Cherry & Jacob: Contemporary Nursing: Issues, Trends, and Management, 7th Edition with Complete Guide.

,Chapter15:InformationTechnologyintheClinicalSetting
g g g g g g g




Cherry &Jacob: Contemporary Nursing:Issues,Trends,andManagement,7th
g g g g g g g g g




Edition
g




MULTIPLECHOICE g




1. Consumers are concerned with securityissues related to their confidential health information being
g g g g g g g g g g g g




placed in an electronic health record (EHR). However, when the security of the EHR is compared
g g g g g g g g g g g g g g g g




with that of paper-and-pencil records, the EHR is:
g g g g g g g g




a. moresecure. g




b. lesssecure. g




c. equivalent.
d. notcomparable with the paper-and-pencil record. g g g g g




ANS: A g




Computer-based patient record systems, such as EHRs, provide better protection than paper- g g g g g g g g g g g




basedsystems. TheEHR allowsonlyauthorized usersto viewdata, andaccess to records can
g g g g g g g g g g g g g g g




be audited for inappropriate use.
g g g g g




DIF: Comprehension REF: p. 271 g g




2. Duringasearchfortheterminformatics,whenthenursefindsthedomain―.edu,‖thesiteis
g g g g g g g g g g g g g g g g




affiliated with a(n):
g g g




a. governmentagency. g




b. commercialsite. g




c. educationalinstitution g




d. Internetserviceprovider. g g




ANS: C g




Thedomain of an educational institution is .edu.
g g g g g g g




DIF: Knowledge REF: p. 276 g g




3. Whenpaper-and-pencil medical records arecompared with computer-based records:
g g g g g g g g




a. paper-and-pencilrecords providecontrolstodeterminewhohasviewedthe health g g g g g g g g g g




ginformation.
b. informationcontained in apaper-and-pencil record hasthe capabilityofbeing more g g g g g g g g g g g




gin-depth than that found in computer-based records. g g g g g g




c. patients havethe right to know that theconfidentialityof their records is strictly g g g g g g g g g g g g g




gmaintained, regardless of the type of medical record used. g g g g g g g g




d. patients must sign foreach item of information released on the computer record. g g g g g g g g g g g g




ANS: C g




Regardless ofthetypeof record used,theHealth InsurancePortabilityand AccountabilityAct g g g g g g g g g g g g g




(HIPAA) protects the confidentiality of the patient‘s medical information and imposes legal
g g g g g g g g g g g g




consequences for those who breech confidentiality.
g g g g g g




DIF: Comprehension REF: p. 271 g g

,4. A nurse is preparing a scholarly publication on the prevalence of hepatitis A worldwide. The most
g g g g g g g g g g g g g g g




efficient and effective means of conducting an Internet search to gather information for this
g g g g g g g g g g g g g g




publication is to use:
g g g g




a. asearch engine such as Google or Yahoo.
g g g g g g g




b. aconsumer health website.
g g g




c. adecision support system.
g g g




d. MEDLINEdatabase. g




ANS: D g




MEDLINE is oneof the scientificand research scholarlydatabases, and it would bethe most
g g g g g g g g g g g g g g g




appropriate for use in gathering information for a scholarly publication.
g g g g g g g g g g




DIF: Comprehension REF: p. 276 g g




5. Aconsumerislearningaboutelectronichealthrecordsatalocalhealthfairandstates,―Iam worried
g g g g g g g g g g g g g g g g g




that someone can read my health information and I really don‘t understand the difference between
g g g g g g g g g g g g g g g




privacy and confidentiality.‖ The nurse explains that an example of confidentiality would be:
g g g g g g g g g g g g g




a. apledgethatstates,―Iwillholdmatterspertainingtomypatientsinstrict
g g g g g g g g g g g g g




intimacy.‖
g




b. apatient who does not tell the physician that hehas been treated for asexually
g g g g g g g g g g g g g g g




transmitted disease.
g g




c. ateenager who sustains a broken arm and in the emergencydepartment and
g g g g g g g g g g g g




withholds information about her use of recreational drugs.
g g g g g g g g




d. lockingmedical records in cabinets toprevent unauthorizedusers from accessing
g g g g g g g g g g




patient information.
g g




ANS: A g




Confidentiality is keepingprivatethe personal information that was given to ahealth care provider, g g g g g g g g g g g g g g




unless others have a legitimate need to know.
g g g g g g g g




DIF: Application REF: p. 271 g g




6. A physician has installed a computer-based patient records system. An outside care provider who
g g g g g g g g g g g g g




requests medical information must obtain the patient‘s signed consent and then is assigned a
g g g g g g g g g g g g g g




password to gain access to themedical information. A monthlyaudit is conducted to determine for
g g g g g g g g g g g g g g g g




whom and for what purpose patient records have been accessed. This protection is referred to as:
g g g g g g g g g g g g g g g g




a. privacy.
b. confidentiality.
c. security.
d. data capture. g




ANS: C g




Securityis thelimitationofaccess to health careinformation through passwords and other
g g g g g g g g g g g g g




precautions.
g




DIF: Comprehension REF: p. 271 g g

, 7. A nurse walks up to a computer in the hallway and presses the index finger to the sensor, thereby
g g g g g g g g g g g g g g g g g g




gaining access to patient data. A few moments later another nurse performs the same steps and is
g g g g g g g g g g g g g g g g g




granted access. A visitorwho is watchingfrom aroom walks over and places the index finger on the
g g g g g g g g g g g g g g g g g g g




sensor, onlyto receive an ―error and access denied‖ message. Securityis being maintained by:
g g g g g g g g g g g g g g g




a. robot technology. g




b. biometrictechnology. g




c. telehealth.
d. ubiquitous computing. g




ANS: B g




Biometricfingerprintidentificationusespersonal characteristicstoallowaccesstohealth
g g g g g g g g g g




information.
g




DIF: Comprehension REF: p. 277 g g




8. A nursewho is teachingaclass to introducetelehealth to thestaff would include which
g g g g g g g g g g g g g g g




gexample?
a. A robot performs menial housekeepingchores for an invalid patient.
g g g g g g g g g




b. A computer software program alerts the nurse or physician who is reviewing orders
g g g g g g g g g g g g




that an order fora new drugcan cause synergyof thetheophylline inhaler.
g g g g g g g g g g g g g g




c. Aphysician speaks into a computer, and the admission historyis recorded and saved
g g g g g g g g g g g g g




in the patient file.
g g g g




d. While a patient in Wyoming performs peritoneal dialysis, a nurse watches
g g g g g g g g g g




remotelyfrom California toensurethat allsteps arebeingfollowed correctly.
g g g g g g g g g g g g




ANS: D g




Telehealth is thedeliveryof careto a patient who is at adistancefrom the health care provider.
g g g g g g g g g g g g g g g g g g




DIF: Application REF: p. 273 g g




9. An advanced practice nurse inputs into a computer software program the following clinical
g g g g g g g g g g g g




manifestations:open woundwithtibiaexposed,petechialhemorrhage, and temporaryloss of
g g g g g g g g g g g g




consciousness. The computer diagnosis of fat emboli is generated bya system known as:
g g g g g g g g g g g g g g




a. decision support. g




b. telehealth.
c. robotic technology. g




d. biometrictechnology. g




ANS: A g




Decisionsupportsystems arecomputer-basedinformationsystemsthatinclude
g g g g g g g g




knowledge-based systems designed to support clinical decision making.
g g g g g g g g




DIF: Comprehension REF: pp.268-269 g g




10. A nurse is preparing a presentation using different websites to collect information. The nurse is
g g g g g g g g g g g g g g




concerned that contact information and the author‘s credentials are not listed for one of the websites
g g g g g g g g g g g g g g g g




reviewed. Which criterion required to establish a reputable website is missing?
g g g g g g g g g g g




a. Authority
b. Objectivity