Electronic Health Records And Nursing 1st Edition By Gartee & beal – Test Bank

Gartee, Electronic Health Records and Nursing, 1e
Chapter 11

Question 1

Type: MCSA

The ________ may be compared to the first automobiles because in the early stages of new technology people tend to look at things in the old way.

1. Teleradiology
2. Electronic health record
3. iPod
4. Electric car

Correct Answer: 2

Rationale 1: Teleradiology is an advanced use of technology, rather than an early use.

Rationale 2: The EHR is in the early stages in most health care settings

Rationale 3: The iPod is an advanced use of technology, when compared to a stereo

Rationale 4: The electric care is an advanced version of the first automobiles

Global Rationale:

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome:

Question 2

Type: MCSA

A client who arrives for an annual physical has brought along some information on healthy cholesterol levels he obtained from the Internet. How should the nurse handle this situation?

1. Explain that the Internet contains a lot of inaccurate information and give him a drug brochure on cholesterol.
2. Thank the client for calling that to her attention, place the information aside, and proceed with the encounter.
3. Discuss the information with the client to find out if it seems accurate while also suggesting some reliable sources of online information.
4. Assume the client has done his homework and discuss the information as part of the client’s treatment plan.

Correct Answer: 3

Rationale 1: Many Internet sites provide reliable information, while others do not; it will foster a better client/provider relationship if the provider does not dismiss the information

Rationale 2: Many Internet sites provide reliable information; the client’s information should be evaluated with the client

Rationale 3: Discussing the information with the client will increase the client’s engagement in managing his or her own health care

Rationale 4: While the client has done some homework, the nurse and client together should discuss the information, and the reliability of the source

Global Rationale:

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome:

Question 3

Type: MCSA

Which of the following is not one of the ONC committee’s criteria for defining its meaningful use objectives?

1. Clients should have access to self-management tools
2. Participation on a health information exchange (HIE)
3. Providers should have access to comprehensive client data from all available sources
4. Clients should be able to correct or edit their electronic health data in real time

Correct Answer: 4

Rationale 1: The Office of the National Coordinator for Health committee included that the EHR should include client access to self-management tools

Rationale 2: The ONC committee included participation in regional or national health information exchange of information in the meaningful EHR

Rationale 3: The ONC included real-time access to all medical information and tools to help ensure quality and safety of the care provided

Rationale 4: Client access to their EHR in real-time is not included in the ONC meaningful use objectives

Global Rationale:

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:

Question 4

Type: MCSA

Which of the following sites is considered a reliable source of information for nurses?

1. Google
2. Wikipedia
3. ANA.ORG
4. CNN Health

Correct Answer: 3

Rationale 1: Google may provide access to reliable sources, however it provides access to many sources that are unreliable, such as blogs and ‘wikis’

Rationale 2: Wikipedia is not considered a reliable source of information on most subjects, as any one who wishes to contribute to the page can add to the content

Rationale 3: ANA.org, the American Nurses Association is considered a reliable nursing resource

Rationale 4: CNN Health may have reliable information, however it is not considered a reliable source of information for nurses

Global Rationale:

Cognitive Level: Knowing

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:

Question 5

Type: MCSA

Which of the following is an example of decision support in relation to an EHR system?

1. Links to specific protocols, case study results, or guidelines
2. An annotated bibliography of medical journals
3. Links to general online medical resources
4. A list of recommended continuing education classes

Correct Answer: 1

Rationale 1: Links to protocols or case studies provides information to the provider to guide in treatment plan decisions

Rationale 2: Annotated bibliographies provide articles to read, but not specific guidelines or treatment plans

Rationale 3: Links to general medical resources provide information; they do not provide the clinician with a specific evidence based plan of care that could be followed

Rationale 4: Recommended classes does not assist the clinician in real-time decisions

Global Rationale:

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:

Question 6

Type: MCSA

The Internet can best be described as a (n) _________

1. local-area network.
2. virtual private network.
3. public network.
4. wide-area network.

Correct Answer: 3

Rationale 1: A local-area network connects multiple computers together to exchange data in private networks that can be accessed only by users in that network

Rationale 2: A virtual private network (VPN) uses the Internet to transport data, but encrypt and decrypts the data between the sending and receiving systems; only those who are permitted to use the system can access it

Rationale 3: The Internet is a worldwide public network that can be accessed by any computer anywhere; it is a very large network of networks

Rationale 4: A wide-area network (WAN) is a large group of computers connected together to exchange data in a private network that can only be accessed by the users in that network

Global Rationale:

Cognitive Level:

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:

Question 7

Type: MCSA

Jorge is a home care nurse within a large geographic area; he needs real-time access to update the records of his clients while away from the home health agency. Which of the following will Jorge need to use his agency’s EHR remotely?

1. SSL
2. LAN
3. VPN
4. WAN

Correct Answer: 3

Rationale 1: An secured socket layer (SSL) is limited to data that can be used on a web page; it cannot be used to run software or view records that are on office network computers from elsewhere

Rationale 2: A local area network (LAN) is a group of computers that are connected together using cables

Rationale 3: A virtual private network (VPN) uses the Internet to transport data, but has software that encrypts and decrypts the data between the sending and receiving systems

Rationale 4: A wide area network (WAN) is a large group of computers that are connected together by cables

Global Rationale:

Cognitive Level: Knowing

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:

Question 8

Type: MCSA

The nurse is explaining the process of telemedicine to a client. Which of the following would be an example of store-and-forward telemedicine?

1. Phone teleconference
2. Video documentary on open-heart surgery
3. Voice mail message to a referring physician
4. CAT scan

Correct Answer: 3

Rationale 1: A phone teleconference is real-time telemedicine

Rationale 2: A video documentary is not an example of telemedicine

Rationale 3: A doctor leaving a message stating the facts of a case for a consulting physician, who then responds with a detailed response for the original physician

Rationale 4: A CAT scan is not an example of telemedicine; it may be transmitted electronically, if there are secure Internet connections involved

Global Rationale:

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:

Question 9

Type: MCSA

Store-and-forward telemedicine would not be suited to which of the following situations?

1. Caring for a client with numerous comorbidities
2. Treating a high risk client
3. Performing arthroscopic surgery in real time
4. Consulting on a client with a rare disease

Correct Answer: 3

Rationale 1: Store and forward telemedicine would allow the physician to contact several specialists in order to coordinate the client’s care needs

Rationale 2: The Store and forward technology would allow the physician to leave a detailed message about the client, and have the consultant respond with recommendations regarding the care plan

Rationale 3: Arthroscopic knee surgery is done in real time

Rationale 4: The consultant discussing a client’s plan of care can leave a detailed message regarding the client’s plan of care

Global Rationale:

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:

Question 10

Type: MCSA

A client who uses Instant Medical History when visiting her primary care provider ___________

1. gives her symptoms to a medical assistant for entry.
2. must complete all the questions before arriving at the office.
3. has access to the EHR where her medical record resides.
4. has more face-to-face time with her provider during the visit.

Correct Answer: 4

Rationale 1: The client has already recorded her symptoms

Rationale 2: The client must complete all the questions in order for the Instant Medical History to be completed

Rationale 3: The client does not have access to the complete EHR; rather only the IMH and other basic demographic information

Rationale 4: The client who has already answered all of the history questions related to the present illness will have more time with the provider to examine her, as well as answer other questions

Global Rationale:

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: