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NR599: Final Exam with Complete Solution
1. Ethical Decision Making: -Process that requires striking a balance between science and morality.
-Making informed choices about ethical dilemmas based on a set of standards ditterentiating right from wrong.
2. American Nurses Association- Code of Ethics for Nurses with Interpretive
Statements.: provides specific guidance for ethical decision making and provides a valuable framework that can be used when working with HIT
3. Bioethical Standards: Autonomy, freedom, veracity, privacy, beneficence, and fidelity are maximally
appropriate to the health care setting.
4. Autonomy: The right to choose for himself or herself; respecting the clients opinions, perspectives, values and
beliefs.
5. Freedom: The ability of an individual to act independently, without coercion or constraint in ones choice and
action
6. veracity: Being completely truthful with patients; a patients right to truth.
7. privacy: The right to be left alone when you want to be, to have control over your own personal possessions, and not to
be observed without your consent
8. Beneficence: Actions performed that contribute to the welfare of others; Action of doing good or right by and for
the patient.
9. Fidelity: Right to what has been promised; keeping to one's promise.
10. Telehealth: Use of electronic information and telecommunications technologies to support long-distance
2 / clinical health care, patient and professional health-related education, public health and health administration. Technologies include videoconferencing, the internet, store-and-forward imaging, streaming media, and terrestrial and wireless communications.
11. Telemedicine: Remote clinical health services
12. mHealth (Mobile Health): -The practice of medicine and public health supported by mobile devices
such as mobile phones, tablets, personal digital assistants and the wireless infrastructure. -The use of wireless communication to support eflciency in public health and clinical practice.
13. Mobile Medical Applications (Apps): -Accessories to a regulated medical device or are a
software that transforms a mobile platform into a regulated medical device. -Facilitates mHealth
14. Medical Devices: Any equipment, instrument, implant, material, or apparatus used for the diagnosis,
treatment, or monitoring of patients.
15. Rationale APP is NOT Considered Medical Devices: Apps that are not intended for
use in the diagnosis of disease or other conditions, or in the cure, mitigation, treatment, or prevention of disease.
16. FDA Oversight for Medical Devices: -Regulatory body that oversees mobile apps that are
medical devices and whose functionality could pose a risk to a patient's safety if the mobile app were to not function as intended. -Also oversee the cybersecurity management of these devices as well as the hospital network security.
17. (POC) Point of Care: Testing and diagnosis at the patient's side and can be conducted anywhere the
patient is, such as the home, physician oflce, ambulance, or hospital bedside
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27. Components of Risk Based E/M Coding: History; Physical; Medical Decision Making
28. Medical Decision Making (MDM): 1 of 3 components to establishing E/M codes; way of
quanti- fying the complexity of thinking that is required for the visit.
29. 3 key elements to medical decision making: risk, data, and diagnosis
30. Reimbursement Coding: -Claims and documentation filed by providers using medical diagnosis and
procedure codes.
5 / -Assigned contingent upon data input from clinical team members based on a summative review of the clinical record by trained coders.
31. Clinical Support Tools: -Found in EHR software that when applied ettectively, can enhance patient care
quality and outcomes, improve eflciency, and help to ensure regulatory compliance. -Process designed to aid directly in clinical decision making, in which characteristics of individual patients are used to generate patient specific interventions, assessments, recommendations, or other forms of guidance for clinicians, patients, and others involved in care delivery.
32. Alert Fatigue: Main challenge to ettective implementation of CDS Tools
33. Primary Goal of CDS Tools: leverage data and the scientific evidence to help guide appropriate
decision making.
34. Workflow: -Term used to describe the action or execution of a series of tasks in a prescribed sequence.
-The progression of steps (tasks, events, interactions) that constitute a work process, involve two or more persons, and create or add value to the organization's activities. -Used interchangeably w/ process or process flows;
35. Workflow Analysis: -Study of the way work (inputs, activities, and outputs) moves through an organiza-
tion. -Observation and documentation of workflow to better understand what is happening in the current environment and how it can be altered
36. Sequential Workflow: each step depends on the occurrence of the previous step
37. Parallel workflow: two or more steps in a process can occur concurrently.
