978-0132574952 Chapter 20 Part 3

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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 22

Type: MCSA

There has been an impact of the Health Insurance Reform Act, also known as The Patient Protection and

Affordable Care Act, on system use and design. Which of the following actions was enacted upon the president’s

signature?

1. Young people can remain on their parents insurance until 24 years old.

2. Children with preexisting conditions are no longer covered.

3. New plans must offer free preventive care.

4. There are lifetime limits on benefits.

Question 23

Type: MCMA

The effects of the new regulatory and reimbursement laws instigated subtle changes which will have an impact on

the physician office as well as outpatient facilities, ancillary services, and hospitals. In order to become, or

Hebda, Handbook of Informatics, 5/e Test Bank

perhaps soon remain, a Medicare/Medicaid provider, a medical compliance program must be in place. According

to the Fox Group’s website (n.d., p. 1) that includes which of the following measures?

Standard Text: Select all that apply.

1. Compliance with health and safety laws and regulations

2. Compliance with fraud complaints

3. Compliance with environmental laws and regulations

4. Compliance with human resources laws and regulations

5. Compliance with HIPAA laws and regulations

Question 24

Type: MCSA

Implementing an electronic health record in a small primary care practice can be cost prohibitive. To assist in the

cost of the endeavor, the government has done which of the following?

1. Provided loans to physicians to purchase technology

2. Offered physicians stipends if they use the equipment correctly

3. Has given financial aid to larger practices to purchase equipment

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4. Has given physicians the equipment to convert to electronic health records

Question 25

Type: MCSA

The impact of the mandated technology use has created change throughout the health care community. How has

the Affordable Health Care Act affected nursing?

1. Nursing professionals will spend more time at the computer and less time at the bedside.

2. There will be surge in applications for certified nursing assistant positions.

3. There will be a decreased need for point-of-care nurses.

4. There will be an increased need for nurse informatics specialists.

Question 26

Type: MCSA

The role of the informatics nurse is important to the success of the implementation of the EHR. Which of the

following statements is true about the expanded role of the informatics nurse?

1. The informatics nurse has the responsibility of maintaining the compliance procedures of the health care

setting.

2. The informatics nurse has the responsibility of analyzing the coding system.

3. The informatics nurse has the responsibility to serve as the liaison between physician and patient and physician

and agency.

4. The informatics nurse has the responsibility of creating meaningful use policies.

Question 27

Type: MCMA

As technology is implemented in health care systems, the role of the nurse who has informatics experience and

education will be placed in leadership roles to do which of the following?

Standard Text: Select all that apply.

1. Guide IT technicians

2. Work closely with physicians

3. Spearhead policy reform

4. Develop evidence based practice models

5. Participate in research initiatives

Question 28

Type: MCSA

The Patient Protection and Affordable Care Act of March 2010 (PPACA) Section 1561 will, when fully activated

by 2014, extend affordable health care to an estimated 32 million more people. Which of the following is not a

financial impact of the Act?

1. A need for increased supplies

2. The need to hire more staff

3. The need to monitor patient outcomes

4. The need to hire additional health information technology (HIT) coordinators

Hebda, Handbook of Informatics, 5/e Test Bank