Nur 272 Exam 1 Questions and Answers
with Complete Solutions 2024
Informatics - Correct Ans-use information and technology to communicate, manage
knowledge, mitigate error, and support decision making
Health Informatics - Correct Ans-discipline that uses technology to sort, process,
organize and retrieve information in healthcare so it can be shared among providers
and consumers. Focus is on providing optimal care for patients.
Health care information system (HIS) - Correct Ans-group of systems/programs used
within an organization to support and enhance healthcare.
examples of HIS - Correct Ans-Clinical Information Systems
Administrative Information Systems
Nursing Information Systems
Clinical Information Systems - Correct Ans-programs used for lab, radiology, pharmacy,
social work, providers, therapies and nurses. Disciplines can enter and communicate
data and coordinate patient care.
Examples of clinical information systems - Correct Ans-The EHR
EMR
Clinical Decision Support System within the EHR/EMR
Monitoring Systems
Order Entry Systems
The EHR - Correct Ans-central component of the health informatics infrastructure. Can
be shared among multiple facilities/agencies.
EMR - Correct Ans-individual health record within a facility. disciplines within a facility
record patient information for that visit.
Clinical Information Systems are used most often for - Correct Ans-documentation
Clinical decision Support System - Correct Ans-within the EHR/EMR. Those
documenting may see reminders, alerts, prompts, reports, links which help make clinical
decisions at the point of care. supporting information is evidence based.
example of clinical decision support system - Correct Ans-allergy- penicillin and alerts
for that allergy. What should I do with this information?
Monitoring System - Correct Ans-record information directly into EMR
,example of monitoring systems - Correct Ans-a patients VS are automatically monitored
while in the ICU. this information is automatically recored to the EHR.
Order Entry Systems - Correct Ans-Allows disciplines to order supplies from another
department. Providers place orders for patient care.
Administrative Information Systems - Correct Ans-Program to input patient information
for appointments, staff scheduling, etc.
Nursing Informatics - Correct Ans-technology to manage and communicate using
nursing practice
Nursing Information Systems - Correct Ans-Type of Clinical information System. Allows
nurses to document, view data, access information to help make decisions.
Organizes documentation path in user friendly format
Nursing Clinical Decision Support Systems - Correct Ans-Clinical Decision Support
System specific to nursing. Supporting information is evidence based.
Links information
Alerts, warnings
example of links information - Correct Ans-you identified your patient as a smoker.
information on smoking cessation is available.
example of alerts, warnings - Correct Ans-1) the nurse does a fall risk assessment on a
patient and the score is low indicating a fall risk. Fall risk interventions are automatically
added to the patients nursing intervention list.
2) Before you order medications for your patient (as ordered by the physician), an alert
appears on the screen identifying the patients allergies
Standardized information systems and terminology - Correct Ans-for nursing, the
standardized terminology is ANAs Nursing Process and the approved NANDA language
for nursing diagnosis. This standard language eliminates confusion when records are
shared.
policies and procedures are - Correct Ans-set up by the government when implementing
an EHR
Certified System - Correct Ans-doesn't mean every hospital has the same system, but
certain components must by present.
CMS (Centers for Medicare and Medicaid) payment - Correct Ans-Must show
meaningful use to receive payment. By 2009, or you fo not get payment.
Privacy and security - Correct Ans-measures to prevent EHR's from being viewed by
just anyone. use log-in codes, firewalls, auto sign-off modes etc.
,HIPPAA - Correct Ans-Health Insurance Portability and Accountability Act is legislation
that provides data privacy and security.
HIPPAA is a - Correct Ans-meaningful use item
People and workforce - Correct Ans-must have the right skills set and competencies.
Nurses - Correct Ans-provide input, work in sales and implement systems, can become
a certified as an Informatics Nurse
By-in - Correct Ans-when implementing an EHR there may be reluctance. need to
educate staff on the potential of technology. also need to train staff how to use it.
Basic computer - Correct Ans-word processing, presentations, browsing, use of
databases etc.
Competencies of by-in: - Correct Ans-basic computer
information literacy
information management
information management - Correct Ans-how to use and navigate an EHR and keep it
secure
Informatics concept to health care - Correct Ans-has the potential to improve the quality,
safety, and efficiency of health care for all.
-better communication, increased safety, reduced errors, decreased cost and time,
better access to information for comparison/trends/education, quality of documentation
is better
Informatics concept to nursing - Correct Ans--increased job satisfaction because more
time spent with patients
-patients can share information with family which increases coordination of care
Interrelated Concepts with Informatics - Correct Ans--Critical thinking, clinical reasoning,
and clinical judgement
-leadership
-communication
-collaboration
-safety
-evidence based practice
-health care quality
-ethics
-health law and policy
, critical thinking, clinical reasoning, and clinical judgment - Correct Ans-use of clinical
decisions support system
leadership - Correct Ans-know how to use technology and train others
communication - Correct Ans-technology allow for better communication
collaboration - Correct Ans-technology allows for more collaboration
safety - Correct Ans-use of clinical decision support system, safe transfer of info
health care quality - Correct Ans-technology decreases cost, emphasizes safety
ethics - Correct Ans-privacy, meaningful use of information
health law and policy - Correct Ans-government guidelines must be followed to be
reimbursed
the beginning of informatics in healthcare: - Correct Ans-Health Information technology
for economic and clinical health act (HITECH)- part of the American Recovery and
Reinvestment Act (ARRA) of 2009.
Converted to EHRs
What impact has HITECH had on informatics in health care? - Correct Ans-Better
communication among health care teams
What are the incentive to following the guideline of the HITECH act? - Correct Ans-
Payments from Medicaid and Medicare
What are the penalties to not following the guidelines of the HITECH act? - Correct Ans-
No payments from Medicaid and Medicare
-fines
How will the HITECH act impact health care in the future? - Correct Ans-better
communication, faster/immediate response, knowledge opportunities, telo health,
quality and safety of patient care
What are the three informatics competencies every nurse should be proficient in? -
Correct Ans-Basic computer skills
information literacy
information management
Information literacy - Correct Ans-is a set of abilities allowing individuals to "recognize
when information is needed and how to locate, evaluate, and use effectively the needed
information."
