protect the privacy and confidentiality of the health information it contains. It is not considered a legal record,
unless so defined.
Rationale 2: The HIMSS definition of an ePHR includes: it is a lifelong tool for managing relevant health
information, is universally accessible, is owned and managed by the individual (or legal proxy(s)), and is a
common data set of electronic health information, and universally accessible. The ePHR must be kept secure to
protect the privacy and confidentiality of the health information it contains. It is not considered a legal record,
unless so defined.
Rationale 3: The HIMSS definition of an ePHR includes: it is a lifelong tool for managing relevant health
information, is universally accessible, is owned and managed by the individual (or legal proxy(s)), and is a
common data set of electronic health information, and universally accessible. The ePHR must be kept secure to
protect the privacy and confidentiality of the health information it contains. It is not considered a legal record,
unless so defined.
Rationale 4: The HIMSS definition of an ePHR includes: it is a lifelong tool for managing relevant health
information, is universally accessible, is owned and managed by the individual (or legal proxy(s)), and is a
common data set of electronic health information, and universally accessible. The ePHR must be kept secure to
protect the privacy and confidentiality of the health information it contains. It is not considered a legal record,
unless so defined.
Rationale 5: The HIMSS definition of an ePHR includes: it is a lifelong tool for managing relevant health
information, is universally accessible, is owned and managed by the individual (or legal proxy(s)), and is a
common data set of electronic health information, and universally accessible. The ePHR must be kept secure to
protect the privacy and confidentiality of the health information it contains. It is not considered a legal record,
unless so defined.
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 12
Type: MCMA
Consumers are the primary source of information about their health history and medications. The patient-carried
record (PCR) addresses this. Which of the following are potential problems associated with the PCR?
Standard Text: Select all that apply.
1. Loss of the record
2. Legibility
3. Portability
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
4. Privacy
5. Liability
Question 13
Type: FIB
Unlike other health records the _____________________is patient-centered, presenting a more-balanced view of
an individual’s health history.
Standard Text:
Correct Answer: personal health record
Rationale : Unlike other health records the PHR is patient-centered, presenting a more-balanced view of an
individual’s health history. The portability of information helps consumers to manage their own health. There are a
number of additional consumer PHR benefits.
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
Global Rationale:
Cognitive Level: Understanding
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:
Question 14
Type: MCMA
The computer-based patient record (CPR) is a comprehensive lifetime record that includes all information from all
specialties. The Institute of Medicine (IOM) identified major components of the CPR that are considered to be the
“gold standard” attributes. Which of the following are CPR components?
Standard Text: Select all that apply.
1. Lack of confidentiality
2. Direct entry for physicians will be available
3. Tools cannot measure cost
4. Provides sporadic access to data
5. Provides a patient problem list
Question 15
Type: MCMA
An emerging technology related to electronic health record (EHR) progress is the use of the personal health record
(PHR). PHRs store client information that will eventually contribute to the development of a comprehensive,
longitudinal record. Which of the following are found in a PHR but not found in the EHR?
Standard Text: Select all that apply.
1. Periodic risk assessment survey results
2. Herbal supplements
3. Legal documentation created in a hospital
4. Decision support
5. Health status parameters such as exercise
Question 16
Type: MCMA
Which of the following are found with the electronic health record (EHR) but are not found with the computer–
based patient record (CPR)?
Standard Text: Select all that apply.
1. Evidence-based decision support
2. Assists with the work of planning and delivering evidence-based care
3. Quality management
4. Public health disease surveillance and reporting
5. Comprehensive lifetime record that includes all information from all specialties
Question 17
Type: MCSA
Personal health record (PHR) security issues relate to HIPAA and physical security of data. HIPAA only covers
PHRs provided by covered entities such as health plans, health care clearinghouses, and providers. No
governmental coverage exists for other sites unless it is at the state level. To avoid these types of breaches, the
American Health Information Community’s consumer empowerment working group made a recommendation.
Which of the following was recommended for PHRs in order to avoid breaches?
1. Deletion of sensitive data
2. Educating the general consumer about PHRs
3. Restricting the number of authorized users
4. A PHR certification process
Question 18
Type: MCSA
The EHR offers benefits to nurses, physicians, and other health care providers, the health care enterprise, and
most importantly, the consumer. Much must be done before the benefits associated with the EHR can be realized.
Which of the following is one action that has been proposed by experts?
1. Health care professionals should institute major changes in the way they work.
2. Consumers need education to choose providers based upon appropriate financial and insurance considerations.
3. Individual consumers should have lesser responsibility for data.
4. Government intervention should promote information exchange among software vendors and health care
systems.
Question 19
Type: MCMA
The electronic health record (EHR) has the potential to integrate all pertinent patient information into one record.
It also has potential to improve the quality of health information, patient safety, and productivity, contain costs,
support research, decrease wait time for treatment and contribute to the body of health care knowledge. Which of
the following are reasons why traditional paper records on clients no longer meet the needs of today’s health care
industry?
Standard Text: Select all that apply.
1. Paper records are episode-oriented with a separate record for each client visit.
2. Key information may be lost from one episode to the next, jeopardizing patient safety.
3. Only one person can access a paper record at any given time.
4. Different versions of the same information may be stored in several places.
5. Paper records cannot incorporate diagnostic studies that include images and sound.