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OA 1 and 2 Quizlet > Quizlet > Flashcards

Quizlet Flashcards

1
Q

Which information in an electronic medical record (EMP) helps a nurse plan & manage a patient's post- operative care after open-heart surgery

A

Provider order

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2
Q

Which information in a patient's electronic medical record (EMA), in addition to the nursing flowsheets & provider orders, helps a nurse plan & manage fluctuations in blood glucose levels

A

MAR

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3
Q

A nurse is planning the care for a patient admitted to the hospital with COVID-19 Which list of information in the electronic medical record (EMR) will help the nurse plan the care for this patient

A

The patient's laboratory results over the last 72 hours.

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4
Q

Which clinical note type is exempt from being shared with patients according to the United States Core Data for Interoperability (USC DI) standards

A

Psychotherapy notes

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5
Q

A patient is being transferred to another hospital, however, the hospital he is being transferred to does not have access to the Electronic Health Record (EHR) since they use EPIC. How will they receive his Electronic Health Record (EHR)?

A

Continuity care record from AMR

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6
Q

Operating room (OR) staff are reliant upon a manual whiteboard for patient tracking. Recently, surgeons have complained that the turnaround time between surgical cases has increased & blame the manual tracking system. An informatics nurse recommends expanding the use of the existing surgical information system (SIS). Which resolution can improve this workflow issue?

A

Radiofrequency identification (RFID) in patient labels

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7
Q

What is an effective way to reduce the risk of access to electronic protected health information (ePHI) by unauthorized users

A

Make sure all the users adhere to the security & confidential policy set forth by the facility.

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8
Q

When a physician arrives on the unit, a nurse is asked about the fluid status of a patient. Where should the nurse find this information?

A

The intake & output chart

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9
Q

Which act in 2009 did Meaningful Use (MU) originate

A

American Recovery & Reinvestment Act (ARRA) act in 2009

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10
Q

What is the intent of the Clinical Decision Support (CDS) System

A

Providing clinicians with knowledge & person-specific information.

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11
Q

Which government organization oversees the meaningful use program

A

CMS (Centers for Medicare and Medicaid Services

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12
Q

A Nursing Innovator & a medsurg nurse want to capture how many patients were seen in a day of 24 hours, how would they best see this

A

Flowsheet

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13
Q

Process for discovering root causes of problems & ID the solution

A

Root cause analysis

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14
Q

What should providers have on their personal mobile devices to protect them from sharing information when stolen?

A

Authentication & encryption

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15
Q

Which area of the Electronic Health Record (EHR) is used to guide a nurse on the task that needs to be completed during the shift

A

Workflow

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16
Q

How does the health information exchange (HIE) improve interoperability within a healthcare organization

A

It allows patient information to be accessible despite where the patient is receiving care.

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17
Q

Which statement defines electronic protected health information (ePHI)

A

It is the information used to specifically identify an individual.

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17
Q

In a healthcare setting, there is resistance to using a new Electronic Health Record (EHR). The staff insists the prior system was much faster than navigating this new Electronic Health Record (EHR). Which method should be used to motivate staff to adopt this Electronic Health Record (EHR)

A

Involve staff in the implementation process.

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18
Q

An informatics nurse is developing a web-based application for patient care. Which statement accurately describes the internet?

A

An unregulated network of networks

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19
Q

What represents privacy & security risks for telehealth technology?

A

Patients have the option to use the speakerphone in the telehealth apps.

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20
Q

A restraint committee has been assembled to oversee the need proper usage of restraints. Which data element would this committee find least useful in this report?

A

Patient allergy history

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21
Q

What is a structured method used to analyze serious adverse events?

A

A root cause analysis (RCA)

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22
Q

Which form allows stored information in an Electronic Health Record (EHR) to be instantly searched, retrieved, combined, & reported in different ways?

A

Text data

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23
Q

Why was Barcode Medication Administration (BCMA) adopted by healthcare facilities

A

To prevent medication administration errors

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24
Q

MRSA

A

Contact precautions

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25
Q

Which info in Electronic Medical Records will help nurses manage post-op care for appendectomy

A

Doctor’s orders

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26
Q

The act that recognizes patients need more power in their healthcare, & access to information is key to making that happen or What act puts patients in charge of their healthcare records?

A

21st Century Cures Act

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27
Q

Tapping badge

A

Improves documentation time.

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28
Q

Action that demonstrates data mining to improve patient outcomes

A

HbA1c

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29
Q

What to do when Clinical Decision Support (CDS) System is ignored

A

Educate staff on the importance.

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30
Q

Spouse requests patient's medical records

A

Refer the family member to medical records.

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31
Q

Comparing infection rates across the states

A

Bar graph

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32
Q

Promoting the adoption & implementation of telehealth programs

A

Advocacy

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33
Q

Mom calls asking for the child's info that was seen at the clinic

A

Clinic is unable to provide the medical records.

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34
Q

Metrics related to stroke care & compare them across the country in a presentation

A

Benchmarking

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35
Q

Confirming data accuracy or Analyzing a single piece of data in multiple ways

A

Triangulation

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36
Q

What is included in meaningful use

A

Use of electronic prescribing

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37
Q

What is the goal of the Health Information Exchange

A

To allow insurance companies & providers to be able to share data

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38
Q

Groups at risk for decreased health literacy?

A

Elderly

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39
Q

The main way to keep HIPPA compliance?

A

Passwords

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40
Q

The element that is PHI

A

DOB

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41
Q

The best method of Electronic Medical Record charting for nursing? Or Data Entry fields

A

Cascading

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42
Q

Physical taking care of a patient whose established care is somewhere else talking about Health Information Exchange

A

Query-based

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43
Q

When can you get notes from the provider quickly?

A

Health Information Exchange, Query-based transfer.

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44
Q

Nurse wants to optimize EH software with the goal of decreasing documentation time

A

Surveys

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44
Q

What would be the causes to put someone in isolation?

A

MRSA, Influenza, TB, Covid

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44
Q

Universal precautions approach to health literacy

A

Treating all patients as if they are at risk of not understanding health information and speaking to patients in language-appropriate terminology.

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45
Q

How to start an admission process when extremely busy?

A

Checklist

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46
Q

Data visualization of oncology patient length of stays

A

Line graph

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47
Q

Define predictive modeling/analytics

A

Uses past & current data to forecast the likelihood that an event will occur.

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48
Q

What data source is used to track specific diseases & conditions

A

Disease surveillance

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49
Q

Non-maleficence & fidelity, promote accuracy & integrity.

A

Fundamental principles

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50
Q

HIPPA stands for and what year did it form

A

Health Insurance Portability & Accountability Act 1996

51
Q

What year did Hitech Act form

A

2009

52
Q

Two nurses are in the cafeteria talking about lab reports & they commit HIPAA violations what is the action

A

Fines

53
Q

Medication alert pops up, what system is alerting

A

Clinical Decision Support (CDS) System

54
Q

Monitor the patient's glucose level you need

A

Nurse flow sheets

55
Q

What is the barrier to using biometrics

A

Financial

56
Q

During which phase of the systems development life cycle should a system be activated to effectively be used by end users

A

Implementation

57
Q

Homeless man IV drug user

A

Find in the EMR which information helps you put him in isolation.

58
Q

Treatment of patients related to blood pressure measures

A

Medication administration

59
Q

When does discharge planning

A

Starts on admission

60
Q

Single event & doing root cause analysis

A

Fishbone

61
Q

Discharge teaching patient with diabetes

A

Important what the time of day

62
Q

Stroke patient & analysis

A

Statistical, fishbone

63
Q

D/C teaching

A

The 5th-grade level starts on admission, time of day, and increase font size.

63
Q

Rapid dictation advantages of template-based charting

A

They are available immediately and eliminate human errors & more accurate documentation

64
Q

A high number of data-entry fields in electronic health records can be overwhelming for staff & make it difficult to find where information should be documented. Which informatics solution could solve this problem?

A

Cascading documentation

65
Q

How can informatics be used to assess a person’s health literacy

A

Informatics can evaluate the current state & determine the resources needed to determine a patient’s level of understanding.

66
Q

Pie

A

Percentages chart

67
Q

Bar graph

A

Nouns

68
Q

Ensures the app still functions as expected after an update or change in improvement.

A

Regression testing

69
Q

Life insurance wants records

A

Don’t release

70
Q

HIPAA

A

Name, birthdate/year, test results, and lab results are protected.

71
Q

Nurse finds 100 errors in coding

A

AHIMA & report to nurse manager

72
Q

Glucose stabilizing & Blood Pressure stabilizing

A

Trending graph

73
Q

Clean & accurate, quality of care, can be used to evaluate patient safety, and quality performance, measure & compare services, improve performance, sets standards of excellence, identifies learning gaps (pt falls)

A

Benchmark

74
Q

Covid graphing

A

Scatterplot

75
Q

Statistical analysis

A

Stroke patient

76
Q

Review ICU fall risk

A

Different reviewer's conduction research

77
Q

Benefit of Internet/externet

A

Improve communication & teamwork

78
Q

Ethical/legal issue with rural hospital & tele-radiology

A

State licensing issue

79
Q

What is an example of the benefit of MD using Computerized Provider Order Entry (CPOE) & DSS

A

Alerts when ordering Viagra (sildenafil) when patient is taking a cardiac med

80
Q

Staff is resistance to Tele-ICU. What are the benefits

A

Resources and expertise

81
Q

HIPAA violations

A

Civil monetary fines

82
Q

Healthcare staff members become overwhelmed when using EHR, & they begin to ignore clinical decision support messages. Why is it important to control the number of warnings in an EHR?

A

Alert fatigue

83
Q

Which act in 2009 did MU originate?

A

ARRA act in 2009

84
Q

Which two technologies support the standardization of healthcare data?

A

HL7 (Health Level 7) & DICOM

85
Q

An informatics nurse & an ER nurse are conducting an analysis of a patient admission form the ER. Which tool should these nurses use for a process analysis?

A

SWOT

86
Q

Which government agency recommended to use of bar code medication administration?

A

FDA

87
Q

A laboratory manager requested a report of all patients that had a blood glucose greater than 400mg/dL for the month of July to provide to the corporate office. Which type of report should the nurse informaticists create using information stored in the electronic health record for this one-time request?

A

Short time report

88
Q

Process for discovering root causes of problems & ID the solution?

A

Root cause analysis

89
Q

Which is a physician’s clinical informatics assessment?

A

Vital signs

90
Q

Which EHR challenge can a nurse informaticist help support & change?

A

Analyzing and redesigning workflows

91
Q

What describes the goal of EHR incentive programs, such as meaningful use?

A

To promote the achievement of quality, safety, & efficiency measures

92
Q

What is the role of the informatics nurse working with EHR?

A

To improve patient safety

93
Q

Health systems can be inoperable with other health systems. What are 2 barrier that prevent interoperability

A

Data blocking, interface cost

94
Q

Unit managers want to be assured nurses are signing completed clinical documentation. What can managers do to determine documentation completion?

A

Randomly run EHR reports & list noncompliant nurses.

94
Q

Which data in a medical record informs the management of the pt’s condition following a surgical procedure?

A

Nursing assessment from the prior shift & the doctor’s orders

95
Q

Reported falls on the med surg unit as compared to the previous quarter. Which data set informs the decision to review the protocol for falls on the med-surg unit?

A

The radiology reports of pts with a reported fall on the med-surg unit

96
Q

Pt comes to the ED with a bump on the arm that is painful, edematous, & oozing sanguineous fluid. Which data in the pt’s medical record would tell a nurse to implement infection control precautions?

A

The nursing flow sheet states the wound has increased in edema, redness, & drainage over the last 12 hours

97
Q

Pt discharge, information planning-

A

History & physical notes about the reason the pt is admitted anyways

97
Q

Pt with scabies

A

Crusted rash, CDC says that the diagnosis of scabies is by physical examination of skin

97
Q

Pts come in complaining of the same S/Sx

A

Patient demographics

98
Q

COPD pt planning care

A

Complete health history

99
Q

HIPAA violation fine or What is the dollar amount price range for a HIPPA fine per violation (lowest to highest amount).

A

$100-50,000

100
Q

Act that recognizes pts need more power in their healthcare, & access to information is key to making that happen?

A

21st Century Cures Act

100
Q

Patient engagement benefits

A

Costs decrease, lower readmission rate, improved pt recovery times, increase pt empowerment

101
Q

Which pt are most able to engage in their care?

A

Whose pain is under control or good night rest

102
Q

Nurse is giving Pt education over new medication?

A

Ask pt to repeat info—teach backs

103
Q

Hospital employee falls. Their manager calls & wants an update

A

Nurse should not provide info

104
Q

Electronically capture pt VS without manually entering

A

Biomedical device integration

104
Q

HIS system for pt to manage their own stuff?

A

The app

105
Q

What to do when CDSS is ignored

A

Educate staff on the importance

106
Q

A pt employer calls asking for information on pt that got hurt at work?

A

Ask employer to submit a signed agreement to protect the pt info

106
Q

What is the best practices for HIPAA

A

Require password

107
Q

Hiker information given to newspaper?

A

Hospital violates hipaa because they did not follow their guidelines

108
Q

Pt records moved from notes to checkboxes

A

They reduce clinical documentation time

109
Q

Gap analysis?

A

Transition to a new HER

110
Q

What does a focus group do?

A

Gathering uses to discuss

111
Q

What is a peripheral biometric device?

A

High bp monitoring

112
Q

What is the goal of Health Information Exchange?

A

To allow insurance companies & providers to be able to share data

113
Q

How would an informatics nurse best evaluate other nurses;’ opinions on technology?

A

Survey

114
Q

Barcoding scanning. How it affects inventory with pharmacy?

A

Alters ordering & information data

115
Q

What should a nurse recommend to promote nurse to pt interactions?

A

Encourage pt to eliminate personal technology to increase their attention

116
Q

Role of an informatics nurse specialist is the knowledge & application of state & federal laws. Which role falls outside the scope of practice?

A

Enforce operational procedures

116
Q

Situation where nurse carries out an HIE?

A

NP reviews pt records/read dx test results from remote facility

117
Q

A blood pressure cuff or peripheral device linked to the computer or health system is what kind of technology?

A

Biomedical device integration

118
Q

Data visualization of oncology pt length of stays?

A

Line graph

118
Q

Health literacy universal precaution-AHRQ?

A

5th grade reading level is the best

119
Q

What is a fishbone diagram & what benefit does it provide?

A

A tool for analyzing the organizational processes & its effectiveness. Helps team members visually diagram a problem or conditions root causes, allowing them to truly diagnose the problem rather than focusing on symptoms

120
Q

What legislation provides more rigorous enforcement of HIPPA & requires notification of breaches & allow pt access to their electronic records?

A

HIPPA Breach notification Rule, US dept of health & human services (HHS) & Office for Civil rights (OCR) is responsible for enforcing HIPAA

OA 1 and 2 Quizlet (1 decks)

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