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

Correct Answer: Contact precautions required

MRSA requires contact precautions as documented in electronic medical records to prevent transmission of this antibiotic resistant organism.
Option a is incorrect because MRSA spreads through direct contact not airborne transmission so airborne precautions are unnecessary and insufficient.
Option c is incorrect because standard precautions alone are insufficient for MRSA which requires additional contact isolation measures for safety.
Option d is incorrect because MRSA is a serious antibiotic resistant organism requiring specific isolation protocols to prevent healthcare transmission.

Correct Answer: Improve patient safety

The primary goal of nursing informatics specialists is improving patient safety through electronic health record optimization and workflow enhancement.
Option a is incorrect because while cost efficiency matters, patient safety takes precedence over financial considerations in informatics nurse priorities.
Option c is incorrect because informatics nurses support and enhance nursing practice rather than eliminating nursing positions through technology.
Option d is incorrect because informatics aims to streamline documentation making it more efficient rather than increasing documentation burden.

Correct Answer: Decreased readmission rates

Patient engagement through technology leads to decreased costs, lower readmission rates, and improved recovery as patients better manage care.
Option a is incorrect because engaged patients who actively manage their health experience fewer readmissions not increased hospital returns.
Option b is incorrect because patient engagement reduces healthcare costs through better self management and prevention of complications.
Option d is incorrect because engaged patients experience improved care quality through better communication and adherence to treatment plans.

Correct Answer: Fifth grade level

Universal precautions approach recommends fifth grade reading level for patient materials ensuring accessibility for all literacy levels.
Option a is incorrect because college level materials exclude many patients and violate health literacy universal precautions principles for accessibility.
Option b is incorrect because high school level remains too complex for universal health literacy considering diverse patient populations and backgrounds.
Option d is incorrect because professional medical language creates barriers to understanding and contradicts health literacy best practices entirely.

Correct Answer: Gap analysis process

Gap analysis identifies features and functions desired but not immediately available helping plan the transition to new systems.
Option a is incorrect because budget spreadsheets track costs but do not identify functional gaps between current and desired system capabilities.
Option c is incorrect because staff schedules address personnel coverage but do not analyze system functionality gaps requiring attention.
Option d is incorrect because vendor advertisements promote products but do not provide objective analysis of capability gaps needing resolution.

Correct Answer: Quality of care

MIPS ensures Medicare patients receive quality care by measuring providers on quality, resource use, and meaningful technology use.
Option a is incorrect because MIPS focuses on care quality rather than simply the number of patients seen by healthcare providers.
Option c is incorrect because office location does not determine MIPS payments which are based on quality performance metrics instead.
Option d is incorrect because provider experience years do not factor into MIPS which measures current quality performance and outcomes.

Correct Answer: Healthcare data standardization

HL7 supports healthcare data standardization with extensive rules for data exchange, sharing, integration, and retrieval between systems.
Option a is incorrect because HL7 focuses on electronic data exchange standards rather than paper record storage methods or protocols.
Option c is incorrect because HL7 automates data exchange between systems rather than requiring manual data entry by users.
Option d is incorrect because HL7 provides electronic data exchange standards not protocols for verbal communication between healthcare providers.

Correct Answer: Time of day importance

Diabetes education effectiveness depends on considering time of day importance for optimal patient alertness and learning retention ability.
Option a is incorrect because staff convenience should not override patient centered considerations for optimal education timing and effectiveness.
Option c is incorrect because documentation deadlines are administrative concerns that should not determine patient education scheduling priorities.
Option d is incorrect because billing cycles are financial considerations unrelated to the clinical timing needs for effective patient education.

Correct Answer: Scope creep

Scope creep represents unexpected uncontrolled growth of user expectations and requirements that can derail project success and timelines.
Option b is incorrect because budget surplus is a financial positive not the term for uncontrolled project growth causing potential failure.
Option c is incorrect because early completion is a positive outcome not the problem of expanding project requirements beyond original plans.
Option d is incorrect because staff shortage is a resource issue not the specific term for uncontrolled project scope expansion.

Correct Answer: Random EHR reports

Managers can randomly run electronic health record reports to monitor documentation completion and identify noncompliant staff for follow up.
Option b is incorrect because paper audit trails are outdated and inefficient compared to electronic reporting capabilities for compliance monitoring.
Option c is incorrect because verbal reports are subjective and unreliable compared to objective electronic health record compliance data.
Option d is incorrect because annual reviews are too infrequent to ensure ongoing documentation compliance and identify problems promptly.

Correct Answer: Starts on admission

Discharge planning starts on admission to ensure adequate time for coordination, education, and arrangement of post discharge services.
Option a is incorrect because starting discharge planning the day before discharge provides insufficient time for proper coordination and arrangements.
Option c is incorrect because morning of discharge is far too late to arrange necessary services, education, and support systems.
Option d is incorrect because waiting for physician orders delays critical planning that should begin immediately upon patient admission.

Correct Answer: Reduces transcription errors

Biomedical device integration electronically captures vital signs without manual entry, eliminating transcription errors and improving data accuracy significantly.
Option a is incorrect because automated capture reduces rather than increases errors by eliminating manual transcription mistakes and number transpositions.
Option c is incorrect because device integration speeds workflow by eliminating time spent manually entering vital signs into records.
Option d is incorrect because automation reduces staffing needs for data entry allowing nurses to focus on direct patient care.

Correct Answer: Alert interaction warning

Clinical decision support should alert providers about dangerous drug interactions like sildenafil with cardiac medications requiring intervention.
Option a is incorrect because automatic approval of contraindicated medications would compromise patient safety and defeat CDS purpose entirely.
Option c is incorrect because CDS should alert providers to make decisions rather than automatically deleting medications without clinical input.
Option d is incorrect because ignoring potentially fatal drug interactions violates the fundamental patient safety purpose of decision support.

Correct Answer: Hundred to fifty thousand

HIPAA violations result in civil monetary fines ranging from one hundred to fifty thousand dollars per violation depending on severity.
Option a is incorrect because HIPAA violations carry significant monetary penalties beyond simple warning letters to ensure compliance enforcement.
Option b is incorrect because ten dollar fines would be insufficient deterrent for protecting sensitive patient health information privacy.
Option d is incorrect because while cumulative fines can reach millions, individual violations start at hundreds not millions of dollars.

Correct Answer: Survey evaluation methods

Surveys provide systematic objective methods to evaluate nurse opinions on technology, capturing comprehensive feedback from all staff members.
Option a is incorrect because informal conversations miss staff who don't speak up and lack the systematic approach needed for comprehensive assessment.
Option c is incorrect because management assumptions may not reflect actual frontline user experiences and concerns with the technology system.
Option d is incorrect because vendor testimonials are biased marketing materials rather than objective assessments of actual user satisfaction levels.

Correct Answer: Intake and output charts

Intake and output charts within nursing flowsheets specifically track fluid status through detailed documentation of fluid balance.
Option a is incorrect because admission history provides baseline information but lacks ongoing fluid balance tracking throughout the hospitalization.
Option c is incorrect because radiology reports contain imaging results but do not track fluid administration or elimination data.
Option d is incorrect because consultation notes provide specialist opinions but do not contain the detailed fluid tracking data needed.

Correct Answer: Patients need more power

The cures act recognizes patients need more power in healthcare with information access being key to informed decision making.
Option a is incorrect because the act shifts power to patients rather than maintaining traditional provider control over health information.
Option c is incorrect because the act empowers patients rather than insurance companies to control their health information and decisions.
Option d is incorrect because the act focuses on patient empowerment rather than increasing government oversight of healthcare information systems.

Correct Answer: Eliminates human errors

Template based charting is immediately available, eliminates human errors, and provides more accurate standardized documentation than free text.
Option a is incorrect because templates reduce rather than increase errors by providing structured standardized documentation options for users.
Option b is incorrect because templates speed documentation by providing immediate options rather than requiring free text composition time.
Option d is incorrect because templates provide comprehensive options while maintaining flexibility for additional documentation when needed clinically.

Correct Answer: Exempt from sharing

Psychotherapy notes are specifically exempt from sharing under USCDI standards providing enhanced protection for sensitive mental health information.
Option a is incorrect because psychotherapy notes have the highest protection level and are not freely shared like other medical records.
Option c is incorrect because mental health records require the strictest privacy protection not public posting which would violate confidentiality.
Option d is incorrect because psychotherapy notes require specific authorization beyond general consent even for insurance payment purposes.

Correct Answer: Workflow systems component

Workflow systems within electronic health records guide nurses on shift tasks and priorities ensuring comprehensive patient care delivery.
Option a is incorrect because past medical history provides background information but does not guide current shift tasks and priorities.
Option c is incorrect because billing modules handle financial transactions not clinical task management and priority setting for nursing care.
Option d is incorrect because pharmacy databases manage medications but do not comprehensively track all nursing tasks and care priorities.