D220 Information Technology in Nursing Practice - Set 3 - Part 1

Correct Answer: Random report generation

Random EHR reports allow managers to monitor documentation completion and identify noncompliant nurses requiring additional training or intervention.
Option a is incorrect because vendor contacts are for technical support rather than monitoring internal staff documentation compliance and performance.
Option c is incorrect because birthday calendars are social tools unrelated to clinical documentation monitoring and compliance tracking systems.
Option d is incorrect because supply forms manage inventory rather than tracking individual nurse documentation compliance and completion rates.

Correct Answer: Generate interaction alert

The CDS should immediately alert the provider about dangerous drug interactions allowing informed decision making before proceeding.
Option a is incorrect because deleting medications without provider input removes clinical decision making authority and could harm patients.
Option c is incorrect because automatic approval of contraindicated medications would compromise patient safety defeating the CDS purpose entirely.
Option d is incorrect because delayed pharmacy contact misses the critical moment for intervention before the dangerous order proceeds.

Correct Answer: Patient empowerment focus

The cures act puts patients in charge of healthcare records recognizing their need for power in healthcare decisions.
Option a is incorrect because the act shifts control from providers to patients rather than maintaining traditional provider ownership models.
Option b is incorrect because the act empowers patients rather than insurance companies to control their health information access.
Option d is incorrect because the act focuses on patient control rather than expanding government ownership of healthcare data.

Correct Answer: Available immediately use

Template based charting is immediately available for use, eliminates human errors, and provides more accurate documentation.
Option a is incorrect because templates speed rather than slow documentation by providing instant structured options for data entry.
Option c is incorrect because templates reduce error rates through standardization rather than increasing documentation mistakes and inaccuracies.
Option d is incorrect because templates improve accuracy through structured formats rather than reducing documentation reliability and precision.

Correct Answer: Involve staff process

Involving staff in the implementation process addresses resistance and promotes buy in for successful technology adoption.
Option a is incorrect because ignoring complaints allows resistance to grow and can lead to implementation failure or workarounds.
Option c is incorrect because mandating without engagement increases resistance and prevents the collaboration needed for successful change.
Option d is incorrect because punishment increases resistance while involvement strategies effectively address concerns and build support constructively.

Correct Answer: Query based functionality

Query based exchange enables immediate retrieval of patient information from other facilities during emergency care situations.
Option a is incorrect because annual reports are retrospective summaries rather than real time information access for emergency care.
Option c is incorrect because monthly batches are too infrequent for emergency departments requiring immediate patient information access capabilities.
Option d is incorrect because quarterly summaries lack the immediacy needed for trauma care requiring instant comprehensive medical history.

Correct Answer: Root cause analysis

Root cause analysis provides structured methodology for analyzing adverse events and identifying underlying factors preventing future occurrences.
Option a is incorrect because vacation schedules are administrative tools unrelated to systematic adverse event investigation and analysis methodology.
Option c is incorrect because marketing plans focus on promotion rather than clinical error analysis and patient safety improvements.
Option d is incorrect because budget forecasts project finances rather than investigating clinical errors and their contributing factors systematically.

Correct Answer: Pie chart display

Pie charts effectively show percentage distributions making them ideal for displaying diagnosis category proportions in populations.
Option a is incorrect because scatter plots show relationships between variables rather than percentage distributions of categorical data effectively.
Option c is incorrect because tables present raw numbers but lack the visual impact of charts for showing proportional relationships.
Option d is incorrect because text paragraphs cannot effectively communicate percentage distributions compared to visual pie chart representations.

Correct Answer: Date of birth

Date of birth is protected health information that specifically identifies individuals requiring strict HIPAA security measures.
Option a is incorrect because cafeteria menus are public information unrelated to patient identification or protected health information requirements.
Option b is incorrect because parking capacity is operational data not patient specific information requiring HIPAA privacy protection.
Option d is incorrect because weather forecasts are public data unrelated to patient identification or protected health information.

Correct Answer: Uniformity enables retrieval

Standardized terminology allows uniformity and easier retrieval of nursing related data across different systems and settings.
Option a is incorrect because standardization reduces rather than increases confusion by providing consistent language across all documentation.
Option b is incorrect because standardized terms improve rather than reduce data retrieval through consistent searchable terminology use.
Option d is incorrect because standardization enhances rather than prevents communication by ensuring common understanding across providers.

Correct Answer: Migrate data systematically

Data migration systematically transfers information from old systems to new ensuring continuity of patient care records.
Option a is incorrect because deleting records would violate legal retention requirements and eliminate critical patient care history.
Option c is incorrect because starting fresh loses valuable historical data needed for ongoing patient care and treatment decisions.
Option d is incorrect because ignoring old data abandons essential medical history required for safe continuous patient care delivery.

Correct Answer: Staff ignore messages

Excessive alerts cause fatigue leading staff to ignore potentially critical patient safety messages and warnings systematically.
Option a is incorrect because alert management focuses on clinical safety rather than financial processes like billing speed improvements.
Option c is incorrect because alert volume has negligible impact on electricity usage compared to patient safety implications involved.
Option d is incorrect because electronic alerts are unrelated to paper consumption which contradicts electronic health record purposes.

Correct Answer: Authentication encryption required

Authentication and encryption together provide comprehensive protection controlling access and securing data if devices are compromised.
Option a is incorrect because physical labels provide no technical protection against unauthorized electronic access to patient information.
Option c is incorrect because screen protectors guard against damage not unauthorized access to protected health information stored electronically.
Option d is incorrect because cases protect devices physically but don't prevent data access if devices are stolen.

Correct Answer: Speakerphone option availability

Speakerphone options in telehealth apps present privacy concerns as others may overhear sensitive medical information unintentionally.
Option a is incorrect because video quality affects clarity not privacy unless the setting somehow broadcasts to unauthorized viewers.
Option c is incorrect because scheduling functions manage appointments rather than creating risks for information disclosure during sessions.
Option d is incorrect because username creation is an authentication step that enhances rather than compromises privacy protection.

Correct Answer: Implementation phase activation

The implementation phase involves system activation ensuring the technology is ready for effective end user utilization.
Option a is incorrect because planning precedes actual system activation which cannot occur until implementation phase begins properly.
Option c is incorrect because retirement phase involves decommissioning not activating systems for initial end user effectiveness requirements.
Option d is incorrect because conceptual phases involve ideas and design not the actual system activation for users.

Correct Answer: Redesign clinical processes

Workflow analysis supports redesigning clinical processes to ensure new systems enhance rather than disrupt patient care.
Option a is incorrect because workflow analysis improves nursing efficiency rather than eliminating nursing positions from healthcare delivery.
Option c is incorrect because EHR implementation reduces rather than increases paper use contradicting the digitalization goals entirely.
Option d is incorrect because workflow analysis aims to improve efficiency for more patients not reduce care volume.

Correct Answer: Stage three focus

Stage three meaningful use focuses on improving outcomes including electronic prescribing for enhanced medication safety systematically.
Option a is incorrect because preliminary planning occurs before meaningful use stages which involve actual system utilization requirements.
Option c is incorrect because meaningful use stages occur during not after implementation as ongoing requirements for incentives.
Option d is incorrect because selection happens before meaningful use implementation stages begin with their specific technology requirements.

Correct Answer: Physical skin examination

CDC states scabies diagnosis occurs through physical examination of skin identifying the characteristic crusted rash presentation.
Option a is incorrect because scabies is diagnosed through visual skin examination not blood tests which cannot detect mite infestations.
Option c is incorrect because chest imaging is irrelevant for diagnosing skin mite infestations which require direct visual examination.
Option d is incorrect because urine analysis cannot detect skin parasites which require physical examination for proper diagnosis confirmation.

Correct Answer: Act as superuser

Informatics nurses act as superusers providing expert support and assistance to staff using electronic health records.
Option a is incorrect because dietary services manage cafeteria operations rather than informatics nurses focused on technology support roles.
Option c is incorrect because parking management is a facilities function unrelated to clinical informatics nursing specialist responsibilities.
Option d is incorrect because retail operations are separate from the clinical technology support roles of informatics specialists.

Correct Answer: Increased engagement capability

Patients with controlled pain show better engagement capability using technology to actively participate in care management.
Option a is incorrect because pain control enables rather than decreases engagement as patients can focus on health management.
Option c is incorrect because engaged patients report higher not lower satisfaction scores when actively participating in care.
Option d is incorrect because patient engagement reduces complications through better self management and treatment adherence behaviors.