Communication and Teamwork Exam 2
ACTUAL QUESTIONS AND CORRECT
ANSWERS
What term is used to identify the process of obtaining, organizing, and conveying patient
health information to others in print or electronic format?
A. Narration.
B. Documentation.
C. Care coordination
D. Order entry - CORRECT ANSWERS✅✅B. Documentation
What statement is accurate when describing characteristics of an electronic health
information technology system?
A. It lacks the capacity to bring about integration.
B. It provides accessibility to multiple health records.
C. It presents challenges in the transfer of patient information.
D. It consists of imaging files that allow for delayed access. - CORRECT ANSWERS✅✅B.
It provides accessibility to multiple health records.
Which is the best definition of the term interoperability?
A. A record system that is fully integrated with the Department of Defense.
B. Access at the point of care or remotely using various digital devices.
C. Disparate systems can "talk to each other" to share patient information.
D. Maintains an exchange of information about the patient among all care providers. -
CORRECT ANSWERS✅✅C. Disparate systems can "talk to each other" to share patient
information.
What is the advantage of coding in the use of electronic health records (EHRs)?
A. It makes documenting at the bedside 'warmer' in a human relations sense.
B. It allows the development of data for multiple levels of accountability, including for
individual nurses, units, or agencies.
C. It allows information to be communicated and extracted from EHRs.
,D. It guarantees that nursing care meets the requirements of government, health care agency,
and professional standards of practice. - CORRECT ANSWERS✅✅C. It allows information
to be communicated and extracted from EHRs.
Which nursing classification system used internationally is the best researched and most
widely implemented?
A. Omaha System
B. ICD-10
C. NANDA-I
D. NIC/NOC - CORRECT ANSWERS✅✅C. NANDA-I
Which statement concerning electronic records in NOT true?
A. They are portable.
B. They are less durable than paper charting.
C. They are easily transferable.
D. They include documents as well as digital images - CORRECT ANSWERS✅✅B. They
are less durable than paper charting.
Which of these engages patients as partners in health care, is an expectation at the beginning
staff nurse job level, and is among items tested on licensure exams?
A. CPOE
B. HIT
C. EHR
D. LPCs - CORRECT ANSWERS✅✅B. HIT
Which of the following is a computer charting system related to predicting patient outcomes
in home health care?
A. EHR
B. OASIS
C. NANDA
D. HIPAA - CORRECT ANSWERS✅✅B. OASIS
,"A hierarchical method of classifying a vocabulary of items according to certain rules" is the
definition for what term?
A. Health Care Financing Administration (HCFA)
B. Coding
C. NNN
D. Taxonomy - CORRECT ANSWERS✅✅D. Taxonomy
When documenting patient care, the nurse recognizes that which of the following is true
about documentation of care?
A. Every nurse should anticipate having patients' records subpoenaed at some time during his
or her nursing career.
B. There is a need for quicker documentation that does not reflect the nursing process.
C. The legal assumption is that care was given even if it is not documented.
D. Any method of documentation that provides comprehensive, factual information is legally
unacceptable. - CORRECT ANSWERS✅✅A. Every nurse should anticipate having patients'
records subpoenaed at some time during his or her nursing career.
Which pair best describes two key elements of collaborative work in nursing?
A. Communication and documentation
B. Portability and ease of access
C. Clarity and efficiency
D. Flow sheets and longitudinal plans of care - CORRECT ANSWERS✅✅A.
Communication and documentation
Which actions for electronic health records (EHR) use are universally accepted as good
practice? (Select all that apply.)
A. Changing your EHR password frequently.
B. Charting in a quiet location that is free of distractions
C. Sharing passwords only among unit staff involved in client care
D. Save charting until the end of a shift to save time.
E. Log out whenever not actively engaged in charting - CORRECT ANSWERS✅✅Correct:
A, B, E
, The nurse recognizes which of the following as a true statement about a nursing classification
system? (Select all that apply.)
A. It provides a standard language for nursing care.
B. It promotes visibility and defines professional practice of nursing contributions to patient
care.
C. It lacks standardized terminologies that promote best practices within nursing.
D. It has not been thoroughly incorporated into many agencies' electronic clinical records.
E. It provides a common language for nursing care. - CORRECT ANSWERS✅✅Correct: A,
B, D, E
When completing documentation on each patient, the nurse recognizes that documentation
serves what purposes? (Select all that apply.)
A. It communicates to others whether or not care was received.
B. It conveys pertinent information about the patient's condition and response to treatment
interventions.
C. It substantiates the quality of care by showing adherence to care standards.
D. It provides evidence for reimbursement.
E. It serves as a source of data that can be compiled or aggregated and then analyzed to
establish "best practice" interventions.
F. It is not a source for communicating care to others due to HIPAA rules and regulations. -
CORRECT ANSWERS✅✅Correct: A, B, C, D, E
When working on a hospital unit, the nurse uses a wireless handheld computer. The nurse
recognizes that an advantage of using a wireless handheld computer is
A. the nurse cannot view the entire page of patient information.
B. it can be used at the point of care.
C. it has a long learning curve.
D. it poses potential threats to the patient's legal privacy rights. - CORRECT
ANSWERS✅✅B. it can be used at the point of care.
When working on a hospital unit, the nurse uses a cellular telephone as an aid to giving
patient care. When using a cellular telephone, the nurse recognizes that a barrier to this type
of technology is
A. cellular telephones lead to less productivity.
ACTUAL QUESTIONS AND CORRECT
ANSWERS
What term is used to identify the process of obtaining, organizing, and conveying patient
health information to others in print or electronic format?
A. Narration.
B. Documentation.
C. Care coordination
D. Order entry - CORRECT ANSWERS✅✅B. Documentation
What statement is accurate when describing characteristics of an electronic health
information technology system?
A. It lacks the capacity to bring about integration.
B. It provides accessibility to multiple health records.
C. It presents challenges in the transfer of patient information.
D. It consists of imaging files that allow for delayed access. - CORRECT ANSWERS✅✅B.
It provides accessibility to multiple health records.
Which is the best definition of the term interoperability?
A. A record system that is fully integrated with the Department of Defense.
B. Access at the point of care or remotely using various digital devices.
C. Disparate systems can "talk to each other" to share patient information.
D. Maintains an exchange of information about the patient among all care providers. -
CORRECT ANSWERS✅✅C. Disparate systems can "talk to each other" to share patient
information.
What is the advantage of coding in the use of electronic health records (EHRs)?
A. It makes documenting at the bedside 'warmer' in a human relations sense.
B. It allows the development of data for multiple levels of accountability, including for
individual nurses, units, or agencies.
C. It allows information to be communicated and extracted from EHRs.
,D. It guarantees that nursing care meets the requirements of government, health care agency,
and professional standards of practice. - CORRECT ANSWERS✅✅C. It allows information
to be communicated and extracted from EHRs.
Which nursing classification system used internationally is the best researched and most
widely implemented?
A. Omaha System
B. ICD-10
C. NANDA-I
D. NIC/NOC - CORRECT ANSWERS✅✅C. NANDA-I
Which statement concerning electronic records in NOT true?
A. They are portable.
B. They are less durable than paper charting.
C. They are easily transferable.
D. They include documents as well as digital images - CORRECT ANSWERS✅✅B. They
are less durable than paper charting.
Which of these engages patients as partners in health care, is an expectation at the beginning
staff nurse job level, and is among items tested on licensure exams?
A. CPOE
B. HIT
C. EHR
D. LPCs - CORRECT ANSWERS✅✅B. HIT
Which of the following is a computer charting system related to predicting patient outcomes
in home health care?
A. EHR
B. OASIS
C. NANDA
D. HIPAA - CORRECT ANSWERS✅✅B. OASIS
,"A hierarchical method of classifying a vocabulary of items according to certain rules" is the
definition for what term?
A. Health Care Financing Administration (HCFA)
B. Coding
C. NNN
D. Taxonomy - CORRECT ANSWERS✅✅D. Taxonomy
When documenting patient care, the nurse recognizes that which of the following is true
about documentation of care?
A. Every nurse should anticipate having patients' records subpoenaed at some time during his
or her nursing career.
B. There is a need for quicker documentation that does not reflect the nursing process.
C. The legal assumption is that care was given even if it is not documented.
D. Any method of documentation that provides comprehensive, factual information is legally
unacceptable. - CORRECT ANSWERS✅✅A. Every nurse should anticipate having patients'
records subpoenaed at some time during his or her nursing career.
Which pair best describes two key elements of collaborative work in nursing?
A. Communication and documentation
B. Portability and ease of access
C. Clarity and efficiency
D. Flow sheets and longitudinal plans of care - CORRECT ANSWERS✅✅A.
Communication and documentation
Which actions for electronic health records (EHR) use are universally accepted as good
practice? (Select all that apply.)
A. Changing your EHR password frequently.
B. Charting in a quiet location that is free of distractions
C. Sharing passwords only among unit staff involved in client care
D. Save charting until the end of a shift to save time.
E. Log out whenever not actively engaged in charting - CORRECT ANSWERS✅✅Correct:
A, B, E
, The nurse recognizes which of the following as a true statement about a nursing classification
system? (Select all that apply.)
A. It provides a standard language for nursing care.
B. It promotes visibility and defines professional practice of nursing contributions to patient
care.
C. It lacks standardized terminologies that promote best practices within nursing.
D. It has not been thoroughly incorporated into many agencies' electronic clinical records.
E. It provides a common language for nursing care. - CORRECT ANSWERS✅✅Correct: A,
B, D, E
When completing documentation on each patient, the nurse recognizes that documentation
serves what purposes? (Select all that apply.)
A. It communicates to others whether or not care was received.
B. It conveys pertinent information about the patient's condition and response to treatment
interventions.
C. It substantiates the quality of care by showing adherence to care standards.
D. It provides evidence for reimbursement.
E. It serves as a source of data that can be compiled or aggregated and then analyzed to
establish "best practice" interventions.
F. It is not a source for communicating care to others due to HIPAA rules and regulations. -
CORRECT ANSWERS✅✅Correct: A, B, C, D, E
When working on a hospital unit, the nurse uses a wireless handheld computer. The nurse
recognizes that an advantage of using a wireless handheld computer is
A. the nurse cannot view the entire page of patient information.
B. it can be used at the point of care.
C. it has a long learning curve.
D. it poses potential threats to the patient's legal privacy rights. - CORRECT
ANSWERS✅✅B. it can be used at the point of care.
When working on a hospital unit, the nurse uses a cellular telephone as an aid to giving
patient care. When using a cellular telephone, the nurse recognizes that a barrier to this type
of technology is
A. cellular telephones lead to less productivity.
