D220 Section 5 terms Study Guide
Exam and Actual Answers
The HITECH Act of 2009 provides the Department of Health and Human Services (HHS) with the
authority to establish programs to improve health care quality, safety, and efficiency through
the promotion of health IT, including electronic health records and private and secure electronic
health information exchange. - Answer TRUE
Rationale: The HITECH Act directs healthcare providers to adopt electronic health records and
improved privacy and security protections for healthcare data. It offers financial incentives and
imposes penalties depending on compliance measures achieved or missed.
The HITECH Act was created not only to support the implementation of electronic health
records and the development of health information technology, but also to support HIPAA rules
and regulations related to security, privacy, and confidentiality of protected health information.
What does "HITECH Act" stand for? - Answer Health Information Technology for Economic and
Clinical Health Act
Rationale: Health Information Technology for Economic and Clinical Health Act is the correct
definition of the abbreviated "HITECH Act."
Information and data privacy is the relationship between data collection, information
technology, a patient's expectation of privacy, and the legal, ethical, and political issues
connected to these relationships.
Which three areas are examples of where information and data privacy issues may arise? -
Answer Informed consent records
Rationale: Informed consent records detail specific information such as tests, procedures,
laboratory results, etc. and may compromise privacy if improperly handled.
Under HIPAA, the definition of a business associate is an individual or organization that creates,
receives, maintains, or transmits protected health information (PHI) on behalf of a covered
entity. State three examples of a business associate. - Answer Correct responses would consist
or any three of the following: medical billing company a third party that assists with claims
processing transcription service individual or company legal service individual or company
accounting individual or company encryption service provider file sharing vendor backup
storage vendor IT support vendor shredding or file disposal vendor
In the four-component model of ethics, ethical judgment is the ability to recognize an ethical
problem. - Answer FALSE
, While working as part of the implementation team for an organization's electronic medical
record (EMR), the informatics nurse notes that access to a patient's record is open to any user of
the system, regardless of role.
Which ethical implication should the nurse consider that could negatively affect the organization
and its patients? - Answer Privacy, security, and confidentiality
Rationale: Access to a patient's record should be limited to the role of the user to prevent
compromises to the privacy, security, and confidentiality of the patient's protected health
information.
Provision 2 of the ANA Code of Ethics states that the nurse's primary commitment is to the
patient, whether an individual, family, group, or community.
Which three statements describe how the informatics nurse (IN) adheres to this code? - Answer
The IN considers the probable outcomes of decisions about data collection as they relate to
issues of protection of the privacy, security, and confidentiality of patient information.
Rationale: The IN must always safeguard the privacy, security, and confidentiality of patient
information to protect the patient.
During the testing phase of a new predictive model of care designed to identify clinical decline
in patients, the informatics nurse notes that there are many failure points in the model's design
that have not passed testing. The release date for this new functionality has been set and
communication to the organization has been released. The nurse is troubled by this discovery.
State two courses of actions that the informatics nurse should take. - Answer Ideal responses
would incorporate at least two of the following: Report the failures in testing to the immediate
supervisor. Recommend defer the release of the new functionality until it passes testing
completely. Confer with technical experts in the team to review the cause of the failure points.
Continue with testing until it passes, and no further failure points are seen.
Trends that will influence the expansion of the informatics nurse's scope of practice include the
following:
changing practice roles in nursing
increasing informatics competence requirements for all nurses
rapidly evolving technology
regulatory changes and quality standards that include healthcare consumers as partners in
healthcare model
evolving marketing trends - Answer FALSE
Rationale: Rather than evolving marketing trends, evolving care delivery models and innovation
will influence the informatics nurse's scope of practice.
Exam and Actual Answers
The HITECH Act of 2009 provides the Department of Health and Human Services (HHS) with the
authority to establish programs to improve health care quality, safety, and efficiency through
the promotion of health IT, including electronic health records and private and secure electronic
health information exchange. - Answer TRUE
Rationale: The HITECH Act directs healthcare providers to adopt electronic health records and
improved privacy and security protections for healthcare data. It offers financial incentives and
imposes penalties depending on compliance measures achieved or missed.
The HITECH Act was created not only to support the implementation of electronic health
records and the development of health information technology, but also to support HIPAA rules
and regulations related to security, privacy, and confidentiality of protected health information.
What does "HITECH Act" stand for? - Answer Health Information Technology for Economic and
Clinical Health Act
Rationale: Health Information Technology for Economic and Clinical Health Act is the correct
definition of the abbreviated "HITECH Act."
Information and data privacy is the relationship between data collection, information
technology, a patient's expectation of privacy, and the legal, ethical, and political issues
connected to these relationships.
Which three areas are examples of where information and data privacy issues may arise? -
Answer Informed consent records
Rationale: Informed consent records detail specific information such as tests, procedures,
laboratory results, etc. and may compromise privacy if improperly handled.
Under HIPAA, the definition of a business associate is an individual or organization that creates,
receives, maintains, or transmits protected health information (PHI) on behalf of a covered
entity. State three examples of a business associate. - Answer Correct responses would consist
or any three of the following: medical billing company a third party that assists with claims
processing transcription service individual or company legal service individual or company
accounting individual or company encryption service provider file sharing vendor backup
storage vendor IT support vendor shredding or file disposal vendor
In the four-component model of ethics, ethical judgment is the ability to recognize an ethical
problem. - Answer FALSE
, While working as part of the implementation team for an organization's electronic medical
record (EMR), the informatics nurse notes that access to a patient's record is open to any user of
the system, regardless of role.
Which ethical implication should the nurse consider that could negatively affect the organization
and its patients? - Answer Privacy, security, and confidentiality
Rationale: Access to a patient's record should be limited to the role of the user to prevent
compromises to the privacy, security, and confidentiality of the patient's protected health
information.
Provision 2 of the ANA Code of Ethics states that the nurse's primary commitment is to the
patient, whether an individual, family, group, or community.
Which three statements describe how the informatics nurse (IN) adheres to this code? - Answer
The IN considers the probable outcomes of decisions about data collection as they relate to
issues of protection of the privacy, security, and confidentiality of patient information.
Rationale: The IN must always safeguard the privacy, security, and confidentiality of patient
information to protect the patient.
During the testing phase of a new predictive model of care designed to identify clinical decline
in patients, the informatics nurse notes that there are many failure points in the model's design
that have not passed testing. The release date for this new functionality has been set and
communication to the organization has been released. The nurse is troubled by this discovery.
State two courses of actions that the informatics nurse should take. - Answer Ideal responses
would incorporate at least two of the following: Report the failures in testing to the immediate
supervisor. Recommend defer the release of the new functionality until it passes testing
completely. Confer with technical experts in the team to review the cause of the failure points.
Continue with testing until it passes, and no further failure points are seen.
Trends that will influence the expansion of the informatics nurse's scope of practice include the
following:
changing practice roles in nursing
increasing informatics competence requirements for all nurses
rapidly evolving technology
regulatory changes and quality standards that include healthcare consumers as partners in
healthcare model
evolving marketing trends - Answer FALSE
Rationale: Rather than evolving marketing trends, evolving care delivery models and innovation
will influence the informatics nurse's scope of practice.
