NUR 211 COURSEPOINT QUESTIONS
A Russian scientist coined the term 'informatika' and defined it as 'the discipline of science which investigates the structures and properties of scientific information...' in what year? A. 1935 B. 1942 C. 1950 D. 1968
D. 1968
True or false: Nurse informatics can help promote evidence-based practice by increasing nurses' access to nursing research articles and journals.
TRUE
True or false: Nurses are ethically and legally bound to protecting the security of patient information.
TRUE
True or false: The purpose of billing terminologies is to assist in billing patients for the services provided by health care organizations.
FALSE
True or false: The three concepts involved in Lewin's Force Field Theory are behavioral disruptions, behavioral compliance, and balance.
FALSE
Which of the following are benefits of e-Learning? (Select all that apply.) Flexibility Loose structure Convenience Variety Technology-driven
Flexibility Convenience Variety
In an EHR implementation project, stakeholders can include which of the following roles? (Select all that apply.) Healthcare agency executives Financial personnel Nursing clinicians System users Patients The general public
Healthcare agency executives Financial personnel Nursing clinicians System users Patients
True or false: In Lewin's Field theory, moving is when the change is implemented.
TRUE
True or false: Interoperability is central to achieving meaningful use.
TRUE
True or false: Nurses need information technology skills to support the application of information literacy.
TRUE
True or false: One advantage that traditional classrooms have over e-Learning forums is that technology and compatibility issues rarely affect them.
TRUE
True or false: One of the primary roles of Nursing Informaticists is to improve patient safety and outcomes.
TRUE
True or false: Telenursing is the practice of nursing over distance using telecommunications technology.
TRUE
True or false: The ANA updated its definition of Nursing Informatics in 2015 to include a variety of stakeholders.
TRUE
True or false: The focus of informatics is information management, not computers.
TRUE
True or false: The term 'Web 2.0' is used to describe tools that are only available on tablets and smartphones.
TRUE
True or false: As a nurse, you will not be considered a stakeholder in your agency's EHR.
FALSE
True or false: As long as you have excellent antivirus software, no further action is needed to protect your computer
FALSE
True or false: As the use of electronic health records has increased, so has security; as a result, breaches of health care data have gone down.
FALSE
True or false: Audit trails cannot identify individuals who access protected patient information within electronic health records.
FALSE
True or false: Because it is a newer field, the focus of nursing informatics education remains consistent from program to program.
FALSE
True or false: The International Classification of Disease (ICD) is an important clinical terminology in the United States.
FALSE
True or false: The primary purpose of the meaningful use criteria in the HITECH Act is to eliminate paper from all health care facilities.
FALSE
True or false: The process for asking a research question for evidence-based practice involves using a mnemonic known as TIKO.
FALSE
True or false: Hospitals and eligible professionals are required to use EHR technology to receive payments from Medicaid and Medicare.
TRUE
True or false: On Feb. 17, 2009, President Obama signed the American Recovery and Reinvestment Act of 2009 (Recovery Act or ARRA), a critical measure to stimulate the economy.
TRUE
True or false: One of the strongest and most important trends in health care today is evidence-based practice.
TRUE
True or false: Telehealth is the delivery of health-related services through telecommunication devices.
TRUE
True or false: Improving and ensuring confidentiality, data security, and patient privacy are within the scope of nursing informatics.
TRUE
Which services are made possible through telehealth? (Select all that apply.) Text messaging Telemonitoring Teleconferencing Electronic consultation (E-Consult)
Text messaging Telemonitoring Teleconferencing Electronic consultation (E-Consult)
Which familiar nursing equipment is computer-driven? (Select all that apply.) Barcode patient identification bracelets Intravenous administration pumps Medication scanning system Digital thermometer Bedside telephone
Barcode patient identification bracelets Intravenous administration pumps Medication scanning system Digital thermometer
Which of these is not a characteristic of mobile technology? A.Data-driven B.Stationary C.Cost-effective D.Intuitive
B.Stationary
True or false: Electronic transmission of patient care summaries across multiple settings is a focus of Stage 2 of the meaningful use criteria in the HITECH Act.
TRUE
Despite differences in hardware and operating systems, which is a primary design feature common to mobile technology? A.Interoperability B.Increased storage capacity C.Smartphone technology D.E-book technology
A.Interoperability
Which of the following acts to block outside destructive forces from coming into a network or private computer? A. Firewall software B. Antivirus software C. Anti-spyware software
A. Firewall software
Nursing informatics training is offered for which of the following types of programs? A. Undergraduate B. Graduate C. Continuing education D. All of the above
D. All of the above
True or false: Today, the trend is to require advanced formal academic preparation in the field of nursing informatics.
TRUE
Which of the following roles would be open to an informatics nurse? A. Clinical systems analyst who troubleshoots system problems B. Product developer who is involved in the development of new information systems C. Consultant who provides advice and opinions to information systems users D. Policy developer who contributes to health policy development
A. Clinical systems analyst who troubleshoots system problems
How has the federal government attempted to support health care providers with compliance requirements associated with the adoption of electronic health records (EHRs)? A. Financial incentives B. Extended implementation deadlines C. Suspension of noncompliance fines D. Technical support system
A. Financial incentives
On which area of privacy is the Health Insurance Portability and Accountability Act (HIPAA) focused? A. Patient privacy B. Insurance provider privacy C. Health provider privacy D. Government privacy
A. Patient privacy
During an EHR implementation project, a lack of which of the following in particular can discourage trust and confidence among users and team members? A. Planning B. Executing C. Evaluating D. Troubleshooting
A. Planning
Which job title is reserved for only an informatics nurse specialist? A. Researcher B. Super user C. Systems educator D. Information technology nursing advocate
A. Researcher
Who defined telemedicine as 'the electronic exchange of patient information between two sites for improving the patient's health status,' and defined telehealth as 'a broader term extending beyond the delivery of clinical services'? A.American Telemedicine Association (ATA) B.American Medical Association (AMA) C.World Health Organization (WHO) D.U.S. Department of Health and Human Services (HHS)
A.American Telemedicine Association (ATA)
What impact did Section 508, an amendment to the United States Workforce Rehabilitation Act of 1973, have on the e-Learning programs offered at public colleges and universities? A.Appropriate adaptive technologies must be made available students with a disability. B.Course requirements will be adjusted to address the student's disability. C.Students with similar disabilities will be enrolled in a single class. D.Course outcomes will be reflective of the student's disability.
A.Appropriate adaptive technologies must be made available students with a disability.
What is the primary responsibility of the instructor in the e-Learning teaching environment? A.Designing learning content and facilitating the learning process B.Being proficient in the use of the associated technologies so content is delivered effectively C.Being supportive of individual learning needs while remaining attentive to the needs of the class D.Providing stimulating learning activities and providing prompt feedback
A.Designing learning content and facilitating the learning process
What has research demonstrated concerning patient care outcomes related to telehealth services? A.Outcomes have been significant and positive. B.There has been moderate improvement in patient outcomes. C.Patient outcomes are similar to those of traditional care models. D.There has not been enough research done to arrive at a conclusion.
A.Outcomes have been significant and positive
Which of the following terms refers to the right of patients to control what happens to their personal health information? A.Privacy B.Confidentiality C.Security
A.Privacy
There are two types of Learning Management Systems (LMSs): commercial and __________. A.technological B.open source C.live D.virtual
B.open source
Which of the following has been a persistent challenge in telehealth? A.Patient satisfaction B.Provider satisfaction C.Reimbursement processes D.Clinical care outcomes
C.Reimbursement processes
The use of devices and sensors to collect and automatically transmit health information (e.g., vital signs) without voice interaction between the patient and health provider is known as what? A.Real time telehealth B.Store and forward C.Remote monitoring D.Telecoaching
C.Remote monitoring
Which of the following terms refers to measures implemented to prevent unauthorized user access to the personal health information of patients? A.Privacy B.Confidentiality C.Security
C.Security
Which of these reasons supports the introduction of informatic and electronic health record (EHR) competencies into nursing education? A.Students prefer to use electronic health records over paper charting B.The decreasing costs associated with computerization C.Patient frustration with decreased physical contact D.The rise of electronic health record (EHR) use in clinical practice
D.The rise of electronic health record (EHR) use in clinical practice
True or False: Only the system's executive stakeholders need to be involved in the initiating phase of an EHR implementation project.
FALSE
True or False: The HIPAA law protects all patient information.
FALSE
True or false: In Phase 1 of preparing for the go-live event of an EHR, the target date should be determined after all necessary training and procedural changes have taken place.
FALSE
True or false: Nursing is not a popular area of study for distance learning.
FALSE
True or false: Only nurses who work in the lab need to learn about the laboratory information system (LIS).
FALSE
Which of the following are common types of e-Learning tools? (Select all that apply.) Online discussion boards Class debates Tutorials Simulations Presentations
Online discussion boards Tutorials Simulations
What consequences exist for healthcare providers who access protected patient information they have no authority or need to access? (Select all that apply.) Termination. Suspension. Promotion No consequence
Termination. Suspension.
True or False: LOINC provides the basis for nursing problems in most of the other ANA-recognized nursing-focused terminologies.
FALSE
Which of these is within the professional role of nursing informatics? A. Data capture B. Technical computer hardware support C. Health professional disciplinary action D. Patient order compliance
A. Data capture
How is a wiki most useful to nursing? A. Collaborative work on a research project B. Storing slides for a public presentation on childhood inoculations C. Maintaining a discussion board concerning advocacy for AIDS patients D. Providing access to a web conference on emerging health care issues
A. Collaborative work on a research project
What are some noted challenges that accompanied the rollout of meaningful use criteria? (Select all that apply.) A. Complexities of coding systems B. Lack of implementation strategy C. Slow adoption rates D. Increased costs E. Patient dissatisfaction
A. Complexities of coding systems, C. Slow adoption rates D. Increased costs
What action did the American Nursing Association (ANA) take in 1995 to recognize the importance of nursing informatics? A. Established the informatics certification examination B. Recognized informatics as a nursing subspecialty C. Recognized informatics as a nursing responsibility D. Provided nursing informatics with an official definition
A. Established the informatics certification examination
Which statement is true regarding the current definition of nursing informatics? A. It has evolved over time with the input of several different sources. B. The basis of the definition is a product of the American Nurses Association. C. There is no current agreement on the definition of nursing informatics. D. The definition is one that reflects the general field of informatics.
A. It has evolved over time with the input of several different sources.
How is it that nursing is so well-suited to having its professionals attain computer fluency? A. Nurses are accustomed to the role of lifetime learners. B. Nurses are expected to manage multiple tasks. C. Nurses recognize the need to collect and retrieve data. D. Nurses readily adjust to new technologies.
A. Nurses are accustomed to the role of lifetime learners.
Which statement concerning nursing data and its relationship with informatics is true? A. Informatics now makes nursing data easily accessible to nursing researchers. B. The impact of informatics on nursing data will grow only if nurses become computer literate. C. As nursing informatics advances, the need to analyze nursing data will decrease. D. Informatics has little impact on the nature and value of nursing data.
A. Informatics now makes nursing data easily accessible to nursing researchers.
When considering nursing, when should information literacy, an integral component of evidence-based practice (EBP), first be introduced? A. Undergraduate nursing education B. New graduate nursing orientations C.Part of NCLEX preparation D. Continuing education for license renewal
A. Undergraduate nursing education
Systematic Nomenclature of Medicine Clinical Terms (SNOMED), Health Level Seven (HL7), and Logical Observation Identifier Names and Codes (LOINC) are all examples of which type of terminology? A. Clinical B. Billing C. Nursing D. Administrative
A. Clinical
Lewin's field theory focuses on what aspect of change related to adopting new innovations? A. Forming a positive attitude about change B. Identifying the need for change C. Dealing with the barriers to change D. Implementing steps to bring about change
A. Forming a positive attitude about change
Which of these is not an Informatics competency? A. Possess basic information management and computer technology skills B. Maintain financial records and identify budget deficits C. Use information management and computer technology D. Integrate and apply information, computer, and nursing sciences
B. Maintain financial records and identify budget deficits
Which of the following is not an example of a Web 2.0 tool that can be useful when seeking health information? A. Social media platforms B. Online dating sites C. Wikis D. Blogs
B. Online dating sites
Why is it essential for healthcare providers to demonstrate information literacy in relation to online health resources? A. So they can find information about diseases and diagnoses. B. So they can guide patients to reliable online health resources. C. So they can navigate different websites effectively. D. So they can more easily perform telehealth assessments on their patients.
B. So they can guide patients to reliable online health resources.
Which of the following are considered barriers to the implementation of Personal Health Records (PHR)s? A. Security B. Interoperability C. Cost D. All of the above
D. All of the above
True or false: When you are conducting research online, it is important to know who funds the website you are viewing.
TRUE
Which stages of change are associated with Lewin's field theory? (Select all that apply.) Unfreezing Moving Refreezing Persuasion Confirmation
Unfreezing Moving Refreezing
How were most of today's practicing informatics nurses prepared for their role? A. Self-learning B. A BSN degree C. A certification in nursing informatics D. Master's-level informatics courses
A. Self-learning
Which nursing organization is striving to become a global source of information on evidence-based practice (EBP) nursing? A. Sigma Theta Tau International (STTI) B. American Nurses Association (ANA) C. National League for Nursing (NLN) D. National Student Nurses' Association (NSNA)
A. Sigma Theta Tau International (STTI)
What is the greatest positive impact that communication among health care providers has on patient care? A. Staying informed of standards of care and practices B. Health care information can be shared. C. Advancements in computer informatics have been supported. D. Interaction among health care disciplines has been strengthened.
A. Staying informed of standards of care and practices
How does standardized terminology impact nursing? A. Supports effective communication between nurses B. Allows for concise and descriptive nursing documentation C. Provides nursing with a specific language of its own D. Simplifies the description of nursing interventions
A. Supports effective communication between nurses
How can nursing education best enhance the use of evidence-based practice (EBP) for future nurses? A. Teach nursing students the necessary skills to access, search for, and analyze literature findings. B. Discuss the importance of EBP to nursing students. C. Require EBP be represented in the nursing student's care planning activities. D. Include EBP into both the nursing student's lecture and clinical experiences.
A. Teach nursing students the necessary skills to access, search for, and analyze literature findings.
Which of these is not a step in the process of EBP? A. Apply the knowledge B. Attain the authorization C. Appraise the evidence D. Ask the question
B. Attain the authorization
Which of the following most accurately describes the process of standardization of medical and clinical terminologies? A. Writing definitive medical dictionaries for worldwide distribution B. Following the guidance of an international organization of experts C. Normalizing and mapping information to code sets and terminologies D. Regularly translating newly introduced medical terms
C. Normalizing and mapping information to code sets and terminologies
What is the purpose of the Stevens Star Model? A. To acknowledge health care professionals who have done exceptional work B. To make technology easier to implement C. To emphasize crucial steps in converting one form of knowledge to the next D. To integrate videoconferencing into hospitals that have exceptional patient care
C. To emphasize crucial steps in converting one form of knowledge to the next
The P in HIPAA stands for: A. Patient B. Portability C. Privacy D. Portal
B. Portability
True or false: Evidence-based medicine (EBM) and evidence-based practice (EBP) are synonymous.
FALSE
True or false: Failed rollouts of new EHR systems are rare.
FALSE
True or false: HIPAA stands for the Health Insurance Protection of Assets Act.
FALSE
Which of the following are best practices to follow online and when using an electronic device? (Select all that apply.) -Reuse the same password for consistency -Avoid opening unknown email attachments -Generate strong and varied passwords -Install and keep updated antivirus software -Write passwords down for safe-keeping -Log out once finished using a device
-Avoid opening unknown email attachments -Generate strong and varied passwords -Install and keep updated antivirus software -Log out once finished using a device
Using certified electronic health records (CEHRT) to improve health outcomes is the focus of which stage of the meaningful use criteria of the HITECH Act? A. Stage 1 B. Stage 2 C.Stage 3 D, Stage 4
=C.Stage 3
In what year did the American Nurses Association (ANA) recognize informatics as a nursing subspecialty? A. 1992 B. 1995 C. 2001 D. 2008
A. 1992
A home health nurse uses a laptop computer to document her patient assessments. In order to be compliant with HIPAA regulations, what must be in place? A. A plan to prevent the loss of the patient data on the laptop. B. The ability to download apps on the laptop. C. A fingerprint access panel. D. A screensaver that changes colors rapidly.
A. A plan to prevent the loss of the patient data on the laptop.
Which information source is most reliable for presenting evidence-based information? A. A scholarly nursing journal website B. A government website C. A nonprofit website D. A commercial website
A. A scholarly nursing journal website
In the third step before an EHR go-live event, all staff must be actively __________ with the new systems. A. Untrained B. Engaged C. Impressed D. Authenticated
B. Engaged
What is one significant challenge associated with teaching a class using e-Learning technology? A.Lack of face-to-face contact with the students B.Difficulty adapting to all the required technologies C.Keeping students motivated D.Size of e-Learning classes
A.Lack of face-to-face contact with the students
What is an advantage of distance learning? Select all that apply. Access to class 24 hours a day Improves retention Appeals to those with scheduling issues Ease of access to college level courses Low tuition costs
Access to class 24 hours a day Improves retention Appeals to those with scheduling issues Ease of access to college level courses
Which of the following are key advantages of electronic health records? (Select all that apply.) Portability Accessibility Efficiency Device stability Quality of care
Accessibility Efficiency Quality of care
Which of the following reflect benefits of EHRs? (Select all that apply.) Accessibility Affordability Quality improvement Security Data reporting Ease of integration
Accessibility Quality improvement Security Data reporting
Which of the following are considered part of the Scope and Standards for Nursing Informatics Practice established by the American Nurses Association (ANA)? (Select all that apply.) Assessment Diagnosis Outcome Identification Planning Implementation Meaningful Use Evaluation
Assessment Diagnosis Outcome Identification Planning Implementation Evaluation
During which year did eligible providers (EPs) who are meaningful users officially begin to receive EHR incentive payments? A. 2010 B. 2011 C. 2012 D. 2013
B. 2011
During the first decade of the 21st century, the percentage of the United States population who used the Internet reflected what trend in usage? A. A significant decrease B. A significant increase C. A brief increase, followed by a decrease D. No change in usage
B. A significant increase
In 1992, the ______________________ first recognized nursing informatics as a specialty. A. American Healthcare Council B. American Nurses Association C. National League for Nursing D. American Public Health Association
B. American Nurses Association
Which of the following protects a device from malware by performing regular scans to detect harmful bugs and making frequent updates for more protection? A. Firewall software B. Antivirus software C. Anti-spyware software
B. Antivirus software
Which of these is the first step in the process of EBP? A. Apply the knowledge. B. Ask a searchable, clinical question. C. Appraise the evidence. D. Evaluate the effectiveness.
B. Ask a searchable, clinical question.
Which type of funds are distributed through Medicare and Medicaid incentive payments to eligible professionals (EPs) and hospitals who are 'meaningful EHR users'? A. State funds B. Federal funds C. Private funds D. Local funds
B. Federal funds
Which of the following is the standard billing terminology used to code for diagnoses? A. CPT B. SNOMED CT C. ICD D. LOINC
C. ICD
In health care settings, the standardization of terminologies helps facilitate which of the following? A. Data integrity B. Medical knowledge C. Interoperability D. Consumer protection
C. Interoperability
In the PICO process for creating a good research question for EBP, what does the I represent? A. Implementation B. Institution C. Intervention D. Individualization
C. Intervention
Which of the following is NOT a component of Electronic Health Records (EHRs)? A. Health information and data B. Communication and connectivity C. Medical billing D. Administrative processes
C. Medical billing
Which learning content management system (LCMS) learning resources can be tailored to meet an instructor's teaching needs? Select all that apply. Content modules Illustrations Quiz test bank Video clips Blog function
Content modules Illustrations Quiz test bank Video clips
Which of the following are examples of EHR subsystems? A. Laboratory B. Radiology C. Pharmacy D. All of the above
D. All of the above
Which of the following is a risk to electronic health records? (Select all that apply.) A. Hacking B. Natural disasters C. Equipment failures D. All of the above
D. All of the above
Which of the following is a strategy to use in addition to software to help protect patient health information? A. Back up data B. Conduct a risk analysis C. Make a contingency plan D. All of the above
D. All of the above
Which of the following theories or disciplines is related to nursing informatics? A. Darwinian theory B. Chemical science C. Quantum theory D. Cognitive science theory
D. Cognitive science theory
How often must providers and hospitals demonstrate meaningful use? A. Every 6 months B. Every 2 years C. Every 5 years D. Every year
D. Every year
The American Nurses Association (ANA) Scope and Standards for Nursing Informatics Practice has established how many standards to be met? A. Three B. Four C. Five D. Six
D. Six
In addition to telehome care, in which of the following areas has telehealth also had a successful impact? A.Teletrauma care B.Disaster healthcare C.Telemental health D.All of the above
D.All of the above
Simulations are available in which of the following formats? A.Online interactive simulations B.In-person patient simulators C.Electronic Health Record simulation D.All of the above
D.All of the above
What nursing services are available through telehealth? (Select all that apply.) Electronic referrals with nurse practitioners Minor injury consulting Home telenursing Connects to call centers Transportation to local health care centers
Electronic referrals with nurse practitioners Minor injury consulting Home telenursing Connects to call centers
What is a classic principle of learning that applies to creating an effective e-Learning environment? Select all that apply. Emphasis is placed on developing the faculty-student relationship. Implementation of active learning strategies Attention paid to various learning style needs Providing 'just-in-time' feedback Maintaining small class size
Emphasis is placed on developing the faculty-student relationship. Implementation of active learning strategies Attention paid to various learning style needs Providing 'just-in-time' feedback
What are the recognized benefits of telehealth for patient care? (Select all that apply.) Enhanced patient care Reduced travel time Increased productivity Access to specialists Reduced cost of services
Enhanced patient care Reduced travel time Increased productivity Access to specialists
What are the operational factors that should be considered in the implementation of telehealth services? (Select all that apply.) Infrastructure Equipment Facilities Technical issues Licensing/credentialing Reimbursement
Equipment Facilities Technical issues Licensing/credentialing Reimbursement
Who is responsible for risk assessment and prevention of security breaches? (Select all that apply.) Information Technology staff Physicians Nurses Patients
Information Technology staff Physicians Nurses
Which of the following are crucial considerations for EHR implementation? (Select all that apply.) Public relations Investment costs Stakeholder engagement User training
Investment costs Stakeholder engagement User training
Which of the following are benefits of meaningful use for a patient? (Select all that apply.) Patients can personally engage in their health care Imparting diverse research data on health systems Privacy and security of health information Interoperability with multiple different systems
Patients can personally engage in their health care Privacy and security of health information
Accuracy of data is the responsibility of which groups of individuals? (Select all that apply.) Physicians Nurses Nursing Assistants Physical Therapists Housekeeping
Physicians Nurses Nursing Assistants Physical Therapists
Which topics should you consider when determining whether a website can be trusted? Select all that apply. A. Website traffic B. Privacy C. Date of publication D. Source
Privacy Date of publication Source
What are key benefits to Computerized Provider Order Entry (CPOE)? (Select all that apply.) Promotes safety Saves money Saves time Improves security
Promotes safety Saves money Saves time
Research supports which of the following benefits of using remote monitoring for chronically ill patients? (Select all that apply.) Reduced emergency room visits Improved health literacy Reduced costs Higher patient satisfaction Reduced hospital readmission rates Improved health care
Reduced emergency room visits Reduced costs Reduced hospital readmission rates Improved health care
Which of the following actions would best support a successful EHR implementation? (Select all that apply.) Draw attention away from the event to reduce pressure Schedule additional staff to reduce patient loads Engage staff actively with the system Encourage new users to address bugs in the system Create a contingency plan for potential rollback
Schedule additional staff to reduce patient loads Engage staff actively with the system Create a contingency plan for potential rollback
What are the qualities of a successful online learner? (Select all that apply.) Self-Motivated Self-Disciplined Self-Centered Open-Minded
Self-Motivated Self-Disciplined Open-Minded
With the proper credentials, what role can the nurse with informatics knowledge assume? Select all that apply. Systems educator An information technology advocate Clinical systems coordinator Researcher Systems installer
Systems educator An information technology advocate Clinical systems coordinator Researcher
HIPAA provides guidance to healthcare providers regarding the storage and use of protected health information.
TRUE
True or False: Data inaccuracies can put patients at risk
TRUE
True or False: If a healthcare provider violates HIPAA, they could face legal ramifications including fines.
TRUE
True or False: It can be said incentives programs have been largely successful at increasing EHR adoption rates
TRUE
True or False: Research indicates a contributing factor to healthcare disparities is lower usage of Personal Health Records (PHR)s among racial and ethnic minorities.
TRUE
True or False: The components of an EHR make it a more beneficial system than a paper record system.
TRUE
True or False: The order entry management component of EHRs has the ability to decrease medical errors.
TRUE
True or False: The primary need for healthcare records to be electronic is to improve patient care.
TRUE
True or False: The use of health portals is linked to better health outcomes.
TRUE
True or false: 'Employ evidence-based practice' is one of the competencies outlined by the Institute of Medicine (IOM).
TRUE
True or false: A reference terminology is a terminology where each term has a definition that a computer can process and support the meaning when retrieved and aggregated.
TRUE
True or false: All patients expect healthcare professionals to be a good steward of safeguarding their protected health information (PHI).
TRUE
True or false: An example of information would be vital signs plotted on a graph
TRUE
True or false: E-Learning can be used to address all of the domains of learning.
TRUE
True or false: EPs who can participate in either the Medicare or Medicaid EHR incentive programs will be subject to the payment adjustments, unless they are meaningful users under one of the EHR incentive programs.
TRUE
True or false: Electronic clinical decision support is an advantage of using mobile technology in health care.
TRUE
How does the Internet impact nursing's use of evidence-based practice (EBP)? (Select all that apply.) -Provides access to abundant EBP nursing resources -Encourages analytical review of available EBP resources -Encourages interdisciplinary utilization of EBP resources -Minimizes the time necessary to identify EBP resources -Minimizes the need for personal involvement in EBP research
-Provides access to abundant EBP nursing resources -Encourages analytical review of available EBP resources -Encourages interdisciplinary utilization of EBP resources
True or false: All health-related websites can be trusted to provide reliable information.
FALSE
Which aspect of professional nursing is most impacted by the influences of informatics? A. Critical thinking: Cognitive B. Care interventions: Motor skills C. Patient education: Communications D. Patient advocacy: Interpersonal skills
A. Critical thinking: Cognitive
Which of the following terms refers to authorized care providers maintaining all personal health information as secret, except to other care providers who need that information and to others that the patient has consented to allow access? A.Privacy B.Confidentiality C.Security
B.Confidentiality
Which of the following choices is an example of an advantage telehealth provides for nurses? A.Shorter workdays B.Distance learning C.Self-scheduling D.Fewer patient interactions
B.Distance learning
Based on historical trends, it is most likely that the use of e-Learning in nursing and informatics programs will: A.Increase slowly B.Increase quickly C.Decrease slowly D.Stay the same
B.Increase quickly
In terms of EHR implementation, a provider with concerns around how the new system will change patient care services, an administrative employee with questions around how it will impact their job duties, and a patient wanting to know how they might access their electronic records are all examples of which of the following? A. Project requirements B. Cost-benefit analyses C.Stakeholder interests D.System design and testing
C.Stakeholder interests
Which one of these questions is not something an organizational leader should consider when implementing telehealth? A.What equipment would best serve the purpose of the telehealth program? B.What should the staffing ratio be? C.What safety precautions can be streamlined for simplicity? D.What technical support is needed to maintain the program?
C.What safety precautions can be streamlined for simplicity?
A learning management system (LMS) will often contain which communication feature? Select all that apply. Chat Wiki Blog E-mail Text messaging
Chat Wiki Blog E-mail
Which of the following are considered social media platforms? Select all that apply. A. Facebook B. Twitter C. YouTube D. Gmail
FACEBOOK, TWITTER, YOUTUBE
Testing for networking and connectivity issues in hardware, software, and user interfaces occurs as a last step before a go-live event.
FALSE
True or False: As long as an EHR functions efficiently to meet a single department's needs, it is considered sufficient for that organization.
FALSE
True or False: EHR Incentives programs have largely stayed the same since their original inception with the HITECH Act.
FALSE
True or False: In the Stevens Star Model of Knowledge Transformation, the goal of the evidence summary stage is to synthesize original research studies.
FALSE
What term is used to identify requirements associated with the implementation of electronic health records (EHRs) that are designed to improve the delivery of health care? A. Meaningful use B. Core functions C. Support activities D. Performance reporting
A. Meaningful use
Which of the following is an example of an interface terminology? A. NANDA B. LOINC C. SNOMED CT D. RxNorm
A. NANDA
True or False: Internet usage has decreased worldwide.
FALSE
Health care providers should reassure the patient/consumer which safeguard exists in order to protect their personal health information? A.Protocols that govern data access B.A strong health care focus C.Understanding of HIPAA requirements D.Readiness to provide effective privacy measures
A.Protocols that govern data access
What is the purpose of interface terminology? A. Allows for the electronic translation or correlation of one reference terminology into that of another B. Sets standards for the definition of certain words and phrases C. Allows a computer program to recognize a basic terminology database D. Makes using a specific type of reference terminology easier
A. Allows for the electronic translation or correlation of one reference terminology into that of another
The nurse who effectively uses information technologies is most importantly affecting what aspect of professional nursing in the future? A. Assuring that patient care is meeting an acknowledged standard of care B. Introducing appropriate advanced technologies into the care of patients C. Effectively sharing patient information with other members of the health care team D. Supporting the acquisition of new nursing knowledge through effective documentation
A. Assuring that patient care is meeting an acknowledged standard of care
Which of the following is NOT one of the six frames of the Framework for Information Literacy for Higher Education? A. Authority as a domain B. Research as inquiry C. Information creation as a process D. Searching as strategic exploration
A. Authority as a domain
Which statement is true regarding the adaptation of evidence-based practice (EBP) by nursing professionals? A. Barriers to its implementation exist in clinical practice settings. B. Nurses are still uncertain of its value to patient care. C. Nursing students are resistant to the necessary academic changes. D. Medicine and nursing cannot agree on its value.
A. Barriers to its implementation exist in clinical practice settings.
The foremost goal of 'meaningful use' is to use information from EHRs to do which of the following? A. Improve quality of care B. Engage patients and families in their health C. Improve care coordination D. Ensure privacy of health information
A. Improve quality of care
What is the primary goal of evidence-based nursing practice (EBP)? A. Improved patient outcomes B. Increased nursing knowledge C. Advancement of the nursing profession D. Standardization of nursing care
A. Improved patient outcomes
How can cognitive theory help the informatics nurse in designing decision-making tools? A. Improves understanding of how nurses process information when making decisions B. Minimizes the amount of information nurses will need to make decisions C. Provides positive reinforcement for designing decision-making tools D. Eliminates the need to research information regarding decision-making
A. Improves understanding of how nurses process information when making decisions
Which of the following accurately reflects the overall trend seen in EHR adoption rates among health care providers? A. Increase B. Decrease C. Increase, then decrease D. No change
A. Increase
Which of the following is the greatest concern about information presented on the Internet? A. Its validity is not guaranteed. B. It may not be current information. C. It represents only mainstream beliefs. D. Its sponsor or funding source is unknown.
A. Its validity is not guaranteed.
What is the foundational focus of nursing informatics? A. The management of patient-focused information B. The use of computers to manage patient information C. The effective exchange of patient information between health care providers D. Managing patient information in a manner that assures patient confidentiality
A. The management of patient-focused information
Besides its impact on nursing practice, what other aspect of the nursing profession stands to be greatly advanced by nursing informatics? A. The science of nursing B. The employability of nurses C. Society's view of nurses as being computer savvy D. Nursing's ability to advocate for patients
A. The science of nursing
When considering health information technology (HIT), what does the term interoperability mean? A. Two or more health-related service providers can access and share information. B. Information can be accessed from different electronic devices within an agency. C. Outpatient and inpatient information is stored within the same management system. D. Only two health delivery agencies can store shared information.
A. Two or more health-related service providers can access and share information.
Which form of online communication would best substitute for a traditional nursing seminar? A. Webinar B. Blog C. Web cast D. Group discussion forum
A. Webinar
Who defined telenursing as 'telecommunications technology in nursing to enhance patient care'? A.International Council of Nurses (ICN) B.American Nurses Association (ANA) C.National League for Nursing (NLN) D.U.S. Department of Health and Human Services (HHS)
A.International Council of Nurses (ICN)
A nurse communicating directly with a patient via videoconference to provide support and guidance falls under what type of telehealth? A.Real time telehealth B.Store and forward C.Remote monitoring D.Telecoaching
A.Real time telehealth
What process should be regularly conducted by a health agency in order to protect patients' PHI? A.Risk analysis/assessment B.Internal audit C.Systems upgrade D.IT training
A.Risk analysis/assessment
Which model focuses on moving research-based practice into the clinical setting using a cyclical form? A.Stevens Star model B. Stetler model C. Johns Hopkins model D. Caledonian development model
A.Stevens Star model
What is the purpose of a learning content management system (LCMS)? A.The storage and management of learning resources B.Introduction of technology into the classroom C.Expose students to advancing technologies D.Support the students in acquiring computer literacy
A.The storage and management of learning resources
What is the major advantage of a handheld computer when considering the care of patients? A.Time management B.Patient confidence C.Easy accessibility D.Availability
A.Time management
True or false: A recommendation for nurse educators to embrace the rise of computerization in nursing is to shun the use of hands-on experiences with electronic health records (EHRs) in favor of more traditional education methods.
FALSE
True or false: After the American Nurses Association established the definition of nursing informatics in 1992, the definition has remained unchanged despite technological and field advancements.
FALSE
True or false: Antivirus software and firewalls are 100% effective.
FALSE
Stage 1 of the meaningful use criteria in the HITECH Act focuses on which of the following objectives? A. Improving outcomes B. Data capture and sharing C. Protecting patient privacy D. Advancing clinical processes
B. Data capture and sharing
Which of the following is an example of informatics applied in nursing? A. Paper charts B. Electronic health record (EHR) C. X-rays D. CT scan
B. Electronic health record (EHR)
Which of the following best describes a recommended pace for a rollout of a new EHR? A. Slow-moving B. Gradual C. Sudden D. Urgent
B. Gradual
North American Nursing Diagnosis Association (NANDA) is an example of what type of terminology? A. Classification B. Interface C. Protocol D. Clinical
B. Interface
Which of the following is NOT a fitting quality for a nurse informaticist? A. Critical thinking skills B. Low tolerance for change C. Problem solving skills D. Effective communication
B. Low tolerance for change
Which of these is not one of the stages in Lewin's Field theory? A. Unfreeze B. Melt C. Move D. Refreeze
B. Melt
Which of the following is a type of evidence used in evidence-based practice? A. Personal experience B. Research studies C. Thermometers D. Gloves
B. Research studies
True or false: Blogs are typically written in a conversational, first-person style
FALSE
Where in the United States is there a lack of reliable Internet access that creates barriers to the successful implementation of Personal Health Records (PHRs)? A. Alaska and Hawaii B. Rural regions C. Urban centers D. Coastal cities
B. Rural regions
Which of the following are examples of EHR government incentives programs? (Select all that apply.) A. The Affordable Care Act B. The HITECH Act C. Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) D. HIPAA
B. The HITECH Act C. Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)
Which important health information policy has been strengthened in the wake of growing use of electronic health records, but still sometimes falls short of protecting personal health information? A.American Recovery and Reinvestment Act B.Health Insurance Portability and Accountability (HIPAA) Act C.Health Information Technology for Economic and Clinical Health (HITECH) Act D.Affordable Care Act
B.Health Insurance Portability and Accountability (HIPAA) Act
Today's distance learning courses are commonly available via _____________________. A.Correspondence B.Internet C.Telephone D.Live lecture series
B.Internet
Learning management systems are also known as which of the following? A.Merlot peer review systems B.Learning content management systems (LCMS) C.Blackboards D.A Quality Matters Program
B.Learning content management systems (LCMS)
In addition to conducting risk assessments, employee training, data encryption, loss prevention software, and cyber liability insurance are all methods known as which of the following? A.Best practices B.Prevention measures C.Firewall protection D.Systems security
B.Prevention measures
Which security measure is an important administrative safeguard? A.Building alarm systems B.Training staff C.Backing up data D.Securing passwords
B.Training staff
The National League for Nursing has recommended giving students hands-on experiences with informatics tools. What is one way that schools of nursing can meet this recommendation? A.Require students to take a test on electronic health records (EHRs) prior to clinical experiences. B.Utilize a simulated electronic health record (EHR) in learning experiences. C.Encourage classroom discussion on the benefits and challenges of EHRs. D.Have students discuss the experience of transitioning to EHR use with nursing mentors.
B.Utilize a simulated electronic health record (EHR) in learning experiences.
True or false: Computer competency alone is sufficient for a career in informatics
FALSE
True or false: Telemental health is the delivery of a recorded therapy session to a patient.
FALSE
What is a key benefit to a Picture Archiving and Communication System (PACS)? A. Allows patients to send providers pictures of their condition B. Enables secure messaging between patients and physicians C. Stores diagnostic images and scans including from ultrasounds, MRIs, CTs and more D. Provides a means for recording medications dispensed by the pharmacy
C. Stores diagnostic images and scans including from ultrasounds, MRIs, CTs and more
Implementing a telehealth program can be described in which of the following ways? A.Simple and straightforward, with few requirements B.Overly complicated and too cost-prohibitive to undertake C.Complex and expensive, but worthy of investment D.Unlikely to fulfill a need in today's current health care system
C.Complex and expensive, but worthy of investment
Which security measure is an important technical safeguard? A.Locking office doors B.Shielding computer screens C.Encrypting data D.Enforcing policies
C.Encrypting data
The hundreds of medical/healthcare record breaches that occur each year affect how many individuals? A.Hundreds B.Thousands C.Millions D.Billions
C.Millions
What are the sciences that make up nursing informatics? Select all that apply. A. Computer science B. Information science C. Nursing science D. Biomedical science
Computer science, Information science, Nursing science
True or False: The author of the content is not an important consideration when evaluating online health information.
FALSE
True or False: There is no difference between the roles of an informatics nurse and informatics nurse specialist.
FALSE
True or False: When selecting a Learning Management System (LMS), there is no need to consider technical aspects as these are standard among LMSs.
FALSE
True or false: A health care agency only needs to conduct a security risk assessment if a threat is imminent.
FALSE
Which situation is an example of how a hospital's interoperable EHR subsystems support nursing care? A. Patient vital signs are reviewed by oncoming staff prior to shift report. B. Narcotic administration for the shift is reviewed when the shift narcotic count is incorrect. C. New medication orders are entered into the electronic medication administration record (MAR). D. The nurse determines that a patient is likely to be discharged after reviewing daily laboratory results.
D. The nurse determines that a patient is likely to be discharged after reviewing daily laboratory results.
What safeguards are involved in ensuring patient health information is protected? A.Administrative safeguards B.Technical safeguards C.Physical safeguards D.All of the above
D.All of the above
Which of the following is a critical component to risk analysis/assessment? A.Analyzing system vulnerabilities B.Reviewing current measures and policies C.Tracking potential threats D.All of the above
D.All of the above
Which of these is an example of mobile technology in health care? A.Class podcasts B.Downloadable drug references C.Patient portals D.All of the above
D.All of the above
What is a challenge associated with distance learning? A.All learners must participate B.Restricted class access C.Limited class sizes D.Lack of face-to-face contact
D.Lack of face-to-face contact
In most healthcare facilities, what group of individuals has primary responsibility for data security? A.The administrators B.The nurses C.The physicians D.The information systems team
D.The information systems team
Effective data management involves protecting against which of the following? (Select all that apply.) Costs Data errors Unauthorized access Login issues Security breaches Data loss
Data errors Unauthorized access Security breaches Data loss