Prep U Fundamentals of Nursing Ch 20

An informatics nurse specialist teaches a group of staff nurses how to document client care in the new electronic health record. To document assessment findings, the nurses are to select the correct information from a drop-down list. During the teaching session, one of the nurses asks, "Why do we have to use this list. Why can't we just type in what we want to say?" Which response by the informatics nurse specialist would reflect the most important reason for documenting in this way?

"Documenting this way allows nurses' actions to be measured."

An informatics nurse specialist is presenting an in-service program for a group of staff nurses on using the electronic health record. As part of the presentation, the nurse specialist is emphasizing the need for maintaining security and privacy of the record. During a break in the program, the nurse specialist overhears a conversation among several of the staff nurses. Which statement would the nurse specialist identify as a cause for concern?

"I always put a sticky note on the computer terminal with my password on it in case I forget it."

An informatics nurse specialist is conducting an in-service program for a group of staff nurses about this specialty. One of the nurses asks, "What exactly is nursing informatics?" Which response by the informatics nurse specialist would be most appropriate?

"It combines nursing science with information management and analytical sciences."

An informatics nurse specialist is conducting a discussion with a group of staff nurses who have been participating in the implementation of an updated electronic protocol system. The informatics nurse specialist is gathering information about the system's optimization. One of the participants asks, "Why is this information important?" Which response by the informatics nurse specialist would be appropriate?

"We can make improvements to the system to improve our delivery of care."

A client comes to the primary care provider's office for a routine follow-up visit. While completing the assessment, the nurse tells that client about a new patient portal that the office has begun to use. The client asks the nurse, "I guess this is a good thing, but what is it and what does it do?" Which response by the nurse would be appropriate? Select all that apply.

- "It allows you to request refills for your prescriptions." - "It allows you to get information about your health status and care." - "You can communicate with your provider through the system." - "It's a site you can access through your home computer or smartphone."

A nurse asks an informatics nurse, "How can I make sure that the passwords I create are strong enough to prevent a security problem?" Which action would be appropriate for the informatics nurse to suggest to the nurse? Select all that apply.

- "Make sure that your password is at least eight characters long." - "Try using a mnemonic that works only for you."

An informatics nurse specialist is working with a team to design a clinical information system. To ensure system usability, the team would make sure that the language meets which criterion? Select all that apply.

- Familiarity for the user - Clarity - Conciseness

A nurse is reading a journal article about health information technology and the need for this technology to demonstrate meaningful use. Which information would the nurse anticipate reading about as reflective of meaningful use? Select all that apply.

- Improvement in health care quality - Greater client engagement - Reduction in privacy breaches of client information

An informatics nurse specialist has completed the evaluation of an update to a current clinical information system used by the staff at the local hospital and has documented the results. Documentation reveals the need for an improvement in the screen display. Which action would be next?

Analyze and Plan

A facility plans to implement a new electronic medication documentation system. An informatics nurse specialist conducts a focus group with staff nurses to gather information. The nurse specialist asks the group about the current system being used, including a step-by-step account of the actions they perform. The nurse specialist also asks the nurses how they see this new system affecting this process and their overall daily tasks. The informatics nurse specialist is demonstrating which ANA informatics competency?

Assessment

An informatics nurse specialist is using technology to collect health care-related data from multiple sources in an attempt to transform that data to answer questions. The nurse plans to use this data to assist with the management of clients regardless of the setting. The nurse is using which area of analytics?

Big Data

An informatics nurse specialist working at an ambulatory care center is interviewing clients about their experiences in using the center's patient portal. A majority of the clients have voiced dissatisfaction, stating that they "find the display screen confusing and are not sure what to click on to get the necessary information." They also talk about difficulties in trying to find their test results. Based on this information, the nurse specialist identifies a need to talk with the information technology team about ways to make the portal easier for clients to use. The informatics nurse specialist is demonstrating which ANA informatics competency?

Collaboration

An informatics nurse is demonstrating how to use an updated version of an electronic documentation system to a group of staff nurses. The nurse shows the staff that they can follow the same steps that they used with the previous system but need to add one additional final step to the process. The informatics nurse's actions reflect which concept of usabilty?

Consistency

A group of nurses along with an informatics nurse specialist are conducting user acceptance testing of an update to a clinical information system. During this testing, which question is the group looking to answer?

Does the update function and work as intended?

A nurse is documenting a client's vital signs, height, and weight in the electronic health record. Applying the framework for informatics practice, the nurse would identify these values as which component of the framework?

Data

An informatics nurse is applying the informatics framework to a clinical situation. Which component of the framework would the nurse apply first?

Data

An informatics nurse specialist is describing the framework underlying informatics practice. Which component of the framework would the nurse specialist describe as discrete entities without interpretation?

Data

An informatics nurse specialist is collecting data from the clinical information system about the demographics of individuals diagnosed with heart failure admitted to the facility over the past five years. The nurse specialist is preparing a presentation to the facility's executive board. To promote understanding of this complex information, the nurse specialist prepares the data results using a pie chart and a bar graph. The nurse specialist is using which area of analytics?

Data visualization

An informatics nurse is part of a team working on developing a clinical information system for a facility. The team is working on ensuring that the system supports usability. During which phase of the system development lifecycle would the team integrate the principles of usability as a priority?

Design

An informatics nurse specialist is working as part of a team that will be developing and implementing a new client assessment tool. During which phase of the system development lifecycle would the team be integrating information about workflow patterns, standard terminology, and recommendations for screen layout from supportive research?

Design and build

An informatics nurse specialist is working on a team that is considering a new technological system for the facility. Which aspect would be most important for the team to do as the firststep?

Determine the need or problem to be solved

An informatics nurse is participating in an online continuing education course about nursing informatics. The nurse demonstrates successful comprehension of the course by identifying which individual as being considered the first informatics nurse?

Florence Nightingale

An informatics nurse is teaching a clinic staff about a newly implemented patient portal being used. The informatics nurse determines that the teaching was effective when the staff identify which aspect as being the focus of this technology?

Greater client engagement

An informatics nurse specialist is recommending the addition of an alert system tool to the facility's patient portal. The tool would be designed to send alerts to the client to schedule routine screenings and immunizations. This recommendation most likely reflects which ANA informatics competency?

Health teaching and health promotion

An informatics nurse specialist is gathering data from electronic health records at the facility about clients who have had central venous catheters inserted for more than the recommended time as specified by the facility's protocol. The nurse specialist is collecting this data most likely for which purpose?

Identify clients at risk for infection

An informatics nurse is assisting with the evaluation of a newly implemented system for electronic documentation of client assessments. The nurse is planning to involve staff nurses in this process. When beginning the evaluation process, the informatics nurse would focus on which area first?

Identifying what will be evaluated

An informatics nurse specialist is working as part of a team to develop and implement a new electronic documentation and reporting system at the clinic. The team has analyzed the situation, created a plan based on supporting evidence, created a design, built the program, and has worked out issues with the system. Staff who will be using the system have received education about the system and how it works, as well as how to use it. The team would proceed to which phase of the system development lifecycle next?

Implement

An informatics nurse specialist is working with a group of nurses who are tasked to test a new electronic health record system. Which phase would the group be involved with as the lastphase of testing?

Integraton

A client comes to see the cardiologist for a routine follow-up visit. At the visit, the nurse reviews the client's electronic health record. The nurse is able to access a report from the client's last visit to the primary care provider last month and the report from an emergency department visit two weeks ago for reports of shortness of breath. The record also lists two changes in the client's medication based on the emergency department visit. The nurse's ability to access this information reflects which concept?

Interoperability

A nurse working in a primary care provider's office is using the clnical information system to review a client's health information. The nurse is able to review the client's last visit to the primary care provider as well as information from a recent hospitalization, and also a visit that the client made to the cardiologist last week. The nurse's ability to review this information is based on which aspect of the clinical information system?

Interoperability

An informatics nurse specialist has received an update from the vendor who is providing the electronic health record. During which phase of the system development lifecycle would this update be made?

Maintain

An informatics nurse specialist is interviewing several nurses who have participated in testing a new electronic assessment tool. The nurses report that the tool "feels so familiar, like we know exactly what it is that we're supposed to do." The nurse specialist interprets this as indicating which concept?

Naturalness

An informatics nurse specialist has been involved in obtaining feedback about a clinical information system recently implemented in the facility. The information gathered provided recommendations for improving the satisfaction of the end users when using the system. Which aspect is the informatics nurse specialist addressing?

Optimization

An informatics nurse specialist is conducting an orientation for the staff of a primary care provider's office about a new web-based tool that they will be implementing. The goal of the tool is to promote patient engagement. The informatics nurse specialist is most likely orienting the staff to which system?

Patient portal

An informatics nurse specialist is preparing a presentation for a local community group about advances in technology in health care. Part of the presentation will focus on technological advances to promote greater client participation in managing health. Which component would the nurse likely describe as playing a major role?

Patient portal

A nurse is reviewing the medical record of a client at the clinic. The nurse notes that the medication and dosage prescribed for the client was based on information gathered about the client's genetic makeup from the electronic health record. The nurse interprets this as:

Pharmacogenomics

An informatics nurse specialist is extracting data from the facility's electronic health record in an attempt to identify clients at risk for developing catheter-related bloodstream infections. When gathering this data, the nurse specialist is using which technique?

Predictive analytics

An informatics nurse is assisting with the design of an clinical information system for use by the staff of a health center. The nurse is working to ensure that the system reflects usability by making sure that the screen display is viusually clean and uncluttered and that it provides only the information needed for decision making. Which concept of usability is the nurse incoroporating?

Simplicity

A nurse is assessing a client who comes to the clinic for an evaluation. During the assessment, the client tells the nurse, "I have this thing on my phone that reminds me to take my medicines when I'm supposed to." The nurse identifies this as reflecting which concept?

Telecare

A healthcare provider in a different state is reviewing the x-rays and scans of a patient who lives in another state. The patient's primary care provider has asked the other healthcare provider for their interpretation of the tests and to obtain the provider's opinion about the diagnosis. Which technology is being used?

Telehealth

Which strategy could be implemented by the nurse in ensuring the protection of electronic data at health care agencies?

The nurse locks out client information, except to those who have been authorized through appropriate security measures.

Several nurses are discussing their impressions of the newly implemented electronic health record with an informatics nurse specialist. They say, "There is so much information on one screen, it hard to tell what we should do first. It's not really clear." The informatics nurse specialist interprets the comments as reflecting an issue with which area?

Usability

An informatics nurse specialist is conducting an in-service education program for a group of staff nurses. The topic is ensuring electronic client data is secure and private. The specialist determines that the teaching was successful when the group identifies which aspect as essential to ensuring the security of electronic data when using clinical systems?

Use of strong passwords

A nurse is conducting a client assessment and documenting the findings in the client's electronic health record (EHR). Which description would the nurse most likely enter as data in the system to document the client's activity level?

Walks without assistance

An informatics nurse specialist is engaged in evaluating a clinical information system. At which time would the nurse specialist anticipate the need to obtain help from a statistician?

When determining the data collection method

A nurse takes specific elements from the electronic health record and and then interprets and organizes them to identify relationships. The nurse applies understanding of the relationships to client care situations to enhance client care delivery. The nurse's action reflects which component of the informatics framework?

Wisdom

During a recent visit to the clinic, a client tells the nurse, "I've been using my cell phone to track and record the foods that I eat so that I can better understand if I'm making healthy food choices." The nurse interprets the client's statement as reflecting which technology?

mHealth

The nursing student is discussing the benefits of electronic charting with a precepting nurse who is frustrated with computerized documentation. Which statement by the student requires intervention from the nursing instructor?

"You can make extra money with overtime pay with end-of-shift charting."

An informatics nurse specialist is meeting with a primary care provider's staff members. The office has agreed to implement a patient portal. When describing this tool, the nurse specialist would identify which aspects as being possible for clients? Select all that apply.

- Access their medical history - Schedule office appointments - Communicate with the health care provider

An informatics nurse specialist has conducted the initial testing of an update to the clinical information system and is preparing to conduct further testing. Which area would the nurse test next?

Ability of the system to work for a specific function

An informatics nurse specialist is involved with implementing strategies to improve the performance of the clinical information system being used. As part of this process, the nurse specialist is working on updating the plans of care in the system to reflect changes to a procedure based on new evidence. The nurse is also working to streamline the display screens to reduce the need to document the same information in three different areas. The nurse specialist is addressing which aspect of the system?

Optimization

A client comes to the health care provider's office for a follow up. The client was recently hospitalized for heart failure. The nurse reviews the client's discharge plan, which included the client being supplied with telecommunications technology for monitoring daily weights and blood pressure. Then each day, after completing those tasks, the client would receive a phone call from the nurse practitioner about the results and adjust the client's medication schedule. The nurse identifies this specifically as reflecting which type of care?

Telemedicine

An informatics nurse is teaching a client recently diagnosed with heart failure how to use a web-based tool to learn more about this condition. The tool is provided by the client's primary care provider. The informatics nurse is teaching the client about:

patient portal.

An informatics nurse is discussing the implementation of a new documentation system with a group of staff nurses who are using the system. Which response by the group would indicate to the nurse that the system's usability is effective? Select all that apply.

- "Using the system is highly intuitive." - "This system fits nicely into how we work." - "We've noticed that this system really helps to save us valuable time."

An informatics nurse specialist is talking with a group of health care providers at a local clinic about implementing a patient portal system. During the presentation, one of the providers asks the nurse specialist, "I understand what this portal is, but how will it help our clients?" Which response by the nurse would be appropriate? Select all that apply.

- "Your clients will be more likely to seek out care if needed." - "Your clients will be more motivated to get preventive care." - "Your clients will be able to manage their chronic problems better." - "Your clients will be able to actively participate in their care."

An informatics nurse specialist is preparing a presentation on nursing informatics for a group staff nurses. The group will be participating in the implementation of a new electronic system to support improved client care delivery. When describing the concepts that are key to nursing informatics, which concept would the informatics nurse specialist include? Select all that apply.

- Knowledge - Information - Wisdom - Data

An informatics nurse specialist is preparing a presentation about patient portals for a group of primary care providers in an office practice. When describing the tasks that can be accomplished by clients using the portal, which activity would the informatics nurse specialist include? Select all that apply.

- Paying their bill - Scheduling appointments - Receiving screening reminders - Checking their lab test results

An informatics nurse specialist is using data visualization to present information about client populations admitted to the health care facility. Which type of format would the nurse mostlikely use? Select all that apply.

- Pie charts - Bar graphs - Infographics

An informatics nurse specialist is working with a team designing an update to a clinical information system being used by the nursing staff. When selecting the language to be used with the system, which characteristic would be most appropriate to address? Select all that apply.

- Terminology reflects the users work context - Terminology is clear and concise for the nurses - Terminology is familiar to the user

An informatics nurse specialist is partnering with the health care team to implement a planned update to the clinical information system. The nurse specialist demonstrates the competency of implementation based on achievement of which outcome? Select all that apply.

- The update was implemented within the budget developed for it. - The update was implemented on the day it was to happen. - The update was implemented using the specified requirements of the plan.

An informatics nurse specialist is involved in evaluating a new electronic documentation system being used by the facility. The nurse specialist has collected the necessary data, analyzed it, and is now preparing to display the data using a bar graph to present the information. When displaying the data, which information would be important for the nurse specialist to include? Select all that apply.

- Title of the graph - Legends for colors - Date range - Sample size

An informatics nurse specialist is looking to evaluate the optimization of a clinical information system being used in the facility. On which area would the nurse focus? Select all that apply.

- Ways to reduce errors - Plans to improve basic processes - Ways to improve clinical decision support - Measures to eliminate inefficiencies in workflow

An informatics nurse is evaluating a new clinical information system for usability. The nurse notes that the system requires the user to complete a maximum of 3 steps to complete a task. The system also provides shortcuts to frequent users of the system. The nurse would determine that which concept of usability is being addressed?

Efficient interactions