NURSING 211 EXAM 2

Nursing informatics training is offered for which of the following types of programs?

All of the above

The nurse is explaining project management to the nursing students. The nursing student shows an understanding of project management when she states, A project management involves initiation A project management involves planning only A project management involves executing only All of the above

All of the above

Which of the following theories or disciplines is related to nursing informatics?

Cognitive science theory

What are some noted challenges that accompanied the rollout of meaningful use criteria? (Select all that apply.)

Complexities of coding systems, Lack of implementation strategy, Increased costs

The nurse is working as part of a project management team. The team is currently involved in the planning phase. Which activities would occur during this step? Identifying necessary improvements to the system Completing a needs assessment Determining the return on investment Conducting a workflow analysis

Conducting a workflow analysis

Stage 1 of the meaningful use criteria in the HITECH Act focuses on which of the following objectives?

Data capture and sharing

Which of the following would a nurse identify as a positive aspect of online support groups? Diversity of viewpoints The quality of information provided Restrictions in group membership Quick response return

Diversity of viewpoints

True or False: The HIPAA law protects all patient information.

FALSE

True or false: The primary purpose of the meaningful use criteria in the HITECH Act is to eliminate paper from all health care facilities.

FALSE

True or false: The purpose of billing terminologies is to assist in billing patients for the services provided by health care organizations.

FALSE

A nurse has created a database in which data are contained in one table. The nurse has created which model of database? Relational Network Hierarchical Flat

Flat

How often must providers and hospitals demonstrate meaningful use?

Every year

A client presents to the clinic for a visit and brings information about his or her condition that he or she got off the internet. Which response by the nurse would be appropriate? "What, don't you believe that we're doing what's best for you?" "Let's go over this information and see what is says." "I really need to check out this site before we talk about it." "You need to be really careful about what you get off the internet."

"Let's go over this information and see what is says."

Which of the following reflect benefits of EHRs? (Select all that apply.)

Accessibility, Quality improvement, Security, Data reporting

Which stages of change are associated with Lewin's field theory? (Select all that apply.)

Unfreezing, Moving, Refreezing

True or false: The three concepts involved in Lewin's Force Field Theory are behavioral disruptions, behavioral compliance, and balance.

FALSE

Which of the following most accurately describes the process of standardization of medical and clinical terminologies?

Normalizing and mapping information to code sets and terminologies

When considering health information technology (HIT), what does the term interoperability mean?

Two or more health-related service providers can access and share information.

A new patient is talking to her nurse and verbalizes that she understands that the promise of the internet in healthcare involves (select all that apply) Using electronic patient care records Having records accessible to those designated by the patient Allowing patients to access their healthcare records Allowing patients to edit records Sharing information to the patient's family without permission

Using electronic patient care records Having records accessible to those designated by the patient Allowing patients to access their healthcare records

Lewin's field theory focuses on what aspect of change related to adopting new innovations?

Forming a positive attitude about change

A nurse is teaching a consumer about appropriate website selection.Which of the following consumer statements indicates understanding of the teaching provided by the nurse?

I will need to find websites that use appropriate terminology.

Which of the following is the standard billing terminology used to code for diagnoses?

ICD

The nursing student wants to know one weakness of paper records. What should the nursing instructor reply? Legibility issues Transportable No down time No waiting at computer terminal

Legibility issues

The nursing instructor informs her students that the nursing informatics theory is associated with Employer rewards and authority Organization interactions Impact of technology on productivity Data with some structure

Data with some structure

True or false: Because it is a newer field, the focus of nursing informatics education remains consistent from program to program.

FALSE

Which of the following best describes a recommended pace for a rollout of a new EHR?

Gradual

True or false: A reference terminology is a terminology where each term has a definition that a computer can process and support the meaning when retrieved and aggregated.

TRUE

True or false: EPs who can participate in either the Medicare or Medicaid EHR incentive programs will be subject to the payment adjustments, unless they are meaningful users under one of the EHR incentive programs.

TRUE

True or false: Electronic transmission of patient care summaries across multiple settings is a focus of Stage 2 of the meaningful use criteria in the HITECH Act.

TRUE

True or false: Health care providers who receive payments from CMS for their services are required to participate in Quality Payment Program (QPP) and are held accountable for quality patient outcomes.

TRUE

True or false: Hospitals and eligible professionals are required to use EHR technology to receive payments from Medicaid and Medicare.

TRUE

True or false: Interoperability is central to achieving meaningful use.

TRUE

True or false: On Feb. 17, 2009, President Obama signed the American Recovery and Reinvestment Act of 2009 (Recovery Act or ARRA), a critical measure to stimulate the economy.

TRUE

True or false: Providers must attest to demonstrating meaningful use every year to receive an incentive and avoid a Medicare payment adjustment.

TRUE

True or false: Today, the trend is to require advanced formal academic preparation in the field of nursing informatics.

TRUE

Interpreting a set of vital signs over a period of time and deciding on an action based on this information combined with nursing knowledge and experience... Wisdom Knowledge Data Information

Wisdom

a new staff member asks a nurse what the abbreviation CDSS means. the correct response is

clinical decision support system

which of the following terms describes the ability to access, evaluate, and use electronic health information?

health literacy

the purpose of using critical pathways to help manage the care of clients who have specific clinical problems is to

improve client outcomes by providing timely interventions

the primary goal of nursing is to do which of the following

improve health by optimizing information management and communication

which of the following factors limits the usefulness of electronic health care information for consumers?

lack of regulation for online health care resources

an informatics nurse specialist may engage in numerous roles. which of the following roles is specific to her qualifications?

liaison between health care professionals, information technology department, and administration

How has the federal government attempted to support health care providers with compliance requirements associated with the adoption of electronic health records (EHRs)?

Financial incentives

The nurse understands that cultural competence

Is the ability of all health organizations to providers to recognize the cultural beliefs, values, attitudes, traditions, language preferences, and health practices apply that knowledge to produce a positive health outcome

With the proper credentials, what role can the nurse with informatics knowledge assume? Select all that apply.

Systems educator, An information technology advocate, Clinical systems coordinator, Researcher

True or False: If a healthcare provider violates HIPAA, they could face legal ramifications including fines.

TRUE

HIPAA provides guidance to healthcare providers regarding the storage and use of protected health information.

TRUE

Which conversion is occurring when an agency plans to implement a new system throughout the entire agency at the same time? Pilot conversion Big- bang conversion Parallel conversion Phased conversion

Big- bang conversion

True or false: The International Classification of Disease (ICD) is an important clinical terminology in the United States.

FALSE

An electronic documentation system will be implemented in an agency. As part of the process, the staff is receiving education about the system and the overall benefits. Which benefits would be mentioned as an most important? Availability of an adult trail for information Decreased decentralization of the healthcare delivery system Enhanced ability to extract information Improvement in client care outcomes.

Improvement in client care outcomes.

How can cognitive theory help the informatics nurse in designing decision-making tools?

Improves understanding of how nurses process information when making decisions

Which of the following accurately reflects the overall trend seen in EHR adoption rates among health care providers?

Increase

North American Nursing Diagnosis Association (NANDA) is an example of what type of terminology?

Interface

In health care settings, the standardization of terminologies helps facilitate which of the following?

Interoperability

Which of the following are crucial considerations for EHR implementation? (Select all that apply.)

Investment costs, Stakeholder engagement, User training

Which type of funds are distributed through Medicare and Medicaid incentive payments to eligible professionals (EPs) and hospitals who are 'meaningful EHR users'?

Federal funds

How were most of today's practicing informatics nurses prepared for their role?

Self-learning

The American Nurses Association (ANA) Scope and Standards for Nursing Informatics Practice has established how many standards to be met?

Six

Which of the following are examples of EHR subsystems?

All of the above

Which of the following are key advantages of electronic health records? (Select all that apply.)

Accessibility, Efficiency, Quality of care

True or false: In Lewin's Field theory, moving is when the change is implemented.

TRUE

The nursing professor tells her students that which website focuses on research on quality, access, cost, and information technology? DataFerrett Agency for Healthcare Research and Quality (AHRQ) World Health Organization Data Centers for Medicare and Medicaid Services

Agency for Healthcare Research and Quality (AHRQ)

Which of the following is a risk to electronic health records? (Select all that apply.)

All of the above

Which of the following actions would best support a successful EHR implementation? (Select all that apply.)

Schedule additional staff to reduce patient loads, Engage staff actively with the system, Create a contingency plan for potential rollback

What are key benefits to Computerized Provider Order Entry (CPOE)? (Select all that apply.)

Promotes safety, Saves money, Saves time

True or False: It can be said incentives programs have been largely successful at increasing EHR adoption rates.

TRUE

True or False: The components of an EHR make it a more beneficial system than a paper record system.

TRUE

True or False: The order entry management component of EHRs has the ability to decrease medical errors.

TRUE

True or False: The primary need for healthcare records to be electronic is to improve patient care.

TRUE

Which of the following are examples of EHR government incentives programs? (Select all that apply.)

The HITECH Act, Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

A group of nurses who are working with the nurse manager are preparing to conduct a research study on the effects of 8-hour and 12-hour shifts on nurses working on a general medical surgical unit. One of the nurses says, "I always have trouble finding relevant research articles." Which response by the nurse manager would be most appropriate to help this nurse?

"Let's go together to ask the librarian for help in finding journals that specialize in research."

Which of the following is NOT a fitting quality for a nurse informaticist?

Low tolerance for change

True or false: Failed rollouts of new EHR systems are rare.

FALSE

During which year did eligible providers (EPs) who are meaningful users officially begin to receive EHR incentive payments?

2011

True or false: Only nurses who work in the lab need to learn about the laboratory information system (LIS).

FALSE

The new nurse on orientation understands that the component(s) of the HIPPA law include Privacy Security A and B None of the above

A and B

A home health nurse uses a laptop computer to document her patient assessments. In order to be compliant with HIPAA regulations, what must be in place?

A plan to prevent the loss of the patient data on the laptop.

True or false: As a nurse, you will not be considered a stakeholder in your agency's EHR.

FALSE

When describing an electronic health record, which characteristic makes the software a true electronic health record? Information included in the record Ability to interface with outside agencies Access to information by clients Healthcare information owned by the agency

Ability to interface with outside agencies

The nurse tells the patient that common personal health records portal functions include: (select all that apply) Ability to make routine appointments Requesting for prescription refills Emailing the physician Calling the physician Receiving alerts

Ability to make routine appointments Requesting for prescription refills Emailing the physician receiving alerts

The nurse understands that health information for people with limited English Proficiency (LEP) needs to be communicated to the patient by Using their primary language Using words Using examples that make the information understandable All the abov\

All the above

Systematic Nomenclature of Medicine Clinical Terms (SNOMED), Health Level Seven (HL7), and Logical Observation Identifier Names and Codes (LOINC) are all examples of which type of terminology?

Clinical

Which of the following roles would be open to an informatics nurse?

Clinical systems analyst who troubleshoots system problems

In the third step before an EHR go-live event, all staff must be actively __________ with the new systems.

Engaged

Testing for networking and connectivity issues in hardware, software, and user interfaces occurs as a last step before a go-live event.

FALSE

True or False: As long as an EHR functions efficiently to meet a single department's needs, it is considered sufficient for that organization.

FALSE

True or False: EHR Incentives programs have largely stayed the same since their original inception with the HITECH Act.

FALSE

A new graduate nurse is working at a facility that uses electronic documentation. The nurse has questions about the policies and procedures related to data security. The nurse would identify which person for being responsible for the policies and procedure related to data security? Nurse manager Nursing informatics specialist Client's primary care provider HIPPA security officer

HIPPA security officer

In an EHR implementation project, stakeholders can include which of the following roles? (Select all that apply.)

Healthcare agency executives, Financial personnel, Nursing clinicians, System users, Patients

Which of the following statements explains why it is important that nurses learn to evaluate electronic and published health information?

I can improve my clients' outcomes by using current, accurate information.

Which of the following statements indicates that the nurse needs more education related to using electronic sources to promote consumer health literacy

I can print the information from the website and share it with my clients.

A group of nurses are creating a database. Which step would the nurses need to do first? a. Determine the data to be collected b. Identify the question needing an answer c. Develop a purpose for the database d. Identify the pieces of data to enter

Identify the question needing an answer

A nurse is trying to find ways to share evidence-based practice information with other staff members. Which of the following methods helps engage others in transitioning evidence to practice?

Joining a professional journal club.

In Roger's Diffusion of Innovation Theory, there are five stages of individual change. Which stage is first? Implementation Knowledge Decision Persuasion

Knowledge

What term is used to identify requirements associated with the implementation of electronic health records (EHRs) that are designed to improve the delivery of health care?

Meaningful use

Which of the following is NOT a component of Electronic Health Records (EHRs)?

Medical billing

During an EHR implementation project, a lack of which of the following in particular can discourage trust and confidence among users and team members?

Planning

The P in HIPAA stands for:

Portability

The new nurse understands that the key field in the master (parent) table is called the Report key Primary key Foreign key Parameter key

Primary Key

An electronic medical record is best described as a: Complete record of a client's healthcare information Record of a client's stay in an agency such as a hospital Record that is accessible by outside agencies. Record that allows clients to enter data

Record of a client's stay in an agency such as a hospital

The nurse is explaining to the nursing student that data from more than one table can be integrated as if it were in one table, what is that process called? Boolean logic querying Hierarchical database Query Relational data

Relational data

Which job title is reserved for only an informatics nurse specialist?

Researcher

Which theory contributing to informatics addresses improving the interaction between an information system and the organizational culture? Sociotechnical theory Cognitive science Nursing informatics Change theory

Sociotechnical theory

Using certified electronic health records (CEHRT) to improve health outcomes is the focus of which stage of the meaningful use criteria of the HITECH Act?

Stage 3

What is a key benefit to a Picture Archiving and Communication System (PACS)?

Stores diagnostic images and scans including from ultrasounds, MRIs, CTs and more

A hospital facility just rolled out a new system and immediate coaching was provided to system users during initial implementation. What are the users are called? Superusers Nonusers Professionals None of the above

Superusers

Which situation is an example of how a hospital's interoperable EHR subsystems support nursing care?

The nurse determines that a patient is likely to be discharged after reviewing daily laboratory results.

The foremost goal of 'meaningful use' is to use information from EHRs to do which of the following?

Improve quality of care

True or false: Computer competency alone is sufficient for a career in informatics.

FALSE

True or false: In Phase 1 of preparing for the go-live event of an EHR, the target date should be determined after all necessary training and procedural changes have taken place.

FALSE

How does standardized terminology impact nursing?

Supports effective communication between nurses

What is the purpose of interface terminology?

Allows for the electronic translation or correlation of one reference terminology into that of another

Which of the following are considered part of the Scope and Standards for Nursing Informatics Practice established by the American Nurses Association (ANA)? (Select all that apply.)

Assessment, Diagnosis, Outcome Identification, Planning, Implementation, Evaluation

True or False: There is no difference between the roles of an informatics nurse and informatics nurse specialist.

FALSE

Which of the following is useful in reviewing microdata from federal government agencies? National Institute of Health DataFerrett Centers for Medicate and Medicaid Services World Health Organization Data

DataFerret

True or False: LOINC provides the basis for nursing problems in most of the other ANA-recognized nursing-focused terminologies.

FALSE

True or False: Only the system's executive stakeholders need to be involved in the initiating phase of an EHR implementation project.

FALSE

Which statement best describes cyberchondria? It is characterized as a personality disorder. It reflects individuals who search online for health information It involves anxiety-related to repeated and excessive online searches. It is typical of most consumers who search for health information

It involves anxiety-related to repeated and excessive online searches.

Which of these is not one of the stages in Lewin's Field theory?

Melt

A group of nurses are discussing commercial statistical program. Which of the following is not a commercial statistical program? Microsoft World Software Statistical Package for Social Sciences Statistical Analysis Software Minitab Statistical Software

Microsoft World Software

Which of the following is an example of an interface terminology?

NANDA

On which area of privacy is the Health Insurance Portability and Accountability Act (HIPAA) focused?

Patient privacy

Which of the following are benefits of meaningful use for a patient? (Select all that apply.)

Patients can personally engage in their health care, Privacy and security of health information

Which of the following factors is most likely to limit the usability of information technology because the human-technology interface?

Size of keypads and screens for portable devices.

Certified Electronic Health Record Technology (CEHRT) use for continuous quality improvement was implemented in which stage of EHR incentive program?

Stage II

In terms of EHR implementation, a provider with concerns around how the new system will change patient care services, an administrative employee with questions around how it will impact their job duties, and a patient wanting to know how they might access their electronic records are all examples of which of the following?

Stakeholder interests

The human-technology interface is hardware and software designed to do which of the following?

Support human interaction with technology

A nurse is reading an article about the advantages of online support groups. Which information would the nurse expect to find? Select all that apply The groups are highly diverse in their perspectives Anonymity allows for the discussion of sensitive issues. Messages can be carefully thought out before they are posted Most interactions occur synchronously. Membership is not restricted by time or geography.

The groups are highly diverse in their perspectives Anonymity allows for the discussion of sensitive issues. Messages can be carefully thought out before they are posted Membership is not restricted by time or geography.

A newly licensed nurse is determining whether he should share information found in an electronic journal article with colleagues. Which of the following explains the importance of disseminating information found in current literature or electronic resources.

The nurse may have identified the need for a change in practice based on current literature.

Which of the following factors should a nurse consider when determining whether she should make a change in personal nursing practice based on information found in the Web-based resources?

The website provides links to peer-reviewed information used to support the practice recommendation.

risks associated with the use of information technologies include which of the following?

loss of electronic information due to glitches and external threats to security

which of the following is a standardized tool used to outline daily nursing care to clients who have common needs or medical conditions?

critical pathway

a nurse should recognize that to be a meaningful user of electronic health records, he should do which of the following?

respond appropriately to all clinical decision-making support systems and alerts

confidential information in a secure network is most often breached by

unauthorized access to and disclosure of information by authorized users

a newly licensed nurse is expected to do which of the following

use technology to obtain information about unfamiliar procedures

when administering a clients medication, a nurse uses which of the following actions as the best way to reduce preventable medication errors?

visually verify the medication, and ask the client to state her name and DOB