A patient is coughing up blood and has night sweats, fever, chest pain, and fatigue. The physician assistant (PA) suspects the patient may have tuberculosis; therefore, she orders a TB blood test Where, within the clinical information system, should the PA request this test to appropriately diagnose and treat the patient?
The clinical decision support system
The electronic documentation section
The physiological monitoring system
The laboratory information system
The Correct Answer is D
A. The clinical decision support system – This system provides decision-making assistance, not a place for ordering or storing lab test results.
B. The electronic documentation section – This is for recording general documentation and notes, not for ordering lab tests.
C. The physiological monitoring system – This system monitors and displays real-time patient vital signs, not lab orders or results.
D. The laboratory information system – The lab information system is the appropriate location to request and manage laboratory tests such as the TB blood test.
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Correct Answer is B
Explanation
A. Require a two-factor authentication method when accessing protected health records. – While two-factor authentication improves security, it doesn’t prevent unauthorized browsing of patient records.
B. Require the healthcare provider to document a reason for access prior to granting them entry to a patient's records. – Requiring a documented reason for access would help track and control patient data access, reducing unnecessary or unauthorized views.
C. Implement timed computer screen locks. – Timed locks secure unattended screens but don’t address unauthorized access when logged in.
D. Block Oliver from accessing the electronic health record system. – Blocking Oliver entirely is too restrictive, as he may need access for work-related tasks. Documenting a reason for access is a more balanced approach.
Correct Answer is A
Explanation
A. Regularly run a penetration test. – Penetration tests identify system vulnerabilities that attackers could exploit, helping to strengthen system defenses against frequent attacks.
B. Require a two-factor authentication method when accessing protected health records. – Two-factor authentication is beneficial for security but doesn’t reduce the volume of attacks; it simply adds a layer of access protection.
C. Install software that can be used to wipe data from devices that go missing. – Wiping data from missing devices helps prevent data loss but doesn’t reduce attack frequency.
D. Implement timed computer screen locks. – Screen locks are helpful for local security but have no effect on external cyber attacks or the frequency of attempted attacks.