Hebda, Handbook of Informatics, 5/e Test Bank
Chapter 14
Question 1
Type: MCMA
A hospital client sees the nurse documenting information into the computer. She asks the nurse why the computer
is better than the “old patient chart like hospitals have always used.” Which of the following points would be
accurate to say about an electronic medical record?
Standard Text: Select all that apply.
1. It captures the information needed for billing purposes.
2. It is more secure than a paper record.
3. More than one person can access the record at any given time.
4. The record is available when and where needed.
5. Data are in real-time, as things happen.
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
Question 2
Type: MCMA
Which of the following topics must be addressed when giving a presentation to physicians on the benefits of the
electronic medical record (EMR)?
Standard Text: Select all that apply.
1. Easier access to previous documented encounters
2. Facilitation of clinical pathways
3. Chart access speed
4. Trends and graphics are not available on demand
5. Reduced liabilities through accurate documentation
Question 3
Type: MCSA
While most hospitals have some level of automation, few have attained a fully electronic environment. Health
care Information and Management Systems Society (HIMSS) analytics created an EMR adoption model that
identifies eight levels of EMR capabilities. Your hospital has been designated as a Stage 3 facility. Which of the
following is accurate about an organization at Stage 3 level?
1. Computerized provider order entry (CPOE) and better EBP clinical decision support is available.
2. Some clinical automation exists.
3. Basic clinical documentation is required.
4. Major ancillary clinical systems are all installed (laboratory, pharmacy, and radiology systems).
Question 4
Type: FIB
The U.S. Department of Health and Human Services indicated that the ________________ is a digital collection
of patient’s medical history.
Standard Text:
Correct Answer: EHR (Electronic Health Record)
Rationale : The U.S. Department of Health and Human Services indicated that the Electronic Health Record is a
digital collection of patient’s medical history. Items included are:
1. diagnosed medical conditions
2. prescribed medications
3. vital signs
4. immunizations
5. lab results
6. personal characteristics such as age and weight
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:
Question 5
Type: MCSA
Information in the electronic health record (EHR) may be owned by the patient or stakeholder. Which of the
following about the EHR is different than the electronic medical record (EMR)?
1. It does not provide interactive client access.
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
2. Clients may append information if desired.
3. Dental records components are not included.
4. The EHR records and manages only episodic information.
Question 6
Type: MCMA
For many years the EMR applied to a single encounter with no ability, or very limited ability, to carry information
from one visit to another within a care delivery system. That situation has changed; it is now possible to bring
information forward from prior visits within the organization or delivery system. Which of the following answers
are basic components of the EMR system?
Standard Text: Select all that apply.
1. Clinical messaging and e-mail
2. Results reporting
3. Decision support
4. Clinical documentation
5. Order entry
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
1. Clinical messaging and e-mail
2. Results reporting
3. Data repository
4. Decision support
5. Clinical documentation
6. Order entry
Rationale 2: The following are the basic components of the EMR system:
1. Clinical messaging and e-mail
2. Results reporting
3. Data repository
4. Decision support
5. Clinical documentation
6. Order entry
Rationale 3: The following are the basic components of the EMR system:
1. Clinical messaging and e-mail
2. Results reporting
3. Data repository
4. Decision support
5. Clinical documentation
6. Order entry
Rationale 4: The following are the basic components of the EMR system:
1. Clinical messaging and e-mail
2. Results reporting
3. Data repository
4. Decision support
5. Clinical documentation
6. Order entry
Rationale 5: The following are the basic components of the EMR system:
1. Clinical messaging and e-mail
2. Results reporting
3. Data repository
4. Decision support
5. Clinical documentation
6. Order entry
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
Learning Outcome:
Question 7
Type: MCSA
Which of the following is a major component of the computer–based patient record (CPR)?
1. Results reporting including unstructured data reports
2. Legal record created in hospitals and ambulatory environments
3. Support for links to local or remote information resources
4. Integration of all pertinent patient information into one record
Question 8
Type: MCSA
The Bush administration called for the adoption of the electronic health record (EHR) by 2014 as a means to help
transform U.S. health care. Who owns the individual client record when an EHR is used?
1. The client
2. Ownership is unclear
3. The institution at which the record is created
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
4. The health care providers who enter the data
Question 9
Type: MCMA
Which of the following are major impediments to the development of an electronic health record (EHR)?
Standard Text: Select all that apply.
1. Development of an electronic infrastructure
2. Confidentiality
3. Cost
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
4. Lack of a common vocabulary
5. Information system vendors
Question 10
Type: MCSA
Which of the following statements is true about the benefits of the electronic health record (EHR)?
1. It improves the quality of health care.
2. Health care executives have developed strong organizational structures around the EHR.
3. The EHR fosters continuity of health care.
4. Little scientific evidence now exists on what benefits are actually delivered.
Question 11
Type: MCMA
Healthcare Information and Management Systems Society (HIMSS) has defined and described the term electronic
Personal Health Record (ePHR). Which of the following are included in the HIMSS definition and description?
Standard Text: Select all that apply.
1. Universally accessible
2. Owned and managed by the individual (or legal proxy)
3. Usually considered a legal record
4. Common data set of electronic health information
5. Lifelong tool for managing relevant health information