terms to financial reward r/t meaningful use - Solution The implementation of standardized terminology within an EHRS is essential for health-care organizations to met the criteria of meaningful use. The goal of meaningful use - Solution To exchange clinical structured data in a manner that is accurate and complete to improve care in a cost effective way. Classification system - Solution Used to categorize the details of a clinical encounter. Ex: NANDA, CPT, NIC, ICD-10, CCC, LONIC reference terminology - Solution A set of concepts with definitional relationships. Necessary to analyze data, develop EBP, and improve quality of care. Ex: SNOWMED-CT, ICNP SNOWMED-CT - Solution Globally recognized, controlled healthcare vocabulary, that provides a common language for electronic health applications to exchange data. Sharing data across health specialties and site of care. "EPIC-to-Cemer" - Solution Interface exist? ICNP (International Classification for Nursing Practice) - Solution Point of care reference terminology. Related specifically to nursing diagnosis, outcomes, intervention statments. NANDA - Solution The first terminology to be recognized by the ANA Standardized terminology supports the development of? - Solution Decision support software

data mining - Solution The process uses software to look for hidden patterns and relationships in large data sets. Health Level 7 (HL7) - Solution Standards for the exchange of clinical data and how the data are coded. SWOT analysis - Solution Strengths, weaknesses, opportunities and threats. Helps identify gaps in the current system. SWOT is used in what phase of the information system life cycle? - Solution Evaluation 1)Needs Assessment phase of the systems development life cycle (SDLC)

• Solution Determines needs and wants in a information system AKA gap analysis. 2)System selection phase in the system development life cycle (SDLC) - Solution The organization seeks out a vendor company that provides a system the best fit needs. 3 documents used (Request for information (RFI), request for proposal (RFP), request for quote (RFQ) documents. 3)System implementation phase in the sytem development life cycle (SDLC) - Solution Go live planning, TRAIN STAFF, analyst builds screens and templates according to organization and policies, apply changes to that organization, GO LIVE 4)Maintenance Phase of the systems development life cycle (SDLC) - Solution Problem solving, debugging, files back up routinely and install and system upgrades, make sure it's working as intended. Integration - Solution Different information systems are able to exchange data in a fashion that is seamless to the end user. Interoperability - Solution Ability of 2 entities human or computer to exchange and predictably use data or info while retaining the original meaning of that data Interface (user) - Solution Computer programs that tells two different systems how to exchange data.

Phases of the project management life cycle (PMLC) - Solution 1. Design/plan 2.implementation

3. monitor and control
4. evaluation
5. lessons learned with knowledge transfer Phase one of the project management cycle DESIGN - Solution includes the creation and development of tools needed to manage the project: scope and charter documents guide how system will be implemented. Scope Creep - Solution Unapproved change in a project, which can cause serious delays or even project failure Gap analysis - Solution used to identify needed changes in the current workflow once moving to the new system. With change, many feelings can be observed including resistance, and feelings of loss similar to what theory? - Solution Kubler ross's theory of grief Lewin's Change Theory - Solution unfreezing, changing, refreezing Project implementation team/committee - Solution Interdisciplinary team that plans, tests, and trains. The project team needs to be actively involved as end users. The implementation committee tasks - Solution Develop plan (WBS), Committee should represent ALL disciplines. Super User - Solution Members of the implementation committee, who's sole purpose is to support end users. Nurses role in informatics - Solution Project manager, provides oversight of the 5 phases of EHRS implementation, facilitates communication personal health record (PHR) - Solution 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.

The use of EHRS results in - Solution 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. Stage 1 requirements for meaningful use - Solution 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 MU stage 2 requirments - Solution 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. Meaningful use - Solution 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. All states have implemented HIEs with the oversight of - Solution ONC- HIT

Audit trial - Solution Software used for detecting problems, and flaws in apps by recording activity by users and systems privacy - Solution 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. Confidentiality - Solution Refers to a situation in which a relationship has been established, and private information is shared but not disclosed. Trojan Horses - Solution 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. HIPAA - Solution 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. HITECH ACT - Solution Authorized incentive payments for early adopters and lead to the development of MU criteria. Security Rule - Solution 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. Information Security - Solution Occurs when realized that information has value and requires protection. Determines the survivability of the system. Security measures - Solution 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 Firewalls - Solution A barrier created from software and hardware designed to block unauthorized access while permitting authorized communications

Physical restrictions - Solution 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 HIPAA introduces new threats including - Solution Email and instant messaging may cary PHI that can be intercepted Mobile computing should require: - Solution Authentication encryption to safeguard information Phishing - Solution Attempt to steal sensitive information via the internet Merit-based Incentive Payment System (MIPS) - Solution Combines physician quality reporting system (PQrS) and medicare EHRS that will measure based on quality, resource use, clinical practice improvement and MU of EHRS technology. QSEN Institue - Solution Identified quality and safety competencies for nurses that fit well with an informatics culture. Patient centered care, teamwork, EBP, quality improvement, safety and informatics. Value - Solution diagnostics and treatment options were based on value of those test and treatments to patient and organizational outcomes. Knowledge workflow - Solution A primary reason nursing participation is essential on the implementaiton team At risk pt. safety factors - Solution Medication accuracy, Critical lab values Which act mandated the barcode medication Administration - Solution FDA Who do you call for a medication reschedule - Solution Pharmacy Informatics Advantages - Solution Improved records improved data collection

Prompts to improve documentation improved safety with better pt. identification, decision support, and tracking Improved communication and access to information Telemedicine - Solution use of medical information exchanged from one site to another via electronic communications to improve health status. EX: videoconferencing Telehealth - Solution The use of telecommunication technologies and computers to provide healthcare info and services to patients at another location. Telenursing - Solution Evaluates the outcomes of NURSING CARE using technology Synchronous connected health - Solution Bidirectional communication between patients and healcare providers. VIDEOCONFERENCING, TELESTROKE, TELEPSYCH, ROBOTIC Asynchronous apps - Solution STORE AND FORWARD-radiographic images, photos, videos! Non clinical telehealth - Solution EX: research/data mining, grand rounds, remote education, and expert in situation. legal challenges - Solution 1. Credentialing and privileging

2. online prescribing
3. malpractice liability
4. licensing of drs
5. Informed consent and privacy
6. Internet bandwidth Emerging trends - Solution Digital hospital front doors, Amazon hosted EHRs, Artificial intelligence, voice assistants. Culture of safety - Solution 1. Being a commitment of resources
7. Cross collaboration
8. BLAME FREE ENVIRONMENT

blame free environment - Solution Encourages reporting of errors or near misses. Focuses on systematic view of errors rather than individual causation. With which act in 2009 did MU originate? - Solution ARRA Data governance - Solution 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. 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? - Solution SWOT When developing a new clinical workflow, what is one of the first steps? - Solution recruit Continutity of Care - Solution 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. 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) - Solution c. Implement standard capturing tools for reporting quality data in the electronic Health record (EHR) 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 - Solution c. Data sources are shared with the EHR providing CDS d. Multiple data sources with adequate information exchange 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 - Solution c. Subject matter expert, developer and usability tester 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 - Solution a. Implementation 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 - Solution a. Home medication entry 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 - Solution a. In the order entry tab 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 - Solution a. Order summary tab

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 - Solution a. In the scanned documents section or media tab what describes an example of opt in or opt out choice regarding the disclosure of personal health information - Solution HIPAA You are contacted by a confused user because their legend changes on the screen they go into, would you tell them? - Solution The screen symbols change on each screen depending on the activities done Ways to protect providers personal mobile devices? - Solution Upgrade malware programs and updates What should providers have on their personal mobile devices? - Solution passwords Which is a physicians clinical informatics assessment? - Solution Labs and clinical values What facility first used BMCA: - Solution The veterans hospital of topeka, kansas If your patients barcode bracelet is not working and you need to pass meds you would? - Solution Check the armband for damage, change the armband if necessary What happens in the second stage of meaningful use? - Solution 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. 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 - Solution d. Predictive monitoring Which is an accurate statement regarding alerts in the electronic health record? a. The alerts are added to the EHR by the vendor to prevent lawsuits b. The alerts should be ignored if there are to many which can become distracting c. An alert indicates an immediate or potential adverse event that can occur d. An alert is an audit trail of items that are deleted from within the EHR. - Solution c. An alert indicates an immediate or potential adverse event that can occur The hospital announced its integration engine has stopped functioning. What does this mean for system interoperability throughout the organization? a. Nurses will have to search the EHR for any new patient data b. VS will need to be entered manually c. The data can still flow between operations d. Lab results will continue to post in a timely manner - Solution b. VS will need to be entered manually What describes the concept of interoperability within a healthcare organization? a. It is the storage of patient encrypted data in large data warehouses b. It refers to charting during a surgical procedure c. It receives data in a timely manner in the patients record d. It is the ability to correctly interpret data across systems - Solution d. It is the ability to correctly interpret data across systems What is a continuity of care document? - Solution A document that is integrated with the electronic health records to provide the sharing of data with multiple users Why does systemized nomenclature of medicine (SNOMED)international use standardized terminology? a. To allow translation of foreign languages between systems b. To ensure clinical terminology in one system correlates to those in another system c. To ensure the correct medications are administered

d. To allow software vendors to easily design electronic medical records (EHR) - Solution b.To ensure clinical terminology in one system correlates to those in another system This is a purpose or reason for an organization's existence a.The plan b.The objective c.The mission d.The goal - Solution c.The mission Which is not an emerging trend in healthcare? a.Less consumer accountability b.A push for patient saftey c.Error reduction - Solution a.Less consumer accountability This is the development of a comprehensive long range plan of guiding the activities and operations of an organization: a.Futuristic goals b.Actively blueprint c.Scheme preparation d.Strategic planning - Solution d.Strategic planning What is not a reason why its important that selection committee board member understand software and electronic process: a.It can affect success or failure of the project b.They often determine budget allocations c.It can impact business goals d.They will need to become trained on the system - Solution d.They will need to become trained on the system Strategic planning is driven by all except: - Solution Short term goals What is not a national trend r/t sng informatics? a.CPOE b.Barcode for meds c.Blogging as a means to give shift report - Solution c.Blogging as a means to give shift report During which phase of the informatics system life cycle should the musts and wants be determined?

a.Needs assessment b.System implementation c.Maintenance d.System selection - Solution a.Needs assessment This defines the detail of collaborative effort: a.Project scope b.Proposal strategy c.Project plan d.Activity guide - Solution a.Project scope 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 - Solution a.Present system design to management Not a phase of information system life cycle: a.Needs b.System implementation c.Selection d.Evaluation - Solution ?notagoodQ A common request contained request for information document includes a: a.Cost analysis b.Company history c.Hardware and software list d.Execution timeline - Solution b.Company history What is the objective of user acceptance testing of a health information system - Solution 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. 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 - Solution Quality reporting should have better documentation, fewer medical errors, cost saving and improved care coordination.

A nurse informaticist uses tools and methods to influence the change management process. which change theories? - Solution Theory applied to informatics - Lewin's Change Theory what are statements examples of the use of evidence-based guidelines in clinical informatics? - Solution 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. what is an objective of user acceptance testing of a health information system? - Solution 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. Where to document allergies in EHR? - Solution Allergy list A nurse is entering a verbal medication order and encounters a warning the entry is a duplicate. Which action does the nurse take? - Solution Call the MD or Pharmacy An informatics nurse is developing a web based application for patient care. Which statement accurately describes the internet? - Solution Unregulated networks of networks 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? - Solution Sign out and back in Which statement best describes nursing informatics? - Solution Uses nursing knowledge along with information and communication technology to promote the health of individuals, families and entire populations Which statement describes the application of meaningful use? - Solution 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. When developing a new clinical workflow what is one of the first steps? - Solution Recruit What is a technical safeguard ephi. Only allow access to authorized uses?

• Solution Access control, audit controls integrity, person or entity, authentication transmission security ?? 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 - Solution Facility access controls Workstation use Workstation security Device and media controls USB port locks What describes the relationship between meaningful use and merit based?
• Solution Reimbursement What are the maximum penalties for refraining from full participation in the mips in years 2017 through 2024? MIPS penalty for failing to comply? - Solution 4-9% What is a physical safeguard of ePHI.? - Solution Workstation use Workstation security device and media controls USB port locks What is a technical safeguard of ePHI? - Solution Assess control Audit control integrity person or entity Authentification transmission security What meaningful use stage can you generate and transmit rx electronically? - Solution Stage 3 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. c.The project was completed on time. d.The customer's needs were met. - Solution d.The customer's needs were met. What is a goal of the health information exchange (HIE)? a.To allow insurance companies and providers to be able to share data b.To enable the coordination of services for providers and patients c.To eliminate service duplication at all levels of care d.To grant patients access to downloading a portal for providers - Solution a.To allow insurance companies and providers to be able to share data What Is used to evaluate a health information system (HIS)? a.The inpatient quality reporting program b.The technology informatics guiding education reform c.The use of syndromic surveillance d.The electronic medical record adoption model - Solution d.The electronic medical record adoption model What are the expected outcomes of interoperable systems? a.Error reduction, revenue improvement, and increased communication b.Strategic planning consolidation and evidenced-based care c.Documentation of patient safety, improved staffing, and automated admissions d.Surgical suite automated and improved reports - Solution a.Error reduction, revenue improvement, and increased communication Which informatics competency supports the adoption of a medication administration system? a.Change management b.Ability to develop a spreadsheet of controlled drugs c.Knowledge of pharmacy vendors d.Leading a systems integration team - Solution a.Change management What do informatics and computational science have in common? a.Both fields are interdisciplinary. b.Both fields are combined in the healthcare environment. c.Both fields involve data retrieval from standardized health systems.

d.Both fields involve working with people and technology - Solution a.Both fields are interdisciplinary. Which two care settings would benefit the most from employing a nurse informaticist? 2 answers a.A freestanding laboratory b.A correctional facility with a clinic c.A healthcare organization planning a physical expansion d.A homeless shelter - Solution b.A correctional facility with a clinic c.A healthcare organization planning a physical expansion Which two practice environments employ informatics nurses? Choose 2 answers. a.A stem cell laboratory b.A certified human milk bank c.A clinical systems vendor d.A medical device manufacturer - Solution c.A clinical systems vendor d.A medical device manufacturer Informatics nurses support the quality reporting. What are two quality reporting characteristics informatics nurses practice? Choose 2 answers. a.Managing data, information, and knowledge b.Providing patient support c.Developing tools and methods d.Maintaining organizational databases - Solution a.Managing data, information, and knowledge c.Developing tools and methods Duplicate orders cause quality issues in patient care. What helps to resolve this problem? a.Providing training and reminders b.System overrides c.Alerts to patients d.Chart review - Solution a.Providing training and reminders Which two tools are used to change a clinical workflow? Choose 2 answers. a.Spreadsheets b.Scorecards c.Observation

d.Swim lane charts - Solution c.Observation d.Swim lane charts 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 - Solution a.Enlist feedback from staff or users 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 - Solution b.In the standing physician's orders for a sepsis diagnosis What Is an output of systems analysis? a.Usability testing scripts b.Iterative code c.Project charter d.Technical requirements - Solution d.Technical requirements 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 - Solution a.To allow the electronic health record (EHR) to capture and share data

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. - Solution a.Certified information technologies provide the necessary functions to enable eligible providers to be compensated. d.MU is used by inpatient and outpatient facilities. 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 - Solution a.To engage patients and families in their healthcare 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 - Solution b.Current procedural terminology (CPT) 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) - Solution d.Health Information Technology for Economic and Clinical Health Act (HITECH) 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 - Solution 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 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 - Solution c.To support the system in a given unit and assist users with functionality and procedural issues 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. - Solution d.It improves communication among healthcare providers to improve patient care. 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 - Solution b.To explore the nature of knowledge and its components, development, and use What Is the main purpose of standardized nursing terminologies? a.They are a requirement for billing. b.They allow uniformity and easier retrieval of nursing-related data. c.They make documentation easier and take less time. d.They support the retrieval of common patient issues. - Solution b.They allow uniformity and easier retrieval of nursing-related data. What reduces and organizes terms for easier searches? a.Harmonic series b.Multiaxial taxonomies c.Monoaxial taxonomies d.Taxonomic vocabularies - Solution d.Taxonomic vocabularies What describes message format standards? a.To ensure the communication of part or all of the electronic health record (EHR) b.To map proprietary layouts to one another to more easily accomplish the exchange of data c.To describe markup languages used in exchanging documents d.To ensure data is structured the same way for the two applications exchanging data - Solution d.To ensure data is structured the same way for the two applications exchanging data A provider electronically orders blood work at a laboratory. The provider must ensure the local lab system can properly communicate with the provider's system for the results to be usable. Which is the correct term that would be found in these systems? a.Logical observation identifiers names and codes (LOINC) b.Current procedural terminology (CPT) c.Systematized nomenclature of medicine-clinical terms (SNOMED-CT) d.Advanced encryption standard (AES) - Solution a.Logical observation identifiers names and codes (LOINC) What Is the mission of the Health Level Seven (HL7) organization? a.To enable the federal government to issue provisions and to regulate developed standards

b.To set the standards for the equipment used in hospitals and in all areas including medical, pharmacy, and nursing c.To allow to efficiently meet the goals of a global market, assessing and improving the quality of products covered by its standards d.To provide a comprehensive framework and related standards for the exchange, integration, sharing, and retrieval of electronic healthcare information - Solution d.To provide a comprehensive framework and related standards for the exchange, integration, sharing, and retrieval of electronic healthcare information Match the correct definition with the vocabulary. Answer options may be used more than once or not at all. Select your answers from the pull-down list. Technical interoperability: The ability to exchange the data from one point to another Semantic interoperability:The exchange of data in which the meaning remains the same on both ends of the transaction Process interoperability:Coordinates systems enabling business processes at the organization(s), and allowing the systems to work together Interoperability:The ability of two or more systems to pass information between them and use the exchanged information - Solution A patient is being admitted to the hospital, and the nurse is obtaining a medical history from the patient. When asking the patient for a list of her medication, the patient replies,"I already gave the ER information on my medication. Can you not look it up?" Which action should this nurse take? a.The nurse should call the ER and ask the patient's previous nurse for a list of the patient's medications. b.The nurse should call the patient's emergency contact on the chart to acquire the patient's home medications. c.The nurse should review the home medication section in the hospital's electronic health record (EHR) to see if the information has been added and reviewed. d.The nurse should ask the patient for her preferred pharmacy to obtain the list. - Solution c.The nurse should review the home medication section in the hospital's electronic health record (EHR) to see if the information has been added and reviewed.

A patient is being transferred to a trauma hospital in the area. The current hospital uses a different electronic health record (EHR)than the receiving hospital. 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. - Solution 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. 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 - Solution c.A printed document with detailed, supplemental information 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 - Solution d.The EHR requires the dose verification and sign-off of another nurse