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.
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Related Questions
Correct Answer is C
Explanation
A. It is not classified as a personality disorder.
B. While individuals with cyberchondria do search for health information online, the defining feature is the anxiety caused by these searches.
C. Cyberchondria is a term used to describe heightened anxiety that arises from compulsively searching for health-related information online, often leading to unnecessary worry about potential health conditions.
D. It is not typical of most consumers; it is specific to individuals with excessive and anxiety-driven search behaviors.
Correct Answer is D
Explanation
Electronic documenting takes approximately 10% of your time: This is inaccurate; electronic documentation can take varying amounts of time depending on system efficiency.
B. Electronic documentation provides data that is searchable and analyzable: One of the key benefits of electronic documentation is that it allows for easy search, retrieval, and analysis of patient data, improving decision-making and care outcomes.
C. Electronic documentation increases paperwork: This is false; electronic systems reduce the need for paper-based records.
D. Electronic documentation should never be used to document vital signs: This is incorrect; vital signs are routinely documented electronically.
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