WGU-C790 EXAM QUESTIONS |GUARANTEED PASS

WGU-C790 EXAM QUESTIONS |GUARANTEED PASS What is a major reason to install a clinical decision support system within healthcare information technology - ACCURATE ANSWERS It reduces errors How does a clinical decision support system that uses ANSI and WEDI support a culture of safety - ACCURATE ANSWERS By standardizing healthcare information ANSI: American National Standard Institute WEDI: Workgroup for Electronic Data Interchange Why do healthcare facilities favor purchased information systems over organization-developed information systems? - ACCURATE ANSWERS System enhancements are provided What step in the project implementation of the electronic health record relies heavily upon the ability of the super users? - ACCURATE ANSWERS Manage go-live activities and post go-live support Which stage of the planning phase provides the high-level direction needed to reach organizational goals? - ACCURATE ANSWERS Strategic Planning What initiates the life cycle of an information system - ACCURATE ANSWERS Identification of a vision or need Place the implementation steps of the electronic health record life cycle in order from first to last - ACCURATE ANSWERS 1. Identify the problem/ need, obtain approval and proceed with the project 2. Discover and understand the details or the need of the project 3.Build, test and integrate system components 4.Complete system test and then deploy the solution As a crucial part of the whole information technology (IT) infrastructure (hardware, software, networks, operations, etc.) of the organization, this step in the project implementation must be aligned with the organization's mission and support the overall business goals. Which part of the project implementation plan would this be? - ACCURATE ANSWERS Strategic planning What is the correct order of the phases of an adaptive system development life cycle with six core processes and multiple iterations? - ACCURATE ANSWERS 1. Identify the problem and obtain approval 2. Plan and monitor project 3. Discover and understand details 4. Design system components 5. Build, test, and integrate system components 6. Complete system tests and deploy the solution Which system development life cycle approach does the waterfall model describe? - ACCURATE ANSWERS A Sequential approach During which phase of the system development life cycle (SDLC) are new components and programs obtained and installed? - ACCURATE ANSWERS Develop or purchase As the implementation phase of the system development life cycle (SDLC) is occuring, a member of the project management team wants to confirm that all bar code printers have been updates to work with the new system. What testing should be used? - ACCURATE ANSWERS Hardwire testing The nursing team has been charged with selecting a new information system for managing patient census data. Which system should be chosen? - ACCURATE ANSWERS Open system An institution is using the (SDLC) adaptive approach for developing its new information system. The institution will need to be flexible throughout development. Which SDLC approach should be used? - ACCURATE ANSWERS Agile Development A physician's office wants to adopt an electronic medical record. The providers and staff are unsure which system will best suit the needs of the office. Which system development life cycle approach suits this practice? - ACCURATE ANSWERS Adaptive A complex healthcare system is implementing a new electronic health record system with multiple sites. The sites include both inpatient and outpatient clinics. Which SDLC is appropriate for this institution? - ACCURATE ANSWERS Layered Which interdisciplinary team role will a chief information officer undertake when implementing a health information system? - ACCURATE ANSWERS Chair of the information steering committee Who focuses on the enterprise, surrounding environment, resources, quality issues, and business processes to support direct patient care delivery? - ACCURATE ANSWERS Administrator Which groups are responsible for standards development during the implementation of a health information system? - ACCURATE ANSWERS Physicians Pharmacist Registered Nurses A project manager working with the surgery department at a local hospital wants to increase revenue by 20% within three years capturing lost charges. The current supply charge process is evaluated and found to be dysfunctional. An automated dispensing system is identifies as a possible solution. It is projected this system will pay for itself in six months. Which step in the tactical planning process is taking place? - ACCURATE ANSWERS Feasibility Study An electronic medical record project has been implemented. The executive team has approved the system and signed for payment to the vendor. The information technology manager has verified that items on the issues list have been resolved. In which phase is the project management team working? - ACCURATE ANSWERS Closing the project An electronic health record project quality team is preparing to present a benefit-cost analysis comparing two systems for the project manager. Which phase of project management is described? - ACCURATE ANSWERS Planning What is the name of the group of people who work together to coordinate the implementation of electronic health record (EHR) project? - ACCURATE ANSWERS Steering Committee The information technology department of the local hospital has implemented the Academic Center for Evidence-Based Practice (ACE) Star Model of Knowledge Transformation to assist nursing staff to care for patients with methicillin-resistant Staphylococcus aureus more effectively. Which point of the ACE Star Model of Knowledge Transformation is least useful in clinical decision making when using evidence-based practice to problem solve? - ACCURATE ANSWERS Discovery research A nursing informatics nurse is assisting with testing the upgraded messaging system that was added to the electronic health record. Which test should be used? - ACCURATE ANSWERS Integrated testing The informatics nurse completes a strengths, weaknesses, opportunities, and threats (SWOT) analysis of the organization's electronic health record related to medication errors. The issue involves the spelling of certain medications. Which component of SWOT analysis is applicable given the risk to patients? - ACCURATE ANSWERS Threats A nursing administrator wants to change practices in the electronic health record to reduce duplication of documentation. The nursing administrator decides to use the STEEP model as the foundation for the project. Which principle of this model should be used to guide the implementation of the change? - ACCURATE ANSWERS Use flow sheets to replace narrative documentation A hospital is setting up a Patient Online Portal for patients to monitor health and request services. The portal is being set up because patients have heard from friends and family about how useful and easy the innovation is, or they have used it at other organizations and now expect it to be available everywhere. Which change process perspective is being demonstrated? - ACCURATE ANSWERS Diffusion of innovation How will a nursing educator implement the most rigorous approach to evidence summary? - ACCURATE ANSWERS By using systematic review What is defined as a recommendation intended to optimize patient care by utilizing basis of a systemic review of evidence and an assessment of the perceived benefits and harms to the patient? - ACCURATE ANSWERS Clinical practice guidelines Which terminologies or classifications are used by multiple disciplines? - ACCURATE ANSWERS 1. Systematized Nomenclature of Medicine (SNOMED) 2. Logical Observation Identifiers, Names, and Codes (LOINC) Which organization provides a database clearinghouse of 1,500 clinical practice guidelines with standardized medical terminology that optimizes patient outcomes? - ACCURATE ANSWERS Agency for Healthcare Research and Quality (AHRQ) What is the relationship between human error and risky behaviors when it comes to patient safety? - ACCURATE ANSWERS They are both types of behaviors that are connected to the "Just Culture" Why are medication errors the most frequent errors in nursing? - ACCURATE ANSWERS The designed work processes in the medication administration cycle leave room for human error. Current Procedural Terminology Classification System - ACCURATE ANSWERS Used for ordering, billing, and reimbursing medical procedures and diagnostic services Systematized Nomenclature of Medicine Clinical Terms - ACCURATE ANSWERS Developed as a nomenclature for pathology; it has been extended to become a highly comprehensive terminology in various applications, including EHRs Logical Observation Identifier Names and Codes terminology - ACCURATE ANSWERS A universal code system for tests, measurements, and observations What does ICNP stand for? - ACCURATE ANSWERS International Classification for Nursing Practice Which standardized clinical terminology provides the official names and standardized codes for laboratory and other clinical observations? - ACCURATE ANSWERS Logical Observation Identifier Names and Codes (LOINC) What system assists in ensuring patient safety by utilizing a computer to collect and manage data? - ACCURATE ANSWERS Database management system A database management system (DBMS) enables a user to store data by organizing the data to be searched and categorized to obtain the information necessary. How does a DBMS help with patient outcomes? - ACCURATE ANSWERS It allows for easy access to data in a timely manner What is the correct order of the knowledge discovery in large data sets (KDD) process? - ACCURATE ANSWERS Identify Obtain Preprocess Apply Interpret A clinician can enter medication and care orders such as laboratory,pathology, radiology, nursing, and supply orders immediately into a computer. Which of the essential components of the electronic health record (EHR) does this scenario describe to ensure patient safety? - ACCURATE ANSWERS Order entry Management What is a feature of the software for smart pumps? - ACCURATE ANSWERS It indicates the facility's infusion parameters and has a drug library that compares normal dosing rates with the rates that are programmed into the pumps. How does the clinical decision support component of the electronic health record improve patient outcomes? - ACCURATE ANSWERS By alerting the nurse to not administer the medication Which are examples of how the clinical decision support function of the electronic health record improve patient outcomes? - ACCURATE ANSWERS 1.By alerting healthcare providers to patient allergies 2.By alerting healthcare providers to the last time the medication was given 3. By alerting healthcare providers to check certain vital signs before administering medications Which example demonstrates an outcome of the implementation of a point-of-care alert/number? - ACCURATE ANSWERS Triggers care providers' awareness of patient's necessary care Which clinical decision support (CDS) category would be used to help clinicians determine the appropriate frequency of medicine? - ACCURATE ANSWERS Medication dosing support To assist with improving effective healthcare delivery, standardized terminologies are implemented. Which terminology represents the interoperability of clinical and administrative data? - ACCURATE ANSWERS Health Level Seven (HL7) Which standardized terminology ensures consistent, proper documentation of nurses by clinical reasoning judgments regarding definitions, defining characteristics, and risk factors or related factors? - ACCURATE ANSWERS The North American Nursing Diagnosis Association International (NANDA-I) Which standardized classification supports documenting and communicating the nursing process through problem classification scheme, intervention scheme, and problem measurement with a rating scale? - ACCURATE ANSWERS Omaha System CORBRA produces object- oriented interoperability standards that sustain architecture and infrastructure for computer applications to use to work together over networks. What does CORBRA stand for? - ACCURATE ANSWERS Common Object Request Broker Architecture Which components of a hospital information system is required when a project needs to store information about patients' test results? - ACCURATE ANSWERS Clinical data repository What mechanisms are required for hospitals to demonstrate compliance with Meaningful Use or electronic health records? - ACCURATE ANSWERS 1. Using a certified electronic health record system 2. Submitting electronic health record data for quality reporting Which two statements reflect a challenge to the clinical decision support (CDS) system? - ACCURATE ANSWERS 1. Ability to integrate with a healthcare organization's clinical workflow 2. Mapping of codes and formats An organization has acquired a private practice facility and is transitioning that facility from its old EHR (which is different from the acquiring facility) into the acquiring facility's EHR system . When attempting to transfer data, what would be a technical challenge one should anticipate experiencing? - ACCURATE ANSWERS There will be differences in standardized terminology uses between the two facilities when doing mapping conversions due to customization and lack of interoperability A nurse performs a patient assessment and documents the pain level as acute within the electronic health record. Which patient care benefit does this provide? - ACCURATE ANSWERS Support data exchange with internal systems A nurse is writing the care plan for a patient with comorbidities using the problem classification scheme taxonomy. How is this used to help provide care? - ACCURATE ANSWERS To organize a comprehensive assessment Human responses are the indicators of patterns and can be documented under the problem list in an electronic health record system to meet meaningful use (MU) measures mandated by which federal agency? - ACCURATE ANSWERS Centers for Medicare and Medicaid Services (CMS) Why is the use of a reference taxonomy beneficial for data collection in healthcare? - ACCURATE ANSWERS It classifies and measures data from research to identify evidence-based practice Why are taxonomies necessary in the development of clinical practice guidelines? - ACCURATE ANSWERS To rate evidence and recommendations What is the purpose of a reference taxonomy in clinical data collection? - ACCURATE ANSWERS To measure and classify the data collected Which tool needs to be utilized to collect specific clinical data in a research project? - ACCURATE ANSWERS Reference taxonomies Taxonomy of integration provides several solutions for healthcare. Which statement is a taxonomy solution? - ACCURATE ANSWERS Allows categories to be divided into subcategories as needed for clarification educational purposes.