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Health Informatics > Midterm > Flashcards

Midterm Flashcards

1
Q

What are the current challenges that informatics is facing in regards to being able to provide telehealth to patients (select all that apply)

a. insurance reimbursements
b. security
c. digital illiteracy
d. malpractice

A

a. insurance reimbursements

d. malpractice

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2
Q

In regards to planning for implementation of telehealth technology, which of the following components must be considered (select all that apply)

a. education
b. training
c. bandwidth
d. leadership

A

a. education
c. bandwidth
d. leadership

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3
Q

Computerized provider order entry’s (CPOE) order management system allows what to occur with orders?

a. Tracked, Processed, Shared
b. Updated, Encrypted, Processed
c. Entered, Tracked, Updated
d. Encrypted, Shared, Tracked

A

c. Entered, Tracked, Updated

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4
Q

The benefits of the EHR is to decrease cost, improve access, safety, quantity, and equality in delivery of care.

True or False?

A

False

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5
Q

What is the goal for evidenced-based practice according to informatics?

a. increasing the amount of evidence for a treatment from results taken from practicing it.
b. increasing the evidence for a treatment for researchers to analyze.
c. achieve safe, cost-effective, and quality patient outcomes from treatments.
d. achieve patient preference for specific treatments

A

c. achieve safe, cost-effective, and quality patient outcomes

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6
Q

Which options are included in health informatics? (select all that apply)

a. patient education pamphlets
b. telehealth patient services
c. phone ordered prescriptions
d. telecom services
e. WebMD internet research

A

a. patient education pamphlets
b. telehealth patient services
c. phone ordered prescriptions

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7
Q

What year was the implementation of health informatics made officially mandatory in America and by which president?

a. George W. Bush Jr. 2014
b. George W. Bush Sr. 1990
c. Barack Obama, 2014
d. Bill Clinton, 1996

A

a. George W. Bush Jr. 2014

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8
Q

What is health informatics?

a. the collective integration of sciences in order to assist in management of health information
b. health sciences
c. information in healthcare
d. an awesome superpower

A

a. the collective integration of sciences in order to assist in management of health information

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9
Q

True or False. Is kinesthetic learning the proven best way to learn for everyone?

A

False

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10
Q

What is an example of health informatics?

a. Tele-ICUs
b. Robotics
c. Behavioral health-at-a-distance
d. All of the above

A

d. All of the above

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11
Q

FIT stands for Fluent with Information Technology. True or False.

A

True

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12
Q

What theory has a purpose of reason for existence?

a. Information Theory
b. Learning Theory
c. Systems Theory
d. Change Theory

A

c. Systems Theory

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13
Q

What is the definition of Telehealth?

a. Medicine derived from a distance
b. Medicine sold over the internet
c. Medicine advertised via television
d. Medicine to help people be less addicted to their phones

A

a. Medicine derived from a distance

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14
Q

In STEEEP, the S stands for?

a. safe
b. sustainable
c. secure
d. None of the above

A

a. safe

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15
Q

True or False.

EBP is using evidence to guide practice, while PBE is obtaining evidence from practice.

A

True

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16
Q

Which of these is NOT a component of the EHR.

a. administrative processes
b. Patient support
c. Design and projects
d. Health information and data

A

c. Design and products

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17
Q

True or False.

Some examples of EHR applications include computerized provider entry, clinical documentation, and bar code medication administration.

A

True

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18
Q

True or False.

Central storage: each data collection application stores it’s own information in its own repository, and data are then federate through real time data access methodology. Disturbed storage: single repository is to store all or most of the clinical data and is used as the primary source for reviewing data.

A

False

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19
Q

True or False.

Mobile apps are part of future directions of Technical Infrastructure to support healthcare.

A

True

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20
Q

Electronic health records can prevent up to 132,000 fatal deaths per year.

A

True

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21
Q

What are core competencies that should be implemented by all health care providers? (select all that apply)

a. Delivering patient-centered care
b. Working as part of an interdisciplinary team
c. Utilizing evidence-based practice medicine
d. Quality improvement
e. Using informatics

A

ALL

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22
Q

Theoretical Model

A

A visual representation of a theoretical framework, a relationship among concepts

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23
Q

Conceptual Framework

A

Can be used to propose theories and generate research questions

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24
Q

Learning Theory

A

Provides a framework for understanding how patients and healthcare as learning systems take in, process, and output data, information, knowledge, and wisdom

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25
Q

Change Theory

A

The study of change in individuals or social systems such as organizations

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26
Q

Information Theory

A

Theoretical models such as the Shannon-Weaver and Nelson models

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27
Q

Information literacy is described as:

a. The ability to operate and understand digital devices of all types
b. The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions
c. The ability to identify, understand, interpret, create, communicate, and compute, using printed and written materials
d. A set of abilities requiring individuals to recognize when information is needed and have the ability to locate, evaluate, and effectively use needed information

A

d. A set of abilities requiring individuals to recognize when information is needed and have the ability to locate, evaluate, and effectively use needed information

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28
Q

Visual learning

A

Prefers the use of images, maps, and graphs to understand concepts

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29
Q

Auditory learning

A

Learn best through listening and speaking in lectures or group discussions

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30
Q

Read/Write learning

A

Learn through words, avid readers or note takers, can translate abstract concepts into words

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31
Q

Kinesthetic learning

A

Hands on learners, learn best by figuring things out by hand (how to put a clock together)

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32
Q

What are the key aspects for the clinical data repository (CDR)? (select all that apply)

a. Accessibility
b. Convenience
c. Security
d. Reliability
e. Explanatory

A

a. Accessibility
c. Security
d. Reliability

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33
Q

What is the purpose of the Master Person Index (MPI)?

a. Patient management
b. A place for clinical guidelines
c. A source for medical terminology
d. A place that holds information that identifies the patient

A

d. A place that holds information that identifies the patient

34
Q

What does STEEEP mean?

a. Safety, timeliness, easy, explainable, excellence, and patient-oriented
b. Simple, training, education, effective, empirical, and practice processes
c. Safe, timely, effective, efficient, equitable, and patient-centered
d. Simple, timely, evidence-based, efficient, economical, patient preferences

A

c. Safe, timely, effective, efficient, equitable, and patient-centered

35
Q

What is the difference between EBP and PBE?

a. PBE is the difficulty of taking research and applying it into practice
b. EBP is the clinical scientists design, implement and evaluate clinical practice
c. PBE is the clinical scientists design, implement and evaluate clinical practice

A

c. PBE is the clinical scientists design, implement and evaluate clinical practice

36
Q

What is the goal of EBP?

a. To achieve safe, cost-effective quality outcomes
b. To achieve unsafe, cost-effective quality outcomes
c. To achieve safe, costly quality outcomes
d. To achieve safe, cost-effective patients

A

a. To achieve safe, cost-effective quality outcomes

37
Q

Nursing perspectives on EHR include: (select all that apply)

a. Provides resources for patient education
b. Allows for less time at the bedside caring for patient
c. Supports clinical care
d. Improves productivity
e. Decreases the nurse’s performance

A

a. Provides resources for patient education
c. Supports clinical care
d. Improves productivity

38
Q

In the 1960s NASA led the telehealth initiatives.

True or False.

A

True

39
Q

What are the challenges that providers encounter with Telehealth? (select all that apply)

a. Patient’s don’t trust telehealth providers
b. Ensure state licensure to practice in different states
c. Legal issues with liability and malpractice
d. The provider/patient relationship is decreased
e. Reimbursement from insurance companies

A

b. Ensure state licensure to practice in different states
c. Legal issues with liability and malpractice
e. Reimbursement from insurance companies

40
Q

True or False.

Using information technology is not a core competency that should be achieved by healthcare professionals.

A

False

41
Q

Which of the following results when data and information are identified and the relationships between the data and the information are formalized?

a. Data
b. Information
c. Knowledge
d. Wisdom

A

c. Knowledge

42
Q

A patient who states to be a visual learner is recently diagnosed with diabetes. What method would be most effective in educating the patient about his new diagnosis?

a. Written instructions
b. A pamphlet with color, pictures, and diagrams
c. A podcast
d. None of the above

A

b. A pamphlet with color, pictures, and diagrams

43
Q

Written information, lists, rewriting words, and silent reading are all examples of which type of learning?

a. Visual
b. Aural
c. Read/write
d. Kinesthetic

A

c. Read/Write

44
Q

What are the main goals of both EBP and PBE in the transformation of healthcare?

a. Reliability
b. Safety
c. Effectiveness
d. All of the above

A

d. All of the above

45
Q

Put the steps of an EBP model in order 1-4.

a. Critically appraise the level and strength of that evidence
b. Identify a question, topic, or problem in healthcare
c. Synthesize and apply the evidence to improve clinical outcomes
d. Retrieve relevant evidence to address the identified issue

A

1 - b
2 - d
3 - a
4 - c

46
Q

Which of the following is NOT a component of an EHR?

a. Master Person Index (MPI)
b. Supply Chain Management
c. Central Versus Distributed Storage
d. Clinical Data Repository (CDR)

A

b. Supply Chain Management

47
Q

All of the following are considered an EHR application EXCEPT:

a. Bar code medication administration (BCMA)
b. Computerized Provider Order Entry (CPOE)
c. Health insurance portability and accountability act (HIPAA)
d. Electronic medication administration record (eMAR)

A

c. Health insurance portability and accountability act (HIPAA)

48
Q

Who first popularized and led the initiative for Telehealth in 1964?

a. America’s offshore energy industry
b. National aeronautics and space administration (NASA)
c. The surgeon general
d. Department of defense

A

b. National aeronautics and space administration (NASA)

49
Q

True or False.

Video conferencing between a patient and a provider is considered a synchronous interaction.

A

True

50
Q

Which of the following are one of the core competencies that should be achieved by all healthcare professionals? (select all that apply)

a. Working as part of an interdisciplinary team
b. Delivering nurse-centered care
c. Practicing evidence-based medicine
d. Asking patient’s close-ended questions

A

a. Working as part of an interdisciplinary team

c. Practicing evidence-based medicine

51
Q

True or False.

Wisdom is knowing when and how to use knowledge in the process of caring for people.

A

True

52
Q

Evidence-based practice is:

a. Clinical scientists design, implement, and evaluate clinical practice
b. Relying on previous practice because that’s how it’s always been done
c. Difficulty of taking research and applying it to practice
d. Reliance on institutions and other unproven methods

A

c. Difficulty of taking research and applying it to practice

53
Q

True or False.

Evidence-based practice is using evidence to guide practice while practice-based medicine is obtaining evidence from practice.

A

True

54
Q

What are the benefits to using telehealth? (select all that apply)

a. Underserved and rural populations are able to access quality healthcare
b. Allows for more data to be exchanged between providers
c. Allows providers to avoid face-to-face interactions with their patients
d. Increased quality of the patient-client relationship

A

a. Underserved and rural populations are able to access quality healthcare
b. Allows for more data to be exchanged
d. Increased quality of the patient-client relationship

55
Q

Which of the following learning styles would be the most beneficial to a student who has difficulty listening and can’t sit still during lecture?

a. Kinesthetic
b. Auditory
c. Verbal
d. Visual

A

a. Kinesthetic

56
Q

What is the most important support people need in telehealth?

a. Marketing
b. Technical support
c. Security
d. Training

A

d. Training

57
Q

In the EHR component model, what is the clinical data repository?

a. Provides unique codes for terms stored in patient records
b. Storage for patient data
c. Repository of information that uniquely identifies a patient
d. User-facing views of the EHRs

A

b. Storage for patient data

58
Q

What is the difference between an EMR and EHR?

a. EMRs include data from all specialties
b. EHRs are provider controlled
c. EMRs do not interact outside systems
d. EHRs are replacements for paper charts

A

c. EMRs do not interact outside systems

59
Q

True or False.

CPOEs allow clinicians and providers to enter orders via the computer for things such as medications, labs/diagnostics, and consultations,

A

True

60
Q

What is the term for a lifetime patient record?

a. Electronic medical record
b. Electronic health record
c. CPOE
d. Telehealth

A

b. Electronic Health Record (EHR)

61
Q

True or False.

Sharing information across institutions is a necessity for quality, financial, and regulatory purposes but have a “meaningful use” requirement.

A

True

62
Q

Telehealth benefits include (select all that apply)

a. Enables delivery care to all
b. Serves underserved populations
c. Provides high level of patient satisfaction
d. Has a wide range of technological options

A

a. Enables delivery care to all
b. Serves underserved populations
c. Provides high level of patient satisfaction
d. Has a wide range of technological options

63
Q

What information does the Master Person Index (MPI) contain?

a. Management tools
b. Web-based applications
c. Information that uniquely identifies the patient
d. Clinical guidelines

A

c. Information that uniquely identifies the patient

64
Q

True or False.

The bar code medication administration scanner verifies the five rights to prevent medication errors.

A

True

65
Q

The first telehealth report (milestone) took place in:

a. 1964
b. 1897
c. 2008
d. 2003

A

b. 1897

66
Q

True or False.

EBP uses evidence to guide practice (“show me the evidence”) and PBE obtains evidence from practice (“I’ll show you the evidence”).

A

True

67
Q

Human error is inevitable. Strategies to reduce death from medical error should include which of the following steps? (select all that apply)

a. Making errors more visible when they occur so their effects can be intercepted
b. Having remedies at hand to rescue patients
c. Making errors less frequent by following principles that take human limitations into account
d. Holding healthcare practitioners lawfully accountable for their errors, even when those errors are unintentional

A

a. Making errors more visible when they occur so their effects can be intercepted
b. Having remedies at hand to rescue patients
c. Making errors less frequent by following principles that take human limitations into account

68
Q

True or False.

The systems theory consists of:
Purpose: reason for existence
Structure: mainframe
Function: how will the system achieve purpose?
Open vs. closed systems
A

True

69
Q

What is the goal of EBP?

a. achieve safe outcomes for patients
b. to improve quality of care
c. make outcomes more cost effective
d. all of the above

A

d. all of the above

70
Q

What is telemedicine?

a. telemetry medicine
b. a tv show about medicine
c. medical care delivered from a distance

A

c. medical care delivered from a distance

71
Q

A new charting software is being introduced to the well-child clinic. While most of the staff is excited about the upgrade; Doctor Mason is not attending any of the training sessions or is using the early introductions of the software. He says he just likes the old system better. What level of innovation diffusion would best describe Dr. Mason?

a. early adapter
b. laggards
c. late majority
d. old school

A

d. laggards

72
Q

Mary has always loved to listen to informational documentaries and podcasts. She finds that when she records lectures to play them back again, she does better on the exam. Mary’s new professor does not allow the recording of lectures and Mary is concerned about how she will study. Which study method would help Mary the best in relation to her learning style?

a. Write a bad review on the teacher for taking away her best way of studying
b. Make charts, pictures, and diagrams
c. Watch a youtube video about the topic in which someone voices the content
d. Write the content out several times and read it over

A

c. Watch a youtube video about the topic in which someone voices the content

73
Q

Olson has his discharge teaching planned out for discharge on an 11-year-old boy from the Pediatrics floor at the hospital. Olson walks in to talk to the boy about how to use his crutches. As Olson is talking to the boy, he notices that the boy is fidgeting and won’t sit still. Olson understands that an appropriate change to his discharge plan would be to…

a. keep the plan of face to face talk
b. have the boy get out of bed and physically teach the boy how to use his crutches
c. go print off a diagram that shows proper technique of using crutches
d. write out a list of do’s and don’ts when using crutches

A

b. have the boy get out of bed and physically teach the boy how to use his crutches

74
Q

Craig is a nurse on the tele floor. He notices that certain brands of pumps have better communication with the hospitals system than other brands. Craig researches to find that many hospitals have switched out all of their pumps for this brand. Craig gathers his research and makes a presentation to show hospital administrators that a certain pump brand is showing the most success. Craig hopes this hard work will make a change in his hospital. Craig is practicing what type of research?

a. evidence-based research
b. systematic research
c. global research
d. health-studies research

A

a. evidence-based practice

75
Q

What is a benefit of sharing information across institutions?

a. It keeps patient records easily accessible for anyone who wants to see them
b. It keeps institutions from keeping information secrete
c. It builds patient care quality even when a patient is far from home
d. It has no benefit at all

A

c. It builds patient care quality even when a patient is far from home

76
Q

Janet lives in the far north of Montana and is over a 3-hour drive to her doctor. Thanks to the internet, she can chat with her doctor about her psychiatric medications and get her prescriptions renewed in her town without having to see her doctor in person. This is an example of what?

a. doctor-patient rapport
b. telehealth
c. malpractice
d. blind prescribing

A

b. telehealth

77
Q

Marty is a specialized doctor that can round at a hospital hundreds of miles away that doesn’t have a specialty doctor like Marty using a remotely operated robot. Is this beneficial for the future of healthcare?

a. No, how is a patient supposed to feel cared for by a man on a screen
b. No, we need more doctors to specialize and fill these roles in rural hospitals
c. Yes, patients need to get used to robot caretakers
d. Yes, this allows the right doctor to see patients even though they are far away, thus maximizing care

A

d. Yes, this allows the right doctor to see patients even though they are far away, thus maximizing care

78
Q

True or False

Health informatics is an interdisciplinary professional specialty

A

True

79
Q

What are the key aspects to clinical data repository? (select all that apply)

a. accessibility
b. reliability
c. security
d. data services

A

a. accessibility
b. reliability
c. security

80
Q

Health informatics is: (select all that apply)

a. a discipline
b. a profession
c. required course by AACN
d. not relevant

A

a. a discipline
b. a profession
c. required course by AACN

81
Q

Why is the HITECH act (2009) important to the development of health informatics in today’s healthcare?

a. The HITECH Act made it illegal for health care facilities that used paper records
b. The HITECH Act incentivized health care providers to adopt electronic health record keeping through government funding
c. The HITECH Act tightened HIPAA regulations of electronic health records
d. The HITECH Act required that at least 50% of staff at any health care facility become proficient in electronic record keeping by 2015

A

b. The HITECH Act incentivized health care providers to adopt electronic health record keeping through government funding

Health Informatics (2 decks)

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