D220 Information Technology in Nursing Practice - Set 3 - Part 2

Correct Answer: Continuity care documentation

Continuity care records enable information transfer between different EHR systems like Epic and AMR maintaining care continuity.
Option a is incorrect because manual copying defeats electronic system purposes and introduces errors compromising care quality and efficiency.
Option c is incorrect because verbal handoffs cannot capture the comprehensive data needed for complete patient care transitions.
Option d is incorrect because memorization is unsafe and impossible for the volume of patient data requiring transfer systematically.

Correct Answer: Patient record access

HITECH requires organizations to provide patients access to their electronic health records enhancing transparency and control.
Option a is incorrect because HITECH expanded patient rather than provider exclusive access rights to electronic health information.
Option c is incorrect because HITECH enhances patient access rights rather than insurance company denial capabilities for records.
Option d is incorrect because HITECH focuses on patient rights rather than expanding government control over health records.

Correct Answer: Blood pressure monitors

Blood pressure monitors and other peripheral devices link directly to health systems eliminating manual vital sign entry.
Option a is incorrect because television remotes are entertainment devices unrelated to clinical monitoring and documentation systems integration.
Option c is incorrect because visitor badges are security tools not clinical devices requiring integration with health records.
Option d is incorrect because elevator controls are building systems unrelated to patient vital sign monitoring and documentation.

Correct Answer: Uncontrolled expectation growth

Scope creep represents uncontrolled growth of user expectations and project requirements beyond original planned specifications systematically.
Option a is incorrect because scope creep involves expansion not decrease of requirements making projects more complex over time.
Option c is incorrect because scope creep complicates rather than simplifies goals by continuously adding new unplanned requirements.
Option d is incorrect because scope creep often involves too many stakeholders adding requirements rather than reduced involvement.

Correct Answer: Meaningful use technology

MIPS measures meaningful use of EHR technology as one performance category determining physician Medicare payment adjustments.
Option a is incorrect because MIPS evaluates clinical quality and technology use not marketing or advertising effectiveness measures.
Option c is incorrect because office aesthetics are unrelated to the clinical performance metrics MIPS uses for reimbursement.
Option d is incorrect because parking availability doesn't factor into MIPS quality metrics focused on patient care delivery.

Correct Answer: Teach back method

Teach back method ensures patient understanding by having them repeat information confirming comprehension before discharge.
Option a is incorrect because rapid delivery overwhelms patients rather than ensuring they understand and retain critical information.
Option c is incorrect because handouts alone don't verify understanding which requires interactive confirmation through teach back.
Option d is incorrect because passive video viewing doesn't confirm comprehension which requires active patient demonstration of understanding.

Correct Answer: Competitor performance comparison

Benchmarking compares performance against competitors and industry leaders identifying gaps and best practices for improvement.
Option a is incorrect because benchmarking specifically requires external comparison not just internal analysis to identify improvement opportunities.
Option c is incorrect because benchmarking uses current comparative data not just historical information for performance improvement planning.
Option d is incorrect because benchmarking analyzes actual current performance rather than making future predictions without data support.

Correct Answer: Role based permissions

Role based access control ensures users only access information appropriate to their position within the healthcare system.
Option a is incorrect because universal access violates privacy by allowing inappropriate access to sensitive patient information unnecessarily.
Option c is incorrect because random assignment would create chaos and security risks rather than appropriate controlled access patterns.
Option d is incorrect because absence of access control violates HIPAA and creates unacceptable privacy and security risks.

Correct Answer: Analyzing diabetic trends

Analyzing HbA1c and glucose trends across diabetic populations exemplifies data mining for improving patient outcome patterns.
Option a is incorrect because single readings are discrete data points not the pattern analysis that characterizes data mining.
Option c is incorrect because one blood pressure is an individual measurement not the large scale analysis defining mining.
Option d is incorrect because individual measurements lack the pattern recognition across populations that data mining provides systematically.

Correct Answer: Protect aggregate data

Joint Commission standards require protecting and aggregating data while maintaining appropriate access for authorized healthcare providers.
Option a is incorrect because unlimited sharing violates privacy standards requiring controlled access to protected health information appropriately.
Option c is incorrect because preventing all access would make patient care impossible contradicting the care delivery mission.
Option d is incorrect because immediate deletion violates legal retention requirements and eliminates needed patient care information.

Correct Answer: Track patient location

RFID in patient labels tracks location and identity throughout surgical processes preventing wrong site surgery errors.
Option a is incorrect because blood loss measurement uses different monitoring systems not RFID patient identification labels specifically.
Option c is incorrect because instrument counting uses separate protocols though RFID can track equipment, patient labels track patients.
Option d is incorrect because anesthesia monitoring uses physiological monitors not RFID tracking labels on patient identification bands.

Correct Answer: At risk understanding

Universal precautions approach treats all patients as at risk for not understanding health information requiring simplified communication.
Option a is incorrect because assuming expert knowledge violates universal precautions principles leading to dangerous misunderstandings about care.
Option c is incorrect because assuming perfect comprehension contradicts the universal precautions approach to health literacy safety.
Option d is incorrect because all patients need education regardless of background which universal precautions acknowledges through standardized approaches.

Correct Answer: Health level seven

Health Level Seven International developed the HL7 framework establishing standards for healthcare data exchange between systems.
Option a is incorrect because FDA regulates drugs and devices rather than developing data exchange standards for healthcare information.
Option c is incorrect because CDC focuses on disease control rather than creating technical standards for information system interoperability.
Option d is incorrect because WHO addresses global health rather than developing specific technical data exchange framework standards.

Correct Answer: MRSA influenza tuberculosis

MRSA, influenza, tuberculosis, and similar infectious diseases require specific isolation protocols documented in electronic medical records.
Option a is incorrect because hypertension and diabetes are chronic conditions not requiring isolation precautions for infection control.
Option c is incorrect because arthritis and headaches are non infectious conditions that don't require isolation protocols documentation.
Option d is incorrect because allergies and asthma are not contagious requiring no isolation precautions in medical records.

Correct Answer: Vital signs trends

Nursing flowsheets primarily track vital signs, intake output, and other ongoing clinical data throughout patient stays.
Option a is incorrect because insurance information belongs in administrative sections not clinical nursing flowsheet documentation areas.
Option c is incorrect because visitor logs are security or administrative records not clinical data requiring flowsheet documentation.
Option d is incorrect because dietary preferences are nutrition services data not clinical parameters tracked in nursing flowsheets.

Correct Answer: Interface cost blocking

Interface costs and data blocking represent the primary barriers preventing effective interoperability between healthcare systems.
Option a is incorrect because insufficient not excessive cooperation creates barriers to establishing effective information exchange agreements.
Option c is incorrect because communication gaps not excess create interoperability challenges between different healthcare information systems.
Option d is incorrect because lack of standardization not over standardization prevents effective data exchange between platforms.

Correct Answer: Interoperable EHR adoption

ARRA provides incentive payments specifically for adopting and using interoperable health information technology and electronic records.
Option a is incorrect because ARRA incentivizes moving from paper to electronic systems not maintaining paper based records.
Option c is incorrect because telephone upgrades are infrastructure improvements not the specific health IT that ARRA incentivizes.
Option d is incorrect because television installation is unrelated to the healthcare information technology ARRA specifically promotes financially.

Correct Answer: Balance with judgment

CDS recommendations must be balanced with professional clinical judgment not used as replacement for provider expertise.
Option a is incorrect because always overriding defeats the purpose of decision support designed to enhance patient safety systematically.
Option c is incorrect because ignoring warnings endangers patients by missing critical alerts about potential safety issues identified.
Option d is incorrect because blind following removes clinical judgment which must evaluate CDS suggestions against patient specific factors.

Correct Answer: Develop project timeline

The implementation team's first task is developing a timeline to guide all subsequent project activities and milestones.
Option a is incorrect because furniture is a minor consideration compared to establishing the foundational project timeline and plan.
Option c is incorrect because social events are unrelated to the critical technical planning required for EHR implementation success.
Option d is incorrect because logos are marketing concerns not the operational planning that implementation teams must prioritize.

Correct Answer: Violation severity level

Violation severity determines the specific fine amount within the hundred to fifty thousand dollar range per violation.
Option a is incorrect because severity not organization size primarily determines penalties though size may influence payment ability considerations.
Option c is incorrect because geographic location doesn't determine HIPAA penalties which are federal standards applied uniformly nationwide.
Option d is incorrect because timing doesn't affect penalty amounts which are based on violation severity and harm caused.