NUR 211 Exam 1

True or false: One of the primary roles of Nursing Informaticists is to improve patient safety and outcomes.

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: When you are conducting research online, it is important to know who funds the website you are viewing.

TRUE

Which of these is within the professional role of nursing informatics?

Data capture

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: All health-related websites can be trusted to provide reliable information.

FALSE

True or false: The term 'Web 2.0' is used to describe tools that are only available on tablets and smartphones.

FALSE

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 use of health portals is linked to better health outcomes.

TRUE

True or false: Blogs are typically written in a conversational, first-person style.

TRUE

True or false: Hypertext markup language is the most common language used to create documents on the World Wide Web and it is more user-friendly and readable compared to the Extensible Markup Language.

True

A nurse is discussing a website on which several co-workers have discussed displeasure with a new employee. Which of the following statements is the appropriate response for the nurse to give about the situation?

"Any comments made on the Internet that can be interpreted as cyberbullying could result in action by the board of nursing."

Which of the following acts to block outside destructive forces from coming into a network or private computer?

Firewall software

The Centers for Medicare and Medicaid Services electronically reports specific quality outcome measures based on data collected from hospitals. These data allow the public to compare hospitals that

Have a higher percentage of hospital acquired infections

What are some of the uses of Health Information Technology?

Inform clinical practice via electronic health records (EHR). Exchange of health information Personalized care Public health i.e. biosurveillance, datacollection for quality improvement (QI) Research

Challenges of nursing informatics

- Data security - Lack/inadequate skills - Lack/inconsistent internet access - Viruses and malware - Unfavorable attitudes to the use of IT in patient care

When did ANA recognize informatics as a nursing specialty?

1992

Which electronic resources should a nurse use to obtain clinical practice guidelines and interventions to reduce the risk of negative client outcomes while in the hospital?

Agency for Healthcare Research and Quality (AHRQ)

Which of the following terms describes an online journal where personal reflections or observations can be written with hyperlinks related to the websites?

Blog

Which of these is not an Informatics competency?

Maintain financial records and identify budget deficits

P in PICO

Patient, population, or problem

Pharming

Reroutes requests for legitimate websites to false websites

A nurse has questions about the appropriate way to handle a dilemma regarding Internet use while on duty. Which of the following is an appropriate source of information?

The Board Of Nursing The facility social media resource person The facility policy manual.

Information literacy

the ability to figure out the type of information you need, find that information, evaluate it, and properly use it

A nurse is caring for a client who has an image of another client on her cell phone. The client states, "We have become friends while being in the hospital." What should be the nurse's response?

"Can you tell me about the photo?"

A nurse needs to determine the use of technology as an assistive device to facilitate discharge teaching for a client. What represents an appropriate application of technology in this situation?

-Using translation software for spanish-speaking client who has a new diagnosis of acute renal failure. -Supplying the link to a website with a video demonstrating home care for a client after a knee arthroplasty. -Explaining the use of automatic email reminders to increase medication compliance -Accessing an ipad to review side effects of medications with a client.

Patient educational material must be written at a ______ level.

5th grade

Campus area network (CAN)

A computer network that connects two or more LANs that are located on a campus.

Phishing

An attack that sends an email or displays a Web announcement that falsely claims to be from a legitimate enterprise in an attempt to trick the user into surrendering private information

Which of the following protects a device from malware by performing regular scans to detect harmful bugs and making frequent updates for more protection?

Antivirus software

Which of the following is NOT one of the six frames of the Framework for Information Literacy for Higher Education?

Authority as a domain

Which of the following are best practices to follow online and when using an electronic device? (Select all that apply.)

Avoid opening unknown email attachments Generate strong and varied passwords Install and keep updated antivirus software Log out once finished using a device

What illustrates the integration of informatics into a health care system to support cost containment?

Installing bar codes on medications with alerts for low supplies.

What uses of technology would constitute a violation of HIPAA?

Texting a picture of a client's wound from one nurse to another nurse related to wound care protocol

I in PICO

intervention

evidence-based practice

nursing care provided that is supported by sound scientific rationale

O in PICO

outcome

Metropolitan area network (MAN)

A large computer network usually spanning a city

How is a wiki most useful to nursing?

Collaborative work on a research project

Which of the following is not an example of a Web 2.0 tool that can be useful when seeking health information?

Online dating sites

Which topics should you consider when determining whether a website can be trusted? Select all that apply.

Privacy Date of publication Source

A nurse is preparing to leave for the day when she sees a photo of herself on a co-workers cell phone that was inadvertently left on the counter at the nurses' station. A photo of her changing in the bathroom was taken and sent by another co-worker. Which of the following actions should the nurse take?

Report the incident to the supervisor.

A nurse opens a social network site and sees a photo on a fellow nurse's personal page. The photo shows the nurse with a client in the hospital room, smiling and holding hands. The post says "Providence brought us together. Le's hear it for emergency appendectomies!" Which of the following is the correct response by the nurse discovering the post?

Report the posting to the appropriate authorities at the facility.

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)?

Rural regions

What is the foundational focus of nursing informatics?

The management of patient-focused information

Which form of online communication would best substitute for a traditional nursing seminar?

Webinar

Local area network (LAN)

a computer network that covers a small area

C in PICO

comparison

Which of the following is the greatest concern about information presented on the Internet?

Its validity is not guaranteed.

A nurse has a conflict with her supervisor at her facility. At home that evening she expresses her disappointment in the job dynamics in an email on her personal account to a friend. Which of the following statements is correct?

The nurse has a right to express her feelings and beliefs.

Besides its impact on nursing practice, what other aspect of the nursing profession stands to be greatly advanced by nursing informatics?

The science of nursing

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?

1968

In what year did the American Nurses Association (ANA) recognize informatics as a nursing subspecialty?

1992

When did they publish the first Nursing Informatics: Scope and Standards of Practice?

1995

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 significant increase

What is nursing informatics?

A specialty that integrates nursing, computer, and information science designed to assist in the management and processing of nursing data, information and knowledge to support the practice of nursing and the delivery of care

In 1992, the ______________________ first recognized nursing informatics as a specialty.

American Nurses Association

The nurse who effectively uses information technologies is most importantly affecting what aspect of professional nursing in the future?

Assuring that patient care is meeting an acknowledged standard of care

What illustrates the use of technology to improve communication with a client who is cognitively impaired?

By using an electronic drawing screen which allows the client to create pictures during the assessment

What are the sciences that make up nursing informatics? Select all that apply.

Computer science Information science Nursing science

Which aspect of professional nursing is most impacted by the influences of informatics?

Critical thinking: Cognitive

A nurse off duty received a photo on her cell phone from a fellow nurse who is at work. The photo shows a celebrity receiving physical therapy. What should you do FIRST?

Delete the photo.

A healthcare facility recently opened a research department to collect and analyze data related to improve client outcomes. What is an example that represents integration of technology to support creating of scholarly knowledge?

Electronic collection of healing times of sacral wounds post-hyperbaric treatment, with or without antibiotic administration

Which of the following is an example of informatics applied in nursing?

Electronic health record (EHR)

What supports the integration of informatics into nursing practice to support safety in client care?

Embedded medication alerts for side effects in an electronic health care record. Immediate access to digital X-rays. Use of phones that connect directly to an assigned nurse for clients. Integration of telehealth to follow up with clients in rural locations.

What action did the American Nursing Association (ANA) take in 1995 to recognize the importance of nursing informatics?

Established the informatics certification examination

True or False: Internet usage has decreased worldwide.

FALSE

True or False: The author of the content is not an important consideration when evaluating online health information.

FALSE

True or false: Antivirus software and firewalls are 100% effective.

FALSE

True or false: As long as you have excellent antivirus software, no further action is needed to protect your computer.

FALSE

Which of the following are considered social media platforms? Select all that apply.

Facebook Twitter YouTube

The inappropriate use of social networking by a nurse can result in which of the following actions by the board of nursing?

Fines Loss of license Reprimand Sanction

What legislative act stimulate that clients be allowed to see and make corrections to the healthcare records?

Health Information Portability and Accountability Act, also known as HIPAA

Which statement concerning nursing data and its relationship with informatics is true?

Informatics now makes nursing data easily accessible to nursing researchers.

Which statement is true regarding the current definition of nursing informatics?

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?

Nurses are accustomed to the role of lifetime learners.

Why is it essential for healthcare providers to demonstrate information literacy in relation to online health resources?

So they can guide patients to reliable online health resources.

Wide area network (WAN)

Spans a large geographic area such as a state, province, or country

What is the greatest positive impact that communication among health care providers has on patient care?

Staying informed of standards of care and practices

TRUE OR FALSE: An example of information would be vital signs plotted on a graph.

TRUE

True or false: Improving and ensuring confidentiality, data security, and patient privacy are within the scope of nursing informatics.

TRUE

A nurse is caring for a client who asks, "can you take a picture of the cast so I can post it on my blog?" What should the nurse do?

Take the photo.

A client with whom a nurse had an excellent rapport was recently discharged from the hospital. The nurse receives a request from the client asking for permission to become a part of the nurse's social network. Which of the following is correct?

The nurse should not fulfill the request.

Health literacy

a person's capacity to learn about and understand basic health information and services, and to use these resources to promote one's health and wellness