NI final
What is the term for an imitation of a real-life event or circumstance? A. Game play B. Simulation C. Game mechanics D. Virtual world
B. Simulation
A criminal attack on a network using software designed to guess passwords is known as: A. a zero day attack. B. a brute force attack. C. both a zero day attack and a brute force attack. D. None of these is correct.
B. a brute force attack.
A nurse is sitting at the same level as the patient, listening attentively, and nodding appropriately. These actions demonstrate: A. physical presence. B. active listening. C. transcendence. D. full presence.
B. active listening.
In home telehealth care, which of the following would not be considered a home location? A. Hospice facility B. Nursing home C. Assisted living facility D. Hotel room
D. Hotel room
A patient with the comorbidities of diabetes, hypertension, and fibromyalgia lives in a home in a rural area. A telenurse remotely monitors the patient's objective data, which would include: A. pain scores. B. a 24-hour nutritional log. C. complaints of shortness of breath, lightheadedness, and shakiness. D. vital signs and blood glucose results.
D. vital signs and blood glucose results.
True or False? Educational games are goal oriented and may be competitive in nature. They should be fun and perhaps a bit fantastical and light-hearted. A particular game may or may not include exploratory learning and social interaction. Although simulations are also goal oriented, the competition is generally subdued. Simulations are generally less realistic and are typically more fun to use.
False
True or False? Interactive screening forms housed on a patient portal have been shown to increase the number of emergency room visits.
False
True or False? Interoperable EHRs are foundational to the development of HIEs.
True
A nurse is teaching a nursing student about the art of nursing. Which statement by the nurse is correct? A. "Artful nursing can improve mental and physical well-being among patients." B. "Artful nursing seeks to enhance the relationships between nurses." C. "Artful nursing can be practiced only by expert nurses." D. "Artful nursing does not have a direct impact on patient care."
A. "Artful nursing can improve mental and physical well-being among patients."
A patient asks a telenurse about the efficiency of telenursing. Which of the following is the appropriate response by the nurse? A. "Telenursing reduces the need to have face-to-face interactions, which improves efficiency of care." B. "Telenursing is not very efficient because telenurses have more documentation to complete." C. "Telenursing reduces the amount of care required, which enables better use of nursing time." D. "Telenursing increases non-care-related tasks, so telenursing care must then be efficient."
A. "Telenursing reduces the need to have face-to-face interactions, which improves efficiency of care."
Which term refers to a nurse taking a few calming breaths, clearing his or her mind of clutter, and silently saying the patient's name a time or two before beginning the patient encounter? A. Centering B. Cognitive focus C. Psychological being D. All of these are correct.
A. Centering
An informatics nurse is developing an integration plan of a new electronic health record and anticipates a workflow redesign. Which of the following will the informatics nurse develop first? A. Change management plan B. Workflow evaluation C. Workflow analysis D. Clinical transformation
A. Change management plan
Expansion of telehealth can impact the impending shortage of nurses in which of the following ways? A. Improving job retention and job satisfaction B. Improving patient satisfaction C. Increasing interdisciplinary collaboration D. Improving access to healthcare services for patients
A. Improving job retention and job satisfaction
A nurse researcher is reviewing the results of a telehealth study. Which of the following would be considered a clinical outcome of the study? A. Patient and family satisfaction B. Raw data results C. Demographics of the patient sample D. Enrollment criteria
A. Patient and family satisfaction
A problem has been identified, and data on the performance of a process are collected at the beginning of the process. These data are known as which of the following? A. Process metrics B. Employee metrics C. Current state metrics D. System metrics
A. Process metrics
In order to prepare future healthcare workers for the integration of VR into practice, what must occur in education? A. There must be a meaningful integration of the current technologies into the educational programming to prepare our future healthcare workforce. B. The students must at least be able to define the technologies. C. All healthcare educational programs must expose their students to the current technologies. D. The current technologies must be explained to the students so they are aware of what is going on in practice.
A. There must be a meaningful integration of the current technologies into the educational programming to prepare our future healthcare workforce.
The cornerstones of safety as identified by the Institute for Healthcare Improvement's white paper include all of the following except: A. appointing an organizational safety officer. B. paying attention to organizational culture. C. emphasizing patient engagement. D. establishing a learning system.
A. appointing an organizational safety officer.
A major goal of the eHealth Initiative is to: A. empower consumers to understand their health needs. B. manage health information. C. promote the ability to understand the economics of payment for services. D. promote technology as a means of improving health information.
A. empower consumers to understand their health needs.
Integrating technology into the medication administration cycle helps to reduce errors by: A. performing electronic checks against a database of safe medication administration parameters and providing alerts. B. reducing the workload and increasing the efficiency of clinicians. C. employing human factors engineering principles to streamline workflow processes. D. All of these are correct.
A. performing electronic checks against a database of safe medication administration parameters and providing alerts.
An educational game—one designed for learning—is a subset of both play and fun, and is sometimes referred to as a(n): A. serious game. B. augmented reality game. C. casual game. D. children's game.
A. serious game.
A staff nurse consistently exhibits disregard for established policies and procedures in an organization where there is just culture. Which statement by the nurse manager is correct about a just culture? A. "Workflow, including procedures and policies, can be changed for individual nurses." B. "Reckless behaviors like ignoring policies and procedures will not be tolerated." C. "Personal accountability is not part of just culture." D. "A just culture involves error reporting, not individual behaviors."
B. "Reckless behaviors like ignoring policies and procedures will not be tolerated."
A nurse would read research on safety initiatives and reviews initiatives from which agency? A. The Joint Commission B. Agency for Healthcare Research and Quality C. Food and Drug Administration D. Medical Product Safety Network
B. Agency for Healthcare Research and Quality
A nurse is working with an interdisciplinary team in a healthcare organization and identifies which of the following as essential for practice improvement? A. Data collection and analysis B. Ethical sensitivity C. Coordination of ancillary services D. Proper utilization of resources
B. Ethical sensitivity
The universal denominator in the development of EHRs is A. User friendliness B. Patient safety C. User friendliness and patient safety D. None of these is correct.
B. Patient safety
A nurse is performing nursing interventions effectively but is inattentive and does not respond to the patient's questions or concerns. The nurse is which of the following? A. Fully present B. Physically present C. Transcendent D. Partially present
B. Physically present
An advanced practice nurse is providing telehealth care for patients who are incarcerated. The nurse understands which of the following? A. Patients prefer telehealth when they are incarcerated because they do not have to leave the facility. B. Telehealth provides cost-effective care and supports public safety. C. Telehealth is used for this patient population because public safety outweighs quality of patient care. D. Patients have increased options of appointment times when telehealth is delivered in this manner.
B. Telehealth provides cost-effective care and supports public safety.
"Blog" is: A. being linguistic, on-game. B. an online journal. C. the German word for talking. D. None of these is correct.
B. an online journal.
Devices that recognize thumbprints, retina patterns, or facial patterns are known as: A. biologic devices. B. biometric devices. C. radiofrequency identifiers. D. All of these are correct.
B. biometric devices.
The ________ is a student-centered discussion during which the participants and observers reflect on performance during the scenario and make recommendations for future practice. A. enactment B. debrief C. prebrief D. assessment
B. debrief
The gap between those who have access to online information and those who do not is called the: A. gray gap. B. digital divide. C. weblog. D. know-do gap.
B. digital divide.
Multiple false alarms may lead to alarm fatigue and compromise patient safety by slow response or no response to physiologic alarms. Strategies to improve alarm response include: A. increasing the sensitivity of the physiologic monitors and feeding alarms directly to beepers or phones carried by professionals. B. feeding alarm data into a reporting database for further analysis. C. discouraging healthcare professionals from rounding with physicians because they are often guilty of ignoring alarms. D. All of these are correct.
B. feeding alarm data into a reporting database for further analysis.
Although first proposed in 2004, EHR implementation blossomed after passage of the HITECH Act in 2009 because of: A. implementation support provided by IT professionals. B. monetary incentives and potential penalties administered by CMS. C. the president discussing EHRs in the State of the Union address. D. the president discussing EHRs in the State of the Union address and because of implementation support provided by IT professionals.
B. monetary incentives and potential penalties administered by CMS.
Acceptable use policies in an organization typically restrict downloads of files by employees because: A. employees may waste work time. B. of increased vulnerabilities to viruses. C. downloads interfere with backup and storage of data. D. None of these is correct.
B. of increased vulnerabilities to viruses.
A ________________ is a tool designed to emulate some aspect of the clinical practice environment, which may be focused on a single task or designed to mimic a complete patient care situation. They encompass a broad range of devices, such as partial task trainers (e.g., an IV insertion arm); screen-based simulations, including simulated EHRs, simulated documentation, and simulated environments replicating a realistic patient care area (virtual simulation); and complex computer-driven human patient simulation manikins (latex-based simulation). A. game B. simulator C. scaffold D. None of these is correct.
B. simulator
Transmitting radiologic images to specialists is: A. telepathology. B. teleradiology. C. telenursing. D. telemedicine.
B. teleradiology.
Even though it is realistic to develop alerts, such as sepsis alerts, using the EHR, further research is necessary to comprehend how to design these alerts in order to actually change: A. the structure of the EHR. B. the healthcare provider's behavior. C. patient engagement. D. None of these is correct.
B. the healthcare provider's behavior.
A nurse is interacting with a patient who is a digital native. This patient was probably born after: A. 1976. B. 1972. C. 1982. D. 1979.
C. 1982.
An elderly patient who lives alone is homebound and receives telehealth services. The telenurse has discovered that the patient often forgets to turn off appliances after use. Which of the following telehealth tools would the nurse recommend? A. A central station B. A personal emergency response system C. A sensor and activity-monitoring system D. A medication management device
C. A sensor and activity-monitoring system
A nurse is documenting in a new complex electronic health record system and duplicates patient data. This duplication often occurs due to which of the following? A. Stakeholders are uninterested in clinical technology solutions. B. There is not any management support from clinical technology solutions. C. Clinical technology solutions are implemented poorly. D. Healthcare providers are not educated on clinical technology solutions.
C. Clinical technology solutions are implemented poorly.
John, a 78-year-old male patient in a hospital, is referred to a pulmonary specialist for a consult on his breathing problems. The specialist orders a CT scan of the lungs and is alerted by the EHR that a CT scan was performed 1 week ago. This alert is designed to prevent duplicate testing and is part of which essential EHR component? A. Cost savings function B. Testing management system C. Decision support system D. Physician assist system
C. Decision support system
A telenurse reviews a patient's blood sugar level and phones the patient to instruct them on a change in the dose of insulin. This process is known as which of the following? A. Knowledge gathering B. Knowledge processing C. Knowledge dissemination D. Knowledge generation
C. Knowledge dissemination
_________________ is the ability to manage results of all types electronically, including laboratory and radiology procedure reports, both current and historical. A. Electronic searching B. Digital manipulation C. Results management D. Data warehousing
C. Results management
An informatics nurse is performing a workflow analysis, which is a necessity for which of the following? A. Patient satisfaction B. Financial well-being C. Safe patient care D. Nursing satisfaction
C. Safe patient care
All of the following are advantages of technology-mediated care except: A. effective use of technology that helps to improve clinical workflow. B. clinical decision support system technology that reminds clinicians of critical interventions that have not yet been implemented. C. assessment technology that provides a complete and objective picture of the patient experience. D. smart pump technology that provides maximum dose safeguards.
C. assessment technology that provides a complete and objective picture of the patient experience.
When persons living with a chronic disease use the Internet for blogging about their health challenges or participating in online discussion forums, this is known as: A. self-diagnosis. B. self-management. C. peer-to-peer support. D. None of these is correct.
C. peer-to-peer support.
When a nurse is largely competent in carrying out care, efficient with interventions, but inattentive to communication and nonverbal cues projected by patients and families, we say the professional is: A. fully present. B. demonstrating transcendent presence. C. physically present. D. All of these are correct.
C. physically present.
A hardware security tool that helps protect an organization against security breaches by issuing masks to protect the identity of a corporation's employees who are accessing the World Wide Web is a(n): A. antivirus program. B. masking program. C. proxy server. D. firewall.
C. proxy server.
An integrated CIS/EHR system supports administrative clinical analytics functions such as: A. staffing and acuity data. B. outcomes measures. C. staffing and acuity data and outcomes measures. D. None of these is correct.
C. staffing and acuity data and outcomes measures
Confidential information in a secure network is most typically breached by: A. people "hacking" in from outside the network. B. viruses or cookies that enter from email. C. unauthorized use by authorized users. D. None of these is correct.
C. unauthorized use by authorized users.
Which of the following web domain suffixes is more likely to contain quality health education material? A. .ca B. .com C. .net D. .org
D. .org
A nurse administrator is reviewing data from the Government Accountability Office (GAO) on patient safety and develops a database for medical errors and near misses in the healthcare facility. This database addresses which gap that was recognized by the GAO? A. A lack of organizational leadership and collaboration in support of patient safety B. A deficit in the information about the effect of contextual factors on implementation of patient safety practices C. A gap in the available information on the experience of hospitals that have previously used specific patient safety implementation strategies D. A lack of valid and accurate measurement of how frequently certain adverse events occur
D. A lack of valid and accurate measurement of how frequently certain adverse events occur
A patient is allergic to penicillin. A trigger in the electronic health record will alarm after which of the following occurs? A. A nurse reviews the documentation on the patient's allergies in the electronic health record. B. A pharmacist reviews the patient's demographic information. C. A nurse enters data into the patient's medical history. D. A physician enters a medication order for penicillin.
D. A physician enters a medication order for penicillin.
A nurse replaces a new patient's wristband after the first was misplaced. This action by the nurse is which of the following? A. A non-value-added action B. Waste C. Overproduction D. A value-added action
D. A value-added action
An organization's confidentiality policy should clearly define: A. which data are confidential. B. procedures for releasing confidential information. C. procedures to follow if confidential information is accidentally released without authorization. D. All of these are correct.
D. All of these are correct.
Characteristics of information that contribute to information chaos include: A. information overload or underload. B. information scatter. C. erroneous or conflicting information. D. All of these are correct.
D. All of these are correct.
In addition to organizational commitment of resources to address safety concerns, what is a key feature of a safety culture as identified by the Agency for Healthcare Research and Quality? A. Acknowledgment of the high-risk nature of an organization's activities and the determination to achieve consistently safe operations B. A blame-free environment where individuals are able to report errors or near misses without fear of reprimand or punishment C. Encouragement of collaboration across ranks and disciplines to seek solutions to patient safety problems D. All of these are correct.
D. All of these are correct.
The use of teletechnology allows the telenurse to: A. evaluate a patient's status. B. use data to make decisions to better manage patients' health conditions. C. monitor a patient's vital signs. D. All of these are correct.
D. All of these are correct.
Which of the following is an example of telemonitoring? A. Monitoring patient parameters during home-based nocturnal dialysis B. Cardiac and multiparameter monitoring of remote intensive care units C. Daily home telemonitoring of vital signs by patients D. All of these are correct.
D. All of these are correct.
Which of the following is/are most important when looking to adopt a simulated EHR? A. Cost and overall fidelity or realism B. Ease of use for the instructor and learner and flexibility of the system to be customized and used as a stand-alone tool or in the setting of a full-scale simulation scenario C. Technical support from the vendor, time to build or develop the patient database, and additional simulation materials included with the package D. All of these are correct.
D. All of these are correct.
A healthcare organization has committed to a culture of safety. Which of the following is a strategy to encourage adoption of a culture of safety? A. Systemwide safety teams of administrators B. Individual accountability for development of safety plans C. Leadership safety directives D. Collaboration between leadership and staff on patient safety initiatives
D. Collaboration between leadership and staff on patient safety initiatives
An informatics nurse is tracking and assessing decision making through a clinical course of care, which will do what? A. Contribute to research databases B. Enhance collaboration between providers C. Reduce medical errors D. Improve patient care
D. Improve patient care
Which website has a tutorial for learning how to evaluate health information? A. WebMD. B. NSF. C. HON. D. MedlinePlus.
D. MedlinePlus.
A critical care nurse is considering how the nursing care guidelines and policies could be modified to better respond to a patient's complex care needs. This is an example of which of the following? A. Patient-centered care B. Centering C. Caring between D. Reflective practice
D. Reflective practice
A nurse is providing nursing care that is patient-centered, which will enhance which of the following? A. The healthcare organization's application of nursing theory B. The nurse's use of technologies and innovations C. The healthcare organization's use of patient data D. The nurse's understanding of the implications of his or her actions
D. The nurse's understanding of the implications of his or her actions
Sometimes, one uses a device, such as a smartphone, to overlay additional information on the real world. For example, one might use the camera in the phone to view the stars at night and see on the phone's screen both the stars and the constellation labels and linking lines between the stars in a constellation. The _______________ exploits this concept in gamelike ways, bringing people together physically and virtually to solve a series of challenges. A. serious game B. casual game C. educational game D. augmented reality game
D. augmented reality game
A benefit for nurses to using technology for patient education is to: A. access information from any website on the computer. B. standardize the instructions. C. easily distribute brochures to each patient. D. improve the compliance and documentation of education.
D. improve the compliance and documentation of education.
The benefits of EHR use recognized in early studies include all of the following except: A. increased delivery of guidelines-based care. B. enhanced capacity to perform surveillance and monitor for disease conditions. C. reduction in medication errors. D. improved workflow.
D. improved workflow.
True or False? New realities have transformed professional lives while generally leaving personal lives alone.
False
True or False? Reflective journaling is critical for students, but not necessary for working nurses.
False
True or False? The art of nursing is the expert use and adaptation of empirical and scientific knowledge.
False
True or False? Under the Medicare Access and Summary CHIP Reauthorization Act of 2015 (MACRA), there is now an explicit requirement for providers and hospitals to use a certified EHR that meets a set of standard functional definitions to be eligible for reimbursement incentives.
False
True or False? A CIS may be used effectively as a staff development tool.
True
True or False? A clinical use for telehealth technologies is providing disease prevention and promotion of good health. Examples include telephonic or smartphone app case management and patient education provided through asthma and weight management programs conducted in public schools.
True
True or False? A major barrier to widespread adoption of email and text messaging among American healthcare providers is the fact that reimbursement mechanisms for electronic healthcare interventions are inadequate or nonexistent.
True
True or False? A smart pump infusion system that employs EHR bidirectional interoperability automatically preprograms the infusion pump and records infusion parameters.
True
True or False? As a clinical field, telenursing is part of telehealth and has many points of contact with other medical and nonmedical applications, such as telediagnosis, teleconsultation, and telemonitoring.
True
True or False? Automated medication dispensing devices promote patient safety through access security, safety, supply chain, and charge functions.
True
True or False? Caring interventions performed by humanoid nurse robots (HNRs) are nurse-directed.
True
True or False? Extended reality (XR) is an umbrella term where the X is the variable and can represent any letter so it covers all of the various forms of computer or digitally altered realities that currently exist and other immersive technologies to be developed. We can experience augmentation through total immersion.
True
True or False? HealthIT.gov emphasizes that EHRs hold the promise of transforming health care by improving all aspects of patient safety and promoting patient-centered care.
True
True or False? In deep transpersonal caring, both the caregiver and the care recipient may experience healing.
True
True or False? Informatics nurses need to carefully consider the impact on patients of treatment by robot and app.
True
True or False? Medical simulations use realistic 3D computer models of humans to investigate new medical possibilities and to test assumptions (learning-to-know skills). Simulations of drawing blood and complex medical operations are used to teach learning-to-do skills.
True
True or False? Mobile apps are software programs that operate or run on smartphones and other mobile communication devices. They can also be accessories that attach or connect to a smartphone or other mobile communication devices.
True
True or False? Nurses who take care of their own health are more likely to be effective in patient and family care.
True
True or False? Of particular interest in the TIGER initiative is the call to take an active role in the design and integration of informatics tools that are intuitive, affordable, usable, responsive and evidence based. This approach will promote truly new and innovative strategies for informatics education and create significant opportunities for collaboration between industry, academia, and clinical practice.
True
True or False? Our current definition of reality is crucial to understanding our new realities and how they are transforming our personal and professional lives.
True
True or False? Patient identification, staff communication, and use of alarms are part of the Hospital National Patient Safety Goals.
True
True or False? Reality as we know it refers to the world or the state of things as they actually exist or the state of being actual or real.
True
True or False? Reporting big health data comes relatively late in the Big Health Data Life Cycle.
True
True or False? Robots are automated and/or smart machines that are programmed to complete the routine tasks typically done by a person. Robots are permeating throughout our healthcare delivery system; some assist with surgery, care for patients in place of nurses and others, and assume recurring tasks for nurses and doctors.
True
True or False? Simulated experiences in nursing education should contain the PEDA elements to provide important opportunities for students to hone critical thinking and clinical skills in a safe and supportive environment.
True
True or False? Some professionals have difficulty finding a balance between caring enough and caring too much.
True
True or False? The EHR can be used as an active learning tool within the classroom. Rather than requiring students to absorb information from a book, the EHR can become a powerful way for learners to make important connections about caring for patients with a specific disease process or to learn concepts of pathophysiology or pharmacology.
True
True or False? The EHR may be used to identify patients who qualify for research studies.
True
True or False? The artificial intelligence of things (AIoT) is the blending or combination of artificial intelligence (AI) and the infrastructure of the Internet of Things (IoT) to realize efficiencies and enhance human-technology interfacing and interactions.
True
True or False? The disruption in nursing that has come with personalized learning even extends to nursing curriculums.
True
True or False? The goal of health literacy for all is widely embraced in many sectors of health care, was a major goal of Healthy People 2010 and Healthy People 2020, and is continuing in Healthy People 2030.
True
True or False? The informaticist can facilitate interprofessional collaboration to improve patient care by enhancing the capability for sharing data and information in both synchronous and asynchronous formats.
True
True or False? We can capture data from our patients' wearable devices such as smart watches. The data we collect and analyze from smart devices permit us to forecast or predict health problems and personalize treatment, supporting personalized medicine.
True