Contemporary Nursing Issues Trends Chapte
h h h h
r 15 to Chapter 28
h h h h
Chapterh15:hInformationhTechnologyhinhthehClinicalhSetting
Cherryh&hJacob:hContemporaryhNursing:hIssues,hTrends,handhManagem
ent,h7thhEdition
MULTIPLEhCHOI
CE
1. Consumersharehconcernedhwithhsecurityhissueshrelatedhtohtheirhconfidentialhhealthhinf
ormationhbeinghplacedhinhanhelectronichhealthhrecordh(EHR).hHowever,hwhenhthehsecu
rityhofhthehEHRhishcomparedhwithhthathofhpaper-and-pencilhrecords,hthehEHRhis:
a. morehsecure.
b. lesshsecure.
c. equivalent.
d. nothcomparablehwithhthehpaper-and-pencilhrecord.
ANS:h A
Computer-
basedhpatienthrecordhsystems,hsuchhashEHRs,hprovidehbetterhprotectionhthanhpap
er-
basedhsystems.hThehEHRhallowshonlyhauthorizedhusershtohviewhdata,handhaccessht
ohrecordshcanhbehauditedhforhinappropriatehuse.
DIF: Comprehension REF:h p.h271
2. Duringhahsearchhforhthehtermhinformatics,hwhenhthehnursehfindshthehdomainh“.edu,”ht
hehsitehishaffiliatedhwithha(n):
a. governmenthagency.
b. commercialhsite.
c. educationalhinstitution
d. Internethservicehprovider.
, ANS:h C
Thehdomainhofhanheducationalhinstitutionhish.edu.
DIF: Knowledge REF:h p.h276
3. Whenhpaper-and-pencilhmedicalhrecordsharehcomparedhwithhcomputer-basedhrecords:
a. paper-and-
pencilhrecordshprovidehcontrolshtohdeterminehwhohhashviewedhthehhealthhinf
ormation.
b. informationhcontainedhinhahpaper-and-
pencilhrecordhhashthehcapabilityhofhbeinghmorehin-
depthhthanhthathfoundhinhcomputer-basedhrecords.
c. patientshhavehthehrighthtohknowhthaththehconfidentialityhofhtheirhrecordshis
h strictlyhmaintained,hregardlesshofhthehtypehofhmedicalhrecordhused.
d. patientshmusthsignhforheachhitemhofhinformationhreleasedhonhthehcomputerhrecord.
ANS:h C
Regardlesshofhthehtypehofhrecordhused,hthehHealthhInsurancehPortabilityhandhAccounta
bilityhActh(HIPAA)hprotectshthehconfidentialityhofhthehpatient’shmedicalhinformationhan
dhimposeshlegalhconsequenceshforhthosehwhohbreechhconfidentiality.
DIF: Comprehension REF:h p.h271
,4. AhnursehishpreparinghahscholarlyhpublicationhonhthehprevalencehofhhepatitishAhworldw
ide.hThehmosthefficienthandheffectivehmeanshofhconductinghanhInternethsearchhtohgathe
rhinformationhforhthishpublicationhishtohuse:
a. ahsearchhenginehsuchhashGooglehorhYahoo.
b. ahconsumerhhealthhwebsite.
c. ahdecisionhsupporthsystem.
d. MEDLINEhdatabase.
ANS:h D
MEDLINEhishonehofhthehscientifichandhresearchhscholarlyhdatabases,handhithwouldhbeht
hehmosthappropriatehforhusehinhgatheringhinformationhforhahscholarlyhpublication.
DIF: Comprehension REF:h p.h276
5. Ahconsumerhishlearninghabouthelectronichhealthhrecordshathahlocalhhealthhfairhandhstat
es,h“IhamhworriedhthathsomeonehcanhreadhmyhhealthhinformationhandhIhreallyhdon’thun
derstandhthehdifferencehbetweenhprivacyhandhconfidentiality.”hThehnursehexplainshth
athanhexamplehofhconfidentialityhwouldhbe:
a. ahpledgehthathstates,h“Ihwillhholdhmattershpertaininghtohmyhpatientshi
nhstricthintimacy.”
b. ahpatienthwhohdoeshnothtellhthehphysicianhthathhehhashbeenhtreatedhforhah
sexuallyhtransmittedhdisease.
c. ahteenagerhwhohsustainshahbrokenharmhandhinhthehemergencyhdepart
menthandhwithholdshinformationhabouthherhusehofhrecreationalhdrugs.
d. lockinghmedicalhrecordshinhcabinetshtohpreventhunauthorizedhusershfromha
ccessinghpatienthinformation.
ANS:h A
Confidentialityhishkeepinghprivatehthehpersonalhinformationhthathwashgivenhtohahhe
althhcarehprovider,hunlesshothershhavehahlegitimatehneedhtohknow.
DIF: Application REF:h p.h271
6. Ahphysicianhhashinstalledhahcomputer-
basedhpatienthrecordshsystem.hAnhoutsidehcarehproviderhwhohrequestshmedicalhinform
ationhmusthobtainhthehpatient’shsignedhconsenthandhthenhishassignedhahpasswordhtohga
inhaccesshtohthehmedicalhinformation.hAhmonthlyhaudithishconductedhtohdeterminehforh
, whomhandhforhwhathpurposehpatienthrecordshhavehbeenhaccessed.hThishprotectionhishr
eferredhtohas:
a. privacy.
b. confidentiality.
c. security.
d. datahcapture.
ANS:h C
Securityhishthehlimitationhofhaccesshtohhealthhcarehinformationhthroughhpasswordsh
andhotherhprecautions.
DIF: Comprehension REF:h p.h271
h h h h
r 15 to Chapter 28
h h h h
Chapterh15:hInformationhTechnologyhinhthehClinicalhSetting
Cherryh&hJacob:hContemporaryhNursing:hIssues,hTrends,handhManagem
ent,h7thhEdition
MULTIPLEhCHOI
CE
1. Consumersharehconcernedhwithhsecurityhissueshrelatedhtohtheirhconfidentialhhealthhinf
ormationhbeinghplacedhinhanhelectronichhealthhrecordh(EHR).hHowever,hwhenhthehsecu
rityhofhthehEHRhishcomparedhwithhthathofhpaper-and-pencilhrecords,hthehEHRhis:
a. morehsecure.
b. lesshsecure.
c. equivalent.
d. nothcomparablehwithhthehpaper-and-pencilhrecord.
ANS:h A
Computer-
basedhpatienthrecordhsystems,hsuchhashEHRs,hprovidehbetterhprotectionhthanhpap
er-
basedhsystems.hThehEHRhallowshonlyhauthorizedhusershtohviewhdata,handhaccessht
ohrecordshcanhbehauditedhforhinappropriatehuse.
DIF: Comprehension REF:h p.h271
2. Duringhahsearchhforhthehtermhinformatics,hwhenhthehnursehfindshthehdomainh“.edu,”ht
hehsitehishaffiliatedhwithha(n):
a. governmenthagency.
b. commercialhsite.
c. educationalhinstitution
d. Internethservicehprovider.
, ANS:h C
Thehdomainhofhanheducationalhinstitutionhish.edu.
DIF: Knowledge REF:h p.h276
3. Whenhpaper-and-pencilhmedicalhrecordsharehcomparedhwithhcomputer-basedhrecords:
a. paper-and-
pencilhrecordshprovidehcontrolshtohdeterminehwhohhashviewedhthehhealthhinf
ormation.
b. informationhcontainedhinhahpaper-and-
pencilhrecordhhashthehcapabilityhofhbeinghmorehin-
depthhthanhthathfoundhinhcomputer-basedhrecords.
c. patientshhavehthehrighthtohknowhthaththehconfidentialityhofhtheirhrecordshis
h strictlyhmaintained,hregardlesshofhthehtypehofhmedicalhrecordhused.
d. patientshmusthsignhforheachhitemhofhinformationhreleasedhonhthehcomputerhrecord.
ANS:h C
Regardlesshofhthehtypehofhrecordhused,hthehHealthhInsurancehPortabilityhandhAccounta
bilityhActh(HIPAA)hprotectshthehconfidentialityhofhthehpatient’shmedicalhinformationhan
dhimposeshlegalhconsequenceshforhthosehwhohbreechhconfidentiality.
DIF: Comprehension REF:h p.h271
,4. AhnursehishpreparinghahscholarlyhpublicationhonhthehprevalencehofhhepatitishAhworldw
ide.hThehmosthefficienthandheffectivehmeanshofhconductinghanhInternethsearchhtohgathe
rhinformationhforhthishpublicationhishtohuse:
a. ahsearchhenginehsuchhashGooglehorhYahoo.
b. ahconsumerhhealthhwebsite.
c. ahdecisionhsupporthsystem.
d. MEDLINEhdatabase.
ANS:h D
MEDLINEhishonehofhthehscientifichandhresearchhscholarlyhdatabases,handhithwouldhbeht
hehmosthappropriatehforhusehinhgatheringhinformationhforhahscholarlyhpublication.
DIF: Comprehension REF:h p.h276
5. Ahconsumerhishlearninghabouthelectronichhealthhrecordshathahlocalhhealthhfairhandhstat
es,h“IhamhworriedhthathsomeonehcanhreadhmyhhealthhinformationhandhIhreallyhdon’thun
derstandhthehdifferencehbetweenhprivacyhandhconfidentiality.”hThehnursehexplainshth
athanhexamplehofhconfidentialityhwouldhbe:
a. ahpledgehthathstates,h“Ihwillhholdhmattershpertaininghtohmyhpatientshi
nhstricthintimacy.”
b. ahpatienthwhohdoeshnothtellhthehphysicianhthathhehhashbeenhtreatedhforhah
sexuallyhtransmittedhdisease.
c. ahteenagerhwhohsustainshahbrokenharmhandhinhthehemergencyhdepart
menthandhwithholdshinformationhabouthherhusehofhrecreationalhdrugs.
d. lockinghmedicalhrecordshinhcabinetshtohpreventhunauthorizedhusershfromha
ccessinghpatienthinformation.
ANS:h A
Confidentialityhishkeepinghprivatehthehpersonalhinformationhthathwashgivenhtohahhe
althhcarehprovider,hunlesshothershhavehahlegitimatehneedhtohknow.
DIF: Application REF:h p.h271
6. Ahphysicianhhashinstalledhahcomputer-
basedhpatienthrecordshsystem.hAnhoutsidehcarehproviderhwhohrequestshmedicalhinform
ationhmusthobtainhthehpatient’shsignedhconsenthandhthenhishassignedhahpasswordhtohga
inhaccesshtohthehmedicalhinformation.hAhmonthlyhaudithishconductedhtohdeterminehforh
, whomhandhforhwhathpurposehpatienthrecordshhavehbeenhaccessed.hThishprotectionhishr
eferredhtohas:
a. privacy.
b. confidentiality.
c. security.
d. datahcapture.
ANS:h C
Securityhishthehlimitationhofhaccesshtohhealthhcarehinformationhthroughhpasswordsh
andhotherhprecautions.
DIF: Comprehension REF:h p.h271
