D220 Information Technology in Nursing Practice - Set 4 - Part 1

Correct Answer: Software running maintenance

Nurses must ensure production software remains in working condition and data integrity is maintained during power emergencies.
Option a is incorrect because deleting records would destroy essential patient information needed for care continuity and legal requirements.
Option c is incorrect because mass printing is impractical during power outages and contradicts electronic record management principles entirely.
Option d is incorrect because abandoning facilities violates patient care responsibilities and doesn't address data protection needs appropriately.

Correct Answer: Refer medical records

Family members should be referred to medical records department for proper authorization before releasing patient information.
Option a is incorrect because immediate provision without authorization violates HIPAA even when family members make seemingly legitimate requests.
Option c is incorrect because emailing records without proper authorization and encryption violates multiple privacy and security requirements.
Option d is incorrect because posting patient information online would constitute massive HIPAA violations regardless of family requests.

Correct Answer: Survey methodology approach

Surveys systematically evaluate nurse opinions on technology providing comprehensive feedback from all users about system effectiveness.
Option a is incorrect because vendor testimonials are biased marketing materials rather than objective assessments of actual user experiences.
Option c is incorrect because management assumptions may not reflect frontline staff experiences with the documentation technology system daily.
Option d is incorrect because random observations miss systematic patterns that comprehensive surveys can identify across all users.

Correct Answer: Blood glucose management

The MAR is essential for managing blood glucose fluctuations by tracking insulin administration alongside glucose monitoring results.
Option a is incorrect because staff scheduling uses workforce management systems rather than the medication administration record for coordination.
Option c is incorrect because visitor registration is a security function unrelated to medication administration documentation and tracking systems.
Option d is incorrect because dietary preferences are nutrition services concerns not medication administration record documentation purposes specifically.

Correct Answer: Worklist system feature

The worklist feature guides nurses on shift tasks and priorities ensuring all required care activities are completed.
Option a is incorrect because historical data provides background information but doesn't guide current shift task priorities and requirements.
Option c is incorrect because billing summaries are financial reports not clinical task management tools for nursing workflow organization.
Option d is incorrect because marketing analytics are business intelligence tools unrelated to clinical nursing workflow and task management.

Correct Answer: Customer needs met

Successful EHR implementation is determined by whether the system meets customer and user needs for patient care.
Option a is incorrect because vendor profits are business outcomes unrelated to whether the system serves healthcare delivery needs effectively.
Option c is incorrect because aesthetic improvements are unrelated to the functional success of electronic health record system implementation.
Option d is incorrect because parking capacity is a facilities issue unrelated to EHR system success in meeting clinical needs.

Correct Answer: Removes incorrect items

Data scrubbing removes incorrect, incomplete, duplicate, or improperly formatted items using special software for this purpose.
Option a is incorrect because scrubbing removes rather than adds false data to improve overall database quality and reliability.
Option c is incorrect because scrubbing eliminates rather than creates duplicates which compromise data integrity and system efficiency.
Option d is incorrect because scrubbing reduces error rates by cleaning data rather than introducing additional errors into systems.

Correct Answer: Eligibility verification difficulty

Without in person enrollment, verifying that patients are eligible to participate in studies using PGHD becomes difficult.
Option a is incorrect because funding levels don't specifically relate to the PGHD enrollment verification challenges in remote studies.
Option c is incorrect because participant interest levels don't address the specific eligibility verification challenge of remote enrollment.
Option d is incorrect because equipment availability isn't the primary challenge compared to verifying participant eligibility remotely without direct contact.

Correct Answer: User and workstation

Audit trails must contain user name, workstation, specific document, and date time to determine data integrity effectively.
Option a is incorrect because personal preferences are irrelevant to security auditing which requires factual access and modification data.
Option c is incorrect because weather information has no bearing on system access auditing and data integrity monitoring requirements.
Option d is incorrect because sports information is unrelated to the security tracking that audit trails must provide systematically.

Correct Answer: Develop EHR capability

TIGER's primary objective is developing a nursing workforce capable of using electronic health records effectively for care.
Option a is incorrect because TIGER promotes rather than eliminates technology use to enhance nursing practice and patient care.
Option c is incorrect because TIGER aims to enhance nursing capabilities rather than reduce the nursing workforce through technology.
Option d is incorrect because TIGER advances electronic documentation rather than increasing paper based recording methods in healthcare.

Correct Answer: Care coordination quality

The affordable care act incentivizes better coordination and quality care while guaranteeing healthcare access for all Americans.
Option a is incorrect because the act expands rather than limits services to improve healthcare access and quality nationwide.
Option c is incorrect because the act focuses on improving care quality rather than mandating healthcare workforce reduction requirements.
Option d is incorrect because the act promotes technology adoption rather than elimination to improve care coordination and quality.

Correct Answer: MRSA infection confirmed

MRSA infection requires contact precautions to prevent transmission of this antibiotic resistant organism in healthcare settings.
Option a is incorrect because common colds typically require standard precautions rather than specific contact isolation measures for protection.
Option c is incorrect because allergies are not infectious conditions requiring any isolation precautions for other patients or staff.
Option d is incorrect because headaches are symptoms not infectious conditions requiring isolation protocols in healthcare settings documentation.

Correct Answer: Track disease patterns

Disease surveillance tracks specific diseases and conditions across populations to identify patterns and guide public health responses.
Option a is incorrect because surveillance focuses on population patterns rather than individual patient treatment planning and care decisions.
Option c is incorrect because vacation scheduling is administrative rather than the epidemiological tracking that disease surveillance provides systematically.
Option d is incorrect because building maintenance is facilities management unrelated to disease pattern tracking and public health surveillance.

Correct Answer: Quality driven outcomes

Value based reimbursement rewards providers for quality driven care based on outcomes rather than service volume alone.
Option a is incorrect because value based models specifically move away from quantity focused payment to quality and outcome measures.
Option c is incorrect because geographic factors may adjust payments but don't define the fundamental quality focus of value models.
Option d is incorrect because provider demographics are irrelevant to value based models focusing on care quality and patient outcomes.

Correct Answer: Report generation capability

EHR report generation allows managers to randomly check documentation completion and identify noncompliant staff requiring intervention.
Option a is incorrect because weather systems are unrelated to clinical documentation monitoring and compliance tracking in healthcare settings.
Option c is incorrect because entertainment systems don't provide documentation compliance monitoring capabilities that managers need for oversight.
Option d is incorrect because security cameras monitor physical spaces not electronic documentation completion and compliance within systems.

Correct Answer: Store and forward

Asynchronous applications store and forward information for later review rather than requiring real time interaction between parties.
Option a is incorrect because asynchronous specifically doesn't require real time interaction which defines synchronous telehealth delivery methods instead.
Option c is incorrect because both telehealth types are remote rather than in person which defeats telehealth's distance purpose.
Option d is incorrect because telehealth uses electronic communication rather than paper forms for remote healthcare service delivery.

Correct Answer: Clinical outcomes measurement

EMRAM measures clinical outcomes and technology use to strengthen organizational performance and health outcomes across populations.
Option a is incorrect because food service satisfaction is unrelated to the clinical technology evaluation that EMRAM specifically provides.
Option c is incorrect because parking revenue is a business metric unrelated to clinical technology adoption and utilization measurement.
Option d is incorrect because retail sales don't reflect the clinical technology utilization that EMRAM evaluates for healthcare organizations.

Correct Answer: Locate evaluate use

Information literacy is the ability to recognize, find, evaluate, and use needed information effectively for healthcare.
Option a is incorrect because programming is a technical skill while information literacy focuses on finding and using information effectively.
Option c is incorrect because physical abilities are unrelated to the cognitive skills of locating and evaluating information sources effectively.
Option d is incorrect because artistic expression doesn't address the systematic information skills that define healthcare information literacy requirements.

Correct Answer: Hospital system interoperability

C-CDA allows interoperability of health information exchange between different hospital systems enabling seamless data sharing capabilities.
Option a is incorrect because C-CDA focuses on electronic interoperability rather than paper printing which contradicts digital exchange purposes.
Option c is incorrect because entertainment systems are unrelated to the clinical document architecture supporting healthcare information exchange requirements.
Option d is incorrect because parking systems are administrative functions unrelated to clinical document exchange between healthcare systems.

Correct Answer: Internet interaction ability

Computer literacy provides the knowledge and ability to interact with internet based patient portal systems effectively.
Option a is incorrect because medical education isn't required for basic computer literacy needed to navigate patient portal interfaces.
Option c is incorrect because physical abilities are unrelated to the digital literacy skills required for portal navigation and use.
Option d is incorrect because musical skills don't translate to the computer interaction abilities needed for health portal utilization.