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Handbook of Informatics for Nurses & Healthcare Professionals, 7th Edition by Toni L. Hebda Melod
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y Rose Kathleen Hunter Patricia Czar
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Chapter 1-20 st




Chapter 1 st An Overview of Informatics in Healthcare
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1) Healthcare today should address the Quintuple Aim. What of the following best demonstrates h
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ow healthcare information technology might be used to help address disparities in care?
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A) Collect data elements that could be used to identify vulnerable individuals
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B) Use collected data to identify vulnerable individuals
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C) Incorporate GPS locators into predictions st st st st


D) A and B st st st


Answer: st s t


D
Explanation: A) Many demographic and other relevant data elements are/or could easily be colle
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ct that could be used to identify vulnerable individuals.
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B) Collected data can be used and leveraged to identify vulnerable individuals.
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C) Location may be an indicator of risk but zip code alone does not indicate vulnerability. Other f
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actors that include familial predisposition, occupational risks, economic level, personal health ha
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bits, living conditions, and community support all factor into determination of vulnerability.
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D) Both A and B together comprise the best response.
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Page Ref: 1-2 st st


Cognitive Level: Applying st st st


QSEN Grad. Competencies: A3, B1st st s t st st


AACN Essen. Competencies: 8.1g,h; 8.2i; 8.3g
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2) Which of the following best reflects benefits realized from the use of health information t
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echnology?
A) Improved safety, improved efficiencies, decreased clinician documentation times
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B) Improved safety, improved efficiencies, improved charge capture, improved communication
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C) Improved safety, improved efficiencies, improved protection of personal health information
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D) Improved safety, improved efficiencies, significant reduction in costs for care, improved
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protection of patient information st st st


Answer: B s t s t


Explanation: A) HIT can result in improved safety through measures such as positive patient ide
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ntification and may improve efficiencies but clinician documentation burden is an issue seen with
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poorly designed and poorly used systems.
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B) HIT can result in improved safety through positive patient identification, alerts, and similar
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measures. HIT may improve some efficiencies such as improved charge capture and shortened r
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evenue cycle and theoretically improves communication.
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C) HIT can result in improved safety and improved efficiencies in some respects but despite safe
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guards to protect patient health information it also increases vulnerabilities in some respects.
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D) Despite its promise to significantly reduce costs for care costs associated with the purchase and m
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aintenance of HIT, among other U.S. issues have not resulted in significant reduction in costs for care
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.
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,Cognitive Level: Applying st st st


QSEN Grad. Competencies: A1,4; C1,5
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AACN Essen. Competencies: 8.1j,k; 8.2 I; 8.3i; 8.4g
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3) In which ways can health information technology support the learning health system?
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A) Incorporation of evidence- st st


based practice and big data findings to provide care interventions that are proven to be effective
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B) Real-time analysis of data st st st


C) Integration of devices and the data that they collect to inform care decisions st st st st st st st st st st st st


D) All of the above st st st st


Answer: D s t


Explanation: A) Big data findings supplement EBP often providing information and knowledge i
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n a more timely fashion.
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B) Real-
time analysis of data can be particularly useful when healthcare delivery systems and providers ar
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e facing challenges that are new to them as was seen with the emergence of a body of knowledge re
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lative to the impact of COVID and most successful treatment modalities.
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C) Data streams from all relevant sources provide a more complete picture.
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D) A combination of research and big data findings from a myriad of sources that is analyzed in r
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eal time provides a quick turnaround to support, and further improve, care delivered.
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Page Ref: 3-4 st st


Cognitive Level: Applying st st st


QSEN Grad. Competencies: A5; B8, 9, 11; C1, 2 A
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ACN Essen. Competencies: 8.1g; 8.2f; 8.3j; 8.4f
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4) Which of the following are considered necessary components to create a learning or informatics cu
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lture? Select all that apply.
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A) Standardized languages and terminologies st st st


B) Data in digital format st st st


C) Interoperability and data sharing st st st


D) Prerequisite information knowledge and skills st st st st st


Answer: A, B, C, D s t st st st


Explanation: A) Standardized languages and terminologies ensure that concepts maintain a unifo
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rm meaning across settings and the ability to generalize results.
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B) Data in digital format is conducive to electronic capture, storage, analysis, transmission, and r
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e-use.
C) In order to have value data must be shareable which is best attained when systems are i
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nteroperable.
D) Computer, information, and (for the consumer), health literacy are foundational skills in the le
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arning health system where data, information, and knowledge are constantly generated as a result of c
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are processes as well as the integration of research findings to support best practices for patient care.
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Page Ref: 9-13 st st


Cognitive Level: Knowledge st st st


QSEN Grad. Competencies: A5; B2, 11; C1, 4 AA
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CN Essen. Competencies: 8.1g; 8.2i; 8.4g
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, 5) When asked to explain what the SAFER Guides are and their relevance for HIT what should the inf
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ormatics nurse first know? st st st


A) SAFER Guides are a resource provided by the Centers for Medicare and Medicaid to guide r
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eimbursement.
B) SAFER Guides are a resource provided by the Consortium of Vendors for selection of HIT.
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C) SAFER Guides are a resource provided by the ONCHIT to ensure best practices for HIT i
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mplementation and use. st st


D) SAFER Guides are the result of a report by the Commonwealth Fund to improve U.S. health o
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utcomes.
Answer: C st s t


Explanation: A) SAFER Guides have nothing to do with reimbursement although the Centers for
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Medicare and Medicaid added them to ensure an ongoing focus on improving interoperability and p
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atient access to health information.
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B) SAFER Guides complement tools and research developed by the Agency for Healthcare
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Research and Quality and the ONCHIT, not from vendors.
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C) The SAFER acronym stands for Safety Assurance Factors for EHR Resilience and are therefore int
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ended to guide implementation practices and use for HIT, and EHRs in particular.
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D) SAFER Guides having nothing to do with the Commonwealth Fund reports.
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Page Ref: 6
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Cognitive Level: Applying st st st


QSEN Grad. Competencies: B1, 12
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AACN Essen. Competencies: 8.1g,h; 8.4f,k
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6) A large healthcare organization is planning to implement a new electronic health record. What s
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hould be considered when selecting this system?
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A) Whether training is required st st st


B) Nursing staff documentation requirements are the top priority
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C) The organization needs to meet multiple competing demands
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D) Integration with laboratory and pharmacy would be nice st st st st st st st st


Answer: C s t


Explanation: A) No evidence supports limiting training on the system.
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B) Every department in a large healthcare organization has an essential role in patient care.
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C) The healthcare organization today is a complex system faced with multiple, competing
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demands.
D) Every department in a large healthcare organization has an essential role in patient care.
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Page Ref: 1-2
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Cognitive Level: Applying st st st


QSEN Grad. Competencies: GA1, GA3 AA
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CN Essen. Competencies: 8.1k. 8.3e, 8.3g
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