Module 48 Informatics

Module 48   Informatics

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

The Concept of Informatics

 

1) While being providing care, a client asks the nurse why the computer is being used. What should the nurse respond to the client?

1. A) “The information that is uploaded is available for anyone to view.”
2. B) “Computers improve client care because information is readily available.”
3. C) “The computer decreases documentation time for nurses.”
4. D) “Computers allow you access to your medical record.”

Answer:  B

Explanation:

1. A) Nursing informatics is the science of using computers in nursing practice to improve client care by making client information easily accessible. Documenting client information by computer does not necessarily reduce charting time, depending on the system used. The client’s information is protected by privacy laws. The client may read the chart, whether written or computerized, in the presence of a physician.
2. B) Nursing informatics is the science of using computers in nursing practice to improve client care by making client information easily accessible. Documenting client information by computer does not necessarily reduce charting time, depending on the system used. The client’s information is protected by privacy laws. The client may read the chart, whether written or computerized, in the presence of a physician.
3. C) Nursing informatics is the science of using computers in nursing practice to improve client care by making client information easily accessible. Documenting client information by computer does not necessarily reduce charting time, depending on the system used. The client’s information is protected by privacy laws. The client may read the chart, whether written or computerized, in the presence of a physician.
4. D) Nursing informatics is the science of using computers in nursing practice to improve client care by making client information easily accessible. Documenting client information by computer does not necessarily reduce charting time, depending on the system used. The client’s information is protected by privacy laws. The client may read the chart, whether written or computerized, in the presence of a physician.

Page Ref: 2362

Cognitive Level:  Applying

Client Need:  Safe and Effective Care Environment

Nursing Process:  Implementation

Learning Outcome:  1. Define informatics and nursing informatics.

 

2) The clinical information system committee at a major healthcare organization is designing a plan to ensure the protection of client information. Which approach(es) should this committee include in the implementation plan?

Select all that apply.

1. A) Design policies to address password protection and log-in information.
2. B) Determine how to handle clients who desire to “friend” staff through social media.
3. C) Identify applications that interface with smartphones.
4. D) Create interfaces so that health data can be inputted by the client.
5. E) Identify a procedure if information is inputted in the incorrect client record.

Answer:  A, B, E

Explanation:

1. A) The committee is creating a plan to ensure the protection of client information. The committee needs to design polices for password protection and log-in information, determine mechanisms to handle clients and staff who communicate through social media, and what to do if information is inputted into an incorrect medical record. Identifying applications that interface with smartphones and creating interfaces so that clients can input health data are not approaches to ensure the protection of client information.
2. B) The committee is creating a plan to ensure the protection of client information. The committee needs to design polices for password protection and log-in information, determine mechanisms to handle clients and staff who communicate through social media, and what to do if information is inputted into an incorrect medical record. Identifying applications that interface with smartphones and creating interfaces so that clients can input health data are not approaches to ensure the protection of client information.
3. C) The committee is creating a plan to ensure the protection of client information. The committee needs to design polices for password protection and log-in information, determine mechanisms to handle clients and staff who communicate through social media, and what to do if information is inputted into an incorrect medical record. Identifying applications that interface with smartphones and creating interfaces so that clients can input health data are not approaches to ensure the protection of client information.
4. D) The committee is creating a plan to ensure the protection of client information. The committee needs to design polices for password protection and log-in information, determine mechanisms to handle clients and staff who communicate through social media, and what to do if information is inputted into an incorrect medical record. Identifying applications that interface with smartphones and creating interfaces so that clients can input health data are not approaches to ensure the protection of client information.
5. E) The committee is creating a plan to ensure the protection of client information. The committee needs to design polices for password protection and log-in information, determine mechanisms to handle clients and staff who communicate through social media, and what to do if information is inputted into an incorrect medical record. Identifying applications that interface with smartphones and creating interfaces so that clients can input health data are not approaches to ensure the protection of client information.

Page Ref: 2364

Cognitive Level:  Creating

Client Need:  Safe and Effective Care Environment

Nursing Process:  Planning

Learning Outcome:  2. Compare the advantages and disadvantages of various ways to view electronic medical records.

3) The nurse is evaluating the components of the computer system used in the healthcare organization. What should the nurse realize about the functions of the clinical information system and administrative information system?

Select all that apply.

1. A) They serve as tools to manage finances.
2. B) They are used to store demographics.
3. C) The systems are separate.
4. D) The systems support each other.
5. E) They are two independent systems.

Answer:  A, B, D, E

Explanation:

1. A) The clinical information system supports the administration system by inputting information for billing purposes such as procedures performed. The administration system admits the client and includes information that assists the clinical system such as client allergies. The systems function independently but are not separate. Finances and demographics are managed by the administrative function.
2. B) The clinical information system supports the administration system by inputting information for billing purposes such as procedures performed. The administration system admits the client and includes information that assists the clinical system such as client allergies. The systems function independently but are not separate. Finances and demographics are managed by the administrative function.
3. C) The clinical information system supports the administration system by inputting information for billing purposes such as procedures performed. The administration system admits the client and includes information that assists the clinical system such as client allergies. The systems function independently but are not separate. Finances and demographics are managed by the administrative function.
4. D) The clinical information system supports the administration system by inputting information for billing purposes such as procedures performed. The administration system admits the client and includes information that assists the clinical system such as client allergies. The systems function independently but are not separate. Finances and demographics are managed by the administrative function.
5. E) The clinical information system supports the administration system by inputting information for billing purposes such as procedures performed. The administration system admits the client and includes information that assists the clinical system such as client allergies. The systems function independently but are not separate. Finances and demographics are managed by the administrative function.

Page Ref: Pages 2635-2636

Cognitive Level:  Analyzing

Client Need:  Safe and Effective Care Environment

Nursing Process:  Evaluation

Learning Outcome:  3. Differentiate the two types of healthcare information systems and their goals.

 

4) The nurse is preparing discharge instructions for a client with a foot wound. How will the nursing information system support this client’s learning needs?

1. A) Improves documentation about the client’s status
2. B) Summarizes the list of charges that will appear on the client’s bill
3. C) Provides a record of all medications received while hospitalized
4. D) Prints discharge instructions to use for teaching

Answer:  D

Explanation:

1. A) A nursing information system must give the nurse the ability to access client information and provide data necessary to execute the nursing process of assessing, diagnosing, planning, implementing, and evaluating the care of the client; however, documenting information about the client’s status will not help with discharge instructions. A nursing information system does not provide a list of charges from the hospital stay. Pharmacy information, such as medication, route, dose, and time, should be available in the client’s chart in real time. The system should allow the nurse to print discharge instructions with medication information to review with the client.
2. B) A nursing information system must give the nurse the ability to access client information and provide data necessary to execute the nursing process of assessing, diagnosing, planning, implementing, and evaluating the care of the client; however, documenting information about the client’s status will not help with discharge instructions. A nursing information system does not provide a list of charges from the hospital stay. Pharmacy information, such as medication, route, dose, and time, should be available in the client’s chart in real time. The system should allow the nurse to print discharge instructions with medication information to review with the client.
3. C) A nursing information system must give the nurse the ability to access client information and provide data necessary to execute the nursing process of assessing, diagnosing, planning, implementing, and evaluating the care of the client; however, documenting information about the client’s status will not help with discharge instructions. A nursing information system does not provide a list of charges from the hospital stay. Pharmacy information, such as medication, route, dose, and time, should be available in the client’s chart in real time. The system should allow the nurse to print discharge instructions with medication information to review with the client.
4. D) A nursing information system must give the nurse the ability to access client information and provide data necessary to execute the nursing process of assessing, diagnosing, planning, implementing, and evaluating the care of the client; however, documenting information about the client’s status will not help with discharge instructions. A nursing information system does not provide a list of charges from the hospital stay. Pharmacy information, such as medication, route, dose, and time, should be available in the client’s chart in real time. The system should allow the nurse to print discharge instructions with medication information to review with the client.

Page Ref: 2635

Cognitive Level:  Applying

Client Need:  Safe and Effective Care Environment

Nursing Process:  Implementation

Learning Outcome:  4. Summarize the goals of a nursing information system.

 

5) A rural home health nurse is caring for a client recovering from a myocardial infarction. The client is concerned that the community clinic does not have the ability to provide the necessary monitoring for the health problem. Which response by the nurse would be most appropriate?

1. A) “It is not necessary for you to be monitored after a myocardial infarction.”
2. B) “Through technological advances such as telehealth, we can send your information to the cardiologist.”
3. C) “You are right. We will be sending you to the city every month.”
4. D) “We use an intranet in this facility.”

Answer:  B

Explanation:

1. A) Through telehealth advances, clients who live in remote areas can have their information monitored by specialists using computers. Because of this technology, clients do not need to make frequent visits to specialists for monitoring and evaluation of progress. A client who has experienced a myocardial infarction does require monitoring. The intranet is used within an agency or system and is not a tool that can be accessed from the outside.
2. B) Through telehealth advances, clients who live in remote areas can have their information monitored by specialists using computers. Because of this technology, clients do not need to make frequent visits to specialists for monitoring and evaluation of progress. A client who has experienced a myocardial infarction does require monitoring. The intranet is used within an agency or system and is not a tool that can be accessed from the outside.
3. C) Through telehealth advances, clients who live in remote areas can have their information monitored by specialists using computers. Because of this technology, clients do not need to make frequent visits to specialists for monitoring and evaluation of progress. A client who has experienced a myocardial infarction does require monitoring. The intranet is used within an agency or system and is not a tool that can be accessed from the outside.
4. D) Through telehealth advances, clients who live in remote areas can have their information monitored by specialists using computers. Because of this technology, clients do not need to make frequent visits to specialists for monitoring and evaluation of progress. A client who has experienced a myocardial infarction does require monitoring. The intranet is used within an agency or system and is not a tool that can be accessed from the outside.

Page Ref: 2640

Cognitive Level:  Applying

Client Need:  Safe and Effective Care Environment

Nursing Process:  Implementation

Learning Outcome:  6. Contrast the advantages, applications, and legal implications of telehealth.