D220 Information Technology in Nursing Practice - Set 5 - Part 1

Correct Answer: Engage nurses early

Engaging nurses early in implementation helps understand workflow needs and reduces resistance through involvement and ownership feelings.
Option a is incorrect because threats increase resistance and workarounds rather than fostering the collaboration needed for successful adoption.
Option c is incorrect because ignoring workarounds allows unsafe practices to persist potentially compromising patient care and data integrity.
Option d is incorrect because vendors lack understanding of clinical workflows requiring nurse input to create practical usable solutions.

Correct Answer: Provider order section

Provider orders contain essential directives for post operative care planning including medications, activity restrictions, and monitoring requirements.
Option a is incorrect because visitor logs are administrative records unrelated to clinical care planning for post surgical recovery needs.
Option c is incorrect because parking records are business functions completely unrelated to surgical patient care planning and interventions.
Option d is incorrect because retail receipts have no bearing on clinical care decisions for post operative patient management.

Correct Answer: USCDI exemption status

Psychotherapy notes are specifically exempt from USCDI sharing standards requiring enhanced protection beyond standard medical record requirements.
Option a is incorrect because psychotherapy notes are highly protected private documents never considered public domain information under any circumstances.
Option c is incorrect because mental health records require maximum privacy protection not mandatory publication which would violate confidentiality completely.
Option d is incorrect because psychotherapy notes specifically prohibit automatic sharing requiring special authorization beyond general consent requirements.

Correct Answer: Bar graph visualization

Bar graphs effectively compare infection rates across units providing clear visual representation of differences between departments simultaneously.
Option a is incorrect because single numbers cannot show comparisons requiring side by side visual representation for effective communication purposes.
Option c is incorrect because audio cannot effectively convey numerical comparisons that require visual representation for quick comprehension and analysis.
Option d is incorrect because handwritten notes lack the visual impact and clarity that bar graphs provide for comparative data.

Correct Answer: Prevent medication errors

Medication interaction warnings prevent potentially dangerous drug combinations protecting patient safety through timely alerts to providers.
Option a is incorrect because alerts aim to prevent errors not intentionally slow workflow though they may add safety verification steps.
Option c is incorrect because alerts focus on safety not documentation time though they may require acknowledgment for liability purposes.
Option d is incorrect because efficiency reduction is an unintended consequence while patient safety is the primary alert purpose.

Correct Answer: Centers Medicare Medicaid

The Centers for Medicare and Medicaid Services oversees meaningful use ensuring providers meet requirements for incentive payments.
Option a is incorrect because the FBI handles criminal investigations not healthcare technology incentive programs which CMS specifically manages comprehensively.
Option c is incorrect because police departments handle law enforcement not federal healthcare technology programs and their associated financial incentives.
Option d is incorrect because fire departments provide emergency services not oversight of federal healthcare information technology incentive programs.

Correct Answer: Production software continuity

Disaster planning ensures production software remains in working condition maintaining data availability and integrity during emergency situations.
Option a is incorrect because aesthetics are irrelevant to disaster recovery which focuses on system availability and data protection priorities.
Option c is incorrect because vacation scheduling is routine administration unrelated to emergency system recovery and continuity planning requirements.
Option d is incorrect because social events are unrelated to the critical system availability that disaster recovery planning must ensure.

Correct Answer: Reduced redundant tests

HIE reduces redundant testing by making previous results available across organizations saving costs and preventing unnecessary procedures.
Option a is incorrect because HIE specifically reduces rather than increases redundant testing by sharing existing results between providers effectively.
Option c is incorrect because HIE doesn't eliminate necessary testing but prevents repetition of tests already performed elsewhere appropriately.
Option d is incorrect because HIE prevents rather than requires duplication by making existing test results accessible across organizations.

Correct Answer: Visual cause mapping

Fishbone diagrams visually map root causes allowing teams to see relationships between factors rather than just listing problems.
Option a is incorrect because colors are aesthetic while fishbone diagrams provide analytical structure for understanding complex problem relationships systematically.
Option c is incorrect because fishbone diagrams are serious analytical tools not entertainment though visual presentation may increase engagement levels.
Option d is incorrect because decoration is irrelevant to the systematic cause analysis that fishbone diagrams specifically enable for improvement.

Correct Answer: Patient recorded data

Patient generated health data is created, recorded, or gathered by patients or caregivers outside clinical settings independently.
Option a is incorrect because PGHD specifically comes from patients not providers who generate clinical data during care encounters traditionally.
Option c is incorrect because insurance companies process claims not generate patient health data which comes from individuals directly monitoring.
Option d is incorrect because government agencies analyze population data rather than generating individual patient health monitoring data personally.

Correct Answer: Unfreezing current state

Unfreezing must occur first to prepare people for change by disrupting current patterns before introducing new processes.
Option a is incorrect because jumping to change without unfreezing causes resistance as people aren't prepared for new approaches mentally.
Option c is incorrect because refreezing comes last after successful change not first in the three step process sequence.
Option d is incorrect because skipping steps causes implementation failure as each phase builds necessary foundation for subsequent success.

Correct Answer: Creating urgency sense

Kotter's model begins with creating urgency to motivate change by helping people understand why change is necessary immediately.
Option a is incorrect because celebrations come after successful change not at the beginning when establishing need for transformation.
Option c is incorrect because vacation planning is routine administration unrelated to the urgency required for initiating organizational change successfully.
Option d is incorrect because decorations are irrelevant to the serious urgency needed to motivate organizational transformation and commitment initially.

Correct Answer: Real time updates

Electronic pathways enable real time updates ensuring all providers access current evidence based protocols immediately improving care consistency.
Option a is incorrect because pathways guide care while allowing clinical judgment for individual patient variations when medically necessary appropriately.
Option c is incorrect because pathways supplement rather than eliminate clinical judgment which remains essential for individualized patient care decisions.
Option d is incorrect because pathways standardize care while preserving provider autonomy to deviate when patient conditions require modifications clinically.

Correct Answer: Who takes actions

Data governance defines who can take what actions upon what data in what situations using what methods systematically.
Option a is incorrect because governance restricts rather than provides unlimited access ensuring appropriate data use and protection consistently applied.
Option c is incorrect because governance manages rather than prevents access balancing security with necessary information availability for care delivery.
Option d is incorrect because governance protects and manages rather than deletes data which would eliminate valuable healthcare information permanently.

Correct Answer: Legibility error elimination

Electronic prescribing eliminates legibility errors from handwriting ensuring accurate medication orders reach pharmacies without interpretation mistakes.
Option a is incorrect because aesthetics are irrelevant while eliminating handwriting interpretation errors is the critical safety improvement achieved electronically.
Option c is incorrect because e-prescribing speeds rather than slows processing by eliminating manual transcription and interpretation time requirements.
Option d is incorrect because e-prescribing reduces transcription steps by transmitting orders directly rather than requiring manual re-entry processes.

Correct Answer: Nurses and technology

Informatics nurses serve as liaisons between nurses and technology bridging clinical practice with information system capabilities effectively.
Option a is incorrect because visitor services are administrative functions unrelated to the clinical technology liaison role informatics nurses provide.
Option c is incorrect because facilities management is unrelated to the clinical informatics role connecting nursing practice with technology systems.
Option d is incorrect because grounds keeping is completely unrelated to the healthcare technology and nursing practice liaison functions provided.

Correct Answer: Aggregate data analysis

EHRs enable aggregation and analysis of data across populations identifying trends and opportunities for targeted health interventions.
Option a is incorrect because population health requires aggregated not individual data to identify patterns across patient groups systematically analyzed.
Option c is incorrect because population health specifically requires moving beyond single patients to understand community and group health patterns.
Option d is incorrect because grouping data is essential for population health rather than preventing the aggregation needed for analysis.

Correct Answer: Immediate edit capability

Front end dictation allows immediate editing and filing eliminating human transcription errors and providing real time documentation completion.
Option a is incorrect because front end specifically enables immediate not delayed editing which characterizes back end transcription processes traditionally.
Option c is incorrect because front end facilitates rather than prevents corrections allowing real time error identification and correction immediately.
Option d is incorrect because front end dictation creates electronic documents directly rather than requiring paper printing defeating digitalization purposes.

Correct Answer: Nursing flowsheet documentation

Nursing flowsheets work with MAR to track blood glucose trends alongside insulin administration for comprehensive diabetes management.
Option a is incorrect because parking information is unrelated to clinical diabetes management requiring coordinated glucose and medication tracking systematically.
Option c is incorrect because while diet matters for diabetes, cafeteria menus aren't the clinical documentation coordinating with medication administration.
Option d is incorrect because retail inventory has no relationship to the clinical documentation required for diabetes medication management coordination.

Correct Answer: Identify needed redesign

Workflow analysis identifies where redesign is needed ensuring new systems enhance rather than disrupt clinical care processes.
Option a is incorrect because analysis improves rather than eliminates workflows which remain necessary for organized clinical care delivery systematically.
Option c is incorrect because analysis specifically identifies needed changes rather than preventing the improvements technology can enable effectively implemented.
Option d is incorrect because analysis aims to eliminate inefficiencies not maintain them which would compromise care quality and satisfaction.