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The informatics nurse violates a patient's legal right to privacy and confidentiality, by:
- A. discussing a patient's diagnosis with an authorized family member.
- B. discussing care-related information with the patient's physical therapist.
- C. looking up a colleague's diagnosis and laboratory results while he or she is hospitalized.
- D. providing a handoff report containing patient information to another department.
Correct Answer: C
Rationale: Accessing a colleague's health information without a legitimate care-related reason violates HIPAA and the patient's right to privacy and confidentiality.
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A downtime of the electronic health record (EHR) system is planned for three months from today. The informatics nurse is formulating a communication plan for the clinical staff about the downtime. The nurse plans to:
- A. announce the upcoming downtime at system-wide meetings, and at department meetings of specific system hospitals affected by the downtime.
- B. bring copies of the communication plan to IT meetings, and discuss it with the IT directors and managers.
- C. present the information at the super-user meetings, department and unit meetings, and at other specialty clinician meetings, in addition to having a message posted on the message-of-the-day screen in the EHR.
- D. print fliers with the downtime plan and post them in bathrooms and breakrooms, as well as on bulletin boards in various locations in the hospitals.
Correct Answer: C
Rationale: A comprehensive communication plan includes multiple channels, such as super-user and department meetings, and EHR notifications, to ensure all staff are informed.
What process produces a blueprint that details how hardware and software meet the needs of the organization?
- A. Benchmarking.
- B. Feasibility study.
- C. System analysis.
- D. System design.
Correct Answer: D
Rationale: System design creates a detailed blueprint specifying how hardware, software, and other components will meet organizational needs.
Applications that are designed to run on a common platform, operate in a common environment, and communicate through direct data transfer are known as:
- A. integrated.
- B. interfaced.
- C. normalized.
- D. optimized.
Correct Answer: A
Rationale: Integrated applications are designed to work seamlessly together on a common platform, sharing data directly without requiring complex interfacing or translation.
What is the most common risk to patient privacy and confidentiality?
- A. An organization's employees.
- B. Inadequate firewall protection.
- C. Inadequate system design.
- D. Viruses, worms, and Trojan horses.
Correct Answer: A
Rationale: Employees, through intentional or unintentional actions (e.g., unauthorized access or mishandling data), pose the most significant risk to patient privacy and confidentiality.
Adult learners most effectively learn about a new clinical information system when the instructor:
- A. assumes that the learner knows nothing about the system.
- B. begins the formal training as early as possible in the implementation process.
- C. emphasizes the technical specifications of the structure of the system.
- D. encourages the learner to use previous experience to interpret new learning.
Correct Answer: D
Rationale: Adult learners benefit from leveraging prior experience to contextualize new information, making learning more relevant and effective.