Questions and Answers
The nurse enters the client's vital signs and assessment into the electronic health
record at the nurse's station. Which of the following systems does this best describe?
Clinical documentation system
Order entry system
Case management system
Pharmacy management system - Answer- Clinical documentation system
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Any clinical data collected at the bedside goes into a clinical documentation system.
An electronic health record is one example of this. Order entry systems are used to
send order information to other departments. Case management systems are used
to create care plans or pathways. Pharmacy management handles information
related to medication orders.
For healthcare information systems to work more efficiently, they must have ______
This enables the systems to _________ data without the need for data entry or
special interfaces. For this to be successful, data must be _____ to ensure accurate
transfer. - Answer- Interoperability
Send and Receive
Standardized
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Which phrase best describes the ability to use a video conferencing application on a
cell phone?
Information literacy
Technology literacy
Health literacy
Innate knowledge - Answer- Technology literacy
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Technology literacy is the best way to describe someone's ability to utilize a video
conferencing application on a cell phone. Information literacy would better describe
how that information travels through the mobile device. Health literacy is about
understanding healthcare issues. Innate knowledge is the knowledge someone
already has.
Match the task to the system that is needed: - Answer- Submit a bill for
reimbursement
Business Systems
Document the vital signs of a client
Pateint care support systems
Request dressing supplies to change a dressing
, Order entry services
Check the activity level on a client care pathway
Case management systems
Leave a message with the provider about a client
Communications systems
Check for x-ray results
Patient care support systems
Review staffing resources for the unit
Business Systems
Check if deep vein thrombosis (DVT) prophylaxis is recommended after surgery
Case management system
Order physical therapy services
Order entry services
Answer a call light from the nurse's station
Communications
The informatics nurse is setting up a new instant messaging system for the unit.
Which of the following statements by the nurse administrator indicates further
information is needed?
"It is required that the staff sign up and use the system."
"It's easy to use, no training will be needed."
"This will be used instead of the current messaging system that is in place."
"It should be HIPPA compliant to prevent sensitive data from being viewed by
unauthorized staff." - Answer- "It's easy to use, no training will be needed."
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Anytime a new system is implemented, it is important to define where it will be used,
who will have access, and that it is secure. Training should always be offered
because many staff members have different understand and ability to use a new
communication system and may need assistance. Failure to train can result in less
system usage and more workarounds.
Which of the following are advantages of a clinical documentation system? Select all
that apply.
The information is more accurate than when using a manual chart.
The same chart can be used by multiple professionals at the same time.