D220 Information Technology in Nursing Practice - Set 1 - Part 1

Correct Answer: Provider orders section

Provider orders are the primary source for planning post-operative care and contain essential directives for patient management after surgical procedures.
Option a is incorrect because nursing flowsheets track ongoing patient data like vital signs and intake output but do not contain physician care directives.
Option c is incorrect because laboratory results provide diagnostic data but do not include specific care orders or treatment directives from providers.
Option d is incorrect because the medication administration record documents medication given but does not contain comprehensive provider orders for care.

Correct Answer: MAR and flowsheets

The medication administration record and nursing flowsheets work together to track medications given and monitor blood glucose trends over time effectively.
Option a is incorrect because provider orders alone do not provide ongoing tracking of blood glucose values or documentation of administered insulin doses.
Option b is incorrect because laboratory results alone miss nursing documentation of point of care glucose testing and medication administration timing.
Option d is incorrect because admission notes provide historical information but lack the ongoing monitoring data needed for fluctuating glucose management.

Correct Answer: Cascading documentation

Cascading documentation reduces overwhelming data entry fields and makes information easier to locate while maintaining documentation accuracy and completeness.
Option a is incorrect because free text entry actually increases documentation burden and makes data retrieval more difficult without structured fields.
Option c is incorrect because paper charting backup creates duplicate work and does not address the electronic documentation burden issue.
Option d is incorrect because voice recognition alone does not organize data into structured fields or reduce the number of required entries.

Correct Answer: Continuity care records

Continuity care records serve as the transfer mechanism between different electronic health record systems enabling information exchange across platforms.
Option a is incorrect because different electronic health record systems cannot directly merge and require standardized exchange mechanisms for data transfer.
Option b is incorrect because manual paper transfer defeats the purpose of electronic records and creates inefficiencies in modern healthcare.
Option d is incorrect because verbal report alone cannot capture the comprehensive health information needed for safe patient care transitions.

Correct Answer: Protected health information

Protected health information specifically identifies individuals including their name, date of birth, and test results requiring strict HIPAA protection.
Option a is incorrect because general health statistics are aggregate data without individual identifiers and do not require HIPAA protection levels.
Option b is incorrect because anonymous survey data lacks identifying information and therefore falls outside HIPAA's protected information requirements.
Option d is incorrect because public health reports use de-identified data for population health and do not contain individual protected information.

Correct Answer: Medical records department

The medical records department handles proper authorization and release of patient information ensuring HIPAA compliance and appropriate documentation.
Option a is incorrect because nursing stations should not directly release medical records without proper authorization through designated departments.
Option c is incorrect because hospital administration handles organizational matters but not the specific process of medical record release.
Option d is incorrect because information technology maintains systems but does not handle the legal aspects of record release authorization.

Correct Answer: FDA

The Food and Drug Administration specifically recommends barcode medication administration use to prevent medication errors in healthcare facilities.
Option a is incorrect because the Joint Commission focuses on accreditation standards but the FDA specifically mandates BCMA for medication safety.
Option c is incorrect because the Centers for Disease Control focuses on disease prevention and control rather than medication administration technology.
Option d is incorrect because the Occupational Safety and Health Administration addresses workplace safety not medication administration systems specifically.

Correct Answer: Alert fatigue develops

Alert fatigue occurs when staff become overwhelmed by excessive warnings causing them to ignore potentially critical patient safety messages.
Option a is incorrect because multiple alerts do not cause system crashes but rather create a human factors problem with user response.
Option c is incorrect because excessive alerts actually slow documentation as users must respond to or bypass numerous system warnings.
Option d is incorrect because alert fatigue is primarily a patient safety concern rather than a direct financial cost issue.

Correct Answer: OR patient tracking

RFID technology in surgical information systems tracks patients throughout their operating room journey ensuring proper identification and location monitoring.
Option a is incorrect because RFID in surgical settings primarily tracks patient movement rather than dispensing medications from pharmacy systems.
Option b is incorrect because staff scheduling uses different systems and RFID tags in OR focus on patient identification and tracking.
Option d is incorrect because while RFID can track supplies, patient labels specifically serve to monitor patient location and identity.

Correct Answer: Meaningful use adoption

ARRA authorized incentive payments specifically for adopting and demonstrating meaningful use of interoperable health information technology and electronic records.
Option a is incorrect because ARRA incentivizes moving away from paper records toward electronic systems demonstrating meaningful use criteria.
Option c is incorrect because cost reduction alone does not qualify for incentives without demonstrating meaningful use of health technology.
Option d is incorrect because ARRA focuses on technology adoption and improving care quality not reducing healthcare workforce numbers.

Correct Answer: Benchmarking process

Benchmarking compares an organization's performance metrics against industry competitors or standards to identify improvement opportunities and best practices.
Option a is incorrect because internal audits examine internal processes but lack the external comparison needed to assess competitive performance.
Option c is incorrect because staff surveys gather subjective opinions but do not provide objective metric comparisons with other facilities.
Option d is incorrect because budget analysis focuses on financial data rather than clinical quality metrics and performance comparisons.

Correct Answer: Root cause analysis

Root cause analysis provides a structured method for analyzing serious adverse events to identify underlying causes and prevent recurrence.
Option a is incorrect because SWOT analysis evaluates organizational strengths and weaknesses but is not designed for adverse event investigation.
Option c is incorrect because pie charts display data percentages but do not provide the analytical framework for investigating adverse events.
Option d is incorrect because staff surveys gather opinions but lack the systematic approach needed to identify root causes of errors.

Correct Answer: Authentication and encryption

Authentication and encryption requirements provide the strongest security by preventing unauthorized access and making data unreadable if stolen.
Option a is incorrect because screen timeouts help but do not protect data if someone bypasses the lock screen or accesses storage.
Option c is incorrect because device tracking helps locate devices but does not prevent data access if the device is compromised.
Option d is incorrect because warning labels provide no technical protection against unauthorized access to electronic protected health information.

Correct Answer: Breach notification requirements

HITECH requires organizations to notify patients when breaches occur and provide them access to their electronic health records.
Option a is incorrect because HITECH promotes electronic records rather than requiring paper backups which would be counterproductive to digitalization.
Option c is incorrect because HITECH increased rather than reduced documentation and security standards for electronic health information protection.
Option d is incorrect because HITECH mandates breach notification rather than making it voluntary when protected health information is compromised.

Correct Answer: Provide knowledge for decisions

Clinical decision support systems provide clinicians with knowledge and person specific information to support informed patient care decisions.
Option a is incorrect because CDS supplements rather than replaces clinical judgment and must be balanced with professional expertise and assessment.
Option b is incorrect because CDS aims to improve decision making efficiency rather than increase the time spent on documentation.
Option d is incorrect because CDS enhances clinical decision quality rather than reducing the number of healthcare staff needed.

Correct Answer: Support workflow redesign

Workflow analysis helps support and redesign clinical workflows to ensure the new system enhances rather than disrupts care processes.
Option a is incorrect because workflow analysis aims to improve processes not reduce staffing levels which could compromise patient care.
Option c is incorrect because eliminating paper is a goal but workflow analysis focuses on optimizing processes regardless of documentation medium.
Option d is incorrect because workflow analysis prioritizes clinical efficiency and patient care over isolated financial considerations like billing.

Correct Answer: Involve staff in implementation

Involving employees in the decision making process during implementation helps address resistance and promotes buy in for system adoption.
Option a is incorrect because mandating compliance without engagement often increases resistance and leads to workarounds that compromise system effectiveness.
Option c is incorrect because ignoring resistance allows problems to persist and can lead to implementation failure or safety issues.
Option d is incorrect because replacing staff is costly and disruptive when engagement strategies can effectively address resistance to change.

Correct Answer: Electronic prescribing capability

Electronic prescribing represents a core meaningful use requirement demonstrating providers can electronically send prescriptions improving safety and efficiency.
Option a is incorrect because meaningful use focuses on effective electronic record use rather than simply eliminating paper from healthcare settings.
Option c is incorrect because meaningful use aims to improve care quality for more patients rather than reducing patient care volume.
Option d is incorrect because meaningful use emphasizes complete accurate documentation rather than simply reducing time spent documenting care.

Correct Answer: Query based exchange

Query based exchange allows providers to find and request patient information from other providers during unplanned emergency care events.
Option a is incorrect because scheduled batch transfers are too slow for emergency situations requiring immediate access to patient information.
Option c is incorrect because annual data migration is for system conversions not real time information exchange during patient care.
Option d is incorrect because paper requests are too slow and inefficient for emergency care where timely information access is critical.

Correct Answer: Data mining techniques

Data mining techniques look for hidden patterns and relationships in large groups of data using specialized software analysis tools.
Option a is incorrect because basic spreadsheets cannot handle the volume or complexity of big data analysis in modern healthcare systems.
Option c is incorrect because manual chart review is precisely what big data analysis replaces due to human limitations with large datasets.
Option d is incorrect because simple calculators lack the sophisticated analytical capabilities needed to discover patterns in complex healthcare data.