Informatics Exam III

A client presents to the clinic for a routine evaluation for his hypertension. During the visit, the client tells the nurse that he has been searching the web to learn more about his condition. Which advice is appropriate for the nurse to provide this client regarding web searches?

-Beware even though the information may be credible

A nurse is attending an in-service program about electronic documentation and standardized terminologies. The presenter describes the concept of mapping. The nurse demonstrates understanding of this concept by identifying which set of terms as an example of a lexical match?

headache, headache

A client receives his cholesterol test results and decides to make lifestyle changes to improve his numbers. The nurse would interpret this as

health numeracy

A nurse is reading an online article about the unified medical language system (UMLS). After reading the article, the nurse would identify this system as

A method designed to match concepts from different terminologies

A nursing informatics specialist is conducting a seminar about electronic health records and the importance of interoperability. As part of the seminar, the nurse is describing the mission of the Nationwide Health Information Network. Which description would the nurse specialist include?

A network of other interworking networks to support health information exchange

Which catalogue involving standardized terminologies for nursing was developed from a home care focus?

Clinical care classification

EHR certification is used for which purpose?

Ensure interoperability

Based on the evolution of the development of standardized terminology adopted by the American Nurses Association (ANA), which terminology was adopted last?

International classification for nursing practice

A nursing informatics specialist is preparing a presentation about nursing-focused standardized terminologies recognized by the ANA. Which system would the nurse specialist most likely describe as originally being developed as a reference terminology?

International classification of nursing practice

While working as a member of a group tasked with addressing meaningful use with electronic data, the group has met the criteria for stage 1 and is now moving onto stage 2. Which action would now become a focus for the group?

Submitting electronic data to immunization registries

A nurse is using an electronic clinical documentation system and enters the client's pulse rate. Which display would the nurse expect to see if the value is considered abnormal?

The value as a different color

A nurse is reviewing a client education handout and checking its readability using the Flesch Reading Eases. Which score indicates that the handout is easy to read?

67 (60-70)

A nurse is creating a client education sheet for a client diagnosed with heart failure. The nurse understands that this information should be written at which Flesch-Kincaid Grade Level?

6th

During a presentation on standardized nursing terminologies, a nurse asks the nursing informatics specialist, "If standardized terminology is so great, why is it so difficult to get the terminologies to work together? Which response by the nurse specialist would be most appropriate?

"Each terminology is based on a philosophy that expresses a culture."

A client presents to the clinic for a visit and brings information about his condition that he got off the Internet. Which response by the nurse would be most appropriate?

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

After reviewing information about the benefits of electronic health records, a nurse demonstrates understanding of the information by identifying which as one of the most important benefits?

Analyzable information

Which organization is working to facilitate the adoption of health information technology?

Office of the National Coordinatot for health information technology

nurse is reviewing information about standardized terminology. The nurse demonstrates the need for additional reading when identifying which as an interface terminology?

USA-NMDS

When describing meaningful use, which statement would be most appropriate to include?

Use of information from EHRs to improve healthcare delivery

When discussing online support groups with clients, which precaution would the nurse include?

Variable sponsorship

A nurse writes a nursing diagnosis and includes information about the etiology along with manifestations associated with that etiology. The nurse is demonstrating an understanding of:

granularity

After an in-service program conducted by an informatics nurse specialist about electronic health records, interoperability, and standards, a participant asks, "Why is all this important to us as nurses?" Which response by the nurse specialist would be most appropriate?

"Nursing is affected by the decisions made for recording healthcare data."

A nursing informatics specialist has been asked to prepare a presentation for a group of staff nurses about an electronic documentation system that is being implemented in the facility. Which features would the nurse specialist include as promoting continuity of care? Select all that apply.

-Ability to have real-time documentation -Use of decision support systems and alerts -Ability for instant communication among providers

A nurse is creating a written client education handout for several clients about diabetes. Which actions can the nurse take to improve the readability for the clients?

-Avoid using medical jargon -keep sentences short -use bullets to highlight key points

A nurse is reviewing the information used with International Classification of Functioning, Disability, and Health. What organization would be used for the codes? Select all that apply

-Body structure -Activities of daily living - Participation in life situations

A nurse is reviewing the records of several clients who have received client teaching. Which activity would indicate a client's health numeracy? Select all that apply

-Calculating a medication schedule -IDing a sudden weight gain of 3 lb as significant -interpreting the amt of salt on a food label

An agency is selecting a healthcare information system that includes a collection of systems already interfaced. Which did the agency use?

-Integrated interface approach

When describing interoperability , which organization would be responsible for setting interop standards in health?

-International Organization for Standardization (ISO)

As part of the facility orientation, a nursing informatics specialist is describing the different types of client records to a group of newly hired nurses. Which facts would the nurse specialist include when describing electronic medical records (EMRs)? Select all that apply.

-It is an electronic version of the traditional record -A client can have many EMRs

A nurse working in a physician's office is participating in the Health IT Adoption Survey. The nurse understands which information about this survey? Select all that apply

-It is designed to monitor EHR use -It helps evaluate outcomes of HIE efforts

When working with clinical information systems, which systems would be considered a core system? Select all that apply.

-Laboratory system -Pharmacy system -Radiology system

A nurse is preparing a presentation to a group of staff members comparing paper and electronic documentation. Which weaknesses of paper records would the nurse include? Select all that apply.

-Legibility -lack of a backup system -easily damaged

A nurse is reading a journal article about electronic health records and how they can fill in the gaps between evidence and practice. Which benefits would the nurse most likely read about? Select all that apply.

-Monitoring quality improvement outcomes -Encouraging client partnering with the healthcare provider -Providing information about controlled clinical trials -Identifying information that can affect clinical outcomes -Allowing implementation after extensive long-term knowledge discovery

Which characteristics would a nursing informatics specialist include when describing a best-of-breed system? Select all that apply.

-Need for an integrated interface -Different vendors for different systems

A group of nurses are involved in a lively debate about the strengths and weakness of paper documentation. Which statements would the group use to defend the position for using paper documentation? Select all that apply.

-Paper records are easily transported -Paper records are quick to retrieve

Which component is associated with HIPAA law? Select all that apply

-Privacy -Security

A nurse researcher is conducting a study on health literacy. Which tool would e most appropriate for the specialist to use? Select all that apply

-REALM -SILS -NVS

A nurse is reading an article about the advantages of online support groups. Which information would the urse expect to find? Select all that apply

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

A nurse is developing client education materials on type 2 diabetes. To promote health literacy, which skills would the nurse need to keep in mind when creating the materials? Select all that apply

-Understand the visual information -Locate health information -Apply relevant information

A group of nurses are reviewing information related to the Health Information Technology for Economic and Clinical Health (HITECH) Act. The group demonstrates understanding of this act when they identify which examples as core objectives for supporting healthcare during stage 1? Select all that apply.

-Using computerized provider order entry -Using a clinical decision support rule

A nursing informatics specialist is working as part of a group that is tasked with addressing the core objectives for meaningful use. The group is addressing stage 2 objectives. Which objectives would be addressed? Select all that apply.

-Using secure electronic messaging to communicate with clients -Providing clinical summaries for each office visit -Performing medication reconciliation

A nurse is evaluating a web page that was designed for use with clients. Which feature would be most important to assess?

Accessibility

A nursing informatics specialist is describing meaningful use of electronic health records to a group of newly hired nurses at the facility. Which requirement would the nurse specialist include?

An interoperable healthcare information system

The hospital has installed a clinical information system. Which would a nurse identify as a core information system?

Ancillary system

When describing the electronic medication record (eMar) to a group of new nurses, the nurse manager would include which aspect as a required necessity for implementation?

Computerized provider order entry

A nurse is reviewing a client's electronic health record. Based on the nurse's understanding of data standards, which would the nurse identify as defining what data are shared?

Continuity of care document

A nursing informatics specialist is describing the benefits of electronic records to a group of facility administrators. The nurse specialist would address which aspect as resulting from searchable and analyzable information?

Creation of knowledge for informed practice

A nurse is working on a committee that is involved with electronic documentation. The committee is currently working on stage 1. On which action would the committee be focusing?

Data capturing and sharing

A group of nurses are putting together a proposal for the use of active RFID for medication administration. Which benefit would the nurses most likely cite as key?

Decrease in disturbing clients

When describing consumer informatics to a group of nurses, which factor would the nursing informatics specialist identify as contributing to its development?

Desire by consumers for increased responsibility

A nurse manager is preparing a presentation for a group of new nurse managers about clinical documentation systems and using aggregated data. Which information would the nurse manager include about how the nurses could use of this type of data?

Determine best practices

A nurse is working at a facility as part of a group involved with billing. Which data would the group most likely use to categorize clients for a system of prospective payment?

Diagnosis related groups

A new graduate nurse is working at a facility that uses electronic documentation. The nurse has questions about the policies and procedures related to data security. The nurse would identify which person as being responsible for the policies and procedures related to data security?

HIPPA security

When standards are developed by organizations and agencies, which step would they perform first?

Identify the need for a standard

A group of nurses are attending an in-service program on computerized documentation. Which benefit would the group expect to hear as the major impact of using a computerized provider order entry (CPOE) system?

Improved client safety

An electronic documentation system will be implemented in an agency. As part of the process, the staff is receiving education about the system and the overall benefits. Which benefit would be mentioned as the most important?

Improvement in client care outcomes

A group of nurses is creating a website for the facility to provide client teaching. to ensure usability, who should the group have evaluate the site?

Intended audience

A nursing informatics specialist is conducting a presentation about the electronic medical record (EMR) to a group of facility staff. Which statement would the nurse specialist most likely include when describing the EMR?

It describes the care rendered during an agency visit

Which statement best describes cyberchondria

It involves anxiety related to repeated and excessive online searches

A nursing informatics specialist is preparing a class on electronic documentation for a group of staff nurses. As part of the class, the nurse specialist is planning to describe nursing documentation of the past. Which characteristic would the nurse specialist most likely include?

It used simplistic language

A nurse is involved with the billing process for the primary care setting where he works. The nurse identifies which dataset as the one commonly referred to as the daily rate guide?

Medicare Severity Diagnosis-related groups

A nurse is using passive RFID to administer medication to a client. Which barcode would the nurse scan first?

Nurse's ID badge barcode

When working with the USA-Nursing Minimum Data Set (NMDS), which information would the nurse expect to see as part of data collected for nursing care?

Nursing diagnosis

Which statement best reflects the status of the adoption of electronic records in the United States?

Over half of the hospitals have at least a basic EHR system.

A nurse is reading a journal article about the various efforts by the ANA for standardization. The nurse would expect to find which standard as being retired?

Patient care data set

Which example demonstrates innovative reimbursement incentives being used to reward quality care?

Physician Quality Report System

A nurse manager is reading a report that describes the Physician Quality Reporting System. The nurse manager would expect to find which concept associated with this system?

Provision of financial incentives to fee-for-service providers for cost-effective, high-quality care

A nurse is involved with developing standards. As part of the process, the standard is open for public comment. Results indicate a problem. Which step would be performed next?

Refine the standard

During a healthcare visit, a client shows the nurse information that he has obtained from the Internet about his current condition. When discussing this information with the client, the nurse should keep in mind that

The information they find may be correct

An informatics nurse specialist is describing the different types of interoperability to a group of staff nurses whose agency has just adopted health information technology. Which term would the nurse specialist use to explain structural interoperability?

Workflow management

A nurse is reading an online journal article about the development of standardized healthcare terminologies. Which statement best reflects these terminologies?

client mortality and morbidity were used as the basis for early terminologies

A nurse is reading a journal article about the use of healthcare information systems. The article is discussing financial systems and mentions that these systems are mission critical. The nurse interprets this to mean these are:

essential to the organization's existence

When using the International Classification of Nursing Practice, which axis would the nurse expect to find?

focus

Matching of a term or concept in one standardized terminology to another leads to a result that is not always equivalent. Which term is used to describe that the match addresses all the degrees of standardized terminology so that they can be used?

harmonization

A nurse is using a combinatorial vocabulary for electronic nursing documentation using a multiaxial taxonomy. The nurse creates a term that includes a term from the client and focus categories. The nurse is using:

postcoordinated term

A nurse is using an electronic health record in which the pharmacy is able to exchange data with the laboratory and several healthcare providers. The nurse identifies this as

semantic interoperability

A nurse is working on a committee addressing problems associated with client flow in the agency and looking at tracking system solutions. When reviewing the various products, which attribute would the committee most likely identify as a common feature? Select all that apply.

-Visual display of beds -Bed availability -Transport notification -Equipment locators

A nurse is working with the billing department of the office. The office uses the healthcare common procedure coding system. Based on the nurses understanding of this system, which service would be coded as Level II? Select all that apply

-Walker -Lower leg prosthesis -orthotics -oxygen therapy

A nursing informatics specialist is preparing a presentation for a group of nursing administrators who have just begun to use electronic documentation in their facilities. The nurse specialist identifies the need to address standardized terminologies in nursing. Which information would the nurse specialist most likely include about this topic? Select all that apply

-Will give nursing a voice in healthcare planning -Will help justify reimbursement -Will aid in improving client care policies

An electronic health record uses the Logical Observations: Identifiers, Names, Codes (LOINC). The nurse understands that this terminology integrates elements from which catalogues? Select all that apply.

-clinical care classification -north american nursing diagnosis association-international

While researching information for a paper, a nurse comes across two versions of a nursing minimum data set: one that is international and one from the United States. Which data would the nurse identify as included in international set but not included in the U.S. set? Select all that apply

-clinical service type -reason for admission

Which tool would be appropriate to use to access the invisible web? Select all that apply

-ipl2 -complete planet -Google Book search

Which statements best reflect the concept of consumer informatics? Select all that apply

-it is a subspecialty of healthcare informatics -the goal is a balance between self-reliance and professional help

A nursing informatics specialist is preparing an in-service program for a group of staff nurses on electronic documentation. As part of this program, the nurse specialist plans to discuss the interoperability of standardized terminologies. Which concepts would the nurse specialist integrate into the discussion as being important? Select all that apply

-mapping -harmonization

To address health literacy when conducting oral client teaching, which actions should the nurse take? Select all that apply

-use eye contact -focus on about three (3-5) essential areas -have the client explain what was said in his own words

When using an admission, discharge, and transfer (ADT) system, which information would a nurse be likely to find? Select all that apply.

-Client demographics -Insurance information - Next of kin -Care providers

The nurse is using a computerized provider order entry (CPOE) for a medication. Which entries would trigger an alert in a clinical decision support system? Select all that apply.

-Drug incompatibilities -Allergies -Drug-drug interaction

A group of nurses have been asked to provide input about what they would like to see in a clinical documentation system. Which features would the group most likely address as important? Select all that apply.

-Flexibility in data entry -Data retrieval capabilities -Easy access to reference information

A client is searching the web for health information. The search engine being used is a crawler search engine. Which engines might the client be using? Select all that apply

-Google -Yahoo! Directory -Bing

Which organization would be most involved with setting standards for interoperability of the electronic health record?

-Health level seven

A nurse working in a primary care setting is involved with the billing of healthcare services. With which would the nurse most likely be involved? Select all that apply

-ICD codes with clinical modifications (ICD-CM) -Outcome and Assessment Information Set (OASIS) -Diagnosis-related groups (DRGs)

A nurse reviewing statistics on global morbidity and mortality rates understands that this information is based on

-ICD-10 codes -ICD-11 codes

A committee is working on stage 1 core objectives for meaningful use. Which would the committee be most likely to address as menu objectives at this stage? Select all that apply

-Implementing drug formulary checks -Creating client lists by condition for quality improvement -Being able to submit electronic syndrome surveillance data

A nurse is working on a committee that is considering adopting the use of smartphones for voice communication. Which characteristics would most likely influence the committee's decision for adoption? Select all that apply.

-Increasing popularity of the devices -Ability to encrypt data -Antitheft prevention capabilities

When describing foundational interpretability to a group of nurses, what information would the nursing informatics specialist include?

-Information transmission and reception for use

A nurse manager is working on a committee that will be instituting standardized terminologies into the current electronic documentation system. When preparing to adopt and implement the new system, the nurse manager would need to be alert for which issues? Select all that apply.

-Resistance to change -Adjustment to a new way of thinking -Increased time for learning

Which factors characterize health literacy? Select all that apply. Pg 200

-Variable with the context and setting -Greater predictor of health than age

A nursing informatics specialist is working as a member of a committee tasked with managing client flow. A review of the agency's data indicates that clients are spending too much time in various departments, especially the emergency department. To help address this issue, the committee suggests implementing a tracking system in the emergency department to ensure that the time a client spends in the emergency department is less than:

4 hours

A nurse is documenting electronically and selects a problem from a drop-down menu to enter into the record. The nurse is using which feature?

Linear list

A client had a magnetic resonance imaging test completed while vacationing in Europe. The client's physician in Chicago is able to view the test results through standards developed by which organization?

Digital imaging and communications in medicine

A nurse is reading a journal article about the international classification of functioning, disability and health. Which aspect would the nurse expect to find as the primary emphasis?

Function