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

Correct Answer: Contact precautions required

MRSA requires contact precautions because it spreads through direct contact with infected wounds or contaminated items.
Option a is incorrect because standard precautions alone are insufficient for MRSA which requires additional contact isolation measures for safety.
Option c is incorrect because MRSA spreads through contact not respiratory droplets making droplet precautions inappropriate and insufficient.
Option d is incorrect because MRSA is not airborne so these precautions would be unnecessary while missing required contact protections.

Correct Answer: Project failure risk

Scope creep causes serious delays or complete project failure when user expectations grow beyond original planned capabilities.
Option a is incorrect because scope creep delays rather than accelerates completion by adding unplanned requirements and complexity continuously.
Option c is incorrect because scope expansion increases costs rather than creating surpluses as additional features require more resources.
Option d is incorrect because uncontrolled changes frustrate staff rather than increasing satisfaction as projects become chaotic and delayed.

Correct Answer: Fifth grade level

Fifth grade reading level ensures materials are accessible to all patients regardless of educational background or literacy.
Option a is incorrect because graduate level materials exclude most patients and violate universal precautions principles for health literacy.
Option b is incorrect because college level remains too complex for universal accessibility given diverse patient populations and backgrounds.
Option d is incorrect because medical terminology creates barriers to understanding contradicting health literacy best practices for patients.

Correct Answer: Benchmarking analysis process

Benchmarking compares organizational performance against industry leaders and standards to identify improvement opportunities and best practices.
Option a is incorrect because internal audits examine internal processes without the external comparison that defines benchmarking analysis methodology.
Option c is incorrect because satisfaction surveys measure subjective opinions rather than objective performance metrics against industry standards.
Option d is incorrect because budget reports analyze financial variances rather than clinical quality metrics compared to competitors.

Correct Answer: Improving patient safety

Improving patient safety through electronic health record optimization represents the primary goal of nursing informatics specialists.
Option a is incorrect because while revenue matters, patient safety takes precedence over financial considerations in informatics nursing priorities.
Option b is incorrect because informatics enhances rather than reduces nursing roles by improving technology support for clinical practice.
Option d is incorrect because informatics streamlines rather than eliminates documentation which remains essential for patient care continuity.

Correct Answer: Support professional judgment

Clinical decision support must support and balance with professional judgment rather than replacing clinical thinking entirely.
Option a is incorrect because CDS supplements rather than replaces the clinical reasoning and assessment skills of healthcare providers.
Option c is incorrect because human input remains essential as CDS cannot account for all patient specific factors and circumstances.
Option d is incorrect because full automation is inappropriate and dangerous as clinical care requires human judgment and assessment.

Correct Answer: Query based transfer

Query based transfer allows providers to immediately find and retrieve patient information from remote facilities during emergencies.
Option a is incorrect because annual summaries are retrospective reports rather than real time information access during emergency care.
Option c is incorrect because scheduled processing cannot accommodate the immediate unpredictable needs of emergency clinical situations effectively.
Option d is incorrect because monthly distributions are too infrequent for emergency care requiring immediate access to patient information.

Correct Answer: HbA1c pattern analysis

HbA1c analysis demonstrates data mining by identifying patterns in glycemic control data to improve diabetic patient outcomes.
Option a is incorrect because single results are discrete data points rather than the pattern analysis that characterizes data mining.
Option c is incorrect because one medication dose is a single data point not the large scale pattern recognition of mining.
Option d is incorrect because individual vital signs are discrete measurements rather than the aggregate analysis defining data mining.

Correct Answer: Authentication plus encryption

Authentication combined with encryption provides the strongest protection by controlling access and making data unreadable if compromised.
Option a is incorrect because warning stickers provide no technical protection against unauthorized access to electronic protected health information.
Option b is incorrect because tracking helps locate devices but doesn't prevent data access if the device is compromised.
Option d is incorrect because screen brightness affects visibility not security of the protected health information stored on devices.

Correct Answer: Interoperable technology use

Providers must demonstrate meaningful use of interoperable health information technology to qualify for ARRA incentive payments.
Option a is incorrect because meaningful use requires electronic not paper records with demonstrated interoperability and quality improvement capabilities.
Option c is incorrect because meaningful use focuses on technology adoption and quality not reducing healthcare workforce staffing levels.
Option d is incorrect because meaningful use aims to improve and expand care quality rather than limiting services to patients.

Correct Answer: Low health literacy

Low health literacy represents a primary barrier preventing effective portal use especially among vulnerable and elderly populations.
Option a is incorrect because time is less significant than the literacy and technology skills needed to navigate portal systems.
Option c is incorrect because portals are often complex rather than excessively easy creating barriers for many users.
Option d is incorrect because under engagement not over engagement is the problem when patients face portal access barriers.

Correct Answer: Provides accurate documentation

Template based charting provides more accurate documentation by eliminating human errors and standardizing data entry formats.
Option a is incorrect because templates reduce rather than increase errors through structured standardized documentation formats and validation rules.
Option b is incorrect because templates speed documentation by providing immediate structured options rather than composing free text.
Option d is incorrect because templates maintain flexibility for additional documentation while providing structured baseline data capture capabilities.

Correct Answer: Twenty first century cures

The twenty first century cures act recognizes patients need more power with information access for healthcare decisions.
Option a is incorrect because HIPAA protects privacy rather than specifically empowering patients with greater control over healthcare decisions.
Option c is incorrect because Medicare modernization focused on prescription benefits rather than patient information access and empowerment.
Option d is incorrect because Social Security established benefits programs rather than addressing patient information access and control.

Correct Answer: Exempt from sharing

Psychotherapy notes are specifically exempt from standard sharing requirements providing enhanced protection for mental health information.
Option a is incorrect because psychotherapy notes receive the highest privacy protection not automatic public release which violates confidentiality.
Option b is incorrect because even insurance requires specific authorization beyond general consent for psychotherapy note access.
Option d is incorrect because employers have no automatic right to psychotherapy notes which receive special federal privacy protection.

Correct Answer: Workflow system component

Workflow systems guide nurses on shift tasks and priorities ensuring comprehensive and timely patient care delivery.
Option a is incorrect because historical records provide past information but don't guide current shift tasks and care priorities.
Option c is incorrect because billing interfaces handle financial transactions not clinical task management and priority setting for nurses.
Option d is incorrect because registration systems capture demographics rather than guiding clinical workflows and task priorities during shifts.

Correct Answer: Eliminates error risk

Biomedical device integration eliminates transcription errors by automatically capturing vital signs directly into electronic records accurately.
Option a is incorrect because automation reduces rather than increases errors by eliminating manual number transcription and data entry.
Option c is incorrect because automation reduces nursing time needed for documentation allowing focus on direct patient care activities.
Option d is incorrect because automated capture speeds rather than slows documentation by eliminating manual data entry time requirements.

Correct Answer: Data blocking costs

Data blocking and interface costs represent primary barriers preventing effective interoperability between different healthcare information systems.
Option a is incorrect because lack of cooperation not excessive cooperation creates interoperability challenges between competing healthcare organizations.
Option c is incorrect because insufficient rather than excessive standardization prevents systems from effectively exchanging information between platforms.
Option d is incorrect because communication gaps not over communication create barriers to establishing effective information exchange agreements.

Correct Answer: Data exchange rules

HL7 provides extensive rules and standards for data exchange, sharing, integration, and retrieval between healthcare systems.
Option a is incorrect because HL7 focuses on electronic data exchange rather than paper form printing or physical documentation.
Option c is incorrect because HL7 standardizes electronic data not verbal communication protocols between healthcare providers or organizations.
Option d is incorrect because HL7 automates electronic exchange rather than providing guidelines for manual transcription between systems.

Correct Answer: Time of day selection

Time of day significantly impacts patient alertness and retention making timing selection critical for education effectiveness.
Option a is incorrect because billing cycles are administrative concerns unrelated to the clinical effectiveness of patient education timing.
Option c is incorrect because staff meetings shouldn't determine patient education timing which should focus on patient readiness and alertness.
Option d is incorrect because computer maintenance is a technical issue not a primary factor in patient education scheduling decisions.

Correct Answer: Incorrect data entry

Incorrect data entry directly compromises integrity by creating inaccurate records that affect clinical decisions and patient safety.
Option a is incorrect because display colors are aesthetic preferences that don't affect the accuracy or integrity of healthcare data.
Option c is incorrect because system speed affects efficiency but not the accuracy and reliability that define data integrity.
Option d is incorrect because multiple licenses support access but don't inherently compromise the integrity of stored healthcare information.