,Chapter 15: Information Technology in the Clinical Setting
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Cherry & Jacob: Contemporary Nursing: Issues, Trends, and Management, 7th
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Edition
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MULTIPLE CHOICE hg
1. Consumers are concerned with security issues related to their confidential health
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information being placed in an electronic health record (EHR). However, when the security
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of the EHR is compared with that of paper-and-pencil records, the EHR is:
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a. more secure. hg
b. less secure. hg
c. equivalent.
d. not comparable with the paper-and-pencil record.
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ANS: A hg
Computer-based patient record systems, such as EHRs, provide better protection than hg hg hg hg hg hg hg hg hg hg
paper-based systems. The EHR allows only authorized users to view data, and access
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to records can be audited for inappropriate use.
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DIF: Comprehension REF: h g p. 271 hg
2. During a search for the term informatics, when the nurse finds the domain ―.edu,‖ the site is
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affiliated with a(n):
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a. government agency. hg
b. commercial site. hg
c. educational institution hg
d. Internet service provider. hg hg
ANS: C hg
The domain of an educational institution is .edu.
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DIF: Knowledge REF: h g p. 276 hg
3. When paper-and-pencil medical records are compared with computer-based records:
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a. paper-and-pencil records provide controls to determine who has viewed the health hg hg hg hg hg hg hg hg hg hg
information.hg
b. information contained in a paper-and-pencil record has the capability of hg hg hg hg hg hg hg hg hg
being more in-depth than that found in computer-based records.
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c. patients have the right to know that the confidentiality of their records is
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strictly maintained, regardless of the type of medical record used.
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d. patients must sign for each item of information released on the computer record.
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ANS: C hg
Regardless of the type of record used, the Health Insurance Portability and Accountability Act
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(HIPAA) protects the confidentiality of the patient‘s medical information and imposes legal
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consequences for those who breech confidentiality.
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DIF: Comprehension REF: h g p. 271 hg
,4. A nurse is preparing a scholarly publication on the prevalence of hepatitis A worldwide.
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The most efficient and effective means of conducting an Internet search to gather
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information for this publication is to use:
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a. a search engine such as Google or Yahoo.
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b. a consumer health website.
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c. a decision support system.
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d. MEDLINE database. hg
ANS: D hg
MEDLINE is one of the scientific and research scholarly databases, and it would be the most
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appropriate for use in gathering information for a scholarly publication.
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DIF: Comprehension REF: h g p. 276 hg
5. A consumer is learning about electronic health records at a local health fair and states, ―I am
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worried that someone can read my health information and I really don‘t understand the
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difference between privacy and confidentiality.‖ The nurse explains that an example of
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confidentiality would be:
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a. a pledge that states, ―I will hold matters pertaining to my patients in strict
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intimacy.‖
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b. a patient who does not tell the physician that he has been treated for a
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sexually transmitted disease.
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c. a teenager who sustains a broken arm and in the emergency department
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and withholds information about her use of recreational drugs.
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d. locking medical records in cabinets to prevent unauthorized users from
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accessing patient information.
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ANS: A hg
Confidentiality is keeping private the personal information that was given to a health care
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provider, unless others have a legitimate need to know.
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DIF: Application REF: h g p. 271 hg
6. A physician has installed a computer-based patient records system. An outside care
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provider who requests medical information must obtain the patient‘s signed consent and
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then is assigned a password to gain access to the medical information. A monthly audit is
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conducted to determine for whom and for what purpose patient records have been
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accessed. This protection is referred to as:
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a. privacy.
b. confidentiality.
c. security.
d. data capture. hg
ANS: C hg
Security is the limitation of access to health care information through passwords and other
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precautions.
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DIF: Comprehension REF: h g p. 271 hg
, 7. A nurse walks up to a computer in the hallway and presses the index finger to the sensor,
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thereby gaining access to patient data. A few moments later another nurse performs the
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same steps and is granted access. A visitor who is watching from a room walks over and
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places the index finger on the sensor, only to receive an ―error and access denied‖
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message. Security is being maintained by:
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a. robot technology. hg
b. biometric technology. hg
c. telehealth.
d. ubiquitous computing. hg
ANS: B hg
Biometric fingerprint identification uses personal characteristics to allow access to health
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information.
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DIF: Comprehension REF: h g p. 277 hg
8. A nurse who is teaching a class to introduce telehealth to the staff would include
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which example?
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a. A robot performs menial housekeeping chores for an invalid patient.
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b. A computer software program alerts the nurse or physician who is reviewing
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orders that an order for a new drug can cause synergy of the theophylline
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inhaler.hg
c. A physician speaks into a computer, and the admission history is recorded
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and saved in the patient file.
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d. While a patient in Wyoming performs peritoneal dialysis, a nurse watches
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remotely from California to ensure that all steps are being followed
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correctly.
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ANS: D hg
Telehealth is the delivery of care to a patient who is at a distance from the health care
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provider.
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DIF: Application REF: h g p. 273 hg
9. An advanced practice nurse inputs into a computer software program the following
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clinical manifestations: open wound with tibia exposed, petechial hemorrhage, and
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temporary loss of consciousness. The computer diagnosis of fat emboli is generated by a
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system known as:
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a. decision support. hg
b. telehealth.
c. robotic technology. hg
d. biometric technology. hg
ANS: A hg
Decision support systems are computer-based information systems that include
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knowledge-based systems designed to support clinical decision making.
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DIF: Comprehension REF: h g pp. 268-269 hg
10. A nurse is preparing a presentation using different websites to collect information. The
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nurse is concerned that contact information and the author‘s credentials are not listed for
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one of the websites reviewed. Which criterion required to establish a reputable website is
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missing?
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a. Authority
b. Objectivity
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Cherry & Jacob: Contemporary Nursing: Issues, Trends, and Management, 7th
hg hg hg hg hg hg hg hg hg
Edition
hg
MULTIPLE CHOICE hg
1. Consumers are concerned with security issues related to their confidential health
hg hg hg hg hg hg hg hg hg hg
information being placed in an electronic health record (EHR). However, when the security
hg hg hg hg hg hg hg hg hg hg hg hg hg
of the EHR is compared with that of paper-and-pencil records, the EHR is:
hg hg hg hg hg hg hg hg hg hg hg hg hg
a. more secure. hg
b. less secure. hg
c. equivalent.
d. not comparable with the paper-and-pencil record.
hg hg hg hg hg
ANS: A hg
Computer-based patient record systems, such as EHRs, provide better protection than hg hg hg hg hg hg hg hg hg hg
paper-based systems. The EHR allows only authorized users to view data, and access
hg hg hg hg hg hg hg hg hg hg hg hg hg
to records can be audited for inappropriate use.
hg hg hg hg hg hg hg hg
DIF: Comprehension REF: h g p. 271 hg
2. During a search for the term informatics, when the nurse finds the domain ―.edu,‖ the site is
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affiliated with a(n):
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a. government agency. hg
b. commercial site. hg
c. educational institution hg
d. Internet service provider. hg hg
ANS: C hg
The domain of an educational institution is .edu.
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DIF: Knowledge REF: h g p. 276 hg
3. When paper-and-pencil medical records are compared with computer-based records:
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a. paper-and-pencil records provide controls to determine who has viewed the health hg hg hg hg hg hg hg hg hg hg
information.hg
b. information contained in a paper-and-pencil record has the capability of hg hg hg hg hg hg hg hg hg
being more in-depth than that found in computer-based records.
hg hg hg hg hg hg hg hg hg
c. patients have the right to know that the confidentiality of their records is
hg hg hg hg hg hg hg hg hg hg hg hg
strictly maintained, regardless of the type of medical record used.
hg hg hg hg hg hg hg hg hg hg
d. patients must sign for each item of information released on the computer record.
hg hg hg hg hg hg hg hg hg hg hg hg
ANS: C hg
Regardless of the type of record used, the Health Insurance Portability and Accountability Act
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(HIPAA) protects the confidentiality of the patient‘s medical information and imposes legal
hg hg hg hg hg hg hg hg hg hg hg hg
consequences for those who breech confidentiality.
hg hg hg hg hg hg
DIF: Comprehension REF: h g p. 271 hg
,4. A nurse is preparing a scholarly publication on the prevalence of hepatitis A worldwide.
hg hg hg hg hg hg hg hg hg hg hg hg hg
The most efficient and effective means of conducting an Internet search to gather
hg hg hg hg hg hg hg hg hg hg hg hg hg
information for this publication is to use:
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a. a search engine such as Google or Yahoo.
hg hg hg hg hg hg hg
b. a consumer health website.
hg hg hg
c. a decision support system.
hg hg hg
d. MEDLINE database. hg
ANS: D hg
MEDLINE is one of the scientific and research scholarly databases, and it would be the most
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
appropriate for use in gathering information for a scholarly publication.
hg hg hg hg hg hg hg hg hg hg
DIF: Comprehension REF: h g p. 276 hg
5. A consumer is learning about electronic health records at a local health fair and states, ―I am
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
worried that someone can read my health information and I really don‘t understand the
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
difference between privacy and confidentiality.‖ The nurse explains that an example of
hg hg hg hg hg hg hg hg hg hg hg hg
confidentiality would be:
hg hg hg
a. a pledge that states, ―I will hold matters pertaining to my patients in strict
hg hg hg hg hg hg hg hg hg hg hg hg hg
intimacy.‖
hg
b. a patient who does not tell the physician that he has been treated for a
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
sexually transmitted disease.
hg hg hg
c. a teenager who sustains a broken arm and in the emergency department
hg hg hg hg hg hg hg hg hg hg hg
and withholds information about her use of recreational drugs.
hg hg hg hg hg hg hg hg hg
d. locking medical records in cabinets to prevent unauthorized users from
hg hg hg hg hg hg hg hg hg
accessing patient information.
hg hg hg
ANS: A hg
Confidentiality is keeping private the personal information that was given to a health care
hg hg hg hg hg hg hg hg hg hg hg hg hg
provider, unless others have a legitimate need to know.
hg hg hg hg hg hg hg hg hg
DIF: Application REF: h g p. 271 hg
6. A physician has installed a computer-based patient records system. An outside care
hg hg hg hg hg hg hg hg hg hg hg
provider who requests medical information must obtain the patient‘s signed consent and
hg hg hg hg hg hg hg hg hg hg hg hg
then is assigned a password to gain access to the medical information. A monthly audit is
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
conducted to determine for whom and for what purpose patient records have been
hg hg hg hg hg hg hg hg hg hg hg hg hg
accessed. This protection is referred to as:
hg hg hg hg hg hg hg
a. privacy.
b. confidentiality.
c. security.
d. data capture. hg
ANS: C hg
Security is the limitation of access to health care information through passwords and other
hg hg hg hg hg hg hg hg hg hg hg hg hg
precautions.
hg
DIF: Comprehension REF: h g p. 271 hg
, 7. A nurse walks up to a computer in the hallway and presses the index finger to the sensor,
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
thereby gaining access to patient data. A few moments later another nurse performs the
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
same steps and is granted access. A visitor who is watching from a room walks over and
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
places the index finger on the sensor, only to receive an ―error and access denied‖
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
message. Security is being maintained by:
hg hg hg hg hg hg
a. robot technology. hg
b. biometric technology. hg
c. telehealth.
d. ubiquitous computing. hg
ANS: B hg
Biometric fingerprint identification uses personal characteristics to allow access to health
hg hg hg hg hg hg hg hg hg hg
information.
hg
DIF: Comprehension REF: h g p. 277 hg
8. A nurse who is teaching a class to introduce telehealth to the staff would include
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
which example?
hg hg
a. A robot performs menial housekeeping chores for an invalid patient.
hg hg hg hg hg hg hg hg hg
b. A computer software program alerts the nurse or physician who is reviewing
hg hg hg hg hg hg hg hg hg hg hg
orders that an order for a new drug can cause synergy of the theophylline
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
inhaler.hg
c. A physician speaks into a computer, and the admission history is recorded
hg hg hg hg hg hg hg hg hg hg hg
and saved in the patient file.
hg hg hg hg hg hg
d. While a patient in Wyoming performs peritoneal dialysis, a nurse watches
hg hg hg hg hg hg hg hg hg hg
remotely from California to ensure that all steps are being followed
hg hg hg hg hg hg hg hg hg hg hg
correctly.
hg
ANS: D hg
Telehealth is the delivery of care to a patient who is at a distance from the health care
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
provider.
hg
DIF: Application REF: h g p. 273 hg
9. An advanced practice nurse inputs into a computer software program the following
hg hg hg hg hg hg hg hg hg hg hg
clinical manifestations: open wound with tibia exposed, petechial hemorrhage, and
hg hg hg hg hg hg hg hg hg hg
temporary loss of consciousness. The computer diagnosis of fat emboli is generated by a
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
system known as:
hg hg hg
a. decision support. hg
b. telehealth.
c. robotic technology. hg
d. biometric technology. hg
ANS: A hg
Decision support systems are computer-based information systems that include
hg hg hg hg hg hg hg hg
knowledge-based systems designed to support clinical decision making.
hg hg hg hg hg hg hg hg
DIF: Comprehension REF: h g pp. 268-269 hg
10. A nurse is preparing a presentation using different websites to collect information. The
hg hg hg hg hg hg hg hg hg hg hg hg
nurse is concerned that contact information and the author‘s credentials are not listed for
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
one of the websites reviewed. Which criterion required to establish a reputable website is
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
missing?
hg
a. Authority
b. Objectivity
