Electronic Health Records And Nursing by Gartee & beal – Test Bank

Electronic Health Records And Nursing by Gartee & beal – Test Bank

Gartee, Electronic Health Records and Nursing, 1eChapter 1

Question 1

Type: MCSA

Which entity first identified capturing data at the point of care as a key criterion for an EHR?

1. Health Insurance Portability and Accountability Act (HIPAA)

2. Institute of Medicine (IOM)

3. Computer-based Patient Record Institute (CPRI)

4. Health Information Technology for Economic and Clinical Health (HITECH) Act

Correct Answer: 3

Rationale 1: The HIPAA Security Rule did not define an EHR but established protection for all personally identifiable health information stored in electronic format

Rationale 2: the IOM report put forth a set of eight core functions that an EHR should be capable of performing

Rationale 3: CPRI was an early contributor to EHR systems, and identified three key criteria for EHR, including capturing data at the point of care, integrating data from multiple sources and providing decision support

Rationale 4: HITECH Act promotes the widespread adoption of EHR and authorizes Medicare incentive payments to doctors and hospitals using a certified EHR

Global Rationale: 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 

Question 2

Type: MCSA

Which of the following is the best definition of electronic health records?

1. Any information that relates to the past, present, or future physical condition of a person that is stored in an electronic format.

2. The portions of a client’s medical records that are stored in a computer system as well as the functional benefits derived from having an electronic health record.

3. Client information that is stored electronically and may be accessed by both the client and the client’s healthcare providers on demand.

4. Any healthcare information that is stored by computer.

Correct Answer: 2

Rationale 1: This definition is not the broadest; the EHR is not just what is stored, but what can be done with it

Rationale 2: The IOM and CPRI suggest that the EHR is not just what is stored, but the functional benefits derived from having an electronic health record

Rationale 3: This definition is limited

Rationale 4: This definition is limited

Global Rationale: 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 

Question 3

Type: MCSA

The ONC developed which of the following strategies to meet their goal of informing clinical practice?

1. Fostering regional collaborations

2. Encouraging use of PHR

3. Accelerating research and dissemination of evidence

4. Promoting EHR diffusion in rural and underserved areas

Correct Answer: 4

Rationale 1: Fostering regional collaborations is part of the ONC goal of interconnecting clinicians

Rationale 2: Encouraging the use of PHR is part of the ONC goal of personalizing care

Rationale 3: In an effort to improve population health, one of the ONC strategies is to accelerate research and disseminate evidence

Rationale 4: As part of the goal of informing clinical practice, the ONC strategies include promoting EHR diffusion in rural and underserved areas, incentivizing EHR adoption, and reducing the risk of EHR clinicians who purchase EHR

Global Rationale: 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 

Question 4

Type: MCSA

Why would a small primary care practice need to know about the HITECH Act?

1. Because it makes funding available to help the practice implement a certified EHR

2. Because it will reduce Medicare payments by five percent if the use of paper charts continue to be used in 2013

3. Because it offers financial incentives for implementing an EHR before 2015

4. Because it requires medical practices to offer telemedicine to clients by 2020

Correct Answer: 3

Rationale 1: Financial incentives will be offered, as well as penalties; funding is not part of the HITECH act

Rationale 2: After 2020, a provider still using paper charts will have payments reduced by 5 percent

Rationale 3: Providers that implement and have meaningful use of a certified EHR prior to 2015 are eligible for incentives

Rationale 4: Telemedicine is not part of the HITECH Act

Global Rationale: 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 

Question 5

Type: MCSA

Which of the following is not one of the IOM criteria for EHRs?

1. Connectivity between multiple care providers

2. Management of administrative processes and reporting

3. Statistical collection and reporting related to population health

4. Capture data at the point of care

Correct Answer: 4

Rationale 1: Electronic communication among care partners can enhance client safety

Rationale 2: Electronic scheduling and reporting tools increase the efficiency of healthcare organizations and provide better, timelier service to clients

Rationale 3: Public and private sector reporting requirements at the federal, state, and local levels for client safety and quality are more easily met with computerized data

Rationale 4: The Computer-based Client Record Institute identified capturing data at the point of care as a key criteria for an EHR

Global Rationale: 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 

Question 6

Type: MCSA

The nurse reviews the client registration form, and asks for more detail about the chief complaint, which is:

Test Bank for Electronic Health Records and Nursing by Richard Gartee and Janet Beal

The “Test Bank for Electronic Health Records and Nursing” by Richard Gartee and Janet Beal is an essential educational resource designed to support both educators and students in mastering the principles and applications of electronic health records (EHRs) in nursing practice. This comprehensive test bank complements the textbook by offering a variety of questions that assess and reinforce understanding of key concepts and practical skills related to EHRs, making it an invaluable tool for both teaching and learning. Below is a detailed overview of the components and benefits of this test bank:

Overview of Test Bank Content

1. Chapter-by-Chapter Organization
   • The test bank is meticulously organized to align with each chapter of the textbook. This ensures comprehensive coverage of all critical topics, facilitating easy integration into the curriculum and enabling targeted assessments.
2. Types of Questions
   • Multiple-Choice Questions (MCQs): These questions cover a wide spectrum of knowledge, from basic recall to complex application and critical thinking. Each question includes well-crafted distractors to challenge students’ understanding.
   • True/False Questions: These questions assess students’ ability to distinguish between correct and incorrect statements, reinforcing factual knowledge and addressing common misconceptions.
   • Fill-in-the-Blank Questions: These questions focus on recalling specific details such as key terms, EHR functionalities, and important concepts, testing students’ memory and understanding.
   • Short Answer Questions: These questions require detailed yet concise responses, evaluating students’ ability to explain EHR concepts clearly and accurately.
   • Essay Questions: These questions assess students’ ability to synthesize and articulate complex ideas, demonstrating a deep understanding of EHR principles and their applications in nursing.
   • Case Studies and Scenarios: Real-world scenarios and case studies help students apply theoretical knowledge to practical situations, enhancing their critical thinking and problem-solving skills.
   • Diagram-Based Questions: These questions involve interpreting, analyzing, or creating diagrams related to EHR systems, reinforcing visual and analytical skills.
3. Difficulty Levels
   • Questions are categorized by difficulty to provide a range of challenges and assess students’ proficiency at different levels, including:
     • Basic: Testing foundational knowledge and comprehension.
     • Intermediate: Requiring application of knowledge to practical nursing scenarios involving EHRs.
     • Advanced: Involving critical thinking, analysis, and synthesis of complex information related to EHR systems.
4. Core Focus Areas
   • Introduction to Electronic Health Records: Questions covering the basic principles and scope of EHRs, including their history, development, and significance in healthcare.
   • EHR Systems and Components: Detailed coverage of the various components of EHR systems, including patient records, clinical documentation, and data management.
   • Legal and Ethical Issues: Assessing knowledge of legal and ethical considerations related to EHRs, including patient privacy, confidentiality, and data security.
   • EHR Implementation and Adoption: Focus on the processes involved in implementing and adopting EHR systems in healthcare settings, including change management and user training.
   • EHR Functionality and Features: Examining the functionalities and features of EHR systems, including order entry, medication management, and clinical decision support.
   • Clinical Documentation: Questions on the principles of accurate and effective clinical documentation within EHR systems, including best practices and common challenges.
   • Interoperability and Data Exchange: Coverage of the importance of interoperability and data exchange in EHR systems, including standards and protocols for data sharing.
   • Health Information Management: Assessing understanding of health information management principles, including data integrity, data quality, and information governance.
   • Impact of EHRs on Nursing Practice: Focus on how EHR systems impact nursing practice, including workflow changes, efficiency improvements, and patient care quality.
   • Patient Engagement and EHRs: Examining the role of EHRs in enhancing patient engagement, including patient portals, access to health information, and communication with healthcare providers.
   • EHR Usability and User Experience: Questions on the usability and user experience aspects of EHR systems, including design considerations and user feedback.
   • Clinical Decision Support Systems (CDSS): Coverage of CDSS within EHRs, including their role in enhancing clinical decision-making and improving patient outcomes.
   • Future Trends in EHRs: Assessing knowledge of emerging trends and future directions in EHR technology, including advancements in artificial intelligence and machine learning.
5. Alignment with Learning Objectives
   • Each question in the test bank is aligned with the learning objectives outlined in the textbook, ensuring that assessments are relevant and targeted towards achieving the intended educational outcomes. This alignment helps in accurately measuring students’ progress and comprehension.
6. Educational Support and Utility
   • For educators, the test bank provides a comprehensive resource for creating quizzes, exams, and other assessments. It simplifies the process of test creation and ensures consistency and alignment with the curriculum.
   • For students, the test bank serves as a valuable tool for self-assessment and study, helping them identify areas of strength and weakness and focus their efforts on areas needing improvement.

Benefits of Using the Test Bank

1. Enhanced Learning and Retention
   • The diverse range of question types and difficulty levels helps reinforce learning through varied and repeated exposure to key concepts, enhancing retention and understanding.
2. Preparation for Real-World Applications
   • By focusing on real-world scenarios and practical applications, the test bank prepares students for the practical aspects of EHR use in nursing, ensuring they are ready to apply their knowledge in clinical settings.
3. Comprehensive Assessment
   • The test bank allows for thorough and multi-faceted evaluation of students’ knowledge and skills, from basic understanding to advanced application, ensuring a well-rounded educational experience.
4. Efficient Teaching Resource
   • For educators, the test bank simplifies the process of creating assessments, providing a consistent and reliable tool for evaluating students’ progress and readiness for advanced studies in EHR and nursing informatics.

Conclusion

The “Test Bank for Electronic Health Records and Nursing” by Richard Gartee and Janet Beal is an essential resource for nursing education. It provides structured, comprehensive, and versatile tools for assessing and enhancing students’ knowledge and skills in electronic health records and their applications in nursing practice. By aligning closely with the textbook and emphasizing real-world application, the test bank supports the development of competent, confident nursing professionals ready to excel in their understanding and use of EHR systems in various healthcare settings.