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1. What are the potential barriers to patient centered care caused by using an electronic medical Record (EMR). Choose 2 answers.

   a. Keeping the computer positioned between staff and the patient

    b. Delaying entering information until break or end of shift

    c. Using the EMR to document care provided to a patient

    d. Blaming the computer for taking all staff’s time away from care. 

2. What is a challenge found in adhering to the health information Technology for economic and Clinical Health (HITECH) Act?

             a. The act mandates that electronic health records be used in lieu of all other methods of recording data which can cause difficulties when computers crash or are slow

            b. The act mandates that electronic health records be used sparingly, which can create more work for the nursing staff as they must constantly hunt for paper files in the records department.

            c. The act mandates that electronic health records be used only within  qualified large facilities which can drive business away from smaller clinics.

            d. The act mandates that electronic health records be used in a meaningful way, which can be difficult without consistent terminology.

 3. What are two ways to help protect electronic information? choose 2 answers.

          a. Do not allow employees to download internet files except at break time 

          b.  Limit who is authorized to write files to a device 

           c.  Reduce monitor brightness to prevent shoulder surfing

           d.   Turn off CD/DVD burners and USB ports on company computers

4.    A patient registration system for an internal medicine clinic has recently been implemented. How has this transformed the registration process? Choose 2 answers

        a. Patient demographic information is easily available for all members of the healthcare team.

         b. Registrars spend more time filing printed paperwork

          c.  Patients need to update their insurance information at each appointment.

          d.    Insurance information only needs to be captured once throughout the facility.

5.     Not all computerized provider order entry (CPOE) systems have clinical decision support (CDS) functionally. How might the addition of CDS to a CPOE system improve patient safety based on your understanding of CDS?

           a. The CPOE system provides a list of current medications that the nurse can print for the patient at discharge

           b. Providers orders are typed into the CPOE system, therefore orders are eligible for nurses, Pharmacists, and other physicians

           c. The CPOE system recommends a medication dose based on the patient’s current weight.

            d. CPOE transmits orders directly to the pharmacy, decreasing time nurses have to wait for mediation 

6.  How do clinical decision support (CDS) tools safeguard patient safety? Choose 2 answers

            a. A CDS directly interferes with a pharmacy information system , to provide the latest medication information 

             b. A CDS improves legibility by encouraging providers to type directly into the system

              c. A CDS may provide a real time alert such as when a drug – drug or drug – allergy interaction is likely 

               d. A CDS might recommend health screening such as mammogram, based on the patient’s age.

                e.  A CDS captures patient data such as heartrate and blood pressure in real time

7.  What functions would you find in currently available clinical decision support (CDS) tools? Choose 3 answers

    a. Point and click access to patient vitals signs 

     b. Patient education documentation 

      c. Access to clinical guidelines, policies, and procedures

     d.  One-click access to radiology reports.

      e. Computerized clinical order sets 

      f. Computerized alerts and reminders

8.  Patient safety improvement is a central goal for using clinical decision support (CDS) tools during patient care. How would you a clinical support (CDS) improve care based on your understanding of CDS functionality?

          a. A CDS documents the steps a provider takes when choosing the right medications  for patients.

           b. A CDS facilitates decision making processes by providing real-time care recommendations, warnings, and alerts

            c. A CDS connects providers to laboratory information systems

             d. A CDS trends patient data so that providers can easily see changes.

9. Which socioeconomic factors have revealed the need for the practice of telehealth applications? Choose 2 answers

        a. The cost of insurance deductibles has increased 

           b. The rising generation is less educated and needs more involvement in their care plan 

           c. The number of nurses joining the workforce is declining 

          d. The aging baby boomers have increased the number of people affected by chronic diseases.

10.  What other technology supports the medication administration cycle in addition to smart pump technology? Choose 2 answers

       a. Laser-guided robots

        b. Bar coded Medication Administration (BCMA)

         c. Wearable devices on wide area networks (WANs)

         d. Clinical Decision Support (CDS)

SCIENCE
HEALTH SCIENCE
NURSING
3325 NR 541

 

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