A nurse is reviewing a client's electronic health record. Based on the nurse's understanding of data standards, which would the nurse identify as defining what data are shared?
Continuity of Care Document
Clinical Document Architecture
Electronic medical record
Health information system
The Correct Answer is A
A. Continuity of Care Document (CCD): The CCD defines the standardized format for sharing patient health information across healthcare systems, ensuring continuity of care.
B. Clinical Document Architecture (CDA): This is a framework for the structure of clinical documents but does not specifically define what data are shared.
C. Electronic medical record: This refers to a digital version of a patient’s paper chart but does not define shared data.
D. Health information system: This is a broader system that manages healthcare information but does not define the data-sharing standards.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Confidentiality: Ensuring that personal health information is accessed only by authorized individuals is crucial to maintaining privacy and security.
B. Consumerism: Refers to patients' role in healthcare decisions but is not specific to privacy and security.
C. Policies: While important, they are tools to ensure confidentiality, not the primary issue.
D. Standards: Standards guide best practices but are not the core issue in privacy and security.
Correct Answer is B
Explanation
A. 1 month after implementation: Too early to fully evaluate the system’s impact.
B. 6 months after implementation: This allows sufficient time for the system to be fully integrated and for users to provide meaningful feedback on its effectiveness and any necessary improvements.
C. 2 months after implementation: Still too early for comprehensive evaluation.
D. 4 months after implementation: May not provide enough time to gather sufficient data on system performance and user adaptation.
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