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Hebda, Handbook of Informatics, 5/e Test Bank
Chapter 19
Question 1
Type: MCSA
Which of the following laws, signed by President Clinton in 2000, gives electronic signatures the same legal
status as handwritten signatures?
1. The Health Insurance Portability and Accountability Act (HIPAA)
2. The American Recovery and Reinvestment Act of 2009 (ARRA)
3. Medicare Improvements for Patients and Providers Act (MIPPA)
4. The Electronic Signatures in Global and National Commerce Act
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
Question 2
Type: FIB
MIPPA is an acronym for ___________________.
Standard Text:
Correct Answer: Medicare Improvements for Patients and Providers Act
Rationale : MIPPA: Medicare Improvements for Patients and Providers Act
Global Rationale:
Cognitive Level: Remembering
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:
Question 3
Type: MCSA
Which act makes several significant changes to the current HIPAA Security and Privacy Rules and provides funds
and incentives to increase the use of electronic health records (EHRs) by physicians and hospitals who meet
eligibility criteria?
1. Health Information Technology for Economic and Clinical Health Act (HITECH)
2. The American Recovery and Reinvestment Act of 2009
3. Medicare Improvements for Patients and Providers Act (MIPPA)
4. The Health Insurance Portability and Accountability Act
Question 4
Type: FIB
The _________________________________________ oversees information- technology standards,
implementation strategies, and impact assessment.
Standard Text:
Correct Answer: Office of the National Coordinator for Health Information Technology (ONCHIT)
Rationale : The Office of the National Coordinator for Health Information Technology (ONCHIT) oversees
information- technology standards, implementation strategies, and impact assessment. To receive the positive
incentives and physicians and hospitals must use EHRs certified by ONCHIT (Tomes, 2010).
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 5
Type: MCSA
To comply with the mandate to use EHRs by 2014, physicians and hospitals must have the EHR prepared and
ready for implementation. Which of the following methods are available to entities that will assist in the funding
of the EHR?
1. Medicare and Medicaid
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
2. HIPAA
3. Consumer Digest Guidelines
4. American Recovery and Reinvestment Act of 2009
Question 6
Type: MCSA
To receive financial incentives, hospitals and physician offices must meet designated criteria established by which
organization?
1. Centers for Medicare and Medicaid
2. The Joint Commission
3. American Nurses Association
4. TIGER Initiative
Question 7
Type: MCSA
Healthcare entities, as well as their business associates, must notify individuals whose health information is
breached within 60 days of that breach. In which of the following cases does the entity not have to notify the
individual whose information has been breached?
1. If data are anonymous
2. If data are encrypted
3. If data are misplaced in setting
4. If data are lab results
Question 8
Type: MCSA
Which act eases the budgetary impact of EHR thereby facilitating implementation?
1. HIPAA
2. ARRA
3. ESIGN
4. HITECH
Question 9
Type: MCMA
HIPAA and HITECH have designated some technical standards as mandatory. Which of the following are
associated with the implementation of standards?
Standard Text: Select all that apply.
1. The standards are insufficient to enable collection, management, and exchange of the mandated data.
2. Technical standards are needed to assure that structured and codified terminologies
3. Technical standards are needed to sufficiently capture all of health care
4. Standards must be widely available
5. Technical standards should be easily exchanged within and across organizations
2010).
Rationale 2: While HIPAA and HITECH have designated some technical standards as mandatory, those standards
are insufficient to enable collection, management, and exchange of the mandated data. Technical standards are
needed to assure that structured and codified terminologies, sufficiently comprehensive to capture all of health
care, are widely available, that data can be securely and easily exchanged within and across organizations, and
that a valid, safe, and reliable patient-centered community-care record can be created and maintained (Arlotto,
2010).
Rationale 3: While HIPAA and HITECH have designated some technical standards as mandatory, those standards
are insufficient to enable collection, management, and exchange of the mandated data. Technical standards are
needed to assure that structured and codified terminologies, sufficiently comprehensive to capture all of health
care, are widely available, that data can be securely and easily exchanged within and across organizations, and
that a valid, safe, and reliable patient-centered community-care record can be created and maintained (Arlotto,
2010).
Rationale 4: The availability of working technical standards is another challenge. While HIPAA and HITECH
have designated some technical standards as mandatory, those standards are insufficient to enable collection,
management, and exchange of the mandated data. Technical standards are needed to assure that structured and
codified terminologies, sufficiently comprehensive to capture all of health care, are widely available, that data can
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
be securely and easily exchanged within and across organizations, and that a valid, safe, and reliable patient-
centered community-care record can be created and maintained (Arlotto, 2010).
Rationale 5: The availability of working technical standards is another challenge. While HIPAA and HITECH
have designated some technical standards as mandatory, those standards are insufficient to enable collection,
management, and exchange of the mandated data. Technical standards are needed to assure that structured and
codified terminologies, sufficiently comprehensive to capture all of health care, are widely available, that data can
be securely and easily exchanged within and across organizations, and that a valid, safe, and reliable patient-
centered community-care record can be created and maintained (Arlotto, 2010).
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 10
Type: MCMA
Which of the following skills are needed by nurse informaticists?
Standard Text: Select all that apply.
1. Communication
2. Mining data
3. Analyze data aggregates
4. Design in-case process
5. Design functional and clinically valid decision support
Question 11
Type: MCSA
The need for informaticians who understand health care has grown. Which of the following best represents the
future of nursing informatics?
1. The role of the nurse informatician will decrease in the future with an emphasis on medical informatics.
2. The need for nurse informaticians will increase in the future.
3. The need for nurses to specialize in informatics is unnecessary.
4. Nurses need advanced education to participate in the design and implementation of the information system.
Question 12
Type: FIB
____________________________ is a specialty in nursing that focuses on the technology aspect of patient care.
Standard Text:
Correct Answer: Nurse Informatics Specialist
Rationale : Nurse Informatics Specialist is a considered a specialty in nursing that focuses on the technology
aspect of patient care. A nurse can become a specialist through completion of a graduate degree.
Global Rationale:
Cognitive Level: Understanding
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Teaching and Learning
Learning Outcome:
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
