NURS 142 -Nursing Informatics -ATI
Questions and Answers
Which of the following illustrates the integration of informatics into a health care
system to support cost containment?
A. Offering free wireless internet access to visitors.
B. Installing barcodes on medications with alerts for low supplies.
C. Integrating an electronic health care record on a platform compatible with
computers & tablets. - ANSWER-B
(This illustrates cost containment by allowing inventory management related to
supply & demand, directly affecting management of medication & supply costs.)
Which of the following legislative acts stipulate that clients be allowed to see &
make corrections to their health care records?
A. Health Information Technology for Economic & Clinical Health (HITECH) Act.
B. Health Information Portability & Accountability Act (HIPAA).
C. American Recovery & Reinvestment Act (ARRA). - ANSWER-B
(one privacy rule of HIPAA is to establish client ownership of the health care record
& allow for client-initiated corrections & amendments.)
Which of the following uses of technology would constitute a violation of HIPAA?
A. Sharing a client's lab results with a consulting provider via email on the
healthcare facility intranet.
B. Charting client data on electronic health care record while at the beside with
family members present.
C. Texting a picture of a client's wound from one nurse to another nurse related to
wound care protocol. - ANSWER-C
(This is a violation of client confidentiality due to identifiable client assessment data
shared outside the health care facility. even though the nurse sent the photo to
another nurse related to wound care protocol, this is not acceptable use of
technology and violates HIPAA.)
A health facility recently opened a research department to collect & analyze data
related to improve client outcomes. Which of the following examples represents
integration of technology to support creation of scholarly knowledge?
A. Administration of an online survey for new nurses post-orientation regarding
satisfaction with teaching methods.
B. Electronic collection of healing times of sacral wounds post-hyperbaric treatment,
with and without antibiotic administration.
C. Piloting an instant messaging system between hand-held computers for nursing
& pharmacy. - ANSWER-B
(This supports research through data collection examining and intervention and
comparison intervention. Technology supports the timely & accurate collection &
analysis of data related directly to client outcomes. This helps support the creation
of scholarly knowledge)
, A nurse off duty receives a photo on her cell phone from a fellow nurse who is at
work. The photo shows a celebrity receiving physical therapy. Which of the
following actions should the nurse take first?
A. Make factual notes of the event that occurred.
B. Notify the nursing administration, explaining who sent the photo.
C. Delete the photo. - ANSWER-C
(deleting the photo is the correct action to prevent further violation of HIPAA & is
the first action for the nurse to take)
The Centers for Medicare & Medicaid Services electronically reports specific quality
outcome measures based on data collected from hospitals. These data allow the
public to compare hospitals that...
A. have the best health care providers.
B. have the most up to date surgical services.
C. have a higher percentage of hospital acquired infections. - ANSWER-C
(hospital acquired infection is one of the quality outcome measures publicly
reported by the Centers for Medicare & Medicaid Services -CMS- these measures
hold hospitals accountable for client care & provide useful information to health
care consumers when choosing hospital care)
Which of the following electronic resources should a nurse use to obtain clinical
practice guidelines & interventions to reduce the risk of negative client outcomes
while in a hospital?
A. Center for Disease Conrol (CDC).
B. Agency for Healthcare Research & Quality (AHRQ).
C. Quality & Safety Education for Nursing (QSEN). - ANSWER-B
(AHRQ supports research designed to improve the quality of health care, including
providing evidence-based guidelines.)
A nurse needs to determine the use of technology as an assistive device to facilitate
discharge teaching for a client. Which of the following represents an appropriate
application of technology in this situation? (select all that apply)
A. Using transltion software for a Spanish speaking client who has a new diagnosis
of acute renal failure.
B. Providing instruction for access to the facility's free wireless internet.
C. Supplying the link to a website with a video demonstrating home care for client
after a knee arthroplasty.
D. Explaining the use of automatic email reminders to increase medication
compliance.
E. Accessing an iPad to review side effects of medications with a client. - ANSWER-
A
C
D
E
(facilitates nurse & client communication regarding discharge teaching through
integration of technology)
Questions and Answers
Which of the following illustrates the integration of informatics into a health care
system to support cost containment?
A. Offering free wireless internet access to visitors.
B. Installing barcodes on medications with alerts for low supplies.
C. Integrating an electronic health care record on a platform compatible with
computers & tablets. - ANSWER-B
(This illustrates cost containment by allowing inventory management related to
supply & demand, directly affecting management of medication & supply costs.)
Which of the following legislative acts stipulate that clients be allowed to see &
make corrections to their health care records?
A. Health Information Technology for Economic & Clinical Health (HITECH) Act.
B. Health Information Portability & Accountability Act (HIPAA).
C. American Recovery & Reinvestment Act (ARRA). - ANSWER-B
(one privacy rule of HIPAA is to establish client ownership of the health care record
& allow for client-initiated corrections & amendments.)
Which of the following uses of technology would constitute a violation of HIPAA?
A. Sharing a client's lab results with a consulting provider via email on the
healthcare facility intranet.
B. Charting client data on electronic health care record while at the beside with
family members present.
C. Texting a picture of a client's wound from one nurse to another nurse related to
wound care protocol. - ANSWER-C
(This is a violation of client confidentiality due to identifiable client assessment data
shared outside the health care facility. even though the nurse sent the photo to
another nurse related to wound care protocol, this is not acceptable use of
technology and violates HIPAA.)
A health facility recently opened a research department to collect & analyze data
related to improve client outcomes. Which of the following examples represents
integration of technology to support creation of scholarly knowledge?
A. Administration of an online survey for new nurses post-orientation regarding
satisfaction with teaching methods.
B. Electronic collection of healing times of sacral wounds post-hyperbaric treatment,
with and without antibiotic administration.
C. Piloting an instant messaging system between hand-held computers for nursing
& pharmacy. - ANSWER-B
(This supports research through data collection examining and intervention and
comparison intervention. Technology supports the timely & accurate collection &
analysis of data related directly to client outcomes. This helps support the creation
of scholarly knowledge)
, A nurse off duty receives a photo on her cell phone from a fellow nurse who is at
work. The photo shows a celebrity receiving physical therapy. Which of the
following actions should the nurse take first?
A. Make factual notes of the event that occurred.
B. Notify the nursing administration, explaining who sent the photo.
C. Delete the photo. - ANSWER-C
(deleting the photo is the correct action to prevent further violation of HIPAA & is
the first action for the nurse to take)
The Centers for Medicare & Medicaid Services electronically reports specific quality
outcome measures based on data collected from hospitals. These data allow the
public to compare hospitals that...
A. have the best health care providers.
B. have the most up to date surgical services.
C. have a higher percentage of hospital acquired infections. - ANSWER-C
(hospital acquired infection is one of the quality outcome measures publicly
reported by the Centers for Medicare & Medicaid Services -CMS- these measures
hold hospitals accountable for client care & provide useful information to health
care consumers when choosing hospital care)
Which of the following electronic resources should a nurse use to obtain clinical
practice guidelines & interventions to reduce the risk of negative client outcomes
while in a hospital?
A. Center for Disease Conrol (CDC).
B. Agency for Healthcare Research & Quality (AHRQ).
C. Quality & Safety Education for Nursing (QSEN). - ANSWER-B
(AHRQ supports research designed to improve the quality of health care, including
providing evidence-based guidelines.)
A nurse needs to determine the use of technology as an assistive device to facilitate
discharge teaching for a client. Which of the following represents an appropriate
application of technology in this situation? (select all that apply)
A. Using transltion software for a Spanish speaking client who has a new diagnosis
of acute renal failure.
B. Providing instruction for access to the facility's free wireless internet.
C. Supplying the link to a website with a video demonstrating home care for client
after a knee arthroplasty.
D. Explaining the use of automatic email reminders to increase medication
compliance.
E. Accessing an iPad to review side effects of medications with a client. - ANSWER-
A
C
D
E
(facilitates nurse & client communication regarding discharge teaching through
integration of technology)
