Informatics Exam 2

Question 26 Type: MCSA Nurses must be involved in identifying and defining data elements that an interface may be able to supply. One way to ensure participation is to recruit staff nurses to do which of the following? 1. Provide input during the interface design. 2. Be a member of the technology committee 3. Participate in the creation of a RFP. 4. Define language needed for interoperability.

Answer: 1 Rationale 1: Nursing plays an important role in the system integration efforts. The unique body of knowledge pertaining to patient care and clinical practice offers an expert in system and information usage. Rationale 2: Technology committee membership is an important role for all stakeholders; however, this is a decision making and advisory body. Rationale 3: Request for proposal (RFP) documents are part of the vendor selection process. Rationale 4: The uniform language initiative continues to be debated at all levels of health care.

Question 24 Type: MCSA Which of the following best describes the electronic medical record (EMR)? 1. Legal record created in hospitals 2. Legal record created by vendors 3. An electronic stand alone database 4. Method to identify outcomes

Answer: 1 Rationale 1: The Healthcare Information and Management Systems Society (HIMSS) defined the electronic medical record (EMR) as the "legal record created in hospitals and ambulatory environments that is the source of data for the EHR" (2006). Rationale 2: The Healthcare Information and Management Systems Society (HIMSS) outlined the differences between the terms electronic medical record and electronic health record. HIMSS defined the electronic medical record (EMR) as the "legal record created in hospitals and ambulatory environments that is the source of data for the EHR" (2006). Rationale 3: The Healthcare Information and Management Systems Society (HIMSS) defined the electronic medical record (EMR) as the "legal record created in hospitals and ambulatory environments that is the source of data for the EHR" (2006). Rationale 4: The Healthcare Information and Management Systems Society (HIMSS) defined the electronic medical record (EMR) as the "legal record created in hospitals and ambulatory environments that is the source of data for the EHR" (2006).

Question 23 Type: MCSA The computer-based patient record (CPR) is a comprehensive lifetime record that includes all information from all specialties. Most of the data included in the CPR is which of the following? 1. Structured data 2. Unstructured data 3. Fragmented data 4. Complete data

Answer: 1 Rationale 1: The computer-based patient record (CPR) is a comprehensive lifetime record that includes all information from all specialties. Most of the data included in the CPR are structured data. Other data formats may also be linked to the CPR, including dictation and transcription, images, video, and text. These data, and collective data from all systems, are stored and managed in the clinical data repository. Rationale 2: The computer-based patient record (CPR) is a comprehensive lifetime record that includes all information from all specialties. Most of the data included in the CPR are structured data. Other data formats may also be linked to the CPR, including dictation and transcription, images, video, and text. These data, and collective data from all systems, are stored and managed in the clinical data repository. Rationale 3: The computer-based patient record (CPR) is a comprehensive lifetime record that includes all information from all specialties. Most of the data included in the CPR are structured data. Other data formats may also be linked to the CPR, including dictation and transcription, images, video, and text. These data, and collective data from all systems, are stored and managed in the clinical data repository. Rationale 4: The computer-based patient record (CPR) is a comprehensive lifetime record that includes all information from all specialties. Most of the data included in the CPR are structured data. Other data formats may also be linked to the CPR, including dictation and transcription, images, video, and text. These data, and collective data from all systems, are stored and managed in the clinical data repository.

Question 8 Type: MCSA Which statement regarding the training approach is true? 1. Users may choose online multimedia or online tutorials to enhance retention. 2. Computer-based training should be used whenever data entry is required. 3. Blended learning is popular because it is appropriate for almost any content need. 4. Instructor-led training is still the best approach even though it is now less prevalent.

Answer: 1 Rationale 1: Users may choose online multimedia or online tutorials to enhance retention. Computers can be used to input data without the instruction being computer-based. Instructor-led training is actually the most popular but not necessarily the best. Blended learning is not appropriate for all types of content and the organization's network must be able to support electronic training delivery. Rationale 2: The correct answer is "users may choose online multimedia or online tutorials to enhance retention." Computers can be used to input data without the instruction being computer-based. Instructor-led training is actually the most popular but not necessarily the best. Blended learning is not appropriate for all types of content and the organization's network must be able to support electronic training delivery. Rationale 3: The correct answer is "users may choose online multimedia or online tutorials to enhance retention." Computers can be used to input data without the instruction being computer-based. Instructor-led training is actually the most popular but not necessarily the best. Blended learning is not appropriate for all types of content and the organization's network must be able to support electronic training delivery. Rationale 4: The correct answer is "users may choose online multimedia or online tutorials to enhance retention." Computers can be used to input data without the instruction being computer-based. Instructor-led training is actually the most popular but not necessarily the best. Blended learning is not appropriate for all types of content and the organization's network must be able to support electronic training delivery.

Question 24 Type: MCMA Wikis can be used as a tool in the classroom. Which of the following are advantages of using a wiki in education? Standard Text: Select all that apply. 1. Wikis can foster collaboration. 2. Wikis can connect learners in different time zones. 3. Wikis can provide links to online resources. 4. Wikis can be used for asynchronous learning. 5. Wikis can serve as an online content-management system.

Answer: 1,2,3,4,5 Rationale 1: Wikis used in education can foster and facilitate collaboration among learners. With geographically distributed learner populations working in different time zones and different shifts, an asynchronous method for collaborative learning is essential. Wikis can be used to disseminate learning resources and provide links to other resources, such as emerging clinical practices. Students can use wikis to share learning experiences. A class project may include compilation of one or more wiki books. (A wiki book, logically, is a collection of writings (documents) brought together by one or more writers for a specific purpose.) A wiki may serve as content-management system for one online course or an entire program, such as a MSN-degree program). Rationale 2: Wikis used in education can foster and facilitate collaboration among learners. With geographically distributed learner populations working in different time zones and different shifts, an asynchronous method for collaborative learning is essential. Wikis can be used to disseminate learning resources and provide links to other resources, such as emerging clinical practices. Students can use wikis to share learning experiences. A class project may include compilation of one or more wiki books. (A wiki book, logically, is a collection of writings (documents) brought together by one or more writers for a specific purpose.) A wiki may serve as content-management system for one online course or an entire program, such as a MSN-degree program). Rationale 3: Wikis used in education can foster and facilitate collaboration among learners. With geographically distributed learner populations working in different time zones and different shifts, an asynchronous method for collaborative learning is essential. Wikis can be used to disseminate learning resources and provide links to other resources, such as emerging clinical practices. Students can use wikis to share learning experiences. A class project may include compilation of one or more wiki books. (A wiki book, logically, is a collection of writings (documents) brought together by one or more writers for a specific purpose.) A wiki may serve as content-management system for one online course or an entire program, such as a MSN-degree program). Rationale 4: Wikis used in education can foster and facilitate collaboration among learners. With geographically distributed learner populations working in different time zones and different shifts, an asynchronous method for collaborative learning is essential. Wikis can be used to disseminate learning resources and provide links to other resources, such as emerging clinical practices. Students can use wikis to share learning experiences. A class project may include compilation of one or more wiki books. (A wiki book, logically, is a collection of writings (documents) brought together by one or more writers for a specific purpose.) A wiki may serve as content-management system for one online course or an entire program, such as a MSN-degree program). Rationale 5: Wikis used in education can foster and facilitate collaboration among learners. With geographically distributed learner populations working in different time zones and different shifts, an asynchronous method for collaborative learning is essential. Wikis can be used to disseminate learning resources and provide links to other resources, such as emerging clinical practices. Students can use wikis to share learning experiences. A class project may include compilation of one or more wiki books. (A wiki book, logically, is a collection of writings (documents) brought together by one or more writers for a specific purpose.) A wiki may serve as content-management system for one online course or an entire program, such as a MSN-degree program).

Question 7 Type: MCMA What are the benefits of data integration? Standard Text: Select all that apply. 1. Potential for improved remote access of clinical data from various systems 2. Trend analysis of financial and clinical data 3. Encouraging the use of systems customized to meet department specifications 4. Development of a computer-based patient record 5. Facilitation of data collection for accreditation purposes

Answer: 1,2,4,5 Rationale 1: Data integration benefits include: development of a computer-based patient record; trend analysis of financial and clinical data; potential for improved remote access of clinical data from various systems; and facilitation of data collection for accreditation purposes. Integration is a necessary component for the development of the electronic health record and for integrated delivery systems. The use of systems that are highly customized to meet individual department specifications is discouraged because it complicates the integration process. Rationale 2: Data integration benefits include: development of a computer-based patient record; trend analysis of financial and clinical data; potential for improved remote access of clinical data from various systems; and facilitation of data collection for accreditation purposes. Integration is a necessary component for the development of the electronic health record and for integrated delivery systems. The use of systems that are highly customized to meet individual department specifications is discouraged because it complicates the integration process. Rationale 3: Data integration benefits include: development of a computer-based patient record; trend analysis of financial and clinical data; potential for improved remote access of clinical data from various systems; and facilitation of data collection for accreditation purposes. Integration is a necessary component for the development of the electronic health record and for integrated delivery systems. The use of systems that are highly customized to meet individual department specifications is discouraged because it complicates the integration process. Rationale 4: Data integration benefits include: development of a computer-based patient record; trend analysis of financial and clinical data; potential for improved remote access of clinical data from various systems; and facilitation of data collection for accreditation purposes. Integration is a necessary component for the development of the electronic health record and for integrated delivery systems. The use of systems that are highly customized to meet individual department specifications is discouraged because it complicates the integration process. Rationale 5: Data integration benefits include: development of a computer-based patient record; trend analysis of financial and clinical data; potential for improved remote access of clinical data from various systems; and facilitation of data collection for accreditation purposes. Integration is a necessary component for the development of the electronic health record and for integrated delivery systems. The use of systems that are highly customized to meet individual department specifications is discouraged because it complicates the integration process.

Question 12 Type: MCMA Consumers are the primary source of information about their health history and medications. The patient-carried record (PCR) addresses this. Which of the following are potential problems associated with the PCR? Standard Text: Select all that apply. 1. Loss of the record 2. Legibility 3. Portability 4. Privacy 5. Liability

Answer: 1,2,4,5 Rationale 1: Potential problems with the PCR include legibility, liability, privacy, and loss of the record itself. Confidentiality is an additional problem. The fact that the PCR is portable is actually a benefit; the PCR is also cost-effective. However, some clients can provide an accurate account while others cannot. Rationale 2: Potential problems with the PCR include legibility, liability, privacy, and loss of the record itself. Confidentiality is an additional problem. The fact that the PCR is portable is actually a benefit; the PCR is also cost-effective. However, some clients can provide an accurate account while others cannot. Rationale 3: The fact that the PCR is portable is actually a benefit; the PCR is also cost-effective. Potential problems with the PCR include legibility, liability, privacy, and loss of the record itself. Confidentiality is an additional problem. However, some clients can provide an accurate account while others cannot. Rationale 4: Potential problems with the PCR include legibility, liability, privacy, and loss of the record itself. Confidentiality is an additional problem. The fact that the PCR is portable is actually a benefit; the PCR is also cost-effective. However, some clients can provide an accurate account while others cannot. Rationale 5: Potential problems with the PCR include legibility, liability, privacy, and loss of the record itself. Confidentiality is an additional problem. The fact that the PCR is portable is actually a benefit; the PCR is also cost-effective. However, some clients can provide an accurate account while others cannot.

Question 7 Type: MCMA Terminologies can be incorporated within the electronic health record (EHR) thereby improving practice. Which of the following are considered uses for this technology in health care? Standard Text: Select all that apply. 1. Classification 2. Reference 3. Point of care 4. Coding 5. Denial of claims

Answer: 2,3 Rationale 1: Terminologies are used two different ways within EHR systems— first, as a reference terminology and second, as a point-of-care terminology. A reference terminology consists of a set of concepts with definitional relationships. A point-of-care terminology, frequently referred to as an interface terminology, is what the clinicians see on the screen and consists of terms with which clinicians are familiar. Rationale 2: Terminologies are used two different ways within EHR systems—first, as a reference terminology and second, as a point-of-care terminology. A reference terminology consists of a set of concepts with definitional relationships. A point-of-care terminology, frequently referred to as an interface terminology, is what the clinicians see on the screen and consists of terms with which clinicians are familiar. Rationale 3: Terminologies are used two different ways within EHR systems—first, as a reference terminology and second, as a point-of-care terminology. A reference terminology consists of a set of concepts with definitional relationships. A point-of-care terminology, frequently referred to as an interface terminology, is what the clinicians see on the screen and consists of terms with which clinicians are familiar. Rationale 4: Terminologies are used two different ways within EHR systems—first, as a reference terminology and second, as a point-of-care terminology. A reference terminology consists of a set of concepts with definitional relationships. A point-of-care terminology, frequently referred to as an interface terminology, is what the clinicians see on the screen and consists of terms with which clinicians are familiar. Rationale 5: Terminologies are used two different ways within EHR systems—first, as a reference terminology and second, as a point-of-care terminology. A reference terminology consists of a set of concepts with definitional relationships. A point-of-care terminology, frequently referred to as an interface terminology, is what the clinicians see on the screen and consists of terms with which clinicians are familiar.

Question 8 Type: MCMA Which of the following statements best defines a learning object? Standard Text: Select all that apply. 1. A learning object is an entity or learning event. 2. A learning object teaches an online lesson. 3. A learning object describes the usefulness of the Internet. 4. A learning object is embedded in HTML mark ups.

Answer: 1 Rationale 1: A learning object is an entity or learning event that can stand alone without losing meaning, usually addressing only one or two learning objectives (Jesse, Taleff, Payne, Cox, & Steele, 2006). A teacher can select from a collection of learning objects, organize them into unique learning tools or lessons, and reuse them in the same or different constructions. Thus, a learning object also is known as a reusable learning object (RLO). An RLO is believed to enhance learning by chunking down complex material into smaller packets. Rationale 2: A learning object is an entity or learning event that can stand alone without losing meaning, usually addressing only one or two learning objectives (Jesse, Taleff, Payne, Cox, & Steele, 2006). A teacher can select from a collection of learning objects, organize them into unique learning tools or lessons, and reuse them in the same or different constructions. Thus, a learning object also is known as a reusable learning object (RLO). An RLO is believed to enhance learning by chunking down complex material into smaller packets. Rationale 3: A learning object is an entity or learning event that can stand alone without losing meaning, usually addressing only one or two learning objectives (Jesse, Taleff, Payne, Cox, & Steele, 2006). A teacher can select from a collection of learning objects, organize them into unique learning tools or lessons, and reuse them in the same or different constructions. Thus, a learning object also is known as a reusable learning object (RLO). An RLO is believed to enhance learning by chunking down complex material into smaller packets. Rationale 4: A learning object is an entity or learning event that can stand alone without losing meaning, usually addressing only one or two learning objectives (Jesse, Taleff, Payne, Cox, & Steele, 2006). A teacher can select from a collection of learning objects, organize them into unique learning tools or lessons, and reuse them in the same or different constructions. Thus, a learning object also is known as a reusable learning object (RLO). An RLO is believed to enhance learning by chunking down complex material into smaller packets.

Question 11 Type: MCSA A thorough understanding of how information is currently collected and processed is the starting point in performing a needs assessment. This is also known as which of the following? 1. Assessing internal environment 2. Assessing external environment 3. Planning for the change process 4. Implementing the new system

Answer: 1 Rationale 1: A thorough understanding of how information is currently collected and processed is the starting point in performing a needs assessment. This is also known as assessing the internal environment. Methods for accomplishing this include questionnaires and observation of day-to-day activities (Saba & McCormick, 1996). Rationale 2: A thorough understanding of how information is currently collected and processed is the starting point in performing a needs assessment. This is also known as assessing the internal environment. Methods for accomplishing this include questionnaires and observation of day-to-day activities (Saba & McCormick, 1996). Rationale 3: A thorough understanding of how information is currently collected and processed is the starting point in performing a needs assessment. This is also known as assessing the internal environment. Methods for accomplishing this include questionnaires and observation of day-to-day activities (Saba & McCormick, 1996). Rationale 4: A thorough understanding of how information is currently collected and processed is the starting point in performing a needs assessment. This is also known as assessing the internal environment. Methods for accomplishing this include questionnaires and observation of day-to-day activities (Saba & McCormick, 1996).

Question 32 Type: MCSA The cost of a new or upgraded system can be burdensome on an organization from a budgetary perspective. Which of the following statements can be considered a return on investment? 1. Employees express satisfaction with their jobs and turnover rate is low. 2. Staff with IT skills is more marketable and have greater job flexibility. 3. The newly trained individual can be granted work release time to train new staff members. 4. After the training, the objectives have not been met.

Answer: 1 Rationale 1: A well trained workforce can be considered a return on investment when job satisfaction and retention are outcomes. Rationale 2: Staff members who leave the organization post training add an additional cost burden to the budget, since their replacements must be trained. Rationale 3: This method incurs cost of a replacement for the staff member granted work release time. Rationale 4: To be considered effective, the objectives determined by the trainer should be achieved.

Question 6 Type: MCSA Which of the following describes a wiki? 1. A shared online resource 2. Social media site 3. A pop-up 4. SPAM

Answer: 1 Rationale 1: A wiki is a website where users not only read the content but can add to or edit the content. Rationale 2: A wiki is a website where users not only read the content but can add to or edit the content. Rationale 3: A wiki is a website where users not only read the content but can add to or edit the content. Rationale 4: A wiki is a website where users not only read the content but can add to or edit the content.

Question 19 Type: MCSA The methodology to assure the request for proposal (RFP) is structured to ensure successful system selection includes which of the following criteria? 1. Develop well constructed questions 2. Create a long list of elaborate questions 3. Request a quick review of the organization's needs 4. Selection of the final team to implement the system 5. Randomly ranked requirements

Answer: 1 Rationale 1: All aspects of the RFP must be detailed and precise to facilitate an accurate response from the vendor. If questions are vague or poorly written, they could easily be misinterpreted by the vendor. For example, an ambiguous question might lead a vendor to indicate that the system meets a requirement when in fact it does not. It is advantageous to limit the number of requirements to those that are most important and to produce a simple and straightforward document. If an RFP is too lengthy, it will cost both the organization and the vendor a great deal of time and money to prepare and evaluate. It is difficult to evaluate a long document that is not focused on the important issues. Finally, a well-written RFP provides a framework that allows the steering committee to more accurately evaluate the vendor's proposal. Rationale 2: All aspects of the RFP must be detailed and precise to facilitate an accurate response from the vendor. If questions are vague or poorly written, they could easily be misinterpreted by the vendor. For example, an ambiguous question might lead a vendor to indicate that the system meets a requirement when in fact it does not. It is advantageous to limit the number of requirements to those that are most important and to produce a simple and straightforward document. If an RFP is too lengthy, it will cost both the organization and the vendor a great deal of time and money to prepare and evaluate. It is difficult to evaluate a long document that is not focused on the important issues. Finally, a well-written RFP provides a framework that allows the steering committee to more accurately evaluate the vendor's proposal. Rationale 3: All aspects of the RFP must be detailed and precise to facilitate an accurate response from the vendor. If questions are vague or poorly written, they could easily be misinterpreted by the vendor. For example, an ambiguous question might lead a vendor to indicate that the system meets a requirement when in fact it does not. It is advantageous to limit the number of requirements to those that are most important and to produce a simple and straightforward document. If an RFP is too lengthy, it will cost both the organization and the vendor a great deal of time and money to prepare and evaluate. It is difficult to evaluate a long document that is not focused on the important issues. Finally, a well-written RFP provides a framework that allows the steering committee to more accurately evaluate the vendor's proposal. Rationale 4: All aspects of the RFP must be detailed and precise to facilitate an accurate response from the vendor. If questions are vague or poorly written, they could easily be misinterpreted by the vendor. For example, an ambiguous question might lead a vendor to indicate that the system meets a requirement when in fact it does not. It is advantageous to limit the number of requirements to those that are most important and to produce a simple and straightforward document. If an RFP is too lengthy, it will cost both the organization and the vendor a great deal of time and money to prepare and evaluate. It is difficult to evaluate a long document that is not focused on the important issues. Finally, a well-written RFP provides a framework that allows the steering committee to more accurately evaluate the vendor's proposal. Rationale 5: All aspects of the RFP must be detailed and precise to facilitate an accurate response from the vendor. If questions are vague or poorly written, they could easily be misinterpreted by the vendor. For example, an ambiguous question might lead a vendor to indicate that the system meets a requirement when in fact it does not. It is advantageous to limit the number of requirements to those that are most important and to produce a simple and straightforward document. If an RFP is too lengthy, it will cost both the organization and the vendor a great deal of time and money to prepare and evaluate. It is difficult to evaluate a long document that is not focused on the important issues. Finally, a well-written RFP provides a framework that allows the steering committee to more accurately evaluate the vendor's proposal.

Question 18 Type: MCSA Which of the following can identify the client in all information systems across the organization? 1. Client identification code 2. Billing system 3. Nursing information system 4. Administrative information systems

Answer: 1 Rationale 1: An important aspect of a registration system used in a multi-entity health system network is the development of a unique client identifier. This number or identification code is used to identify the client in all information systems across the organization and across all entities. This enables accurate client identification, supporting the development of a longitudinal client record that contains all clinical information available for the client. Rationale 2: An important aspect of a registration system used in a multi-entity health system network is the development of a unique client identifier. This number or identification code is used to identify the client in all information systems across the organization and across all entities. This enables accurate client identification, supporting the development of a longitudinal client record that contains all clinical information available for the client. The billing system cannot be used unless there is a patient identification code. Rationale 3: A nursing information system using the nursing process approach should support the use and documentation of nursing processes and provide tools for managing the delivery of nursing care. Rationale 4: Administrative information systems support client care by managing financial and demographic information and providing reporting capabilities. This category includes client management, financial, payroll, and human resources, and quality assurance systems.

Question 24 Type: MCSA What is a computer program that tells two different systems how to exchange data? 1. An interface 2. Request for proposal 3. Syntactic operability 4. HL7

Answer: 1 Rationale 1: An interface is a computer program that tells two different systems how to exchange data. Traditionally, communication between and among most disparate systems has been the result of costly, time-consuming efforts to build interfaces. In other words, interface programs are the tools used to achieve integration. Rationale 2: An interface is a computer program that tells two different systems how to exchange data. Traditionally, communication between and among most disparate systems has been the result of costly, time-consuming efforts to build interfaces. In other words, interface programs are the tools used to achieve integration. Rationale 3: An interface is a computer program that tells two different systems how to exchange data. Traditionally, communication between and among most disparate systems has been the result of costly, time-consuming efforts to build interfaces. In other words, interface programs are the tools used to achieve integration. Rationale 4: An interface is a computer program that tells two different systems how to exchange data. Traditionally, communication between and among most disparate systems has been the result of costly, time-consuming efforts to build interfaces. In other words, interface programs are the tools used to achieve integration.

Question 19 Type: MCSA Which of the following is true about effective security? 1. Assessment of security resources enables organizational personnel to devise methods to protect information systems data. 2. Assessment of security resources provides super users with in depth access knowledge. 3. Assessment of security resources enables organizational personnel to alter the flow of information. 4. Assessment of security resources enables organizational personnel to define terms in the data dictionary.

Answer: 1 Rationale 1: Assessment of security resources enables organizational personnel to devise methods to protect information systems data. Once the system has been thoroughly assessed, planning and implementation of security measures can minimize threats to the system. Rationale 2: Assessment of security resources enables organizational personnel to devise methods to protect information systems data. Once the system has been thoroughly assessed, planning and implementation of security measures can minimize threats to the system. Rationale 3: Assessment of security resources enables organizational personnel to devise methods to protect information systems data. Once the system has been thoroughly assessed, planning and implementation of security measures can minimize threats to the system. Rationale 4: Assessment of security resources enables organizational personnel to devise methods to protect information systems data. Once the system has been thoroughly assessed, planning and implementation of security measures can minimize threats to the system.

Question 23 Type: MCSA Which of the following statements is true about blended learning? 1. The use of blended learning should be appropriate for the content. 2. The use of blended learning is not appropriate for super user training. 3. Blended learning is too complicated for training sessions. 4. Blended learning should only be used for point-of-care staff.

Answer: 1 Rationale 1: Blended learning has grown in popularity; however, adopting this approach for information systems training requires that it is appropriate for the content that needs to be taught (Rosett & Sheldon, 2001) and that the organization's network infrastructure can support electronic training delivery. Rationale 2: Blended learning has grown in popularity; however, adopting this approach for information systems training requires that it is appropriate for the content that needs to be taught (Rosett & Sheldon, 2001) and that the organization's network infrastructure can support electronic training delivery. Rationale 3: Blended learning has grown in popularity; however, adopting this approach for information systems training requires that it is appropriate for the content that needs to be taught (Rosett & Sheldon, 2001) and that the organization's network infrastructure can support electronic training delivery. Rationale 4: Blended learning has grown in popularity; however, adopting this approach for information systems training requires that it is appropriate for the content that needs to be taught (Rosett & Sheldon, 2001) and that the organization's network infrastructure can support electronic training delivery.

Question 17 Type: MCSA Which of the following is not a clue that spyware has infected a computer? 1. Ability to SKYPE 2. Appearance of pop-ups 3. Random error messages 4. Poor system performance

Answer: 1 Rationale 1: Clues that spyware has infected a computer include the presence of pop-up ads, keys that do not work, random error messages, and poor system performance. Because of the security threat to PHI that this represents, spyware detection software should be utilized. Rationale 2: Clues that spyware has infected a computer include the presence of pop-up ads, keys that do not work, random error messages, and poor system performance. Because of the security threat to PHI that this represents, spyware detection software should be utilized. Rationale 3: Clues that spyware has infected a computer include the presence of pop-up ads, keys that do not work, random error messages, and poor system performance. Because of the security threat to PHI that this represents, spyware detection software should be utilized. Rationale 4: Clues that spyware has infected a computer include the presence of pop-up ads, keys that do not work, random error messages, and poor system performance. Because of the security threat to PHI that this represents, spyware detection software should be utilized.

Question 21 Type: MCSA The mere implementation of an electronic medical record (EMR) does not guarantee that benefits will be achieved. Which of the following can affect data integrity? 1. System failure 2. Data analysis 3. Data downloading 4. Data mining

Answer: 1 Rationale 1: Data integrity can be compromised in three ways: incorrect entry, data tampering, and system failure. In general, data integrity can be improved by implementing security measures, including the use of audit trails, as well as the development of detailed procedures and policies. Rationale 2: Data integrity can be compromised in three ways: incorrect entry, data tampering, and system failure. In general, data integrity can be improved by implementing security measures, including the use of audit trails, as well as the development of detailed procedures and policies. Data analysis, downloading, and mining do not compromise data integrity. Rationale 3: Data integrity can be compromised in three ways: incorrect entry, data tampering, and system failure. In general, data integrity can be improved by implementing security measures, including the use of audit trails, as well as the development of detailed procedures and policies. Data analysis, downloading, and mining do not compromise data integrity. Rationale 4: Data integrity can be compromised in three ways: incorrect entry, data tampering, and system failure. In general, data integrity can be improved by implementing security measures, including the use of audit trails, as well as the development of detailed procedures and policies. Data analysis, downloading, and mining do not compromise data integrity.

Question 1 Type: MCSA Which of these is accurate about the Health Insurance Portability and Accountability Act (HIPAA) Security Rule and the use of technology? 1. Does not specify the use of particular technology 2. Refers to the Joint Commission standards for technology 3. Specifies the utilization of HIPAA approved technology 4. Provides a monthly Web-based list of approved technology

Answer: 1 Rationale 1: HIPAA does not specify the use of particular technologies. It does call for each organization to determine threats and take appropriate protective measures based on their specific needs. Rationale 2: The correct answer is that HIPAA does not specify the use of particular technologies. It does call for each organization to determine threats and take appropriate protective measures based on their specific needs. Rationale 3: The correct answer is that HIPAA does not specify the use of particular technologies. It does call for each organization to determine threats and take appropriate protective measures based on their specific needs. Rationale 4: The correct answer is that HIPAA does not specify the use of particular technologies. It does call for each organization to determine threats and take appropriate protective measures based on their specific needs.

Question 14 Type: MCSA The following answers are standardized languages used across the discipline of nursing that allow nurses to describe nursing problems, treatments, and outcomes in a manner that is understood by all nurses except which? 1. HIS 2. NANDA 3. NOC 4. NIC

Answer: 1 Rationale 1: HIS is an acronym for health information systems. Standardized nursing languages (SNLs) accepted by the American Nurses Association include nursing diagnoses defined by the North American Nursing Diagnosis Association (NANDA), Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC) and several other languages. Rationale 2: Standardized nursing languages (SNLs) accepted by the American Nurses Association include nursing diagnoses defined by the North American Nursing Diagnosis Association (NANDA), Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC) and several other languages. Rationale 3: Standardized nursing languages (SNLs) accepted by the American Nurses Association include nursing diagnoses defined by the North American Nursing Diagnosis Association (NANDA), Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC) and several other languages. Rationale 4: Standardized nursing languages (SNLs) accepted by the American Nurses Association include nursing diagnoses defined by the North American Nursing Diagnosis Association (NANDA), Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC) and several other languages.

Question 21 Type: MCSA Which of the following best depicts the impact that Internet technology has on the security of health related information? 1. Health information on the Internet requires the same types of safeguards provided for information found in private offices and information systems. 2. Health information on the Internet does not require the same types of safeguards provided for information found in private offices and information systems. 3. Health information on the Internet requires more types of safeguards than what are provided for information found in private offices and information systems. 4. Health information on the Internet requires fewer safeguards than what are provided for information found in private offices and information systems.

Answer: 1 Rationale 1: Health information on the Internet requires the same types of safeguards provided for information found in private offices and information systems. Any server with Internet is at risk for a number of security breaches. Rationale 2: Health information on the Internet requires the same types of safeguards provided for information found in private offices and information systems. Any server with Internet is at risk for a number of security breaches. Rationale 3: Health information on the Internet requires the same types of safeguards provided for information found in private offices and information systems. Any server with Internet is at risk for a number of security breaches. Rationale 4: Health information on the Internet requires the same types of safeguards provided for information found in private offices and information systems. Any server with Internet is at risk for a number of security breaches.

Question 14 Type: MCSA Which of the following is the protection of information against threats to its integrity, inadvertent disclosure, or availability? 1. Information security 2. Survivability 3. Confidentiality 4. Privacy

Answer: 1 Rationale 1: Information security is the protection of information against threats to its integrity, inadvertent disclosure, or availability. Rationale 2: Survivability is the capability of a system as a whole to fulfill its mission, in a timely manner, in the presence of attacks, failures, or accidents. The primary goals of health care information system security are the protection of client confidentiality and information integrity and ready availability of information when it is needed. Availability is necessary in today's information-driven world and it is dependent upon survivability. Rationale 3: Information security is the protection of information against threats to its integrity, inadvertent disclosure, or availability. Rationale 4: Information security is the protection of information against threats to its integrity, inadvertent disclosure, or availability.

Question 27 Type: MCSA How can the trainer create an environment in which the staff will retain the information? 1. Train when employees do not have clinical duties 2. Train immediately before a clinical shift 3. Plan training to begin after clinical shifts 4. Plan training for employees' days off

Answer: 1 Rationale 1: Instructors need to be available to deliver training to accommodate employees working all shifts. Preparation time for each class must be factored into the training team schedule, as back-to-back classes may target different audiences. Planning and preparation in advance will make the training effort and classroom experience less stressful and more productive for both the trainers and trainees. Rationale 2: Instructors need to be available to deliver training to accommodate employees working all shifts. Preparation time for each class must be factored into the training team schedule, as back-to-back classes may target different audiences. Planning and preparation in advance will make the training effort and classroom experience less stressful and more productive for both the trainers and trainees. Rationale 3: Instructors need to be available to deliver training to accommodate employees working all shifts. Preparation time for each class must be factored into the training team schedule, as back-to-back classes may target different audiences. Planning and preparation in advance will make the training effort and classroom experience less stressful and more productive for both the trainers and trainees. Rationale 4: Instructors need to be available to deliver training to accommodate employees working all shifts. Preparation time for each class must be factored into the training team schedule, as back-to-back classes may target different audiences. Planning and preparation in advance will make the training effort and classroom experience less stressful and more productive for both the trainers and trainees.

Question 22 Type: MCSA Which of the following statements best describes the term milestone? 1. A milestone is essential in developing a timeline. 2. A milestone delineates strategic planning goals. 3. A milestone is a major entity in the system's maintenance. 4. A milestone guides the selection of the system.

Answer: 1 Rationale 1: It is essential to develop a timeline that delineates the major events or milestones when working through the various phases of the information system's life cycle. Rationale 2: It is essential to develop a timeline that delineates the major events or milestones when working through the various phases of the information system's life cycle Rationale 3: It is essential to develop a timeline that delineates the major events or milestones when working through the various phases of the information system's life cycle. Rationale 4: It is essential to develop a timeline that delineates the major events or milestones when working through the various phases of the information system's life cycle.

Question 21 Type: MCSA Which of the following answers best represents the use of a Gantt chart? 1. A Gantt chart is a horizontal bar chart used to illustrate the start and finish dates of the elements of a project. 2. A Gantt chart is useful in the creation of a RFP. 3. A Gantt chart controls the strategic planning process. 4. A Gantt chart is an essential document presented to all stakeholders.

Answer: 1 Rationale 1: It is vital to organize responsibilities around a realistic timeframe. A Gantt chart is a horizontal bar chart used to illustrate the start and finish dates of the elements of a project. Rationale 2: It is vital to organize responsibilities around a realistic timeframe. A Gantt chart is a horizontal bar chart used to illustrate the start and finish dates of the elements of a project. Rationale 3: It is vital to organize responsibilities around a realistic timeframe. A Gantt chart is a horizontal bar chart used to illustrate the start and finish dates of the elements of a project. Rationale 4: It is vital to organize responsibilities around a realistic timeframe. A Gantt chart is a horizontal bar chart used to illustrate the start and finish dates of the elements of a project.

Question 22 Type: MCSA Which of the following can be used with CISs to allow information entry and retrieval at the point of care or wherever it is needed by the health care professional? 1. Mobile and wireless technology 2. Computerized order entry 3. Bar coding systems 4. Monitoring systems

Answer: 1 Rationale 1: Mobile and wireless technology used with CISs allow information entry and retrieval at the point of care or wherever it is needed by the health care professional. This is best seen by the health care professional who can view client lab results while walking or at the point of care which enhances worker productivity because it eliminates the need to walk back to a central location to view test results, and it improves client service because treatments can be ordered and initiated in a more timely fashion. Internet technology also changes the way that users interact with CISs. Rationale 2: Mobile and wireless technology used with CISs allow information entry and retrieval at the point of care or wherever it is needed by the health care professional. This is best seen by the health care professional who can view client lab results while walking or at the point of care which enhances worker productivity because it eliminates the need to walk back to a central location to view test results, and it improves client service because treatments can be ordered and initiated in a more timely fashion. Internet technology also changes the way that users interact with CISs. Rationale 3: Mobile and wireless technology used with CISs allow information entry and retrieval at the point of care or wherever it is needed by the health care professional. This is best seen by the health care professional who can view client lab results while walking or at the point of care which enhances worker productivity because it eliminates the need to walk back to a central location to view test results, and it improves client service because treatments can be ordered and initiated in a more timely fashion. Internet technology also changes the way that users interact with CISs. Rationale 4: Mobile and wireless technology used with CISs allow information entry and retrieval at the point of care or wherever it is needed by the health care professional. This is best seen by the health care professional who can view client lab results while walking or at the point of care which enhances worker productivity because it eliminates the need to walk back to a central location to view test results, and it improves client service because treatments can be ordered and initiated in a more timely fashion. Internet technology also changes the way that users interact with CISs.

Question 20 Type: MCSA Which of the following supports the development of an EHR by classifying and categorizing nursing data? 1. North American Nursing Diagnosis Association (NANDA) 2. HL7 3. Service oriented architecture (SOA) 4. SNOMED

Answer: 1 Rationale 1: North American Nursing Diagnosis Association (NANDA), Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC) support of the development of an EHR by classifying and categorizing nursing data. They are designed to be used together as one large system for classifying nursing care. Rationale 2: North American Nursing Diagnosis Association (NANDA), Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC) support of the development of an EHR by classifying and categorizing nursing data. They are designed to be used together as one large system for classifying nursing care. Rationale 3: North American Nursing Diagnosis Association (NANDA), Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC) support of the development of an EHR by classifying and categorizing nursing data. They are designed to be used together as one large system for classifying nursing care. Rationale 4: North American Nursing Diagnosis Association (NANDA), Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC) support of the development of an EHR by classifying and categorizing nursing data. They are designed to be used together as one large system for classifying nursing care.

Question 16 Type: MCSA Nursing can reap significant benefits from integration. Which of the following integration statements is accurate for nursing? 1. Trends in client care data and cost analysis can be used to justify nursing staffing levels. 2. Nursing should be sure that data will be collected in several systems for sharing. 3. The use of a data dictionary can interfere with system integration processes. 4. Nursing involvement is unnecessary so long as I.S. staff members are given requirements.

Answer: 1 Rationale 1: Nursing can benefit from integration and data exchange such as trends in client care data and cost analysis that can be used to justify nursing staffing levels in the hospital setting. In addition, integration provides a tool to build nursing knowledge. Nursing should be sure that data will be collected in only one system; nurses must be involved in identifying and defining data elements that an interface may be able to supply; and the use of the data dictionary and interface engine actually facilitates integration and allows for the collection of aggregate data. Rationale 2: Nursing can benefit from integration and data exchange such as trends in client care data and cost analysis that can be used to justify nursing staffing levels in the hospital setting. In addition, integration provides a tool to build nursing knowledge. Nursing should be sure that data will be collected in only one system; nurses must be involved in identifying and defining data elements that an interface may be able to supply; and the use of the data dictionary and interface engine actually facilitates integration and allows for the collection of aggregate data. Rationale 3: Nursing can benefit from integration and data exchange such as trends in client care data and cost analysis that can be used to justify nursing staffing levels in the hospital setting. In addition, integration provides a tool to build nursing knowledge. Nursing should be sure that data will be collected in only one system; nurses must be involved in identifying and defining data elements that an interface may be able to supply; and the use of the data dictionary and interface engine actually facilitates integration and allows for the collection of aggregate data. Rationale 4: Nursing can benefit from integration and data exchange such as trends in client care data and cost analysis that can be used to justify nursing staffing levels in the hospital setting. In addition, integration provides a tool to build nursing knowledge. Nursing should be sure that data will be collected in only one system; nurses must be involved in identifying and defining data elements that an interface may be able to supply; and the use of the data dictionary and interface engine actually facilitates integration and allows for the collection of aggregate data.

Question 7 Type: MCSA Which form of training would best fit the needs of a night shift worker (11 p.m. to 7 a.m.)? 1. An online tutorial that can be accessed when it fits worker's time off 2. A Listserv set up for e-mail comments and questions 3. A three-hour video that can be run during the worker's shift 4. A full-day workshop that starts shortly after the end of the shift

Answer: 1 Rationale 1: Online tutorials are available 24/7 and allow immediate application of learning. The correct answer is an online tutorial that can be accessed when it fits the worker's schedule. Listservs via e-mail are too slow for training; videos are not interactive; and workshops should be scheduled for times when the employee is off duty and rested, ready to learn, not just as a shift ends. Rationale 2: The correct answer is an online tutorial that can be accessed when it fits the worker's schedule. Online tutorials are available 24/7 and allow immediate application of learning. Listservs via e-mail are too slow for training; videos are not interactive; and workshops should be scheduled for times when the employee is off duty and rested, ready to learn, not just as a shift ends. Rationale 3: The correct answer is an online tutorial that can be accessed when it fits the worker's schedule. Online tutorials are available 24/7 and allow immediate application of learning. Listservs via e-mail are too slow for training; videos are not interactive; and workshops should be scheduled for times when the employee is off duty and rested, ready to learn, not just as a shift ends. Rationale 4: The correct answer is an online tutorial that can be accessed when it fits the worker's schedule. Online tutorials are available 24/7 and allow immediate application of learning. Listserv via e-mail are too slow for training; videos are not interactive; and workshops should be scheduled for times when the employee is off duty and rested, ready to learn, not just as a shift ends.

Question 3 Type: MCSA Organizations and credentialing agencies often use the Internet to share educational information. Which of the following makes this possible? 1. Podcasts and webinars 2. DVDs 3. E-mail 4. List-servs

Answer: 1 Rationale 1: Podcasts and webinars are educational resources used by many professional organizations. These online presentations are available initially as live broadcasts, then retained for later access. Members usually have free access, and others might have access after payment of a fee. Many organizations provide continuing education credits for viewing podcasts and webinars. Rationale 2: Podcasts and webinars are educational resources used by many professional organizations. These online presentations are available initially as live broadcasts, then retained for later access. Members usually have free access, and others might have access after payment of a fee. Many organizations provide continuing education credits for viewing podcasts and webinars. Rationale 3: Podcasts and webinars are educational resources used by many professional organizations. These online presentations are available initially as live broadcasts, then retained for later access. Members usually have free access, and others might have access after payment of a fee. Many organizations provide continuing education credits for viewing podcasts and webinars. Rationale 4: Podcasts and webinars are educational resources used by many professional organizations. These online presentations are available initially as live broadcasts, then retained for later access. Members usually have free access, and others might have access after payment of a fee. Many organizations provide continuing education credits for viewing podcasts and webinars.

Question 20 Type: MCSA How long did Melanson, Lindeman, and Jarolim (2007) note that it would take from the time that a committee is formed until a health care information system selection is finalized? 1. 14 months 2. Two years 3. Six months 4. Three years

Answer: 1 Rationale 1: Presently, it may take 14 months from the time that a committee is formed until a system selection is finalized. The selection of health care information systems will occur many times in the future as manual processes are replaced by automated ones and as individual systems require upgrades, outlive their utility, or can no longer be supported for various reasons. As the process is repeated, the body of knowledge required to support this practice will continue to grow helping to ensure the choice of the best system for a given organization. Rationale 2: Presently, it may take 14 months from the time that a committee is formed until a system selection is finalized. The selection of health care information systems will occur many times in the future as manual processes are replaced by automated ones and as individual systems require upgrades, outlive their utility, or can no longer be supported for various reasons. As the process is repeated, the body of knowledge required to support this practice will continue to grow helping to ensure the choice of the best system for a given organization. Rationale 3: Presently, it may take 14 months from the time that a committee is formed until a system selection is finalized. The selection of health care information systems will occur many times in the future as manual processes are replaced by automated ones and as individual systems require upgrades, outlive their utility, or can no longer be supported for various reasons. As the process is repeated, the body of knowledge required to support this practice will continue to grow helping to ensure the choice of the best system for a given organization. Rationale 4: Presently, it may take 14 months from the time that a committee is formed until a system selection is finalized. The selection of health care information systems will occur many times in the future as manual processes are replaced by automated ones and as individual systems require upgrades, outlive their utility, or can no longer be supported for various reasons. As the process is repeated, the body of knowledge required to support this practice will continue to grow helping to ensure the choice of the best system for a given organization.

Question 16 Type: MCSA Which of the following is a state of mind, a specific place, freedom from intrusion, or control over the exposure of self or of personal information? 1. Privacy 2. Confidentiality 3. Security 4. HIPAA

Answer: 1 Rationale 1: Privacy is defined as a state of mind, a specific place, freedom from intrusion, or control over the exposure of self or of personal information. Rationale 2: Confidentiality refers to a situation in which a relationship has been established and private information is shared. It is privacy that is defined as a state of mind, a specific place, freedom from intrusion, or control over the exposure of self or of personal information. Rationale 3: Confidentiality refers to a situation in which a relationship has been established and private information is shared. It is privacy that is defined as a state of mind, a specific place, freedom from intrusion, or control over the exposure of self or of personal information. Rationale 4: Confidentiality refers to a situation in which a relationship has been established and private information is shared. It is privacy that is defined as a state of mind, a specific place, freedom from intrusion, or control over the exposure of self or of personal information.

Question 15 Type: MCSA Which of the following describes Questia? 1. Online library that provides 24/7 access to the world's largest online collection of books and journal articles 2. Comprehensive online nursing database 3. Interactive resource that answers complex patient care questions 4. Web-based tool with a complete listing of nursing diagnoses

Answer: 1 Rationale 1: Questia is an online library that provides 24/7 access to the world's largest online collection of books and journal articles in the humanities and social sciences, plus magazine and newspaper articles. Users can search by individual words, phrases, titles, authors, or subjects through the entire online collection of books and articles. Every title can be read online. Rationale 2: Questia is an online library that provides 24/7 access to the world's largest online collection of books and journal articles in the humanities and social sciences, plus magazine and newspaper articles. Users can search by individual words, phrases, titles, authors, or subjects through the entire online collection of books and articles. Every title can be read online. Rationale 3: Questia is an online library that provides 24/7 access to the world's largest online collection of books and journal articles in the humanities and social sciences, plus magazine and newspaper articles. Users can search by individual words, phrases, titles, authors, or subjects through the entire online collection of books and articles. Every title can be read online. Rationale 4: Questia is an online library that provides 24/7 access to the world's largest online collection of books and journal articles in the humanities and social sciences, plus magazine and newspaper articles. Users can search by individual words, phrases, titles, authors, or subjects through the entire online collection of books and articles. Every title can be read online.

Question 17 Type: MCSA Which of the following statements is most accurate about social media and hospitals? 1. Social media has relevance to health care. 2. Health care and social media are unrelated. 3. Hospital marketing departments refuse to incorporate social media into their practice. 4. Social media is not relevant to hospital marketing or nursing practice.

Answer: 1 Rationale 1: Social media has become the norm in marketing services. Social media such as Facebook and Twitter are two examples of how organizations can key into technology to spread their message. Rationale 2: Social media has become the norm in marketing services. Social media such as Facebook and Twitter are two examples of how organizations can key into technology to spread their message. Rationale 3: Social media has become the norm in marketing services. Social media such as Facebook and Twitter are two examples of how organizations can key into technology to spread their message. Rationale 4: Social media has become the norm in marketing services. Social media such as Facebook and Twitter are two examples of how organizations can key into technology to spread their message.

Question 4 Type: FIB The U.S. Department of Health and Human Services indicated that the ________________ is a digital collection of patient's medical history. Standard Text:

Answer: EHR (Electronic Health Record) Rationale : The U.S. Department of Health and Human Services indicated that the Electronic Health Record is a digital collection of patient's medical history. Items included are: 1. diagnosed medical conditions 2. prescribed medications 3. vital signs 4. immunizations 5. lab results 6. personal characteristics such as age and weight

Question 1 Type: MCSA Which of the following terms is defined as structured and controlled languages that have been developed according to terminology development guidelines? 1. Standardized terminologies 2. Health care standards 3. Health care terminology 4. Health information standards

Answer: 1 Rationale 1: Standardized terminologies are structured and controlled languages that have been developed according to terminology development guidelines and have been approved by an authoritative body (HIMSS, 2006). Rationale 2: Standardized terminologies are structured and controlled languages that have been developed according to terminology development guidelines and have been approved by an authoritative body (HIMSS, 2006). Rationale 3: Standardized terminologies are structured and controlled languages that have been developed according to terminology development guidelines and have been approved by an authoritative body (HIMSS, 2006). Rationale 4: Standardized terminologies are structured and controlled languages that have been developed according to terminology development guidelines and have been approved by an authoritative body (HIMSS, 2006).

Question 13 Type: MCSA Registered nurses can use the Internet for a number of key functions pertaining to licensure. Which of the following answers reflects the usefulness of the Internet and licensure? 1. Nurses can renew their professional licenses online. 2. Nurses no longer have the option of renewing their licenses by mail. 3. Professional licensing agencies mandate license renewal online. 4. Professional licensing agencies do not have the technology to renew licenses online.

Answer: 1 Rationale 1: State professional licensing agencies now allow many professionals to manage their licenses online. Professionals can submit an application for initial licensure, renew a current license, check on the status of the application or renewal, and explore additional services. Many licensing agencies now offer licensees, employers, and the general public the opportunity to conduct searches of licensed professionals via a secure website. Rationale 2: State professional licensing agencies now allow many professionals to manage their licenses online. Professionals can submit an application for initial licensure, renew a current license, check on the status of the application or renewal, and explore additional services. Many licensing agencies now offer licensees, employers, and the general public the opportunity to conduct searches of licensed professionals via a secure website. Rationale 3: State professional licensing agencies now allow many professionals to manage their licenses online. Professionals can submit an application for initial licensure, renew a current license, check on the status of the application or renewal, and explore additional services. Many licensing agencies now offer licensees, employers, and the general public the opportunity to conduct searches of licensed professionals via a secure website. Rationale 4: State professional licensing agencies now allow many professionals to manage their licenses online. Professionals can submit an application for initial licensure, renew a current license, check on the status of the application or renewal, and explore additional services. Many licensing agencies now offer licensees, employers, and the general public the opportunity to conduct searches of licensed professionals via a secure website.

Question 13 Type: MCSA Which of the following answers depicts the use of the ANA recognized nursing classifications to codify data? 1. The ANA recognized nursing classifications codify data used during the nursing process such as assessments, nurse sensitive problems, interventions, and outcomes. 2. The ANA recognized nursing classifications codify data is used to support input devices. 3. The ANA recognized nursing classifications align nursing outcomes. 4. The ANA recognized nursing classifications codify data for retrieval of billing invoices.

Answer: 1 Rationale 1: The ANA recognized nursing classifications codify data used during the nursing process such as assessments, nurse sensitive problems, interventions, and outcomes. Rationale 2: The ANA recognized nursing classifications codify data used during the nursing process such as assessments, nurse sensitive problems, interventions, and outcomes. Rationale 3: The American Nurses Association (ANA), through the Committee for Nursing Practice Information Infrastructure (CNPII), recognizes terminologies appropriate for use by nursing (Warren & Bakken, 2002). Terminologies must meet defined criteria for approval. The criteria specify that terminologies must be used to support nursing practice reflecting the nursing process. The nursing process data elements include assessment, diagnosis, outcome identification (goal), planning, implementation (interventions), and evaluation. The terminologies have to contain concepts that are clear and unambiguous with a unique identifier. Rationale 4: The American Nurses Association (ANA), through the Committee for Nursing Practice Information Infrastructure (CNPII), recognizes terminologies appropriate for use by nursing (Warren & Bakken, 2002). Terminologies must meet defined criteria for approval. The criteria specify that terminologies must be used to support nursing practice reflecting the nursing process. The nursing process data elements include assessment, diagnosis, outcome identification (goal), planning, implementation (interventions), and evaluation. The terminologies have to contain concepts that are clear and unambiguous with a unique identifier.

Question 16 Type: MCSA Marketing services have become one of the important organizational uses of the Internet, therefore, multiple companies and organizations use websites as an opportunity to accomplish their goals. What are some of the reasons to use the Internet for marketing? 1. To offer virtual tours and job opportunity information 2. To share statistics regarding best practice models 3. To illustrate the usefulness of the intranet within the organization 4. To define the goals of the HIT

Answer: 1 Rationale 1: The Internet is a good tool to share services with the user. Additional marketing considerations include: job postings, advertisements, and product information. Rationale 2: The Internet is a good tool to share services with the user. Additional marketing considerations include: job postings, advertisements, and product information. Rationale 3: The Internet is a good tool to share services with the user. Additional marketing considerations include: job postings, advertisements, and product information. Rationale 4: The Internet is a good tool to share services with the user. Additional marketing considerations include: job postings, advertisements, and product information.

Question 9 Type: MCSA The ANA has recognized the Omaha System and integrated the terminology into SNOMED CT. Which of the following best represents the value of the Omaha System? 1. The Omaha System is a problem classification scheme. 2. The Omaha System offers outcome labels. 3. The Omaha System provides nursing diagnoses. 4. The Omaha System provides diagnoses and intervention.

Answer: 1 Rationale 1: The Omaha System is a problem classification scheme that identifies signs and symptoms, clinical findings, intervention scheme interventions, and procedures. Rationale 2: The Omaha System is a problem classification scheme that identifies signs and symptoms, clinical findings, intervention scheme interventions, and procedures. Nursing Outcomes Classification offers outcome labels. Rationale 3: The Omaha System is a problem classification scheme that identifies signs and symptoms, clinical findings, intervention scheme interventions, and procedures. NANDA International (NANDA-I) provides nursing diagnoses. Rationale 4: The Omaha System is a problem classification scheme that identifies signs and symptoms, clinical findings, intervention scheme interventions, and procedures. Clinical Care Classification (CCC) provides diagnoses and interventions.

Question 17 Type: MCSA The clinical data repository provides data definition consistency through which of the following? 1. Mapping 2. Interface engine 3. Point-to-point interface 4. Clinical data warehouse

Answer: 1 Rationale 1: The clinical data repository provides data definition consistency through mapping. Mapping is the process in which terms defined in one system are associated with comparable terms in another system. The clinical data repository may also be referred to as the clinical data warehouse. Rationale 2: The clinical data repository provides data definition consistency through mapping. Mapping is the process in which terms defined in one system are associated with comparable terms in another system. The clinical data repository may also be referred to as the clinical data warehouse. Rationale 3: The clinical data repository provides data definition consistency through mapping. Mapping is the process in which terms defined in one system are associated with comparable terms in another system. The clinical data repository may also be referred to as the clinical data warehouse. Rationale 4: The clinical data repository provides data definition consistency through mapping. Mapping is the process in which terms defined in one system are associated with comparable terms in another system. The clinical data repository may also be referred to as the clinical data warehouse.

Question 28 Type: FIB _______________ are generated by an information system to warn of missing information or data entry errors. Standard Text:

Answer: Error messages Rationale : Error messages are generated by an information system to warn of missing information or data entry errors. Error messages alert end-user that they need to correct or add information.

Question 36 Type: MCSA Which of the following statements is accurate about the contract negotiation process and system purchase? 1. Contract negotiations are carried out by the organization's legal enterprise. 2. Contract negotiations begin with the RFP. 3. The steering committee is part of the contract negotiation process. 4. The contract negotiation is the last phase of the life cycle.

Answer: 1 Rationale 1: The contract negotiations by the legal department address issues not specifically included in the RFP responses, such as cost justification and expected implementation schedules. Rationale 2: The contract negotiations by the legal department address issues not specifically included in the RFP responses, such as cost justification and expected implementation schedules. Rationale 3: The contract negotiations by the legal department address issues not specifically included in the RFP responses, such as cost justification and expected implementation schedules. Rationale 4: The contract negotiations by the legal department address issues not specifically included in the RFP responses, such as cost justification and expected implementation schedules.

Question 23 Type: MCSA A nursing information system is considered to be effective if which of the following goals are accomplished? 1. Supports nursing and enhances practice 2. Collects data and creates new theories of nursing 3. Disseminates best practices and identifies variances 4. Finds medication errors and creates new protocols

Answer: 1 Rationale 1: The first goal is that the system should support the way that nurses function, allowing them the flexibility to use the system to view data and collect necessary information, provide quality client care, and document the client's condition and the care that was given. The second goal is that the system should support and enhance nursing practice through improved access to information and tools. Rationale 2: The system does not collect data nor create new theories. Rationale 3: Best practice models are created through the collection, analysis, and synthesis of data compiled through system usage. Rationale 4: A nursing information system does not find medication errors or create new protocols.

Question 10 Type: MCSA Which of these steering committee members should likely be replaced? 1. The coronary care nurse manager who attends half the regularly scheduled meetings 2. The chief nursing officer who attends more than half of the regularly scheduled meetings 3. The chief executive officer of the hospital who attends all meetings 4. The medical director of the organization who attends two-thirds of the regularly scheduled meetings

Answer: 1 Rationale 1: The membership should consist of multidisciplinary members who are able to take time to attend most meetings and become involved in the project. Rationale 2: The correct answer is the coronary care nurse manager who attends half the regularly scheduled meetings. The membership should consist of multidisciplinary members who are able to take the time to attend most meetings and become involved in the project. Rationale 3: The correct answer is the coronary care nurse manager who attends half the regularly scheduled meetings. The membership should consist of multidisciplinary members who are able to take time to attend most meetings and become involved in the project. Rationale 4: The correct answer is the coronary care nurse manager who attends half the regularly scheduled meetings. The membership should consist of multidisciplinary members who are able to take time to attend most meetings and become involved in the project.

Question 31 Type: MCSA Which statement accurately reflects the union of the mission statement with identification of the technology needs? 1. "The staff of St. Francis Hospital are dedicated to the provision of quality, individualized patient care from a Roman Catholic tradition through the incorporation of values, holistic care, and state of the art technology." 2. "The staff of Riverside Memorial Hospital are dedicated to providing comprehensive patient care." 3. "The mission of Unionville Hospice is to render quality end-of-life care and the commitment of blending holistic care with palliative therapies." 4. "Good Samaritan Hospital provides a high tech environment for all patients."

Answer: 1 Rationale 1: The mission statement of the institution reflects the use of technology and commitment to quality patient care. Rationale 2: The mission statement does not reflect technology use. Rationale 3: The mission statement does not reflect the use of technology. Rationale 4: This is not considered a mission statement.

Question 3 Type: MCSA A proficiency examination is planned to ensure that employees have the requisite knowledge to use a new wireless system. Which statement indicates the best use of testing? 1. Testing is criterion-referenced to evaluate predetermined system competencies. 2. Computer testing is done using a multiple-choice question format. 3. Predetermined competencies are determined by comparing class averages. 4. Norm-referenced testing is used to ensure the most successful employees keep their position.

Answer: 1 Rationale 1: The most effective testing is criterion-referenced with predetermined competencies, not comparing results among employees. Rationale 2: The correct answer is "testing is criterion-referenced to evaluate predetermined system competencies." The most effective testing is criterion-referenced with predetermined competencies, not comparing results among employees. Rationale 3: The correct answer is "testing is criterion-referenced to evaluate predetermined system competencies." The most effective testing is criterion-referenced with predetermined competencies, not comparing results among employees. Rationale 4: The correct answer is "testing is criterion-referenced to evaluate predetermined system competencies." The most effective testing is criterion-referenced with predetermined competencies, not comparing results among employees. Norm-referenced testing is useful in competitive hiring situations where there are more applicants than positions available. However, this type of testing is not typically used for information system training.

Question 21 Type: MCSA End-user training classes should be created for which of the following? 1. Physicians, residents, nurse practitioners, and physician assistants 2. Physicians and nurse practitioners only 3. Point-of-care staff only 4. Physicians and staff nurses only

Answer: 1 Rationale 1: The user class refines the types of training classes needed for implementation. For example, provider training classes may include physicians, residents, nurse practitioners, and physician assistants as they use similar information system functionality. Rationale 2: The user class refines the types of training classes needed for implementation. For example, provider training classes may include physicians, residents, nurse practitioners, and physician assistants as they use similar information system functionality. Rationale 3: The user class refines the types of training classes needed for implementation. For example, provider training classes may include physicians, residents, nurse practitioners, and physician assistants as they use similar information system functionality. Rationale 4: The user class refines the types of training classes needed for implementation. For example, provider training classes may include physicians, residents, nurse practitioners, and physician assistants as they use similar information system functionality.

Question 29 Type: MCSA This week, the attending physicians for a large urban primary care facility have set the goal for the implementation of the new technology system to coincide with the opening of the cardiology wing. The unit is scheduled to admit patients in six months; however, a needs assessment must first be completed. Which of the following statements accurately defines the purpose of the needs assessment? 1. The needs assessment identifies the organization's information needs. 2. The needs assessment can be completed during the opening of the new wing. 3. The needs assessment is not necessary with new construction. 4. Plans for the construction are unrelated to the needs assessment.

Answer: 1 Rationale 1: The purpose of the needs assessment is to determine the gap between an organization's current state and the overall needs of the organization with consideration to the strategic plan. The process is usually initiated by a person or group with a vision of the future. Rationale 2: The purpose of the needs assessment is to determine the gap between an organization's current state and the overall needs of the organization with consideration to the strategic plan. The process is usually initiated by a person or group with a vision of the future. Rationale 3: The purpose of the needs assessment is to determine the gap between an organization's current state and the overall needs of the organization with consideration to the strategic plan. The process is usually initiated by a person or group with a vision of the future. Rationale 4: The purpose of the needs assessment is to determine the gap between an organization's current state and the overall needs of the organization with consideration to the strategic plan. The process is usually initiated by a person or group with a vision of the future.

Question 25 Type: MCSA The information system life cycle can be divided into four phases that cover the life span of information systems. Which of the following answers best describes the end of the relationship? 1. There is no end to the life cycle. 2. The life cycle ends with implementation. 3. The life cycle ends with evaluation. 4. The life cycle ends with assessment.

Answer: 1 Rationale 1: The system life cycle can be divided into four phases that cover the life span of information systems. The relationship between these phases is circular in nature, because needs assessment and evaluation are ongoing processes. Rationale 2: The system life cycle can be divided into four phases that cover the life span of information systems. The relationship between these phases is circular in nature, because needs assessment and evaluation are ongoing processes. Rationale 3: The system life cycle can be divided into four phases that cover the life span of information systems. The relationship between these phases is circular in nature, because needs assessment and evaluation are ongoing processes. Rationale 4: The system life cycle can be divided into four phases that cover the life span of information systems. The relationship between these phases is circular in nature, because needs assessment and evaluation are ongoing processes.

Question 33 Type: MCSA The best time to train an end-user is which of the following? 1. Before the system goes live 2. Upon notice that there will be an upgrade 3. After the system goes live 4. As soon as the vendor has been selected

Answer: 1 Rationale 1: The timetable and schedule is a delicate balance; end-user training conducted too early in the implementation process may require retraining before go-live. Individuals trained late in the implementation process may need additional support once the system is in use. Rationale 2: The timetable and schedule is a delicate balance; end-user training conducted too early in the implementation process may require retraining before go-live. Individuals trained late in the implementation process may need additional support once the system is in use. Rationale 3: The timetable and schedule is a delicate balance; end-user training conducted too early in the implementation process may require retraining before go-live. Individuals trained late in the implementation process may need additional support once the system is in use. Rationale 4: The timetable and schedule is a delicate balance; end-user training conducted too early in the implementation process may require retraining before go-live. Individuals trained late in the implementation process may need additional support once the system is in use.

Question 24 Type: MCSA Which of the following describes the use of an advanced organizer? 1. The use of an advanced organizer is a way to guide the instruction, manage time, and allow for logical breaks in the classroom instruction. 2. The use of an advanced organizer is a methodological approach to patient care. 3. The use of an advanced organizer is a tethered health information systems. 4. The use of an advanced organizer is an excellent way to prepare novice nurses for their role at the point of care.

Answer: 1 Rationale 1: The use of an advanced organizer is a way to guide instruction, manage time, and allow for logical breaks in the classroom instruction. Rationale 2: The use of an advanced organizer is a way to guide instruction, manage time, and allow for logical breaks in the classroom instruction. Rationale 3: The use of an advanced organizer is a way to guide instruction, manage time, and allow for logical breaks in the classroom instruction. Rationale 4: The use of an advanced organizer is a way to guide instruction, manage time, and allow for logical breaks in the classroom instruction.

Question 2 Type: MCSA The use of which of the following is a means of ensuring the data collection is accurate and valid? 1. Standardized terminology 2. Tablets 3. Bar coding 4. Handheld devices

Answer: 1 Rationale 1: The use of standardized terminology is a means of ensuring the data collection is accurate and valid. Standardized terminology is essential for successful development and implementation of an EHR. Terminology is required to represent, communicate, exchange, manage, and report data, information, and knowledge. It enables safe, patient-centric, high quality health care that optimizes data collection for the measurement of patient outcomes. Rationale 2: The use of standardized terminology is a means of ensuring the data collection is accurate and valid. Standardized terminology is essential for successful development and implementation of an EHR. Terminology is required to represent, communicate, exchange, manage, and report data, information, and knowledge. It enables safe, patient-centric, high quality health care that optimizes data collection for the measurement of patient outcomes. Rationale 3: The use of standardized terminology is a means of ensuring the data collection is accurate and valid. Standardized terminology is essential for successful development and implementation of an EHR. Terminology is required to represent, communicate, exchange, manage, and report data, information, and knowledge. It enables safe, patient-centric, high quality health care that optimizes data collection for the measurement of patient outcomes. Rationale 4: The use of standardized terminology is a means of ensuring the data collection is accurate and valid. Standardized terminology is essential for successful development and implementation of an EHR. Terminology is required to represent, communicate, exchange, manage, and report data, information, and knowledge. It enables safe, patient-centric, high quality health care that optimizes data collection for the measurement of patient outcomes.

Question 25 Type: MCMA Which of the following are considered benefits of electronic prescriptions? Standard Text: Select all that apply. 1. Eliminates phone calls for refills 2. Reviews clients drug histories before prescribing 3. Provides reminders for prescriptions 4. Alerts provider about drug reactions 5. Provides a longitudinal prescription record

Answer: 1,2,3,4 Rationale 1: -Elimination of telephone authorization for refills -Review of clients' drug histories before ordering drugs -Reminders to order home medications for the hospitalized client -Alerts about drug interactions -Checking of formulary compliance and reimbursement -Provision of a longitudinal prescription record Rationale 2: -Elimination of telephone authorization for refills -Review of clients' drug histories before ordering drugs -Reminders to order home medications for the hospitalized client -Alerts about drug interactions -Checking of formulary compliance and reimbursement -Provision of a longitudinal prescription record Rationale 3: -Elimination of telephone authorization for refills -Review of clients' drug histories before ordering drugs -Reminders to order home medications for the hospitalized client -Alerts about drug interactions -Checking of formulary compliance and reimbursement -Provision of a longitudinal prescription record Rationale 4: -Elimination of telephone authorization for refills -Review of clients' drug histories before ordering drugs -Reminders to order home medications for the hospitalized client -Alerts about drug interactions -Checking of formulary compliance and reimbursement -Provision of a longitudinal prescription record Rationale 5: -Elimination of telephone authorization for refills -Review of clients' drug histories before ordering drugs -Reminders to order home medications for the hospitalized client -Alerts about drug interactions -Checking of formulary compliance and reimbursement -Provision of a longitudinal prescription record

Question 29 Type: FIB ___________________ refers to a situation where the end-user is logged in to the information system but is unable to enter or process data. Standard Text:

Answer: Freezing Rationale : Depending on the root cause, a freeze may be a momentary slowdown or a more serious problem resulting in downtime. Training content should include basic troubleshooting guidelines and information about how to report a problem to the information systems help desk.

Question 23 Type: MCSA Using what kind of strategy will permit data exchange within each hospital and across health care networks or enterprises? 1. Integration 2. Syntactic interoperability 3. Semantic interoperability 4. Using a clinical data repository

Answer: 1 Rationale 1: Using integration strategies will permit data exchange within each hospital and across health care networks or enterprises. This will open up a realm of possibilities for new ways to chart data trends, such as by provider, by diagnosis, or by cost. It will also allow hospitals to find trends in financial and clinical data. Health care providers will be able to obtain improved information, making them better able to react to market changes and maintain a competitive edge. Rationale 2: Syntactic interoperability is the ability to exchange the structure of the data but not necessarily the meaning of the data. It is also referred to as functional interoperability. Web pages built with HTML illustrate this type of interoperability. Rationale 3: Semantic interoperability guarantees that the meaning of the exchanged data remains the same on both ends of the transaction. Rationale 4: The clinical data repository provides data definition consistency through mapping. Mapping is the process in which terms defined in one system are associated with comparable terms in another system.

Question 26 Type: MCSA Which of the following depicts the best use of virtual worlds in the education of nurses? 1. The virtual world can simulate hospital life. 2. Virtual worlds offer students answers to NCLEX-RN® style questions. 3. Virtual worlds offer synchronous interaction with patients. 4. Virtual worlds are too expensive for classroom use.

Answer: 1 Rationale 1: Virtual worlds are online simulated environments in which multiple users interact. The simulated environment may reflect contemporary life, a setting found in works of fiction, or a setting unique to a world-developer's imagination. Rationale 2: Virtual worlds are online simulated environments in which multiple users interact. The simulated environment may reflect contemporary life, a setting found in works of fiction, or a setting unique to a world-developer's imagination. Rationale 3: Virtual worlds are online simulated environments in which multiple users interact. The simulated environment may reflect contemporary life, a setting found in works of fiction, or a setting unique to a world-developer's imagination. Rationale 4: Virtual worlds are online simulated environments in which multiple users interact. The simulated environment may reflect contemporary life, a setting found in works of fiction, or a setting unique to a world-developer's imagination.

Question 27 Type: MCMA Online resources are available for health care professionals to complete a number of important tasks. Which of the following are services offered by professional organizations? Standard Text: Select all that apply. 1. Cultural competence information is offered by Health Resources and Services Administration (HRSA) 2. HealthLink assists users to medical and health care information. 3. Healthcare Providers Service Organization (HPSO) offers licensure information. 4. State Boards of Nursing offer continuing education credits. 5. Second Life offers end-of-life content for bereavement counselors.

Answer: 1,2 Rationale 1: Among the plethora of resources and services provided by the Health Resources and Services Administration (HRSA) is a section on cultural competence (www.hrsa.gov/culturalcompetence/). In this section, nurses and others may take advantage of assessment tools for cultural and linguistic competence. Educational content on general aspects of cultural competence as well as content on specific groups is available. Rationale 2: HealthLink is a free website for health care professionals and consumers. The primary focus of this site is assisting users to medical and health care information, products, resources, services, and practitioners on the World Wide Web (WWW). Rationale 3: HPSO is a division of Affinity Insurance Services, Inc. The core service from HPSO is insurance, especially professional liability insurance and risk-management information. Rationale 4: State Boards of Nursing offer nurses an opportunity to renew licenses online. Rationale 5: Second Life provides an immersive environment; is dependent on content generated by the users, fostering creativity and a sense of contribution to the world; and it fosters social interaction (Skiba, 2007).

Question 2 Type: MCMA The steering committee must consider much information in order to arrive at the best system. Which statements would be considered as favorable during the evaluation of systems for purchase consideration? Standard Text: Select all that apply. 1. Minimal downtime is required nightly for complete system checks and backup. 2. Connectivity between the application and inputting clinical information, such as vital signs, can be achieved through customization. 3. Open system architecture is utilized for system protocols. 4. Response time for all online transactions is five seconds or more. 5. A separate training environment is used, where new users can utilize the live system for training whenever it is needed.

Answer: 1,2,3 Rationale 1: Minimal downtime is required nightly for complete system checks and backup. Rationale 2: Connectivity should be enhanced and downtime minimized. Rationale 3: Architecture refers to the structure of the central processing unit and its interrelated elements. An open system uses protocols and technology that follow publicly accepted conventions and are used by multiple vendors, so that various system components can work together. Rationale 4: Response time for all online transactions is too slow. Rationale 5: The live system should never be used for training; training should occur in simulated environments specifically created for teaching where mistakes do not enter the system.

Question 19 Type: MCMA Which of the following factors should be considered when selecting a training site? Standard Text: Select all that apply. 1. Classroom cost 2. Network connectivity 3. Classroom capacity 4. Training environment 5. Cabling and wiring

Answer: 1,2,3,4 Rationale 1: -Classroom availability and cost: Space within the organization or off-site locations should be evaluated to ensure network access and classroom capacity. -Network connectivity and power supply: Network compatibility and an adequate power supply for workstations are considerations. -Classroom capacity: All trainees should have their own networked workstation and access to a printer. -Travel and parking: Off-site training needs to be easy to find and have adequate parking. -Access to communications: Communication access should be provided during the training session. -Training environment: The location must have access to the computer training environment so that training can be conducted where there is no actual client or employee data. -Setup costs: Cabling and wiring at any location, office furniture, hardware, software, and peripheral equipment must be considered. Off-site facilities may also require remodeling and additional security. -Maintenance costs: Ongoing expenses are influenced by the decision to buy, remodel, build, or lease space and the need to maintain and service hardware, software, and office equipment. Rationale 2: -Classroom availability and cost: Space within the organization or off-site locations should be evaluated to ensure network access and classroom capacity. -Network connectivity and power supply: Network compatibility and an adequate power supply for workstations are considerations. -Classroom capacity: All trainees should have their own networked workstation and access to a printer. -Travel and parking: Off-site training needs to be easy to find and have adequate parking. -Access to communications: Communication access should be provided during the training session. -Training environment: The location must have access to the computer training environment so that training can be conducted where there is no actual client or employee data. -Setup costs: Cabling and wiring at any location, office furniture, hardware, software, and peripheral equipment must be considered. Off-site facilities may also require remodeling and additional security. -Maintenance costs: Ongoing expenses are influenced by the decision to buy, remodel, build, or lease space and the need to maintain and service hardware, software, and office equipment. Rationale 3: -Classroom availability and cost: Space within the organization or off-site locations should be evaluated to ensure network access and classroom capacity. -Network connectivity and power supply: Network compatibility and an adequate power supply for workstations are considerations. -Classroom capacity: All trainees should have their own networked workstation and access to a printer. -Travel and parking: Off-site training needs to be easy to find and have adequate parking. -Access to communications: Communication access should be provided during the training session. -Training environment: The location must have access to the computer training environment so that training can be conducted where there is no actual client or employee data. -Setup costs: Cabling and wiring at any location, office furniture, hardware, software, and peripheral equipment must be considered. Off-site facilities may also require remodeling and additional security. -Maintenance costs: Ongoing expenses are influenced by the decision to buy, remodel, build, or lease space and the need to maintain and service hardware, software, and office equipment. Rationale 4: -Classroom availability and cost: Space within the organization or off-site locations should be evaluated to ensure network access and classroom capacity. -Network connectivity and power supply: Network compatibility and an adequate power supply for workstations are considerations. -Classroom capacity: All trainees should have their own networked workstation and access to a printer. -Travel and parking: Off-site training needs to be easy to find and have adequate parking. -Access to communications: Communication access should be provided during the training session. -Training environment: The location must have access to the computer training environment so that training can be conducted where there is no actual client or employee data. -Setup costs: Cabling and wiring at any location, office furniture, hardware, software, and peripheral equipment must be considered. Off-site facilities may also require remodeling and additional security. -Maintenance costs: Ongoing expenses are influenced by the decision to buy, remodel, build, or lease space and the need to maintain and service hardware, software, and office equipment. Rationale 5: -Classroom availability and cost: Space within the organization or off-site locations should be evaluated to ensure network access and classroom capacity. -Network connectivity and power supply: Network compatibility and an adequate power supply for workstations are considerations. -Classroom capacity: All trainees should have their own networked workstation and access to a printer. -Travel and parking: Off-site training needs to be easy to find and have adequate parking. -Access to communications: Communication access should be provided during the training session. -Training environment: The location must have access to the computer training environment so that training can be conducted where there is no actual client or employee data. -Setup costs: Cabling and wiring at any location, office furniture, hardware, software, and peripheral equipment must be considered. Off-site facilities may also require remodeling and additional security. -Maintenance costs: Ongoing expenses are influenced by the decision to buy, remodel, build, or lease space and the need to maintain and service hardware, software, and office equipment.

Question 18 Type: FIB _______________________ uses XML (Extensible Markup Language) for storage and movement of clinical documents between systems. Standard Text:

Answer: HL7 Rationale : HL7 relies upon XML markup language for the storage and movement of clinical documents between systems.

Question 35 Type: MCMA Techno-H has been selected for as the vendor focused on the technology update for Tall Trees Hospital. Now that the vendor has been chosen, the staff have discovered a number of additional upgrades that they would like added to the contract. Which of the following statements would be considered reasonable requests? Standard Text: Select all that apply. 1. Increased technological support during implementation phase 2. Workshops led by vendor during off shifts 3. Provide user friendly help manuals 4. Vendor representative demonstrates live system. 5. Request price reduction after contract has been negotiated.

Answer: 1,2,3,4 Rationale 1: 4. A representative from the vendor provides demonstrations on the live system Rationale 2: 4. A representative from the vendor provides demonstrations on the live system Rationale 3: 4. A representative from the vendor provides demonstrations on the live system Rationale 4: 4. A representative from the vendor provides demonstrations on the live system Rationale 5: 4. A representative from the vendor provides demonstrations on the live system

Question 10 Type: MCMA Among the following computer-related policies, which of the following are appropriate? Standard Text: Select all that apply. 1. A nursing student shared confidential lab results obtained from the system at the request of one of the student's relatives. The policy is to dismiss the student from the clinical site. 2. Both students and employees sign documents that explain the consequence of termination for misuse of the system. 3. Access codes are assigned to authenticate each individual user's identity and may not be shared with anyone. 4. A radiology student makes a copy of a client's MRI report to prepare for the next days clinical. The copy is accidentally left in the waiting room and found by a staff member. The policy is to dismiss the student from the clinical site. 5. Once trained and entered into the system, employees may sign other users in under their access code for documentation purposes when necessary.

Answer: 1,2,3,4 Rationale 1: Appropriate policies are: Access codes are assigned to authenticate each individual user's identity and may not be shared with anyone (not even staff members or administrators); both students and employees sign documents that explain the consequence of termination for misuse of the system; two students are dismissed from the site for breaches of confidentiality and the inappropriate use of data within the information/paper system. It is also possible that legal action may follow. Each student's faculty should be notified and each school will review its own penalties. Students should never share confidential PHI with any unauthorized person and documents such as the MRI report should be properly disposed of. An inappropriate policy is: Allowing employees to sign other users in under their access code; this is never acceptable for any reason. Rationale 2: Appropriate policies are: Access codes are assigned to authenticate each individual user's identity and may not be shared with anyone (not even staff members or administrators); both students and employees sign documents that explain the consequence of termination for misuse of the system; two students are dismissed from the site for breaches of confidentiality and the inappropriate use of data within the information/paper system. It is also possible that legal action may follow. Each student's faculty should be notified and each school will review its own penalties. Students should never share confidential PHI with any unauthorized person and documents such as the MRI report should be properly disposed of. An inappropriate policy is: Allowing employees to sign other users in under their access code; this is never acceptable for any reason. Rationale 3: Appropriate policies are: Access codes are assigned to authenticate each individual user's identity and may not be shared with anyone (not even staff members or administrators); both students and employees sign documents that explain the consequence of termination for misuse of the system; two students are dismissed from the site for breaches of confidentiality and the inappropriate use of data within the information/paper system. It is also possible that legal action may follow. Each student's faculty should be notified and each school will review its own penalties. Students should never share confidential PHI with any unauthorized person and documents such as the MRI report should be properly disposed of. An inappropriate policy is: Allowing employees to sign other users in under their access code; this is never acceptable for any reason. Rationale 4: Appropriate policies are: Access codes are assigned to authenticate each individual user's identity and may not be shared with anyone (not even staff members or administrators); both students and employees sign documents that explain the consequence of termination for misuse of the system; two students are dismissed from the site for breaches of confidentiality and the inappropriate use of data within the information/paper system. It is also possible that legal action may follow. Each student's faculty should be notified and each school will review its own penalties. Students should never share confidential PHI with any unauthorized person and documents such as the MRI report should be properly disposed of. An inappropriate policy is: Allowing employees to sign other users in under their access code; this is never acceptable for any reason. Rationale 5: Appropriate policies are: Access codes are assigned to authenticate each individual user's identity and may not be shared with anyone (not even staff members or administrators); both students and employees sign documents that explain the consequence of termination for misuse of the system; two students are dismissed from the site for breaches of confidentiality and the inappropriate use of data within the information/paper system. It is also possible that legal action may follow. Each student's faculty should be notified and each school will review its own penalties. Students should never share confidential PHI with any unauthorized person and documents such as the MRI report should be properly disposed of. An inappropriate policy is: Allowing employees to sign other users in under their access code; this is never acceptable for any reason.

Question 23 Type: MCMA Implementing standardized terminology has many benefits to multiple beneficiaries. Which of the following are benefits of standardized terminology? Standard Text: Select all that apply. 1. Patients 2. Providers 3. Health care organizations 4. Health care industry 5. Informational technicians

Answer: 1,2,3,4 Rationale 1: Beneficiaries include the patient, the provider, the organization, and the health care industry in general. Using standardized terminologies ensures compliance with standards coming forth for meaningful use, quality measures, and interoperability. Terminology facilitates the monitoring of trends and problems of the health of populations, developing clinical decision support, and expanding our knowledge of diseases and treatments and outcomes through research and clinical data mining. Rationale 2: Beneficiaries include the patient, the provider, the organization, and the health care industry in general. Using standardized terminologies ensures compliance with standards coming forth for meaningful use, quality measures, and interoperability. Terminology facilitates the monitoring of trends and problems of the health of populations, developing clinical decision support, and expanding our knowledge of diseases and treatments and outcomes through research and clinical data mining. Rationale 3: Beneficiaries include the patient, the provider, the organization, and the health care industry in general. Using standardized terminologies ensures compliance with standards coming forth for meaningful use, quality measures, and interoperability. Terminology facilitates the monitoring of trends and problems of the health of populations, developing clinical decision support, and expanding our knowledge of diseases and treatments and outcomes through research and clinical data mining. Rationale 4: Beneficiaries include the patient, the provider, the organization, and the health care industry in general. Using standardized terminologies ensures compliance with standards coming forth for meaningful use, quality measures, and interoperability. Terminology facilitates the monitoring of trends and problems of the health of populations, developing clinical decision support, and expanding our knowledge of diseases and treatments and outcomes through research and clinical data mining. Rationale 5: Beneficiaries include the patient, the provider, the organization, and the health care industry in general. Using standardized terminologies ensures compliance with standards coming forth for meaningful use, quality measures, and interoperability. Terminology facilitates the monitoring of trends and problems of the health of populations, developing clinical decision support, and expanding our knowledge of diseases and treatments and outcomes through research and clinical data mining.

Question 16 Type: MCMA Which of the following are found with the electronic health record (EHR) but are not found with the computer-based patient record (CPR)? Standard Text: Select all that apply. 1. Evidence-based decision support 2. Assists with the work of planning and delivering evidence-based care 3. Quality management 4. Public health disease surveillance and reporting 5. Comprehensive lifetime record that includes all information from all specialties

Answer: 1,2,3,4 Rationale 1: Found with the EHR but not found with the CPR are: assists with the work of planning and delivery of evidence-based care; evidence-based decision support; public health disease surveillance and reporting, and quality management. The CPR is a comprehensive lifetime record that includes all information from all specialties. Rationale 2: Found with the EHR but not found with the CPR are: assists with the work of planning and delivery of evidence-based care; evidence-based decision support; public health disease surveillance and reporting, and quality management. The CPR is a comprehensive lifetime record that includes all information from all specialties. Rationale 3: Found with the EHR but not found with the CPR are: assists with the work of planning and delivery of evidence-based care; evidence-based decision support; public health disease surveillance and reporting, and quality management. The CPR is a comprehensive lifetime record that includes all information from all specialties. Rationale 4: Found with the EHR but not found with the CPR are: assists with the work of planning and delivery of evidence-based care; evidence-based decision support; public health disease surveillance and reporting, and quality management. The CPR is a comprehensive lifetime record that includes all information from all specialties. Rationale 5: The CPR is a comprehensive lifetime record that includes all information from all specialties. Found with the EHR but not found with the CPR are: assists with the work of planning and delivery of evidence-based care; evidence-based decision support; public health disease surveillance and reporting, and quality management.

Question 18 Type: MCMA The security of any information system is part of the strategic planning process. Information system security is planned for with the intention of achieving which of the following goals? Standard Text: Select all that apply. 1. Patient confidentiality protection 2. Information integrity protection 3. Timely availability protection 4. Cybercrime prevention 5. HIT compliance

Answer: 1,2,3,4 Rationale 1: Information system security is the continuous protection of both information housed on a computer system and the system itself from threats or disruption. The primary goals of health care information system security are the protection of client confidentiality and information integrity and the timely availability of information when it is needed. Rationale 2: Information system security is the continuous protection of both information housed on a computer system and the system itself from threats or disruption. The primary goals of health care information system security are the protection of client confidentiality and information integrity and the timely availability of information when it is needed. Rationale 3: Information system security is the continuous protection of both information housed on a computer system and the system itself from threats or disruption. The primary goals of health care information system security are the protection of client confidentiality and information integrity and the timely availability of information when it is needed. Rationale 4: Information system security is the continuous protection of both information housed on a computer system and the system itself from threats or disruption. The primary goals of health care information system security are the protection of client confidentiality and information integrity and the timely availability of information when it is needed. Rationale 5: Information system security is the continuous protection of both information housed on a computer system and the system itself from threats or disruption. The primary goals of health care information system security are the protection of client confidentiality and information integrity and the timely availability of information when it is needed.

Question 29 Type: MCMA The Internet offers a number of unique ways to market the organization. What are some of the ways companies use the Internet to create interest in their unique goods or services? Standard Text: Select all that apply. 1. Securing domain names for a business 2. Arranging for e-mail addresses 3. Hosting one or more websites 4. Designing a company website. 5. Creating application for smart phones

Answer: 1,2,3,4 Rationale 1: Internet-related services may include securing domain names for a business, arranging for e-mail addresses, establishing the ability to conduct electronic commerce, hosting one or more websites, designing and maintaining company websites, content management systems (CMS), and customer relationship management (CRM). Rationale 2: Internet-related services may include securing domain names for a business, arranging for e-mail addresses, establishing the ability to conduct electronic commerce, hosting one or more websites, designing and maintaining company websites, content management systems (CMS), and customer relationship management (CRM). Rationale 3: Internet-related services may include securing domain names for a business, arranging for e-mail addresses, establishing the ability to conduct electronic commerce, hosting one or more websites, designing and maintaining company websites, content management systems (CMS), and customer relationship management (CRM). Rationale 4: Internet-related services may include securing domain names for a business, arranging for e-mail addresses, establishing the ability to conduct electronic commerce, hosting one or more websites, designing and maintaining company websites, content management systems (CMS), and customer relationship management (CRM). Rationale 5: Applications for smart phones can be useful in a number of ways but are not considered marketing tools.

Question 9 Type: MCMA Which of the following are major impediments to the development of an electronic health record (EHR)? Standard Text: Select all that apply. 1. Development of an electronic infrastructure 2. Confidentiality 3. Cost 4. Lack of a common vocabulary 5. Information system vendors

Answer: 1,2,3,4 Rationale 1: Major impediments to the development of an EHR are cost, lack of a common vocabulary, infrastructure, and confidentiality. Others are security, resistance among caregivers, and a lack of IT staff. Rationale 2: Major impediments to the development of an EHR are cost, lack of a common vocabulary, infrastructure, and confidentiality. Others are security, resistance among caregivers, and a lack of IT staff. Rationale 3: Major impediments to the development of an EHR are cost, lack of a common vocabulary, infrastructure, and confidentiality. Others are security, resistance among caregivers, and a lack of IT staff. Rationale 4: Major impediments to the development of an EHR are cost, lack of a common vocabulary, infrastructure, and confidentiality. Others are security, resistance among caregivers, and a lack of IT staff. Rationale 5: Major impediments to the development of an EHR are cost, lack of a common vocabulary, infrastructure, and confidentiality. Others are security, resistance among caregivers, and a lack of IT staff. Information system vendors are not an impediment.

Question 17 Type: MCMA Which of the following topics should be included in training class content? Standard Text: Select all that apply. 1. Computer-related policies 2. Access privileges 3. Computer literacy 4. Error correction 5. System idiosyncrasies

Answer: 1,2,3,4,5 Rationale 1: -Computer-related policies -Access privileges -Human factors -Computer literacy -Workflow -Scenario and step-by-step design of instruction -Electronic help -Error messages -Error correction -Screen and system "freezes" -System idiosyncrasies -Downtime procedures -Ability to retrieve and view clinical information Rationale 2: -Computer-related policies -Access privileges -Human factors -Computer literacy -Workflow -Scenario and step-by-step design of instruction -Electronic help -Error messages -Error correction -Screen and system "freezes" -System idiosyncrasies -Downtime procedures -Ability to retrieve and view clinical information Rationale 3: -Computer-related policies -Access privileges -Human factors -Computer literacy -Workflow -Scenario and step-by-step design of instruction -Electronic help -Error messages -Error correction -Screen and system "freezes" -System idiosyncrasies -Downtime procedures -Ability to retrieve and view clinical information Rationale 4: -Computer-related policies -Access privileges -Human factors -Computer literacy -Workflow -Scenario and step-by-step design of instruction -Electronic help -Error messages -Error correction -Screen and system "freezes" -System idiosyncrasies -Downtime procedures -Ability to retrieve and view clinical information Rationale 5: -Computer-related policies -Access privileges -Human factors -Computer literacy -Workflow -Scenario and step-by-step design of instruction -Electronic help -Error messages -Error correction -Screen and system "freezes" -System idiosyncrasies -Downtime procedures -Ability to retrieve and view clinical information

Question 20 Type: MCMA The Internet has become the source of locating current research and literature for practicing nurses and students. Which of the following websites provide beneficial information for health care professionals to access in an attempt to improve practice? Standard Text: Select all that apply. 1. The Agency for Healthcare Research and Quality (AHRQ) 2. The American Nurses Credentialing Center (ANCC) 3. The Center for Disease Control (CDC) 4. National Institutes of Health (NIH) 5. Food and Drug Administration (FDA)

Answer: 1,2,3,4,5 Rationale 1: -Food and Drug Administration (FDA) Rationale 2: -Food and Drug Administration (FDA) Rationale 3: -Food and Drug Administration (FDA) Rationale 4: -Food and Drug Administration (FDA) Rationale 5: -Food and Drug Administration (FDA)

Question 16 Type: MCMA Which of the following are specific factors to consider when selecting a training method? Standard Text: Select all that apply. 1. Time required to develop program 2. Cost of development and training 3. Application training strategies 4. Learning styles of trainees 5. Learning retention strategies

Answer: 1,2,3,4,5 Rationale 1: -Time: The time required to develop and present using each instructional approach varies. -Cost: Initial content development time and subsequent revisions can be lengthy for computer based training, running up the expense. -Learning styles: Blended delivery includes a combination of approaches that target learning styles and allow learners to actively participate in training activities. -Learning retention: Active participation through scenarios, case studies, practice exercises, and repetition provide opportunities for learning, applying job skills, and retaining knowledge. Rationale 2: -Time: The time required to develop and present using each instructional approach varies. -Cost: Initial content development time and subsequent revisions can be lengthy for computer based training, running up the expense. -Learning styles: Blended delivery includes a combination of approaches that target learning styles and allow learners to actively participate in training activities. -Learning retention: Active participation through scenarios, case studies, practice exercises, and repetition provide opportunities for learning, applying job skills, and retaining knowledge. Rationale 3: -Time: The time required to develop and present using each instructional approach varies. -Cost: Initial content development time and subsequent revisions can be lengthy for computer based training, running up the expense. -Learning styles: Blended delivery includes a combination of approaches that target learning styles and allow learners to actively participate in training activities. -Learning retention: Active participation through scenarios, case studies, practice exercises, and repetition provide opportunities for learning, applying job skills, and retaining knowledge. Rationale 4: -Time: The time required to develop and present using each instructional approach varies. -Cost: Initial content development time and subsequent revisions can be lengthy for computer based training, running up the expense. -Learning styles: Blended delivery includes a combination of approaches that target learning styles and allow learners to actively participate in training activities. -Learning retention: Active participation through scenarios, case studies, practice exercises, and repetition provide opportunities for learning, applying job skills, and retaining knowledge. Rationale 5: -Time: The time required to develop and present using each instructional approach varies. -Cost: Initial content development time and subsequent revisions can be lengthy for computer based training, running up the expense. -Learning styles: Blended delivery includes a combination of approaches that target learning styles and allow learners to actively participate in training activities. -Learning retention: Active participation through scenarios, case studies, practice exercises, and repetition provide opportunities for learning, applying job skills, and retaining knowledge.

Question 14 Type: MCMA Interface engines work in the background and are not seen by the user. This technology allows applications to interact with hardware and other applications. Which of the following are considered benefits associated with the use of interface engines? Standard Text: Select all that apply. 1. Improves timeliness and availability of critical administrative and clinical data 2. Improves data quality because of data mapping and consistent use of terms 3. Allows clients to select the best system for their needs 4. Preserves institutional investment in existing systems 5. Preserves institutional investment in existing systems

Answer: 1,2,3,4,5 Rationale 1: 1. Improves timeliness and availability of critical administrative and clinical data 2. Decreases integration costs by providing an alternative to customized point-to-point interface application programming 3. Improves data quality because of data mapping and consistent use of terms 4. Allows clients to select the best system for their needs 5. Preserves institutional investment in existing systems 6. Simplifies the administration of health care data processing 7. Simplifies systems integration efforts 8. Shortens the time required for integration 9. Improves management of care, the financial tracking of care rendered, and efficacy of treatment Rationale 2: 1. Improves timeliness and availability of critical administrative and clinical data 2. Decreases integration costs by providing an alternative to customized point-to-point interface application programming 3. Improves data quality because of data mapping and consistent use of terms 4. Allows clients to select the best system for their needs 5. Preserves institutional investment in existing systems 6. Simplifies the administration of health care data processing 7. Simplifies systems integration efforts 8. Shortens the time required for integration 9. Improves management of care, the financial tracking of care rendered, and efficacy of treatment Rationale 3: 1. Improves timeliness and availability of critical administrative and clinical data 2. Decreases integration costs by providing an alternative to customized point-to-point interface application programming 3. Improves data quality because of data mapping and consistent use of terms 4. Allows clients to select the best system for their needs 5. Preserves institutional investment in existing systems 6. Simplifies the administration of health care data processing 7. Simplifies systems integration efforts 8. Shortens the time required for integration 9. Improves management of care, the financial tracking of care rendered, and efficacy of treatment Rationale 4: 1. Improves timeliness and availability of critical administrative and clinical data 2. Decreases integration costs by providing an alternative to customized point-to-point interface application programming 3. Improves data quality because of data mapping and consistent use of terms 4. Allows clients to select the best system for their needs 5. Preserves institutional investment in existing systems 6. Simplifies the administration of health care data processing 7. Simplifies systems integration efforts 8. Shortens the time required for integration 9. Improves management of care, the financial tracking of care rendered, and efficacy of treatment Rationale 5: 1. Improves timeliness and availability of critical administrative and clinical data 2. Decreases integration costs by providing an alternative to customized point-to-point interface application programming 3. Improves data quality because of data mapping and consistent use of terms 4. Allows clients to select the best system for their needs 5. Preserves institutional investment in existing systems 6. Simplifies the administration of health care data processing 7. Simplifies systems integration efforts 8. Shortens the time required for integration 9. Improves management of care, the financial tracking of care rendered, and efficacy of treatment

Question 15 Type: MCMA Integration is a massive project within institutions and enterprises. It generally requires more time and effort than originally projected. Which of the following are factors that may slow down the integration process? Standard Text: Select all that apply. 1. Unrealistic institutional timetable 2. Lack of agreement among merged institution 3. Insufficient documentation 4. Changing user specifications 5. Lack of vendor support

Answer: 1,2,3,4,5 Rationale 1: An unrealistic institutional timetable is often based on a lack of understanding of the complexity of the integration process. Rationale 2: Individual facilities within a merged enterprise may wish to continue use of their existing systems. This means there are more systems to integrate. Rationale 3: Information regarding existing systems and related programming is imperative for achieving successful integration. Rationale 4: As the integration process proceeds, users frequently request additional capabilities or change their minds regarding initial specifications. Rationale 5: Vendors may not provide enough support and assistance to facilitate the integration efforts.

Question 15 Type: MCMA Clinical terminologies consist of concepts that support which of the following facets of health care? Standard Text: Select all that apply. 1. Diagnostic studies 2. History and physical examinations 3. Visit notes 4. Ancillary department information 5. Outcomes measures

Answer: 1,2,3,4,5 Rationale 1: Clinical terminology enables the capture of data at the level of detail necessary for patient care documentation and is used to describe health conditions and health care activities (ISO/IEC 17115, 2007). Clinical terminologies consist of concepts that support diagnostic studies, history and physical examinations, visit notes, ancillary department information, nursing notes, assessments, flow sheets, vital signs, and outcome measures. A clinical terminology can be mapped to a broader classification system for administrative, regulatory, and fiscal reporting requirements (Giannangelo, 2010, p. 3). Rationale 2: Clinical terminology enables the capture of data at the level of detail necessary for patient care documentation and is used to describe health conditions and health care activities (ISO/IEC 17115, 2007). Clinical terminologies consist of concepts that support diagnostic studies, history and physical examinations, visit notes, ancillary department information, nursing notes, assessments, flow sheets, vital signs, and outcome measures. A clinical terminology can be mapped to a broader classification system for administrative, regulatory, and fiscal reporting requirements (Giannangelo, 2010, p. 3). Rationale 3: Clinical terminology enables the capture of data at the level of detail necessary for patient care documentation and is used to describe health conditions and health care activities (ISO/IEC 17115, 2007). Clinical terminologies consist of concepts that support diagnostic studies, history and physical examinations, visit notes, ancillary department information, nursing notes, assessments, flow sheets, vital signs, and outcome measures. A clinical terminology can be mapped to a broader classification system for administrative, regulatory, and fiscal reporting requirements (Giannangelo, 2010, p. 3). Rationale 4: Clinical terminology enables the capture of data at the level of detail necessary for patient care documentation and is used to describe health conditions and health care activities (ISO/IEC 17115, 2007). Clinical terminologies consist of concepts that support diagnostic studies, history and physical examinations, visit notes, ancillary department information, nursing notes, assessments, flow sheets, vital signs, and outcome measures. A clinical terminology can be mapped to a broader classification system for administrative, regulatory, and fiscal reporting requirements (Giannangelo, 2010, p. 3). Rationale 5: Clinical terminology enables the capture of data at the level of detail necessary for patient care documentation and is used to describe health conditions and health care activities (ISO/IEC 17115, 2007). Clinical terminologies consist of concepts that support diagnostic studies, history and physical examinations, visit notes, ancillary department information, nursing notes, assessments, flow sheets, vital signs, and outcome measures. A clinical terminology can be mapped to a broader classification system for administrative, regulatory, and fiscal reporting requirements (Giannangelo, 2010, p. 3).

Question 4 Type: MCMA Which of the following terms denote learning that uses the Internet? Standard Text: Select all that apply. 1. E-learning 2. Web-based learning 3. Internet training 4. Online learning 5. Computer-assisted learning

Answer: 1,2,3,4,5 Rationale 1: E-learning, Web-based learning, Internet-based training, advanced distributed learning, courseware and Web-based instruction, computer-based or computer-assisted learning, online learning, and open/ flexible learning are terms that denote Internet learning activities. Rationale 2: E-learning, Web-based learning, Internet-based training, advanced distributed learning, courseware and Web-based instruction, computer-based or computer-assisted learning, online learning, and open/ flexible learning are terms that denote Internet learning activities. Rationale 3: E-learning, Web-based learning, Internet-based training, advanced distributed learning, courseware and Web-based instruction, computer-based or computer-assisted learning, online learning, and open/ flexible learning are terms that denote Internet learning activities. Rationale 4: E-learning, Web-based learning, Internet-based training, advanced distributed learning, courseware and Web-based instruction, computer-based or computer-assisted learning, online learning, and open/ flexible learning are terms that denote Internet learning activities. Rationale 5: E-learning, Web-based learning, Internet-based training, advanced distributed learning, courseware and Web-based instruction, computer-based or computer-assisted learning, online learning, and open/ flexible learning are terms that denote Internet learning activities. >

Question 11 Type: MCMA Among the following, which defines the process for determining health care worker information systems training needs? Standard Text: Select all that apply. 1. User classes are used to refine the types of training courses needed for system implementation. 2. End-users are identified and grouped by job class responsibilities. 3. Training needs of each job class are determined according to what functions each end-user will perform. 4. Training is delivered based upon what administrators decide to automate first. 5. User class is defined and categorized as the personnel who perform similar functions.

Answer: 1,2,3,4,5 Rationale 1: End-users are identified and grouped by job class responsibilities. The training needs of each job class are determined according to what functions each will perform. Professional skill level does not determine training needs. Administrators decide what applications or modules will be automated first and end-user training is delivered based upon these decisions. User classes are defined as the personnel who perform similar functions. User classes refine the types of training classes needed for implementation. Rationale 2: End-users are identified and grouped by job class responsibilities. The training needs of each job class are determined according to what functions each will perform. Professional skill level does not determine training needs. Administrators decide what applications or modules will be automated first and end-user training is delivered based upon these decisions. User classes are defined as the personnel who perform similar functions. User classes refine the types of training classes needed for implementation. Rationale 3: End-users are identified and grouped by job class responsibilities. The training needs of each job class are determined according to what functions each will perform. Professional skill level does not determine training needs. Administrators decide what applications or modules will be automated first and end-user training is delivered based upon these decisions. User classes are defined as the personnel who perform similar functions. User classes refine the types of training classes needed for implementation. Rationale 4: End-users are identified and grouped by job class responsibilities. The training needs of each job class are determined according to what functions each will perform. Professional skill level does not determine training needs. Administrators decide what applications or modules will be automated first and end-user training is delivered based upon these decisions. User classes are defined as the personnel who perform similar functions. User classes refine the types of training classes needed for implementation. Rationale 5: End-users are identified and grouped by job class responsibilities. The training needs of each job class are determined according to what functions each will perform. Professional skill level does not determine training needs. Administrators decide what applications or modules will be automated first and end-user training is delivered based upon these decisions. User classes are defined as the personnel who perform similar functions. User classes refine the types of training classes needed for implementation.

Question 8 Type: MCMA Which of the following answers are factors that slow systems integration? Standard Text: Select all that apply. 1. Vendors' false claims that their information systems are interoperable with other systems 2. Unrealistic institutional timetable set due to a lack of understanding of the complexity of the integration process. 3. Vendors who do not provide enough support and assistance to facilitate the integration efforts. 4. Existing systems are insufficiently documented. 5. Merged institutions do not agree on which systems to use.

Answer: 1,2,3,4,5 Rationale 1: Factors that slow systems integration include: 1. Vendors often falsely promise that their information systems are interoperable with other systems. 2. Unrealistic institutional timetable set due to a lack of understanding of the complexity of the integration process. 3. User specifications change as the integration process proceeds; users frequently request additional capabilities or change their minds regarding initial specifications. 4. Vendors may not provide enough support and assistance to facilitate the integration efforts. 5. Existing systems are insufficiently documented which is imperative for achieving successful integration. 6. Merged institutions may not agree on which systems to use which means there are more systems to integrate. 7. All components of a vendor's products may not work together. Rationale 2: Factors that slow systems integration include: 1. Vendors often falsely promise that their information systems are interoperable with other systems. 2. Unrealistic institutional timetable set due to a lack of understanding of the complexity of the integration process. 3. User specifications change as the integration process proceeds; users frequently request additional capabilities or change their minds regarding initial specifications. 4. Vendors may not provide enough support and assistance to facilitate the integration efforts. 5. Existing systems are insufficiently documented which is imperative for achieving successful integration. 6. Merged institutions may not agree on which systems to use which means there are more systems to integrate. 7. All components of a vendor's products may not work together. Rationale 3: Factors that slow systems integration include: 1. Vendors often falsely promise that their information systems are interoperable with other systems. 2. Unrealistic institutional timetable set due to a lack of understanding of the complexity of the integration process. 3. User specifications change as the integration process proceeds; users frequently request additional capabilities or change their minds regarding initial specifications. 4. Vendors may not provide enough support and assistance to facilitate the integration efforts. 5. Existing systems are insufficiently documented which is imperative for achieving successful integration. 6. Merged institutions may not agree on which systems to use which means there are more systems to integrate. 7. All components of a vendor's products may not work together. Rationale 4: Factors that slow systems integration include: 1. Vendors often falsely promise that their information systems are interoperable with other systems. 2. Unrealistic institutional timetable set due to a lack of understanding of the complexity of the integration process. 3. User specifications change as the integration process proceeds; users frequently request additional capabilities or change their minds regarding initial specifications. 4. Vendors may not provide enough support and assistance to facilitate the integration efforts. 5. Existing systems are insufficiently documented which is imperative for achieving successful integration. 6. Merged institutions may not agree on which systems to use which means there are more systems to integrate. 7. All components of a vendor's products may not work together. Rationale 5: Factors that slow systems integration include: 1. Vendors often falsely promise that their information systems are interoperable with other systems. 2. Unrealistic institutional timetable set due to a lack of understanding of the complexity of the integration process. 3. User specifications change as the integration process proceeds; users frequently request additional capabilities or change their minds regarding initial specifications. 4. Vendors may not provide enough support and assistance to facilitate the integration efforts. 5. Existing systems are insufficiently documented which is imperative for achieving successful integration. 6. Merged institutions may not agree on which systems to use which means there are more systems to integrate. 7. All components of a vendor's products may not work together.

Question 5 Type: MCMA Which of the following terminologies have been approved by the American Nurses Association? Standard Text: Select all that apply. 1. Nursing Management Minimum Data Set (NMMDS) 2. Nursing Minimum Data Set (NMDS) 3. Alternative Billing Codes (ABC Codes) 4. Clinical Care Classification (CCC) 5. North American Nursing Diagnosis International (NANDA-I)

Answer: 1,2,3,4,5 Rationale 1: The Nursing Management Minimum Data Set (NMMDS), Nursing Minimum Data Set (NMDS), Alternative Billing Codes (ABC Codes), North American Nursing Diagnosis International (NANDA-I), and Clinical Care Classification (CCC) are data sets approved by the ANA. Rationale 2: The Nursing Management Minimum Data Set (NMMDS), Nursing Minimum Data Set (NMDS), Alternative Billing Codes (ABC Codes), North American Nursing Diagnosis International (NANDA-I), and Clinical Care Classification (CCC) are data sets approved by the ANA. Rationale 3: The Nursing Management Minimum Data Set (NMMDS), Nursing Minimum Data Set (NMDS), Alternative Billing Codes (ABC Codes), North American Nursing Diagnosis International (NANDA-I), and Clinical Care Classification (CCC) are data sets approved by the ANA. Rationale 4: The Nursing Management Minimum Data Set (NMMDS), Nursing Minimum Data Set (NMDS), Alternative Billing Codes (ABC Codes), North American Nursing Diagnosis International (NANDA-I), and Clinical Care Classification (CCC) are data sets approved by the ANA. Rationale 5: The Nursing Management Minimum Data Set (NMMDS), Nursing Minimum Data Set (NMDS), Alternative Billing Codes (ABC Codes), North American Nursing Diagnosis International (NANDA-I), and Clinical Care Classification (CCC) are data sets approved by the ANA.

Question 21 Type: MCMA Most professional organizations have a Web presence. What types of information should a professional organization's website offer to the reader? Standard Text: Select all that apply. 1. Educational opportunities 2. Career opportunities 3. Certification opportunities 4. Policy work and initiatives 5. News feed

Answer: 1,2,3,4,5 Rationale 1: Typically, a professional organization's website will have information about the organization; membership; educational opportunities; certification, past, present, and future conferences; resources; purchase of organizational memorabilia and attire; policy work; and a career center for assistance in finding employment. Often, a news feed or news center is available for updates on current organizational and/or health care issues. A website can also publish current research and evidence-based practice. Rationale 2: Typically, a professional organization's website will have information about the organization; membership; educational opportunities; certification, past, present, and future conferences; resources; purchase of organizational memorabilia and attire; policy work; and a career center for assistance in finding employment. Often, a news feed or news center is available for updates on current organizational and/or health care issues. A website can also publish current research and evidence-based practice. Rationale 3: Typically, a professional organization's website will have information about the organization; membership; educational opportunities; certification, past, present, and future conferences; resources; purchase of organizational memorabilia and attire; policy work; and a career center for assistance in finding employment. Often, a news feed or news center is available for updates on current organizational and/or health care issues. A website can also publish current research and evidence-based practice. Rationale 4: Typically, a professional organization's website will have information about the organization; membership; educational opportunities; certification, past, present, and future conferences; resources; purchase of organizational memorabilia and attire; policy work; and a career center for assistance in finding employment. Often, a news feed or news center is available for updates on current organizational and/or health care issues. A website can also publish current research and evidence-based practice. Rationale 5: Typically, a professional organization's website will have information about the organization; membership; educational opportunities; certification, past, present, and future conferences; resources; purchase of organizational memorabilia and attire; policy work; and a career center for assistance in finding employment. Often, a news feed or news center is available for updates on current organizational and/or health care issues. A website can also publish current research and evidence-based practice.

Question 26 Type: MCMA Which of the following methods can be incorporated when planning training programs that may alleviate anxiety among the staff? Standard Text: Select all that apply. 1. Hands-on demonstration 2. Bulletin board messages 3. Use of tent cards 4. Review of newsletter articles 5. Administrative role modeling

Answer: 1,2,3,4,5 Rationale 1: The classroom's culture should provide a safe place for employees to learn about change, ask questions, and realize the benefit of automating their work processes. Rationale 2: The classroom's culture should provide a safe place for employees to learn about change, ask questions, and realize the benefit of automating their work processes. Rationale 3: The classroom's culture should provide a safe place for employees to learn about change, ask questions, and realize the benefit of automating their work processes. Rationale 4: The classroom's culture should provide a safe place for employees to learn about change, ask questions, and realize the benefit of automating their work processes. Rationale 5: The classroom's culture should provide a safe place for employees to learn about change, ask questions, and realize the benefit of automating their work processes.

Question 19 Type: MCMA The electronic health record (EHR) has the potential to integrate all pertinent patient information into one record. It also has potential to improve the quality of health information, patient safety, and productivity, contain costs, support research, decrease wait time for treatment and contribute to the body of health care knowledge. Which of the following are reasons why traditional paper records on clients no longer meet the needs of today's health care industry? Standard Text: Select all that apply. 1. Paper records are episode-oriented with a separate record for each client visit. 2. Key information may be lost from one episode to the next, jeopardizing patient safety. 3. Only one person can access a paper record at any given time. 4. Different versions of the same information may be stored in several places. 5. Paper records cannot incorporate diagnostic studies that include images and sound.

Answer: 1,2,3,4,5 Rationale 1: The following are reasons why traditional paper records on clients no longer meet the needs of today's health care industry: -Paper records are episode-oriented with a separate record for each client visit. -Key information, such as allergies, may be lost from one episode to the next, jeopardizing patient safety. -Only one person can access a paper record at any given time. Therefore, health care providers waste time looking for paper records and treatment may be delayed. -Different versions of the same information may be stored in several places. -Paper records cannot incorporate diagnostic studies that include images and sound, nor do they make use of decision support systems. Rationale 2: The following are reasons why traditional paper records on clients no longer meet the needs of today's health care industry: -Paper records are episode-oriented with a separate record for each client visit. -Key information, such as allergies, may be lost from one episode to the next, jeopardizing patient safety. -Only one person can access a paper record at any given time. Therefore, health care providers waste time looking for paper records and treatment may be delayed. -Different versions of the same information may be stored in several places. -Paper records cannot incorporate diagnostic studies that include images and sound, nor do they make use of decision support systems. Rationale 3: The following are reasons why traditional paper records on clients no longer meet the needs of today's health care industry: -Paper records are episode-oriented with a separate record for each client visit. -Key information, such as allergies, may be lost from one episode to the next, jeopardizing patient safety. -Only one person can access a paper record at any given time. Therefore, health care providers waste time looking for paper records and treatment may be delayed. -Different versions of the same information may be stored in several places. -Paper records cannot incorporate diagnostic studies that include images and sound, nor do they make use of decision support systems. Rationale 4: The following are reasons why traditional paper records on clients no longer meet the needs of today's health care industry: -Paper records are episode-oriented with a separate record for each client visit. -Key information, such as allergies, may be lost from one episode to the next, jeopardizing patient safety. -Only one person can access a paper record at any given time. Therefore, health care providers waste time looking for paper records and treatment may be delayed. -Different versions of the same information may be stored in several places. -Paper records cannot incorporate diagnostic studies that include images and sound, nor do they make use of decision support systems. Rationale 5: The following are reasons why traditional paper records on clients no longer meet the needs of today's health care industry: -Paper records are episode-oriented with a separate record for each client visit. -Key information, such as allergies, may be lost from one episode to the next, jeopardizing patient safety. -Only one person can access a paper record at any given time. Therefore, health care providers waste time looking for paper records and treatment may be delayed. -Different versions of the same information may be stored in several places. -Paper records cannot incorporate diagnostic studies that include images and sound, nor do they make use of decision support systems.

Question 6 Type: MCMA For many years the EMR applied to a single encounter with no ability, or very limited ability, to carry information from one visit to another within a care delivery system. That situation has changed; it is now possible to bring information forward from prior visits within the organization or delivery system. Which of the following answers are basic components of the EMR system? Standard Text: Select all that apply. 1. Clinical messaging and e-mail 2. Results reporting 3. Decision support 4. Clinical documentation 5. Order entry

Answer: 1,2,3,4,5 Rationale 1: The following are the basic components of the EMR system: 1. Clinical messaging and e-mail 2. Results reporting 3. Data repository 4. Decision support 5. Clinical documentation 6. Order entry Rationale 2: The following are the basic components of the EMR system: 1. Clinical messaging and e-mail 2. Results reporting 3. Data repository 4. Decision support 5. Clinical documentation 6. Order entry Rationale 3: The following are the basic components of the EMR system: 1. Clinical messaging and e-mail 2. Results reporting 3. Data repository 4. Decision support 5. Clinical documentation 6. Order entry Rationale 4: The following are the basic components of the EMR system: 1. Clinical messaging and e-mail 2. Results reporting 3. Data repository 4. Decision support 5. Clinical documentation 6. Order entry Rationale 5: The following are the basic components of the EMR system: 1. Clinical messaging and e-mail 2. Results reporting 3. Data repository 4. Decision support 5. Clinical documentation 6. Order entry

Question 1 Type: MCMA A hospital client sees the nurse documenting information into the computer. She asks the nurse why the computer is better than the "old patient chart like hospitals have always used." Which of the following points would be accurate to say about an electronic medical record? Standard Text: Select all that apply. 1. It captures the information needed for billing purposes. 2. It is more secure than a paper record. 3. More than one person can access the record at any given time. 4. The record is available when and where needed. 5. Data are in real-time, as things happen.

Answer: 1,2,3,4,5 Rationale 1: The nurse could also say that the traditional paper medical record no longer meets the needs of today's health care industry. Rationale 2: The nurse could also say that the traditional paper medical record no longer meets the needs of today's health care industry. Rationale 3: The nurse could also say that the traditional paper medical record no longer meets the needs of today's health care industry. Rationale 4: The nurse could also say that the traditional paper medical record no longer meets the needs of today's health care industry. Rationale 5: The nurse could also say that the traditional paper medical record no longer meets the needs of today's health care industry.

Question 12 Type: MCMA Which of the following are considered steps for identifying training needs? Standard Text: Select all that apply. 1. Identify user needs 2. Determine content 3. Establishing learning objectives 4. Deciding teaching approach 5. Create evaluation strategy

Answer: 1,2,3,4,5 Rationale 1: The training preparation process begins by identifying user needs, determining content, establishing learning objectives, and deciding upon the approach and evaluation strategy. Rationale 2: The training preparation process begins by identifying user needs, determining content, establishing learning objectives, and deciding upon the approach and evaluation strategy. Rationale 3: The training preparation process begins by identifying user needs, determining content, establishing learning objectives, and deciding upon the approach and evaluation strategy. Rationale 4: The training preparation process begins by identifying user needs, determining content, establishing learning objectives, and deciding upon the approach and evaluation strategy. Rationale 5: The training preparation process begins by identifying user needs, determining content, establishing learning objectives, and deciding upon the approach and evaluation strategy.

Question 26 Type: MCMA Which of the following depicts the nationwide initiative to prevent medication errors? Standard Text: Select all that apply. 1. Adverse events are reported through MedWatch 2. Federal Drug Administration (FDA) rejects applications for new drug names that are similar to older drug names. 3. Advocating clinical decision support (CDS) systems 4. Denies reimbursement for extended hospital stays based as a result of a medication error. 5. The Institute for Safe Medication Practices publishes a consumer newsletter on medication errors.

Answer: 1,2,3,5 Rationale 1: -The FDA reviews reports that come from drug manufacturers through the agency's safety information and adverse event reporting program, MedWatch. -The FDA now rejects all applications for similar drug names by using a computer program that searches for similar sounding names. -The Institute for Safe Medication Practices accepts reports from consumers and health professionals using collected information to publish a consumer newsletter on medication errors. Rationale 2: -The FDA reviews reports that come from drug manufacturers through the agency's safety information and adverse event reporting program, MedWatch. -The FDA now rejects all applications for similar drug names by using a computer program that searches for similar sounding names. -The Institute for Safe Medication Practices accepts reports from consumers and health professionals using collected information to publish a consumer newsletter on medication errors. Rationale 3: CDS is effective in all phases of the clinical process. CPOE with CDS has been shown to decrease medication errors by as much as 80% (Cornish, Etchells, & Knowles, 2006). Rationale 4: Reimbursement for patients who have been harmed is not related to the prevention of medication errors. Rationale 5: -The FDA reviews reports that come from drug manufacturers through the agency's safety information and adverse event reporting program, MedWatch. -The FDA now rejects all applications for similar drug names by using a computer program that searches for similar sounding names. -The Institute for Safe Medication Practices accepts reports from consumers and health professionals using collected information to publish a consumer newsletter on medication errors.

Question 2 Type: MCMA Which of the following topics must be addressed when giving a presentation to physicians on the benefits of the electronic medical record (EMR)? Standard Text: Select all that apply. 1. Easier access to previous documented encounters 2. Facilitation of clinical pathways 3. Chart access speed 4. Trends and graphics are not available on demand 5. Reduced liabilities through accurate documentation

Answer: 1,2,3,5 Rationale 1: II. Facilitates critical and clinical pathways. III. Chart access is faster. IV. Trends and clinical graphics are available on demand. V. Liabilities can be reduced through better documentation. VI. Prompts are provided to ensure administration and documentation of medications and treatments. Rationale 2: II. Facilitates critical and clinical pathways. III. Chart access is faster. IV. Trends and clinical graphics are available on demand. V. Liabilities can be reduced through better documentation. VI. Prompts are provided to ensure administration and documentation of medications and treatments. Rationale 3: II. Facilitates critical and clinical pathways. III. Chart access is faster. IV. Trends and clinical graphics are available on demand. V. Liabilities can be reduced through better documentation. VI. Prompts are provided to ensure administration and documentation of medications and treatment. Rationale 4: II. Facilitates critical and clinical pathways. III. Chart access is faster. IV. Trends and clinical graphics are available on demand. V. Liabilities can be reduced through better documentation. VI. Prompts are provided to ensure administration and documentation of medications and treatments. Rationale 5: II. Facilitates critical and clinical pathways. III. Chart access is faster. IV. Trends and clinical graphics are available on demand. V. Liabilities can be reduced through better documentation. VI. Prompts are provided to ensure administration and documentation of medications and treatments.

Question 18 Type: MCMA The use of SNOMED CT within electronic health records has multiple benefits. Which of the following are considered benefits of SNOMED CT? Standard Text: Select all that apply. 1. Provides interoperable data collection that can be analyzed and used for evidence-based practice models 2. Provides interoperable data collection that can be analyzed and used for decision support rules 3. Provides interoperable data collection that can be analyzed and used in reporting quality measures 4. Provides interoperable data collection that can be analyzed and used for medication renewals 5. Provides interoperable data collection that can be analyzed and used for administrative billing

Answer: 1,2,3,5 Rationale 1: The use of SNOMED CT within electronic health records provides interoperable data collection that can be analyzed and used in the implementation of evidence-based practice, decision support rules, reporting of quality measures, and administrative billing. Rationale 2: The use of SNOMED CT within electronic health records provides interoperable data collection that can be analyzed and used in the implementation of evidence-based practice, decision support rules, reporting of quality measures, and administrative billing. Rationale 3: The use of SNOMED CT within electronic health records provides interoperable data collection that can be analyzed and used in the implementation of evidence-based practice, decision support rules, reporting of quality measures, and administrative billing. Rationale 4: The use of SNOMED CT within electronic health records provides interoperable data collection that can be analyzed and used in the implementation of evidence-based practice, decision support rules, reporting of quality measures, and administrative billing. Rationale 5: The use of SNOMED CT within electronic health records provides interoperable data collection that can be analyzed and used in the implementation of evidence-based practice, decision support rules, reporting of quality measures, and administrative billing.

Question 10 Type: MCMA Which of the following statements are true about virtual worlds? Standard Text: Select all that apply. 1. The simulated environment may reflect contemporary life, a setting found in works of fiction, or a setting unique to a world-developer's imagination. 2. Other terms for virtual world include: digital worlds, simulated worlds, multi-user virtual environments (MUVE), and massively multiplayer online games (MMOGs). 3. Gaming cannot be part of a virtual world. 4. Commercial virtual worlds focus on community building and socializing. 5. A virtual world is not an appropriate learning tool.

Answer: 1,2,4 Rationale 1: Virtual worlds can simulate real world settings and situations. The virtual world is useful as a teaching tool, preparing students for hands on practical experiences. Rationale 2: Virtual worlds can simulate real world settings and situations. The virtual world is useful as a teaching tool, preparing students for hands on practical experiences. Rationale 3: Virtual worlds began as part of the gaming experience. Rationale 4: Virtual worlds can simulate real world settings and situations. The virtual world is useful as a teaching tool, preparing students for hands on practical experiences. Rationale 5: Virtual worlds can simulate real world settings and situations. The virtual world is useful as a teaching tool preparing students for hands on practical experiences.

Question 13 Type: MCMA The information system life cycle in the text is divided into phases. Which of the following are considered part of the life cycle process? Standard Text: Select all that apply. 1. Needs assessment 2. System selection 3. Problem solving 4. Implementation 5. Maintenance

Answer: 1,2,4,5 Rationale 1: 4. Maintenance is the upkeep of the technology system. Rationale 2: 4. Maintenance is the upkeep of the technology system. Rationale 3: 4. Maintenance is the upkeep of the technology system. Rationale 4: 4. Maintenance is the upkeep of the technology system. Rationale 5: 4. Maintenance is the upkeep of the technology system.

Question 21 Type: MCMA Clinical information systems (CISs) can have a positive impact on which of the following? Standard Text: Select all that apply. 1. Pharmacy 2. Radiology 3. Order entry 4. Laboratory department 5. Nursing department

Answer: 1,2,4,5 Rationale 1: Clinicians use these systems to access client data that are used to plan, implement, and evaluate care. Some examples of CISs include nursing, laboratory, pharmacy, radiology, medical information systems, emergency department systems, physician practice management systems, and long term and home care information systems. Rationale 2: Clinicians use these systems to access client data that are used to plan, implement, and evaluate care. Some examples of CISs include nursing, laboratory, pharmacy, radiology, medical information systems, emergency department systems, physician practice management systems, and long term and home care information systems. Rationale 3: Clinicians use these systems to access client data that are used to plan, implement, and evaluate care. Some examples of CISs include nursing, laboratory, pharmacy, radiology, medical information systems, emergency department systems, physician practice management systems, and long term and home care information systems. Rationale 4: Clinicians use these systems to access client data that are used to plan, implement, and evaluate care. Some examples of CISs include nursing, laboratory, pharmacy, radiology, medical information systems, emergency department systems, physician practice management systems, and long term and home care information systems. Rationale 5: Clinicians use these systems to access client data that are used to plan, implement, and evaluate care. Some examples of CISs include nursing, laboratory, pharmacy, radiology, medical information systems, emergency department systems, physician practice management systems, and long term and home care information systems.

Question 11 Type: MCMA Healthcare Information and Management Systems Society (HIMSS) has defined and described the term electronic Personal Health Record (ePHR). Which of the following are included in the HIMSS definition and description? Standard Text: Select all that apply. 1. Universally accessible 2. Owned and managed by the individual (or legal proxy) 3. Usually considered a legal record 4. Common data set of electronic health information 5. Lifelong tool for managing relevant health information

Answer: 1,2,4,5 Rationale 1: The HIMSS definition of an ePHR includes: it is a lifelong tool for managing relevant health information, is universally accessible, is owned and managed by the individual (or legal proxy(s)), and is a common data set of electronic health information, and universally accessible. The ePHR must be kept secure to protect the privacy and confidentiality of the health information it contains. It is not considered a legal record, unless so defined. Rationale 2: The HIMSS definition of an ePHR includes: it is a lifelong tool for managing relevant health information, is universally accessible, is owned and managed by the individual (or legal proxy(s)), and is a common data set of electronic health information, and universally accessible. The ePHR must be kept secure to protect the privacy and confidentiality of the health information it contains. It is not considered a legal record, unless so defined. Rationale 3: The HIMSS definition of an ePHR includes: it is a lifelong tool for managing relevant health information, is universally accessible, is owned and managed by the individual (or legal proxy(s)), and is a common data set of electronic health information, and universally accessible. The ePHR must be kept secure to protect the privacy and confidentiality of the health information it contains. It is not considered a legal record, unless so defined. Rationale 4: The HIMSS definition of an ePHR includes: it is a lifelong tool for managing relevant health information, is universally accessible, is owned and managed by the individual (or legal proxy(s)), and is a common data set of electronic health information, and universally accessible. The ePHR must be kept secure to protect the privacy and confidentiality of the health information it contains. It is not considered a legal record, unless so defined. Rationale 5: The HIMSS definition of an ePHR includes: it is a lifelong tool for managing relevant health information, is universally accessible, is owned and managed by the individual (or legal proxy(s)), and is a common data set of electronic health information, and universally accessible. The ePHR must be kept secure to protect the privacy and confidentiality of the health information it contains. It is not considered a legal record, unless so defined.

Question 15 Type: MCMA An emerging technology related to electronic health record (EHR) progress is the use of the personal health record (PHR). PHRs store client information that will eventually contribute to the development of a comprehensive, longitudinal record. Which of the following are found in a PHR but not found in the EHR? Standard Text: Select all that apply. 1. Periodic risk assessment survey results 2. Herbal supplements 3. Legal documentation created in a hospital 4. Decision support 5. Health status parameters such as exercise

Answer: 1,2,4,5 Rationale 1: The following are found in a PHR but not found in the EHR: periodic risk assessment survey results, health status parameters such as exercise, decision support, and herbal supplements. Legal documentation created in a hospital is found in the EHR. Rationale 2: The following are found in a PHR but not found in the EHR: periodic risk assessment survey results, health status parameters such as exercise, decision support, and herbal supplements. Legal documentation created in a hospital is found in the EHR. Rationale 3: Legal documentation created in a hospital is found in the EHR. The following are found in a PHR but not found in the EHR: periodic risk assessment survey results, health status parameters such as exercise, decision support, and herbal supplements. Rationale 4: The following are found in a PHR but not found in the EHR: periodic risk assessment survey results; health status parameters such as exercise; decision support; herbal supplements. Legal documentation created in a hospital is found in the EHR. Rationale 5: The following are found in a PHR but not found in the EHR: periodic risk assessment survey results, health status parameters such as exercise, decision support, and herbal supplements. Legal documentation created in a hospital is found in the EHR.

Question 11 Type: MCMA The role of the nurse in the system integration efforts should include which of the following? Standard Text: Select all that apply. 1. Ensuring that data will be collected in only one system and shared as needed among others 2. Involvement in the formation and maintenance of the electronic health record 3. Promoting the development and maintenance of archetypes 4. Determining measures to assure the quality of data 5. Identifying and defining data elements

Answer: 1,2,4,5 Rationale 1: The role the nurse in the system integration efforts should include the formation and maintenance of the electronic health record; ensuring that data will be collected in only one system and shared among all other systems requiring it (eliminates redundant efforts while ensuring data integrity); identifying and defining data elements; and assuring the quality of data. Developing archetypes and creating communications standards would not be appropriate for nurses. Rationale 2: The role the nurse in the system integration efforts should include the formation and maintenance of the electronic health record; ensuring that data will be collected in only one system and shared among all other systems requiring it (eliminates redundant efforts while ensuring data integrity); identifying and defining data elements; and assuring the quality of data. Developing archetypes and creating communications standards would not be appropriate for nurses. Rationale 3: The role the nurse in the system integration efforts should include the formation and maintenance of the electronic health record; ensuring that data will be collected in only one system and shared among all other systems requiring it (eliminates redundant efforts while ensuring data integrity); identifying and defining data elements; and assuring the quality of data. Developing archetypes and creating communications standards would not be appropriate for nurses. Rationale 4: The role the nurse in the system integration efforts should include the formation and maintenance of the electronic health record; ensuring that data will be collected in only one system and shared among all other systems requiring it (eliminates redundant efforts while ensuring data integrity); identifying and defining data elements; and assuring the quality of data. Developing archetypes and creating communications standards would not be appropriate for nurses. Rationale 5: The role the nurse in the system integration efforts should include the formation and maintenance of the electronic health record; ensuring that data will be collected in only one system and shared among all other systems requiring it (eliminates redundant efforts while ensuring data integrity); identifying and defining data elements; and assuring the quality of data. Developing archetypes and creating communications standards would not be appropriate for nurses.

Question 28 Type: MCMA Which of the following are considered impediments to a fully functional electronic health record (EHR) system? Standard Text: Select all that apply. 1. Development of an electronic infrastructure 2. Cost 3. Common vocabulary 4. Caregiver compliance 5. Privacy

Answer: 1,2,5 Rationale 1: Legal issues surrounding the discovery of medical information Rationale 2: Legal issues surrounding the discovery of medical information Rationale 3: Legal issues surrounding the discovery of medical information Rationale 4: Legal issues surrounding the discovery of medical information Rationale 5: Legal issues surrounding the discovery of medical information

Question 4 Type: MCMA The American Nurses Association established criteria for recognizing standardized terminologies. The terminologies must meet established criteria to be approved. Which of the following are instrumental in the approval process? Standard Text: Select all that apply. 1. Outcome identification 2. Diagnosis 3. Problem solving 4. Decision making 5. Nursing process data elements

Answer: 1,2,5 Rationale 1: Terminologies must be used to support nursing practice reflecting the nursing process. The nursing process data elements include assessment, diagnosis, outcome identification (goal), planning, implementation (interventions), and evaluation. The terminologies have to contain concepts that are clear and unambiguous with a unique identifier. The terminology developer should have an outlined maintenance and submission process. Rationale 2: Terminologies must be used to support nursing practice reflecting the nursing process. The nursing process data elements include assessment, diagnosis, outcome identification (goal), planning, implementation (interventions), and evaluation. The terminologies have to contain concepts that are clear and unambiguous with a unique identifier. The terminology developer should have an outlined maintenance and submission process. Rationale 3: Terminologies must be used to support nursing practice reflecting the nursing process. The nursing process data elements include assessment, diagnosis, outcome identification (goal), planning, implementation (interventions), and evaluation. The terminologies have to contain concepts that are clear and unambiguous with a unique identifier. The terminology developer should have an outlined maintenance and submission process. Rationale 4: Terminologies must be used to support nursing practice reflecting the nursing process. The nursing process data elements include assessment, diagnosis, outcome identification (goal), planning, implementation (interventions), and evaluation. The terminologies have to contain concepts that are clear and unambiguous with a unique identifier. The terminology developer should have an outlined maintenance and submission process. Rationale 5: Terminologies must be used to support nursing practice reflecting the nursing process. The nursing process data elements include assessment, diagnosis, outcome identification (goal), planning, implementation (interventions), and evaluation. The terminologies have to contain concepts that are clear and unambiguous with a unique identifier. The terminology developer should have an outlined maintenance and submission process.

Question 27 Type: MCMA The information system life cycle can be divided into main phases that cover the life span of information systems. Which of the following phases of the life cycle apply to the organization's information system? Standard Text: Select all that apply. 1. Needs assessment 2. Purchasing phase 3. System selection 4. Upgrading phase 5. Internal review

Answer: 1,3 Rationale 1: The needs assessment is a crucial phase of the life cycle. This phase is ongoing and systematic. Rationale 2: Purchasing the equipment is embedded in the process but is not considered a unique phase of the life cycle. Rationale 3: System selection is considered part of the life cycle. This phase occurs after the needs assessment and before the implementation phases. Rationale 4: Upgrading the system occurs in relation to the needs of the organization and the availability of resources to support it. Rationale 5: Internal assessments or reviews are part of the strategic planning process.

Question 12 Type: MCMA Passwords are a common means to authenticate access to automated records. Which of the following are recommendations for password selection and use? Standard Text: Select all that apply. 1. Using software to test and eliminate easily compromised passwords 2. Using the browser "password save" feature 3. Deleting and replacing all system user passwords when an employee is terminated 4. Storing passwords in a file on the computer 5. Using the same password for access to all sites or systems

Answer: 1,3 Rationale 1: Using software to test and eliminate easily compromised passwords, deleting and replacing all system user passwords when an employee is terminated, and frequent and random changing of password are all recommended. Using the same password for access to all sites or systems, storing passwords in a file on the computer, and using the browser "password save" feature are not recommended. Rationale 2: Using software to test and eliminate easily compromised passwords, deleting and replacing all system user passwords when an employee is terminated, and frequent and random changing of password are all recommended. Using the same password for access to all sites or systems, storing passwords in a file on the computer, and using the browser "password save" feature are not recommended. Rationale 3: Using software to test and eliminate easily compromised passwords, deleting and replacing all system user passwords when an employee is terminated, and frequent and random changing of password are all recommended. Using the same password for access to all sites or systems, storing passwords in a file on the computer, and using the browser "password save" feature are not recommended. Rationale 4: Using software to test and eliminate easily compromised passwords, deleting and replacing all system user passwords when an employee is terminated, and frequent and random changing of password are all recommended. Using the same password for access to all sites or systems, storing passwords in a file on the computer, and using the browser "password save" feature are not recommended. Rationale 5: Using software to test and eliminate easily compromised passwords, deleting and replacing all system user passwords when an employee is terminated, and frequent and random changing of password are all recommended. Using the same password for access to all sites or systems, storing passwords in a file on the computer, and using the browser "password save" feature are not recommended.

Question 24 Type: MCMA Multiple benefits have emerged from the use of structured terminologies within health care records. Which of the following are considered benefits of the health information technology (HIT)? Standard Text: Select all that apply. 1. Accurate, consistent meaning of data is collected and shared across the health care system. 2. A plethora of data can be entered into the system manually. 3. Clinical terminology enables the capture of data at the level of detail necessary for patient care documentation. 4. Standardization in nursing documentation supports research across settings on patient outcomes and interoperability. 5. Patient identification and outcomes are clearly shared throughout the systems.

Answer: 1,3,4 Rationale 1: -Supports data mining Rationale 2: -Supports data mining Rationale 3: -Supports data mining Rationale 4: -Supports data mining Rationale 5: -Supports data mining

Question 9 Type: MCMA The most essential knowledge for a staff nurse end-user are which of the following? Standard Text: Select all that apply. 1. Basic equipment troubleshooting procedures 2. Backing up the computer system at the end of each shift 3. Error message content recognition 4. Protocol for dealing with system "freezes" and "crashes" 5. Data entry error log review

Answer: 1,3,4 Rationale 1: The correct answers are: "basic equipment troubleshooting procedures"; "error message content recognition"; "and protocol for dealing with system 'freezes' and 'crashes.'" The system administrator, not the staff, should back up the system; data entry error logs are reviewed by the systems analyst. Rationale 2: The correct answers are: "basic equipment troubleshooting procedures"; "error message content recognition"; and "protocol for dealing with system 'freezes' and 'crashes.'" The system administrator, not the staff, should back up the system; data entry error logs are reviewed by the systems analyst. Rationale 3: The correct answers are: "basic equipment troubleshooting procedures"; "error message content recognition"; and "protocol for dealing with system 'freezes' and 'crashes.'" The system administrator, not the staff, should back up the system; data entry error logs are reviewed by the systems analyst. Rationale 4: The correct answers are: "basic equipment troubleshooting procedures"; "error message content recognition"; and "protocol for dealing with system 'freezes' and 'crashes.'" The system administrator, not the staff, should back up the system; data entry error logs are reviewed by the systems analyst. Rationale 5: The correct answers are: "basic equipment troubleshooting procedures"; "error message content recognition"; and "protocol for dealing with system 'freezes' and 'crashes.'" The system administrator, not the staff, should back up the system; data entry error logs are reviewed by the systems analyst.

Question 16 Type: MCMA Which of the following should the needs assessment committee do as a first step in the process of determining the organization's information needs? Standard Text: Select all that apply. 1. Examining the vision of the organization 2. Using brainstorming to defining the expectations of the information system 3. Examining the strategic plan 4. Examining the mission statement 5. Establishing goals to guide the work of the committee

Answer: 1,3,4 Rationale 1: The needs assessment committee should start the process by examining the vision and mission statements of the organization as well as the strategic plan. This will guide the committee in looking to the future and determining the organization's information needs while continuing to support the mission. From this, goals or a charge should be developed to guide the work of the committee. The committee should consider using brainstorming techniques later when defining the expectations of an information system. Rationale 2: The needs assessment committee should start the process by examining the vision and mission statements of the organization as well as the strategic plan. The committee should consider using brainstorming techniques later when defining the expectations of an information system. Rationale 3: The needs assessment committee should start the process by examining the vision and mission statements of the organization as well as the strategic plan. This will guide the committee in looking to the future and determining the organization's information needs while continuing to support the mission. From this, goals or a charge should be developed to guide the work of the committee. The committee should consider using brainstorming techniques later when defining the expectations of an information system. Rationale 4: The needs assessment committee should start the process by examining the vision and mission statements of the organization as well as the strategic plan. This will guide the committee in looking to the future and determining the organization's information needs while continuing to support the mission. From this, goals or a charge should be developed to guide the work of the committee. The committee should consider using brainstorming techniques later when defining the expectations of an information system. Rationale 5: The needs assessment committee should start the process by examining the vision and mission statements of the organization as well as the strategic plan. This will guide the committee in looking to the future and determining the organization's information needs while continuing to support the mission. From this, goals or a charge should be developed to guide the work of the committee.

Question 5 Type: MCMA The master patient index (MPI) saves work because vital information can be obtained from the database rather than rekeyed with each client visit. This decreases the possibility of making a mistake and eliminates the inadvertent creation of duplicate records. Which of the following are key features of an effective MPI? Standard Text: Select all that apply. 1. It is flexible enough to allow inclusion of additional identification. 2. It facilitates the evaluation of client care. 3. It locates records in real time for timely retrieval of information. 4. It is easily reconfigured to accommodate network changes. 5. It can grow to fit an organization of any size.

Answer: 1,3,4,5 Rationale 1: Key features of an effective MPI are: locates records in real time for timely retrieval of information, is flexible enough to allow inclusion of additional identification, is easily reconfigured to accommodate network changes, and can grow to fit an organization of any size. Facilitating the evaluation of client care would apply to NANDA, NIC, and NOC. Rationale 2: Key features of an effective MPI are: locates records in real time for timely retrieval of information, is flexible enough to allow inclusion of additional identification, is easily reconfigured to accommodate network changes, and can grow to fit an organization of any size. Facilitating the evaluation of client care would apply to NANDA, NIC, and NOC. Rationale 3: Key features of an effective MPI are: locates records in real time for timely retrieval of information, is flexible enough to allow inclusion of additional identification, is easily reconfigured to accommodate network changes, and can grow to fit an organization of any size. Facilitating the evaluation of client care would apply to NANDA, NIC, and NOC. Rationale 4: Key features of an effective MPI are: locates records in real time for timely retrieval of information, is flexible enough to allow inclusion of additional identification, is easily reconfigured to accommodate network changes, and can grow to fit an organization of any size. Facilitating the evaluation of client care would apply to NANDA, NIC, and NOC. Rationale 5: Key features of an effective MPI are: locates records in real time for timely retrieval of information, is flexible enough to allow inclusion of additional identification, is easily reconfigured to accommodate network changes, and can grow to fit an organization of any size. Facilitating the evaluation of client care would apply to NANDA, NIC, and NOC.

Question 25 Type: MCMA Which of the following Web-based learning objects can educators use to support the learning experience? Standard Text: Select all that apply. 1. Video 2. Cryptic usernames and passwords 3. Audio clips 4. Applications 5. Animations

Answer: 1,3,4,5 Rationale 1: The World Wide Web enhances the development and use of RLOs by increasing the possible levels of interactivity and supporting the embedding of learning materials such as video and audio clips, text, applications, or animations. Rationale 2: Cryptic usernames and passwords are essential for the protection of data and information, but are not considered learning objects. Rationale 3: The World Wide Web enhances the development and use of RLOs by increasing the possible levels of interactivity and supporting the embedding of learning materials such as video and audio clips, text, applications, or animations. Rationale 4: The World Wide Web enhances the development and use of RLOs by increasing the possible levels of interactivity and supporting the embedding of learning materials such as video and audio clips, text, applications, or animations. Rationale 5: The World Wide Web enhances the development and use of RLOs by increasing the possible levels of interactivity and supporting the embedding of learning materials such as video and audio clips, text, applications, or animations.

Question 22 Type: MCMA Social media is currently used to update subscribers on current events and updated content. Which of the following avenues can be used by health care professionals to share information? Standard Text: Select all that apply. 1. Twitter 2. Textbook companion websites 3. Facebook 4. Linked In 5. YouTube

Answer: 1,3,4,5 Rationale 1: Twitter, YouTube, Facebook, and Linked In are available online as communication conduits. Individuals join the sites to begin the process. Rationale 2: A publishing company may offer an online supplement to a textbook. The site's intention is to offer additional information for the student and not a means of social interaction. Rationale 3: Twitter, YouTube, Facebook, and Linked In are available online as communication conduits. Individuals join the sites to begin the process. Rationale 4: Twitter, YouTube, Facebook, and Linked In are available online as communication conduits. Individuals join the sites to begin the process. Rationale 5: Twitter, YouTube, Facebook, and Linked In are available online as communication conduits. Individuals join the sites to begin the process.

Question 13 Type: MCMA Which of the following measures are recommended for enhancing information security? Standard Text: Select all that apply. 1. File deletion software is used to overwrite hard disk files, using meaningless information. 2. Storage media that has been erased is disposed of in the dumpster. 3. Individuals routinely witness and record the destruction of records. 4. Papers such as prescriptions, laboratory specimen labels, and identification bracelets are disposed of in the dumpster. 5. Each page of output is assigned a serial number and the numbers are recorded when documents are destroyed.

Answer: 1,3,5 Rationale 1: All papers containing personal health information (PHI) such as prescriptions, laboratory specimen labels, identification bracelets, meal descriptions, addressograph plates or any other items that carry a client's name, address, Social Security number, date of birth, or age must be destroyed. For tracking purposes, each page of output should have a serial number or other means of identification so that an audit trail is maintained that identifies what each paper record is as well as the date and method for destruction and the identity of individuals witnessing the destruction. Storage media should be destroyed or files electronically written over to ensure that no information can be retrieved from them. File deletion software overwrites files with meaningless information so that sensitive information cannot be accessed. Unauthorized or dormant e-mail accounts should be destroyed. Rationale 2: All papers containing personal health information (PHI) such as prescriptions, laboratory specimen labels, identification bracelets, meal descriptions, addressograph plates or any other items that carry a client's name, address, Social Security number, date of birth, or age must be destroyed. For tracking purposes, each page of output should have a serial number or other means of identification so that an audit trail is maintained that identifies what each paper record is as well as the date and method for destruction and the identity of individuals witnessing the destruction. Storage media should be destroyed or files electronically written over to ensure that no information can be retrieved from them. File deletion software overwrites files with meaningless information so that sensitive information cannot be accessed. Unauthorized or dormant e-mail accounts should be destroyed. Rationale 3: All papers containing personal health information (PHI) such as prescriptions, laboratory specimen labels, identification bracelets, meal descriptions, addressograph plates or any other items that carry a client's name, address, Social Security number, date of birth, or age must be destroyed. For tracking purposes, each page of output should have a serial number or other means of identification so that an audit trail is maintained that identifies what each paper record is as well as the date and method for destruction and the identity of individuals witnessing the destruction. Storage media should be destroyed or files electronically written over to ensure that no information can be retrieved from them. File deletion software overwrites files with meaningless information so that sensitive information cannot be accessed. Unauthorized or dormant e-mail accounts should be destroyed. Rationale 4: All papers containing personal health information (PHI) such as prescriptions, laboratory specimen labels, identification bracelets, meal descriptions, addressograph plates or any other items that carry a client's name, address, Social Security number, date of birth, or age must be destroyed. For tracking purposes, each page of output should have a serial number or other means of identification so that an audit trail is maintained that identifies what each paper record is as well as the date and method for destruction and the identity of individuals witnessing the destruction. Storage media should be destroyed or files electronically written over to ensure that no information can be retrieved from them. File deletion software overwrites files with meaningless information so that sensitive information cannot be accessed. Unauthorized or dormant e-mail accounts should be destroyed. Rationale 5: All papers containing personal health information (PHI) such as prescriptions, laboratory specimen labels, identification bracelets, meal descriptions, addressograph plates or any other items that carry a client's name, address, Social Security number, date of birth, or age must be destroyed. For tracking purposes, each page of output should have a serial number or other means of identification so that an audit trail is maintained that identifies what each paper record is as well as the date and method for destruction and the identity of individuals witnessing the destruction. Storage media should be destroyed or files electronically written over to ensure that no information can be retrieved from them. File deletion software overwrites files with meaningless information so that sensitive information cannot be accessed. Unauthorized or dormant e-mail accounts should be destroyed.

Question 23 Type: MCMA Which of the following are advantages to asynchronous learning? Standard Text: Select all that apply. 1. Teachers and learners can connect in the classroom at different times 2. Teachers and learners can connect in the classroom at the same time 3. Asynchronous learning is more flexible than on-ground learning 4. Asynchronous learners must commute to the classroom 5. Asynchronous learners can access online library databases

Answer: 1,3,5 Rationale 1: Asynchronous teaching-learning enables learners and teachers to connect to virtual classrooms at different times; this flexibility supports a work environment where learners have different shifts and work days. Further, time is not spent commuting to and from a physical classroom. Online library resources are available when needed and when the seeker has time to search the literature. Learners acquire skills and confidence in using information technology. Rationale 2: Asynchronous teaching-learning enables learners and teachers to connect to virtual classrooms at different times; this flexibility supports a work environment where learners have different shifts and work days. Further, time is not spent commuting to and from a physical classroom. Online library resources are available when needed and when the seeker has time to search the literature. Learners acquire skills and confidence in using information technology. Rationale 3: Asynchronous teaching-learning enables learners and teachers to connect to virtual classrooms at different times; this flexibility supports a work environment where learners have different shifts and work days. Further, time is not spent commuting to and from a physical classroom. Online library resources are available when needed and when the seeker has time to search the literature. Learners acquire skills and confidence in using information technology. Rationale 4: Asynchronous teaching-learning enables learners and teachers to connect to virtual classrooms at different times; this flexibility supports a work environment where learners have different shifts and work days. Further, time is not spent commuting to and from a physical classroom. Online library resources are available when needed and when the seeker has time to search the literature. Learners acquire skills and confidence in using information technology. Rationale 5: Asynchronous teaching-learning enables learners and teachers to connect to virtual classrooms at different times; this flexibility supports a work environment where learners have different shifts and work days. Further, time is not spent commuting to and from a physical classroom. Online library resources are available when needed and when the seeker has time to search the literature. Learners acquire skills and confidence in using information technology.

Question 3 Type: MCMA Which of the following supports the automation of nursing documentation? Standard Text: Select all that apply. 1. The use of standardized nursing languages (SNLs) accepted by the American Nurses Association 2. The use of a SOAP note in narrative form to support assessment of client cardiopulmonary system 3. The use of interventions such as "turn, cough, and deep breathe" as determined by the Nursing Interventions Classifications (NIC) 4. The use of client-specific charting by exception, addressing only exceptions to normal 5. The use of nursing diagnoses such as "Alteration of Comfort" as defined by the North American Nursing Diagnosis Association (NANDA)

Answer: 1,3,5 Rationale 1: Standardized nursing languages, including NANDA and NIC (also Nursing Outcomes Classification, (NOC)), support automation of nursing documentation so that comparisons among data may be made. These remove the ambiguity of meaning found in other documentation systems. The SOAP note and the charting by exception choices are not standardized and do not support the automation of nursing documentation. Rationale 2: Standardized nursing languages, including NANDA and NIC (also Nursing Outcomes Classification, (NOC)), support automation of nursing documentation so that comparisons among data may be made. These remove the ambiguity of meaning found in other documentation systems. The SOAP note and the charting by exception choices are not standardized and do not support the automation of nursing documentation. Rationale 3: Standardized nursing languages, including NANDA and NIC (also Nursing Outcomes Classification, (NOC)), support automation of nursing documentation so that comparisons among data may be made. These remove the ambiguity of meaning found in other documentation systems. The SOAP note and the charting by exception choices are not standardized and do not support the automation of nursing documentation. Rationale 4: Standardized nursing languages, including NANDA and NIC (also Nursing Outcomes Classification, (NOC)), support automation of nursing documentation so that comparisons among data may be made. These remove the ambiguity of meaning found in other documentation systems. The SOAP note and the charting by exception choices are not standardized and do not support the automation of nursing documentation. Rationale 5: Standardized nursing languages, including NANDA and NIC (also Nursing Outcomes Classification, (NOC)), support automation of nursing documentation so that comparisons among data may be made. These remove the ambiguity of meaning found in other documentation systems. The SOAP note and the charting by exception choices are not standardized and do not support the automation of nursing documentation.

Question 4 Type: MCMA Survivability is the capability of a system as a whole to fulfill its mission, in a timely manner, in the presence of attacks, failures, or accidents. United States Hospitals (USH) is a large national hospital corporation with processing centralized at their headquarters. USH is reviewing their information security plan. Part of their mission is to provide emergency services to each regional area during catastrophic events. Which of the following indicate that survivability has been specifically considered in the plan? Standard Text: Select all that apply. 1. One hospital in each regional area has multiple sources of communication with USH central processing. 2. Emergency power generators for all associate hospitals are tested and serviced each week 3. Each night the system at USH central processing is backed up and stored in a remote location. 4. One hospital in each regional area has an emergency protocol in place for communicating directly with the Department of Homeland Security. 5. One hospital in each regional area is especially prepared to maintain information system functionality for the emergency, operating room, lab, and pharmacy units.

Answer: 1,4,5 Rationale 1: The following address USH's mission in terms of survivability: planning for one hospital in each regional area to maintain communications with USH headquarters; communicating directly with the Department of Homeland Security when needed; and maintaining information system functionality for the emergency, operating room, lab, and pharmacy units. System backup and emergency power generators are important general security issues but do not specifically address survivability during a catastrophic event. Rationale 2: The following address USH's mission in terms of survivability: planning for one hospital in each regional area to maintain communications with USH headquarters; communicating directly with the Department of Homeland Security when needed; and maintaining information system functionality for the emergency, operating room, lab, and pharmacy units. System backup and emergency power generators are important general security issues but do not specifically address survivability during a catastrophic event. Rationale 3: The following address USH's mission in terms of survivability: planning for one hospital in each regional area to maintain communications with USH headquarters; communicating directly with the Department of Homeland Security when needed; and maintaining information system functionality for the emergency, operating room, lab, and pharmacy units. System backup and emergency power generators are important general security issues but do not specifically address survivability during a catastrophic event. Rationale 4: The following address USH's mission in terms of survivability: planning for one hospital in each regional area to maintain communications with USH headquarters; communicating directly with the Department of Homeland Security when needed; and maintaining information system functionality for the emergency, operating room, lab, and pharmacy units. System backup and emergency power generators are important general security issues but do not specifically address survivability during a catastrophic event. Rationale 5: The following address USH's mission in terms of survivability: planning for one hospital in each regional area to maintain communications with USH headquarters; communicating directly with the Department of Homeland Security when needed; and maintaining information system functionality for the emergency, operating room, lab, and pharmacy units. System backup and emergency power generators are important general security issues but do not specifically address survivability during a catastrophic event.

Question 17 Type: MCMA Which of the following accurately describes the process of determining system requirements? Standard Text: Select all that apply. 1. The list of "musts" and "wants" are compiled from information gathered during numerous interviews. 2. Include only those criteria that are necessary at the present time and not in the future. 3. During the interview process the interviewers use a rating scale to weight the list of "musts" and "wants" from one to ten. 4. After the interviews are completed, the selection committee members use a rating scale to weight the list of "musts" and "wants" from one to ten. 5. The criteria are grouped into functional categories to present a full picture of the system requirements.

Answer: 1,4,5 Rationale 1: The interviewer asks what information is necessary to conduct business and what information is desired but not essential. These are called the "musts" and the "wants." It is important to also consider those criteria that may not be necessary at the present time but might be important in the future. The information from numerous interviews is then compiled into a list of "musts" and "wants." The criteria should also be grouped into functional categories to present a comprehensive picture of the system requirements. The next step is to prioritize or weight the list of "musts" and "wants" from high to low. To accomplish this task, selection committee members should develop a rating scale such as a one-to-ten scale or rankings of low, medium, and high. Rationale 2: The interviewer asks what information is necessary to conduct business and what information is desired but not essential. These are called the "musts" and the "wants." It is important to also consider those criteria that may not be necessary at the present time but might be important in the future. The information from numerous interviews is then compiled into a list of "musts" and "wants." The criteria should also be grouped into functional categories to present a comprehensive picture of the system requirements. The next step is to prioritize or weight the list of "musts" and "wants" from high to low. To accomplish this task, selection committee members should develop a rating scale such as a one-to-ten scale or rankings of low, medium, and high. Rationale 3: The interviewer asks what information is necessary to conduct business and what information is desired but not essential. These are called the "musts" and the "wants." It is important to also consider those criteria that may not be necessary at the present time but might be important in the future. The information from numerous interviews is then compiled into a list of "musts" and "wants." The criteria should also be grouped into functional categories to present a comprehensive picture of the system requirements. The next step is to prioritize or weight the list of "musts" and "wants" from high to low. To accomplish this task, selection committee members should develop a rating scale such as a one-to-ten scale or rankings of low, medium, and high. Rationale 4: The interviewer asks what information is necessary to conduct business and what information is desired but not essential. These are called the "musts" and the "wants." It is important to also consider those criteria that may not be necessary at the present time but might be important in the future. The information from numerous interviews is then compiled into a list of "musts" and "wants." The criteria should also be grouped into functional categories to present a comprehensive picture of the system requirements. The next step is to prioritize or weight the list of "musts" and "wants" from high to low. To accomplish this task, selection committee members should develop a rating scale such as a one-to-ten scale or rankings of low, medium, and high. Rationale 5: The interviewer asks what information is necessary to conduct business and what information is desired but not essential. These are called the "musts" and the "wants." It is important to also consider those criteria that may not be necessary at the present time but might be important in the future. The information from numerous interviews is then compiled into a list of "musts" and "wants." The criteria should also be grouped into functional categories to present a comprehensive picture of the system requirements. The next step is to prioritize or weight the list of "musts" and "wants" from high to low. To accomplish this task, selection committee members should develop a rating scale such as a one-to-ten scale or rankings of low, medium, and high.

Question 28 Type: MCSA Which type of software has been developed by the consumer to meet specific needs usually because no suitable commercial package is available? 1. Off-the-shelf 2. Home grown 3. Administrative spreadsheets 4. Critical pathway

Answer: 2 Rationale 1: Software can be off-the-shelf or home grown. Off-the-shelf software is commercially available. The advantage to the consumer is that someone else has borne the cost for its development and testing. It is, however, geared to a general market and may not meet the needs of a particular party. Homegrown software has been developed by the consumer to meet specific needs usually because no suitable commercial package is available. The customer bears the cost of its development, testing, and communication with other software applications. Rationale 2: Software can be off-the-shelf or home grown. Off-the-shelf software is commercially available. The advantage to the consumer is that someone else has borne the cost for its development and testing. It is, however, geared to a general market and may not meet the needs of a particular party. Homegrown software has been developed by the consumer to meet specific needs usually because no suitable commercial package is available. The customer bears the cost of its development, testing, and communication with other software applications. Rationale 3: Software can be off-the-shelf or home grown. Off-the-shelf software is commercially available. The advantage to the consumer is that someone else has borne the cost for its development and testing. It is, however, geared to a general market and may not meet the needs of a particular party. Homegrown software has been developed by the consumer to meet specific needs usually because no suitable commercial package is available. The customer bears the cost of its development, testing, and communication with other software applications. Rationale 4: Software can be off-the-shelf or home grown. Off-the-shelf software is commercially available. The advantage to the consumer is that someone else has borne the cost for its development and testing. It is, however, geared to a general market and may not meet the needs of a particular party. Homegrown software has been developed by the consumer to meet specific needs usually because no suitable commercial package is available. The customer bears the cost of its development, testing, and communication with other software applications.

Question 8 Type: MCMA Which of the following are true about using automated pharmacy systems? Standard Text: Select all that apply. 1. An automated system pulls in laboratory results and client information from the HIS more quickly to identify allergy and interaction problems. 2. Costs for operating automated pharmacy systems are not as important as the improved communication among departments. 3. Expenses used in starting up an automated pharmacy system are considerable, including personnel training. 4. The use of these systems is limited only to pharmacists. 5. Individual client data is integrated and provides the pharmacist with up-to-date information.

Answer: 1,5 Rationale 1: Automated systems can pull in laboratory results and client information from the HIS more quickly and accurately identifying allergy and interaction problems. Rationale 2: Automation of previously manual processes can result in significant cost savings; however, the organization must consider the initial cost when selecting the software. Pharmacy systems offer many benefits that promote cost containment, improve the quality of care, and decrease medication errors. Rationale 3: Pharmacy systems offer many benefits that promote cost containment, improve the quality of care, and decrease medication errors. Rationale 4: These systems can be used by a variety of health care professionals who perform activities related to the ordering, dispensing, and administration of medications. Rationale 5: All information obtained related to an individual client is integrated and provides the pharmacist with up-to-date information. This helps to provide accurate information and promote client safety.

Question 16 Type: MCSA A classification system is used to categorize the details of the clinical encounter. Which of the following does a classification system not do? 1. Group data to determine costs and outcomes of treatment 2. Captures the level of detail necessary to document specific items at the point of care 3. Provides data to consumers on costs and outcomes of treatment options 4. Used in the collection and reporting of health statistics

Answer: 2 Rationale 1: A classification system is used to categorize the details of the clinical encounter. It does not capture the level of detail necessary to document specific items at the point of care. Classifications consist of mutually exclusive categories that can be used for specific purposes. An example would be to group data to determine costs and outcomes of treatment. A classification system provides data to consumers on costs and outcomes of treatment options. They are used in the collection and reporting of health statistics. The International Classification of Diseases (ICD), which is a classification system, does not consist of definitions or defining relationships between terms. Rationale 2: A classification system does not capture the level of detail necessary to document specific items at the point of care. Rationale 3: A classification system is used to categorize the details of the clinical encounter. It does not capture the level of detail necessary to document specific items at the point of care. Classifications consist of mutually exclusive categories that can be used for specific purposes. An example would be to group data to determine costs and outcomes of treatment. A classification system provides data to consumers on costs and outcomes of treatment options. They are used in the collection and reporting of health statistics. The International Classification of Diseases (ICD), which is a classification system, does not consist of definitions or defining relationships between terms. Rationale 4: A classification system is used to categorize the details of the clinical encounter. It does not capture the level of detail necessary to document specific items at the point of care. Classifications consist of mutually exclusive categories that can be used for specific purposes. An example would be to group data to determine costs and outcomes of treatment. A classification system provides data to consumers on costs and outcomes of treatment options. They are used in the collection and reporting of health statistics. The International Classification of Diseases (ICD), which is a classification system, does not consist of definitions or defining relationships between terms.

Question 13 Type: MCSA Which of the following systems supports the use and documentation of nursing processes and activities, and provides tools for managing the delivery of nursing care? 1. Administrative information system 2. Nursing information system 3. Computerized provider order entry (CPOE) 4. Clinical information system

Answer: 2 Rationale 1: Administrative information systems support client care by managing financial and demographic information and providing reporting capabilities. This category includes client management, financial, payroll, and human resources, and quality assurance systems. Coding systems use clinical information to generate charges for care. Rationale 2: Nursing information system supports the use and documentation of nursing processes and activities, and provides tools for managing the delivery of nursing care. Rationale 3: CPOE is the electronic entry of patient orders directly into the system. Rationale 4: Clinical information systems (CISs) are large, computerized database management systems that support several types of activities that may include provider order entry, result retrieval, documentation, and decision support across distributed locations.

Question 12 Type: MCSA Which of the following describes home care information systems? 1. Supports the way that users function, and allows flexibility and improved access to information and tools 2. Uses monitoring technology which, when integrated into information systems, provides a way to care for the target population 3. Requires integration for the improvement of quality of care and business survival 4. Provides assistance to organizations to better manage their resources and improve efficiency

Answer: 2 Rationale 1: Adoption of home care information systems makes use of monitoring technology which, when integrated into information systems, provides a way to care for the target population. Your choice describes nursing information systems. Rationale 2: Adoption of home care information systems makes use of monitoring technology which, when integrated into information systems, provides a way to care for the target population. Rationale 3: Adoption of home care information systems makes use of monitoring technology which, when integrated into information systems, provides a way to care for the target population. Your choice describes long-term health information systems. Rationale 4: Adoption of home care information systems makes use of monitoring technology which, when integrated into information systems, provides a way to care for the target population. Your choice describes contract management systems.

Question 31 Type: MCSA Which of the following best represents the purpose of training evaluation? 1. Training should be evaluated after the fifth session. 2. Training evaluation is necessary after the class. 3. Training evaluation alters methodology. 4. All super users have the opportunity to evaluate the training process.

Answer: 2 Rationale 1: All personnel whether professional or paraprofessional need to attain the competencies set by the training objectives. The method of measurement or achievement is determined by the trainer. Rationale 2: All personnel whether professional or paraprofessional need to attain the competencies set by the training objectives. The method of measurement or achievement is determined by the trainer. Rationale 3: All personnel whether professional or paraprofessional need to attain the competencies set by the training objectives. The method of measurement or achievement is determined by the trainer. Rationale 4: All personnel whether professional or paraprofessional need to attain the competencies set by the training objectives. The method of measurement or achievement is determined by the trainer.

Question 1 Type: MCSA Which agency has a comprehensive website dedicated to improving the quality, safety, efficiency, and effectiveness of health care for all Americans? 1. Joint Commission 2. Agency for Healthcare Research and Quality (AHRQ) 3. American Nurses Credentialing Center 4. Pathway to Excellence Program

Answer: 2 Rationale 1: The Agency for Healthcare Research and Quality (AHRQ) is the part of the Department of Health and Human Services (DHHS) and is responsible for improving the quality, safety, efficiency, and effectiveness of health care for all Americans (www.ahrq.gov). AHRQ supports health-services research in these areas and provides information for practitioners on areas such as disaster preparedness, quality and patient safety, data-sets, and related research findings. Of particular interest for nurses is a listing of AHRQ resources for nurses (www.ahrq.gov/about/nursing/nrslinks.htm). Rationale 2: The Agency for Healthcare Research and Quality (AHRQ) is the part of the Department of Health and Human Services (DHHS) and is responsible for improving the quality, safety, efficiency, and effectiveness of health care for all Americans (www.ahrq.gov). AHRQ supports health-services research in these areas and provides information for practitioners on areas such as disaster preparedness, quality and patient safety, data-sets, and related research findings. Of particular interest for nurses is a listing of AHRQ resources for nurses (www.ahrq.gov/about/nursing/nrslinks.htm). Rationale 3: The Agency for Healthcare Research and Quality (AHRQ) is the part of the Department of Health and Human Services (DHHS) and is responsible for improving the quality, safety, efficiency, and effectiveness of health care for all Americans (www.ahrq.gov). AHRQ supports health-services research in these areas and provides information for practitioners on areas such as disaster preparedness, quality and patient safety, data-sets, and related research findings. Of particular interest for nurses is a listing of AHRQ resources for nurses (www.ahrq.gov/about/nursing/nrslinks.htm). Rationale 4: The Agency for Healthcare Research and Quality (AHRQ) is the part of the Department of Health and Human Services (DHHS) and is responsible for improving the quality, safety, efficiency, and effectiveness of health care for all Americans (www.ahrq.gov). AHRQ supports health-services research in these areas and provides information for practitioners on areas such as disaster preparedness, quality and patient safety, data-sets, and related research findings. Of particular interest for nurses is a listing of AHRQ resources for nurses (www.ahrq.gov/about/nursing/nrslinks.htm).

Question 24 Type: MCSA Which of the following answers describes the relationship between an open system architecture environment and the central processing unit? 1. Architecture refers to the goals of the central processing unit and its interrelated elements. 2. Architecture refers to the structure of the central processing unit and its interrelated elements. 3. Architecture refers to the maintenance of the central processing unit and its interrelated elements. 4. Architecture refers to the technology of the central processing unit and its interrelated elements.

Answer: 2 Rationale 1: Architecture refers to the structure of the central processing unit and its interrelated elements. An open system uses protocols and technology that follow publicly accepted conventions and are used by multiple vendors so that various system components can work together. Rationale 2: Architecture refers to the structure of the central processing unit and its interrelated elements. An open system uses protocols and technology that follow publicly accepted conventions and are used by multiple vendors so that various system components can work together. Rationale 3: Architecture refers to the structure of the central processing unit and its interrelated elements. Rationale 4: Architecture refers to the structure of the central processing unit and its interrelated elements.

Question 7 Type: MCSA Which of the following is characteristic of an automated radiology information system (RIS)? 1. Once a test is completed, the film is scanned to an optical imaging disc. 2. As each test is ordered, the user is prompted to answer questions such as the purpose of the test. 3. Images may be faxed to other institutions for timely consultations. 4. As soon as the test is performed, the system interprets the results and sends an electronic report.

Answer: 2 Rationale 1: Automated radiology information systems create specific questionnaires to ensure reimbursement and individualize client care. Your answer is incorrect because physicians must still review the film and interpret the images; and images are digitally created and stored automatically. Rationale 2: Automated RIS creates specific questionnaires to ensure reimbursement and individualized client care. Physicians must still review the film and interpret the images, and images are digitally created and stored automatically. Rationale 3: Automated radiology information systems create specific questionnaires to ensure reimbursement and individualized client care. Your answer is incorrect because physicians must still review the film and interpret the images, and images are digitally created and stored automatically. Only the report can be faxed. Rationale 4: Automated radiology information systems create specific questionnaires to ensure reimbursement and individualize client care. Your answer is incorrect because physicians must still review the film and interpret the images, and images are digitally created and stored automatically.

Question 10 Type: MCSA Which of the following is a classification system for surgical, diagnostic, and therapeutic procedures and is used for hospital billing and payer reimbursement? 1. NOC 2. CPT-4 3. NIC 4. NANDA

Answer: 2 Rationale 1: CPT-4 is a classification system for surgical, diagnostic, and therapeutic procedures and is used for hospital billing and payer reimbursement. Rationale 2: CPT-4 is a classification system for surgical, diagnostic, and therapeutic procedures and is used for hospital billing and payer reimbursement. Rationale 3: CPT-4 is a classification system for surgical, diagnostic, and therapeutic procedures and is used for hospital billing and payer reimbursement. NIC categorizes nursing interventions based on clinical judgment. Rationale 4: NANDA is a classification system used for nursing diagnoses.

Question 15 Type: MCSA During an attempted carjacking, the female victim slams a car door on the male assailant's hand, possibly causing serious injuries. The assailant runs away. Local police contact the emergency department of a local hospital to determine if anyone matching the assailant's description has been treated for a hand injury. The hospital reveals that they currently have such a patient. The police ask the nurse manager to reveal the identity of the patient. It is noted that no court order has been issued. The nurse manager asks the patient to sign a consent form that allows the hospital to reveal his name and does mention the police. If the patient signs the consent form, what would it be considered? 1. Informed consent 2. Consent 3. HIPAA violation 4. Breech of privacy

Answer: 2 Rationale 1: Consent is the process by which an individual authorizes health care personnel to process his or her information based on an informed understanding of how this information will be used. Obtaining consent should include making the individual aware of any risks that may exist to privacy as well as measures in place to protect privacy. Prior to signing a consent form, this patient must be informed that his identity will be revealed to the police. Rationale 2: Consent is the process by which an individual authorizes health care personnel to process his or her information based on an informed understanding of how this information will be used. Obtaining consent should include making the individual aware of any risks that may exist to privacy as well as measures in place to protect privacy. Prior to signing a consent form, this patient must be informed that his identity will be revealed to the police. Rationale 3: Consent is the process by which an individual authorizes health care personnel to process his or her information based on an informed understanding of how this information will be used. Obtaining consent should include making the individual aware of any risks that may exist to privacy as well as measures in place to protect privacy. Prior to signing a consent form, this patient must be informed that his identity will be revealed to the police. Rationale 4: Consent is the process by which an individual authorizes health care personnel to process his or her information based on an informed understanding of how this information will be used. Obtaining consent should include making the individual aware of any risks that may exist to privacy as well as measures in place to protect privacy. Prior to signing a consent form, this patient must be informed that his identity will be revealed to the police.

Question 24 Type: MCSA Which of the following clinical system functions allows the nurse to provide more efficient patient care? 1. Electronic presentations 2. Order entry 3. Identification coding 4. Help desk

Answer: 2 Rationale 1: Electronic presentations can be useful in the education process but are not necessarily helpful in improving patient care. Rationale 2: Clinical systems, including order entry, radiology, laboratory, pharmacy systems, and physician management systems, give the nurse and other health care providers the support and tools to more effectively care for clients. Rationale 3: Clinical systems, including order entry, radiology, laboratory, pharmacy systems, and physician management systems, give the nurse and other health care providers the support and tools to more effectively care for clients. Rationale 4: Clinical systems, including order entry, radiology, laboratory, pharmacy systems, and physician management systems, give the nurse and other health care providers the support and tools to more effectively care for clients.

Question 28 Type: MCSA There are a number of bibliographic online databases. Which of the following databases is dedicated to providing nurses with full-text articles? 1. Emerald Insight 2. Cumulative Index to Nursing and Allied Health Literature (CINAHL) 3. Google Books 4. ProQuest

Answer: 2 Rationale 1: Emerald Insight is a collection of peer reviewed management journals and online support for librarians, students, faculty, researchers, and deans. Rationale 2: Articles in most professional publications are now available in full-text when retrieved from a bibliographic database such as the CINAHL. Rationale 3: Google Books is an excellent resource for old books and not considered a nursing periodical database. Rationale 4: ProQuest contains dissertations and theses.

Question 25 Type: MCSA What uses archetypes (clinical models of content and process) as a means of exchanging clinical documents between systems? 1. Service oriented architecture 2. HL7 3. Open EHR 4. Semantic interoperability

Answer: 2 Rationale 1: HL7 uses archetypes (clinical models of content and process) as a means of exchanging clinical documents between systems. Integration efforts and the development and use of integration standards, including HL7, are taking place at many levels. Although efforts are under way to develop both national and international health data networks, competition has not yet facilitated this type of information sharing. Rationale 2: HL7 uses archetypes (clinical models of content and process) as a means of exchanging clinical documents between systems. Integration efforts and the development and use of integration standards, including HL7, are taking place at many levels. Although efforts are under way to develop both national and international health data networks, competition has not yet facilitated this type of information sharing. Rationale 3: HL7 uses archetypes (clinical models of content and process) as a means of exchanging clinical documents between systems. Integration efforts and the development and use of integration standards, including HL7, are taking place at many levels. Although efforts are under way to develop both national and international health data networks, competition has not yet facilitated this type of information sharing. Rationale 4: HL7 uses archetypes (clinical models of content and process) as a means of exchanging clinical documents between systems. Integration efforts and the development and use of integration standards, including HL7, are taking place at many levels. Although efforts are under way to develop both national and international health data networks, competition has not yet facilitated this type of information sharing.

Question 22 Type: MCSA In the last decade, and with the requirement to build EHRs that meet the 2009 meaningful use criteria, the use of which type of data has expanded to include pay-for-performance initiatives, care coordination, patient safety monitoring, and public health surveillance? 1. Patient 2. Coded 3. Embedded 4. Qualitative

Answer: 2 Rationale 1: In the last decade, and with the requirement to build EHRs that meet the 2009 meaningful use criteria, the use of coded data has expanded to include pay-for-performance initiatives, care coordination, patient safety monitoring, and public health surveillance. Many benefits have yet to be realized from the point of care to research and the development of evidence based practice. There are still hurdles that need to be jumped in order for systems to fully use terminologies. Rationale 2: In the last decade, and with the requirement to build EHRs that meet the 2009 meaningful use criteria, the use of coded data has expanded to include pay-for-performance initiatives, care coordination, patient safety monitoring, and public health surveillance. Many benefits have yet to be realized from the point of care to research and the development of evidence based practice. There are still hurdles that need to be jumped in order for systems to fully use terminologies. Rationale 3: In the last decade, and with the requirement to build EHRs that meet the 2009 meaningful use criteria, the use of coded data has expanded to include pay-for-performance initiatives, care coordination, patient safety monitoring, and public health surveillance. Many benefits have yet to be realized from the point of care to research and the development of evidence based practice. There are still hurdles that need to be jumped in order for systems to fully use terminologies. Rationale 4: In the last decade, and with the requirement to build EHRs that meet the 2009 meaningful use criteria, the use of coded data has expanded to include pay-for-performance initiatives, care coordination, patient safety monitoring, and public health surveillance. Many benefits have yet to be realized from the point of care to research and the development of evidence based practice. There are still hurdles that need to be jumped in order for systems to fully use terminologies.

Question 18 Type: MCSA Which of the following statements is the best response when a health care provider is asked by a patient to be their "friend" on Facebook? 1. "Great idea. I would love to keep in touch with you." 2. "I am flattered that you want to be my friend, but it is not appropriate for me to 'friend' you on Facebook." 3. "Absolutely, I 'friend' all of my former patients." 4. "Why would you want to be my friend? Are you lonely?"

Answer: 2 Rationale 1: It is inappropriate for former patients and their health care providers to be "Facebook friends." This blurs the line of distinction between a professional and a client. Rationale 2: It is inappropriate for former patients and their health care providers to be "Facebook friends." This blurs the line of distinction between a professional and a client. Rationale 3: It is inappropriate for former patients and their health care providers to be "Facebook friends." This blurs the line of distinction between a professional and a client. Rationale 4: It is inappropriate for former patients and their health care providers to be "Facebook friends." This blurs the line of distinction between a professional and a client.

Question 22 Type: MCSA Which of the following statements about meaningful use is correct? 1. Meaningful use will provide invaluable information that will define the numbers of staff members needed at the bedside. 2. Meaningful use will provide invaluable information that will improve patient outcomes and population health changing many current practices as we transform our health care delivery system. 3. Meaningful use is an ongoing process and not an issue associated with the EHR. 4. Meaningful use is an issue that must be addressed before implementing any upgrade.

Answer: 2 Rationale 1: Meaningful use will provide invaluable information that will improve patient outcomes and population health changing many current practices as we transform our health care delivery system. Rationale 2: Meaningful use will provide invaluable information that will improve patient outcomes and population health changing many current practices as we transform our health care delivery system. Rationale 3: Meaningful use will provide invaluable information that will improve patient outcomes and population health changing many current practices as we transform our health care delivery system. Rationale 4: Meaningful use will provide invaluable information that will improve patient outcomes and population health changing many current practices as we transform our health care delivery system.

Question 8 Type: MCSA The Bush administration called for the adoption of the electronic health record (EHR) by 2014 as a means to help transform U.S. health care. Who owns the individual client record when an EHR is used? 1. The client 2. Ownership is unclear 3. The institution at which the record is created 4. The health care providers who enter the data

Answer: 2 Rationale 1: Ownership is unclear for the individual client record when an EHR is used. This is a complex question. With the development of the EHR, ownership issues become more complex. Because many providers use the same data, it is unclear who actually owns the record and who is responsible for maintaining accuracy. Because the data are shared and updated from many sites, decisions must be made regarding who can access the data and how they will be used. In addition, it must be determined where the EHR data will actually be stored. Rationale 2: Ownership is unclear for the individual client record when an EHR is used. This is a complex question. With the development of the EHR, ownership issues become more complex. Because many providers use the same data, it is unclear who actually owns the record and who is responsible for maintaining accuracy. Because the data are shared and updated from many sites, decisions must be made regarding who can access the data and how they will be used. In addition, it must be determined where the EHR data will actually be stored. Rationale 3: Ownership is unclear for the individual client record when an EHR is used. This is a complex question. With the development of the EHR, ownership issues become more complex. Because many providers use the same data, it is unclear who actually owns the record and who is responsible for maintaining accuracy. Because the data are shared and updated from many sites, decisions must be made regarding who can access the data and how they will be used. In addition, it must be determined where the EHR data will actually be stored. Rationale 4: Ownership is unclear for the individual client record when an EHR is used. This is a complex question. With the development of the EHR, ownership issues become more complex. Because many providers use the same data, it is unclear who actually owns the record and who is responsible for maintaining accuracy. Because the data are shared and updated from many sites, decisions must be made regarding who can access the data and how they will be used. In addition, it must be determined where the EHR data will actually be stored.

Question 22 Type: MCSA Which of the following defines project scope? 1. Project scope encompasses the entire life cycle. 2. Project scope describes the details of the system functionality that is slated for automation. 3. Project scope is part of the system implementation process. 4. Project scope is defined by the super users.

Answer: 2 Rationale 1: Project scope is the information systems term used to describe the details of the system functionality that is slated for automation. Rationale 2: Project scope is the information systems term used to describe the details of the system functionality that is slated for automation. Rationale 3: Project scope is the information systems term used to describe the details of the system functionality that is slated for automation. Rationale 4: Project scope is the information systems term used to describe the details of the system functionality that is slated for automation.

Question 14 Type: MCSA Mr. Gonzalez is scheduled to undergo a hip replacement after he slipped on an icy step. During the preoperative phase, the nurse begins to enter the assessment findings into the database. Which of the following standardized terminologies will the nurse most likely use? 1. The Omaha System 2. The PeriOperative Nursing Data Set (PNDS) 3. North American Nursing Diagnosis International (NANDA-I) 4. International Classification of Nursing Practice (ICNP)

Answer: 2 Rationale 1: The PeriOperative Nursing Data Set (PNDS), developed by the Association of periOperative Registered Nurses (AORN), is a standardized perioperative nursing vocabulary that provides nurses a clear, precise, and universal language for clinical problems and surgical treatments. The AORN's initial goal was to develop a unified language for nursing care that could be systematically quantified, coded, and easily captured in a computerized format in the perioperative setting (AORN, 2002, p. 13). Rationale 2: The PeriOperative Nursing Data Set (PNDS), developed by the Association of periOperative Registered Nurses (AORN), is a standardized perioperative nursing vocabulary that provides nurses a clear, precise, and universal language for clinical problems and surgical treatments. The AORN's initial goal was to develop a unified language for nursing care that could be systematically quantified, coded, and easily captured in a computerized format in the perioperative setting (AORN, 2002, p. 13). Rationale 3: The PeriOperative Nursing Data Set (PNDS), developed by the Association of periOperative Registered Nurses (AORN), is a standardized perioperative nursing vocabulary that provides nurses a clear, precise, and universal language for clinical problems and surgical treatments. The AORN's initial goal was to develop a unified language for nursing care that could be systematically quantified, coded, and easily captured in a computerized format in the perioperative setting (AORN, 2002, p. 13). Rationale 4: The PeriOperative Nursing Data Set (PNDS), developed by the Association of periOperative Registered Nurses (AORN), is a standardized perioperative nursing vocabulary that provides nurses a clear, precise, and universal language for clinical problems and surgical treatments. The AORN's initial goal was to develop a unified language for nursing care that could be systematically quantified, coded, and easily captured in a computerized format in the perioperative setting (AORN, 2002, p. 13).

Question 16 Type: MCSA The client registration system is also known as which of the following? 1. Admission system 2. Admission/discharge/transfer system 3. Transfer system 4. Discharge system

Answer: 2 Rationale 1: The client registration system is critical to the effective operation of many other systems within the health care setting. This system is used to collect and store client identification and demographic data that are verified and updated at the time of each visit. For this reason, these may also be known as admission/discharge/transfer (ADT) systems. Rationale 2: The client registration system is critical to the effective operation of many other systems within the health care setting. This system is used to collect and store client identification and demographic data that are verified and updated at the time of each visit. For this reason, these may also be known as admission/discharge/transfer (ADT) systems. Rationale 3: The client registration system is critical to the effective operation of many other systems within the health care setting. This system is used to collect and store client identification and demographic data that are verified and updated at the time of each visit. For this reason, these may also be known as admission/discharge/transfer (ADT) systems. Rationale 4: The client registration system is critical to the effective operation of many other systems within the health care setting. This system is used to collect and store client identification and demographic data that are verified and updated at the time of each visit. For this reason, these may also be known as admission/discharge/transfer (ADT) systems.

Question 15 Type: MCSA A trainer uses the following learning plan: An e-mail push is used for the announcement, a Webinar (Web-based seminar) is used for an overview session, simulations are used for self-paced learning, instant messaging is used for query resolution, a Web meeting is used for demonstration, simulation is used for practice, e-mail is used for feedback, another Webinar is used for a closing session, and a Web-based test is used for evaluation. Identify which training strategy was used for the learning plan. 1. Mixed learning 2. Blended learning 3. Comprehensive learning 4. Flexible learning

Answer: 2 Rationale 1: The correct answer is "blended learning." Blended learning takes place when a trainer combines two or more methods of delivery of instruction. In this case, trainer-led, Web-based, and video conferencing methods were combined. Rationale 2: Blended learning takes place when a trainer combines two or more methods of delivery of instruction. In this case, trainer-led, Web-based, and video conferencing methods were combined. Rationale 3: The correct answer is "blended learning." Blended learning takes place when a trainer combines two or more methods of delivery of instruction. In this case, trainer-led, Web-based, and video conferencing methods were combined. Rationale 4: The correct answer is "blended learning." Blended learning takes place when a trainer combines two or more methods of delivery of instruction. In this case, trainer-led, Web-based, and video conferencing methods were combined.

Question 4 Type: MCSA How should health care student training most efficiently be handled by an institution? 1. Each nursing student receives the same amount of training as the staff nurse on the unit. 2. Practical or vocational nursing students are placed in the user class with LPNs or LVNs to access information and document client care. 3. Students must be trained to provide appropriate clinical information to an assigned staff nurse, who will document client care in the system. 4. Students assess and document client care and medication administration by giving their information to the clinical instructor to input into the system.

Answer: 2 Rationale 1: The correct answer is "practical or vocational nursing students are placed in the user class with LPNs or LVNs to access information and document client care." It is most cost-effective to use preexisting user classes for students at a similar end-user level. Rationale 2: It is most cost-effective to use preexisting user classes for students at a similar end-user level. Rationale 3: The correct answer is "practical or vocational nursing students are placed in the user class with LPNs or LVNs to access information and document client care." It is most cost-effective to use preexisting user classes for students at a similar end-user level. Rationale 4: The correct answer is "practical or vocational nursing students are placed in the user class with LPNs or LVNs to access information and document client care." It is most cost-effective to use preexisting user classes for students at a similar end-user level.

Question 2 Type: MCSA Which of the following provides the most effective end-user learning experience? 1. Real client data are utilized for realistic practice. 2. The equipment used for training is the same used in the clinical setting. 3. Two employees share each workstation for mutual encouragement. 4. The live system is used with simulated client data.

Answer: 2 Rationale 1: The correct answer is "the equipment used for training is the same used in the clinical setting." Ideally, individual user training should be done on the same equipment that will be seen in the clinical setting. If the live system is used, data may be altered and confidentiality of client information may be compromised. Rationale 2: Ideally, individual user training should be done on the same equipment that will be seen in the clinical setting. If the live system is used, data may be altered and confidentiality of client information may be compromised. Rationale 3: The correct answer is "the equipment used for training is the same used in the clinical setting." Ideally, individual user training should be done on the same equipment that will be seen in the clinical setting. If the live system is used, data may be altered and confidentiality of client information may be compromised. Rationale 4: The correct answer is "the equipment used for training is the same used in the clinical setting". Ideally, individual user training should be done on the same equipment that will be seen in the clinical setting. If the live system is used, data may be altered and confidentiality of client information may be compromised.

Question 5 Type: MCSA Which statement best fits a request for information (RFI) on a wireless cardiovascular (CV) monitoring system? 1. An Internet search is conducted to find likely wireless CV monitoring system vendors. 2. A brief document is sent to several CV monitoring vendors outlining plans for expansion to a wireless cardiovascular monitoring system. 3. A formal request is sent to one CV monitoring vendor following an initial contact at a trade show. 4. A representative of the wireless CV monitoring system search committee attends a trade show to appraise possible vendors.

Answer: 2 Rationale 1: The correct answer is a brief document sent to several CV monitoring vendors outlining plans for expansion to a wireless cardiovascular monitoring system. The purpose of an RFI is to obtain essential information from each interested vendor about its system capabilities related to the expansion to a wireless CV monitoring system. The information received allows elimination of those vendors that cannot meet the organization's basic requirements. An Internet search would not meet RFI requirements. Rationale 2: A brief document sent to several CV monitoring vendors outlining plans for expansion to a wireless system will secure information from those interested in supplying the desired monitors. The purpose of an RFI is to obtain essential information from each interested vendor about its system capabilities related to the expansion to a wireless CV monitoring system. The information received allows elimination of those vendors that cannot meet the organization's basic requirements. Rationale 3: The correct answer is a brief document sent to several CV monitoring vendors outlining plans for expansion to a wireless cardiovascular monitoring system. The purpose of an RFI is to obtain essential information from each interested vendor about its system capabilities related to the expansion to a wireless CV monitoring system. The information received allows elimination of those vendors that cannot meet the organization's basic requirements. A formal request sent to just one vendor would not meet RFI requirements. Rationale 4: The correct answer is a brief document sent to several cardiovascular monitoring vendors outlining plans for expansion to wireless networks. The purpose of an RFI is to obtain information from vendors describing what the institution needs to eliminate those vendors who cannot comply. A representative of the search committee attending a trade show would not meet RFI requirements.

Question 3 Type: MCSA An overlay occurs when one individual is assigned in the master patient index to another individual's health record. A health care facility has discovered that an overlay has occurred resulting in invalid data being stored in key identifying fields. Which of the following information security areas does this breach affect? 1. Survivability 2. Integrity 3. Availability 4. Inadvertent disclosure

Answer: 2 Rationale 1: The correct answer is integrity. Integrity is concerned with the accuracy of information while disclosure is part of confidentiality, whereas availability and survivability address accessing information in a timely manner. Rationale 2: The correct answer is integrity. Integrity is concerned with the accuracy of information while disclosure is part of confidentiality, whereas availability and survivability address accessing information in a timely manner. Rationale 3: The correct answer is integrity. Integrity is concerned with the accuracy of information while disclosure is part of confidentiality, whereas availability and survivability address accessing information in a timely manner. Rationale 4: The correct answer is integrity. Integrity is concerned with the accuracy of information while disclosure is part of confidentiality, whereas availability and survivability address accessing information in a timely manner.

Question 6 Type: MCSA Which of these is an advantage of implementing a computerized order entry system? 1. Physicians argue for the option to continue traditional methods for ordering 2. Each department is notified simultaneously as orders are processed through the system 3. Increased system access or response time is available to the health care provider 4. Clinicians readily accept the new system, related to work process changes

Answer: 2 Rationale 1: The correct answer is the simultaneous notification of orders is a benefit of computerized order entry. Departments receive notification of new orders more quickly than in a paper-based system. Other benefits include direct entry of orders by the provider (e.g., physician, nurse practitioner, physical therapist) that eliminates issues related to illegible handwriting and transcription errors, checking orders for accuracy and completeness, and speeding the implementation of ordered diagnostic tests and treatment modalities. Computerized order entry also enhances staff productivity, saves money, promotes safety, and improves outcomes when used in conjunction with evidence-based practices. Rationale 2: The simultaneous notification of orders is an advantage of computerized order entry. Departments receive notification of new orders more quickly than in a paper-based system. Other benefits include direct entry of orders by the provider (e.g., physician, nurse practitioner, physical therapist) that eliminates issues related to illegible handwriting and transcription errors, checking orders for accuracy and completeness, and speeding the implementation of ordered diagnostic tests and treatment modalities. Computerized order entry also enhances staff productivity, saves money, promotes safety, and improves outcomes when used in conjunction with evidence-based practices. Rationale 3: The correct answer is the simultaneous notification of orders is a benefit of computerized order entry. Departments receive notification of new orders more quickly than in a paper-based system. Other benefits include direct entry of orders by the provider (e.g., physician, nurse practitioner, physical therapist) that eliminates issues related to illegible handwriting and transcription errors, checking orders for accuracy and completeness, and speeding the implementation of ordered diagnostic tests and treatment modalities. Computerized order entry also enhances staff productivity, saves money, promotes safety, and improves outcomes when used in conjunction with evidence-based practices. Rationale 4: The correct answer is the simultaneous notification of orders is a benefit of computerized order entry. Departments receive notification of new orders more quickly than in a paper-based system. Other benefits include direct entry of orders by the provider (e.g., physician, nurse practitioner, physical therapist) that eliminates issues related to illegible handwriting and transcription errors, checking orders for accuracy and completeness, and speeding the implementation of ordered diagnostic tests and treatment modalities. Computerized order entry also enhances staff productivity, saves money, promotes safety, and improves outcomes when used in conjunction with evidence-based practices.

Question 20 Type: MCSA The impact of standardized terminology throughout the U.S. health care system has grown exponentially. Medicare and Medicaid have begun to offer financial incentives to health care providers to promote adoption and meaningful use of interoperable health information systems and a qualified health record. Which of the following statements best describes meaningful use? 1. The goal of meaningful use is to input data in a manner that creates evidence-based practice models. 2. The goal of meaningful use is to exchange clinical structured data in a manner that is accurate and complete to improve patient care in a cost-efficient way. 3. The goal of meaningful use is to provide a warehouse of data that supports medication renewal and patient teaching plans. 4. The goal of meaningful use is to offer the clinician patient care tools for improved outcomes.

Answer: 2 Rationale 1: The goal of meaningful use is to exchange clinical structured data in a manner that it is accurate and complete to improve patient care in a cost-efficient way. One of the primary facets of meaningful use is the use of standardized language. Rationale 2: The goal of meaningful use is to exchange clinical structured data in a manner that it is accurate and complete to improve patient care in a cost-efficient way. One of the primary facets of meaningful use is the use of standardized language. Rationale 3: The goal of meaningful use is to exchange clinical structured data in a manner that it is accurate and complete to improve patient care in a cost-efficient way. One of the primary facets of meaningful use is the use of standardized language. Rationale 4: The goal of meaningful use is to exchange clinical structured data in a manner that it is accurate and complete to improve patient care in a cost-efficient way. One of the primary facets of meaningful use is the use of standardized language.

Question 22 Type: MCSA The lack of which of the following has long been a barrier to effective data reporting and analysis? 1. Knowledge 2. Interoperability 3. Resources 4. Information technology

Answer: 2 Rationale 1: The lack of interoperability has long been a barrier to effective data reporting and analysis. Rationale 2: The lack of interoperability has long been a barrier to effective data reporting and analysis. Rationale 3: The lack of interoperability has long been a barrier to effective data reporting and analysis. Rationale 4: The lack of interoperability has long been a barrier to effective data reporting and analysis.

Question 26 Type: MCSA Which of the following phases is the first step of the information system life cycle? 1. Implementation 2. Needs assessment 3. System selection 4. Maintenance

Answer: 2 Rationale 1: The life cycle process is continuous. The first phase is the needs assessment. Rationale 2: Life cycle is described as the ongoing process of developing and maintaining an information system. The first phase is the needs assessment. Rationale 3: The life cycle process is continuous. The first phase is the needs assessment. Rationale 4: The life cycle process is continuous. The first phase is the needs assessment.

Question 25 Type: MCSA The relationship between meaningful use and the adoption of the EHR in hospitals, physician offices, and other settings is best described as which of the following? 1. The meaningful use requirement must be considered before beginning the development process. 2. The meaningful use requirement is achieved with the adoption and use of the EHR system as part of the daily routine. 3. The meaningful use requirement is unique to every health care provider. 4. The meaningful use requirement and use of EHR systems are unrelated.

Answer: 2 Rationale 1: The meaningful use requirement is a major driver in the adoption and use of EHR systems across U.S. health care delivery systems and physician practices today (Bell & Thornton 2011; Hewlett Packard, 2010). The meaningful use requirement is being implemented in stages. Rationale 2: The fully developed EHR necessitates mandatory use of computers by caregivers as part of their daily routine. The meaningful use requirement is a major driver in the adoption and use of EHR systems across U.S. health care delivery systems and physician practices today (Bell & Thornton 2011; Hewlett Packard, 2010). The meaningful use requirement is being implemented in stages. Rationale 3: The meaningful use requirement is a major driver in the adoption and use of EHR systems across U.S. health care delivery systems and physician practices today (Bell & Thornton 2011; Hewlett Packard, 2010). The meaningful use requirement is being implemented in stages. Rationale 4: The meaningful use requirement is a major driver in the adoption and use of EHR systems across U.S. health care delivery systems and physician practices today (Bell & Thornton 2011; Hewlett Packard, 2010). The meaningful use requirement is being implemented in stages.

Question 20 Type: MCSA Which of the following describes the philosophical differences between the trainer's and educator's role? 1. Trainers are concerned with outcomes only whereas educators are concerned strictly with the educational process. 2. Trainers focus on behavior change through skill acquisition while concentrate on learning, thinking, and problem solving as a way to change behavior. 3. Any employee can be a trainer whereas an individual must have an advanced degree to be an educator. 4. Trainers rely on skill acquisition through learning, thinking, and problem solving as a way to change behavior, while educators rely on behavioral psychology which focuses on behavior change.

Answer: 2 Rationale 1: The philosophical differences between the trainer and educator are that trainers rely on behavioral psychology which focuses on behavior change through skill acquisition while educators rely on cognitive psychology which concentrates on learning, thinking, and problem solving as a way to change behavior. Rationale 2: The philosophical differences between the trainer and educator are that trainers rely on behavioral psychology which focuses on behavior change through skill acquisition while educators rely on cognitive psychology which concentrates on learning, thinking, and problem solving as a way to change behavior. Rationale 3: The philosophical differences between the trainer and educator are that trainers rely on behavioral psychology which focuses on behavior change through skill acquisition while educators rely on cognitive psychology which concentrates on learning, thinking, and problem solving as a way to change behavior. Rationale 4: The philosophical differences between the trainer and educator are that trainers rely on behavioral psychology which focuses on behavior change through skill acquisition while educators rely on cognitive psychology which concentrates on learning, thinking, and problem solving as a way to change behavior.

Hebda, Handbook of Informatics, 5/e Test Bank Chapter 13 Question 1 Type: MCSA What is the primary purpose of system integration in a health care facility? 1. Provide reliable flow of information between facility and physician offices 2. Offer seamless data exchange among disparate information systems 3. Prevent system data errors via large scale electronic exchanges 4. Customize information systems within a department

Answer: 2 Rationale 1: The purpose of system integration is to ensure that disparate information systems can communicate and exchange data among the different systems. Most health care facilities have a variety of different users that need system data. Integration is defined as the process by which different information systems are able to exchange data in a fashion that is seamless to the end user. Providing a reliable flow of information between the facility and physician offices is a specialized case and does not address the overall purpose. Rationale 2: The purpose of system integration is to ensure that disparate information systems can communicate and exchange data among the different systems. Most health care facilities have a variety of different users that need system data. Integration is defined as the process by which different information systems are able to exchange data in a fashion that is seamless to the end user. Customizing information systems within a department is a specialized case and does not address the overall purpose. Rationale 3: The purpose of system integration is to ensure that disparate information systems can communicate and exchange data among the different systems. Most health care facilities have a variety of different users that need system data. Integration is defined as the process by which different information systems are able to exchange data in a fashion that is seamless to the end user. Preventing system data errors via large scale electronic exchanges does not address the overall purpose. Rationale 4: The purpose of system integration is to ensure that disparate information systems can communicate and exchange data among the different systems. Most health care facilities have a variety of different users that need system data. Integration is defined as the process by which different information systems are able to exchange data in a fashion that is seamless to the end user. Customizing information systems within a department is a specialized case and does not address the overall purpose.

Question 9 Type: MCSA A female client goes to the clinic's office complaining of a cough and fever. She gives her name and date of birth at the admitting registration desk. The registration clerk verifies her current address and asks if she is still covered by IVY insurance. Client responds yes, is given a chart with the number 3948JAV04830 on it, and is directed to the physician's exam room. The physician orders a chest x-ray. The client is sent to the radiology department and checks in with the registration desk. The registration clerk verifies her current address and asks if she is still covered by IVY insurance. The client responds yes and is given an order sheet with the number 3948JAV04830 on it. The admitting office for the clinic and the radiology office use different information systems. The process depicted in this scenario illustrates the use of which of the following? 1. Uniform language 2. Master patient index 3. Data dictionary 4. Clinical data repository

Answer: 2 Rationale 1: This scenario is an example of the use of the MPI of patient identifiers. Both information systems, though different, used the same global identification number for the client and allowed for client identification at the point of care. The data dictionary defines terminology, the clinical data repository is a database where collective data from all information systems are stored, and many efforts to develop uniform languages are under way in the health care arena. Rationale 2: This scenario is an example of the use of the MPI of patient identifiers. Both information systems, though different, used the same global identification number for the client and allowed for client identification at the point of care. The data dictionary defines terminology, the clinical data repository is a database where collective data from all information systems are stored, and many efforts to develop uniform languages are under way in the health care arena. Rationale 3: This scenario is an example of the use of the MPI of patient identifiers. Both information systems, though different, used the same global identification number for the client and allowed for client identification at the point of care. The data dictionary defines terminology, the clinical data repository is a database where collective data from all information systems are stored, and many efforts to develop uniform languages are under way in the health care arena. Rationale 4: This scenario is an example of the use of the MPI of patient identifiers. Both information systems, though different, used the same global identification number for the client and allowed for client identification at the point of care. The data dictionary defines terminology, the clinical data repository is a database where collective data from all information systems are stored, and many efforts to develop uniform languages are under way in the health care arena.

Question 5 Type: MCSA Information in the electronic health record (EHR) may be owned by the patient or stakeholder. Which of the following about the EHR is different than the electronic medical record (EMR)? 1. It does not provide interactive client access. 2. Clients may append information if desired. 3. Dental records components are not included. 4. The EHR records and manages only episodic information.

Answer: 2 Rationale 1: Unlike the EMR, the EHR provides the ability for the client to append information; it does provide interactive client access. Rationale 2: Unlike the EMR, the EHR provides the ability for the client to append information; it provides interactive client access. Rationale 3: Unlike the EMR, the EHR provides the ability for the client to append information; it provides interactive client access. The Department of Defense has added dental records to the list of EHR components. Rationale 4: Unlike the EMR, the EHR provides the ability for the client to append information. It does record and manage longitudinal EHR information as well as episodic data.

Question 21 Type: MCSA The use of HL7 standards in individual applications can improve the integration of applications with other applications or systems through the use of which of the following? 1. Digital imaging and communications in medicine (DICOM) 2. Interface engine 3. Radiology information system (RIS) 4. Current procedural terminology (CPT) codes

Answer: 2 Rationale 1: Use of HL7 standards in individual applications improves the integration of these applications with other applications or systems using an interface engine. Benefits include easier and less costly integration within an organization and more accurate and useful data integration nationally and globally. Integration efforts and the development and use of integration standards, including HL7, are taking place at many levels. Rationale 2: Use of HL7 standards in individual applications improves the integration of these applications with other applications or systems using an interface engine. Benefits include easier and less costly integration within an organization and more accurate and useful data integration nationally and globally. Integration efforts and the development and use of integration standards, including HL7, are taking place at many levels. Rationale 3: Use of HL7 standards in individual applications improves the integration of these applications with other applications or systems using an interface engine. Benefits include easier and less costly integration within an organization and more accurate and useful data integration nationally and globally. Integration efforts and the development and use of integration standards, including HL7, are taking place at many levels. Rationale 4: Use of HL7 standards in individual applications improves the integration of these applications with other applications or systems using an interface engine. Benefits include easier and less costly integration within an organization and more accurate and useful data integration nationally and globally. Integration efforts and the development and use of integration standards, including HL7, are taking place at many levels.

Question 6 Type: MCMA Which of the following statements regarding computer-based training (CBT) are true? Standard Text: Select all that apply. 1. The accompanying materials require little trainer attention beforehand. 2. Retention is enhanced because technology is used to teach technology. 3. CBT facilitates mastery learning. 4. Vendor-supplied materials require no specific customization. 5. CBT is less costly to develop and revise.

Answer: 2,3 Rationale 1: The correct answers are: retention of the material is enhanced because technology is used to teach technology, and mastery learning is facilitated. CBT is time and labor intensive to develop and revise; its materials require great trainer attention beforehand, and vendor-supplied materials are seldom useful unless they are customized. Rationale 2: The correct answers are: retention of the material is enhanced because technology is used to teach technology, and mastery learning is facilitated. CBT is time and labor intensive to develop and revise; its materials require great trainer attention beforehand, and vendor-supplied materials are seldom useful unless they are customized. Rationale 3: The correct answers are: retention of the material is enhanced because technology is used to teach technology, and mastery learning is facilitated. CBT is time and labor intensive to develop and revise; its materials require great trainer attention beforehand, and vendor-supplied materials are seldom useful unless they are customized. Rationale 4: The correct answers are: retention of the material is enhanced because technology is used to teach technology, and mastery learning is facilitated. CBT is time and labor intensive to develop and revise; its materials require great trainer attention beforehand, and vendor-supplied materials are seldom useful unless they are customized. Rationale 5: The correct answers are: retention of the material is enhanced because technology is used to teach technology, and mastery learning is facilitated. CBT is time and labor intensive to develop and revise; its materials require great trainer attention beforehand, and vendor-supplied materials are seldom useful unless they are customized.

Question 3 Type: MCMA Health Level Seven (HL7) standards are not the only standards that are evolving to fit the changing health care model. What other organizations are instrumental in supporting the development of standards and helping to define data exchange? Standard Text: Select all that apply. 1. Department of Defense 2. Centers for Medicare and Medicare Services 3. National Science Foundation 4. Institute of Medicine 5. American Medical Informatics Association

Answer: 2,3,4,5 Rationale 1: Included in development of these standards are: National Science Foundation, Institute of Medicine, American Medical Informatics Association, and Centers for Medicare and Medicare Services. (There are also several others such as HIMSS.) Department of Defense is not included. Rationale 2: Included in development of these standards are: National Science Foundation, Institute of Medicine, American Medical Informatics Association, and Centers for Medicare and Medicare Services. (There are also several others such as HIMSS.) Department of Defense is not included. Rationale 3: Included in development of these standards are: National Science Foundation, Institute of Medicine, American Medical Informatics Association, and Centers for Medicare and Medicare Services. (There are also several others such as HIMSS.) Department of Defense is not included. Rationale 4: Included in development of these standards are: National Science Foundation, Institute of Medicine, American Medical Informatics Association, and Centers for Medicare and Medicare Services. (There are also several others such as HIMSS.) Department of Defense is not included. Rationale 5: Included in development of these standards are: National Science Foundation, Institute of Medicine, American Medical Informatics Association, and Centers for Medicare and Medicare Services. (There are also several others such as HIMSS.) Department of Defense is not included.

Question 20 Type: MCMA Electronic medical record (EMR) result reporting and data repository components include unstructured data. Which of the following are examples of unstructured data? Standard Text: Select all that apply. 1. Automated laboratory results 2. History and physical 3. Consultation findings 4. Magnetic resonance imaging 5. A social services text report

Answer: 2,3,5 Rationale 1: Examples of unstructured EMR data are history and physical, social services text report, and consultation findings. Unstructured data do not follow any particular format. Other examples are operative reports, and discharge summaries. The EMR also includes structured data, those that follow a predefined format and are often presented as discrete data elements. A primary example is laboratory results from an automated laboratory information system. Magnetic resonance imaging is an example of another type of structured data that may be included in the EMR. Rationale 2: Examples of unstructured EMR data are history and physical, social services text report, and consultation findings. Unstructured data do not follow any particular format. Other examples are operative reports, and discharge summaries. The EMR also includes structured data, those that follow a predefined format and are often presented as discrete data elements. A primary example is laboratory results from an automated laboratory information system. Magnetic resonance imaging is an example of another type of structured data that may be included in the EMR. Rationale 3: Examples of unstructured EMR data are history and physical, social services text report, and consultation findings. Unstructured data do not follow any particular format. Other examples are operative reports, and discharge summaries. The EMR also includes structured data, those that follow a predefined format and are often presented as discrete data elements. A primary example is laboratory results from an automated laboratory information system. Magnetic resonance imaging is an example of another type of structured data that may be included in the EMR. Rationale 4: Examples of unstructured EMR data are history and physical, social services text report, and consultation findings. Unstructured data do not follow any particular format. Other examples are operative reports, and discharge summaries. The EMR also includes structured data, those that follow a predefined format and are often presented as discrete data elements. A primary example is laboratory results from an automated laboratory information system. Magnetic resonance imaging is an example of another type of structured data that may be included in the EMR. Rationale 5: Examples of unstructured EMR data are history and physical, social services text report, and consultation findings. Unstructured data do not follow any particular format. Other examples are operative reports, and discharge summaries. The EMR also includes structured data, those that follow a predefined format and are often presented as discrete data elements. A primary example is laboratory results from an automated laboratory information system. Magnetic resonance imaging is an example of another type of structured data that may be included in the EMR.

Question 4 Type: MCMA When evaluating a request for proposal (RFP) for the installation of a wireless system, the health care facility would be most impressed with which of the following? Standard Text: Select all that apply. 1. The proposal is a standard request sent to a number of institutions. 2. The proposal was received a week before the deadline date. 3. A proposal that includes precise answers to specific steering committee questions 4. A proposal that appears to meet most of the "must" requirements 5. A proposal that is written clearly, precisely, and professionally

Answer: 2,3,5 Rationale 1: Proposals should be submitted by the deadline date; earlier can be a plus. Proposals should be professionally written, individualized to the health care facility's needs, and address questions asked. Vendors that are unable to meet all of the "musts" should be automatically eliminated. Rationale 2: Proposals should be submitted by the deadline date; earlier can be a plus. Proposals should be professionally written, individualized to the health care facility's needs, and address questions asked. Vendors that are unable to meet all of the "musts" should be automatically eliminated. Rationale 3: Proposals should be submitted by the deadline date; earlier can be a plus. Proposals should be professionally written, individualized to the health care facility's needs, and address questions asked. Vendors that are unable to meet all of the "musts" should be automatically eliminated. Rationale 4: Proposals should be submitted by the deadline date; earlier can be a plus. Proposals should be professionally written, individualized to the health care facility's needs, and address questions asked. Vendors that are unable to meet all of the "musts" should be automatically eliminated. Rationale 5: Proposals should be submitted by the deadline date; earlier can be a plus. Proposals should be professionally written, individualized to the health care facility's needs, and address questions asked. Vendors that are unable to meet all of the "musts" should be automatically eliminated.

Question 27 Type: MCMA Information systems interact to provide checks and alerts throughout the medication ordering and administration process. Which of the following are steps in this process in which bar codes are utilized for medication ordering and administration? Standard Text: Select all that apply. 1. Bar code on patient's door is scanned 2. Bar code on the medication label is scanned 3. Bar code on patient's identification bracelet is scanned 4. Bar code on patient's chart is scanned 5. Bar code on nurse's identification badge is scanned

Answer: 2,3,5 Rationale 1: To prevent errors, the nurse scans the bar codes found on his or her identification, the patient's identification bracelet, and on all prescription medications during the medication administration process. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right patient. Bar coding systems often include warnings for high-risk drugs, medications with sound-alike names, dosage discrepancies, and maximum dosages. Rationale 2: To prevent errors, the nurse scans the bar codes found on his or her identification, the patient's identification bracelet, and on all prescription medications during the medication administration process. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right patient. Bar coding systems often include warnings for high-risk drugs, medications with sound-alike names, dosage discrepancies, and maximum dosages. Rationale 3: To prevent errors, the nurse scans the bar codes found on his or her identification, the patient's identification bracelet, and on all prescription medications during the medication administration process. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right patient. Bar coding systems often include warnings for high-risk drugs, medications with sound-alike names, dosage discrepancies, and maximum dosages. Rationale 4: To prevent errors, the nurse scans the bar codes found on his or her identification, the patient's identification bracelet, and on all prescription medications during the medication administration process. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right patient. Bar coding systems often include warnings for high-risk drugs, medications with sound-alike names, dosage discrepancies, and maximum dosages. Rationale 5: To prevent errors, the nurse scans the bar codes found on his or her identification, the patient's identification bracelet, and on all prescription medications during the medication administration process. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right patient. Bar coding systems often include warnings for high-risk drugs, medications with sound-alike names, dosage discrepancies, and maximum dosages.

Question 6 Type: MCMA The term interoperability is used when discussing the large scale electronic exchange of health care information across enterprises for the purpose of accessing and maintaining longitudinal health records. The term interoperability is understood to mean which of the following? Standard Text: Select all that apply. 1. Has the ability to exchange the structure of the data, but not the meaning of data 2. Has the ability to exchange the structure of data and meaning of data 3. Has the ability to exchange the meaning of data, but not the structure of data 4. Is the ability of two entities, whether human or machine, to exchange and use data 5. It is accurate to use the term interoperability interchangeably with the term interface

Answer: 2,4 Rationale 1: The structure and meaning of the data can both be exchanged. Interoperability is the ability of two entities, whether human or machine, to exchange and predictably use data or information while retaining the original meaning of that data. It is inaccurate to use the terms interface and interoperability interchangeably. The interface engine routes information from one system to another but stops short of enabling the second system to understand and use that information. Most discussions that involve the large scale electronic exchange of health care information across enterprises for the purpose of accessing and maintaining longitudinal health records speak of interoperability. Rationale 2: The structure and meaning of the data can both be exchanged. Interoperability is the ability of two entities, whether human or machine, to exchange and predictably use data or information while retaining the original meaning of that data. It is inaccurate to use the terms interface and interoperability interchangeably. The interface engine routes information from one system to another but stops short of enabling the second system to understand and use that information. Most discussions that involve the large scale electronic exchange of health care information across enterprises for the purpose of accessing and maintaining longitudinal health records speak of interoperability. Rationale 3: The structure and meaning of the data can both be exchanged. Interoperability is the ability of two entities, whether human or machine, to exchange and predictably use data or information while retaining the original meaning of that data. It is inaccurate to use the terms interface and interoperability interchangeably. The interface engine routes information from one system to another but stops short of enabling the second system to understand and use that information. Most discussions that involve the large scale electronic exchange of health care information across enterprises for the purpose of accessing and maintaining longitudinal health records speak of interoperability. Rationale 4: The structure and meaning of the data can both be exchanged. Interoperability is the ability of two entities, whether human or machine, to exchange and predictably use data or information while retaining the original meaning of that data. It is inaccurate to use the terms interface and interoperability interchangeably. The interface engine routes information from one system to another but stops short of enabling the second system to understand and use that information. Most discussions that involve the large scale electronic exchange of health care information across enterprises for the purpose of accessing and maintaining longitudinal health records speak of interoperability. Rationale 5: The structure and meaning of the data can both be exchanged. Interoperability is the ability of two entities, whether human or machine, to exchange and predictably use data or information while retaining the original meaning of that data. It is inaccurate to use the terms interface and interoperability interchangeably. The interface engine routes information from one system to another but stops short of enabling the second system to understand and use that information. Most discussions that involve the large scale electronic exchange of health care information across enterprises for the purpose of accessing and maintaining longitudinal health records speak of interoperability.

Question 13 Type: MCMA Among the following, which indicate that an organization has identified and is managing human factors in the work environment? Standard Text: Select all that apply. 1. Classroom question and answer periods are regularly kept to a strict limit of five minutes. 2. Tent cards with name and unit of trainees are placed in the classroom at each meeting. 3. Administrators meet with unit supervisors and not staff for fear of intimidating them during the critical implementation phase. 4. A series of noon meetings (lunch provided) called "LunchBytes" are offered for demonstrations and discussion sessions. 5. An article announcing the implementation of the new system and recognizing the staff appears in the local paper.

Answer: 2,4,5 Rationale 1: Classroom question and answer periods are important and should be allotted sufficient time at each meeting. Administrators should provide a role model and interact with the staff to let them know they are interested in how the implementation is progressing. Rationale 2: Tent cards promote interaction on a first-name basis. Positive media coverage helps employees explain to relatives and friends what is going on at their workplace. Lunch time meetings can provide a casual environment to discuss the new system and learn about what others are doing. Rationale 3: Classroom question and answer periods are important and should be allotted sufficient time at each meeting. Administrators should provide a role model and interact with the staff to let them know they are interested in how the implementation is progressing. Rationale 4: Tent cards promote interaction on a first-name basis. Positive media coverage helps employees explain to relatives and friends what is going on at their workplace. Lunch time meetings can provide a casual environment to discuss the new system and learn about what others are doing. Rationale 5: Tent cards promote interaction on a first-name basis. Positive media coverage helps employees explain to relatives and friends what is going on at their workplace. Lunch time meetings can provide a casual environment to discuss the new system and learn about what others are doing.

Question 7 Type: MCMA A nurse practitioner (NP) approaches a computer terminal at the local health care facility. In order to gain access to client information, the NP must first slide a smartcard through a card reader and then place a finger on a scanner. Which authentication measures were used to verify the NP's authorization to access client data? Standard Text: Select all that apply. 1. Appearance of the user's name on a screen 2. Biometric authentication 3. Picture authentication package 4. Proximity radio authentication 5. Encrypted pass key authentication

Answer: 2,5 Rationale 1: Biometric authentication is based on unique biological traits; thus, the fingerprint identification is Also correct is encrypted passkey authentication that uses a secret number verified against a registered digital certificate which would be kept on the smartcard. Proximity radio authentication requires the radio device be close to the sensing unit but there is nothing in the scenario to suggest this method was used. The appearance of the user's name on a screen and picture authentication packages are not indicated in this scenario. Rationale 2: Biometric authentication is based on unique biological traits; thus, the fingerprint identification is Also correct is encrypted passkey authentication that uses a secret number verified against a registered digital certificate which would be kept on the smartcard. Proximity radio authentication requires the radio device be close to the sensing unit but there is nothing in the scenario to suggest this method was used. The appearance of the user's name on a screen and picture authentication packages are not indicated in this scenario. Rationale 3: Biometric authentication is based on unique biological traits; thus, the fingerprint identification is Also correct is encrypted passkey authentication that uses a secret number verified against a registered digital certificate which would be kept on the smartcard. Proximity radio authentication requires the radio device be close to the sensing unit but there is nothing in the scenario to suggest this method was used. The appearance of the user's name on a screen and picture authentication packages are not indicated in this scenario. Rationale 4: Biometric authentication is based on unique biological traits; thus, the fingerprint identification is Also correct is encrypted passkey authentication that uses a secret number verified against a registered digital certificate which would be kept on the smartcard. Proximity radio authentication requires the radio device be close to the sensing unit but there is nothing in the scenario to suggest this method was used. The appearance of the user's name on a screen and picture authentication packages are not indicated in this scenario. Rationale 5: Biometric authentication is based on unique biological traits; thus, the fingerprint identification is Also correct is encrypted passkey authentication that uses a secret number verified against a registered digital certificate which would be kept on the smartcard. Proximity radio authentication requires the radio device be close to the sensing unit but there is nothing in the scenario to suggest this method was used. The appearance of the user's name on a screen and picture authentication packages are not indicated in this scenario.

Question 18 Type: MCSA Which of the following is not a factor to consider when selecting a trainer? 1. Teaching skills 2. Ability to interact 3. Experience with process outcomes 4. Educational approach

Answer: 3 Rationale 1: -Teaching skills and experience: Should have previous training, content development, and information system experience. -Ability to interact with groups and individuals: Need the ability to communicate clearly, and manage the training needs of the group. -Understanding end-users and their responsibilities: Need understanding of user classes, their job needs, and information system requirements. -Training approach: Must be knowledgeable and comfortable with the selected approach. -Centralized versus departmental training: Centralized training provides the general principles and overall functionality of the information system. Departmental training is workflow oriented, customized, and focused on individual user class responsibilities in a given area. -Focus areas of in-house instructors: Hospital-wide or staff development educators may know the basic principles of adult education but may lack familiarity with work-flows. Clinicians have expertise within their clinical practice areas. Department supervisors are knowledgeable about their clinical area and work-flow but may be unable to leave their supervisory responsibilities. Information system personnel may understand the software application and functionality, but lack a clinical perspective. Rationale 2: -Teaching skills and experience: Should have previous training, content development, and information system experience. -Ability to interact with groups and individuals: Need the ability to communicate clearly, and manage the training needs of the group. -Understanding end-users and their responsibilities: Need understanding of user classes, their job needs, and information system requirements. -Training approach: Must be knowledgeable and comfortable with the selected approach. -Centralized versus departmental training: Centralized training provides the general principles and overall functionality of the information system. Departmental training is workflow oriented, customized, and focused on individual user class responsibilities in a given area. -Focus areas of in-house instructors: Hospital-wide or staff development educators may know the basic principles of adult education but may lack familiarity with work-flows. Clinicians have expertise within their clinical practice areas. Department supervisors are knowledgeable about their clinical area and work-flow but may be unable to leave their supervisory responsibilities. Information system personnel may understand the software application and functionality, but lack a clinical perspective. Rationale 3: Experience with process outcomes is not necessarily a skill needed for a trainer. Rationale 4: -Teaching skills and experience: Should have previous training, content development, and information system experience. -Ability to interact with groups and individuals: Need the ability to communicate clearly, and manage the training needs of the group. -Understanding end-users and their responsibilities: Need understanding of user classes, their job needs, and information system requirements. -Training approach: Must be knowledgeable and comfortable with the selected approach. -Centralized versus departmental training: Centralized training provides the general principles and overall functionality of the information system. Departmental training is workflow oriented, customized, and focused on individual user class responsibilities in a given area. -Focus areas of in-house instructors: Hospital-wide or staff development educators may know the basic principles of adult education but may lack familiarity with work-flows. Clinicians have expertise within their clinical practice areas. Department supervisors are knowledgeable about their clinical area and work-flow but may be unable to leave their supervisory responsibilities. Information system personnel may understand the software application and functionality, but lack a clinical perspective.

Question 7 Type: MCSA Which of the following is a major component of the computer-based patient record (CPR)? 1. Results reporting including unstructured data reports 2. Legal record created in hospitals and ambulatory environments 3. Support for links to local or remote information resources 4. Integration of all pertinent patient information into one record

Answer: 3 Rationale 1: A major component of the CPR is support for links to local or remote information resources. Results reporting including unstructured data reports are part of the EMR. Rationale 2: A major component of the CPR is support for links to local or remote information resources. The EMR is a legal record created in hospitals and ambulatory environments. Rationale 3: A major component of the CPR is support for links to local or remote information resources. Rationale 4: A major component of the CPR is support for links to local or remote information resources. The EHR integrates all pertinent patient information into one record.

Question 12 Type: MCSA One step in the integration process is the development of a uniform definition of terms, or language. The American Nurses Association sponsors the Congress of Nursing Practice Steering Committee on Databases. Which of the following is a primary goal of this steering committee? 1. Categorize interventions that nurses carry out. 2. Measure client outcome position. 3. Develop a mapping system to link various classification schemes. 4. Identify client care problems that nurses treat independently.

Answer: 3 Rationale 1: A primary goal of the Congress of Nursing Practice Steering Committee on Databases is to develop a mapping system to link the various classification schemes. This would allow for the development of national data sets for use by nursing. The following are actually special classification systems: categorize interventions that nurses carry out is NIC; identify client care problems that nurses treat independently is NANDA; measure client outcome is NOC. Rationale 2: A primary goal of the Congress of Nursing Practice Steering Committee on Databases is to develop a mapping system to link the various classification schemes. This would allow for the development of national data sets for use by nursing. The following are actually special classification systems: categorize interventions that nurses carry out is NIC; identify client care problems that nurses treat independently is NANDA; measure client outcome is NOC. Rationale 3: Developing a mapping system to link the various classification schemes would allow for the development of national data sets for use by nursing. The following are actually special classification systems: categorize interventions that nurses carry out is NIC; identify client care problems that nurses treat independently is NANDA; measure client outcome is NOC. Rationale 4: A primary goal of the Congress of Nursing Practice Steering Committee on Databases is to develop a mapping system to link the various classification schemes. This would allow for the development of national data sets for use by nursing. The following are actually special classification systems: categorize interventions that nurses carry out is NIC; identify client care problems that nurses treat independently is NANDA; measure client outcome is NOC.

Question 22 Type: MCSA The Health Insurance Portability and Accountability Act (HIPAA) requires organizations to determine threats and appropriate protective measures for information, not only in electronic formats, but in all formats. Which of the following measures cannot be incorporated by organizations to secure all data? 1. Creation of authentication policies 2. Specific software 3. Spyware 4. Firewall

Answer: 3 Rationale 1: Authentication is the process of determining whether an individual has access to information. The process is enhanced by passwords, a username, smart card, retina scan, voice recognition, or fingerprints. Rationale 2: Software has been created to form a barrier between systems, or different parts of a single system, to protect those systems from unauthorized access. Rationale 3: Spyware is a data collection mechanism that installs itself without the user's permission. Rationale 4: A firewall is a component of a computer system or network that is designed to block unauthorized access while permitting authorized communications. It is a device or set of devices that is configured to permit or deny network transmissions based upon a set of rules and other criteria.

Question 15 Type: FIB _____________and wireless technology can be used with CISs to allow information entry and retrieval at the point of care or wherever it is needed by the health care professional. Standard Text:

Answer: Mobile Rationale : Mobile technology can be used with CISs allow information entry and retrieval at the point of care or wherever it is needed by the healthcare professional. This is best seen by the healthcare professional who can view client lab results while walking or at the point of care which enhances worker productivity because it eliminates the need to walk back to a central location to view test results, and it improves client service because treatments can be ordered and initiated in a more timely fashion.

Question 3 Type: MCSA While most hospitals have some level of automation, few have attained a fully electronic environment. Health care Information and Management Systems Society (HIMSS) analytics created an EMR adoption model that identifies eight levels of EMR capabilities. Your hospital has been designated as a Stage 3 facility. Which of the following is accurate about an organization at Stage 3 level? 1. Computerized provider order entry (CPOE) and better EBP clinical decision support is available. 2. Some clinical automation exists. 3. Basic clinical documentation is required. 4. Major ancillary clinical systems are all installed (laboratory, pharmacy, and radiology systems).

Answer: 3 Rationale 1: Basic clinical documentation is required for Stage 3. The stages of the model range from minimal automation at stage 0 to full automation at stage 7. Each subsequent stage presumes the existence of the functionalities listed for the preceding stage. Your choice "Computerized provider order entry (CPOE) and better EBP clinical decision support" matches Stage 4. Rationale 2: Basic clinical documentation is required for Stage 3. The stages of the model range from minimal automation at stage 0 to full automation at stage 7. Each subsequent stage presumes the existence of the functionalities listed for the preceding stage. Your choice "Some clinical automation exists" matches Stage 0. Rationale 3: Basic clinical documentation is indeed required for Stage 3. The stages of the model range from minimal automation at stage 0 to full automation at stage 7. Each subsequent stage presumes the existence of the functionalities listed for the preceding stage. Rationale 4: Basic clinical documentation is required for Stage 3. The stages of the model range from minimal automation at stage 0 to full automation at stage 7. Each subsequent stage presumes the existence of the functionalities listed for the preceding stage. Your choice "Major ancillary clinical systems are all installed" matches a Stage 2.

Question 2 Type: MCSA The timely flow of information is critical to institutional survival. Which of the following statements about interfaces is accurate? 1. Interfaces use an open systems technology provided by the vendor. 2. Interfaces require installation of a Health Level Seven (HL7) device. 3. Interface connections between different information systems are invisible to the user. 4. Interfaces physically join two or more disparate information systems.

Answer: 3 Rationale 1: Interface connections between different information systems are invisible to the user. Vendors often claim their products are based on open systems technology, which is the ability to communicate with other systems. The reality is there has been little incentive for vendors to market products that readily work with their competitors' products. Interfaces do not require HL7 devices; open systems technology is a concept; and interfaces do not physically join systems. Rationale 2: Interface connections between different information systems are invisible to the user. Vendors often claim their products are based on open systems technology, which is the ability to communicate with other systems. The reality is there has been little incentive for vendors to market products that readily work with their competitors' products. Interfaces do not require HL7 devices; open systems technology is a concept; and interfaces do not physically join systems. Rationale 3: Interface connections between different information systems are invisible to the user. Vendors often claim their products are based on open systems technology, which is the ability to communicate with other systems. The reality is there has been little incentive for vendors to market products that readily work with their competitors' products. Interfaces do not require HL7 devices; open systems technology is a concept; and interfaces do not physically join systems. Rationale 4: Interface connections between different information systems are invisible to the user. Vendors often claim their products are based on open systems technology, which is the ability to communicate with other systems. The reality is there has been little incentive for vendors to market products that readily work with their competitors' products. Interfaces do not require HL7 devices; open systems technology is a concept; and interfaces do not physically join systems.

Question 3 Type: MCSA A 512-bed acute-care community hospital is planning to install a wireless system. The steering committee is planning a site visit to observe the wireless system in action. Which site would be the most suitable for the committee to visit? 1. A 36-bed state-of-the-art open-heart intensive care unit at a hospital that uses the same vendor's equipment and services 2. A 496-bed acute-care hospital utilizing another vendor with similar equipment and services 3. A 485-bed acute-care community hospital utilizing the same vendor's equipment and services 4. A 712-bed acute-tertiary care hospital utilizing the same vendor's equipment and services

Answer: 3 Rationale 1: Most suitable for the committee to visit is the 485-bed acute-care community hospital utilizing the same vendor's equipment and services. Site visits allow the vendor's system under consideration to be seen in action at a location that is comparable in size and providing similar services. Rationale 2: Most suitable for the committee to visit is the 485-bed acute-care community hospital utilizing the same vendor's equipment and services. Site visits allow the vendor's system under consideration to be seen in action at a location that is comparable in size and providing similar services. Rationale 3: Most suitable for the committee to visit is the 485-bed acute-care community hospital utilizing the same vendor's equipment and services. Site visits allow the vendor's system under consideration to be seen in action at a location that is comparable in size and providing similar services. Rationale 4: Most suitable for the committee to visit is the 485-bed acute-care community hospital utilizing the same vendor's equipment and services. Site visits allow the vendor's system under consideration to be seen in action at a location that is comparable in size and providing similar services.

Question 17 Type: MCSA The Omaha System has a multitude of functions. The system can store data describing problems, symptoms, modifiers, interventions, and outcomes. One of the benefits of the stored data is which of the following? 1. Decreasing services to elderly 2. Allowing patient input of data 3. Researching quality and effectiveness 4. Decreasing time spent with data collection

Answer: 3 Rationale 1: Researching quality and effectiveness leads to evidence-based practice models and decision support rules. Data can be sorted and compared, and analyzed. The result is meaningful use of data. Rationale 2: Researching quality and effectiveness leads to evidence-based practice models and decision support rules. Data can be sorted and compared, and analyzed. The result is meaningful use of data. Rationale 3: Researching quality and effectiveness leads to evidence-based practice models and decision support rules. Data can be sorted and compared, and analyzed. The result is meaningful use of data. Rationale 4: Researching quality and effectiveness leads to evidence-based practice models and decision support rules. Data can be sorted and compared, and analyzed. The result is meaningful use of data.

Question 23 Type: MCSA Which of the following statements most accurately describes the difference between down time and response time? 1. Response time is the period of time when an information system is not operational and available for use whereas down time is the amount of time between a user action and the response from the information system. 2. Response time is the moment information is gleaned from the computer whereas down time is the period when the system is off. 3. Response time is the amount of time between a user action and the response from the information system whereas downtime refers to the period of time when an information system is not operational and available for use. 4. Response time occurs when the software is downloaded whereas down time refers to the period of time it takes for the software to activate.

Answer: 3 Rationale 1: Response time is the amount of time between a user action and the response from the information system. For example, after the user selects a laboratory test from a menu, the system requires a certain amount of processing time before that result can be viewed. Downtime refers to the period of time when an information system is not operational and available for use. Rationale 2: Response time is the amount of time between a user action and the response from the information system. For example, after the user selects a laboratory test from a menu, the system requires a certain amount of processing time before that result can be viewed. Downtime refers to the period of time when an information system is not operational and available for use. Rationale 3: Response time is the amount of time between a user action and the response from the information system. For example, after the user selects a laboratory test from a menu, the system requires a certain amount of processing time before that result can be viewed. Downtime refers to the period of time when an information system is not operational and available for use. Rationale 4: Response time is the amount of time between a user action and the response from the information system. For example, after the user selects a laboratory test from a menu, the system requires a certain amount of processing time before that result can be viewed. Downtime refers to the period of time when an information system is not operational and available for use.

Question 1 Type: MCSA Medication errors have been on the rise over the past decade. A national initiative to minimize or eliminate the errors can be supported through which of the following responses? 1. Electronic medical administration records are generated weekly and compared to the clients' physician orders. 2. The client's medication administration record is compared to the client's identification bracelet before the medication is given. 3. The bar codes of the nurse, client's identification bracelet, and prescription medication are scanned and compared. 4. The client's medication administration record bar code is compared to the clients' prescription medications.

Answer: 3 Rationale 1: Scanning bar codes at the point of care decreases the probability of the nurse making medication errors. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right client. Bar coding systems often include warnings for high-risk drugs, for medications with sound-alike names, for maximum dosages, and dosage discrepancies. All the other examples are insufficient or are performed away from the clients themselves. Rationale 2: Scanning bar codes at the point of care decreases the probability of the nurse making medication errors. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right client. Bar coding systems often include warnings for high-risk drugs, for medications with sound-alike names, for maximum dosages, and dosage discrepancies. All the other examples are insufficient or are performed away from the clients themselves. Rationale 3: Scanning bar codes at the point of care decreases the probability of the nurse making medication errors. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right client. Bar coding systems often include warnings for high-risk drugs, for medications with sound-alike names, for maximum dosages, and dosage discrepancies. All the other examples are insufficient or are performed away from the clients themselves. Rationale 4: Scanning bar codes at the point of care decreases the probability of the nurse making medication errors. These systems are designed to help the busy nurse to ensure that the right medication is given in the correct dosage and form at the correct time for the right client. Bar coding systems often include warnings for high-risk drugs, for medications with sound-alike names, for maximum dosages, and dosage discrepancies. All the other examples are insufficient or are performed away from the clients themselves.

Question 10 Type: MCSA During the orientation to the renal oncology unit, the head nurse demonstrated the usefulness of the Clinical Care Classification (CCC) System. Throughout the demonstration, the head nurse discussed the value of the system to patient care. Which of the following statements best reflects the usefulness of CCC? 1. The Clinical Care Classification (CCC) System facilitates the collection and dissemination of lab values. 2. The Clinical Care Classification (CCC) System offers improved outcomes. 3. The Clinical Care Classification (CCC) System facilitates patient care documentation at the bedside. 4. The Clinical Care Classification (CCC) System discloses standardized nursing terminologies.

Answer: 3 Rationale 1: The Clinical Care Classification (CCC) System is a nursing classification designed to document the six steps of the nursing process across the care continuum (Saba, 2007). It facilitates patient care documentation at the point of care. Rationale 2: The Clinical Care Classification (CCC) System is a nursing classification designed to document the six steps of the nursing process across the care continuum (Saba, 2007). It facilitates patient care documentation at the point of care. Rationale 3: The Clinical Care Classification (CCC) System is a nursing classification designed to document the six steps of the nursing process across the care continuum (Saba, 2007). It facilitates patient care documentation at the point of care. Rationale 4: The Clinical Care Classification (CCC) System is a nursing classification designed to document the six steps of the nursing process across the care continuum (Saba, 2007). It facilitates patient care documentation at the point of care.

Question 8 Type: MCSA When the steering committee of an acute care institution is appointed to select a new computer system, site visits are requested at a number of organizations to see the live systems. During these visits, which statement provided in staff interviews should alert the committee to potential bias? 1. "System backups occur daily at midnight but we rarely notice them. The downtime is minimal." 2. "What we would like to see added to the system is the ability to add wireless devices. The vendor is looking into the situation now." 3. "Vendor support is always wonderful. Here is one of the company representatives who can best explain that to you." 4. "System access is restricted per HIPAA guidelines. We use a thumbprint to verify entry into the system."

Answer: 3 Rationale 1: The correct answer is "Vendor support is always wonderful. Here is one of the company representatives who can best explain that to you." Vendors should not be present during site visits, in order to avoid potential bias. Site visits should allow the committee to review security and confidentiality issues, backups and downtime, ask about how their vendor reacts to suggestions given them by the organization after the system has been implemented, etc. Rationale 2: The correct answer is "Vendor support is always wonderful. Here is one of the company representatives who can best explain that to you." Vendors should not be present during site visits, in order to avoid potential bias. Site visits should allow the committee to review security and confidentiality issues, backups and downtime, ask about how their vendor reacts to suggestions given them by the organization after the system has been implemented, etc. Rationale 3: Vendors should not be present during site visits to avoid potential bias. Site visits should allow the committee to review security and confidentiality issues, backups and downtime, ask about how their vendor reacts to suggestions given them by the organization after the system has been implemented, etc. Rationale 4: The correct answer is "Vendor support is always wonderful. Here is one of the company representatives who can best explain that to you." Vendors should not be present during site visits, in order to avoid potential bias. Site visits should allow the committee to review security and confidentiality issues, backups and downtime, ask about how their vendor reacts to suggestions given them by the organization after the system has been implemented, etc.

Question 9 Type: MCSA The members of a steering committee should be carefully selected. Which committee would be most effective? 1. A four-member committee consisting entirely of high-level executive board members 2. A five-member committee consisting of one upper-level management representative from each department 3. A 15-member committee consisting of multidisciplinary representatives from each unit/department 4. A 12-member committee consisting of staff nurse representatives from each unit

Answer: 3 Rationale 1: The correct answer is a 15-member committee consisting of multidisciplinary representatives from each unit/department. To be effective, a steering committee should be large enough to make decisions, but small enough to be effective. All those affected should be represented with a multidisciplinary team membership. Rationale 2: The correct answer is a 15-member committee consisting of multidisciplinary representatives from each unit/department. To be effective, a steering committee should be large enough to make decisions, but small enough to be effective. All those affected should be represented with a multidisciplinary team membership. Rationale 3: To be effective, a steering committee should be large enough to make decisions, but small enough to be effective. All those affected should be represented with a multidisciplinary team membership. Rationale 4: The correct answer is a 15-member committee consisting of multidisciplinary representatives from each department. To be effective, a steering committee should be large enough to make decisions, but small enough to be effective. All those affected should be represented with a multidisciplinary team membership.

Question 10 Type: MCSA A certified nursing assistant (CNA) at a local nursing home logs on to the facility's clinical information system. The CNA can only see information about the clients that were assigned by the registered nurse for that day. The CNA cannot see financial data regarding any of the assigned clients. This situation is an example of which of the following? 1. Password protection 2. Computer forensics 3. Access levels 4. User authentication

Answer: 3 Rationale 1: The correct answer is access levels. Based on an individual's access level, information will be restricted on a need-to-know basis. Therefore, the CNA has access to limited information regarding the assigned clients and is restricted from all financial data. Computer forensics is the collection of electronic evidence and is not related to this situation. Rationale 2: The correct answer is access levels. Based on an individual's access level, information will be restricted on a need-to-know basis. Therefore, the CNA has access to limited information regarding the assigned clients and is restricted from all financial data. Computer forensics is the collection of electronic evidence and is not related to this situation. Rationale 3: Based on an individual's access level, information will be restricted on a need-to-know basis. Therefore, the CNA is limited information regarding the clients for whom he is responsible and restricted from all financial data. Computer forensics is the collection of electronic evidence and has nothing to do with this situation. Rationale 4: The correct answer is access levels. Based on an individual's access level, information will be restricted on a need-to-know basis. Therefore, the CNA has access to limited information regarding the assigned clients and is restricted from all financial data. Computer forensics is the collection of electronic evidence and is not related to this situation.

Question 6 Type: MCSA E-mail is an efficient means of disseminating information quickly and inexpensively. However, HIPAA regulations affect e-mail use and routing infrastructures. When may potentially sensitive information be sent via e-mail? 1. Client's consent was obtained to send information via e-mail 2. Recipient is known to the sender 3. E-mail is sent encrypted. 4. Organization's e-mail system has appropriate firewalls

Answer: 3 Rationale 1: The correct answer is the e-mail is encrypted. This is done so that only the intended receiver can access the information. Knowing the recipient does not guarantee that the e-mail will not be intercepted by others. Non-encrypted messages can be read and public e-mail password protection of mailboxes can be cracked. While having the client's consent is necessary to share information, it does not protect confidentiality during transmission. Firewalls protect a system from unwanted access by allowing only approved transactions to pass through them. Rationale 2: The correct answer is the e-mail is encrypted. This is done so that only the intended receiver can access the information. Knowing the recipient does not guarantee that the e-mail will not be intercepted by others. Non-encrypted messages can be read and public e-mail password protection of mailboxes can be cracked. While having the client's consent is necessary to share information, it does not protect confidentiality during transmission. Firewalls protect a system from unwanted access by allowing only approved transactions to pass through them. Rationale 3: Encryption is used so that only the intended recipient can access the information. Knowing the recipient does not guarantee that the e-mail will not be intercepted by others. Non-encrypted messages can be read and public e-mail password protection of mailboxes can be cracked. While having the client's consent is necessary to share information, it does not protect the confidentiality during transmission. Firewalls protect a system from unwanted access by allowing only approved transactions to pass through them. Rationale 4: The correct answer is the e-mail is encrypted. This is done so that only the intended receiver can access the information. Knowing the recipient does not guarantee that the e-mail will not be intercepted by others. Non-encrypted messages can be read and public e-mail password protection of mailboxes can be cracked. While having the client's consent is necessary to share information, it does not protect confidentiality during transmission. Firewalls protect a system from unwanted access by allowing only approved transactions to pass through them.

Question 6 Type: MCSA Which statement best fits a request for proposal (RFP) for a wireless system? 1. The vendor sends literature about its wireless system to several institutions to increase their business. 2. The search committee sends email requests to several vendors stating the needs of the institution for a new wireless system. 3. The steering committee sends a formal document to several vendors to ask for specific information about their wireless system. 4. A formal document is sent by a vendor who heard an institution is upgrading its monitoring system.

Answer: 3 Rationale 1: The correct answer is the steering committee sends a formal document to several vendors to request a proposal about their wireless system. An RFP is an invitation sent to vendors that describes the requirements of a potential information system and requests a proposal from those interested. An RFP often includes a bidding process for a specific information system commodity and/or service. A vendor sending literature would not meet RFP requirements. Rationale 2: The correct answer is the steering committee sends a formal document to several vendors to request a proposal about their wireless system. An RFP is an invitation sent to vendors that describes the requirements of a potential information system and requests a proposal from those interested. An RFP often includes a bidding process for a specific information system commodity and/or service. A search committee sending email requests would not meet RFP requirements. Rationale 3: The steering committee sends a formal document to several vendors to request a proposal about their wireless system. An RFP is an invitation sent to vendors that describes the requirements of a potential information system and requests a proposal from those interested. An RFP often includes a bidding process for a specific information system commodity and/or service. Rationale 4: The correct answer is the steering committee sends a formal document to several vendors to request a proposal about their wireless system. An RFP is an invitation sent to vendors that describes the requirements of a potential information system and requests a proposal from those interested. An RFP often includes a bidding process for a specific information system commodity and/or service. An RFP is not sent by a vendor "out of the blue".

Question 14 Type: MCSA The needs assessment committee starts the process by examining which organization document? 1. Critical pathways 2. Staffing schedules 3. Mission statement 4. Memos from chief financial officer

Answer: 3 Rationale 1: The needs assessment committee starts the process by examining the vision and mission statements of the organization as well as the strategic plan. This will guide the committee in looking to the future and determining the organization's information needs while continuing to support the mission. Rationale 2: The needs assessment committee starts the process by examining the vision and mission statements of the organization as well as the strategic plan. This will guide the committee in looking to the future and determining the organization's information needs while continuing to support the mission. Rationale 3: The needs assessment committee starts the process by examining the vision and mission statements of the organization as well as the strategic plan. This will guide the committee in looking to the future and determining the organization's information needs while continuing to support the mission. Rationale 4: The needs assessment committee starts the process by examining the vision and mission statements of the organization as well as the strategic plan. This will guide the committee in looking to the future and determining the organization's information needs while continuing to support the mission.

Question 20 Type: MCSA Which of the following statements suggests that the use of mobile devices in the health care setting can enhance patient care? 1. Personal access to patient's home address 2. Portable devices have a finite amount of space to receive instantaneous lab results. 3. The elimination of paper copies of lab reports 4. The elimination of a unit secretary position since all data is housed on the mobile device

Answer: 3 Rationale 1: The nurse does not need access to a patient's address to improve nursing care. Rationale 2: Space issues on handheld devices should be addressed before loading too many files and data on it. Rationale 3: The ability to send results directly to secure mobile devices helps to ensure the privacy of health information because it eliminates the need for large numbers of printouts and the need to fax sensitive information. Rationale 4: The unit secretary has additional duties besides delegated retrieval of lab results.

Question 34 Type: MCSA Which of the following questions is not appropriate for a committee to ask when the vendors submit the response to a request for proposal (RFP)? 1. Was the response submitted by the deadline date? 2. Were the vendor representatives responsive and knowledgeable? 3. Will the vendor select the hardware and software needs of the organization? 4. Does the proposal address the requirements outlined in the RFP, or does it appear to be a standard bid?

Answer: 3 Rationale 1: This is an important question and can determine whether a vendor would be responsive once selected. Rationale 2: This question seeks to identify whether the vendor's team is capable of handling the specific technology needs of the organization. Rationale 3: The vendor's response to the RFP is based upon the committee's written technological needs as determined by committee members. The vendor does not select the equipment or software. One point to consider when defining system requirements is to avoid limiting the vendor to specific configurations, such as the type and number of devices, because the vendor may be able to suggest better solutions. The requirements should not necessitate the vendor to recreate a manual or current automated system. These limitations may prohibit the vendor from exploring improved methods of information use with the proposed technology (Metrick, 2002). Rationale 4: The proposal should address the requirements outlined in the RFP. The customer may be seeking customization of a system and, therefore, requires specific responses based on their own needs.

Question 4 Type: MCSA The master patient index (MPI) is a database that lists all identifiers assigned to one client in all the information systems used within an enterprise. It assigns a global identification number for each client and allows clients to be identified by demographic information provided at the point of care. When the MPI cannot match a client's record based on demographic data, what is provided to the user? 1. The data dictionary resources 2. Non-citizen information so that the user may find a different identifier 3. All possible matches so that the user may view and select 4. The Social Security number

Answer: 3 Rationale 1: When the MPI cannot match a client's record based on demographic data, all possible matches are provided for the user to view and select. The MPI may use first and last names, birthdates, Social Security numbers, and driver's license numbers. It cannot rely on a single type of number, such as a Social Security number, because of duplicates and the fact that some people, such as noncitizens, may not have one. Rationale 2: When the MPI cannot match a client's record based on demographic data, all possible matches are provided for the user to view and select. The MPI may use first and last names, birthdates, Social Security numbers, and driver's license numbers. It cannot rely on a single type of number, such as a Social Security number, because of duplicates and the fact that some people, such as noncitizens, may not have one. Rationale 3: When the MPI cannot match a client's record based on demographic data, all possible matches are provided for the user to view and select. The MPI may use first and last names, birthdates, Social Security numbers, and driver's license numbers. It cannot rely on a single type of number, such as a Social Security number, because of duplicates and the fact that some people, such as noncitizens, may not have one. Rationale 4: When the MPI cannot match a client's record based on demographic data, all possible matches are provided for the user to view and select. The MPI may use first and last names, birthdates, Social Security numbers, and driver's license numbers. It cannot rely on a single type of number, such as a Social Security number, because of duplicates and the fact that some people, such as noncitizens, may not have one.

Question 19 Type: MCSA Standard terminologies have been scientifically investigated for their effectiveness and impact on patient care. The use of standard terminologies can, therefore, facilitate the use of which of the following? 1. Multiple support languages 2. Consumer informatics 3. Computer literacy 4. Evidence-based practice and decision support rules

Answer: 4 Rationale 1: Standard terminologies can facilitate the collection and analysis of data. As a central repository for data, the investigator can extrapolate and analyze data. From the analysis, linkages can be determined and models support decisions are developed. As evidence-based practice models are generated, clinical nursing practice and outcomes are improved. Multiple support languages are not relevant when discussing a standardized language. Rationale 2: Standard terminologies can facilitate the collection and analysis of data. As a central repository for data, the investigator can extrapolate and analyze data. From the analysis, linkages can be determined and models support decisions are developed. As evidence-based practice models are generated, clinical nursing practice and outcomes are improved. Consumer informatics is not associated with standardized terminologies. Rationale 3: Standard terminologies can facilitate the collection and analysis of data. As a central repository for data, the investigator can extrapolate and analyze data. From the analysis, linkages can be determined and models support decisions are developed. As evidence-based practice models are generated, clinical nursing practice and outcomes are improved. Computer literacy is not associated with standardized terminologies. Rationale 4: Standard terminologies can facilitate the collection and analysis of data. As a central repository for data, the investigator can extrapolate and analyze data. From the analysis, linkages can be determined and models support decisions are developed. As evidence-based practice models are generated, clinical nursing practice and outcomes are improved.

Question 14 Type: FIB Launched in June 1996, the _________________________________ is the first totally electronic journal in nursing. Standard Text:

Answer: Online Journal of Issues in Nursing (OJIN) Rationale : Launched in June 1996, the Online Journal of Issues in Nursing (OJIN) is the first totally electronic journal in nursing.

Question 5 Type: MCSA Which statement indicates the nurse is correctly documenting according to a critical pathway? 1. Nursing documentation is entered separately from that of other health care team members 2. Nursing documentation is entered in nursing diagnoses and outcome statements framework 3. Variances are identified if client outcomes are not as anticipated 4. Only one critical pathway is selected at a given time for a given client

Answer: 3 Rationale 1: When using the critical pathway or protocols approach to nursing documentation, the system should identify variances to the anticipated outcomes as they are charted and provide aggregate variance data for analysis by the providers. This information can be used to fine tune and improve the critical pathways, thereby contributing to improved client outcomes. Rationale 2: When using the critical pathway or protocols approach to nursing documentation, the system should identify variances to the anticipated outcomes as they are charted and provide aggregate variance data for analysis by the providers. This information can be used to fine tune and improve the critical pathways, thereby contributing to improved client outcomes. Rationale 3: When using the critical pathway or protocols approach to nursing documentation, the system should identify variances to the anticipated outcomes as they are charted and provide aggregate variance data for analysis by the providers. This information can be used to fine tune and improve the critical pathways, thereby contributing to improved client outcomes. Rationale 4: When using the critical pathway or protocols approach to nursing documentation, the system should identify variances to the anticipated outcomes as they are charted and provide aggregate variance data for analysis by the providers. This information can be used to fine tune and improve the critical pathways, thereby contributing to improved client outcomes.

Question 7 Type: MCMA Which of the following qualities should be considered desirable by the health care institution's steering committee when selecting an information systems consultant? Standard Text: Select all that apply. 1. Strong personality that is up to the task of bucking the corporate culture 2. Tendency to focus on results rather than trying to manage expectations 3. Highly organized and follows a clearly defined work plan 4. Considerable experience with hospital mainframe legacy systems 5. Excellent written communication skills, but difficulty with spoken communications

Answer: 3,4 Rationale 1: Having experience in the health care industry and following a well defined work plan are important consulting qualities. Consultants also need to be able to fit into the corporate culture and manage the expectations of the highly diverse and complex health care environment. Both written and spoken communication skills are needed. Rationale 2: Having experience in the health care industry and following a well defined work plan are important consulting qualities. Consultants also need to be able to fit into the corporate culture and manage the expectations of the highly diverse and complex health care environment. Both written and spoken communication skills are needed. Rationale 3: Having experience in the health care industry and following a well defined work plan are important consulting qualities. Consultants also need to be able to fit into the corporate culture and manage the expectations of the highly diverse and complex health care environment. Both written and spoken communication skills are needed. Rationale 4: Having experience in the health care industry and following a well defined work plan are important consulting qualities. Consultants also need to be able to fit into the corporate culture and manage the expectations of the highly diverse and complex health care environment. Both written and spoken communication skills are needed. Rationale 5: Having experience in the health care industry and following a well defined work plan are important consulting qualities. Consultants also need to be able to fit into the corporate culture and manage the expectations of the highly diverse and complex health care environment. Both written and spoken communication skills are needed.

Question 5 Type: MCMA The training of students often takes the same amount of time and resources as employee training. Which of the following are the most appropriate uses of the computer system for a nursing student assigned to a cardiac unit? Standard Text: Select all that apply. 1. Order lab tests 2. Document medication administration 3. Document client care 4. Document health assessment findings 5. View test results

Answer: 3,4,5 Rationale 1: Students need to be able to review a client chart, view test results, complete assessments, and document findings in the information system. Rationale 2: Students need to be able to review a client chart, view test results, complete assessments, and document findings in the information system. Rationale 3: Students need to be able to review a client chart, view test results, complete assessments, and document findings in the information system. Rationale 4: Students need to be able to review a client chart, view test results, complete assessments, and document findings in the information system Rationale 5: Students need to be able to review a client chart, view test results, complete assessments, and document findings in the information system.

Question 9 Type: MCSA How can educators employ the use of a reusable learning object (RLO)? 1. An RLO is believed to enhance learning by offering complex material. 2. An RLO is believed to enhance learning by creating a virtual experience for the learner. 3. An RLO is believed to enhance learning by providing a virtual workspace for the learner. 4. An RLO is believed to enhance learning by chunking down complex material into smaller packets.

Answer: 4 Rationale 1: A teacher can select from a collection of learning objects, organize them into unique learning tools or lessons, and reuse them in the same or different constructions. Thus, a learning object is also known as an RLO. An RLO is believed to enhance learning by chunking down complex material into smaller packets. Rationale 2: A teacher can select from a collection of learning objects, organize them into unique learning tools or lessons, and reuse them in the same or different constructions. Thus, a learning object is also known as an RLO. An RLO is believed to enhance learning by chunking down complex material into smaller packets. Rationale 3: A teacher can select from a collection of learning objects, organize them into unique learning tools or lessons, and reuse them in the same or different constructions. Thus, a learning object is also known as an RLO. An RLO is believed to enhance learning by chunking down complex material into smaller packets. Rationale 4: A teacher can select from a collection of learning objects, organize them into unique learning tools or lessons, and reuse them in the same or different constructions. Thus, a learning object is also known as an RLO. An RLO is believed to enhance learning by chunking down complex material into smaller packets.

Question 33 Type: MCSA The pediatric technology committee has determined the need for enhanced bedside technology for ventilated patients. After a lengthy review process, the committee continues to debate the "musts" and "needs" of the new system. The best way to facilitate complex decision making is through the development of which of the following? 1. Strategic planning 2. A timeline 3. Conflict resolution skills 4. Weighted scoring tool

Answer: 4 Rationale 1: A weighted scoring strategy is a quantitative method of selecting a system. Selecting stakeholders quantify through a system the weight of options and needs. Once vendor bids are obtained, the options are placed in a grid and measured against each other. This method assures an objective selection of the vendor. Rationale 2: A weighted scoring strategy is a quantitative method of selecting a system. Selecting stakeholders quantify through a system the weight of options and needs. Once vendor bids are obtained, the options are placed in a grid and measured against each other. This method assures an objective selection of the vendor. Rationale 3: A weighted scoring strategy is a quantitative method of selecting a system. Selecting stakeholders quantify through a system the weight of options and needs. Once vendor bids are obtained, the options are placed in a grid and measured against each other. This method assures an objective selection of the vendor. Rationale 4: A weighted scoring strategy is a quantitative method of selecting a system. Selecting stakeholders quantify through a system the weight of options and needs. Once vendor bids are obtained, the options are placed in a grid and measured against each other. This method assures an objective selection of the vendor.

Question 9 Type: MCSA Why do most breaches of confidentiality occur? 1. Malicious behavior 2. System hacking 3. Intent 4. Carelessness

Answer: 4 Rationale 1: Carelessness is the most common cause for breaches in confidentiality. Most health care providers do not intend to share client information or do so maliciously. Breaches can be avoided by not discussing clients in public areas or with persons who do not have a "need to know" and through tight control of client records. System hacking has not yet become as common as simple carelessness with data. Rationale 2: Carelessness is the most common cause for breaches in confidentiality. Most health care providers do not intend to share client information or do so maliciously. Breaches can be avoided by not discussing clients in public areas or with persons who do not have a "need to know" and through tight control of client records. System hacking has not yet become as common as simple carelessness with data. Rationale 3: Carelessness is the most common cause for breaches in confidentiality. Most health care providers do not intend to share client information or do so maliciously. Breaches can be avoided by not discussing clients in public areas or with persons who do not have a "need to know" and through tight control of client records. System hacking has not yet become as common as simple carelessness with data. Rationale 4: Carelessness is the most common cause for breaches in confidentiality. Most health care providers do not intend to share client information or do so maliciously. Breaches can be avoided by not discussing clients in public areas or with persons who do not have a "need to know" and through tight control of client records. System hacking has not yet become as common as simple carelessness with data.

Question 12 Type: MCSA Which of the following methods can be used to collect information in order to determine information system requirements? 1. Schedule a focus group of maintenance personnel. 2. Send questionnaires to corporate partners. 3. Interview point-of-care staff only. 4. Interview staff members from each department.

Answer: 4 Rationale 1: Collecting information in order to determine information system requirements is part of the assessment phase of any initiative. Data can be collected through interviewing staff from each department or work area to discover current and future needs. Rationale 2: Collecting information in order to determine information system requirements is part of the assessment phase of any initiative. Data can be collected through interviewing staff from each department or work area to discover current and future needs. Rationale 3: Collecting information in order to determine information system requirements is part of the assessment phase of any initiative. Data can be collected through interviewing staff from each department or work area to discover current and future needs. Rationale 4: Collecting information in order to determine information system requirements is part of the assessment phase of any initiative. Data can be collected through interviewing staff from each department or work area to discover current and future needs.

Question 2 Type: MCSA During the course of client care, the 21-year-old client tells the nurse that she had an abortion last year but that no one in her family knows. Which of these terms best describes the situation? 1. Consent 2. Privacy 3. Security 4. Confidentiality

Answer: 4 Rationale 1: Confidentiality is the term that best describes this situation. Confidentiality refers to a situation in which a relationship has been established and private information is shared. Confidentiality is essential for the accurate assessment, diagnosis, and treatment of health problems. Once a client discloses confidential information, control over its redisclosure lies with the persons who access it. Most breaches of confidentiality occur as a result of carelessness and can be avoided by not discussing clients in public areas or with persons who do not have a "need to know" and through tight control of client records. Rationale 2: Confidentiality is the term that best describes this situation. Confidentiality refers to a situation in which a relationship has been established and private information is shared. Confidentiality is essential for the accurate assessment, diagnosis, and treatment of health problems. Once a client discloses confidential information, control over its redisclosure lies with the persons who access it. Most breaches of confidentiality occur as a result of carelessness and can be avoided by not discussing clients in public areas or with persons who do not have a "need to know" and through tight control of client records. Rationale 3: Confidentiality is the term that best describes this situation. Confidentiality refers to a situation in which a relationship has been established and private information is shared. Confidentiality is essential for the accurate assessment, diagnosis, and treatment of health problems. Once a client discloses confidential information, control over its redisclosure lies with the persons who access it. Most breaches of confidentiality occur as a result of carelessness and can be avoided by not discussing clients in public areas or with persons who do not have a "need to know" and through tight control of client records. Rationale 4: Confidentiality is the term that best describes this situation. Confidentiality refers to a situation in which a relationship has been established and private information is shared. Confidentiality is essential for the accurate assessment, diagnosis, and treatment of health problems. Once a client discloses confidential information, control over its redisclosure lies with the persons who access it. Most breaches of confidentiality occur as a result of carelessness and can be avoided by not discussing clients in public areas or with persons who do not have a "need to know" and through tight control of client records.

Question 5 Type: MCSA A three credit baccalaureate course meets four hours a week in the classroom and three hours per week through Blackboard. This is considered what type of learning environment? 1. On site 2. Mixed methods 3. Multimodality 4. Hybrid

Answer: 4 Rationale 1: Distributed learning or hybrid learning usually means a course that combines elements of an online classroom with an in-person classroom (sometimes called 'bricks-and-mortar'). Rationale 2: Distributed learning or hybrid learning usually means a course that combines elements of an online classroom with an in-person classroom (sometimes called 'bricks-and-mortar'). Rationale 3: Distributed learning or hybrid learning usually means a course that combines elements of an online classroom with an in-person classroom (sometimes called 'bricks-and-mortar'). Rationale 4: Distributed learning or hybrid learning usually means a course that combines elements of an online classroom with an in-person classroom (sometimes called 'bricks-and-mortar').

Question 13 Type: MCSA Web-based tools can provide benefits of an alternative method for obtaining patient information from diverse information systems. Which of the following is accurate regarding recent advances toward interoperability? 1. The framework has been built and is in place. 2. National priorities will be set within the next five years. 3. Data exchange standards need to be developed. 4. Interoperability of electronic health data will be costly.

Answer: 4 Rationale 1: Interoperability of electronic health data will be costly and much work lies ahead. Recently though, data exchange standards have been refined, national priorities have been set, and work has started on building the framework needed to make interoperability of electronic health data a reality. This will not be easy or quick but the promised benefits will be immeasurable. Rationale 2: Interoperability of electronic health data will be costly and much work lies ahead. Recently though, data exchange standards have been refined, national priorities have been set, and work has started on building the framework needed to make interoperability of electronic health data a reality. This will not be easy or quick but the promised benefits will be immeasurable. Rationale 3: Interoperability of electronic health data will be costly and much work lies ahead. Recently though, data exchange standards have been refined, national priorities have been set, and work has started on building the framework needed to make interoperability of electronic health data a reality. This will not be easy or quick but the promised benefits will be immeasurable. Rationale 4: Interoperability of electronic health data will indeed be costly and much work lies ahead. Recently though, data exchange standards have been refined, national priorities have been set, and work has started on building the framework needed to make interoperability of electronic health data a reality. This will not be easy or quick but the promised benefits will be immeasurable.

Question 6 Type: MCSA Which of the following is a nursing classification designed to document the six steps of the nursing process across the care continuum? 1. International Classification of Nursing Practice (ICNP) 2. NANDA International Nursing Diagnoses 3. NANDA-I Taxonomy II 4. Clinical Care Classification (CCC) System

Answer: 4 Rationale 1: The Clinical Care Classification (CCC) System is a nursing classification designed to document the six steps of the nursing process across the care continuum (Saba, 2007). It facilitates patient care documentation at the point of care. CCC nursing interventions consist of 198 categories classified into 72 major categories and 126 subcategories that represent interventions, procedures, treatments, and activities. CCC is an open source terminology with no license fees. The terminology tables can be freely downloaded from www.sabacare.com. It is copyrighted and use of CCC within an EHR requires written permission. Rationale 2: The Clinical Care Classification (CCC) System is a nursing classification designed to document the six steps of the nursing process across the care continuum (Saba, 2007). It facilitates patient care documentation at the point of care. CCC nursing interventions consist of 198 categories classified into 72 major categories and 126 subcategories that represent interventions, procedures, treatments, and activities. CCC is an open source terminology with no license fees. The terminology tables can be freely downloaded from www.sabacare.com. It is copyrighted and use of CCC within an EHR requires written permission. Rationale 3: The Clinical Care Classification (CCC) System is a nursing classification designed to document the six steps of the nursing process across the care continuum (Saba, 2007). It facilitates patient care documentation at the point of care. CCC nursing interventions consist of 198 categories classified into 72 major categories and 126 subcategories that represent interventions, procedures, treatments, and activities. CCC is an open source terminology with no license fees. The terminology tables can be freely downloaded from www.sabacare.com. It is copyrighted and use of CCC within an EHR requires written permission. Rationale 4: The Clinical Care Classification (CCC) System is a nursing classification designed to document the six steps of the nursing process across the care continuum (Saba, 2007). It facilitates patient care documentation at the point of care. CCC nursing interventions consist of 198 categories classified into 72 major categories and 126 subcategories that represent interventions, procedures, treatments, and activities. CCC is an open source terminology with no license fees. The terminology tables can be freely downloaded from www.sabacare.com. It is copyrighted and use of CCC within an EHR requires written permission.

Question 19 Type: FIB ______________________ feeds allow the individual to subscribe to content eliminating the need to manually search for new information. Standard Text:

Answer: RSS (Really Simple Syndication) Rationale : RSS (Really Simple Syndication) feeds allow you to subscribe to content eliminating the need to manually search for new information on sites that offer the RSS option.

Question 10 Type: MCSA Which of the following statements is true about the benefits of the electronic health record (EHR)? 1. It improves the quality of health care. 2. Health care executives have developed strong organizational structures around the EHR. 3. The EHR fosters continuity of health care. 4. Little scientific evidence now exists on what benefits are actually delivered.

Answer: 4 Rationale 1: Little scientific evidence now exists on benefits actually delivered, despite the many cited benefits associated with the EHR. This lack of evidence hinders evaluation of the costs, benefits, and risks of a commercial EMR purchase, and makes it difficult for health care executives to make necessary organizational changes. It is the PHR is that fosters improved overall quality of health care. Rationale 2: Little scientific evidence now exists on benefits actually delivered, despite the many cited benefits associated with the EHR. This lack of evidence hinders evaluation of the costs, benefits, and risks of a commercial EMR purchase, and makes it difficult for health care executives to make necessary organizational changes. Health care executives have not developed strong organizational structures. Rationale 3: Little scientific evidence now exists on benefits actually delivered, despite the many cited benefits associated with the EHR. This lack of evidence hinders evaluation of the costs, benefits, and risks of a commercial EMR purchase, and makes it difficult for health care executives to make necessary organizational changes. It is the PHR is that fosters continuity of care. Rationale 4: Little scientific evidence now exists on benefits actually delivered, despite the many cited benefits associated with the EHR. This lack of evidence hinders evaluation of the costs, benefits, and risks of a commercial EMR purchase, and makes it difficult for health care executives to make necessary organizational changes.

Question 2 Type: MCSA Which of the following is the best example of a monitoring system? 1. Manual blood pressure of 132/82 is entered into the vital sign section of the graphic sheet. 2. The automatic blood pressure machine takes one reading of 164/104 and is turned off. 3. Blood glucose readings of 162 for 7:30 a.m. and 198 for 11:30 a.m. are obtained and entered into the computer system. 4. A temperature probe is connected to the pulmonary artery catheter to continuously monitor core temperature.

Answer: 4 Rationale 1: Monitoring systems are devices that automatically monitor biometric measurements. The best monitoring systems, such as the temperature probe, obtain data electronically and transmit the data to be stored in the client's electronic medical record. Manual inputs are possible but are not the best way to record data. Rationale 2: Monitoring systems are devices that automatically monitor biometric measurements. The best monitoring systems, such as the temperature probe, obtain data electronically and transmit the data to be stored in the client's electronic medical record. Manual inputs are possible but are not the best way to record data. Rationale 3: Monitoring systems are devices that automatically monitor biometric measurements. The best monitoring systems, such as the temperature probe, obtain data electronically and transmit the data to be stored in the client's electronic medical record. Manual inputs are possible but are not the best way to record data. Rationale 4: Monitoring systems are devices that automatically monitor biometric measurements. The best monitoring systems, such as the temperature probe, obtain data electronically and transmit the data to be stored in the client's electronic medical record. Manual inputs are possible but are not the best way to record data.

Question 11 Type: MCSA Which of the following can be used to document the elements of the nursing process within the care plan? 1. The Omaha System 2. The PeriOperative Nursing Data Set 3. Personal health record 4. NANDA-I

Answer: 4 Rationale 1: NANDA-I is used to document nursing diagnoses within all settings and across the care continuum. The coding system can be used within the EHR. NANDA-I has been linked to the NIC interventions and NOC outcomes. Rationale 2: NANDA-I is used to document nursing diagnoses within all settings and across the care continuum. The coding system can be used within the EHR. NANDA-I has been linked to the NIC interventions and NOC outcomes. Rationale 3: NANDA-I is used to document nursing diagnoses within all settings and across the care continuum. The coding system can be used within the EHR. NANDA-I has been linked to the NIC interventions and NOC outcomes. Rationale 4: NANDA-I is used to document nursing diagnoses within all settings and across the care continuum. The coding system can be used within the EHR. NANDA-I has been linked to the NIC interventions and NOC outcomes.

Question 11 Type: MCSA Which is the most accurate statement about Second Life? 1. Second Life has a single spot on the Internet and is easy to find. 2. Second Life is a gathering place where residents have housing built for them. 3. The focus of Second Life is not to build a community but to define an individual's place in the virtual world. 4. Second Life is an immersive world that fosters creativity.

Answer: 4 Rationale 1: Second Life is useful in education and provides an immersive environment; is dependent on content generated by the users, fostering creativity and a sense of contribution to the world; and it fosters social interaction. Rationale 2: Second Life is useful in education and provides an immersive environment; is dependent on content generated by the users, fostering creativity and a sense of contribution to the world; and it fosters social interaction. Rationale 3: Second Life is useful in education and provides an immersive environment; is dependent on content generated by the users, fostering creativity and a sense of contribution to the world; and it fosters social interaction. Rationale 4: Second Life is useful in education and provides an immersive environment; is dependent on content generated by the users, fostering creativity and a sense of contribution to the world; and it fosters social interaction.

Question 18 Type: MCSA The EHR offers benefits to nurses, physicians, and other health care providers, the health care enterprise, and most importantly, the consumer. Much must be done before the benefits associated with the EHR can be realized. Which of the following is one action that has been proposed by experts? 1. Health care professionals should institute major changes in the way they work. 2. Consumers need education to choose providers based upon appropriate financial and insurance considerations. 3. Individual consumers should have lesser responsibility for data. 4. Government intervention should promote information exchange among software vendors and health care systems.

Answer: 4 Rationale 1: Some experts call for stronger action on the part of the government to promote information exchange among software vendors and health care systems. They note that competing software vendors and health care systems have little incentive to exchange information that might cause them to lose their competitive edge. Rationale 2: Some experts call for stronger action on the part of the government to promote information exchange among software vendors and health care systems. They note that competing software vendors and health care systems have little incentive to exchange information that might cause them to lose their competitive edge. Rationale 3: Some experts call for stronger action on the part of the government to promote information exchange among software vendors and health care systems. They note that competing software vendors and health care systems have little incentive to exchange information that might cause them to lose their competitive edge. Rationale 4: Some experts call for stronger action on the part of the government to promote information exchange among software vendors and health care systems. They note that competing software vendors and health care systems have little incentive to exchange information that might cause them to lose their competitive edge.

Question 17 Type: MCSA Personal health record (PHR) security issues relate to HIPAA and physical security of data. HIPAA only covers PHRs provided by covered entities such as health plans, health care clearinghouses, and providers. No governmental coverage exists for other sites unless it is at the state level. To avoid these types of breaches, the American Health Information Community's consumer empowerment working group made a recommendation. Which of the following was recommended for PHRs in order to avoid breaches? 1. Deletion of sensitive data 2. Educating the general consumer about PHRs 3. Restricting the number of authorized users 4. A PHR certification process

Answer: 4 Rationale 1: The consumer empowerment working group of the American Health Information Community recommends a certification process for PHRs to avoid security breaches. Rationale 2: The consumer empowerment working group of the American Health Information Community recommends a certification process for PHRs to avoid security breaches. Rationale 3: The consumer empowerment working group of the American Health Information Community recommends a certification process for PHRs to avoid security breaches. Rationale 4: The consumer empowerment working group of the American Health Information Community recommends a certification process for PHRs to avoid security breaches.

Question 1 Type: MCSA Which of the following suggests that a vendor is reliable? 1. The vendor is willing to provide customized services for the institution at a reasonable negotiable fee. 2. The vendor is knowledgeable about the system and provides additional information without prompting. 3. The vendor provides a contact list of previous customers, but none are willing to be interviewed. 4. The vendor addresses all requirements for the system and quickly provides answers for questions.

Answer: 4 Rationale 1: The correct answer is "Vendors should address institutional requirements and provide needed information quickly when asked." The vendor should be knowledgeable about their system as well as the needs of the institution. Providing customized services does not guarantee that the vendor is reliable in other areas. Contact lists of previous customers willing to be interviewed or host site visits should be made available routinely. Rationale 2: The correct answer is "Vendors should address institutional requirements and provide needed information quickly when asked." The vendor should be knowledgeable about their system as well as the needs of the institution. Providing customized services does not guarantee that the vendor is reliable in other areas. Contact lists of previous customers willing to be interviewed or host site visits should be made available routinely. Rationale 3: The correct answer is "Vendors should address institutional requirements and provide needed information quickly when asked." The vendor should be knowledgeable about their system as well as the needs of the institution. Providing customized services does not guarantee that the vendor is reliable in other areas. Contact lists of previous customers willing to be interviewed or host site visits should be made available routinely. Rationale 4: Vendors should address institutional requirements and provide needed information quickly when asked. The vendor should be knowledgeable about their system as well as the needs of the institution. Providing customized services does not guarantee that the vendor is reliable in other areas. Contact lists of previous customers willing to be interviewed or host site visits should be made available routinely.

Question 1 Type: MCSA 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? 1. One eight-hour session is offered six weeks prior to go-live, where employees drop in when they are caught up with work assignments. 2. Eight one-hour sessions are scheduled one month prior to go-live, starting immediately after the employee's shift has ended. 3. Four two-hour sessions are scheduled three months prior to go-live during non-scheduled work time. 4. Two four-hour sessions are offered one month before go-live during non-scheduled work time.

Answer: 4 Rationale 1: The correct answer is "two four-hour sessions are offered one month before go-live during non-scheduled work time." Training is best when done within one month of go-live and offered at times when the employees are off work. Otherwise, they may be too tired or stressed to obtain the information. For eight hours of training, two four-hour sessions are preferred. Rationale 2: The correct answer is "two four-hour sessions are offered one month before go-live, during non-scheduled work time." Training is best when done within one month of go-live and offered at times when the employees are off work. Otherwise, they may be too tired or stressed to obtain the information. For eight hours of training, two four-hour sessions are preferred. Rationale 3: The correct answer is "two four-hour sessions are offered one month before go-live, during non-scheduled work time." Training is best when done within one month of go-live and offered at times when the employees are off work. Otherwise, they may be too tired or stressed to obtain the information. For eight hours of training, two four-hour sessions are preferred. Rationale 4: Two four-hour sessions are offered one month before go-live, during non-scheduled work time. Training is best when done within one month of go-live and offered at times when the employees are off work. Otherwise, they may be too tired or stressed to obtain the information. For eight hours of training, two four-hour sessions are preferred.

Question 4 Type: MCSA Which of these is an example of a decision support system (DSS)? 1. A system used to schedule client visits for follow up care after extensive abdominal surgery 2. A system used to register clients who are admitted to an acute health care facility for surgery 3. A system used by emergency room administration to bill clients once their diagnoses are verified 4. A system used by physicians to provide suggestions for diagnostic tests according to selected admitting diagnoses

Answer: 4 Rationale 1: The correct answer is a system used by physicians to provide suggestions for diagnostic tests according to selected admitting diagnoses. These suggestions may be followed or ignored, depending on the health care provider. A DSS assists with and strengthens the selection of viable options using the information of an organization or a field to facilitate decision making and overall efficiency. Your choice is an example of an administrative information system application. Rationale 2: The correct answer is a system used by physicians to provide suggestions for diagnostic tests according to selected admitting diagnoses. These suggestions may be followed or ignored, depending on the health care provider. A DSS assists with and strengthens the selection of viable options using the information of an organization or a field to facilitate decision making and overall efficiency. Your choice is an example of an administrative information system application. Rationale 3: The correct answer is a system used by physicians to provide suggestions for diagnostic tests according to selected admitting diagnoses. These suggestions may be followed or ignored, depending on the health care provider. A DSS assists with and strengthens the selection of viable options using the information of an organization or a field to facilitate decision making and overall efficiency. Your choice is an example of an administrative information system application. Rationale 4: A system used by physicians to provide suggestions for diagnostic tests according to selected admitting diagnoses is indeed an example of a DSS. These suggestions may be followed or ignored, depending on the health care provider. A DSS assists with and strengthens the selection of viable options using the information of an organization or a field to facilitate decision making and overall efficiency.

Question 5 Type: MCSA Which one of the following passwords provides the most information and system security? 1. StJohns3821 2. p#3J24q7 3. p#5N24p7#hN5 4. p#3J24q7?hN5

Answer: 4 Rationale 1: The correct answer is p#3J24q7?hN5. The best passwords contain twelve characters, avoid repeated numbers or letters, and have combinations of uppercase and lowercase letters, numbers, punctuation marks, and symbols. Do not use dates, telephone, license plate, or Social Security numbers, proper names, initials, words found in the dictionary, account names, words that are spelled backwards or those with reversed syllables. Rationale 2: The correct answer is p#3J24q7?hN5. The best passwords contain twelve characters, avoid repeated numbers or letters, and have combinations of uppercase and lowercase letters, numbers, punctuation marks, and symbols. Do not use dates, telephone, license plate, or Social Security numbers, proper names, initials, words found in the dictionary, account names, words that are spelled backwards or those with reversed syllables. Rationale 3: The correct answer is p#3J24q7?hN5. The best passwords contain twelve characters, avoid repeated numbers or letters, and have combinations of uppercase and lowercase letters, numbers, punctuation marks, and symbols. Do not use dates, telephone, license plate, or Social Security numbers, proper names, initials, words found in the dictionary, account names, words that are spelled backwards or those with reversed syllables. Rationale 4: The best passwords contain twelve characters, avoid repeated numbers or letters, and have combinations of uppercase and lowercase letters, numbers, punctuation marks, and symbols. Do not use dates, telephone, license plate, or Social Security numbers, proper names, initials, words found in the dictionary, account names, words that are spelled backwards or those with reversed syllables.

Question 18 Type: MCSA Once the decision has been made as to which vendor's system to purchase, which department of the organization completes the final negotiations? 1. Information technology 2. Chief operating officer 3. Selection committee 4. Legal department

Answer: 4 Rationale 1: The enterprise's legal and purchasing representatives may request the names of the three highest ranked vendors, as well as their RFP responses. In this way, the contract negotiations will be able to address issues not specifically included in the RFP responses, such as cost justification and expected implementation schedules. The end result will be the selection of one vendor and a system that will be implemented in the enterprise. Demands may include justifying their costs, guaranteeing the implementation schedules, or a specific quick response time for addressing problems. Rationale 2: The enterprise's legal and purchasing representatives may request the names of the three highest ranked vendors, as well as their RFP responses. In this way, the contract negotiations will be able to address issues not specifically included in the RFP responses, such as cost justification and expected implementation schedules. The end result will be the selection of one vendor and a system that will be implemented in the enterprise. Demands may include justifying their costs, guaranteeing the implementation schedules, or a specific quick response time for addressing problems. Rationale 3: The enterprise's legal and purchasing representatives may request the names of the three highest ranked vendors, as well as their RFP responses. In this way, the contract negotiations will be able to address issues not specifically included in the RFP responses, such as cost justification and expected implementation schedules. The end result will be the selection of one vendor and a system that will be implemented in the enterprise. Demands may include justifying their costs, guaranteeing the implementation schedules, or a specific quick response time for addressing problems. Rationale 4: The enterprise's legal and purchasing representatives may request the names of the three highest ranked vendors, as well as their RFP responses. In this way, the contract negotiations will be able to address issues not specifically included in the RFP responses, such as cost justification and expected implementation schedules. The end result will be the selection of one vendor and a system that will be implemented in the enterprise. Demands may include justifying their costs, guaranteeing the implementation schedules, or a specific quick response time for addressing problems.

Question 30 Type: MCSA With the onslaught of electronic mail in professional boxes, nurses must be cognizant of the impact on which of the following? 1. Patient knowledge 2. Patient diagnosis 3. Patient outcomes 4. Patient privacy

Answer: 4 Rationale 1: The impact of electronic mail in the health care system can affect patient privacy. Strict measures and guidelines must be followed to assure confidentiality. Rationale 2: The impact of electronic mail in the health care system can affect patient privacy. Strict measures and guidelines must be followed to assure confidentiality. Rationale 3: The impact of electronic mail in the health care system can affect patient privacy. Strict measures and guidelines must be followed to assure confidentiality. Rationale 4: The impact of electronic mail in the health care system can affect patient privacy. Strict measures and guidelines must be followed to assure confidentiality.

Question 15 Type: MCSA The selection and implementation of an information system occurs through a well-defined process known as which of the following? 1. Request for proposal 2. Decision making 3. Strategic planning 4. Life cycle

Answer: 4 Rationale 1: The selection and implementation of an information system occurs through a well-defined process known as the life cycle. This term describes the ongoing process of developing and maintaining an information system. This cycle can be divided into four main phases that cover the life span of information systems. These four phases are: needs assessment, system selection, implementation, and maintenance. The relationship between these phases is circular, because needs assessment and evaluation are ongoing processes. Rationale 2: The selection and implementation of an information system occurs through a well-defined process known as the life cycle. This term describes the ongoing process of developing and maintaining an information system. This cycle can be divided into four main phases that cover the life span of information systems. These four phases are: needs assessment, system selection, implementation, and maintenance. The relationship between these phases is circular, because needs assessment and evaluation are ongoing processes. Rationale 3: The selection and implementation of an information system occurs through a well-defined process known as the life cycle. This term describes the ongoing process of developing and maintaining an information system. This cycle can be divided into four main phases that cover the life span of information systems. These four phases are: needs assessment, system selection, implementation, and maintenance. The relationship between these phases is circular, because needs assessment and evaluation are ongoing processes. Rationale 4: The selection and implementation of an information system occurs through a well-defined process known as the life cycle. This term describes the ongoing process of developing and maintaining an information system. This cycle can be divided into four main phases that cover the life span of information systems. These four phases are: needs assessment, system selection, implementation, and maintenance. The relationship between these phases is circular, because needs assessment and evaluation are ongoing processes.

Question 27 Type: MCSA The goals of implementing the EHR in all health care systems are fraught with a number of roadblocks. The largest barrier facing most institutions is which of the following? 1. The lack of fully trained professional staff 2. A technology committee that cannot agree on the institution's needs 3. Indecision regarding the choice of vendors 4. Cost

Answer: 4 Rationale 1: Training is part of the implementation phase of the life cycle. Rationale 2: The technology committee debates and investigates the needs of the organization. Based on group dynamics, the committee will not always agree on issues, however, this should not block progress. Rationale 3: If the committee has used a decision making tool or grid to analyze the RFP responses, the decision is left to administration. Rationale 4: The cost of a fully functioning computer system strains the budget. This may prevent organizations from full automation.

Question 14 Type: MCMA The computer-based patient record (CPR) is a comprehensive lifetime record that includes all information from all specialties. The Institute of Medicine (IOM) identified major components of the CPR that are considered to be the "gold standard" attributes. Which of the following are CPR components? Standard Text: Select all that apply. 1. Lack of confidentiality 2. Direct entry for physicians will be available 3. Tools cannot measure cost 4. Provides sporadic access to data 5. Provides a patient problem list

Answer: 5 Rationale 1: The following are the IOM's CPR components: -Provides a problem list that indicates the client's current clinical problems for each encounter -Evaluates and records health status and functional levels using accepted measures -Documents the clinical reasoning/rationale for diagnoses and conclusions -Provides a longitudinal or lifetime client record by linking all of the client's data from previous encounters -Supports confidentiality, privacy, and audit trails -Provides continuous access to authorized users -Allows simultaneous and customized views of the client data for individuals, departments, or enterprises -Supports links to local or remote information resources, such as various databases using the Internet or organization-based intranet resources -Facilitates clinical problem solving by providing decision analysis tools -Supports direct entry of client data by physicians -Includes mechanisms for measuring the cost and quality of care -Supports existing and evolving clinical needs by being flexible and expandable Rationale 2: The following are the IOM's CPR components: -Provides a problem list that indicates the client's current clinical problems for each encounter -Evaluates and records health status and functional levels using accepted measures -Documents the clinical reasoning/rationale for diagnoses and conclusions -Provides a longitudinal or lifetime client record by linking all of the client's data from previous encounters -Supports confidentiality, privacy, and audit trails -Provides continuous access to authorized users -Allows simultaneous and customized views of the client data for individuals, departments, or enterprises -Supports links to local or remote information resources, such as various databases using the Internet or organization-based intranet resources -Facilitates clinical problem solving by providing decision analysis tools -Supports direct entry of client data by physicians -Includes mechanisms for measuring the cost and quality of care -Supports existing and evolving clinical needs by being flexible and expandable Rationale 3: The following are the IOM's CPR components: -Provides a problem list that indicates the client's current clinical problems for each encounter -Evaluates and records health status and functional levels using accepted measures -Documents the clinical reasoning/rationale for diagnoses and conclusions -Provides a longitudinal or lifetime client record by linking all of the client's data from previous encounters -Supports confidentiality, privacy, and audit trails -Provides continuous access to authorized users -Allows simultaneous and customized views of the client data for individuals, departments, or enterprises -Supports links to local or remote information resources, such as various databases using the Internet or organization-based intranet resources -Facilitates clinical problem solving by providing decision analysis tools -Supports direct entry of client data by physicians -Includes mechanisms for measuring the cost and quality of care -Supports existing and evolving clinical needs by being flexible and expandable Rationale 4: The following are the IOM's CPR components: -Provides a problem list that indicates the client's current clinical problems for each encounter -Evaluates and records health status and functional levels using accepted measures -Documents the clinical reasoning/rationale for diagnoses and conclusions -Provides a longitudinal or lifetime client record by linking all of the client's data from previous encounters -Supports confidentiality, privacy, and audit trails -Provides continuous access to authorized users -Allows simultaneous and customized views of the client data for individuals, departments, or enterprises -Supports links to local or remote information resources, such as various databases using the Internet or organization-based intranet resources -Facilitates clinical problem solving by providing decision analysis tools -Supports direct entry of client data by physicians -Includes mechanisms for measuring the cost and quality of care -Supports existing and evolving clinical needs by being flexible and expandable Rationale 5: The following are the IOM's CPR components: -Provides a problem list that indicates the client's current clinical problems for each encounter -Evaluates and records health status and functional levels using accepted measures -Documents the clinical reasoning/rationale for diagnoses and conclusions -Provides a longitudinal or lifetime client record by linking all of the client's data from previous encounters -Supports confidentiality, privacy, and audit trails -Provides continuous access to authorized users -Allows simultaneous and customized views of the client data for individuals, departments, or enterprises -Supports links to local or remote information resources, such as various databases using the Internet or organization-based intranet resources -Facilitates clinical problem solving by providing decision analysis tools -Supports direct entry of client data by physicians -Includes mechanisms for measuring the cost and quality of care -Supports existing and evolving clinical needs by being flexible and expandable

Question 2 Type: FIB The_____________________ focuses on making available to individual registered nurses and organizations where nurses practice resources for pursing excellence in practice. Standard Text:

Answer: American Nurses Credentialing Center Rationale : American Nurses Credentialing Center (ANCC) focuses on making available to individual registered nurses and organizations where nurses practice resources for pursing excellence in practice.

Question 20 Type: FIB ______________________________ is the process of determining whether someone is who he or she professes to be. This usually involves a username and a password, but can include other methods of proving identity, such as a smart card, retina scan, voice recognition, or fingerprints. Standard Text:

Answer: Authentication Rationale : Authentication is the process of determining whether someone is who he or she professes to be. This usually involves a username and a password, but can include other methods of proving identity, such as a smart card, retina scan, voice recognition, or fingerprints.

Question 10 Type: FIB ____________________________ are large, computerized database management systems that support several types of activities that may include provider order entry, result retrieval, documentation, and decision support across distributed locations. Standard Text:

Answer: Clinical information systems Rationale : Clinical information systems (CISs) are large, computerized database management systems that support several types of activities that may include provider order entry, result retrieval, documentation, and decision support across distributed locations.

Question 17 Type: FIB _________________________ systems use clinical information to generate charges for care. Standard Text:

Answer: Coding Rationale : Administrative information systems support client care by managing financial and demographic information and providing reporting capabilities. This category includes client management, financial, payroll, and human resources, and quality assurance systems. Coding systems use clinical information to generate charges for care.

Question 26 Type: FIB _________________________ would permit the uniform capture of data required to build a longitudinal record comprised of integrated information systems from multiple vendors. Standard Text:

Answer: Data exchange standards Rationale : Data exchange standards would permit the uniform capture of data required to build a longitudinal record comprised of integrated information systems from multiple vendors. Most CPR data are structured, yet additional formats can be linked to the system offering additional data.

Question 9 Type: FIB ___________________________ aid in and strengthen the selection of viable options using the information of an organization or a field to facilitate decision making and overall efficiency. Standard Text:

Answer: Decision support systems Rationale : Decision support systems aid in and strengthen the selection of viable options using the information of an organization or a field to facilitate decision making and overall efficiency. Decision support software organizes information to fit new environments. It provides analysis and advice to support a choice. The final decision rests with the practitioner.

Question 8 Type: FIB ______________________________ is a globally recognized controlled health care vocabulary that provides a common language for electronic health applications. Standard Text:

Answer: SNOMED CT Rationale : SNOMED CT is a globally recognized controlled health care vocabulary that provides a common language for electronic health applications. SNOMED CT is SNOMED CT enables a consistent way of capturing, sharing, and aggregating health data across specialties and sites of care. The use of SNOMED CT within electronic health records provides interoperable data collection that can be analyzed and used in the implementation of evidence-based practice, decision support rules, reporting of quality measures and administrative billing.

Question 25 Type: FIB ____________________ are employees who are proficient in the use of the information system and can serve as mentors to other end-users in their department. Standard Text:

Answer: Super users Rationale : Super users are employees who are proficient in the use of the information system and can serve as mentors to other end-users in their department. Super users may be from any user class and have specialized knowledge in both the information system and the clinical area.

Question 19 Type: FIB ______________________________ interoperability is the ability to exchange the structure of the data, but not necessarily the meaning of the data. It is also referred to as functional interoperability. Web pages built with HTML illustrate this type of interoperability. Standard Text:

Answer: Syntactic Rationale : Syntactic interoperability is the ability to exchange the structure of the data, but not necessarily the meaning of the data. It is also referred to as functional interoperability. Web pages built with HTML illustrate this type of interoperability. Semantic interoperability guarantees that the meaning of the exchanged data remains the same on both ends of the transaction. This is critical for clinical data. There have been several standardization efforts to achieve interoperability for EHRs, including HL7.

Question 14 Type: FIB _________________________ is a process approach that allows for a full range of evaluation tools, technology, and techniques. Standard Text:

Answer: Targeted Evaluation Process Rationale : Many organizations have been interested in a process-based evaluation and have adopted the targeted evaluation process (TEP) as an evaluation methodology. TEP is a process approach that allows for a full range of evaluation tools, technology, and techniques (Combs & Falletta 2000).

Question 25 Type: FIB ___________________________ facilitates the monitoring of trends and problems of the health of populations, developing clinical decision support, and expanding our knowledge of diseases and treatments and outcomes through research and clinical data mining. Standard Text:

Answer: Terminology Rationale : Implementing standardized terminology has many benefits to multiple beneficiaries. Beneficiaries include the patient, the provider, the organization, and the health care industry in general. Using standardized terminologies ensures compliance with standards coming forth for "meaningful use", quality measures, and interoperability.

Question 12 Type: FIB _______________________________________ is standardized classification of interventions that describes the activities that nurses perform. Standard Text:

Answer: The Nursing Interventions Classification (NIC) Rationale : The Nursing Interventions Classification (NIC) is standardized classification of interventions that describes the activities that nurses perform. NIC is used in all care settings. An intervention is described as "any treatment, based upon clinical judgment and knowledge, that a nurse performs to enhance patient/client outcomes" (The University of Iowa, 2010a). The current NIC edition (2008) has 542 interventions (Bulechek, Butcher, & Dochterman, 2008). The interventions are grouped together by 30 classes and seven domains. Each intervention includes a label name, a definition, a unique code, and associated nursing activities.

Question 19 Type: FIB ____________________________ can be used to fine tune and improve critical pathways thereby contributing to improved client outcomes. Standard Text:

Answer: Variances Rationale : The nurse, or other care provider, can select one or more appropriate critical pathways for the client. If more than one path is selected, the system should merge the paths to create one "master" path or protocol. The system should identify variances to the anticipated outcomes as they are charted and provide aggregate variance data for analysis by the providers. This information can be used to fine tune and improve the critical pathways, thereby contributing to improved client outcomes.

Question 27 Type: FIB ____________________ and Internet technology were seen as a means to provide access to data from disparate information systems. Standard Text:

Answer: Web based tools Rationale : Web-based tools and Internet technology were seen as a means to provide access to data from disparate information systems. This was largely a local solution that improved access to clinical information for the providers at a single hospital or health care system, but did nothing to advance exchange of data on a larger scale or ensure that data could be used in the same manner in both sending and receiving systems.

Question 8 Type: FIB Software that tracks system access by users, creates a(n) ____ that can reveal unusual activity or inappropriate use of information. Standard Text:

Answer: audit trail Rationale : Software that tracks system access by users, creates a(n) audit trail that can reveal unusual activity or inappropriate use of information.

Question 7 Type: FIB A______________________ is another name for a web log. Standard Text:

Answer: blog Rationale : A web log or blog is an online document that grows sequentially, in chronological order. A single individual or a group of bloggers contribute to the main content.

Question 3 Type: FIB The use of standardized nursing terminology will result in better ______________________ among the interdisciplinary team. Standard Text:

Answer: communication Rationale : The use of coded standardized terminology for nurses is vital to bedside nursing and to the nursing profession. It is essential because it enables consistent use of terminologies across clinical settings and specialists. The use of standardized nursing terminology will result in better communication to the interdisciplinary team, increase the visibility of nursing interventions, enhance data collection used to evaluate and analyze patient care outcomes, and support greater adherence to standards of care. Further, the use of standardized nursing terminology can be used to assess nursing competency. Health care facilities are required to demonstrate the competency of staff for the Joint Commission. The nursing interventions delineated in standardized terminologies can be used as a means by which to assess nurse competency in the performance of these interventions (Rutherford, 2008).

Question 11 Type: FIB A nursing information system should identify variances to the anticipated outcomes as they are charted and provide aggregate variance data for analysis by the providers. This information can be used to fine tune and improve _______________________________, thereby contributing to improved client outcomes. Standard Text:

Answer: critical pathways Rationale : The system should identify variances to the anticipated outcomes as they are charted and provide aggregate variance data for analysis by the providers. This information can be used to fine tune and improve the critical pathways, thereby contributing to improved client outcomes. The critical pathway or protocol approach to nursing documentation is an approach used in automated nursing information systems and it is often use in a multidisciplinary manner, with many types of care providers accessing the system for information and to document care.

Question 12 Type: FIB A ________________________ journal is one that is not printed on paper. Standard Text:

Answer: fully online Rationale : A fully online journal is one that is not printed on paper.

Question 28 Type: FIB Once the strategic plan has been developed which identifies the organization's technology goals and needs, the selection and implementation of an information system occurs through a well-defined process known as the ________________________. Standard Text:

Answer: life cycle Rationale : Once the goals and needs of the system have been identified by the strategic plan, the selection and implementation of an information system occur through a well defined process known as the life cycle. The life cycle begins once these goals are developed.

Question 30 Type: FIB The purpose of the ________________________ is to determine the gap between an organization's current state and the overall needs of the organization with consideration to the strategic plan. Standard Text:

Answer: needs assessment Rationale : The purpose of the needs assessment is to determine the gap between an organization's current state and the overall needs of the organization with consideration to the strategic plan.

Question 13 Type: FIB Unlike other health records the _____________________is patient-centered, presenting a more-balanced view of an individual's health history. Standard Text:

Answer: personal health record Rationale : Unlike other health records the PHR is patient-centered, presenting a more-balanced view of an individual's health history. The portability of information helps consumers to manage their own health. There are a number of additional consumer PHR benefits.

Question 30 Type: FIB The _________________ of an information systems training evaluation strategy is to collect subjective participant feedback about the learning experience, identify pre- and post-training skill gaps, and measure knowledge and performance of the stated learning objectives. Standard Text:

Answer: purpose Rationale : The purpose of an information systems training evaluation strategy is to collect subjective participant feedback about the learning experience, identify pre- and post-training skill gaps, and measure knowledge and performance of the stated learning objectives. The ultimate success of training is measured by the ability of the participant to perform the targeted computer skills.

Question 21 Type: FIB Meaningful use requirements mandate the use of _________________________ for data collection and reporting of established quality measures. Standard Text:

Answer: standardized terminologies Rationale : Meaningful use is directly related to standardized health care terminologies. Meaningful use requirements mandate the use of standardized terminologies for data collection and reporting of established quality measures.

Question 11 Type: FIB A(n) ____________________ is one of the greatest threats that may come from inside sources, namely employees, contractors, consultants, outsourced services, and vendors who view information inappropriately, disrupt information availability, or corrupt data integrity. Standard Text:

Answer: unauthorized user Rationale : An opportunist looks to attack a new, unfamiliar operating system. An unauthorized user is one of the greatest threats that may come from inside sources, namely employees, contractors, consultants, outsourced services, and vendors who view information inappropriately, disrupt information availability, or corrupt data integrity. A hacker is an individual who has an average, or above average, knowledge of computer technology and who dislike rules and restrictions.

Question 32 Type: FIB A _____________________ will facilitate the evaluation of complicated request for proposal responses from vendors and will improve the ability of the steering committee to make an informed decision. Standard Text:

Answer: weighted scoring tool Rationale : The use of a weighted scoring tool or strategy can facilitate the decision making process through quantitative measures.