D220 Information Technology in Nursing Practice - Set 2 - Part 1

Correct Answer: Seventy two hour trends

Seventy two hour laboratory trends are critical for identifying patterns and changes that indicate developing complications requiring intervention.
Option a is incorrect because annual summaries are too broad and miss the acute changes occurring during current hospitalization complications.
Option b is incorrect because admission labs provide baseline but miss the evolving changes that signal developing post operative complications.
Option d is incorrect because discharge labs are future focused while the patient currently needs intervention based on recent trends.

Correct Answer: Integration process implementation

Integration processes enable different information systems to exchange data seamlessly without requiring manual intervention from end users.
Option a is incorrect because manual transcription creates errors and inefficiencies rather than enabling seamless automated data exchange between systems.
Option c is incorrect because paper printouts defeat the purpose of electronic systems and create workflow disruptions rather than integration.
Option d is incorrect because verbal reports cannot effectively transfer the volume and complexity of data between information systems.

Correct Answer: SNOMED clinical terms

SNOMED clinical terms provide globally recognized controlled healthcare vocabulary enabling consistent documentation and interoperability across all systems.
Option a is incorrect because local abbreviations create confusion and prevent interoperability between different healthcare organizations and systems nationally.
Option c is incorrect because department specific codes fragment communication rather than providing the unified language needed for interoperability.
Option d is incorrect because informal slang lacks standardization and professional recognition needed for official healthcare documentation and exchange.

Correct Answer: Query based exchange

Query based exchange enables providers to immediately find and request patient information during unplanned emergency care situations.
Option a is incorrect because monthly processing is far too slow for emergency situations requiring immediate access to critical information.
Option b is incorrect because annual reviews are for retrospective analysis not real time emergency care information needs.
Option d is incorrect because scheduled transfers cannot accommodate the unpredictable timing of emergency department visits and urgent care.

Correct Answer: Signed agreement required

Employee injuries require signed agreements before releasing information to protect patient privacy even in workplace injury situations.
Option a is incorrect because verbal approval lacks the legal documentation required for releasing protected health information to employers.
Option c is incorrect because automatic release violates HIPAA protections regardless of the workplace relationship between parties involved.
Option d is incorrect because manager authority over employees does not override HIPAA requirements for protected health information release.

Correct Answer: Training staff users

Training staff and end users during implementation phase is critical for ensuring effective system use and adoption.
Option a is incorrect because vendor negotiations occur during selection phase rather than during the active implementation and training period.
Option c is incorrect because budget reviews are administrative tasks that don't directly impact user readiness for system adoption.
Option d is incorrect because executive meetings alone don't prepare frontline staff who must use the system for patient care.

Correct Answer: Alert fatigue occurs

Alert fatigue develops when excessive warnings overwhelm users causing them to ignore potentially critical patient safety alerts.
Option a is incorrect because excessive alerts slow rather than speed system use as users must address each warning individually.
Option c is incorrect because alert overload disrupts documentation flow rather than improving documentation quality or efficiency automatically.
Option d is incorrect because alert fatigue increases costs through inefficiency and potential safety events rather than decreasing expenses.

Correct Answer: Stage three requirements

Stage three meaningful use focuses specifically on improving patient outcomes through enhanced electronic health record utilization and optimization.
Option a is incorrect because planning occurs before meaningful use stages which are implementation focused rather than preliminary planning.
Option b is incorrect because selection happens before meaningful use implementation stages begin with actual system utilization requirements.
Option d is incorrect because meaningful use has three defined stages with stage three focusing on outcomes not preliminary activities.

Correct Answer: Order summary tab

The order summary tab provides the primary location for reviewing all current physician orders and care directives.
Option a is incorrect because nursing notes document assessments and interventions but don't contain the official physician orders requiring verification.
Option c is incorrect because billing records track charges rather than containing the clinical orders that guide patient care.
Option d is incorrect because discharge summaries are retrospective documents not the source for current active physician orders.

Correct Answer: Physical security measures

Physical security includes protecting items through restricted area placement, locks, and other tangible access control measures.
Option a is incorrect because administrative policies are procedural rather than the physical barriers and controls protecting equipment and areas.
Option c is incorrect because software updates are technical controls rather than physical measures protecting devices and restricted areas.
Option d is incorrect because training addresses human factors rather than physical security measures like locks and restricted access.

Correct Answer: Improved recovery times

Patient engagement through portals leads to improved recovery times along with decreased costs and lower readmission rates.
Option a is incorrect because engaged patients experience faster not slower recovery through better self management and treatment adherence.
Option b is incorrect because portal engagement reduces readmissions as patients better manage their conditions and follow care plans.
Option d is incorrect because patient satisfaction increases rather than decreases when they have portal access and control over information.

Correct Answer: Fishbone diagram tool

Fishbone diagrams visually display root causes allowing teams to diagnose actual problems rather than just addressing visible symptoms.
Option a is incorrect because budget spreadsheets analyze financial data rather than mapping the multiple causes of clinical errors systematically.
Option c is incorrect because marketing surveys gather customer opinions rather than systematically analyzing error causation in clinical processes.
Option d is incorrect because schedule templates organize time rather than identifying and visualizing problem root causes comprehensively.

Correct Answer: Breach notification requirement

HITECH mandates breach notification ensuring patients are informed when their protected health information security is compromised.
Option a is incorrect because HITECH promotes electronic systems rather than mandating paper backups which would contradict digitalization goals entirely.
Option c is incorrect because HITECH strengthened rather than reduced security standards adding more rigorous enforcement and requirements.
Option d is incorrect because HITECH makes breach notification mandatory not optional when protected health information is compromised.

Correct Answer: Intake output section

The intake output section specifically tracks all fluid administration and elimination providing comprehensive fluid balance documentation.
Option a is incorrect because medication lists show drugs ordered but don't track actual fluid volumes administered or eliminated.
Option c is incorrect because consultation notes contain specialist recommendations rather than detailed fluid balance tracking over time.
Option d is incorrect because admission assessments provide initial status but lack ongoing fluid balance monitoring throughout hospitalization.

Correct Answer: Upon admission immediately

Discharge planning begins immediately upon admission ensuring adequate time for coordination and post discharge service arrangements.
Option a is incorrect because discharge morning is far too late to arrange necessary services, equipment, and follow up care.
Option c is incorrect because waiting a week delays critical planning that should start immediately to ensure smooth transitions.
Option d is incorrect because the night before discharge provides insufficient time for teaching, coordination, and service arrangements.

Correct Answer: Cascading documentation method

Cascading documentation reduces overwhelming data entry fields while making information easier to locate and document accurately.
Option a is incorrect because free text increases documentation time and makes data retrieval difficult without structured field organization.
Option c is incorrect because paper forms create duplicate work rather than reducing the electronic documentation burden for nurses.
Option d is incorrect because voice documentation alone lacks the structure needed for organized data retrieval and reporting capabilities.

Correct Answer: Asynchronous applications technology

Asynchronous applications allow patients to share health metrics with providers via technology without real time interaction requirements.
Option a is incorrect because synchronous meetings require real time interaction rather than passive data collection and later review.
Option c is incorrect because paper logs lack the electronic transmission capability that defines remote patient monitoring technology systems.
Option d is incorrect because phone calls are synchronous communication rather than the automated data capture of remote monitoring.

Correct Answer: Medication administration errors

Barcode medication administration specifically prevents medication errors by verifying right patient, drug, dose, route, and time.
Option a is incorrect because barcode scanning addresses medication delivery rather than the diagnostic process or clinical decision making.
Option c is incorrect because while scanning may improve billing accuracy, the primary purpose is preventing clinical medication errors.
Option d is incorrect because barcode scanning focuses on medication safety rather than appointment or procedure scheduling conflicts.

Correct Answer: Very large datasets

Big data consists of very large datasets beyond human capability requiring information technology for pattern identification.
Option a is incorrect because small samples can be analyzed manually while big data's defining characteristic is overwhelming volume.
Option b is incorrect because simple spreadsheets handle manageable data while big data requires sophisticated analytical technology platforms.
Option d is incorrect because single points are discrete data while big data involves massive volumes requiring technological analysis.

Correct Answer: Merit based MIPS

Merit based incentive payment system replaced meaningful use for physicians while maintaining focus on quality care delivery.
Option a is incorrect because HIPAA addresses privacy and security rather than quality based reimbursement programs for Medicare providers.
Option c is incorrect because Joint Commission provides accreditation standards rather than Medicare physician payment programs replacing meaningful use.
Option d is incorrect because state licensing ensures basic competency rather than quality based federal reimbursement programs for physicians.