RN Informatics

A novice nurse is more likely to use which aspect of the Foundation of Knowledge Model? a. Knowledge acquisition b. Knowledge processing c. Knowledge generation d. Knowledge dissemination

a. Knowledge acquisition

A specialized system of data collection to detect trends in the incidence and severity of a specific disease or health related syndrome and is also known as: a. Syndromic surveillance b. Public health informatics c. Data warehousing d. Knowledge generation

a. Syndromic surveillance

Reflection on practice to gain insight into why an approach was successful (or not) in a practice situation helps a nurse to build: a. Tacit knowledge b. Explicit knowledge c. Organizational knowledge d. Collaborative knowledge

a. Tacit knowledge

A wish list item was the ability to access information when and where we want it, irrespective of modality thereby maximizing mobility and other personal resources. This may lead to cell phones becoming the main avenue of access for more than text messages, speech, and video clips. Knowledge acquisition and utilization will then become ubiquitous and pervasive; new work roles will emerge to cope with this new and different technology. a. True b. False

a. True

Artificial Intelligence is the field that deals with the conception, development, and implementation of informatics tools based on intelligent technologies. This field attempts to capture the complex processes of human thought and intelligence. Select one: a. True b. False

a. True

Cognitive science is the interdisciplinary field that studies the mind, intelligence, and behavior from an information processing perspective. Select one: a. True b. False

a. True

Connectionism is the component of cognitive science that uses computer modeling through artificial neural networks to try to explain human intellectual abilities. Select one: a. True b. False

a. True

Epistemology is the study of the nature and origin of knowledge--what it means to know Select one: a. True b. False

a. True

Neural networks are interconnected simple processing devices or simplified models of the brain and nervous system that consist of a considerable number of elements or units (analogs of neurons) linked together in a pattern of connections (analogs of synapses). Select one: a. True b. False

a. True

The development of the concept, and a possible model, of u-nursing (ubiquitous nursing), which, as well as having implications for the practice of nursing, also has profound implications for all aspects of the education and continuing professional development of nurses a. True b. False

a. True

The shift of information access, acquisition, and interpretation, for both provider and patient, may result in overload in terms of content and comprehension. a. True b. False

a. True

There will be continuing growth of patient informatics, perhaps as a growth and evolution of the current concept of consumer health informatics, and with the increasing centrality of the patient as the controlling force in the whole enterprise. a. True b. False

a. True

Wang described cognitive informatics (CI) as an emerging transdisciplinary field of study that attempts to bridge the gap of understanding how information is processed in the mind and in the computer. Select one: a. True b. False

a. True

We currently have nurse-managed telehealth services in United Kingdom dermatology clinics, open-source software for development of Web-based nursing informatics education in Germany and nurse-led development of a personal health record system in the United States. a. True b. False

a. True

Wisdom is knowledge applied in a practical way, translated into actions, or to use knowledge and experience to heighten common sense and insight to exercise sound judgment in practical matters? Select one: a. True b. False

a. True

Presenting a research project at a national conference is an example of: Select one: a. disseminating knowledge b. acquiring knowledge c. generating knowledge d. sharing wisdom e. none of the above

a. disseminating knowledge

Which of the following is not a goal of evidence based practice? a. improve nurse satisfaction b. decrease practice variability c. increase patient safety d. eliminate unnecessary cost

a. improve nurse satisfaction

Integrating technology into the medication administration cycle helps to reduce errors by: Select one: 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 the above.

a. performing electronic checks against a database of safe medication administration parameters and providing alerts.

Qualitative research on a practice intervention provides insights into: Select one: a. the patient's subjective opinion of the effectiveness of the intervention b. the scientific basis of the intervention c. the cost effectiveness of the intervention d. All of the above

a. the patient's subjective opinion of the effectiveness of the intervention

Knowledge that can be exchanged or shared in the form of data, manuals, product specifications, principles, policies, theories is known as: a. Tacit knowledge b. Explicit knowledge c. The foundation of knowledge d. Knowledge feedback

b. Explicit knowledge

Wisdom is the awareness and understanding of a set of information and ways that information can be made useful to support a specific task or arrive at a decision? Select one: a. True b. False

b. False

A Community of Practice (CoP) would best be described as: a. Groups of people working on a unit in an institution or organization b. Groups of people who share a concern or a passion for something they do and learn how to do it better as they interact regularly c. Groups of people who work together in a specialty area d. Groups of people who share the same educational levels

b. Groups of people who share a concern or a passion for something they do and learn how to do it better as they interact regularly

Which of the following creates the information that becomes the basis for knowledge in the field of public health? a. Theoretical analysis of recent research b. The collection and processing of population health data c. Examination of school aged children d. None of the above.

b. The collection and processing of population health data

Smart pumps are designed for safe administration of high-hazard drugs and to reduce adverse drug events (ADE) during intravenous (IV) medication administration. What happens when a hard alarm is generated by a smart pump? Select one: a. A licensed clinician or a pharmacist can override a hard alarm and administer the drug as programmed. b. The pump must be reprogrammed so that the rate and dose for administration of the high hazard IV drug falls within the facility's safe infusion parameters. c. The nurse must call the physician for a verbal order to turn off the smart pump technology and administer the drug as ordered. d. Members of the bio-medical engineering department can reprogram the pump to avoid these nuisance alarms.

b. The pump must be reprogrammed so that the rate and dose for administration of the high hazard IV drug falls within the facility's safe infusion parameters.

How does translational research differ from basic research? a. Translational research is less scientific than basic research. b. Translational research is specifically aimed at practice application. c. Basic research is always conducted in a laboratory, and translational is not. d. There is no difference between translational research and basic research.

b. Translational research is specifically aimed at practice application.

Using knowledge without being consciously aware of what aspect of knowledge we are using at any given moment during our practice, is known as knowledge: a. Processing b. Transparency c. Feedback d. Management

b. Transparency

The NGC of the Agency for Healthcare Research and Quality (AHRQ) and the Cochrane collaboration are examples of evidence based practice initiatives that: a. conduct randomized controlled trials for translation into practice. b. gather and interpret research findings and develop practice guidelines. c. mine quasi-experimental and qualitative research findings for practice evidence. d. survey practice experts for opinions on best-practices.

b. gather and interpret research findings and develop practice guidelines.

As nurses work with information and generate information and knowledge as a product, they can be described as: Select one: a. seasoned nurses b. knowledge workers c. practice managers d. innovators e. none of the above

b. knowledge workers

An adverse event response team works to: Select one: a. anticipate workflow issues and develop processes and procedures to promote safety. b. reenact or simulate adverse events to better understand the organizational or procedural processes that failed. c. counsel and/discipline employees who engage in risky or reckless behaviors. d. All of the above.

b. reenact or simulate adverse events to better understand the organizational or procedural processes that failed.

A Nursing Practice Council is focused on reducing workarounds related to medication administration. Which approach is likely to be more successful? a. Developing an explicit policy requiring adherence to medication administration guidelines. b. Searching the literature for nursing research studies related to medication administration workarounds. c. Collecting data in the institution by asking nurses to journal examples of workarounds. d. Accompanying nurses during medication administration to discover workarounds

c. Collecting data in the institution by asking nurses to journal examples of workarounds.

Vendor owned cloud computing might offer the benefit of reduced costs of maintaining hardware and IT support in an individual healthcare system. What is the main reason that cloud computing is not widely accepted in healthcare? a. Concern about vendor support and functionality of the products. b. Concern about usability and interoperability of systems. c. Concern about information security and privacy. d. Concern about data storage and retrieval.

c. Concern about information security and privacy.

The estimate of how much exposure to the potential hazard would cause varying degrees of health effects is known as: a. Hazard identification b. Risk characterization c. Dose-response assessment d. Exposure assessment

c. Dose-response assessment

A novice nurse is more likely to be which type of knowledge worker? a. Knowledge broker b. Knowledge generator c. Knowledge consumer d. None of the above.

c. Knowledge consumer

Another name for data that has meaning is: Select one: a. mean data b. data accuracy c. information d. wisdom e. none of the above

c. information

RFID technology may gradually replace bar-code technology in the medication administration cycle because RFID provides: Select one: a. opportunities to check patient identification before administration of the medication. b. easy integration into the electronic health record. c. reduced potential that a counterfeit medication is inadvertently introduced into the supply. d. None of the above.

c. reduced potential that a counterfeit medication is inadvertently introduced into the supply.

Electronic health records may help to promote public health initiatives by: a. promoting early detection of potential pandemic occurrences b. automating syndromic surveillance of emergency department records c. generating population-level alerts to be sent to clinicians d. All of the above

d. All of the above

Early detection of possible outbreaks can be achieved by gathering data on: a. Absences from work or school b. Purchases of health-care products, including specific types of over-the-counter medications c. Laboratory test orders d. All of the above.

d. All of the above.

Electronic prompts in a technology based medication administration system warn against the possibility of drug interaction, allergy or medication overdose when: Select one: a. the physician enters the order in the CPOE system. b. the pharmacist verifies and dispenses the medication c. the nurse prepares to administer the medication d. All of the above.

d. All of the above.

Key aspects of the Informatics Nurse Specialist Role (INS) in patient safety include: Select one: a. ensuring that the technology systems are properly configured and maintained. b. routinely monitoring and checking these systems while making sure that their human potential, the users, are capable of using the systems accurately to avoid errors. c. participating actively in the SDLC to ensure adoption of a robust tool that provides meaningful information and enhances patient care while preventing errors and promoting patient safety. d. All of the above.

d. All of the above.

A safety culture is a blame-free environment where individuals are able to report errors or near misses without fear of reprimand or punishment. Conversely, a just culture emphasizes individual accountability and: Select one: a. encourages workarounds in the interest of saving time as long as no harm occurs. b. encourages error reporting and seeks to understand workflow and process issues that lead to errors. c. emphasizes zero tolerance for reckless behavior. d. B and C e. All of the above.

d. B and C

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: Select one: a. increasing the sensitivity of the physiologic monitors and feeding alarms directly to beepers or phones carried by nurses. b. feeding alarm data into a reporting database for further analysis. c. encouraging nurses to round with physicians to provide input into alarm settings. d. B and C e. All of the above.

d. B and C

Core public health functions include all of the following except: a. Assessment and monitoring of the health of communities and populations at risk to identify health problems and priorities; b. Formulation of public policies designed to solve identified local and national health problems and priorities; c. Assuring that all populations have access to appropriate and cost-effective care d. Evaluating web pages for information quality

d. Evaluating web pages for information quality

When a nurse creates new knowledge by changing and evolving knowledge based on experience, education, and input from others, he/she is: Select one: a. acquiring knowledge b. processing knowledge c. using feedback d. generating knowledge e. disseminating knowledge

d. generating knowledge

The gold standard of research for evidence is: a. the opinion of experts b. qualitative research c. quasi-experimental research d. the randomized controlled trial.

d. the randomized controlled trial.

A meta-analysis helps to generate new practice evidence and nursing knowledge by: a. combining results of quantitative and qualitative studies. b. examining the theoretical basis of the research literature c. providing guidelines for designing laboratory based experiments to generate new evidence. d. using statistical methods to combine the results of several quantitative studies.

d. using statistical methods to combine the results of several quantitative studies.

Although nurses have an ethical duty to ensure patient safety, increasing demands on professionals in complex and fast paced health care environments may lead to workarounds. What is a workaround? Select one: a. A practice that deviates from accepted and expected practice protocols. b. A shortcut to save time. c. An inappropriate action or omission of appropriate actions. d. A and B. e. All of the above.

e. All of the above.

According to the American Nurses Association, nursing is: Select one: a. the protection, promotion, and optimization of health and abilities b. the prevention of illness and injury c. alleviation of suffering through the diagnosis and treatment of human response d. advocacy in the care of individuals, families, communities, and populations e. all of the above

e. all of the above

Epidemiology is a. identifying things that come upon the people; b. incidence, prevalence and control of disease; c. case finding d. b and c e. all of the above

e. all of the above

Nursing science is practiced by: Select one: a. nurse educators b. nurse researchers c. clinical nurses d. nurse practitioners e. all of the above

e. all of the above

Wisdom is: Select one: a. knowledge applied in a practical way or translated into actions b. insight to exercise sound judgment in practical matters c. the synthesis of our experience, insight, understanding and knowledge d. knowing when and how to apply knowledge e. all of the above

e. all of the above