Informatics chp 2, 5, 6, 12, 14
10) The manager is reviewing informatics competencies for each level of staff nurse. Which statement indicates the appropriate level of informatics competencies to the correct nurse? A) An informatics nurse extrapolates data to develop a best practice model for indwelling catheter care. B) The novice nurse uses a spreadsheet to document medication reactions. C) An experienced staff nurse creates databases. D) A beginning nurse utilizes the Internet to integrate multidisciplinary languages.
A
11) An urban hospital has earned Magnet Recognition through the ANCC. Which role did information technology have in earning this recognition? A) Informatic technology provided aggregate data related to quality improvement. B) Informatic technology provided individualized data related to quality improvement. C) Informatic technology provided aggregate data related to combating Joint Commission sanctions. D) Informatic technology provided encrypted data to prevent breaches in security.
A
11) The informatics nurse reads an article about the international standards for health information exchanges. In which way will this standardization enhance patient care? A) Allows the reuse of information for multiple purposes B) Supports adherence to the diagnostic-related groupings C) Improves job satisfaction for nurses planning patient care D) Reduces the cost associated with duplicating diagnostic tests
A
12) A healthcare organization receives funding to study a new medical device to be used during surgery. Which database should the organization access to research similar studies? A) Patient Centered Outcomes Research network (PCORnet) B) The National Network of Libraries of Medicine (NN/LM) C) The Academic Center for Evidence-Based Practice (ACE) D) The Agency for Healthcare Research and Quality (AHRQ)
A
12) The cost of a new or upgraded system can be burdensome on an organization from a budgetary perspective. Which statement explains the return on investment? A) Employees express satisfaction with their jobs and turnover rate is low. B) Staff members with IT skills are more marketable and have greater job flexibility. C) The newly trained individual can be granted work release time to train new staff members. D) After the training, the objectives have not been met.
A
13) A multisystem healthcare organization placed questionnaires within every patient's personal portal. Which type of data is being collected? A) Big B) Medical C) Personal D) Situational
A
14) National standards for interoperability are constantly being developed. Which entity controls the future of health information exchanges (HIEs)? A) Nationwide health information network (NHIN) B) The Department of Homeland Security C) HIPAA D) HIMMS
A
15) A large healthcare organization is a member of a health information exchange (HIE). What should this organization expect as a stakeholder in the exchange? A) Paying a membership fee B) Reduction in reimbursement from Medicare C) Reduced rates for purchasing bulk medical supplies D) Group rates for nursing continuing education programs
A
16) The informatics nurse learns that a close friend is admitted to the organization. What should the nurse do demonstrate ethical behavior? A) Refrain from accessing the medical record. B) Access at the friend's medical record at the bedside. C) Look at the friend's medical record in a secure area. D) Ask a nurse on the care area about the friend's health problem.
A
2) The Centers for Disease Control and Prevention (CDC) and the Centers for Medicare and Medicaid Services (CMS) transmit personal health information over the Internet. What did these organizations do to ensure privacy and security of this patient data? A) Sign DURSA. B) Install encryption software. C) Network all of the computers. D) Implement biometric authentication.
A
3) The preparations for a health information exchange (HIE) include organizing a governing body and establishing financial sustainability. Which is considered a conceptual and sustainable public governance model? A) Public utility HIE with government oversight B) Public utility HIE with no government oversight C) Private sector-led HIE with local collaboration D) Private sector-led HIE with corporation collaboration
A
5) The informatics nurse is seeking information on patient outcomes. Which type of data network should the nurse access for this information? A) Clinical data network B) Health information network C) Integrated delivery network D) Health system in another state
A
7) The nurse needs to locate specific information to support a change in clinical practice. Which database should be accessed to locate this information? A) The National Network of Libraries of Medicine (NN/LM) B) The Academic Center for Evidence-Based Practice (ACE) C) The Agency for Healthcare Research and Quality (AHRQ) D) The American Association of Critical-Care Nurses (AACN)
A
8) The instructor is considering blended learning when training on the new clinical information system. Which should the instructor keep in mind about this teaching strategy? A) Blended learning maximizes learning and minimizes cost. B) The use of blended learning is not appropriate for super user training. C) Blended learning is too complicated for training sessions. D) Blended learning should only be used for point-of-care staff.
A
9) A group of healthcare providers are moving into new office space and are reviewing different types of electronic health records. Which legislation should the group review to ensure compliance with meaningful use? A) Health Information Technology for Economic and Clinical Health Act (HITECH) B) The American Recovery and Reinvestment Act C) Medicare Improvements for Patients and Providers Act (MIPPA) D) The Health Insurance Portability and Accountability Act
A
9) The informatics nurse is examining the relationship between the national health information network (NHIN) and the health information exchanges (HIE). Which explains this relationship in the United States? A) The success of the NHIN is dependent on the state-wide HIEs. B) The success of the NHIN is not dependent on the state-wide HIEs. C) The success of the state-wide HIEs is dependent on the NHIN. D) The success of the state-wide HIEs is not dependent on the NHIN.
A
9) The instructor is interested in learning the best approaches to use when training staff on a clinical information system. Which organization should the instructor contact? A) Association for Talent Development (ATD) B) Department of Health and Human Services (HHS) C) International Society for Performance Improvement (ISPI) D) Association for Nursing Professional Development (ANPD)
A
1) The informatics nurse selects a middle-range theory to support a research study. Which is an advantage of using this type of theory? Select all that apply. A) Reflects practice B) Crosses different nursing fields C) Focuses on a specific phenomenon D) Differentiates between nursing and medical practice E) Describes the broadest scope of nursing phenomenon
A, B, C
20) Healthcare providers who participate in the health information exchange must adopt the 2016 standards for EHRs to exchange common data. Which additional actions must occur at this time? Select all that apply. A) Adopt implementation specifications. B) Use new workflows. C) Educate end-users on the clinical terminologies. D) Consider the cost for using the system. E) Limit the of type exchange available.
A, B, C
7) The leadership team identifies a lead instructor to conduct all of the training on the new clinical information system. Which should the instructor consider when selecting an appropriate training method? Select all that apply. A) Time required to develop program B) Cost of development and training C) Information retention strategies D) Learning styles of instructor E) Scheduling for day shift sessions
A, B, C
18) A healthcare organization is reviewing the health information exchange being considered. Which is a prerequisite for the HIE organizing infrastructure? Select all that apply. A) Master person index B) Record locator service C) Methods of authentication D) Authorization for users E) Escalating fees for use
A, B, C, D
7) The informatics nurse reads a change made in a federal rule that will affect the organization's method for storing data. How should the nurse comment on the change? Select all that apply. A) Fax B) Letter C) Email D) Telephone call E) Facebook comment
A, B, C, D
13) The research department within a multisystem healthcare organization requires funding to continue an ongoing study. Which sources should the department consider to obtain this funding? Select all that apply. A) Corporations B) Government grants C) Non-profit agencies D) Individual donations E) Academic institutions
A, B, C, E
2) The nurse is reviewing the results of a study using outcomes research. Which outcomes should the nurse analyze? Select all that apply. A) Survival B) Quality of life C) Functional status D) Medication usage E) Patient satisfaction
A, B, C, E
14) The nurse receives a notice about changes in funding for the Patient Centered Outcomes Research Network (PCORnet). Which agencies will be funding this public database in the future? Select all that apply. A) Private industry B) National Institutes of Health C) The World Health Organization D) The Food and Drug Administration E) The Department of Veterans Affairs
A, B, D
3) The instructor is preparing information to include during training on the new computer information system. Which policies should be included in the content? Select all that apply. A) Patient privacy and security B) Password security C) Computer literacy D) System-error correction E) System idiosyncrasies
A, B, D, E
12) The information technology department in a multisystem healthcare organization establishes the goal of improving the use of technology with patient care. Which action item should the departmental members plan to implement? Select all that apply. A) Practice B) Visibility C) Cost containment D) Quality improvement E) Education and training
A, B, E
19) The informatics nurse is meeting with the leadership team of a multiple physician practice who do not want to participate in the health information exchange (HIE). Which should the nurse identify as a barrier to the implementation of the exchange? Select all that apply. A) Developing a sustainable HIE business model B) Funding C) Location D) Personnel E) Integration into daily workflow
A, B, E
5) The informatics nurse is reviewing the International Classification of Diseases (ICD-10) codes identified for a patient's care. For what should the nurse evaluate each code? Select all that apply. A) Cause B) Severity C) Wounds D) Medications E) Anatomical location
A, B, E
6) A healthcare organization is planning to use the PARIHS framework to implement evidenced-based practice. Which elements should the organization plan to have for a successful implementation? Select all that apply. A) Context B) Evidence C) Validation D) Evaluation E) Facilitation
A, B, E
10) The nurse questions if an article was written by a healthcare professional because several pieces of data appear to be misinterpreted. Which action should be taken to identify a ghostwriter? Select all that apply. A) Use peer reviewers with expertise. B) Notify the publisher that the article is incorrect. C) Note if interpreted data is in sync with current practice. D) Monitor the internal and external validity of research data. E) Contact the listed author and ask questions about the content.
A, C, D
15) The leadership team at a multisystem healthcare organization is noting the contributions that the division of nursing has had through various research projects. Which program has nursing research impacted? Select all that apply. A) Meaningful use criteria B) Medicare reimbursement C) Clinical quality measures D) National Patient Safety Goals E) CMS conditions of participation
A, C, D
14) The staff development department is preparing a lecture series on interprofessional teams. How should this training benefit the organization? Select all that apply. A) Improve patient care B) Reduce the cost for care C) Increase public recognition D) Form a strong clinical team E) Build respect between disciplines
A, C, D, E
6) The director of nursing is reviewing the characteristics of the do-not-pay list published by the Centers for Medicare and Medicaid Services (CMS). Which disease process should the director highlight as being on this list? Select all that apply. A) Falls B) Pneumonia C) Surgical site infection D) Stage III pressure ulcer E) Deep venous thrombosis
A, C, D, E
1) An organization is uploading client information into the database to use for training on the health information system. What must be done with this information before training begins? A) Categorize according to health problem. B) Delete all client-identifying information. C) Ensure for a wide selection of treatments. D) Subdivide according to healthcare provider.
B
1) The informatics nurse is working with the information technology department to decide if patient personal health information can be shared through a patient portal over the Internet. What are these technology professionals determining? A) Patient data app B) Information network C) Electronic medical record D) Health information system
B
10) A healthcare provider receives notice that current reimbursement rates from Medicare are going to change. What should the provider keep in mind about reimbursement when reviewing the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)? A) Focused on quantity B) Based on value and quality C) Determined by the number of beneficiaries D) Calculated according to the gross domestic product
B
11) The manager plans to hire a new nurse who has just graduated from nursing school. Which informatics activity should this nurse be able to perform? A) Attain informatics nurse certification within six months of beginning practice. B) Input vital signs and intake and output data in the electronic medical record. C) Utilize the Internet to review trends in healthcare information technology. D) Use an electronic spreadsheet to create staffing rotations.
B
13) The informatics nurse is asked why health information exchanges (HIE) are required since they can be costly to maintain. Which should the nurse explain as an advantage of these exchanges? A) They are data repositories accessible by patients and healthcare providers. B) They are tools that provide background information to support healthcare decisions. C) They are massive databases that store all health-related information for safekeeping. D) They maintain complete histories of services used to justify changes in cost and reimbursement.
B
13) The informatics nurse is reviewing the training plan on downtown procedures. Which information should be an integral part of this plan? A) Length of time to expect the system to be down B) When to enter data back into the computer system C) Location to store the patient information until the system is available D) Identify the person responsible for protecting the personal health information
B
15) The informatics nurse is informed that a healthcare provider is using patient data to create a mailing list to sell vitamins. Which outcome could occur because of this provider's handling of confidential information? A) Nothing B) Civil action C) Criminal action D) Establish a client base
B
16) A health information exchange (HIE) charges physicians in private practice a fee to access the exchange to research medication uses and the latest in diagnostic testing for a specific patient population. In which way could this be viewed as a HIPAA violation? A) It is not a HIPAA violation. B) The information is being sold for profit. C) The physicians may not keep the information confidential. D) Accessing the system may be done by unapproved personnel.
B
17) To accomplish exchanges, an HIE infrastructure requires not only technology but an organizing structure for processes. Which does the organizing structure establish? A) Nontechnical standardization B) Secure application and rules of operation C) Trans-operational exchanges D) Standardized workflow to obtain nonessential information
B
2) The instructor is beginning an instructor-lead training (ILT) session on the upcoming clinical information system. What should the instructor say prior to having the participants access the practice clients? A) "All of the information in the database are from real patients." B) "Information used to create this database cannot be linked to any actual patients." C) "Let me know if you recognize any of the patients in the database, and I'll see if you are right." D) "Don't talk to anyone about the patients in the database. No one should have an unfair advantage."
B
3) The nurse reviews assessed data, determines a nursing diagnosis, and then plans interventions to address a patient's care needs. Which dimension of the theory of wisdom in action for clinical nursing did the nurse implement? A) Wisdom B) Knowledge C) Person-related factors D) Environment-related factors
B
4) A state is using an information network, which is led by the private sector with government collaboration. What is an advantage of this type of network? A) Functions without an organization B) Easy to adapt to changing service needs C) Subject to government administrative rules and processes D) Provides oversight with or without regulatory control over the information network's infrastructure
B
4) The instructor addresses a policy that explains the paper forms to complete if the clinical information system is not available. Which policy is the instructor addressing? A) Email B) Downtime C) Screen security D) Information uploading
B
4) The nurse notes that a research study is graded as a C on the SORT scale. Which organization should the nurse realize created this type of research leveling? A) World Health Organization (WHO) B) Family Practice Inquiries Network (FPIN) C) Agency for Healthcare Research and Quality (AHRQ) D) American Association of Critical-Care Nurses (AACN)
B
6) A large healthcare organization is interested in learning how another major system in another state handles an ongoing resource utilization issue. Which type of data network should the organization access to learn this information? A) Clinical data network B) Health information network C) Integrated delivery network D) Health system in another state
B
6) The instructor is working with the informatics nurse to plan training for the new clinical information system. Which approach provides the most effective end-user learning experience? A) Real client data are utilized for realistic practice. B) The equipment used for training is the same used in the clinical setting. C) Two employees share each workstation for mutual encouragement. D) The live system is used with simulated client data.
B
5) The nurse notes that a patient's blood pressure has been trending lower since admission. Which intervention demonstrates the nurse using information to guide nursing care? Select all that apply. A) Measuring body temperature B) Measuring intake and output C) Monitoring for blood in stool D) Monitoring for blood in urine E) Monitoring level of consciousness
B, C, D
7) A multisystem healthcare organization is adding an informatics department to the main hospital. Which subdiscipline should be added to support clinical care? Select all that apply. A) Bioinformatics B) Dental informatics C) Nursing informatics D) Medical informatics E) Structural informatics
B, C, D
1) Members of a national nursing organization are petitioning a federal congressman to develop a policy to address mandatory drug testing. Which stages will need to be completed as the policy develops? Select all that apply. A) Budgeting B) Agenda setting C) Program design D) Implementation E) Government response
B, C, D, E
1) The informatics nurse is using outcomes research to determine the effectiveness of changes made to the electronic health record. On which concepts should the nurse focus? Select all that apply. A) Accelerating the diffusion of research into practice B) Linking treatments and outcomes data through databases C) Minimizing variations in practice by developing quality guidelines D) Analyzing databases so results can be quickly and easily disseminated E) Providing ways to systematically measure the functioning and well-being of patients
B, C, D, E
10) The health information exchange (HIE) requires exchange of health-related information according to nationally recognized standards. What will the HIE link into to ensure users share reliable health-related information in a standardized, secure, and confidential way? A) Office of National Coordinator (ONC) B) Health information network (HIN) C) National health information network (NHIN) D) Health Information Security and Privacy Collaborative (HISPC)
C
10) The vendor providing the clinical information system being implemented in a healthcare organization invites the instructor and several other leadership colleagues to a training session so that these individuals can then train the end-users. Which type of training support is being provided by the vendor? A) Blended B) Just-in-time C) Train the trainer D) Instructor-led training
C
11) The instructor is determining which type of evaluation to conduct after training on the use of the clinical information system. What should the instructor keep in mind as the end goal of the training? A) Training should be evaluated after the fifth session. B) Training evaluation is necessary after the class. C) Training assumes proficiency will occur over time with use. D) All super users have the opportunity to evaluate the training process.
C
11) The nurse needs to locate specific information to support a clinical project. For which reason should the nurse access the Patient Centered Outcomes Research network (PCORnet)? A) Funded by private sources B) Links all libraries on the Internet C) Contains clinical effective research D) Access limited to healthcare workers
C
12) A multisystem healthcare organization is planning to change the clinical information system. Which professional should be a participant in the planning of this change? A) Staff nurse B) Nurse manager C) Informatics nurse D) Vice president of nursing
C
2) The informatics nurse is leading a group of information technologists to study why a group of care providers is having difficulty documenting care provided to patients with chronic back pain. Which type of theory should the nurse use to guide this study? A) Grand B) Middle-range C) Situation-specific D) Conceptual framework
C
5) The nursing leadership team is brainstorming ways to change one aspect of care provided by the clinical staff. Which approach should be used that considers factors that determine the likelihood of adoption of practice? A) Iowa model B) Stetler model C) ACE star model D) PARIHS framework
C
8) A final rule about data regulation is published in the Federal Register; however, a flaw is found in the language. What should the informatics nurse expect once the error is reported to the federal agency? A) Nothing since the rule is final B) A note saying that the error is documented C) A letter saying that an amendment is being drafted D) An email saying that final rules cannot be amended
C
8) The administrator of a large, physician practice is planning to assist with accessing data for the current patient population. What should the administrator expect if the interoperability of the network is classified as being a pilot? A) Has no or low adoption B) Has not been broadly tested C) Some entities are using the network in a testing or production environment D) Requires additional specification by the standards-development community
C
8) The nurse notes that a substantial amount of research data are available through search engines and databases. For which reason should the nurse contact the Office of Extramural Research, Education and Priority Populations (OEREP)? A) Locating an author of a research study B) Identifying where a study was conducted C) Learning what is being done to preserve the research data D) Obtaining the names of the people who were studied in a project
C
9) The nurse is reviewing information about the TIGER initiative. What does this acronym represent? A) Technology Information Grants Electronic Records B) Technological Initiative Given Electronic Reform C) Technology Informatics Guiding Education Reform D) Technology Information Guiding Electronic Reports
C
12) A conference being held in Europe has the topic of international standards as a lecture session. Which statements explain the importance of further developing these standards? A) Improves the use of drug databases B) Increases access to medical journals C) Provides a mechanism to link nursing databases D) Supports communicating information worldwide
D
13) An urban hospital is implementing interprofessional teams to address patient care issues. Which should be considered regarding supplying the teams with the necessary data? A) Supplying each team member with a smart phone B) Banning the use of smart wristwatches to obtain data C) Expecting all data to be retrieved through computers D) Drafting a policy that explains the teams' use of patient information
D
2) A multisystem healthcare organization has a new chief executive officer. Which will this organization leader use to guide policy development for the system going forward? A) Budget B) Regulations C) Issues D) Values
D
3) The informatics nurse is reviewing electronic data interchange (EDI) with a group of new nurse colleagues. Which statement best describes the impact of the EDI? A) Supplies proof of recovery B) Eliminates second opinions C) Interacts with multiple databases D) Facilitates the approval of patient claims
D
3) The nurse reviewing several pieces of literature notes the GRADE approach was used to rate the evidence. What should the nurse realize as being the purpose of this approach? A) Increasing the use of research by nurses B) Reducing the cost associated with grading research C) Focusing on the nursing outcomes when grading research D) Promoting the development of a transparent approach to grade research evidence
D
4) The hospital finance department is reviewing the revenue generated during the last quarter. In which way did the implementation of value-based reimbursement impact this income? A) Procedures that cost more are being performed. B) Diagnostic tests that cost more are being performed. C) Diagnostic tests to rule out problems are prescribed. D) Procedures that impact patient outcomes are prescribed.
D
4) The nurse clusters collected data according to who, what, where, and when. Which concept of the data, information, knowledge, and wisdom theory is the nurse completing? A) Data B) Wisdom C) Knowledge D) Information
D
5) It has been determined from previous experience that eight hours is the minimum time necessary for staff nurses to obtain initial training on the new system. Which of the following is the best way to schedule this training? A) One eight-hour session is offered six weeks prior to the go-live date, where employees drop in when they are caught up with work assignments. B) Eight one-hour sessions are scheduled one month prior to going live, starting immediately after the employee's shift has ended. C) Four two-hour sessions are scheduled three months prior to going live during nonscheduled work time. D) Two four-hour sessions are offered one month before going live during nonscheduled work time.
D
6) The nurse finds a patient unresponsive in bed. After assessing that the patient is breathing and has a pulse, the nurse raises the head of the bed and measure the oxygen saturation level. Which aspect of the wisdom-in-action framework did the nurse demonstrate? A) Setting B) Environment C) Personal factor D) Insight and intuition
D
7) The informatics nurse is assisting a large physician practice with obtaining health information on patients who reside in different states. Which would enhance the nurse's ability to obtain this information? A) Encryption B) Sustainability C) Authentication D) Interoperability
D
8) A patient asks if the genetic tests being advertised on television can be used to create specific medication to treat a health problem. Which informatics professional should the nurse contact to answer this patient's question? A) Bioinformatics B) Structural informatics C) Public health informatics D) Translational bioinformatics
D
9) The nurse is planning to implement a study to measure the effectiveness of post-operative teaching. For which reason should the nurse obtain informed consent from the study participants? A) Ensuring that the patient's name remains confidential B) Communicating the patient's participation with the other staff members C) Making sure that the patient does not participate in another research study D) Receiving permission to use information collected while the patient received care
D
