Information Management WGU C468 #1
3 types of clinical information systems -✔✔Laboratory system, Order entry system, and Monitoring
system
3 types of clinical information systems -✔✔Laboratory system, Order entry system, and Monitoring
system
A benefit of EHR is that it can provide patient support. Example of a patient support -✔✔Patient
education material such as reducing sodium intake
A benefit of EHR is that it can provide patient support. Example of a patient support -✔✔Patient
education material such as reducing sodium intake
A common request contained in a request for information (RFI) document includes what -
✔✔company history
A common request contained in a request for information (RFI) document includes what -
✔✔company history
A computer program was implemented at a hospital that required nurses to wait until the patient
arrived in the emergency room and was registered into the program before orders for critical time-
sensitive treatment could be written.
How could this program become a barrier to the nurses attempting to deliver patient-centered care?
-✔✔The time spent waiting for the program to register the patient could delay critical care being
delivered in a timely manner.
A computer program was implemented at a hospital that required nurses to wait until the patient
arrived in the emergency room and was registered into the program before orders for critical time-
sensitive treatment could be written.
How could this program become a barrier to the nurses attempting to deliver patient-centered care?
-✔✔The time spent waiting for the program to register the patient could delay critical care being
delivered in a timely manner.
A local medical clinic is attempting to develop an electronic health record (EHR) system.
,Which challenges should the organization anticipate? -✔✔-Identifying data needs for differing
nursing practice specialties
-Implementing standardization of documentation across physician offices
A local medical clinic is attempting to develop an electronic health record (EHR) system.
Which challenges should the organization anticipate? -✔✔-Identifying data needs for differing
nursing practice specialties
-Implementing standardization of documentation across physician offices
A nurse is administering a new medication to a patient who has never taken this medication in the
past. The patient is already taking seven different medications at this time.
What nursing intervention should the nurse do before administering this medication? -✔✔Review
the drug-to-drug-allergy check in electronic health record.
A nurse is administering a new medication to a patient who has never taken this medication in the
past. The patient is already taking seven different medications at this time.
What nursing intervention should the nurse do before administering this medication? -✔✔Review
the drug-to-drug-allergy check in electronic health record.
A nurse is reviewing a patient's pneumonia vaccination status in the electronic medical record. The
nurse determines the patient needs this vaccine before discharge to meet the requirements of a
current clinical pathway. Why would the nurse use Information systems in this manner? -✔✔To
promote desired clinical outcomes
A nurse is reviewing a patient's pneumonia vaccination status in the electronic medical record. The
nurse determines the patient needs this vaccine before discharge to meet the requirements of a
current clinical pathway. Why would the nurse use Information systems in this manner? -✔✔To
promote desired clinical outcomes
A nurse is working on a medical surgical unit and is concerned over a patient's worsening heart
failure. The nurse calls the provider to discuss the assessments.
How does the electronic medical record facilitate a collaborative discussion in this situation? -✔✔-
The provider can visualize the chest xray remotely
-The provider has access to the data being discussed
,A nurse is working on a medical surgical unit and is concerned over a patient's worsening heart
failure. The nurse calls the provider to discuss the assessments.
How does the electronic medical record facilitate a collaborative discussion in this situation? -✔✔-
The provider can visualize the chest xray remotely
-The provider has access to the data being discussed
A nurse learns that a colleague has accessed electronically stored health information of a patient that
the colleague is not involved in treating. What should the nurse do? -✔✔Report the colleague to
their employer
A nurse learns that a colleague has accessed electronically stored health information of a patient that
the colleague is not involved in treating. What should the nurse do? -✔✔Report the colleague to
their employer
A nurse manager identifies several advanced practice nurses at an ICU workstation responding to
multiple patient alarms. She notices that the acuity of one patient drastically increases the demand
for staff resources.
How can workflow analysis impact practice in this situation? -✔✔It provides observation and
documentation of what is happening in the current environment.
A nurse manager identifies several advanced practice nurses at an ICU workstation responding to
multiple patient alarms. She notices that the acuity of one patient drastically increases the demand
for staff resources.
How can workflow analysis impact practice in this situation? -✔✔It provides observation and
documentation of what is happening in the current environment.
A nurse manager views patient data collected over the last three months of hospital admissions.
Trends show that nosocomial infections have increased on the geriatric unit.
What actions can patient data facilitate quality improvement in the future? -✔✔-Using the data to
implement evidence based practice procedures
-Using the data to monitor infection trends
A nurse manager views patient data collected over the last three months of hospital admissions.
Trends show that nosocomial infections have increased on the geriatric unit.
What actions can patient data facilitate quality improvement in the future? -✔✔-Using the data to
implement evidence based practice procedures
, -Using the data to monitor infection trends
A nurse receives a computerized alert of a critical lab value on her patient. This computerized alert
informs the nurse that an action needs to be taken and provides suggestions for clinical intervention.
Which technology did the nurse employ to achieve an enhanced safe practice environment? -✔✔Use
of a clinical decision support tool
A nurse receives a computerized alert of a critical lab value on her patient. This computerized alert
informs the nurse that an action needs to be taken and provides suggestions for clinical intervention.
Which technology did the nurse employ to achieve an enhanced safe practice environment? -✔✔Use
of a clinical decision support tool
A nurse uses an internet blog to give a patient shift report to a nurse coming on the next shift.
Why is this nursing action a problem? -✔✔-Giving a nursing report via blog does not meet HIPAA
requirements
-Healthcare Information discussed on the blog violates a patient's privacy.
A nurse uses an internet blog to give a patient shift report to a nurse coming on the next shift.
Why is this nursing action a problem? -✔✔-Giving a nursing report via blog does not meet HIPAA
requirements
-Healthcare Information discussed on the blog violates a patient's privacy.
A nursing Informatics specialist at a small, rural hospital implemented a clinical information system
utilizing and electronic health record (EHR). She obtained input from nurses regarding selection of
the specific EHR. She noted that some of the nurses had negative attitudes towards a change to the
EHR, but she encouraged them to try the system and note its benefits. She implemented the system
after all nurses were trained about the EHR. There were numerous complaints about the EHR, which
the Nursing Informatics Specialist decided to ignore since the personnel were new to the system.
Which barrier to implementing technology is present in the scenario? -✔✔Lack of continued support
A nursing Informatics specialist at a small, rural hospital implemented a clinical information system
utilizing and electronic health record (EHR). She obtained input from nurses regarding selection of
the specific EHR. She noted that some of the nurses had negative attitudes towards a change to the
EHR, but she encouraged them to try the system and note its benefits. She implemented the system
after all nurses were trained about the EHR. There were numerous complaints about the EHR, which
the Nursing Informatics Specialist decided to ignore since the personnel were new to the system.
3 types of clinical information systems -✔✔Laboratory system, Order entry system, and Monitoring
system
3 types of clinical information systems -✔✔Laboratory system, Order entry system, and Monitoring
system
A benefit of EHR is that it can provide patient support. Example of a patient support -✔✔Patient
education material such as reducing sodium intake
A benefit of EHR is that it can provide patient support. Example of a patient support -✔✔Patient
education material such as reducing sodium intake
A common request contained in a request for information (RFI) document includes what -
✔✔company history
A common request contained in a request for information (RFI) document includes what -
✔✔company history
A computer program was implemented at a hospital that required nurses to wait until the patient
arrived in the emergency room and was registered into the program before orders for critical time-
sensitive treatment could be written.
How could this program become a barrier to the nurses attempting to deliver patient-centered care?
-✔✔The time spent waiting for the program to register the patient could delay critical care being
delivered in a timely manner.
A computer program was implemented at a hospital that required nurses to wait until the patient
arrived in the emergency room and was registered into the program before orders for critical time-
sensitive treatment could be written.
How could this program become a barrier to the nurses attempting to deliver patient-centered care?
-✔✔The time spent waiting for the program to register the patient could delay critical care being
delivered in a timely manner.
A local medical clinic is attempting to develop an electronic health record (EHR) system.
,Which challenges should the organization anticipate? -✔✔-Identifying data needs for differing
nursing practice specialties
-Implementing standardization of documentation across physician offices
A local medical clinic is attempting to develop an electronic health record (EHR) system.
Which challenges should the organization anticipate? -✔✔-Identifying data needs for differing
nursing practice specialties
-Implementing standardization of documentation across physician offices
A nurse is administering a new medication to a patient who has never taken this medication in the
past. The patient is already taking seven different medications at this time.
What nursing intervention should the nurse do before administering this medication? -✔✔Review
the drug-to-drug-allergy check in electronic health record.
A nurse is administering a new medication to a patient who has never taken this medication in the
past. The patient is already taking seven different medications at this time.
What nursing intervention should the nurse do before administering this medication? -✔✔Review
the drug-to-drug-allergy check in electronic health record.
A nurse is reviewing a patient's pneumonia vaccination status in the electronic medical record. The
nurse determines the patient needs this vaccine before discharge to meet the requirements of a
current clinical pathway. Why would the nurse use Information systems in this manner? -✔✔To
promote desired clinical outcomes
A nurse is reviewing a patient's pneumonia vaccination status in the electronic medical record. The
nurse determines the patient needs this vaccine before discharge to meet the requirements of a
current clinical pathway. Why would the nurse use Information systems in this manner? -✔✔To
promote desired clinical outcomes
A nurse is working on a medical surgical unit and is concerned over a patient's worsening heart
failure. The nurse calls the provider to discuss the assessments.
How does the electronic medical record facilitate a collaborative discussion in this situation? -✔✔-
The provider can visualize the chest xray remotely
-The provider has access to the data being discussed
,A nurse is working on a medical surgical unit and is concerned over a patient's worsening heart
failure. The nurse calls the provider to discuss the assessments.
How does the electronic medical record facilitate a collaborative discussion in this situation? -✔✔-
The provider can visualize the chest xray remotely
-The provider has access to the data being discussed
A nurse learns that a colleague has accessed electronically stored health information of a patient that
the colleague is not involved in treating. What should the nurse do? -✔✔Report the colleague to
their employer
A nurse learns that a colleague has accessed electronically stored health information of a patient that
the colleague is not involved in treating. What should the nurse do? -✔✔Report the colleague to
their employer
A nurse manager identifies several advanced practice nurses at an ICU workstation responding to
multiple patient alarms. She notices that the acuity of one patient drastically increases the demand
for staff resources.
How can workflow analysis impact practice in this situation? -✔✔It provides observation and
documentation of what is happening in the current environment.
A nurse manager identifies several advanced practice nurses at an ICU workstation responding to
multiple patient alarms. She notices that the acuity of one patient drastically increases the demand
for staff resources.
How can workflow analysis impact practice in this situation? -✔✔It provides observation and
documentation of what is happening in the current environment.
A nurse manager views patient data collected over the last three months of hospital admissions.
Trends show that nosocomial infections have increased on the geriatric unit.
What actions can patient data facilitate quality improvement in the future? -✔✔-Using the data to
implement evidence based practice procedures
-Using the data to monitor infection trends
A nurse manager views patient data collected over the last three months of hospital admissions.
Trends show that nosocomial infections have increased on the geriatric unit.
What actions can patient data facilitate quality improvement in the future? -✔✔-Using the data to
implement evidence based practice procedures
, -Using the data to monitor infection trends
A nurse receives a computerized alert of a critical lab value on her patient. This computerized alert
informs the nurse that an action needs to be taken and provides suggestions for clinical intervention.
Which technology did the nurse employ to achieve an enhanced safe practice environment? -✔✔Use
of a clinical decision support tool
A nurse receives a computerized alert of a critical lab value on her patient. This computerized alert
informs the nurse that an action needs to be taken and provides suggestions for clinical intervention.
Which technology did the nurse employ to achieve an enhanced safe practice environment? -✔✔Use
of a clinical decision support tool
A nurse uses an internet blog to give a patient shift report to a nurse coming on the next shift.
Why is this nursing action a problem? -✔✔-Giving a nursing report via blog does not meet HIPAA
requirements
-Healthcare Information discussed on the blog violates a patient's privacy.
A nurse uses an internet blog to give a patient shift report to a nurse coming on the next shift.
Why is this nursing action a problem? -✔✔-Giving a nursing report via blog does not meet HIPAA
requirements
-Healthcare Information discussed on the blog violates a patient's privacy.
A nursing Informatics specialist at a small, rural hospital implemented a clinical information system
utilizing and electronic health record (EHR). She obtained input from nurses regarding selection of
the specific EHR. She noted that some of the nurses had negative attitudes towards a change to the
EHR, but she encouraged them to try the system and note its benefits. She implemented the system
after all nurses were trained about the EHR. There were numerous complaints about the EHR, which
the Nursing Informatics Specialist decided to ignore since the personnel were new to the system.
Which barrier to implementing technology is present in the scenario? -✔✔Lack of continued support
A nursing Informatics specialist at a small, rural hospital implemented a clinical information system
utilizing and electronic health record (EHR). She obtained input from nurses regarding selection of
the specific EHR. She noted that some of the nurses had negative attitudes towards a change to the
EHR, but she encouraged them to try the system and note its benefits. She implemented the system
after all nurses were trained about the EHR. There were numerous complaints about the EHR, which
the Nursing Informatics Specialist decided to ignore since the personnel were new to the system.
