WGU D220 Test 1 Questions and Answers with Complete Solutions 2024

information - data that has been interpreted (trending) You put data together to get information ex: Blood pressure quality information - supports best practice in the translation of nursing science to the point of care by providing high-quality and cost effective care data integrity - ability to collect, store, and retrieve correct, complete, and current data so it will be available to authorized users when needed computer literacy - familiarity with the use of personal computers, including the use of software tools such as word processing, spreads sheets, databases, presentation graphics and email ex: looking things up on the web and finding information information literacy - ability to recognize when information in needed as well as the skills to find, evaluate, and use needed information correctly forms basis of ongoing learning health literacy - degree to which individuals can obtain, process, and understand basic health information and services needed to make appropriate health decisions instructor lead training - A: flexible, easy to update, can include demonstration, allows for individual help, can test proficiency D: often relies on lecture, increase in class size will decrease effectiveness of demonstrations, consistency varies with trainer, difficult to maintain pace good for all computer based training - A: self- paced, interactive, increased retention- used technology to teach technology, 24 hour availability, can be offered online or off line, can be done in increments, facilitates mastery learning, emulates "real" system without threat of harm WGU D220 Test 1 Questions and Answers with Complete Solutions 2024 D: time and labor intensive to develop and revise, requires great attention to accompanying materials, limited usefulness of vendor supplied materials that are not specific to customization, lacks the flexibility of access to an actual information system- only programmed options can be tried web based training - A: can be accessed form an networked PC, provides 24 hour availability, easily updated and revised, may allow user to bookmark and return to the same spot, can test proficiency D: requires knowledgeable webmaster, requires an existing intranet that can be accessed by all employees on job training - A: individualized, permits immediate application, can test proficiency D: trainer often does not know educational principles, may lose productivity of two workers, seasoned employees may pass on poor habits, difficult to achieve with many interruptions data management - controls the collection, storage and retrieval and use of data; optimizes accuracy, safeguards data data storage - can be done on/offline offline storage - CD, DVD, thumb drive, USB online storage - information saved to an online network; often the computer system will trigger you to perform an online storage -Provides access to current data -Used rapid, high-speed hard disks drives or storage space allocated on the network -if your computer crashes and you lose data it is still online Should I store online or offline? - Immediacy of need for particular data is a key factor in determining whether it is stored online or offline Informatics nurse (IN) - an RN with experience but no formal education in the area—shown aptitude of electronic medical records Informatics nurse specialist (INS) - an EN with advanced graduate education in the IT area may have ANCC certification data cleansing (scrubbing) - software that will internally clean up data inconsistencies within a system. Essential to data warehousing. Why? Abbreviations may not mean the same thing from one database to another. Default fields may create problems. Data cleansing/data scrubbing - use of a software that improves quality of data by checking for inconsistencies and duplications and make sure it is accurate enough for use in data mining and warehousing-also called data scrubbing. example could be comparing abbreviations using software to ensure standardized language. software checking for inconsistencies ex1: prompt to enter allergies not filing medication order until allergy field has been entered ex2: drug omission report to show any medications that have been omitted system checks - mechanism provided by a computer system to assist users by prompting them to complete a task; verify information or prevent entry of inappropriate information data mining - a technique that uses software to look for hidden patters in a system --this is the knowledge management tool that engages software to uncover inter- relationships within large data sets --Data mining looks at groups of patients, or populations to identify trends and document problems such as fall risks --Used in huge population to seek large treatments End user - healthcare workers who use an information system to view or document client information user class - group of individuals who perform similar functions, and for the purpose of information system training and use, require instruction on how to access and use the same set of system features super user - staff person who has become proficient in the use of the system and mentors others information security - protection of confidential information against threats to its integrity or inadvertent disclosure Entry- level core competencies - -The beginning of nurse focuses primarily on developing and using skills that rely upon the ability to retrieve and enter data in an electronic format that is relevant to patient care, the analysis and interpretation of information as part of planning care. -The use of informatics applications designed for nursing practice and the implementation of policies relevant to information Basic computer literacy including the ability to use basic desktop applications and electronic communication -Ability t o use IT to support clinical and administrative process, which presumes information literacy to support evidence based practice -Ability to access data and perform documentation via computerized patient records -Recognition of the role of informatics in nursing The individual has advanced preparation in information management and possess the following skills: - -Proficiency with informatics applications to support all areas of nursing practice including: quality improvement activities, research, project management, system design, development, analysis, implementation, support, maintenance, and evaluation -Fiscal management -Integration of multidisciplinary language/ standards of practice -Skills in critical thinking, data management and processing, decision making, and system development and computer skills -Identification and provision of data for decision making The informatics nurse specialist - -Possesses a sophisticated level of understanding and skill in information management and computer technology -Demonstrating most of the competencies seen at the previous three levels -Innovator who sees the broad vision of what is possible and how it may be attained -Conducts informatics research and generate informatics theory roles includes: project management and administration Radiology - -Allows direct order entry or accepts orders from other systems -Providers scheduling of diagnostic tests -Generates client instructions -Permits transcription of results -Provides picture archiving and transmission of images and tracking of film -Generates charges once procedures done HIPAA applies to: - -Health care provider: --Doctor --Nurses --Nursing homes -Health plan: HMO, PPO, Medicare -Healthcare clearinghouses -Any health care provider who electronically transmit any health information in connection with transactions for which HHS has adopted standards How and with what can we ensure the quality of online information? - source credentials privacy - a state of mind, freedom from intrusion or control over the exposure of self or of personal information confidentiality - a situation in which a relationship has been established and private information is shared with the expectation that it will not be re-disclosed What is the history of telehealth - -interest declined with a decrease in funding during 1980s -technical developments in recent years makes telehealth feasible -the military developed applications that feed images from the battlefield for the treatment of casualties and robotics equipment for surgery 1996 telecommunications Act: telephone services were able to compete with each others markets -US government sponsored efforts -NSAS -Military -Indian health services - underserved --populations -Grant monies -State- sponsored efforts -Healthcare for inmates → if dangerous could use video conferencing -Telehealth has been around for decades and began with the use of telephone consults nurse licensure compact - -Need for professional licensure in both sites -Participating states "recognize" the licensure of the original state in which the nurse practices eliminating the need to be licensed in the second state -Currently recognized in approximately half of the states -Supported by the national council of state boards of nursing -Ex: Arkansas telehealth nurses must practice with the Arkansas State Board of Nursing's standards of nursing practice. Nurses who have their primary license in Arkansas are apart of the licensure compact. This allows nurses to practice in 24 states under the same license. telehealth - use of telecommunication technologies and computers to exchange healthcare information telenursing - use of computer technology and telecommunications for the delivery of nursing care Teletherapy - the use of interactive video conferencing to provide therapy and counseling telecare - the remote delivery of healthcare services into the persons home facilitate d by communication technologies that include the use of person centered reactive monitoring devices teleconsultation - Teleconsultation: videoconferencing between two healthcare professionals or healthcare professional and a client e-care - provision of health information, products, and services online as well as the automation of administrative and clinical aspects of care delivery e- health - term used interchangeable with telehealth How does computer literacy differ from information literacy? - computer literacy is the basic personal What is the main goal for using technology in Healthcare today? - increased patient safety The nurse gathers much data when caring for clients; which is an example of the higher-level "information" useful in caring for clients? - after receiving Rocephin 1.0g IV yesterday, the client has a decreased temperature & reported feeling better (information is data that is interpreted and explained - decreased temp has been interpreted) Which statement regarding pressures that drive the Healthcare delivery system today is not accurate? - Nursing shortage can be eliminated by instituting technology enhancements in acute care settings To be able to process data into information, it is important to: - have quality data No agreement exists among health care groups in the US regarding a common electronic data interchange standard. This statement is true because of which of the following - Experts have not yet finished the discussion phase leading to an agreement Which of the following is an example of data cleansing/scrubbing? - Abbreviations are compared using software to ensure standard language is used -looking for inconsistencies Which example is the most appropriate use of data mining? -looks for hidden problems - to document quality improvement when problems are identified and targeted on a medical-surgical unit Which of the following is considered a threat to information quality? - Not verifying information as correct prior to entry into the computer Which of the following is an example of a system check? - The nurse asks clients to verify their names when prompted by the computer system Security is an important issue for all websites. Which measure best protexts the overall security of a health-based website? - Constructs separate firewalls for each web server What are the advantages of telehealth? Select all that apply. - A. Decreased travel time or distance B. Ease of reimbursement for costs-NOT this one C. Immediate access to care D. Early detection of disease processes or health issues E. Ownership of healthcare and feeling of empowerment All are correct except B Which of these home health clients is least suited for telehealth services? - A 54 year old client with congestive heart failure who is developing new onset chest pain Teleheath is a tool that allows health care professions to do which of the following? Select all that apply. - A. Approved the overall quality of the client's record B. Assess and monitor clients C. Tackle isolation and loneliness D. Decrease hospital visits for clients with chronic conditions E. Extend scarce health care resources Which of the following are considered to be appropriate uses of telenursing? Select all that apply. - a. Making follow-up calls b. Obtaining test results c. Checking biometric measurements d. Telephone triage One major barrier to telehealth was removed with the passage of the Telecommunications Act of 1996. Which of the following was the outcome of removing this barrier? - Vendors of cable and telphone services were allowed to compete in each others' markets Which statement is true regarding telehealth? - Clients may stay within their own community to be assessed and treated, lowering potential costs Which of the following is not considered an issue pertaining to the practice of telenursing? - Nurses must be certified in telehealth nursing Which of the following statements is true about telehealth? - Telehealth can be used to treat prisoners Over 40 years, the US government played a major role in the development and promotion of telehealth through various agencies. Which of the following was the first telehealth service provided? - Telephone consultations Which of these are true about using automated pharmacy systems? - Individual patient data is made available to pharmacist with up to date information about allergies Which of the following methods should not be considered when planning training programs that may alleviate anxiety among staff? - Inhibiting from voicing concerns Which of thee is an advantage of implementing as CPOE system? - Each department is notified simultaneously as orders are processed through the system Medication errors have been on the ride over the past decease. A national initiative to minimize or eliminate the errors can be supported through which of the following responses? - The bar codes of the clients identification bracelets and prescriptions medication are scanned and compared Which of the following can be used with CISs to allow information entry and retrieval at the point of car or whenever is needed by heath care professional? - Mobile and wireless technology Information systems interact to provide checks and alerts throughout medication ordering and admin process. Which of the following are steps in this process in which bar codes are utilized for medication ordering and adeministration? - Bar code on patient's ID bracelet is scanned Which of these is the best example of a monitoring system? - A bedside monitor automatically transfers patient information into the computer system and alerts the nurse of any abnormal values A proficiency examination is planned to ensure that employees have the required knowledge to use a new electronic medical record(EMR) system. What is the most appropriate method of demonstrating proficiency? - Use of computerized, scenario based questions and specific actions the learner must complete are employees who are proficient in the use of the information system and can serve as mentors to others in their department. - Super-users How can the trainer create an environment in which the staff will retain the information? - Train when employees do not have clinical duties Protected health information is covered under HIPPA's privacy rule whether - true Which of the following measures should organizations take to protect PHI? - - Keep medical records in supervised or locked area -Require passwords to access computerized medical records -Put policies in place that prohibit employees from looking at records unless it is required for their job Email is an efficient means of disseminating information quickly and inexpensive. However, HIPPA regulations affect email use and routing infrastructures. When may potentially sensitive information be sent via email? - E-mail is sent encrypted A certified nursing assistant at a local nursing home logs on to the facility's clinical information system. The CAN can only see information about the clients that were assigned by the registered nurse for that day. The CAN cannot see financial data regarding any of the assigned clients. The situation is an example of which of the following? - access levels