Informatics Final Ex

A group of faculty from a local college of nursing are thinking about implementing an e-learning program involving fundamental skills for their students. An nursing informatics specialist is describing the advantages and disadvantages of e-learning programs to the group. The nurse specialist determines that the faculty members understand the information when they state: A) "The learners will need to sign up for a time to use the program. "B) "The programs are usually free of technological glitches. "C) "The learners can set our own pace for learning with the program. "D) "The programs provide experiences that the learners would normally encounter."

"C) "The learners can set our own pace for learning with the program.

When reviewing a client safety database, the nurse understands that which information is being used? A) Aggregated data B) Deidentified data C) Genomics D) Protocols

A) Aggregated data

Evidence-based research is often described in healthcare as in integration of what? Select all that apply: A) Best research evidence B) Community initiatives C) Clinical expertise D) Patient values

A) Best research evidence C) Clinical expertise D) Patient values

Which action would a nurse identify as the current focus of today's practice informatics? A) Capturing data at the point of care B) Performing secondary data analysis C) Using aggregated data D) Making decisions based on data

A) Capturing data at the point of care

A nursing informatics specialist is conducting an informational session with a group of nurses interested in becoming nursing informatics specialists. The nurse specialist is describing nursing informatics theory. Which key component would the nurse specialist most likely include in the discussion? Select all that apply. A) Data B) Information C) Terminology D) Knowledge E) Wisdom

A) Data B) Information D) Knowledge E) Wisdom

Client information files are to be stored on a cloud computing website. Which step would be most important to do? A) Encrypting the files B) Checking the software copyright C) Accepting the terms of use D) Checking the site for viruses

A) Encrypting the files

A nurse is reading a journal article about nursing, documentation, and nursing data. The nurse demonstrates understanding of the information when the nurse identifies which person as being the first individual for emphasizing research and data collection? A) Florence Nightingale B) Bertha Harmer C) Karen Martin D) Gloria Bulechek

A) Florence Nightingale

A nurse is reading a journal article about nursing, documentation, and nursing data. Thenurse demonstrates understanding of the information when the n urse identifies which person as being the first individual for emphasizing research and data collection? A) Florence Nightingale B) Bertha Harmer C) Karen Martin D) Gloria Bulechek

A) Florence Nightingale

A nurse manager is looking at ways to improve the admission process from the emergency department to the inpatient unit. Which tool would be most appropriate for the nurse manager to use? A) Flowchart B) Spreadsheet C) Project management software D) Gantt chart

A) Flowchart

A nurse administrator who is using project management software wants to ensure that the project stays on time and on budget. The nurse administrator also identifies key tasks that must occur during the project to keep it on target. The administrator would most likely use which tool to track the project's status? A) Gantt chart B) Spreadsheet C) Cause-and-effect chart D) Fishbone chart

A) Gantt chart

A nursing informatics specialist is preparing an in-service program about standardized terminologies for a group of staff nurses. As part of this program, the nurse specialist describes the detail about a term or phrase. The nurse specialist is describing which concept? A) Granularity B) Nomenclature C) Mapping D) Organization

A) Granularity

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: A) Granularity. B) Taxonomy. C) Interface terminology. D) Mapping.

A) Granularity.

A nursing informatics specialist is describing the benefits of informatics to a group of agency staff. Which would the nurse identify as a primary benefit for healthcare in general? A) Increase in the usability of data B) Promotion of cost saving C) Promotion of time saving D) Ability to identify patterns

A) Increase in the usability of data

When describing interoperability, which organization would being responsible for setting interoperability standards in health? A) International Organization for Standardization (ISO) B) International Electrotechnical Commission (IEC) C) American National Standards Institute (ANSI) D) American Society for Testing and Materials (ASTM)

A) International Organization for Standardization (ISO)

A nurse is accessing information on the internet about heart failure. The nurse would likely be using which browser? Select all that apply. A) Internet Explorer B) Firefox C) Chrome D) Microsoft Office E) Opera

A) Internet Explorer B) Firefox C) Chrome E) Opera

A nurse using a clinical information system is required to document the same data in more than one area because the data do not "flow over" to the other areas and the data fields are not universally designed. Which component is lacking? A) Interoperability B) Intangibles C) Return on investment D) Biometrics

A) Interoperability

A group of nurses are debating the pros and cons of implantable identification devices. Which benefit would the proponents most likely address? A) It allows quicker and safer emergency care. B) It should be a requirement to enhance care. C) It would ensure complete privacy. D) It promotes an individual's civil liberties.

A) It allows quicker and safer emergency care.

A nurse is reviewing the components of a computer system that he or she has just purchased. Which operating system would he or she expect to find as the most common? A) Microsoft Windows B) Mac OSX C) Linux D) Google Chrome

A) Microsoft Windows

A client at home is setting up his or her computer so that he or she can access his or her healthcare team. The client will be connected to a Wi-Fi network. Which item would the client need to set up the connection? Select all that apply. A) Modem B) Router C) Mouse D) Second keyboard E) Web browser

A) Modem B) Router

When sending an e-mail to a colleague, the signature should always include which of the following? Select all that apply. A) Name B) Organization C) Favorite color D) Address E) Picture of sender

A) Name B) Organization D) Address

A nursing informatics specialist is conducting an in-service presentation for nurses at alocal agency about the importance of maintaining confidentiality of electronic health information. The nurse specialist determines that the teaching was successful when the group identifies which method as a way to protect client confidentiality? Select all thatapply. A) Passwords B) Single sign-ons C) Voice recognition D) Palm vein technology E) Automatic logout

A) Passwords B) Single sign-ons C) Voice recognition E) Automatic logout

Which advantages are associated with the use of cloud computing? Select all that apply. A) Provides a backup of files in a location different from where the original document is stored B) Allows for sharing files with other users C) Permits the users to have full control over the site D) Reduces the risk for access by cyber criminals E) Eliminates the need to ever have to purchase any software

A) Provides a backup of files in a location different from where the original document is stored B) Allows for sharing files with other users

A nursing informatics specialist is working as part of a group developing a system for documentation. When applying the concepts of cognitive science, which components would the group need to address? Select all that apply. A) Screen location for data entry B) Color and fonts on the display C) Support for decision-making D) Use of an open or closed system E) User confidence and control

A) Screen location for data entry B) Color and fonts on the display C) Support for decision-making

A nursing informatics specialist is working as part of a group developing a system for documentation. When applying the concepts of cognitive science, which components would the group need to address? Select all that apply. A) Screen location for data entry B) Color and fonts on the display C) Support for decision-making D) Use of an open or closed system E) User confidence and control

A) Screen location for data entry B) Color and fonts on the display C) Support for decision-making

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: A) Semantic interoperability. B) Standard. C) Algorithm. D) Structural interoperability

A) Semantic interoperability

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: A) Semantic interoperability. B) Standard. C) Algorithm. D) Structural interoperability.

A) Semantic interoperability.

"Meaningful Use" is the use of information from EHRs to make improvements in the delivery of healthcare. Which of the following is not a Stage of "Meaningful Use?" A).Focuses on reducing fraud B.) Focuses on data capturing and sharing C.) Focuses on advanced clinical processes D.)Focuses on improved clinical outcomes

A).Focuses on reducing fraud

Which of the following refers to the depth of detail of a language system: A. Granularity B. Taxonomy C. Interface terminology D. Reference terminology

A. Granularity

A nursing informatics specialist is preparing a presentation for the staff about computerized physician order entry. Based on the nurse specialists understanding of the unintended consequences of the system, which issue would the nurse specialist include in the presentation? Select all that apply. A. Problematic communication between nurses and physicians B. Changes in workflow C. Need for more personnel for maintenance D. Possible duplication of unnecessary daily orders E. Improved ease in how to enter orders

A. Problematic communication between nurses and physicians B. Changes in workflow C. Need for more personnel for maintenance D. Possible duplication of unnecessary daily orders

1. A client tells the nurse, "I'm not so sure that I like the computer as my chart. I've heard so many horror stories of security problems on the computer." Which response by the nurse demonstrates understanding of the recent strategic planning goals aimed at inspiring confidence and trust in health information technology? A.) "We are doing everything possible to protect the confidentiality of your health information." B.) "This technology will make it possible for everyone to have use of electronic medical records." C.) "It might sound strange, but we can exchange information with others so your care will improve." D.) "By using this technology, we can provide better care because we can actually measure the care you receive."

A.) "We are doing everything possible to protect the confidentiality of your health information."

A nurse is assessing the Internet using the following URL-http://www.ahrq.gov. The nurse identifies the ".gov" as: A.) Domain name B.) Folder C.)Descriptor D.) File name

A.) Domain name

When developing a plan for workflow redesign and the use of computerized documentation, which item would be the FIRST thing to consider? A.) Number of computers needed B.) Location of the computers C.) Wheeled or bedside type of computer D.) Theft prevention

A.) Number of computers needed

What are the three types of bias inherent in individual research studies? A.)Selection B.) indexing C.) publication D.) Sampling

A.)Selection B.) indexing C.) publication

What are the three stages of Lewin's Field Theory? A.)Unfreezing B.)Freezing C.)Melting D.)Moving

A.)Unfreezing B.)Freezing C.)Melting

What does VoIP stand for A.)Voice-Over Internet Protocol B.)Voice Of Incapacitated Patients C.)Voice Over Intra-operable Protocol D.)Voice-Over Intranet Practices

A.)Voice-Over Internet Protocol

What does the P in "PICO" stand for? SATA A.Patient B.Pets C.Problem D.Plants E.Population

A.Patient C.Problem E.Population

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 FleschKincaid Grade Level? A) 3rd B) 6th C) 8th D) 12th

B) 6th

A nurse is participating in an online course and uses the course materials at various times that are convenient for him or her. The nurse is using which type of learning? A) Streaming video B) Asynchronous C) Blended D) Synchronous

B) Asynchronous

A nurse is about to install antivirus software on his or her home computer. Which action would the nurse need to do first to protect his or her data? A) Install a firewall. B) Backup important files in another location. C) Perform a quick scan of the files. D) Update the software program

B) Backup important files in another location.

A nurse is preparing an in-service program for staff nurses and is designing learning activities for the group. The nurse wants to focus on the highest level of learning. The nurse includes which activity to achieve this goal? A) Tutorials B) Case studies C) Animations D) Flash cards

B) Case studies

When adopting the electronic healthcare record (EHR), which aspect would be considered the ultimate goal? A) Sharing of information B) Client as the most important focus C) Cost-effectiveness D) Improved time management

B) Client as the most important focus

A nurse involved in informatics identifies the need for information and demonstrates ability to locate, evaluate, and effectively use it. The nurse is demonstrating which competency? A) Information literacy B) Computer literacy C) Computer fluency D) Information management

B) Computer literacy

Which component of nursing informatics theory is considered the building blocks of meaning? A) Information B) Data C) Knowledge D) Wisdom

B) Data

Which aspect would a nursing informatics specialist identify as a key component of nursing informatics theory? A) Discrete objective facts B) Data with context C) Synthesis with relationships D) Visualizing patterns

B) Data with context

Which aspect would a nursing informatics specialist identify as a key component of nursing informatics theory? A) Discrete objective facts B) Data with context C) Synthesis with relationships D) Visualizing patterns

B) Data with context

A committee is reviewing the strategic plan for the agency's return on investment. The committee identifies the tangibles for the plan. Which items would the committee be addressing? Select all that apply. A) Improved decision-making B) Decreased lengths of stay C) Reduced charges per admission D) Enhanced user satisfaction E) Improved communication

B) Decreased lengths of stay C) Reduced charges per admission

A nurse is conducting a search of several databases simultaneously. The nurse is conducting which type of search? A) Ovid B) Federated C) MeSH D) Boolean

B) Federated

A nursing informatics specialist is characterized by colleagues as an informatics innovator. This nurse would demonstrate the ability to: A) Use basic desktop software. B) Generate informatics theory. C) Make judgments based on trends. D) Communicate via a computer

B) Generate informatics theory.

A nurse has decided to write a paper for a presentation at a local healthcare facility. Which step would be most important for the nurse to do first? A) Choose a word processing tool B) Identify the audience C) Conduct a broad literature review D) Identify the topic

B) Identify the audience

A nursing informatics specialist is conducting a program for agency staff about telehealth. Which aspect would the nurse specialist include as a benefit of this technology? A) Increased travel time B) Increased productivity C) Increased face-to-face in-person client contact D) Increased healthcare costs

B) Increased productivity

A NURSE IS REVIEWING SEVERAL RESEARCH ARTICLES FOUND ON THE WEB AFTER COMPLETING A PICO SEARCH. ONE OF THE ARTICLES PROVIDES AN EXPERT OPINION OF PROFESSIONAL SOCIETY. THE NURSE INTERPRETS THIS TO MEAN THE INFORMATION IS AT WHICH LEVEL OF EVIDENCE? a) Highest B) Lowest C) Second to highest D) Second to lowest

B) Lowest

Which term would an informatics nurse specialist use to describe the matching of a term or concept in one standardized terminology to another? A) Granularity B) Mapping C) Harmonization D) Integration

B) Mapping

Florence Nightingale developed a visual representation of data known as the: A) Line chart B) Polar Area Diagram C) Bar graph D) Scatter plot

B) Polar Area Diagram

Which component is associated with HIPAA law? Select all that apply. A) Outcomes B) Privacy C) Client engagement D) Security E) Care coordination

B) Privacy D) Security

Which of the following statements best describes the importance of documentation in healthcare? A) Documentation is primarily for administrative purposes and does not impact patient care. B) Proper documentation is crucial for clear communication, legal protection, quality improvement, and supporting research and education. C) Healthcare providers can rely solely on verbal communication, and written records are not necessary for patient care. D) Documentation is essential only for billing purposes and has minimal relevance to patient safety.

B) Proper documentation is crucial for clear communication, legal protection, quality improvement, and supporting research and education.

A nurse is using an interactive web application, sharing pictures and videos. When using this media, the nurse understands that which ethical principle always applies? A) Autonomy B) Respect for others C) Paternalism D) Fidelity

B) Respect for others

The lack of standardization for reimbursement is a significant barrier to widespread adoption of: A) Electronic Health Records (EHR) B) Telehealth services C) Medical imaging technology D) Health information exchanges (HIE)

B) Telehealth services

What are the possible punishments associated with nurses or other healthcare professionals using social media in the workplace? Select all that apply. A) Promotion to management B) Termination from work C) Lawsuits D) Monetary rewards E) Prison

B) Termination from work C) Lawsuits E) Prison

A nurse is reading a journal article about information literacy and health literacy and how it connects with critical thinking. Which strategy would the nurse most likely find as a key aspect of critical thinking? A) Focusing on a single approach for problem solving B) Using a set of skills for processing and generating information C) Providing specific answers to questions D) Setting boundaries for seeking information

B) Using a set of skills for processing and generating information

A client contacts his or her healthcare provider through a web-based portal software program to ask for a medication refill. The client is using: A) Intranet B) Virtual private network (VPN) C) Extranet D) Plug-in

B) Virtual private network (VPN)

A client receives his cholesterol test results and decides to make lifestyle changes to improve his numbers. The nurse would interpret this as: A) health literacy. B) health numeracy. C) consumer informatics. D) information literacy.

B) health numeracy.

__________________ is a form of matching concepts from one standardized terminology with those having similar meaning from another. A. Granulation B. Mapping C. Plotting D. Marking

B. Mapping

Which step is most important in evaluating health information on a website: A.) check the url for a .com extension B.) verify the publication date C.) ignore the author's credentials D.) rely solely on personal instincts.

B.) verify the publication date

What is the latest era to evolve in research informatics and helps predict epidemics as well as cure diseases?

Big data

A nursing informatics specialist is explaining the difference between computer literacy and computer fluency. Which statement correctly defines computer fluency? A) " Computer Fluency is the ability of the nurse to perform various tasks with a computer." B) "Computer literacy is the skill to be able to troubleshoot parts of the computer access information from the computer data." C) "Computer fluency is the understanding of how to use a computer when needed." D) "Computer literacy is knowing how to locate and evaluate information."

C) "Computer fluency is the understanding of how to use a computer when needed.

A nurse is looking for systematic reviews and meta-analyses to support evidence-based practice. Which database would be most appropriate to search? A) MEDLINE B) CINAHL C) Cochrane Library D) PubMed

C) Cochrane Library

An nursing informatics specialist is conducting a group discussion on the implementation of personal health records. Which aspect would the specialist include as being currently available for promoting interoperability? A) Protocols for use B) Standardized data C) Computer technology D) Procedures for use

C) Computer technology

A nurse manager is using real-time information on key performance indicators to guidedecision-making. Which is the nurse using? A) Throughout B) Core measures C) Dashboards D) Benchmarking

C) Dashboards

A student gets an email stating that he/she will get a $25 gift card to Amazon if he/she forwards the e-mail to 10 friends. What should the student do? A) Send the email to 10 Friends and wait for the $25 gift card to come electronically. B) Send the email to 20 friends and hope that the gift card amount is doubled to $50. C) Delete the email and assume that it has a virus attached to it. D) Send the email to his/her instructor hoping that the instructor's computer gets a virus.

C) Delete the email and assume that it has a virus attached to it.

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 this type of data? A) Identify trends for an individual client. B) Confirm decision-making as correct. C) Determine best practices. D) Evaluate clinical workflow

C) Determine best practices.

Which of the following is not a social media site? A) Twitter B) Instagram C) Fishnet D) FaceBook

C) Fishnet

A nurse is involved with knowledge generation as part of the process of integrating evidence-based practice. From the research perspective, the nurse would be involved with which steps? Select all that apply. A) Converting nursing data into information B) Using decision support systems C) Identifying information in nursing literature D) Synthesizing nursing information to solve nursing problems E) Applying the steps of information literacy

C) Identifying information in nursing literature D) Synthesizing nursing information to solve nursing problems E) Applying the steps of information literacy

The design of mobile computing software is focused on which feature? A) Synchronization B) Connectivity C) Interoperability D) Data entry

C) Interoperability

18. Which is the result when evidence-based information from the literature is integrated with clinical information? A) Information literacy B) Information technology C) Knowledge generation D) Knowledge dissemination

C) Knowledge generation

A nurse is preparing to conduct a research study about a clinical topic and wants to obtain the most recent evidence on the topic. Which site would be most appropriate for the nurse to search? A) Centers for Medicare and Medicaid Services B) Agency for Healthcare Research and Quality C) National Institute of Nursing Research D) National Health Interview Survey

C) National Institute of Nursing Research

Nurses on a unit are reviewing research to determine if a change in practice is necessary. Which activity would be most appropriate for the nurses to use as the best evidence for a change? A) Reading about a research study on one topic B) Comparing results from several studies C) Searching for a meta-analysis on the subject D) Reviewing articles in a nursing newsletter

C) Searching for a meta-analysis on the subject

What does SBAR stand for in healthcare communication? A) Systematic Background and Request B) Structure, Background, Assessment, Review C) Situation, Background, Assessment, Recommendation D) Sensitive, Brief, Analytical, Response

C) Situation, Background, Assessment, Recommendation

What should nurses do to ensure accuracy if they get an order by phone? A) Disregard the order as phone orders are not reliable. B) Ask a colleague to take the order for verification. C) Write down the order, read it back to the prescriber, and document it promptly. D) Ignore the order and wait for a written prescription.

C) Write down the order, read it back to the prescriber, and document it promptly.

After participating in an informational program about electronic health records, an agency nurse asks the nursing informatics specialist "what does it mean when they say the records must be interoperable?" Which response by the specialist would be the MOST appropriate? A. "The records need to have standardized language." B. "The information in the records needs to be presented logically." C. "The data contained in the records must be able to be shared electronically." D. "Information contained in the record must be kept confidential."

C. "The data contained in the records must be able to be shared electronically."

When should an evaluation of the system's life cycle be done? A.When the decision is made to begin the process B.During the first phase of the life cycle C.6 months after the implementation phase D.Whenever administration feels it is necessary

C.6 months after the implementation phase

A nurse working on his personal computer is preparing a spreadsheet for his professional expenses. He plans to put data into the rectangles in the table. The nurse identifies these rectangles as: A) Rows. B) Columns. C) Slots. D) Cells

D) Cells

Which of the following is NOT a type of Broadband Network? A) DSI B) Cable C) Fiber Optic D) Chicken Wire

D) Chicken Wire

When describing privacy and security associated with personal health information,which issue would the nursing informatics specialist identify as most important for their maintenance? A) Standards B) Policies C) Consumerism D) Confidentiality

D) Confidentiality

For which is information literacy considered essential? A) Critical thinking B) Problem solving C) Data evaluation D) Evidence-based practice

D) Evidence-based practice

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? A) Nurse manager B) Nursing informatics specialist C) Client's primary care provider D) HIPAA security officer

D) HIPAA security officer

A nursing informatics specialist is conducting an in-service program about the HIPAA. Which fact would the nurse specialist include when describing this rule? A) The HIPAA protects all private health information. B) Fee-for-service providers have limited HIPAA coverage. C) Information with health plan providers is excluded. D) Information of agencies electronically billing CMS is covered.

D) Information of agencies electronically billing CMS is covered.

The connection of 2 or more computers that allows communication and electronic transfer of information between them is called: A) Exponent B) Integer C) Linkage D) Network

D) Network

A nurse receives an e-mail containing a web address hyperlink on his or her personal computer. The e-mail instructs the nurse to go to the website to confirm his or her bank account number. When the nurse clicks on the link, it would take him or her to a phony website. This is an example of: A) Pharming B) Worm C) Trojan Horse D) Phishing

D) Phishing

A nurse is reading a journal article about syndromic surveillance. The nurse would expect the article to provide which description of this concept? A) Meeting the Joint Commission's client safety goals B) Identifying unintended consequences of healthcare technology C) A way to measure quality of care and client outcomes D) Providing early detection of potential disease

D) Providing early detection of potential disease

While talking with a client, a nurse determines that the client is participating in real-time telehealth based on the understanding that this involves: A) Stored images sent for interpretation at a later time. B) Asynchronous transmission of clinical data. C) Affordable method for practice in rural communities. D) Same-time interaction of the client and provider via video.

D) Same-time interaction of the client and provider via video.

When obtaining vital signs on a postoperative client, the nurse notes that the client is significantly tachycardic, and the systolic blood pressure is 72 mm Hg. The nurse suspects that the client is experiencing hypovolemic shock and notifies the primary care provider of these findings. According to nursing informatics theory, which key component is the nurse demonstrating? A) Data B) Information C) Knowledge D) Wisdom

D) Wisdom

A nursing informatics specialist is preparing a presentation for staff at a local agency about implementing personal health records. When discussing the barriers to implementation, which would the specialist MOST likely include? A. Inability to allow collaboration B. Less effective disease management C. Lack of personalization of care D. Reluctance of some providers to relinquish autonomy

D. Reluctance of some providers to relinquish autonomy

Much of our _____________ is unstructured and resides in text files representing more than 75% of an organization's data. Because this data is not contained in databases, it can be easily overlooked, even though what it contains can provide meaningful insights. A. data mining B. knowledge discovery C. data exploration D. big data

D. big data

Is the following statement true or false? Electronic health records and electronic patient records refer to the same thing.

False

What are the benefits of social media in healthcare?

Improved communication, research, access to information, community of e-patients, social support

What does PICO stand for?

Population Intervention Comparison Outcome

True or False?- Cloud computing requires access to the Internet

True

What significant role did the International Classification of Diseases (ICD) play in the healthcare domain? a)Standardization of healthcare data worldwide b)Implementation of effective healthcare policies c)Improving the quality of medical equipment d)Enhancing international trade regulations

a)Standardization of healthcare data worldwide