TEST BANK FOR Handbook of Informatics for Nurses & Healthcare Professionals 7th edition by Toni Hebda , Melody Rose, Kathleen Hunter ISBN: 978-0138106355 COMPLETE GUIDE ALL CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!NEW LATEST UPDATE!!!!

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Handbook of Informatics for Nurses & Healthcare Professionals, 7th Edition by Toni L. Hebda Melody
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Rose Kathleen Hunter Patricia Czar
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Chapter 1-20 jk




Chapter 1 jk An Overview of Informatics in Healthcare
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1) Healthcare today should address the Quintuple Aim. What of the following best demonstrates h
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ow healthcare information technology might be used to help address disparities in care?
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A) Collect data elements that could be used to identify vulnerable individuals
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B) Use collected data to identify vulnerable individuals
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C) Incorporate GPS locators into predictions jk jk jk jk



D) A and B jk jk jk



Answer: j k j k



D
Explanation: A) Many demographic and other relevant data elements are/or could easily be collec
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t that could be used to identify vulnerable individuals.
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B) Collected data can be used and leveraged to identify vulnerable individuals. jk jk jk jk jk jk jk jk jk jk



C) Location may be an indicator of risk but zip code alone does not indicate vulnerability. Other fa
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ctors that include familial predisposition, occupational risks, economic level, personal health habi
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ts, living conditions, and community support all factor into determination of vulnerability.
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D) Both A and B together comprise the best response. P
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age Ref: 1-2 jk jk



Cognitive Level: Applying jk j k j k



QSEN Grad. Competencies: A3, B1
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AACN Essen. Competencies: 8.1g,h; 8.2i; 8.3g
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2) Which of the following best reflects benefits realized from the use of health information te
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chnology?
A) Improved safety, improved efficiencies, decreased clinician documentation times
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B) Improved safety, improved efficiencies, improved charge capture, improved communication
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C) Improved safety, improved efficiencies, improved protection of personal health information
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D) Improved safety, improved efficiencies, significant reduction in costs for care, improved p
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rotection of patient information jk jk jk



Answer: B j k j k



Explanation: A) HIT can result in improved safety through measures such as positive patient ide
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ntification and may improve efficiencies but clinician documentation burden is an issue seen with p
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oorly designed and poorly used systems.
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B) HIT can result in improved safety through positive patient identification, alerts, and similar m
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easures. HIT may improve some efficiencies such as improved charge capture and shortened rev
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enue cycle and theoretically improves communication.
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C) HIT can result in improved safety and improved efficiencies in some respects but despite safeg
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uards to protect patient health information it also increases vulnerabilities in some respects.
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D) Despite its promise to significantly reduce costs for care costs associated with the purchase and ma
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intenance of HIT, among other U.S. issues have not resulted in significant reduction in costs for care.
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Page Ref: 1-2 jk jk




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,Cognitive Level: Applying jk j k j k



QSEN Grad. Competencies: A1,4; C1,5 jk jk j k j k jk



AACN Essen. Competencies: 8.1j,k; 8.2 I; 8.3i; 8.4g
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3) In which ways can health information technology support the learning health system?
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A) Incorporation of evidence- jk jk



based practice and big data findings to provide care interventions that are proven to be effective
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B) Real-time analysis of data jk jk jk



C) Integration of devices and the data that they collect to inform care decisions jk jk jk jk jk jk jk jk jk jk jk jk



D) All of the above jk jk jk jk



Answer: D j k



Explanation: A) Big data findings supplement EBP often providing information and knowledge i
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n a more timely fashion.
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B) Real-
time analysis of data can be particularly useful when healthcare delivery systems and providers are
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facing challenges that are new to them as was seen with the emergence of a body of knowledge relat
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ive to the impact of COVID and most successful treatment modalities.
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C) Data streams from all relevant sources provide a more complete picture.
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D) A combination of research and big data findings from a myriad of sources that is analyzed in re
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al time provides a quick turnaround to support, and further improve, care delivered.
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Page Ref: 3-4 jk jk



Cognitive Level: Applying jk j k j k



QSEN Grad. Competencies: A5; B8, 9, 11; C1, 2 A
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ACN Essen. Competencies: 8.1g; 8.2f; 8.3j; 8.4f
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4) Which of the following are considered necessary components to create a learning or informatics cul
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ture? Select all that apply.
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A) Standardized languages and terminologies jk jk jk



B) Data in digital format jk jk jk



C) Interoperability and data sharing jk jk jk



D) Prerequisite information knowledge and skills jk jk jk jk jk



Answer: A, B, C, D j k jk jk jk



Explanation: A) Standardized languages and terminologies ensure that concepts maintain a unifor
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m meaning across settings and the ability to generalize results.
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B) Data in digital format is conducive to electronic capture, storage, analysis, transmission, and re
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-use.
C) In order to have value data must be shareable which is best attained when systems are in
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teroperable.
D) Computer, information, and (for the consumer), health literacy are foundational skills in the lea jk jk jk jk jk jk jk jk jk jk jk jk jk



rning health system where data, information, and knowledge are constantly generated as a result of care
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processes as well as the integration of research findings to support best practices for patient care.
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Page Ref: 9-13 jk jk



Cognitive Level: Knowledge jk j k j k



QSEN Grad. Competencies: A5; B2, 11; C1, 4 AAC
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N Essen. Competencies: 8.1g; 8.2i; 8.4g
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, 5) When asked to explain what the SAFER Guides are and their relevance for HIT what should the info
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rmatics nurse first know? jk jk jk



A) SAFER Guides are a resource provided by the Centers for Medicare and Medicaid to guide re
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imbursement.
B) SAFER Guides are a resource provided by the Consortium of Vendors for selection of HIT.
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C) SAFER Guides are a resource provided by the ONCHIT to ensure best practices for HIT i
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mplementation and use. jk jk



D) SAFER Guides are the result of a report by the Commonwealth Fund to improve U.S. health o
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utcomes.
Answer: C j k j k



Explanation: A) SAFER Guides have nothing to do with reimbursement although the Centers for M
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edicare and Medicaid added them to ensure an ongoing focus on improving interoperability and patie
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nt access to health information.
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B) SAFER Guides complement tools and research developed by the Agency for Healthcare R
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esearch and Quality and the ONCHIT, not from vendors.
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C) The SAFER acronym stands for Safety Assurance Factors for EHR Resilience and are therefore int
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ended to guide implementation practices and use for HIT, and EHRs in particular.
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D) SAFER Guides having nothing to do with the Commonwealth Fund reports. P
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age Ref: 6
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Cognitive Level: Applying jk j k j k



QSEN Grad. Competencies: B1, 12
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AACN Essen. Competencies: 8.1g,h; 8.4f,k
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6) A large healthcare organization is planning to implement a new electronic health record. What sh
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ould be considered when selecting this system?
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A) Whether training is required jk jk jk



B) Nursing staff documentation requirements are the top priority
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C) The organization needs to meet multiple competing demands
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D) Integration with laboratory and pharmacy would be nice jk jk jk jk jk jk jk jk



Answer: C j k



Explanation: A) No evidence supports limiting training on the system.
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B) Every department in a large healthcare organization has an essential role in patient care.
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C) The healthcare organization today is a complex system faced with multiple, competing d
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emands.
D) Every department in a large healthcare organization has an essential role in patient care. P
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age Ref: 1-2
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Cognitive Level: Applying jk j k j k



QSEN Grad. Competencies: GA1, GA3 AAC
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N Essen. Competencies: 8.1k. 8.3e, 8.3g
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