Informatics Quiz 10

A nursing student wishes to initiate a search for interesting research topics. The student decides to peruse client positioning during pulmonary artery catheter readings. Among the following, which are suitable for this topic? PsychINFO MEDLINE CINAHL PubMed All of the above

all of the above

Constant changes in health care and its delivery creates challenges for clinicians to keep abreast of the latest evidence-based practice (EBP) findings and recommendations. Which of the following is NOT necessary to synthesize research from the "bench" to the client's "bedside" in a timely manner? Use available toolkits to locate existing guidelines and develop EBP guidelines. Locate nursing research Web links. Enroll in a doctoral program. Foster health care informatics skills.

Enroll in a doctoral program

Which of the following statements about evidence-based practice (EBP) is true? Hospitals have not yet begun to build EBP into their clinical ladders. The standards of practice are not currently established with evidence-based competencies. Staff nurses indicate higher levels of familiarity with EBP than advanced practice nurses. A number of facilities now consider EBP to be part of everyday clinical practice.

Hospitals have not yet begun to build EBP into their clinical ladders.

Public health care is responsible for the protecting the health care needs of the public through a variety of ways. With the increase in technology, which of the following statements is true about information technology and public health protection? Information technology provides the ability to access Center for Disease Control (CDC) updates on outbreaks of communicable disease. Information technology diminishes the ability to make rapid decisions during crisis management. Information technology controls communication during a crisis. Information technology is unnecessary during a crisis.

Information technology provides the ability to access Center for Disease Control (CDC) updates on outbreaks of communicable disease.

Which form of technology has recently been designated as useful at the point of care? Computer on wheels Monitoring DVDs Portable Dynamap Personal digital assistant

Not 1,3

Research has suggested that there is a positive correlation between an individual's health literacy and which of the following? Knowledge of illness Managed care Computer skills Health outcomes

health outcomes

Which statement regarding data collection via the Internet is accurate? Ethical issues are minimized because complete privacy of client response is assured. E-mails cannot be used because there may be errors in interpretation and transcription. Selection bias is eliminated because the Internet allows participation from all over the world. Data collection is automated, allowing the data to be exported to other programs more easily.

data collection

1. From a health information technology perspective, health care research has faced some impediments. Which of the following has impeded health care research? Slow adoption of uniform languages Confidentiality of private health information (PHI) Failure to attain a birth-to-death electronic health record (EHR) All of the above

All of the above

A program outcome essential for health care students is that they be skilled in which of the following? Electronic spreadsheet applications Electronic database management applications Applications that facilitate electronic literature searches Electronic slide presentation applications

Applications that facilitate electronic literature searches

It is important for nurses to bridge the gap between practice and research to promote safe, evidence-based nursing care. One of the best ways to close this gap is by which of the following? Extrapolate data from the electronic health record (EHR). Write all patient data in the nurse's station notebook. Analyze singular pieces of data and note its relevance to all patients. Keep data that seem irrelevant from the research committee.

Extrapolate data from the electronic health record (EHR)

The use of the Internet for health information has grown exponentially in the past few years. There are multitudes of reasons for individuals to check online before contacting their health care provider. Which of the following statements is a major reason why people turn to the Internet and websites for health related information? Fewer people have health care insurance. The long lines and waiting time in healthcare providers' offices prevent individuals from making appointments. People refuse to pay the co-pay when they can find out about their illness for free. People are reluctant to bother their primary healthcare provider.

People are reluctant to bother their primary healthcare provider.

Clinical researchers have experienced barriers due to HIPPA. These researchers need to be aware of HIPAA's Privacy Rule because it establishes the conditions under which covered entities can use or disclose PHI. Which of the following statements about HIPPA covered entities is accurate? Researchers are not covered entities unless they are also health care providers or employed by a covered entity or engage in any of the electronic transactions covered under HIPAA. Researchers are always considered to be covered entities for transactions covered under HIPAA so long as they are conducting a valid study. When difficulties arise with small sample size, covered entities are not allowed to disclose PHI to researchers to aid in study recruitment. Covered entities do not include providers that transmit health information electronically for HIPAA transactions, health plans, and clearinghouses unless they are certified via a national examination.

Researchers are not covered entities unless they are also health care providers or employed by a covered entity or engage in any of the electronic transactions covered under HIPAA.

There are four major principles of public health informatics that are distinguishable from other types of informatics. Which of the following responses is not considered a principle? Promote the health of populations as opposed to health of individuals. Prevent disease and injury by altering the conditions or the environment putting populations at risk. Should not reflect the governmental context in which public health is practiced. Should explore the potential for prevention of all vulnerable points.

Should not reflect

Which of the following provides an effective means of researching primary research in a logical and systematic manner, providing a more efficient and effective means to find credible scientific information than if one were doing a general Web search? Wikis Systematic literature searches Blogging Telehealth

Systematic Literature Searches

The electronic health record (EHR) provides the database needed to support research and evidence-based practice. Which of the following best depicts the use of the EHR in the collection of data? Only experienced clinicians understand the usage of EHR data. Incorporation of evidence-based guidelines into the EHR can improve the uality of care. Extrapolating data from an EHR can be a lengthy process and counterproductive. The EHR can be a reservoir for research studies.

The EHR can be a resevior

Knowledge discovery in databases (KDD) is a term used in other industries that is now seen in health care circles. Which of the following statements about KDD is accurate? It is a powerful tool suitable for the analysis of large or small amounts of data. It is not available commercially, but platforms can be custom built to suit the facility. The confidentiality of individual records may be protected through the use of data perturbation. The lack of bias is guaranteed by the vendor related to the complex patterns in collected data.

The confidentiality of individual records may be protected through the use of data perturbation.

Data mining supports sifting through large volumes of data at rapid speeds. In which instance would the use of data mining be inappropriate? To provide information that may enhance the company's market share To hide confidential information in databases using real values To identify common factors relating to medication errors To search databases to review trends in the health care arena

To hide confidential information in databases using real values

For which type of research is knowledge discovery in databases (KDD) least appropriate? To cross-link risk factors for type b. diabetes and cardiovascular disease To identify the efficacy of a treatment for children with the rare and fatal Batten disease. To test the hypothesis that polycystic kidney disease is best treated with antihypertensive To determine the most significant risk factors for congestive heart failure

To identify the efficacy of a treatment for children with the rare and fatal Batten disease.

Which of the following is considered a major challenge with public health informatics (PHI)? Need to have additional terminals in neutral locations Need to have stronger linkages and interface between and among providers and systems Need to convince health care providers of PHI benefits Need for additional research on PHI effectiveness

need to have stronger

The Centers for Disease Control (CDC) have begun national initiatives to link public health electronic health records (EHRs) with an immunization tracking system (CDC, b.011). This tracking system is focused on allowing EHRs of state and local health departments to share data with immunization information systems and integrate these records with the CDC's vaccine tracking system. The initiative focuses on communication and which of the following? The ability to provide reminders, extend resources, and track records The ability to combine data with global initiatives The ability to work in tandem with governmental databases The ability to design public health resources in case of an pandemic

the ability to provide