exam 1

debrief

The ________ is a student-centered discussion during which the participants and observers reflect on performance during the scenario and make recommendations for future practice. prebrief enactment debrief assessment

connect

The four steps involved in developing an e-portfolio are collect, select, reflect, and: reply. think. connect. network.

an online journal.

"Blog" is: being linguistic, on-game. an online journal. the German word for talking. None of these is correct.

simulator

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). game simulator scaffold None of these is correct

monetary incentives and potential penalties administered by CMS.

Although first proposed in 2004, EHR implementation blossomed after passage of the HITECH Act in 2009 because of: the president discussing EHRs in the State of the Union address. monetary incentives and potential penalties administered by CMS. implementation support provided by IT professionals. the president discussing EHRs in the State of the Union address and because of implementation support provided by IT professionals.

serious game.

An educational game—one designed for learning—is a subset of both play and fun, and is sometimes referred to as a(n): serious game. augmented reality game. children's game. casual game.

triage and tier the data.

An efficient way to promote better access to organizational data is to: store the data in the cloud. store the data on site. triage and tier the data. participate in a health information exchange.

A sensor and activity-monitoring system

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 sensor and activity-monitoring system A personal emergency response system A medication management device A central station

All of these are correct.

An organization's confidentiality policy should clearly define: which data are confidential. procedures for releasing confidential information. procedures to follow if confidential information is accidentally released without authorization. All of these are correct.

casuistry

Case-based ethical reasoning that considers the facts of a case in a sound, logical, and ordered or structured manner is known as: principlism case-based ethics casuistry

All of these are correct.

Characteristics of information that contribute to information chaos include: information overload or underload. information scatter. erroneous or conflicting information. All of these are correct.

All of these are correct

Clinical decision support systems help users to: consider the consequences of alternative actions provide stores of information make decisions in unfamiliar circumstances All of these are correct

All of these are correct.

Computer-based instruction may: erase geographic boundaries for students. enhance the presentation of content. improve learning outcomes. All of these are correct.

false

Data loss prevention (DLP) allows the user to have a computer where the operating system, applications, and data are located and accessed on a central server instead of on the local desktop. True False

the healthcare provider's behavior.

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 to change: the structure of the EHR. the healthcare provider's behavior. patient engagement. None of these is correct.

Improving job retention and job satisfaction

Expansion of telehealth can impact the impending shortage of nurses in which of the following ways? Improving job retention and job satisfaction Improving patient satisfaction Improving access to healthcare services for patients Increasing interdisciplinary collaboration

Nursing Informatics: Scope and Standards of Practice.

In 2015, the American Nurses Association published the second edition of the: Scope of Nursing Informatics. Standards of Nursing Informatics. Nursing Informatics: Scope and Standards of Practice. Nursing Informatics Practice: Scope and Standards.

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? Acknowledgment of the high-risk nature of an organization's activities and the determination to achieve consistently safe operations A blame-free environment where individuals can report errors or near misses without fear of reprimand or punishment Encouragement of collaboration across ranks and disciplines to seek solutions to patient safety problems All of these are correct.

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

Integrating technology into the medication administration cycle helps to reduce errors by: performing electronic checks against a database of safe medication administration parameters and providing alerts. reducing the workload and increasing the efficiency of clinicians. employing human factors engineering principles to streamline workflow processes. All of these are correct.

feeding alarm data into a reporting database for further analysis.

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: increasing the sensitivity of the physiologic monitors and feeding alarms directly to beepers or phones carried by professionals. feeding alarm data into a reporting database for further analysis. discouraging healthcare professionals from rounding with physicians because they are often guilty of ignoring alarms. All of these are correct.

Accessibility and ubiquity

Nursing terminology must be easy to access, with information and knowledge available anywhere. These qualities can be described by which of the following terms? Accessibility and reusability Accessibility and ubiquity Accessibility and longevity Accessibility and standardization

false

Paper-based orders have been shown to be just as efficient and safe as computerized physician order entry. True False

Illegitimate password

Rate the strength of this password: $yourlastname. Strong password Weak password Illegitimate password Moderate password

All of these are correct.

Simulation episodes are concluded with: instructor feedback. debriefing. interactive review of the simulated episode by the team. All of these are correct.

true

Some analysis and redesign efforts may occur weeks, months, or even years following the implementation of technology.

project management and change/control management.

The 2020 Nursing Informatics Workforce Survey revealed two new job responsibilities in addition to those listed in the 2017 survey. They are: systems development and systems optimization. project management and change/control management. quality initiatives and regulatory initiatives. systems implementation and utilization.

True

The difference between mobile and wireless broadband depends on the limitations to access the Internet and the access method.

True

The size of the power supply should be chosen based on the amount of devices and programs being used on the computer.

portability

The term that refers to the ability of the OS to be moved from one hardware architecture to another with few changes is: security compatibility extensibility portability

All of these are correct.

The use of teletechnology allows the telenurse to: evaluate a patient's status. use data to make decisions to better manage patients' health conditions. monitor a patient's vital signs. All of these are correct.

There must be a meaningful integration of the current technologies into the educational programming to prepare our future healthcare workforce.

To prepare future healthcare workers for the integration of VR into practice, what must occur in education? All healthcare educational programs must expose their students to the current technologies. There must be a meaningful integration of the current technologies into the educational programming to prepare our future healthcare workforce. The students must at least be able to define the technologies. The current technologies must be explained to the students so they are aware of what is going on in practice.

Simulation

What is the term for an imitation of a real-life event or circumstance? Game mechanics Virtual world Simulation Game play

Extensibility

Which term refers to using layered architecture with a protected executive layer that allows additional environment subsystems to be added without affecting the executive layer? Security Compatibility Extensibility Portability

MedlinePlus.

Which website has a tutorial for learning how to evaluate health information? MedlinePlus. NSF. HON. WebMD.

"Reckless behaviors like ignoring policies and procedures will not be tolerated."

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? "Reckless behaviors like ignoring policies and procedures will not be tolerated." "A just culture involves error reporting, not individual behaviors." "Personal accountability is not part of just culture." "Workflow, including procedures and policies, can be changed for individual nurses."

All of these are correct.

Simulators encompass a broad range of devices including, but not limited to: partial task trainers, such as an IV insertion arm/screen-based simulations, including simulated EHRs. simulated environments replicating a realistic patient care area. complex computer-driven human patient simulation manikins. All of these are correct.

All

Skills related to nursing information literacy include: differentiating between scholarly and popular journals. locating and retrieving information from credible sources. recognizing a need for information. All of these are correct.

All

The HITECH Act had which of the following goals? Improve healthcare quality Reduce healthcare costs Improve and protect public health

Learning can take place in both physical and virtual spaces.

What is meant by the statement that learning is a multi-spatial function? Learning can take place in both physical and virtual spaces. Students learn best when learning spaces are comfortable. Learning episodes must be designed specifically for the classroom environment. All of these are correct

improve the compliance and documentation of education.

A benefit for nurses to using technology for patient education is to: standardize the instructions. improve the compliance and documentation of education. easily distribute brochures to each patient. access information from any website on the computer.

patient safety.

A computerized provider order entry system is essential for promoting: patient and family satisfaction. patient safety. care plan development. All of these are correct.

a brute force attack.

A criminal attack on a network using software designed to guess passwords is known as: a zero day attack. a brute force attack. both a zero day attack and a brute force attack. None of these is correct.

This is a clear violation of copyright.

A family of four decides to purchase a copy of Microsoft Office and proceeds to load the software on each of their computers in the same network. Which of the following statements best describes their behavior? This is acceptable use because they are one family. This is a clear violation of copyright. Because all of the computers are on the same home network, this is not an issue. None of these is correct.

Collaboration between leadership and staff on patient safety initiatives

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? Collaboration between leadership and staff on patient safety initiatives Systemwide safety teams of administrators Leadership safety directives

empower consumers to understand their health needs.

A major goal of the eHealth Initiative is to: promote technology as a means of improving health information. manage health information. empower consumers to understand their health needs. promote the ability to understand the economics of payment for services.

reason

A nurse is caring for a patient who experiences a complication after surgery. The nurse understands the cause-and-effect relationship because her knowledge is based in: reason instinct empiricism intuition

Clinical technology solutions are implemented poorly.

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? Clinical technology solutions are implemented poorly. Stakeholders are uninterested in clinical technology solutions. Healthcare providers are not educated on clinical technology solutions. There is not any management support from clinical technology solutions.

Communicating patient information to help coordinate care

A nurse is documenting nursing care in the electronic health record. What is the most important reason for this action? Communicating patient information to help coordinate care Following the healthcare facility's policy Contributing to public health information Advancing information technology

"Cognitive science pertains to how information is processed in the mind."

A nurse is explaining cognitive science to a nursing student. Which statement indicates that the nursing student understands? "Cognitive science pertains to how information is processed in the mind." "Cognitive science is the study of the nature and origin of knowledge." "Cognitive science is computer modeling through artificial neural networks to explain human intellectual abilities." "Cognitive science is based on knowledge being derived from experiences or senses."

Implementing information systems in the healthcare setting

A nurse is interested in pursuing a professional role in nursing informatics. Which of the following is an activity in which the informatics nurse will likely participate? Implementing information systems in the healthcare setting Modifying social networking systems in hospitals Reducing use of standardized nursing terminology

knowledge acquisition

A nurse is learning about a new nursing skill through observations and interactions. This process is known as: knowledge acquisition development of wisdom epistemology reasoning.Taxonomy: Application

A value-added action

A nurse replaces a new patient's wristband after the first was misplaced. This action by the nurse is which of the following? A value-added action A non-value-added action Waste Overproduction

Demographics of the patient sample

A nurse researcher is reviewing the results of a telehealth study. Which of the following would be considered a clinical outcome of the study? Patient and family satisfaction Demographics of the patient sample Raw data results Enrollment criteria

information.

A nurse reviews a patient's blood pressure measurements over the past 12 hours and recognizes that the blood pressure has been elevated. The clustering of these data represents: information. wisdom. a data set. a diagnosis

wisdom

A nurse takes a continuing education course on a new nursing skill. The application of this new knowledge in a practical way is known as: wisdom skill competency reasoning skill execution

Agency for Healthcare Research and Quality

A nurse would read research on safety initiatives and review initiatives from which agency? Agency for Healthcare Research and Quality Food and Drug Administration Medical Product Safety Network The Joint Commission

Communication

A patient accesses the electronic health record at home to update recent health changes. The physician acknowledges these changes and responds to the patient via email. This patient-healthcare provider interaction promotes which of the following? Communication Medical errors Resource allocation Quality control

A paper copy of the notice of privacy practices of the facility

A patient is admitted to a healthcare facility and has questions about the facility's privacy practices. To which of the following does the patient have a right? A paper copy of the notice of privacy practices of the facility An electronic copy of privacy disclosures for the facility An individual safeguard policy for the patient's protected health information

A physician enters a medication order for penicillin.

A patient is allergic to penicillin. A trigger in the electronic health record will alarm after which of the following occurs? A physician enters a medication order for penicillin. A nurse reviews the documentation on the patient's allergies in the electronic health record. A nurse enters data into the patient's medical history. A pharmacist reviews the patient's demographic information.

vital signs and blood glucose results.

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: vital signs and blood glucose results. complaints of shortness of breath, lightheadedness, and shakiness. a 24-hour nutritional log. pain scores.

The patient must be notified of the breach.

A patient's electronic health record in a health system has been breached by an outside source. Which of the following is the priority action by the health system? The patient must be notified of the breach. The patient's family members must be notified of the breach. The patient's primary care provider should be notified first. The patient's insurance company should be notified immediate

Safe patient care

An informatics nurse is performing a workflow analysis, which is a necessity for which of the following? Safe patient care Nursing satisfaction Patient satisfaction Financial well-being

Medicare Access and CHIP Reauthorization Act

CMS meaningful use guidelines were replaced by which of the following laws? Sarbanes Oxley Act FDA Electronic Records Act Medicare Access and CHIP Reauthorization Act 21st Century Cures Act.

All of these are correct.

Describing educational games, simulations, and virtual worlds, which of the following statements is true? They all share some characteristics. It's difficult to find a "pure" experience in any of the genres. Simulations may have game-like qualities, and virtual worlds may be used to present a simulation. All of these are correct.

freedom from controlling interferences

In ethics theory, autonomy means: personal responsibility acting alone freedom from controlling interferences All of these are correct

Hotel room

In home telehealth care, which of the following would notbe considered a home location? Nursing home Assisted living facility Hotel room Hospice facility

privacy and confidentiality

New technologies in digital communications, electronic health records, and telehealth raise issues related to: comprehensiveness of care the digital divide justice and fidelity privacy and confidentiality

baccalaureate degree in nursing.

The ANCC's examination is specific for the informatics nurse. Along with completing 30 contact hours of continuing education in informatics, the applicant must meet one of the following criteria: (1) 2,000 hours practicing as an informatics nurse, (2) 1,000 hours practicing as an informatics nurse and 12 semester hours of graduate academic credit toward a nursing informatics degree, or (3) completion of a nursing informatics degree that included at least 200 supervised practicum hours. The applicant must be a licensed registered nurse with at least 2 years of recent experience and have a(n): associate degree in nursing. baccalaureate degree in nursing. baccalaureate degree in computer science. All of these are correct.

encourages the evaluator to examine the fit between each two of the components: user and technology, task and technology, and user and task.

The FITT model: observes the steps users are likely to take to use the interface to accomplish typical tasks. encourages the evaluator to examine the fit between each two of the components: user and technology, task and technology, and user and task. is the least expensive method. All of these are correct

informatics competency.

The core skill set related to the use of computers, electronic health records, healthcare technologies, and knowledge generation in a discipline is known as: informatics wisdom. informatics competency. the DIKW paradigm. essential practice.

appointing an organizational safety officer.

The cornerstones of safety as identified by the Institute for Healthcare Improvement's white paper include all the following except: appointing an organizational safety officer. paying attention to organizational culture. establishing a learning system. emphasizing patient engagement.

digital divide.

The gap between those who have access to online information and those who do not is called the: digital divide. gray gap. know-do gap. weblog.

semantic

The highest level of interoperability is: semantic. structural. functional. None of these is correct.

Consultant

The informatics nurse specialist who takes on which of the following roles provides expert advice, opinions, and recommendations based on his or her area of expertise? Flexibility, good communication skills, excellent interpersonal skills, and extensive clinical and informatics knowledge are highly desirable skill sets for this role. Product developer Consultant Educator Researcher

social engineering.

The manipulation of a relationship, such as pretending to be an employee of the IT office and requesting an employee's password, is known as: hacking. social engineering. a zero day intrusion. a brute force attack.

teleradiology.

Transmitting radiologic images to specialists is: telemedicine. teleradiology. telepathology. telenursing.

Scrum

What is the term for the agile strategy that emphasizes collaboration, team autonomy or self-management, and flexibility to adapt to emerging business realities? Waterfall Scrum Coaching Master guide

peer-to-peer support.

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: self-diagnosis. self-management. peer-to-peer support. None of these is correct.

Learner-learner

When students in an online course engage in discussion in an electronic forum, they are involved in which of the following type(s) of interactions? Learner-interface Learner-instructor Learner-learner Learner-instructor and learner-learner

All of these are correct.

Which of the following is an example of telemonitoring? Monitoring patient parameters during home-based nocturnal dialysis Cardiac and multiparameter monitoring of remote intensive care units Daily home telemonitoring of vital signs by patients All of these are correct.

Print driver program

Which of the following is not an example of application software normally sold with a computer? Print driver program Word processing program Spreadsheet program Presentation graphics program

Beginning nurse

Which of the following nursing professionals possesses basic computer technology skills and information management skills? Beginning nurse Experienced nurse Informatics nurse specialist Informatics innovator

Informatics innovator

Which of the following nursing professionals transforms software programs to support data analysis and aggregation? Beginning nurse Experienced nurse Informatics nurse specialist Informatics innovator

.org

Which of the following web domain suffixes is more likely to contain quality health education material? .ca .net .org .com

Researcher

Which role possibly entails data mining to create new informatics and clinical knowledge? Product developer Consultant Educator Researcher

motivating the students, providing academic assistance and student services, and keeping them informed about campus life and extracurricular activities.

You are the nurse informaticist at your university. A new faculty member approaches you about artificial intelligence (AI) and wants to know how it will impact the student experience. Your best response would be to tell her that intelligent agents could help with: tracking students' academic work and focusing on their eportfolio. providing access to the library and helping with specific needs. motivating the students, providing academic assistance and student services, and keeping them informed about campus life and extracurricular activities. teaching students how to study and providing reminders about due dates.

Usability

________ is the term that denotes the ease with which people can use an interface to achieve a particular goal. Workaround Situational awareness Usability None of these is correct.

Results management

_________________ is the ability to manage results of all types electronically, including laboratory and radiology procedure reports, both current and historical. Data warehousing Results management Digital manipulation Electronic searching