Informatics Midterm

Which of the following are the leading telehealth organizations? (Select all that apply) 1. International Council of Nurses (ICN) 2. Association of Independent Doctors (AID) 3. American Nurses Association (ANA) 4. American Telemedicine Association (ATA)

1,3,4

1. Middle range theory 2. Grand Theory 3. Micro theories A. Limited in scope and specific to a situation B. Wide in scope attempts to explain complex phenomenon C. Explain specific defined phenomena

1-B 2-A 3-C

3. Match the following 1. Accessibility 2. Reliability 3. Security A. Covers many technical aspects of the repository to prevent inadvertent and inappropriate access to data B. Is the inability to get to repository data in an efficient manner C. Refers to the dependability and consistency of access to the repository

1=B 2=C 3=A

Match the correct definition to the term: EBP or PBE 1. Difficulty of taking research and applying it into practice. 2. Clinical scientists design, implement, and evaluate clinical practice.

1=EBP 2=PBE

Match the terms to their correct definitions. 1. Grand theories 2. Middle range theories 3. Micro theories a. Wide in scope; attempt to explain complex phenomenon b. Limited in scope and specific to a situation c. Explain specific defined phenomena

1=a 2=c 3=b

What is the EHR application BCMA? 1. Basic calcium metabolic accumulation 2. Before current medication administration 3. Bar code medication administration 4. Bar coding malignant adenoma

3. Bar code medication administration

Which of the following is the highest ranked on the "strength-of-evidence hierarchy"? 1. Non-experimental studies 2. Experimental research studies 3. Evidence summaries 4. Qualitative studies

3. Evidence summaries

A patient in the hospital asks for a graph and brochure to better understand his diagnosis. What type of learner is he? 1. Auditory learner 2. Kinesthetic learner 3. Visual learner 4. Logical/mathematical learner

3.Visual learner

A seven-year-old girl from rural Alaska complains of a sore throat and cough. Her mother decides to use telemedicine to help her daughter. What are some possible benefits to this decision? 1. Less school and work days missed 2. Less time waiting for an appointment 3. No long distance driving 4. All of the above

4. All of the above

What are benefits of the electronic health record? 1. Cost effective 2. Accessible 3. Improves efficiency 4. All of the above

4. All of the above

Evidence Based Practice is: A. The difficulty of research and applying it into practice B. When clinical scientists are designing, evaluating, and implementing a new clinical practice C. Research findings from a single study D. The integration of findings into practice

A

Specialty Applications are also known as what? A. niche B. Function C. job D. Position

A

Bar Code Medication Administration is best combined with which of the following HER Applications: a. CPOE b. eMAR c. Ancillary systems d. both a and b

A and B

What are the components making up the knowledge base of the electronic health records component model? (Select all that apply) A) Master person index B) Clinical applications C) Data dictionary D) Knowledge base E) Clinical decision support system

A) Master person index B) Clinical applications C) Data dictionary D) Knowledge base E) Clinical decision support system

Which of the following is a benefit of having EHRs A) Quality, safety, and efficiency of care delivery B) Decreased patient interaction C) Learning curve of changing charting method D) Hiring new personnel to manage EHR (IT people).

A) Quality, safety, and efficiency of care delivery

All of the following are stakeholders in use of EHR's? Select all that apply. A) nurses B) consumers C) healthcare organizations D) family members E) government

A, B, C, E

Key aspects of the EHR include: Accessibility Reliability Security A & B A,B, & C

A,B, & C

Which of the following is used in combination with Bar Code Medication Administration (BCMA)? A. CPOE B. eMAR C. EHR D. CDS

A. CPOE

What are the three basic units of health informatics? Select all that apply. A. Healthcare B. Information Science C. Computer Science D. Information management E. Evidence based medicine

A. Healthcare B. Information Science C. Computer Science

Which of the following departments have specific charting systems? Select all that apply. A. Operating Room B. Preoperative services C. Maternity Care D. NICU E. Emergency Department

A. Operating Room B. Preoperative services C. Maternity Care D. NICU E. Emergency Department

Grand theory is best used for which of the following: A. To attempt to explain complex phenomenon that is wide in scope B. To explain specific defined phenomena C. To explain specific situations that are limited in scope D. To explain concepts of greatest importance

A. To attempt to explain complex phenomenon that is wide in scope

ASP stands for... A: Application service provider B: Application Service Provider C: American Society of Parasitologists D: Association of Shareware Professionals

A: Application service provider

What does STEEEP stand for? A: Safe, timely, effective, efficient, equitable, patient-centered B: Safe, tentative, elective, efficient, equal, patient-centered C: Systematic, temporary, elective, easy, efficient, personable D: Substantial, timely, equal, effective, efficient, personable

A: Safe, timely, effective, efficient, equitable, patient-centered

The electronic health records component model consists of what? Select all that apply. A. Inference engine B. Data services C. communication system

Answer: A, B, C

Which learning styles are included in VARK? (Select all that apply) Visual Auditory Aesthetic Kinesthetic Repeat teaching Answer: A, B, D.

Answer: A, B, D.

Which of the following is NOT an advantage of systematic review? A. It increases the power in cause and effect B. It assesses consistencies across studies. C. Systematic reviews are a quick process and typically don't take more than 3 months to preform D. It reduces time between research and implementation

Answer: C

What are the four styles of learning? Contextual, theoretical, social and behavioral Auditory, reading and writing, visual and kinesthetic Hands on, systematic, kinesthetic, auditory Visual, contextual, reading, hearing

Auditory, reading and writing, visual and kinesthetic

Someone who prefers using pictures and images for learning would be a: a. Auditory learner b. Visual learner c. Kinesthetic learner d. Reading/writing learner

B

What is the third "E" is the STEEEP acronym stand for? A) Effective B) Equitable C) Efficient

B) Equitable

What is not a key aspect of electronic health records component model: clinical data repository (CDR)? A) Accessibility B) Validity C) Reliability D) Security

B) Validity

When teaching a patient how to check their blood glucose levels. Your patient states that they are an auditory learner. Which of the following is the best way to provide patient teaching? A. Give them a pamphlet B. Have the patient verbally repeat the instructions C. Instruct the patient to show you how to take their blood glucose

B. Have the patient verbally repeat the instructions

The STEEEP redesign from the Institute of Medicine includes all the following aims for the healthcare system except: a. Timely b. Efficient c. Educational d. Patient centered

C

The tendency of all systems to break down into their simplest parts is known as: A) Dynamic homeostasis B) Equifinality C) Entropy D) Reverberation

C) Entropy

What theory is the study of change in organizations and individuals? a. Chaos theory b. Complexity theory c. Change theory d. Information theory

C. Change theory

Which of the following is NOT a principle of learning? A. Learning is contagious B. Meaningfulness assists learning C. Learning is best done in a group process D. Learning takes place intentionally and unintentionally E. The timing of learning is critical

C. Learning is best done in a group process

What is a disadvantage of Telehealth for patients? A) Requires high speed internet connection B) Limited assessment capabilities (ex. listening to the heart, palpating the skin) C) Initial payment required with additional payments for emergency care if needed D) All of the above

D) All of the above

All of the following indicate the three types of knowledge regarding fluent with information technology (FIT) persons except? A) Contemporary skills B) Foundational concepts C) intellectual capabilities D) Technical knowledge

D) Technical knowledge

Which of the following did the IOM identify as the core competencies that should be achieved by all healthcare professionals? A. Delivering patient centered care B. Decreasing lengths of hospitalization C. Practicing evidence based medicine D. A & C E. All of the above

D. A & C

Why is the infrastructure of Health Information Technology (IT) important? A. Has consequence for the overall system B. Has unique aspects compared with other industries C. Is important to the implementation of success D All of the above

D. All of the above

Which of the following is the first step in a PBE study? A. Create a study database B. Implement intensive data collection and check reliability C. Validate and implement study findings D. Create multisite multidisciplinary PCT

D. Create multisite multidisciplinary PCT

Which of the following is not a key aspect of the clinical data repository of the EHR? A. Accessibility B. Reliability C. Security D. Efficiency

D. Efficiency

Which of the following is not an example of a synchronous telehealth technology? A. Online chatting B. Video conferencing C. Phone call D. Emailing consultation

D. Emailing consultation

Components of an Electronic Health Record includes all of the following except: a. Administrative processes b. Decision Support c. Health information and data d. Patient support e. Specialty Applications

E

Which best describes grand theories? a. Explain specific defined phenomena b. Wide in scope c. Attempt to explain complex phenomenon d. Limited in scot and specific situation e. Both B and C

E. Both B and C

A closed system interacts with the environment and open systems do not. True or False?

False

An EMR interacts with outside systems and includes data from all specialties. True or False?

False

Evidence based practice is NOT the process of taking research and applying it to practice. True or false?

False

Evidence-based practice is where clinical scientists design, implement, and evaluate clinical practice. True or False?

False

T/F: Telehealth and telemedicine are the same thing.

False

The best way visual learners learn is by reading the textbook. True or False?

False

True or False? In EHR clinical data repository, distributed storage is defined as a single repository used to store all of the clinical data.

False

True or false: an Electronic medical record is the same as an electronic health record.

False

What is the global advisor that supports the transformation of health through the use of information and technology? HIMSS Telehealth HMSS HIPPA

HIMSS

What does HIMSS stand for? Healthcare information and management systems society Human interaction maternal support system Human informatics maintenance support styles None of the above

Healthcare information and management systems society

What is another term for a learning style? Learning theories Personal learning Learning characteristics Learning Modality

Learning Modality

What does POTS stand for? Patients Of The State Physicians Offering Treatment Services Plain Old Telephone Services Practice Of Teaching Students

Plain Old Telephone Services

Match the following terms to the correct definitions: Terms: Synchronous, Asynchronous Definitions: Live or real time communication Information that is stored and forwarded for communication

Synchronous: Live or real time communication Asynchronous: Information that is stored and forwarded communication

Match term to definition: Telehealth, Telenursing, Telemedicine A.Use of medical information exchanged from one site to another via electronic communications for the purpose of improving patient care, treatment, and services B. Use of electronic information and telecommunications technologies to support long-distance clinical healthcare, health-related education, public health, and health administration C. Use of telehealth technology to deliver nursing care and conduct nursing practice

Telehealth: B Telehealth: A Telenursing: C

An individual is considered to be FIT (fluent with information technology) possesses the knowledge of contemporary skills, foundational concepts, and intellectual capabilities. True or False?

True

EMR and EHR are used interchangeably, but the EHR is technically a lifetime patient record.

True

In order to provide quality patient care it is essential that a nurse has knowledge about information management and technology?

True

Medical Errors are the third leading cause of death in America. True or False?

True

The EHR Components Model can be data driven, time driven, or user driven?

True

The goal of EBP is to achieve safe, cost-effective, quality outcomes. True or False?

True

The health information technology for economic and clinical health (HITECH) authorized programs designed to improve health care quality, safety, and efficiency using health IT. True or False?

True

True or False Practice based evidence involves clinical scientist designing, implementing, and evaluating clinical practice.

True

True or False: An example of synchronous telehealth technology is a live, interactive videoconferencing between a patient and a provider.

True

True or False: Health informatics is defined as an interdisciplinary professional specialty and scientific discipline that integrates the health sciences, computer science, and information science.

True

True or False: Point 2 of the ACE Star Model of Knowledge Transformation is evidence summary and includes systematic reviews.

True

True or False? Health informatics is an interdisciplinary professional specialty and scientific discipline that integrates health sciences, computer science, and information science, as well as a number of other analytic sciences.

True

True or False? The goal of evidence-based practice (EBP) is to achieve safe, cost-effective quality outcomes.

True

True or false: telehealth scope of clinical practice is the same as with in-person care.

True

When using barcode medication administration, the scanner verifies the 5 rights for you. True or false?

True

Which of the following is not a functional area of EHR's? Data collection Patient management Reviewing and reporting Video monitoring

Video monitoring

If a patient has a noticeable illiteracy, which type of education would not be beneficial? Written discharge instructions A picture pamphlet Conversational explanations Digital educational videos

Written discharge instructions

______ is uninterrupted observations and observations made about the world. a) Data b) Knowledge c) Wisdom d) Research

a) Data

___________ is a single repository used to store all (or most) of the clinical data and is used as the primary source for reviewing data. a. Central storage b. Distributed storage c. Local storage d. Accessible storage

a. Central storage

What are consumer concerns with the increasing use of telemedicine? (Select all that apply). a. Doctor may not be a real doctor. b. They may misdiagnose because they can't assess in person. c. Security and patient confidentiality may not be maintained. d. Wifi may not connect properly

a. Doctor may not be a real doctor. b. They may misdiagnose because they can't assess in person. c. Security and patient confidentiality may not be maintained. d. Wifi may not connect properly

The ACE star model of knowledge transformation includes all of the following except: a. STEEP redesign b. Practice Integration c. Discovery Research d. Evaluation

a. STEEP redesign

T/F: Grand theories are wide in scope and attempt to explain complex phenomena.

a. True

Which learning style prefers using your body, hands, and sense of touch? a. physical/kinesthetic b. verbal/linguistic c. aural d. visual/spatial

a. physical/kinesthetic

Middle range theories: a. Are wide in scope b. Attempt to explain complex phenomenon c. Explain specific defined phenomena d. Are limited in scope

b. Attempt to explain complex phenomenon

_______ is/are the conversion of research findings from a single research study through a series of stages to impact health outcomes. a. Evidence hurdles b. Knowledge transformation c. Adaptation techniques d. Health transport

b. Knowledge transformation

The L in B.E.L.T. Framework for Telehealth stands for: a. Learning b. Leaderships c. Licensure d. Literacy

b. Leaderships

MPI is an acronym for the information used to identify each person, patient, or consumer. What does MPI stand for? a. Master Personal Identifier b. Master Person Index c. Mother Patient Information d. Medical Patient Index

b. Master Person Index

What does the P mean in the STEEEP acronym? a. Patience b. Patient-centered c. Practical d. Perseverance

b. Patient-centered

What theory is wide in scope and attempts to explain a complex phenomenon? a. Middle Range b. Micro theories c. Grand theories d. Intermediate theories

c. Grand theories

Which one of the following is NOT a part of health informatics? a. Delivering patient centered care b. Working as part of an interdisciplinary team c. Using solely clinical-obtained knowledge to provide care d. Practicing evidence based medicine

c. Using solely clinical-obtained knowledge to provide care

What is practice based evidence? the conscientious use of current best evidence in making decisions about patient care clinical scientists design, implement, and evaluate clinical practice Implementing your own practice into the clinical setting Practicing on the mannequins in SIM

clinical scientists design, implement, and evaluate clinical practice

Which of the following is not a learning style? a. Visual b. Auditory c. Kinesthetic d. Winging it

d. Winging it

The chaos theory is a qualitative study of unstable aperiodic behavior.

false

Which study is defined as "cradle to grave" or "womb to tomb" Longitudinal Encounter based Latitudinal Lifelong

longitudinal

What is not a key issue related to Electronic Health Records? Cost Confidentiality and privacy Data integrity Timeliness

timeliness

Health Insurance Portability and Accountability act (HIPAA) Provide a high level of security for information stored in the electronic health records.

true

Health informatics is defined as an interdisciplinary professional specialty and scientific discipline that integrates the health sciences, computer sciences, and information sciences with the goal of managing and communicating data. True or False?

true

Health informatics is the interdisciplinary study of design, development, adoption, and application of IT based innovations in healthcare. True or false?

true

Providing core informatics courses to nursing schools, educating nursed specialized informatics skills who are able to solve related issues, offering more powerful nursing care through the implication of telecommunication projects, and preparing more nursing faculties in the informatics field to facilitate students skills enhancement and enhancing collaboration to advance informatics are the 5 strategies that the NACNEP recommend to prepare for nurses to adopt intelligent and quality based information technology use in patient care? True or False

true

T/F: Electronic Health Records have three key aspects: accessibility, reliability, and security.

true

True or False? Telenursing is the use of telehealth technology to deliver nursing care and conduct nursing practice.

true