NSG-310 Final Exam Study Set with
Questions and Correct Answers
Name 4 disadvantages of computerized patient electronic health records. ✅Initial cost,
universal client identifier numbers, lack of legal guidelines, problems with system
function, user frustration, misuse of user tech, confidentiality issues, lack of uniform
standards
Name 5 disadvantages of computerized client electronic health records.
✅Standardized language, safe from natural disasters, more cost effective in the long
run, easier to navigate, all info in one place, and easy access
Emergency accessibility, cost savings, increased access to client info, efficiency and
ease of use, enhanced quality of care, and communication, safety, and aggregated data
Name charting formats for documenting nursing care in EHRs. ✅VS, assessments,
orders, diagnosis, care plans, meds, flow sheets, clinical pathways (based on
standardized plans of care, charting by exceptions)
What are the 3 purposes for documentation? What is included in documentation in
nurse charting? ✅Show client response to care, compile data from many clients to
identify best practice, give evidence for reimbursement, provide proof of quality care,
make a permanent record or care.
History, summary of problems, physical examination, coordination of care, nursing care
plan, daily records of progress, evaluation of outcomes, flow sheets, I&O, medication
records.
What is telemedicine? ✅The use of medical info exchanged from one site to another
via electronic communication to improve a patient's clinical health status
Beneficial to those in the remote rural ares (or during a pandemic)
What is the purpose of documentation systems in a hospital setting? ✅Safety,
organizations, legal, keeps data organized
What is data management? ✅Compiling info for data entry in a database for evaluation
What is CPOE and what is the benefit? ✅Computerized Provider Order Entry
Helps reduce errors due to poor handwriting or transcription of medication orders
What contributes to the success of data analysis and mining? ✅A skilled team,
resources, healthcare team needs to be convinced it is useful
What is data mining? ✅Looking at patterns and trends in data to make educated
prediction to improve client effectiveness