Informatics Final Questions
A group of staff nurses working with an nursing informatics specialist are engaged in searching databases for information on evidence-based practice and diabetes care. One of the nurses in the group asks the specialist what the " advanced search" tab means. Which response would be most appropriate?
"This is quite helpful in letting you narrow your search a bit better."
. A nurse is reading a journal article about teletrauma care. Which description would the nurse most likely find? P. 329 A) Use of trauma care experts for second opinions B) Trauma specialist guiding trauma care via video C) Emergency care provided via robotics
A
A group of nurses are debating the pros and cons of implantable identification devices. Which benefit would the proponents most likely address? P. 393 A) It allows quicker and safer emergency care. B) It should be a requirement to enhance care. C) It would ensure complete privacy
A
A nurse is blogging. Which example demonstrates that the nurse violated ethical and legal guidelines? P. 393 A) Including names of staff members in the blog B) Demonstrating respect for others when writing C) Using positive references about individuals
A
A nurse is reading an article about electronic health records in use by most healthcare agencies in the current healthcare climate. Based on this information, the nurse would expect to read about which type of record? P. 189 A) Electronic medical record B) Electronic health record C) Personal health record
A
A nurse using a clinical information system is required to document the same data in more than one area because the data do not "flow over" to the other areas and the data fields are not universally designed. Which component is lacking? P. 309 A) Interoperability B) Intangibles C) Return on investment
A
A nursing informatics is presenting a class on ethics and informatics. Which concept would the nurse specialist identify as being central to informatics? P. 388 A) Conflicting values B) Autonomy C) Influencing variables
A
A nursing informatics specialist is working as part of a group that is working with an agency that is transitioning from the paper record to the electronic record. The nurse identifies that the agency is currently at stage 3 of the adoption model because: P. 306 A) flow sheets for clinical documentation are in place. B) closed loop medication administration is integrated. C) computerized provider order entry is in used
A
An nursing informatics specialist is preparing an in-service program for the nursing staff at a local health center about personal health records. As part of the program, the specialist discusses a system of rules for the exchange of data by computers. The specialist is describing: P. 193 A) protocols. B) an identifier. C) security
A
When developing a plan for workflow redesign and the use of computerized documentation, which item would be the first thing to consider? P. 310 A) The number of computers needed B) Location of the computers C) Wheeled or bedside type of computer
A
When reviewing the core standards for telemedicine operations, which example would a nurse identify as a clinical standard? P. 331 A) Nursing practice standards of care B) Health Insurance Portability and Accountability guidelines C) Network connectivity standards
A
A nurse is speaking with a client who has just seen his healthcare provider for a routine follow-up appointment. The nurse is explaining to the client about the new client portal that is now available. When describing the portal, which functions would the nurse most likely include? Select all that apply. P. 192 A) Notifying about appointments B) Scheduling appointments C) Renewing prescriptions D) Alerting about immunizations E) Testing blood glucose levels
A, B, C, D
A nurse is caring for a client who has a smart card. The nurse understands that this card includes which components? Select all that apply. P. 195 A) Encrypted microchip B) Contact interface C) Microcontroller D) Embedded battery E) Contactless RF interface
A, B, C, E
A nurse is reading a journal article about implementing personal health records. Which benefits would the nurse expect to find? Select all that apply. P. 193 A) Improved collaboration between provider and client B) Enhanced privacy due to use of unique client identifiers C) Greater standardization of data D) Greater effectiveness in treating a client's disease E) More useful methods of data presentation
A, B, D
A nurse is working as part of group in the facility to investigate the use of smart cards for healthcare data. Which advantages would the group recognize? Select all that apply. P. 196 A) Provide immediate access to lifesaving information B) Allow for data to be portable C) Ensure privacy regardless of client condition via biometrics D) Allow for unlimited lifespan of the card due to use of embedded battery E) Provide protection against healthcare fraud and abuse
A, B, E
A nursing informatics specialist is conducting a group discussion on the implementation of personal health records. Which aspect would the specialist include as being currently available for promoting interoperability? p. 190 A) Protocols for use B) Standardized data C) Computer technology D) Procedures for use
A, C
A nurse is working to develop information technology skills. Which behavior would best demonstrate the acquisition of these skills?
Ability to use technology to develop a plan of care based on client information
A nurse is creating a password for use in accessing the healthcare information system in the agency. Which action would be most appropriate for the nurse to do in creating this password? P. 316 A) Select mostly lowercase letters B) Select a combination of letters and numbers C) Use numbers sparingly
B
A nurse is preparing a presentation about various telehealth practices for a group of nurses in the community. Which description would the nurse include about e-intensive care (e-ICU)? P. 328 A) They require minimal planning for execution. B) Workflow typically requires redesign. C) Enhanced communication results
B
A nurse is preparing to recommend a personal health record resource to a client. Which step would be most appropriate for the nurse to do first? P. 193 A) Look for reputable advertisements on the site B) Evaluate the complete site C) Read the privacy statement
B
A nurse is reading a journal article about ethics and laws. Which statement would the nurse most likely identify as pertaining to laws? P. 389 A) "Laws are subject to interpretation." B) "Penalties are used if laws are violated." C) "Laws involve value conflicts."
B
A nurse is reading a journal article about the evolution of consumer empowerment. The nurse would expect to read that this movement began around which time? P. 191 A) 1850s B) Early 1900S C) Late 1930s D) Mid-1960s
B
A nurse is reading an article about a surgeon who uses a combination of robotics and virtual reality along with special gloves and audio and video technology to perform surgery by manipulating surgical instruments at a remote site. The nurse is reading about: p. 322 A) store-and-forward technology. B) telepresence. C) real-time technology
B
A nurse is reading an online journal article about the legal and ethical issues related to telehealth. Which milestone would the nurse identify as important for allowing nurses licensed in one state to practice in another state? P. 392 A) Coordinated Licensure Information System B) Nurse Licensure Compact C) HIPAA
B
A nurse is using an interactive web application, sharing pictures and videos. When using this media, the nurse understands that which ethical principle always applies? P. 394 A) Autonomy B) Respect for others C) Paternalism
B
A nurse is working as part of a committee involved in creating passwords for the healthcare agency's network. Which password would be the strongest? P. 316 A) Nursing B) NuRs1N9gY C) 1234567
B
When writing a research paper, which action demonstrates plagiarism? P. 396 A) Including a citation at the end of a sentence about statistics from a research study B) Inserting a paragraph from a reference article directly into one's paper C) Using quotation marks around a statement with the name and page of the source
B
Which act serves as the foundation for secure information exchange over the Internet? P. 188 A) Office of the National Coordinator (ONC) B) Nationwide Health Information Network (NwHIN) C) Health Insurance Portability and Accountability Act (HIPAA)
B
Which device would most likely be used with store-and-forward technology? P. 322 A) Telephone B) Digital camera C) Videoconferencing
B
Which software is considered to be the highest level of integration of healthcare information records? P. 189 A) Electronic medical record B) Electronic health record C) Personal health record D) Smart card
B
Which statement would best describe the use of portable monitoring devices used in telehealth? P. 324 A) Most require access to a wireless connection. B) Many devices involve a touch screen for assessment. C) E-mail is used to address client education needs.
B
An agency is implementing the use of smart cards for healthcare. Which statement best describes this personal health record? P. 190, 195 A) Clients create their own card to be given to their providers. B) The card is contained in a device that plugs into a USB port. C) The card contains readable data with an ability to have more data written to it. D) The card contains an unencrypted microchip for data storage
B, C
11. A nurse is reading an article about the use of robotics and telehealth. Which outcome would the nurse expect research on this technology to reveal? P. 329 A) Increased response time B) Increased length of stay C) Improved client outcomes D) Increased costs
C
A client asks the nursing informatics specialist about the various wellness apps that are available. Which response by the nurse specialist would be most appropriate? P. 325 A) "The apps are usually quite expensive." B) "Your healthcare provider should prescribe one for you." C) "Not all the apps have been approved by the FDA."
C
A nurse is describing telehomecare to a group of clients, incorporating the knowledge that this method of care is cost-effective because: p. 323 A) it provides care in the comfort of the client's home. B) it promotes self-management for clients with chronic illnesses. C) it allows early detection, reducing the need for unnecessary emergency visits
C
A nurse is preparing a journal article for submission on the care of a client with heart failure. When writing the article, for which components would the nurse need to include a citation or author credit? P. Allen said A) Table of weight equivalents B) List of foods high in sodium C) Statistics on prevalence
C
A nurse is preparing to access a client's electronic record. The system verifies that the nurse is the person logging into the system and grants access to the information. This process is known as: P. 316 A) phishing. B) biometrics. C) authentication.
C
A nursing informatics specialist is conducting a seminar for agency staff about the benefits of a fully integrated electronic health record. The nurse specialist determines the need for additional teaching when the group identifies which aspect as a benefit to the client? P. 308 A) Individualized treatment B) Ability to check the record's accuracy C) Capability of decision support
C
Technical standards for telehealth and telemedicine would include: P. 331 A) the HIPAA. B) research protocols. C) systems for network connectivity
C
A nurse is working on a committee involved in adopting electronic healthcare systems for the agency. Currently, the agency has clinical documentation, a clinical decision support system (CDSS) with error checking, and a picture archive and communication system (PACS) in place. The committee determines that the agency is at which stage of adoption? P. 306 A) Stage 0 B) Stage 1 C) Stage 2 D) Stage 3
D
Based on an understanding of copyright law, copyright protection extends for how many years after the life of the author? P. 395 A) 14 years B) 25 years C) 50 years D) 70 years
D
When describing privacy and security associated with personal health information, which issue would the nursing informatics specialist identify as the important for their maintenance? P. 194 A) Standards B) Policies C) Consumerism D) Confidentiality
D
When describing the various biometric methods for authentication, which method would the nursing informatics specialist identify as most secure? P. 317 A) Fingerprint B) Voiceprint C) Retinal scan D) Iris scan
D
While talking with a client, a nurse determines that the client is participating in real-time telehealth based on the understanding that this involves: p. 322 A) stored images sent for interpretation at a later time. B) asynchronous transmission of clinical data. C) affordable method for practice in rural communities. D) same-time interaction of the client and provider via video
D
A nurse manager is using real-time information on key performance indicators to guide decision making. Which is the nurse using?
Dashboards
which statement best reflects information and health literacy?
Expertise and information and health literacy is achieved with continuous practice
A nurse-manager is looking at ways to improve the admission process from the emergency department to the inpatient unit. Which tool would be most appropriate for the nurse-manager to use?
Flowchart
A nurse is using a knowledge-based digital database. Which information would the nurse expect to find?
Journal article on diabetes
A group of nurses are conducting a research study about the effects of nutrition on wound healing. One of the nurses is using BrightStat program and is preparing to summarize data with descriptive statistics. Which action would the nurse do first?
Select the variables
A client tells the nurse that he has gotten some information about hypertension from the internet. The client gives the nurse the web address to evaluate. When evaluating the site, which information should the nurse evaluate first?
Source or sponsor
a nurse is searching the internet for information related to clinical trials and grants. Which site would the nurse most likely use to obtain quality information?
The National Institutes of Health
A nurse is planning to use BrightStat for data analysis for a research project she is involved with that addresses compliance with medication therapy in clients with heart failure. Which action would the nurse need to do?
Upload data from a spreadsheet
A nurse is readying a journal article about information literacy and how it connects with critical thinking . Which strategy would the nurse most likely find as a key aspect of critical thinking?
Using a set of skills for processing and generating information
A nurse is gathering data for a research study and is using DataFerrett to access the data. When accessing the data, the nurse would need to keep in mind that these data are:
from various federal agencies
A nurse researcher accesses the Agency for Healthcare Research and Quality site for information related to:
healthcare information technology
Which results when evidence- based information from the literature is integrated with clinical information?
knowledge generation
A nurse is using the Cochrane Library to search for systematic reviews about treatment for hypertension. The nurse understands that systematic reviews help to reduce bias. When readying the review, the nurse notes that the review covers a wide range of databases and search terms. The nurse identifies this as reducing which bias?
sampling
A group of nurse managers are designing a web-based course to be used as a medication refresher course for registered nurses returning to the workforce. The group is concerned about copyright law related to the use of information in the course. Use of which component demonstrates that the group is adhering to fair use? P. 396 A) Text provided was 1,000 words. B) Images are accounted for 20% of the course. C) Music included was about 45 seconds
A
Which statement best reflect the differences between a scholarly article and other forms of non scholarly work such as a magazine, a news letter, and a news paper?
An newspaper article can be written by anyone including a nurse.
A nursing informatics specialist is conducting a program for agency staff about telehealth. Which aspect would the nurse specialist include as a benefit of this technology? P. 330 A) Increased travel time B) Increased productivity C) Increased face-to-face in-person client contact
B
An electronic medical record is best described as a: p. 189-190 A) complete record of a client's healthcare information. B) record of a client's stay in an agency such as a hospital. C) record that is accessible by outside agencies.
B
The use of which method would be most effective in providing data protection from entry by outsiders? P. 311 A) Audit trail B) Firewall C) Spear phishing
B
When adopting the electronic healthcare record (EHR), which aspect would be considered the ultimate goal? P. 307 A) Sharing of information B) Client as the most important focus C) Cost-effectiveness
B
When describing an electronic health record, which characteristic makes the software a true electronic health record? P. 190 A) Information included in the record B) Ability to interface with outside agencies C) Access to information by clients
B
A client asks the nurse about possible resources for personal health records. After teaching the client about possible resources, the nurse determines that the client needs additional teaching when the client identifies which resource as an example? .P 192 A) My Family Health Portrait B) Microsoft HealthVault C) MyPHR D) MyMedicare.gov
B, C or all of them
A nurse is preparing a presentation for a group of clinic clients about personal health records. Which information would the nurse most likely integrate into the presentation? Select all that apply. P. 193 A) Encourages traditional medical model practice B) Promotes collaborative care C) Improves management of disease condition D) Uses a consistent, unique means of identifying clients E) Has a defined core set of data elements
B, C, D
A nursing informatics specialist is conducting a seminar on the need for uniformity in user design for data entry screens based on the understanding that: P. 309 A) most healthcare providers involved in the design process have background knowledge. B) database design skills are common in those serving on EHR committees. C) most providers approach user design using a paper chart thinking process
C
A nursing informatics specialist is conducting an in-service program for staff nurses about data security breaches. The specialist determines that the program was successful when participants state: P. 390 A) "Medical and healthcare information is low on the list in terms of numbers of breaches." B) "Data security breaches are primarily associated with the use of a computer." C) "The loss of laptop computers is a recurring theme associated with breaches."
C
A nursing informatics specialist is describing the similarities and differences between the two types of radio frequency identification (RFID) to a group of agency administrators. Which type would a nursing informatics specialist include as being associated with the passive type? P. 317 A) Increased cost B) Read-write capability C) Readable from a distance of 1 to 10 feet
C
After participating in an informational program about electronic health records, an agency nurse asks the nursing informatics specialist, "What does it mean when they say that the records must be interoperable?" Which response by the specialist would be most appropriate? P. 189 A) "The records need to have standardized language." B) "The information in the records needs to be presented logically." C) "The data contained in the records must be able to be shared electronically."
C
An administrative group at an agency involved in adopting healthcare information technology is developing a strategic plan. Which component would they include? P. 307 A) Plan that covers 2 to 3 years B) Structured guide that does not change C) Expenditures offset by client outcome benefits
C
When describing ethical decision making, which characteristic would most likely be included? P. 388 A) Values, although involved, are of minimal concern. B) Scientific inquiry provides the answer. C) Decisions are based on which value is most important.
C
A group of nurses are researching information about smart cards for healthcare information. The nurses are preparing a presentation for a staff meeting that will be introducing the implementation of this technology. The nurses demonstrate a need for additional research when they identify which data as being included on a smart card? P. 195 A) Data for privacy protection B) Unique consumer data C) Clinical data D) Financial data
D
A nurse advocates for a client to ensure that what is being done is best for him. The nurse is demonstrating which ethical principle? P. 388 A) Paternalism B) Veracity C) Justice D) Beneficence
D
A nurse is reading a journal article about syndromic surveillance. The nurse would expect the article to describe this concept as: P. 313 A) meeting the Joint Commission's client safety goals. B) identifying unintended consequences of healthcare technology. C) a way to measure quality of care and client outcomes. D) providing early detection of potential disease
D
A nursing informatics specialist is conducting an in-service program about the HIPAA. Which fact would the nurse specialist include when describing this rule? P. 392 A) The HIPAA protects all private health information. B) Fee-for-service providers have limited HIPAA coverage. C) Information with health plan providers is excluded. D) Information of agencies electronically billing CMS is covered.
D
A nursing informatics specialist is describing the use of health information technology to meet national safety goals to a group of nurse managers. The nurse specialist determines that the group needs additional teaching by which statement? Allen said A) "Barcodes aid in meeting the required two client identifiers for improved client safety." B) "Agencies are using barcode identification for one-person identification and blood transfusion." C) "Clinical decision support systems could alert providers of critical lab values." D) "Alarms should be used on all devices to ensure prompt response to safety issues."
D
A nursing informatics specialist is preparing a presentation for staff at a local agency about implementing personal health records. When discussing the barriers to implementation, which would the specialist most likely include? P. 193 A) Inability to allow collaboration B) Less effective disease management C) Lack of personalization of care D) Reluctance of some providers to relinquish autonomy
D
A nursing informatics specialist is talking with a group of agency administrators about implementing telehealth services. When discussing the issue of reimbursement for such services, which aspect would be most important for the nurse specialist to include? P. 330 A) Most telehealth services are paid for by clients as out-of-pocket expenses. B) Reimbursement is fairly consistent across the different insurers. C) Little progress has been made in reimbursement policies. D) Reimbursement is a large barrier to widespread adoption of telehealth
D
A nurse is searching the internet for information about the nursing licensure in another state. Which site would be most appropriate for the nurse to access?
National Counsil of State Boards of Nursing
A nurse is preparing to conduct a research study about a clinical topic and wants to obtain the most recent evidence on the topic. Which site would be most appropriate for the nurse to search?
National Institute of Nursing Research
A nurse administrator is evaluating several human resource management systems to determine if one would be appropriate for the agency, to make the decision, the nurse administrator evaluates each system to see if it meets the minimum requirements. Which characteristics would lead the nurse to reject a system?
minimizing allowances for staff-self scheduling
a nurse is working to develop information technology skills. The nurse demonstrates current skills when she is able to:
use searching tools.