verified answers
3 types of clinical information systems Ans✓✓✓ Laboratory system, Order entry
system, and Monitoring system
A benefit of EHR is that it can provide patient support. Example of a patient
support Ans✓✓✓ Patient education material such as reducing sodium intake
A common request contained in a request for information (RFI) document
includes what Ans✓✓✓ company history
A computer program was implemented at a hospital that required nurses to wait
until the patient arrived in the emergency room and was registered into the
program before orders for critical time-sensitive treatment could be written.
How could this program become a barrier to the nurses attempting to deliver
patient-centered care? Ans✓✓✓ The time spent waiting for the program to
register the patient could delay critical care being delivered in a timely manner.
A local medical clinic is attempting to develop an electronic health record (EHR)
system.
Which challenges should the organization anticipate? Ans✓✓✓ -Identifying data
needs for differing nursing practice specialties
-Implementing standardization of documentation across physician offices
A nurse is administering a new medication to a patient who has never taken this
medication in the past. The patient is already taking seven different medications
at this time.
,What nursing intervention should the nurse do before administering this
medication? Ans✓✓✓ Review the drug-to-drug-allergy check in electronic health
record.
A nurse is reviewing a patient's pneumonia vaccination status in the electronic
medical record. The nurse determines the patient needs this vaccine before
discharge to meet the requirements of a current clinical pathway. Why would the
nurse use Information systems in this manner? Ans✓✓✓ To promote desired
clinical outcomes
A nurse is working on a medical surgical unit and is concerned over a patient's
worsening heart failure. The nurse calls the provider to discuss the assessments.
How does the electronic medical record facilitate a collaborative discussion in this
situation? Ans✓✓✓ -The provider can visualize the chest xray remotely
-The provider has access to the data being discussed
A nurse learns that a colleague has accessed electronically stored health
information of a patient that the colleague is not involved in treating. What
should the nurse do? Ans✓✓✓ Report the colleague to their employer
A nurse manager identifies several advanced practice nurses at an ICU
workstation responding to multiple patient alarms. She notices that the acuity of
one patient drastically increases the demand for staff resources.
How can workflow analysis impact practice in this situation? Ans✓✓✓ It provides
observation and documentation of what is happening in the current environment.
A nurse manager views patient data collected over the last three months of
hospital admissions. Trends show that nosocomial infections have increased on
the geriatric unit.
,What actions can patient data facilitate quality improvement in the future?
Ans✓✓✓ -Using the data to implement evidence based practice procedures
-Using the data to monitor infection trends
A nurse receives a computerized alert of a critical lab value on her patient. This
computerized alert informs the nurse that an action needs to be taken and
provides suggestions for clinical intervention.
Which technology did the nurse employ to achieve an enhanced safe practice
environment? Ans✓✓✓ Use of a clinical decision support tool
A nurse uses an internet blog to give a patient shift report to a nurse coming on
the next shift.
Why is this nursing action a problem? Ans✓✓✓ -Giving a nursing report via blog
does not meet HIPAA requirements
-Healthcare Information discussed on the blog violates a patient's privacy.
A nursing Informatics specialist at a small, rural hospital implemented a clinical
information system utilizing and electronic health record (EHR). She obtained
input from nurses regarding selection of the specific EHR. She noted that some of
the nurses had negative attitudes towards a change to the EHR, but she
encouraged them to try the system and note its benefits. She implemented the
system after all nurses were trained about the EHR. There were numerous
complaints about the EHR, which the Nursing Informatics Specialist decided to
ignore since the personnel were new to the system.
Which barrier to implementing technology is present in the scenario? Ans✓✓✓
Lack of continued support
, A patient is in the ICU after a motorcycle accident. The patient sustained multiple
contusions and fractures. Various digital monitoring devices are being used to
track the patient's vital signs, pulse oximetry, and cardiac rhythm.
How can the appropriate use of these technologies impact this patient's
outcome? Ans✓✓✓ -Decreased Recovery time
-Timely treatment of potential complications
A registration system is also commonly refereed to as Ans✓✓✓
admission/discharge/transfer (ADT) system
A student is behind on morning medication administration. The instructor is
pressuring the student to pass quickly without any errors. One of the clients
assigned to the student's care asks for pain medication.
Which nursing intervention is questionable? Ans✓✓✓ Computer scan the meds
and come back later to administer them.
**Not questionable
-Call the charge nurse for assistance
-Double check dose of pain medication with another nurse
-Use PDA to look up rate of infusion for intravenous pain medication
Accessibility, ubiquity, longevity, and reusability Ans✓✓✓ The development of
Standardized Terminologies in nursing informatics is driven by the following
principles
Administration in an acute care clinic is considering adopting a health information
system. A team is formed with members of clinical areas, software vendors, and
an executive team of stakeholders.