NURSING 272 EXAMINATION 1 (NUR 272) EXAM
QUESTIONS AND ANSWERS
Informatics - ANSWER>>use information and technology to communicate,
manage knowledge, mitigate error, and support decision making
Health Informatics - ANSWER>>discipline that uses technology to sort, process,
organize and retrieve information in healthcare so it can be shared among
providers and consumers. Focus is on providing optimal care for patients.
Health care information system (HIS) - ANSWER>>group of systems/programs
used within an organization to support and enhance healthcare.
examples of HIS - ANSWER>>Clinical Information Systems
Administrative Information Systems
Nursing Information Systems
Clinical Information Systems - ANSWER>>programs used for lab, radiology,
pharmacy, social work, providers, therapies and nurses. Disciplines can enter and
communicate data and coordinate patient care.
Examples of clinical information systems - ANSWER>>The EHR
EMR
Clinical Decision Support System within the EHR/EMR
Monitoring Systems
Order Entry Systems
The EHR - ANSWER>>central component of the health informatics infrastructure.
Can be shared among multiple facilities/agencies.
,EMR - ANSWER>>individual health record within a facility. disciplines within a
facility record patient information for that visit.
Clinical Information Systems are used most often for - ANSWER>>documentation
Clinical decision Support System - ANSWER>>within the EHR/EMR. Those
documenting may see reminders, alerts, prompts, reports, links which help make
clinical decisions at the point of care. supporting information is evidence based.
example of clinical decision support system - ANSWER>>allergy- penicillin and
alerts for that allergy. What should I do with this information?
Monitoring System - ANSWER>>record information directly into EMR
example of monitoring systems - ANSWER>>a patients VS are automatically
monitored while in the ICU. this information is automatically recored to the EHR.
Order Entry Systems - ANSWER>>Allows disciplines to order supplies from
another department. Providers place orders for patient care.
Administrative Information Systems - ANSWER>>Program to input patient
information for appointments, staff scheduling, etc.
Nursing Informatics - ANSWER>>technology to manage and communicate using
nursing practice
Nursing Information Systems - ANSWER>>Type of Clinical information System.
Allows nurses to document, view data, access information to help make decisions.
Organizes documentation path in user friendly format
Nursing Clinical Decision Support Systems - ANSWER>>Clinical Decision Support
System specific to nursing. Supporting information is evidence based.
,Links information
Alerts, warnings
example of links information - ANSWER>>you identified your patient as a smoker.
information on smoking cessation is available.
example of alerts, warnings - ANSWER>>1) the nurse does a fall risk assessment
on a patient and the score is low indicating a fall risk. Fall risk interventions are
automatically added to the patients nursing intervention list.
2) Before you order medications for your patient (as ordered by the physician), an
alert appears on the screen identifying the patients allergies
Standardized information systems and terminology - ANSWER>>for nursing, the
standardized terminology is ANAs Nursing Process and the approved NANDA
language for nursing diagnosis. This standard language eliminates confusion when
records are shared.
policies and procedures are - ANSWER>>set up by the government when
implementing an EHR
Certified System - ANSWER>>doesn't mean every hospital has the same system,
but certain components must by present.
CMS (Centers for Medicare and Medicaid) payment - ANSWER>>Must show
meaningful use to receive payment. By 2009, or you fo not get payment.
Privacy and security - ANSWER>>measures to prevent EHR's from being viewed by
just anyone. use log-in codes, firewalls, auto sign-off modes etc.
HIPPAA - ANSWER>>Health Insurance Portability and Accountability Act is
legislation that provides data privacy and security.
HIPPAA is a - ANSWER>>meaningful use item
, People and workforce - ANSWER>>must have the right skills set and
competencies.
Nurses - ANSWER>>provide input, work in sales and implement systems, can
become a certified as an Informatics Nurse
By-in - ANSWER>>when implementing an EHR there may be reluctance. need to
educate staff on the potential of technology. also need to train staff how to use it.
Basic computer - ANSWER>>word processing, presentations, browsing, use of
databases etc.
Competencies of by-in: - ANSWER>>basic computer
information literacy
information management
information management - ANSWER>>how to use and navigate an EHR and keep
it secure
Informatics concept to health care - ANSWER>>has the potential to improve the
quality, safety, and efficiency of health care for all.
-better communication, increased safety, reduced errors, decreased cost and
time, better access to information for comparison/trends/education, quality of
documentation is better
Informatics concept to nursing - ANSWER>>-increased job satisfaction because
more time spent with patients
-patients can share information with family which increases coordination of care
Interrelated Concepts with Informatics - ANSWER>>-Critical thinking, clinical
reasoning, and clinical judgement
-leadership
QUESTIONS AND ANSWERS
Informatics - ANSWER>>use information and technology to communicate,
manage knowledge, mitigate error, and support decision making
Health Informatics - ANSWER>>discipline that uses technology to sort, process,
organize and retrieve information in healthcare so it can be shared among
providers and consumers. Focus is on providing optimal care for patients.
Health care information system (HIS) - ANSWER>>group of systems/programs
used within an organization to support and enhance healthcare.
examples of HIS - ANSWER>>Clinical Information Systems
Administrative Information Systems
Nursing Information Systems
Clinical Information Systems - ANSWER>>programs used for lab, radiology,
pharmacy, social work, providers, therapies and nurses. Disciplines can enter and
communicate data and coordinate patient care.
Examples of clinical information systems - ANSWER>>The EHR
EMR
Clinical Decision Support System within the EHR/EMR
Monitoring Systems
Order Entry Systems
The EHR - ANSWER>>central component of the health informatics infrastructure.
Can be shared among multiple facilities/agencies.
,EMR - ANSWER>>individual health record within a facility. disciplines within a
facility record patient information for that visit.
Clinical Information Systems are used most often for - ANSWER>>documentation
Clinical decision Support System - ANSWER>>within the EHR/EMR. Those
documenting may see reminders, alerts, prompts, reports, links which help make
clinical decisions at the point of care. supporting information is evidence based.
example of clinical decision support system - ANSWER>>allergy- penicillin and
alerts for that allergy. What should I do with this information?
Monitoring System - ANSWER>>record information directly into EMR
example of monitoring systems - ANSWER>>a patients VS are automatically
monitored while in the ICU. this information is automatically recored to the EHR.
Order Entry Systems - ANSWER>>Allows disciplines to order supplies from
another department. Providers place orders for patient care.
Administrative Information Systems - ANSWER>>Program to input patient
information for appointments, staff scheduling, etc.
Nursing Informatics - ANSWER>>technology to manage and communicate using
nursing practice
Nursing Information Systems - ANSWER>>Type of Clinical information System.
Allows nurses to document, view data, access information to help make decisions.
Organizes documentation path in user friendly format
Nursing Clinical Decision Support Systems - ANSWER>>Clinical Decision Support
System specific to nursing. Supporting information is evidence based.
,Links information
Alerts, warnings
example of links information - ANSWER>>you identified your patient as a smoker.
information on smoking cessation is available.
example of alerts, warnings - ANSWER>>1) the nurse does a fall risk assessment
on a patient and the score is low indicating a fall risk. Fall risk interventions are
automatically added to the patients nursing intervention list.
2) Before you order medications for your patient (as ordered by the physician), an
alert appears on the screen identifying the patients allergies
Standardized information systems and terminology - ANSWER>>for nursing, the
standardized terminology is ANAs Nursing Process and the approved NANDA
language for nursing diagnosis. This standard language eliminates confusion when
records are shared.
policies and procedures are - ANSWER>>set up by the government when
implementing an EHR
Certified System - ANSWER>>doesn't mean every hospital has the same system,
but certain components must by present.
CMS (Centers for Medicare and Medicaid) payment - ANSWER>>Must show
meaningful use to receive payment. By 2009, or you fo not get payment.
Privacy and security - ANSWER>>measures to prevent EHR's from being viewed by
just anyone. use log-in codes, firewalls, auto sign-off modes etc.
HIPPAA - ANSWER>>Health Insurance Portability and Accountability Act is
legislation that provides data privacy and security.
HIPPAA is a - ANSWER>>meaningful use item
, People and workforce - ANSWER>>must have the right skills set and
competencies.
Nurses - ANSWER>>provide input, work in sales and implement systems, can
become a certified as an Informatics Nurse
By-in - ANSWER>>when implementing an EHR there may be reluctance. need to
educate staff on the potential of technology. also need to train staff how to use it.
Basic computer - ANSWER>>word processing, presentations, browsing, use of
databases etc.
Competencies of by-in: - ANSWER>>basic computer
information literacy
information management
information management - ANSWER>>how to use and navigate an EHR and keep
it secure
Informatics concept to health care - ANSWER>>has the potential to improve the
quality, safety, and efficiency of health care for all.
-better communication, increased safety, reduced errors, decreased cost and
time, better access to information for comparison/trends/education, quality of
documentation is better
Informatics concept to nursing - ANSWER>>-increased job satisfaction because
more time spent with patients
-patients can share information with family which increases coordination of care
Interrelated Concepts with Informatics - ANSWER>>-Critical thinking, clinical
reasoning, and clinical judgement
-leadership
