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Which clinical data can be translated for use in patient care?
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BSN 235 Informatics

Week 2-14

QuestionAnswer
Which clinical data can be translated for use in patient care? Heart rate Potassium level Chest x-ray results
Which types of data are categorical? -eye color -blood type -political party affiliation
Which assist the nurse in making informed patient care decisions? -nurse's experiece -patient's health status -patient's environment
What are the ways in which data is transformed into information? -combination of data sets -trending of data over time -application of personal experience
Which are examples of computerized systems? -barcoding -clinical decision support system -computerized provider order entry
Which items provide computerized diagnostic information? Health patches Accelerometers Imaging technologies
Which types of knowledge are gained through experience and/or academic learning? -ethical -personal -empirical
Which constructs were added to Graves’ and Corcoran’s model by Nelson? -wisdom -combination of values, experience, and knowledge -appropriate use of knowledge to solve human problems
How is knowledge gained? Processing information systematically
Which methods should the nurse use to provide a technological approach to patient education? Visualization of health information from the electronic health record to understand the patient's status ICU monitor to assess heart rate and blood pressure readings Internet to find information regarding options for patient education
Which is a goal of precision medicine utilization? Effectively individualize medical treatment based on genetic make-up
Which aspects of health care has health informatics directly impacted? Public health Electronic health record Patient Outcomes
Which notable events in health informatics directly relate to patient outcomes? Computer-based order (CPO) initiation into hospital systems Epic introduced into hospital systems Zephyr instituted in Massachusetts
Which was a driving force behind the development of health informatics as a science between 1965 and 1991? Needed clinical and administrative data sharing
The formalization of health informatics as a recognized discipline was dependent on which factor? Increased capability of computers and computer science
Which variable promoted the transition to a national system of electronic health records by 2014, as called for by President Obama in 2009? Incentive funding for investment in EHR purchase by clinical practices
How would a nurse use health informatics in patient care? Using health care information for patient and provider communication Integrating various types of information to provide knowledge for nursing practice
Which statements describe how informatics reduce health care costs? EHRs aggregate and analyze health care information, facilitating better diagnostics HITECH provided funding to health care facilities and practices for EHRs to reduce redundant medical tests. EHR meaningful use identifies health disparities.
Which use of technology assists nurses in translating patient care knowledge into improved decision making? The nurse's use of the electronic medical record The nurse's understanding of vital sign sensors The nurse's understanding of interactive monitors
Which describe Systems Theory? Uses a holistic approach Requires interoperability
Which statements accurately describe characteristics of open and closed systems? Open systems have feedback loops. Closed systems allow only internal interactions. Open and closed systems have information input and output.
Which pairing demonstrates a correct concept association within the Social Ecological Model? Organizational Level—School
Which are components of Information Theory? Noise Transmitter Information Source
Which tasks are associated with Nelson’s Model and could be used in nursing practice? Developing a patient-focused plan of care Identifying if a single lab test is within normal limits Using information to determine trends related to a patient's blood tests
Which pathway correctly identifies the order of Nelson’s model? Data–information–knowledge–wisdom
Which ideas are key components of learning theories? Learning can be active Learning builds on existing knowledge Knowledge can be acquired through conditioning
Which ideas are key components of Behaviorism? The environment shapes learning. Learning is the result of conditioning.
Which actions are associated with constructivism? Accommodating and assimilating Building on an existing foundation Producing knowledge and making meaning
Which are true of Lewin’s Change Theory? Identifies the desired long-term goals Describes how and why a specific or desired change is expected to occur Determines that change will be allowed, will occur, and will be sustainable
Which statements describe components of refreezing? Stability occurs. Changes become anchored into the individual The individual embraces the new way of working.
Which statements describe components of unfreezing? The individual is ready to change The individual understands the core of the issue
In what ways do electronic health records help manage risk reduction? -aggregates patient information -provides clinical alerts and reminders -enables evidence-based decision at point of care
How does health information technology (HIT) improve patient safety? Ensures data security and safety Creates clinical and safety alerts Translates data and information
How is patient safety improved using electronic health records (EHRs)? -managing risk =accurately capturing patient information -using health information technology
Which component of data visualization improves patient outcomes? Provides rapid access to essential information
Which EHRs components help improve patient/provider relationships? -ePrescribing -letter templates -patient care summaries
How does EHR technology improve patient satisfaction? Increases communication and informaion
In which ways does effective use of EHR technology decrease nursing burden? Timeline implementation Personnel training
What is a key element required for nurses to effectively use EHRs? Adequate training
How does EHR technology reduce nursing burden in the hospital? Dashboads for patient data access
What is the appropriate order for the effects of data aggregation? Individual health/population health/public health
Which area does “US overweight and obesity increases the potential for hypertension and diabetes” most closely align? Public Health
Which trends does the EHR identify that affects public health? Pneumonia vaccine administration
How does data aggregation affect health care research? Creates large amounts of data that can individualize care
How does public health informatics improve health? Disseminates information
How does the data aggregation increase the efficiency of information? Provides real time analytics for decision making
How do surveillance systems impact public health? Collects standardized data
What does public health informatics analytics include? Statistical and visual applications
How does data knowledge impact population health? Identifying trends in patient temperatures in the ICU
How do surveillance systems affect public health? Describing complex systems and disease transmission
How do EHRs affect population and public health? Maximizes meaningful use
How does meaningful use affect patient care? -facilitates care coordination -improves patient safety -improves population health
Which meaningful use tasks are included in Stage 3? -Medication reconciliation -assuring data are safe and securely accessible -creation of patient summary of care record
Which are components of the Medicaid EHR Incentive Program? Funds provided by CMS The program is state run Provides $63,750 in funding
What is the main function of the health information exchange (HIE)? Facilitating health information access and retrieving data
Which actions facilitate meaningful consent? Providing patient education on impact of consent choices Providing technology that allows a patient to control access to their health information
How does the HIE help improve the quality of patient care? Avoids readmissions Improves diagnoses Decreases duplicate testing
How does encryption safeguard patient data? Transformation of information so the meaning is hidden
What is the primary goal of the Patient Bill of Rights/Patient Care Partnership? Improvement of patient care delivery
What important element was added to the Patient Bill of Rights in its revision to the Patient Care Partnership? Individual and provider partnership
Who is the major user of the Internet for health information? Women
What impact do health care portals have on patients and patient care? -improving health outcomes -understanding of medical diagnoses -understanding specific health-related symptoms
What are key Internet-based consumer health informatics goals? Care management across the continuum
How might a nursing student who is unable to attend in-person campus classes use mHealth methods for learning? - Publications for evidence - Web-based communications for class attendance - Physiologic assessment apps to understand heart sounds
Match the mobile health usage with the appropriate nursing setting. Provides communication between patient/provider Nursing practice Provides practice examples of clinical management Nursing education Provides output decisions Nursing research
Which action best demonstrates how mHealth is used in patient care? Communicates real-time data from patient to provider to manage chronic conditions
In which area does mHealth require improvement? Privacy and security of patient information
Health care providers use wearable technology for which purposes? Providing a holistic view and treatment of an individual’s care Requiring continual patient physiologic monitoring to treat and manage chronic illness Expanding alternative technological programs for geographically challenged patients
Why might insurers wish to encourage the use of wearable technology for plan participants? Monitoring compliance with treatment
Which methods could a Chief Nurse use to manage an emergency at a level one trauma center? - RTLS System - Bed placement priority - hospital wide tracking system
Which methods would assist in reducing the spread of infection? RTLS
Which health informatics methods can health care consumers use to increase care satisfaction? - ePrescription - New patient forms - Health care portals
What acute care nursing task uses health informatics to improve care quality? Consider all providers notes and patient medications to determine a patient’s fall risk
Which elements best describe a learning health system? A multi-dimensional approach for discharge instructions
What describes a nursing and health informatics approach to care for a patient with dementia? The health care team discusses, with the patient and caregivers, an analysis of aggregated evidentiary data of dementia management and treatment
How does a community health nurse impact population health using health informatics? - Working with the specific community to identify a health-related problem .- Developing and educational tools to help community members self-manage the issue - Identifying stakeholders to determine methods of measuring the severity of the problem
How does public health demonstrate impact on community health? - Using the YRBSS to determine substance use prevalence - Using public alerts for disease outbreaks in the community - Working with state and local health departments to determine health and wellness needs
How does the NHANES survey apply to community health informatics in children? Collects standardized data via interview and physical exam, to monitor geographical health of children
What describes how a consumer health informatics approach can be used for caregivers of persons with dementia? - Connecting with blogs to provide information on dementia - Joining social networks associated with others with interest in dementia - Using internet resources to search for dementia-related information
Which action describes health informatics associated guides for a 55-year-old to help diabetes self-management? Providing appropriate social network and internet links based on internet capabilities
Which describes the first step to familiarizing oneself with consumer health informatics? Accessing the national center for Biotechnology informatics to connect with links and social networks
What describes health informatics methods for caring for a person with chronic upper airway disease to increase patient care satisfaction? - Using the patient specific dashboard to understand the patient/ - Providing the patient/family with internet links related to - Providing the patient/family with links to sites that can assist with additional information related to upper respirator
Which action best describes how a nurse in a provider clinic can use informatics technology to increase the satisfaction of an adolescent with asthma and their family? Providing the parent with access to the patient portal with a link to a gaming tool that will help the patient self management their asthma
How do health care portals increase patient satisfaction? - Assist in health care decision making - Increase patient/provider relationships - Provide rapid access to health information
Which action describes the primary focus of technology and patient care? Maximizing technology to support patient needs
Which items explain a patient’s technology knowledge base? - Internet knowledge - USE of patient portals - Family and friends support
Which methods identify balancing technology and care? - Understanding patient needs - Supporting self-management - Using behavior modification care delivery models
Which steps should be taken to integrate a new electronic blood pressure system into a facility? - Select key stakeholders - Include a patient representative in the stakeholders - Hold an information meeting to determine interest in the system
Which considerations are necessary for implementation of a new technology in a health care unit? - Showing need and benefit - Holding education sessions - Identifying technology champions
Which is a health care responsibility when new technology is being implemented? Provide input on need for the technology
A health care provider is working with an overweight person with diabetes to reduce the patient’s blood sugar. Which items describe appropriate technological methods of assisting the patient? - A glucometer - An application to track diet - An application to track exercise
Which health-related technology in the EHR challenges nursing practice? Potential nursing burden related to frequent system updates
Which technology-assisted suggestions could the nurse provide when discharging a patient who lives in a remote area? - Use of telehealth - Use of ePrescriptions - Health-related applications for her cell phone
Which individual would benefit from the use of individual health care technology? An individual with diabetes living in remote Appalachia using an exercise application to help self-manage their illness
For which reasons might a health care provider appropriately use technologic solutions? - Education in specific areas of care - Contraindications of a particular drug -Adherence to clinical practice guidelines for patient care
How does technology assist providers with patient care? - Decision making - Patient management - Provider/patient communication
Which method may be used by insurance companies in exchange for lowered costs of premiums? Wearable mHealth applications
What is the relationship between the use of telehealth and patient satisfaction? Few empirical studies have demonstrated greater quality of care and improved outcomes, but some have reported higher level of patient satisfaction.
The Center for Connected Health Policy states that methods that allow patients to remain in their homes can result in what outcome? Reduced costs, preventable repeat hospitalizations, and decreased lengths of stay
In which setting would telecommunication technology would not be used? A specialty coffee shop
Your patient is hypertensive, mobile, but 50 pounds overweight. What type of telecommunication technology might you recommend to track activity? mHealth application
The patient you’ve treated with leukemia for the past two years just called from a remote part of Nebraska, while in the waiting room of a lone clinic in the area. The patient had a slip-and-fall while out hiking and is experiencing abnormal symptoms Employ store and forward with the care provider he will be seeing.
Which of these will nurses be expected to contribute to personalized medicine in relationship to genomics, proteomics, and micro-array gene expression? Patient education and enhanced decision making
How could you describe clinical decision support systems? A reservoir of knowledge Established clinical knowledge Updated patient information
A patient brings the results of a genetic test for breast cancer risk. She had it done at the last mammogram appointment 3 months ago and now brings the results to you for assistance. Which answer aligns with the expectations of nurses? -there is genetic specialist next door. would you like a referral? -It's great that you completed this. Do you know that there are commercially available tests for other diseases? -I can't help interpret the resu
Which is an example of CDS use in disease prevention? Preventative management of COPD
Integration of screening for specific diseases or illnesses could potentially lead to which outcome? Screening protocols
Documentation of the use of CDS suggest an improved rate of recommended screenings and other preventative cardiovascular care. What evidence remains inconclusive? Blood pressure Hemoglobin A1C levels
How do clinical decision making support systems enhance care? Through rule-based decisions and recommendations in addition to clinical expertise and knowledge
Which of these are part of CDS during data-entry tasks? Order sets, care plans, and protocols
What does the right information refer to? Evidence based Right end user based on national performance measure
A patient is undergoing da Vinci surgery for prostate cancer. Which of these statements indicate the need for additional education? “I need to alert my insurance company that I will be hospitalized for the full week.”
Which selection(s) best describes the purpose(s) of patient remote monitoring? Reduce the likelihood of readmission Provide patient support and prevent complications
Which topics are appropriate on social media? General pre and post surgical information
A patient has been admitted for chemotherapy following a cancer diagnosis. Which of these assessments derived from technology should be available prior to medication administration? Pharmacogenetic results
Your patient has not been compliant in the home environment and asks you why they may want to engage in their health care through technology. Which of these statements is the best response. “You may feel better sooner and may be able to go to your granddaughter’s wedding.”
Your patient is curious about their sensor technology that is going to impact diabetes. Which is the best explanation of this technology? The sensor can detect when your blood glucose decreases to unsafe levels
Which example is most likely to be used for epidemiology? Social media outlets as Facebook, Twitter, etc
Which are examples of invasive patient care technologies? 1. Implantable insulin sensor and pump 2. Renal denervation for blood pressure intervention 3. Implantable artificial pancreas for diabetes
Which selection best explains smart technology in individualized care? Algorithmic programs collect, store, and analyzes individual and aggregated data
Match each nursing language to the correct description. NIC ---- Comprehensive, research-based, developed inductively NOC ---- Shared with all disciplines, linked to other languages, used to disseminate information NANDA ----- Developed to refine and promote terminology that accurately reflects nursing judg
Why are NIC, NOC, and NANDA important in health care? 1. They provide data to consumers about costs, treatment 2. They facilitate effective payment systems and identification of fraud and abuse by ensuring accurate reporting. 3. They support a less complex system for data collection and h purposes.
Which is the appropriate description of the OMAHA System Intervention Scheme? Describes health-related care plans and provides a model for problem solving
What is the reason for using the Clinical Care Classification System repository? To perform patient point-of-care assessment, documentation, and classification
Which is a primary function of the International Classification of Nursing Practice (ICNP)? Improves communication between nursing and other disciplines
Which are the functions of a Laboratory Information System (LIS)? 1. Stores data 2. Records data 3. Manages data
How does SIDATRAT support quality care for patients living with HIV/AIDS? Allows for monitoring and follow-up of antiretroviral drug therapy
Which disease is currently the focus of a government health initiative using Big Data? Cancer
How can the use of health care-related computer applications promote patient autonomy? Empowers the patient to participate in self-management
Which reporting system collects data from 16 states with the purpose of tracking and reducing teen suicide rates? NVDRS
What is the primary goal of the use of health care applications such as diaries and trackers? Encourage patients to take an active role in their own health care by promoting self-management.
A patient just arrived on your unit for a robotic-assisted procedure. The surgeon has already described the procedure to the patient, but the patient still seems very nervous as you complete the admit assessment. "I hear your concerns. The health care providers and nurses are still part of the process and guide the procedure. There are reports of decreased healing time and scarring with this procedure. Could I call the surgeon back to revisit procedural concerns?"
According to Carper (1978), which way of knowing best relates to the use of technology? Care using data but with patient-centric methods
Which statement describes patient-centric care? Requires empirical knowing Encourages shared-decision making Assists in coordination of care Enables patient to assert control over their own care
What is the most appropriate reason to encourage the use of personalized care? Personalization to each person
Which new technology may help provide personalized care to patients with diabetes? Tattoos
How is genomic testing being used to improve cancer treatment? Chemotherapy
What is the most important consideration when collecting, transmitting, and storing data related to health care? The ability to handle data in a way that is HIPAA compliant and follows the rules of governance
Which are guiding principles of governance? Standardization Change management
Which type of cloud technology would allow a nurse to create health records and notes using a provider’s applications within an existing infrastructure? Software as a Service (SaaS)
Why is big data a major contributor to enhanced health care? It is run on real-time analytics on specific databases. It can be used to address health care problems locally. It assists in aggregating data to answer difficult questions.
Which concept describes health care globalization? Sharing of ideas and information for the purpose of improving patient outcomes
Which is a concern related to medical tourism? There may be communication problems that impact care.
Health care globalization can best be described as: Integration, convergence, and collaboration across cultures
What is the role of the World Health Organization in the development of mHealth? Strategic planner, developer, and evaluator of mHealth Activities
How could mHealth improve infection rates post hospital discharge? By tracking patients’ cultures and evaluating for infection post discharge
Why is mHealth an effective way to address health care needs? It is a way to level the playing field so that underserved populations may be reached.
How would PCORI methods be used for predictive analysis? Applying to previous trials or other research data to produce personalized results
What is a stated example of using PCORI to research the area of mental health? A comparison of interventions to determine effectiveness with patients who are experiencing mental illness
A nurse is charting using only the information provided by the patient’s aunt. What is this nurse failing to do? Seeking out primary source of information
A patient is being monitored at home for high blood pressure and arrhythmias and is on a continuous monitor. You notice a severe storm approaching the patient’s neighborhood. Why might the nurse be concerned? Lack of connectivity due to a storm may result in loss or delay of clinical information.
Why would the nurse ask a patient about preferred language and cultural designation? For data collection that will be aggregated and reported for the purpose of health care improvement
Which knowledge resource support repositories are typically part of the electronic health record (EHR)? National Guideline Clearinghouse The National Library of Medicine PubMEd Agency for Health care Research and Quality (AHRQ) The Centers for Disease Control and Prevention (CDC)
Which are methods for workstation safety and security? Assure workstation placement is secure Remove all data before reassigning the device Policy development for workstation use and safety
Which describe physical security measures that safely secures patient data? Plans to recover data inadvertently deleted Dispose of electronic media so that it cannot be reused Documentation of regular data security checks and updates
What is the goal of a facility security plan? Protection from unauthorized use
Uninvited manipulation of a computer's behavior- Hacking Scam posing in a legitimate manner to access personal information - Phishing Software which gathers information about a user without user's knowledge - Spyware Software which accesses and damages a computer without the user's knowledge - Malware
Which method is used to prevent hacking? Adequate firewall
Which are examples of access control? Unique User Identification
What are examples of a specific person’s PHI? Date of birth Was treated for asthma Treated with antibiotic therapy An individual’s employee health records
What best describes de-identified data? Cannot be used to identify individuals Can be determined by a qualified statistician Cannot include information about family members
What are key elements of the HIPAA Privacy Rule? Defines protected health information Defines who can transmit individually identifiable information Identifies differences in identified and de-identified information
What best describes the rationale for the HITECH Act? Providing incentives to support EHR use Creating standards for EHR systems and data Allowing health care providers to share data for better patient care quality
Which uses of PHI are restricted under HITECH privacy requirements? Marketing Fund raising Data disclosure
What actions must be taken if a data breach occurs? Notify the media of a data breach Notify affected persons by first class mail Notify all parties whose information is involved
Which describes how ethics is involved with electronic health records? - Maintenance of patient privacy - Provision of consent for health care procedures- Provision of aggregate data to help public and population health
How does the ANA code of conduct reflect on data privacy and confidentiality? Relationship of trust between provider and patient to do no harm.
Autonomy requires which of the following? Respect for personal views and values
Which are examples of beneficence with respect to research? Risk reduction - Focus on patient interest; do no harm - Altruistic research for the good of all.
Which are key attributes of the Belmont Report? - Being fair and just - Valuing individuals - Doing good for others
Which are components of the HIPAA Privacy Rule? - Patient privacy assurance - Establishment of personal health information integrity - Allowance of protected health information use for insurance payments.
Which standards development organization (SDO) covers almost every industry? International Organization for Standardization (ISO)
Which standards development organization (SDO) develops standards enabling information system interoperability to improve medical research? Clinical Data Interchange Standards Consortium (CDISC)
Which standards development organization (SDO) is the international standard for medical imaging? DICOM
Which health informatics association advances accurately, reliability, and usefulness of health data through consistent standards? AHIMA
Which health informatics association has a vision of better health through informatics technology? AHIMA
Which health informatics association was formed by the merger of three organizations? AMIA
What are constructs of information technology? Technological fluency in information transmission is a construct of information technology. Expression of information Technical understanding of the expression of information is a construct of information technology.
What are key differences in information technology and information literacy? Knowledge versus technology Content versus skills Rote versus deep learning
What categorical elements compare information technology and information literacy? Philosophical Fluency Knowledge-base
Which are methods of improving health literacy? Developing health courses in academics Assuring cultural sensitivities in all programs Developing targeted community programs
What are risks of low health literacy? Poor health outcomes Less reliable decision-making Increased health care costs
What systematic factors are associated with health literacy? Health system culture Public health system demands Professional health topic knowledge
What methods increase skills for health promotion and disease prevention? Developing educational materials that use common language and understanding Developing educational materials addressing the needs and comprehension abilities of older individuals Providing information addressing societal and cultural needs
How can informaticists improve systematic health literacy in older adults? Use audiovisual technology to communicate health information Use easily understood mathematical approaches to calculations Use culturally and technologically appropriate methods of communicating health information
Which pairs indicate related associations of impact and improvement of health literacy? Increased health information understanding and early academic health-related programs Increased decision-making ability and community health programs Decreased health care costs and age- and education-appropriate health programs
What methods increase skills for health promotion and disease prevention? Developing educational materials that use common language and understanding Developing educational materials addressing the needs and comprehension abilities of older individuals Providing information addressing societal and cultural needs
Why are common data elements used? To support clinical and patient safety systems To enable consistent data collection and exchange To enable decision support through consistent language
How do standard terminologies assist nursing care? Supports reliable patient care Defines and supports nursing practice Provides accurate descriptions of nursing practice
Which standard terminologies are internationally used? ICNP LOINC ICD
Which are characteristics of digital strategies? Data efficiency Electronic communication Patient-focused health applications
Which are requirements for the development of a digital strategy? Cross-functional team Access to health information Understanding of patient health information needs
Which are the best descriptions of health care architecture? Use of designs and plans Interface of objects or ideas Use of structure in medical terminology
Which items would be included in computer architecture? CPU Software Networks
Which components are requirements of computer software? Individual license Periodic updates Compatibility Checks
Which are components of a patient-centric health system network? Hospital Data warehouse Network security
How does SNOMED-CT record patient family history? Structured data
Which are benefits of health care terminology standardization? Risk reduction Data can be organized, queried, and analyzed Information can be shared consistently within and across health care settings
What impact does SNOMED-CT have on the medical and technology sectors? Interoperability Language globalization Electronic information transmission
How is LOINC® superior to CPT coding? LOINC is more specific than CPT coding for identifying test observations
Which descriptions apply to LOINC? Standardized coding system Universal master file of standard test names
What is the most important impact LOINC® has on the medical and technology sectors? Standardizes essential patient tests and observations
How is health informatics associated with the NMDS and NMMDS? Through standardization and inclusion in LOINC
What are practice impacts to the use of the NMDS? Increased quality of care Defining, communicating, and comparing nursing practice across settings Standardization of nursing care, patient demographics, and service elements
What impact does the NMMDS have on nursing practice? Demonstrate nursing care delivery Rapid access to accurate information Benchmarking to assure quality care
Created by: iobraztsov
 

 



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