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-Paper records are episode-oriented with a separate record for each client visit.
-Key information, such as allergies, may be lost from one episode to the next, jeopardizing patient safety.
-Only one person can access a paper record at any given time. Therefore, health care providers waste time looking
for paper records and treatment may be delayed.
-Different versions of the same information may be stored in several places.
-Paper records cannot incorporate diagnostic studies that include images and sound, nor do they make use of
decision support systems.
Rationale 3: The following are reasons why traditional paper records on clients no longer meet the needs of
today's health care industry:
-Paper records are episode-oriented with a separate record for each client visit.
-Key information, such as allergies, may be lost from one episode to the next, jeopardizing patient safety.
-Only one person can access a paper record at any given time. Therefore, health care providers waste time looking
for paper records and treatment may be delayed.
-Different versions of the same information may be stored in several places.
-Paper records cannot incorporate diagnostic studies that include images and sound, nor do they make use of
decision support systems.
Rationale 4: The following are reasons why traditional paper records on clients no longer meet the needs of
today's health care industry:
-Paper records are episode-oriented with a separate record for each client visit.
-Key information, such as allergies, may be lost from one episode to the next, jeopardizing patient safety.
-Only one person can access a paper record at any given time. Therefore, health care providers waste time looking
for paper records and treatment may be delayed.
-Different versions of the same information may be stored in several places.
-Paper records cannot incorporate diagnostic studies that include images and sound, nor do they make use of
decision support systems.
Rationale 5: The following are reasons why traditional paper records on clients no longer meet the needs of
today's health care industry:
-Paper records are episode-oriented with a separate record for each client visit.
-Key information, such as allergies, may be lost from one episode to the next, jeopardizing patient safety.
-Only one person can access a paper record at any given time. Therefore, health care providers waste time looking
for paper records and treatment may be delayed.
-Different versions of the same information may be stored in several places.
-Paper records cannot incorporate diagnostic studies that include images and sound, nor do they make use of
decision support systems.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:
Question 20
Type: MCMA
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
Electronic medical record (EMR) result reporting and data repository components include unstructured data.
Which of the following are examples of unstructured data?
Standard Text: Select all that apply.
1. Automated laboratory results
2. History and physical
3. Consultation findings
4. Magnetic resonance imaging
5. A social services text report
Question 21
Type: MCSA
The mere implementation of an electronic medical record (EMR) does not guarantee that benefits will be
achieved. Which of the following can affect data integrity?
1. System failure
2. Data analysis
3. Data downloading
4. Data mining
Question 22
Type: MCSA
Which of the following statements about meaningful use is correct?
1. Meaningful use will provide invaluable information that will define the numbers of staff members needed at the
bedside.
2. Meaningful use will provide invaluable information that will improve patient outcomes and population health
changing many current practices as we transform our health care delivery system.
3. Meaningful use is an ongoing process and not an issue associated with the EHR.
4. Meaningful use is an issue that must be addressed before implementing any upgrade.
Question 23
Type: MCSA
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
The computer-based patient record (CPR) is a comprehensive lifetime record that includes all information from all
specialties. Most of the data included in the CPR is which of the following?
1. Structured data
2. Unstructured data
3. Fragmented data
4. Complete data
Question 24
Type: MCSA
Which of the following best describes the electronic medical record (EMR)?
1. Legal record created in hospitals
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
2. Legal record created by vendors
3. An electronic stand alone database
4. Method to identify outcomes
Question 25
Type: MCSA
The relationship between meaningful use and the adoption of the EHR in hospitals, physician offices, and other
settings is best described as which of the following?
1. The meaningful use requirement must be considered before beginning the development process.
2. The meaningful use requirement is achieved with the adoption and use of the EHR system as part of the daily
routine.
3. The meaningful use requirement is unique to every health care provider.
4. The meaningful use requirement and use of EHR systems are unrelated.
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
Question 26
Type: FIB
_________________________ would permit the uniform capture of data required to build a longitudinal record
comprised of integrated information systems from multiple vendors.
Standard Text:
Correct Answer: Data exchange standards
Rationale : Data exchange standards would permit the uniform capture of data required to build a longitudinal
record comprised of integrated information systems from multiple vendors. Most CPR data are structured, yet
additional formats can be linked to the system offering additional data.
Global Rationale:
Cognitive Level: Analyzing
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 27
Type: MCSA
The goals of implementing the EHR in all health care systems are fraught with a number of roadblocks. The
largest barrier facing most institutions is which of the following?
1. The lack of fully trained professional staff
2. A technology committee that cannot agree on the institution's needs
3. Indecision regarding the choice of vendors
4. Cost
Question 28
Type: MCMA
Which of the following are considered impediments to a fully functional electronic health record (EHR) system?
Standard Text: Select all that apply.
1. Development of an electronic infrastructure
2. Cost
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
3. Common vocabulary
4. Caregiver compliance
5. Privacy
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
