Chapter 13: Information Management

Chapter 13: Information Management

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A new nurse is confused by the terminology used by the electronic health record (EHR). When the nurse complains to the precepting nurse, the best explanation by the preceptor is that this occurs because

ANS:  A

The EHR uses different interconnecting modules, so it is imperative that terminology used in each is standardized. This allows for seamless patient care delivery.

It is true that nursing is not the only discipline to use the EHR, but it is not the disciplines themselves that use different vocabularies; it is the system each discipline uses that creates the need for a standardized vocabulary.

Needs of the financial departments are considered when developing EHRs, but this is not the only consideration.

The information technology side of EHR development allows for standardization of terminology among disciplines. This is not the most inclusive answer.

DIF:    Cognitive Level: Understand            REF:   249

TOP:   Integrated Process: Communication and Documentation

MSC:  NCLEX Client Needs: Safe and Effective Care Environment: Management of Care

2. A hospital is planning to convert to an electronic health record (EHR) system. Which action by administration would best address both legal and ethical issues related to EHRs?

ANS:  B

Privacy is paramount to using an EHR. Federal privacy laws established under the Health Insurance Portability and Accountability Act (HIPAA) require the development of privacy rules for technologies that use electronic data exchange.

Merely acknowledging the use of the EHR system would not really address legal and ethical concerns.

Public meetings might create goodwill but would not really address legal and ethical concerns with the use of electronic records.

Training those who use the EHR is an important component of its proper use, but this does not go far enough in addressing ethical and legal issues.

DIF:    Cognitive Level: Apply

TOP:   Integrated Process: Communication and Documentation

MSC:  NCLEX Client Needs: Safe and Effective Care Environment: Management of Care

3. The faculty member explains to students that the Omaha Problem Classification system

ANS:  B

The Omaha Problem Classification system was designed to use with clients in community and public health settings.

The Omaha Problem Classification system does not classify problems according to severity.

Allocation of resources is part of Saba’s Clinical Care Classification System.

Each system has uses for which it is appropriate; this system is used in community health nursing and in that setting could be considered most complete, but it might not be complete or even appropriate in other settings.

DIF:    Cognitive Level: Understand            REF:   241

TOP:   Integrated Process: Communication and Documentation

MSC:  NCLEX Client Needs: Safe and Effective Care Environment: Management of Care

4. A student is researching a topic for a class paper. The student would find the most information by

ANS:  B

Electronic databases such as CINAHL will provide the student access to a comprehensive set of journals going back for many years. In these databases, the student can query key words and phrases to find information on the topic quickly.

Although it might be important to find research articles related to the topic (depending on what the topic is), research instruments themselves will not provide a lot of information.

Indexes are a good way to find out about the topics in a book or journal, but this is a time- consuming process and limited to information only in that specific book or journal.

The newspaper might have information important to the student’s paper, but the information will be limited to this one source.

DIF:    Cognitive Level: Apply

TOP:   Integrated Process: Communication and Documentation

MSC:  NCLEX Client Needs: Safe and Effective Care Environment: Management of Care