Leadership and Management for Nurses, 3e (Finkelman)
Chapter 19 Healthcare Informatics and Technology
1) The nursing student states, “I use information and technology all the time to keep in touch
with my friends and family. I didn’t know it was used in healthcare, too.” Which statements,
made by a fellow student, would explain the healthcare uses of information and technology?
Select all that apply.
1. “I read that information and technology have improved patient safety and quality of care.”
2. “The textbook says that information and technology have improved efficiency and
effectiveness of interprofesssional practice.”
3. “The simulators we use in lab practice are a result of information and technology
improvements.”
4. “Information and technology have allowed nurses better ability to connect emotionally with
their patients.”
5. “The automated medication system we use in clinical is a result of advances in information
and technology.”
2) The patient expresses concern about the confidentiality of his medical information since, “so
much of it gets faxed around nowadays.” How should the nurse respond to this concern?
1. “The hospital follows the Health Insurance Portability and Accountability Act, which
identifies steps we must take to keep your information confidential.”
2. “Since computers have moved away from linear thinking to a greater systems approach,
concerns about information confidentiality have decreased.”
3. “We use point-of care, a documentation system that will not allow your information to be
shared.”
4. “This is a really big concern. You never know who could be reading those faxes that we send.
There is no way to be sure that they are really going to the person they are sent to.”
3) Which technologic advancement would improve emotional connectivity while providing
patient care?
1. Using a laptop computer in the patient’s room.
2. Using telemedicine for consults.
3. Using point-of-service bar coding for documentation.
4. Using personal data assistants (PDAs) to access information.
4) The nurse answers a “nurse call” line for a hospital. Which resources will this nurse use to
guide patients using this technology? Select all that apply.
1. Protocols
2. Research articles
3. Algorithms
4. Guidelines
5) The hospital has identified telehealth as a potential addition to its services and is conducting
cost-benefit analysis. Which barrier to developing this service is likely to emerge?
1. Patients become so empowered that they don’t use as many services.
2. There is a limited reimbursement mechanism in place at this time.
3. There is decreased contact with practitioners using telehealth technology.
4. The lack of practice standards makes telehealth risky from a liability perspective.
6) The hospital’s risk management team has recommended that the hospital adopt an automated
medication administration system. What benefits can the hospital expect from this change?
Select all that apply.
1. The system will help caregivers ensure that the “five rights” are being followed.
2. There will be an opportunity for data collection by providing clinical experiential information.
3. The system will assist quality improvement efforts.
4. There will be a substantial direct cost savings.
7) The hospital is considering implementation of the following technology upgrades. Which one
will have the most direct implications for patient confidentiality?
1. Medical e-mail
2. Handheld communication systems
3. Remote telemetry monitoring
4. Point-of-care clinical documentation systems
8) Physicians, nurses, and other healthcare providers within the hospital have complained that
the current documentation system is slow and that information is often not accessible when
needed. Which system would increase the speed and accuracy of provider-to-provider
communication?
1. Clinical data repository
2. Point-of-care clinical documentation system
3. Handheld communication devices
4. Narrative documentation
9) Which statement regarding the National Academy of Medicine (NAM) position on the use of
information technology (IT) by healthcare professionals is accurate?
1. These skills should be required only of IT nurses or healthcare providers.
2. The use of IT is included in the IOM/NAM core competencies for all healthcare providers.
3. IT is important for physicians and pharmacists, but is not required of nurses or licensed
therapists.
4. IT can be dangerous for healthcare professionals who are not expert in their use.
10) The human resources (HR) department is developing a newspaper advertisement for nurse
positions. In order to meet National Academy (NAM) guidelines, which information technology
skills should be included as a job requirement? Select all that apply.
1. Use of presentation software
2. Use of the Internet
3. Basic computer programming
4. Basic hardware troubleshooting
5. Ability to transfer files
11) Emotional connectivity between nurses and patients is endangered by use of technology. By
focusing solely on this issue, which other issue is often overlooked?
1. The cost of implementing technological advances
2. The cost of not implementing technological advances
3. The isolationalism that can occur through using technology
12) The public health nurse is planning an education session on healthcare literacy for the
community. What topics should the nurse include in this session? Select all that apply.
1. How to recognize what information is needed
2. How to locate information
3. How to evaluate information
4. How to disseminate information to others
5. How to use the information located
13) Which statement best describes the National Academy of Medicine (NAM) position on the
use of North America Nursing Diagnosis Association (NANDA) approved nursing diagnosis
(NDX) statements?
1. IOM supports the use of three-part NDX statements.
2. IOM states that the use of these NDX statements is confusing to students, practicing nurses,
physicians, and other healthcare providers.
3. IOM supports the use of Nursing Intervention Classifications (NIC) rather than NANDA
diagnoses.
4. IOM states that the use of NANDA nursing diagnoses along with Nursing Intervention
Classifications (NIC) is the clearest way to explain a patient’s plan of care.
14) The nurse educator would like to promote the use of standardized language in healthcare
with nursing students. Which occurrence would be the most significant toward this nurse’s goal?
1. Development of the Nursing Minimum Data Set (NMDS)
2. Development of the Nursing Management Minimum Data Set (NMMDS)
3. Development of the Omaha system
4. Development of the Systematic Nomenclature of Medical Clinical Terms (SNOMED CT)
15) The nurse educator would like to participate in the development of a single standardized
language to be used across all settings and by all healthcare professions. What should this nurse
consider about this goal? Select all that apply.
1. The work has already been done and such a language is in use today.
2. Significant changes in curriculum of nursing schools across the country will be required.
3. This should be a relatively easy goal to achieve as the terminology currently used is similar in
all professions.
4. To achieve this goal, compromise among healthcare providers will be necessary.
5. Individual languages for professions may be tied to the profession’s desire to preserve its
16) A rural hospital has resisted moving to electronic record keeping, but now believes moving
to a clinical information system is unavoidable. Place in order the steps this hospital should take
to develop its clinical information system strategic plan.
Choice 1. Identify the organization’s future view of itself in a clinical vision statement.
Choice 2. Develop specific strategic goals associated with the information system.
Choice 3. Develop clinical strategies that include the general organization activities to support
the organization’s vision.
Choice 4. Take strategic clinical vital signs.
Choice 5. Evaluate the system to determine needed improvements.