Informatics

Which of the following twitter tweets is NOT is a HIPAA violation?

"Clincial was great today. DCH is an awesome hospital. The nurses are teaching me so much! I even go to start my first IV!"

The science of the management of information, generally interpreted to mean using computers to manage information

informatics

The ability to define a need for information, and the skills to locate, evaluates, and synthesizes information to meet this need

information literacy

Values that are not easily calculated or results that cannot be directly attributed to the investment

intangibles

The ability of two or more electronic systems

interoperability

The following is an email address: [email protected]. Which of the following is the user id?

jane.smith

What is the name of the programming language that is used to create small applications called applets that can be downloaded?

java

Which of the following would a student use to create interactive web pages?

javascript

Resistant to change, must be convinced the innovation is effective

laggard

When viewing a file list, just the file names are visible. Which view would this be?

list

A discussion through email make up of subscribers with a common interest

listerv

A word processing program function that can be created to perform a function automatically

macro

Matching a concept in one standardized terminology with a concept in another standardized terminology

mapping

A web application that takes data from more than one source and combines it into a single, integrated tool

mashup

From the following list, select the items that are considered to be personal health identifiers.

medical record numbers, date of birth, e-mail address, telephone number

The process of systemic reviews and analysis of the results of multiple, similar research studies

meta-analysis

Which of the following is an advantage of paper records?

no down time

Doing no harm

nonmaleficence

Sets standards for functional and semantic interoperability for electronic healthcare data

health care 7

Which of the following are known as driving forces behind implementation of healthcare informatics? Choose all that apply.

health care costs, AACN, patient safety, IOM

The ability of individuals to obtain, process, and understand basic health information and services needed to make appropriate health decisions

health literacy

Integrates financial data, patient data, and quality data to help make healthcare decisions within a company

healthcare analytics

A unit of speed measurement per second

hertz

Has tables that are organized in the shape of a tree structure which links records to a base through successive layers

hierarchial database

Which of the following denotes the primary starting point of the web site?

home page

WiFi enabled area

hotspot

Education with face-to-face and online interaction and teaching

hybrid

The main language used to create documents on the World Wide Web. It includes formatting tags and hypertext links

hypertext markup

What future benefit could be experienced if healthcare used standardized language in the diagnosis, treatment, and billing for healthcare?

improved patient care

The management of nursing data based on a combination of the fields of informatics science, computer science and nursing science

nursing informatics

Includes essential common and core elements to be collected for all patients/clients receiving nursing care

nursing minimal data set (NMDS)

How does research originate?

objectives and hypotheses, questions we ask about a particular subject

The doctor next orders a urinalysis to check the patient's urine for glucose. You note that the procedure requires a double voided specimen. From your free mobile device software. What is the correct procedure to collect this specimen?

obtain the urine sample within 30 minutes after the patient has emptied the bladder

When searching for an appropriate Internet site to include as a reference in a paper you are writing, you should remember that

only internet sites by the government sites are appropriate to include

Indicates where the age ends and the next one begins

page break

A major advantage of using virtual reality for nursing education is that

participants become part of the information

A nurse-manager is planning staff scheduling for a unit. To determine the needs accurately, which of the following would the nurse use?

patient classification system

Patient acuity systems used to determine staffing needs

patient classification systems

A website that blends many Internet services and tools into one site including clinical communication and the PHR

patient portal

Used in nursing education to provide nurses practice opportunities to provide care to a computerized mannequin that would be too difficult, dangerous, or time-consuming to provide in a real clinical setting

patient simulators

Pre-licensure KSAs according to QSEN

patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics

An article that has been subjected to a review by peers before publication

peer-reviewed article

The act of sending an e-mail to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft is a threat to security referred to as

phishing

Which of the following national initiatives was begun to provide financial incentives to fee-for service care providers for cost-effective high-quality care and requires annual renewal by the president of the U.S?

physician quality report initiative

A single characteristic giving a database power

query

A common keyboard layout representing the first six letters of the top row

qwerty

A method of research in which treatments are randomly assigned to subjects

randomized controlled trials

Stores the operating system and standard applications

read-only memory

The Institute for Healthcare Improvement Map aims to help you (select all that apply)

reduce costs and increase quality, make care safer, lead improvement efforts effectively, make patient care transitions smoother

Which of the following are barriers to implementing Patient Health Records? Select all that apply.

reluctance of providers, costs, data security, unique patient identifiers

The discrepancy between research on effective clinical practice and the direct care provided to patient

research practice gap

When using Web 2.0 applications, which of the following ethical principles is absolute?

respect for others

ROS

review of systems

What options are available to review slides in PowerPoint?

review, review comment mark up, review as outline, review as print preview

RTF

rich text file

Which of the following should you always practice when creating a document?

save the document in at least two locations

You would like to find scholarly or peer reviewed articles on pregnancy and depression .You should:

search CINAHL plus

Examples of mash ups

search and shopping, news

The reuse of nursing data to analyze the effectiveness of nursing care

secondary data use

You are going to leave your computer for about 15 minutes. What would be the best feature you can use to save power on your computer but also quickly retrieve your information without shutting down your computer?

sleep

The device on which personal health information can be stored and given to patients to carry to whichever healthcare provider they see is called

smart cards

Which of the following statements is true concerning using information found on the Internet in a paper that you are writing?

sources on the internet about various topics are easy to find, but assessing the credibility of the publisher as well as the relevance and accuracy of a document retrieved from the Internet can be problematic

Charting that a patient has a 21 on a MMSE is an example of using

standardized terminology

Algorithm describes what aspect of computer software?

step by step instructions for performing mathematical calculations and data processing

A plan and organization for the visuals of a presentation

storyboarding

Involves determining the risk versus the value of adopting electronic system

strategic planning

Beaming, Bluetooth, Wi-Fi, and cellular phone lines allows for transfer of info from mobile devices

synchronization of software

Which of the following modes of computer communication refers to interaction occurring at the same time?

synchronous

A literature review focused on a research question that tries to identify, appraise, select, and synthesize all high quality research evidence relevant to that question

systematic review

A way of organizing or classifying items that follows a set of rule and is focused on a given concept or philosophical base

taxonomy

To search for a blog on a certain topic, which of the following search engines would be the best to use?

technorati.com

The broad term that addresses remote healthcare beyond delivery of clinical services

telehealth

The electronic exchange of patient information between two sites for the purpose of improving the patient's health status

telemedicine

What is the main purpose of nursing documentation of patient care, whether paper or electronic charting?

to provide safe and effective patient care

A computer's software involves the programs that direct the computer.

true

A key aspect of electronic records is the ability to share data.

true

A reputable website to begin searching for e-learning resources is MERLOT.

true

All nurses need to be aware and have a general understanding of healthcare informatics regardless of specialty.

true

Computer malware is a term given to all forms of computer software designed to damage or disrupt a computer system.

true

Consumer informatics is a subspecialty under healthcare informatics.

true

If an email attachment is large, the sender can compress the file.

true

Information technology skills involve three types of knowledge.

true

Nursing software and apps loaded onto your mobile device used to make patient care decisions are subject to the same critical evaluation as evidence used for practice found on the Internet.

true

Online comments by a nurse regarding coworkers, even if posted from home during non work hours may constitute lateral violence and can result in sanctions against the nurse.

true

Resistance to change is a common issue affecting workflow redesign for HER.

true

The Internet can be used as a reputable resource for evidence-based practice data.

true

The Nursing Outcomes Classification (NOC) is linked to NIC, NANDA, and SNOWMED CT.

true

The major concern associated with smart card use is security.

true

The universal key for help is F1.

true

To create software, a programming language must be used.

true

You are working on a hospital unit that has been identified as having a high OPSN of pressure ulcers. As head of the patient improvement team, a great starting point would be to identify an evaluation process and plan with the institute for healthcare improvement.

true

You can take a screenshot of information on your ipod or iphone.

true

Is the following a HIPPA violation? Nursing student Jane is on a clinical unit. Jane's patient is very ill and cannot communicate with her. While she is carefully completing her patient's wound care, she takes a picture of the wound with her phone to save so she can describe the wound and provide photographic evidence for her interventions in her clinical paperwork to give to her instructor. She remembers HIPPA and is careful to take the picture ONLY of the wound.

true (yes)

A value permanently assigned to an individual for identification purposes and is unique across the entire national healthcare system

unique patient identifier

The name given to addresses used for documents on the world wide web

universal resource locator (URL)

A student nurse is working on a spreadsheet that is somewhat wide horizontally. In preparing to print the project, which of the following would be most appropriate? select all that apply

use the landscape orientation to print, try using a smaller font size

Broken promises from vendors of computer system products

vaporware

Fours ways rural patients could be connected to their healthcare providers

videoconferencing, store and forward data, images, or videos via email, remote patient monitoring, mHealth applications

A private network that uses a public network, usually the internet, to connect the nodes. The information transmitted by a VPN can NOT be read by anyone else.

virtual private network

A private network that is built from a public network by creating "tunneling" links in the network and often using encryption

virtual private network (VPN)

Which of the following would be most important for a good presentation?

visual reinforcement of presentation

A social technology that allows us to communicate and share information. Examples: IM, twitter, "text speak", Facebook, blogs podcasts, online photos etc.

web 2.0

A phenomenon in which a visited site sends a piece of data to the users computer and reads it the next time the user visits the site

web cookies

Mobile health 2.Oh! The Mouse has Left the House is a

webinar introduced recently by the ANIA

A website designed for sharing and collaborating work on documents

wiki

Critical component of the planning phase; depicts how work is accomplished

work flow analysis

One or more worksheets in Excel

workbook

Patient care management systems focus on which of the following?

workflow

One spreadsheet in Excel

worksheet

Which button on the tool bar closes documents and programs?

x on the top right

Examples of operating systems

Microsoft windows, apple Macintosh, windows CE for PDAs, palm operating system, GUI

A classification scheme for standardizing the language for nursing interventions

NIC

Which of the following databases is a service of the national library of medicine?

PubMed

An RSS will notify you when there is new information on a blog, however they are not confined to blogs and can apply to websites, news feeds and library searches

RSS feed

A standard computer language for retrieving and updating data in a database

SQL

The latest move towards improving the integration of informatics into nursing practice is the _______ initiative. The objective is to make informatics competencies a part of every nurse's skill set.

TIGER

Short for "binary digit", which is the unit of information that a computer processes

bit

Database search that uses AND, OR, and NOT to include and eliminate findings

boolean logic

A set of wires that data in a computer passes through

bus

An abbreviation for "binary term", which is a unit of storage, consisting of eight consecutive bits that holds a single character (a letter, number, or symbol such as &)

byte

You are unsure about the diagnosis of diabetes mellitus. You look in your free mobile device software and discover that diabetes mellitus is a disorder in which there is a discrepancy between insulin required by the body and the amount of insulin available. Insulin is normally produced by the pancreas along with which protein?

c-peptide

CC

carbon copy

Which of the following would be most appropriate to use to promote learning at the application level?

case studies

Useful diagram for nurse administrators to make so that relationships among complex processes are examined

cause and effect chart

Which of the following is not part of the systems life cycle of electronic health records?

celebrating completion of the finished project

The location of a cell or rectangle in a spread sheet, it is expressed by using the letter at the top of the column and the number of the row in which it is located

cell address

A group of contiguous cells between one address such as A1 to C10

cell range

Which site would be most appropriate for a nurse to use when searching for research information related to patient satisfaction?

centers for medicare and medicaid services

When you want to emphasize a point on a slide, which of the following techniques would be appropriate? Select all that apply.

change the color of the text on the slide that you want to emphasize, use bold text or underline the text on the slide that you want to emphasize, use a slide enhancer such as animation, sound, or motion to emphasize a point on a slide

Before installing new software, what action should a computer operator take?

close all other applications

Your instructor has requested that you bring an evidence-based care sheet related to your patient's diagnosis to the clinical unit. Which database provides ONLY evidence-based resources?

cochrane collection

According to the TIGER competencies, information management encompasses:

collecting data, processing the data, and presenting and communicating the processed data as information or knowledge

What should you do if you cannot access the full text of an article you need for a paper?

complete an inter-library load request (ILL)

The best description of the NCLEX-RN is that it is a

computer adaptive exam with a minimum question limit of 75 questions

Describes the use of the computer to enter prescriptions

computerized provider order entry (CPOE)

The protection of information about individuals from unauthorized use

confidentiality

A type of software that facilitates collaboration by a group of colleagues attached to a network

groupware

Tapping the enter key to create a permanent new line, that is one that will always start a new line unless deleted

hard return

Application of Dale's Cone of Learning exemplifies evidence-based research.

false

Avatars are used with clicker technology.

false

Brightstat is a commercially available program for statistical analysis.

false

Currently reimbursement for telehealth is standardized.

false

Electronic health records and electronic patient records refer to the same thing.

false

Even work that is not well defined is subject to copyright laws.

false

Health care informatics today is process-oriented.

false

Health informatics is a sub-specialty under nursing informatics.

false

High fidelity simulation is a substitute for clinical time.

false

In APA 6th ed. the first page running head of the paper tiled 'Paper Formatting' would appear in the top left of the header as Running Head: paper formatting.

false

Is the following statement okay to say on Facebook? True (yes) false (no) " I had the best time taking care of my sweet little patient and his family today in clinical. Wishing him the best on a speedy recovery from his double knee replacement. I love being a student on 7 south!"

false

Karl Pearson was considered a pioneer in the use of statistics in nursing.

false

Knowledge-based digital databases are designed to replace reference books with searchable and updatable online information.

false

Left justification means that the information on the right side of the page is aligned in a straight manner.

false

Most early PCs used a Windows operating system.

false

Most standards are developed by individuals who receive payment for their expertise.

false

Only evidence-based articles can be used as resources for academic research papers.

false

Paternalism is demonstrated by an appreciation for human dignity.

false

Personal health records are currently standardized and being used throughout the United States.

false

Requiring a user ID and password is the most secure method for authentication.

false

Synchronous distance learning is the most common format for distance learning.

false

Telehomecare is limited to the use of portable monitoring devices.

false

The Gantt chart is helpful for examining the relationships among complex processes.

false

The National Electronic Disease Surveillance System is a major component involved with the United Medical Language System (UMLS).

false

The best way to ensure that you will not violate HIPAA confidentiality and privacy rules on social media is to have the strictest privacy settings in place.

false

The federal government is opposed to providing health information to the public via the Internet.

false

The mission of the ANIA is to identify informatics practice as a specialty that is essential to the delivery of high quality, and cost effective health care.

false

Tracking systems typically are limited to tracking processes such as bed availability.

false

When using shareware, an individual pays for a trial period at a reduced feed.

false

While working on a project, your work is automatically saved when you minimize one or more windows.

false

A means of preventing unauthorized access to or from an internet connection

firewall

When others respond derogatorily with other positions on the disputed topic

flame war

On the bottom of a word document

footer

A color fading background used in PowerPoint

gradient background

The level of detail that a term in a standardized terminology represents

granularity

A software program screen that can display icons, sub-windows, text fields, and menus designed to standardize and simplify the use of a computer program by typing in fields and by using a mouse to manipulate text and images

graphic user interface

A way of interacting with the computer in which the user makes selections from images called icons

graphic user interface (GUI)

On the top of a word document

header

Text that is printed at the top of each page

header

Seeks fundamental knowledge about nature and behavior of living systems and the application of that knowledge to enhance health, lengthen life and reduce illness and disability

NIH (National Institutes of Health)

A classification scheme that standardizes the language for nursing outcomes

NOC

You receive an order to check a fasting blood glucose. You go to the bedside and obtain the specimen. The patient asks you what the normal range of blood glucose. You check your free mobile device software and tell him that normal range for fasting blood glucose is

70-110 mg/dL

Helpful site for healthcare information. It also provides tools, evaluation toolkits and databases for conducting research. Nurses can also find research on quality access, cost and information technology

AHRQ (Agency for Healthcare Research and Quality)

Developed and published the nursing code of ethics

ANA

A professional association that was founded in 1847 with the purpose of promoting art and science of medicine

American Medical Association

Software includes programs that give instructions to the computer that make the machine useful. Which of the following is the "brains" of computers?

CPU

When evaluating Internet sites, which of the following may be used to identify the author of the Web site? Select all that apply.

Click on the "home" option, click on the "about us" option

A transportable subset of EMR; CDA data standards & HIPAA laws apply

EHR

Alliances that will help state governments to identify best practices and solutions to share with other states

HIE

Which of the following statements about the health information portability and accountability act is true?

Health care providers who charge Medicare patients a fee-for-service have a unique national identifier

What is so engaging about inforgraphic?

Human beings are visual and adept at identifying patterns and trends quickly. Therefore, infographics often aid our understanding of otherwise dense, multifaceted, or complicated material.

Clinical modifications to make codes more useful in billing, used along with ICD-9 for procedure codes

ICD codes

An interactive, web-based tool designed to bring together the best knowledge available on the key process improvements that lead to exceptional patient care. It offers clear guidance through the health care landscape, helping hospitals set change agendas, establish priorities, organize work, and optimize resources

IHI map

Which of the following theories contribute to the study and practice of informatics?

Usability theory, learning theory, change theory, chaos theory

Data that represents the same piece of data for many different records

aggregated data

Which of the following organizations' mission is to advance nursing informatics leadership, practice, education, policy and research through a unified voice of nursing informatics organization?

alliance for nursing informatics

You are teaching the patient about some of the adverse reactions that can occur when taking the medication Glipizide. You note in your free mobile device software that a severe hematologic reaction can occur. You plan to teach him about:

aplastic anemia

What is the professional nurses' role regarding patient use of health information accessed via the Internet?

assist in evaluating the worth of the information based on the specific source

Properties

attributes

The process of verifying the identification of the person logging into the system

authentication

Which of the following is true about full text articles?

available in some electronic databases

A program is backwardly compatible when it can use files created by an earlier version of the program

backward compatibility

Comparison of practices against others who are similar

benchmarking

Doing what is best for the patient

beneficence

Used for business intelligence providing the delivery of real-time information on key performance indicators

dashboards

An analytic, automated process that uses computer "intelligence" to discover hidden relationships in large databases that are too complex to be found using conventional statistical techniques

data mining

The process of removing any information from aggregated data that could be used to identify the person about whom the data was created

de-identified data

Part of an information system that correlates information from many different sources including specific patient data and the literature to provide suggestions to the clinician

decision support systems

The healthcare billing system by which the patient is categorized into a group with determined average cost of care specific to the medical diagnosis, surgery, complications, and patient age is

diagnostic related groups (DRG)

Which of the following would a nurse identify as a positive aspect of online support groups?

diversity of viewpoints

The overall goal for the Quality and Safety Education for Nurses (QSEN) project is to meet the challenge of preparing future nurses who will have the knowledge, skills, and attitudes (KSAs) necessary to continuously improve the quality and safety of the healthcare systems within which they work. An example of pre-licensure (nursing student) skill in the category of informatics is

document and plan patient care in an electronic health record

In the URL: http://www.mybama.ua.edu, edu is considered the

domain

Which of the following would a nurse identify as a benefit of informatics to nursing?

easier retrieval of healthcare information

The repository for patient health data created from computer automation in the healthcare office, hospital or clinic

electronic chart

The complete record of an individual's healthcare from many sources that is created and gathered cumulatively from more then one healthcare agency

electronic health record (EHR)

Process of scrambling information in an email to help prevent third party access

encryption

A piece of text that is printed at the end of a document

endnote

The highest level of learning on Bloom's taxonomy

evaluation

Clinical practice in which decision making is guided by the best research evidence available, clinical knowledge, and consultation with the patient to decide the best patient care

evidence based practice

The patient is preparing to be discharged from the hospital. In preparing for his discharge, you review with him the primary symptoms of diabetes mellitus. You check your free mobile device software and realize he understands the teaching about diabetes when he tells you a primary symptom is

excessive thirst and urination

A file name of "mom-dad/stuff" would be an appropriate name.

false

A military model would be bet to use for syndromic surveillance for an event such as a terrorist attack involving large numbers of people.

false

A nursing informatics specialist requires a minimum of a doctoral decree.

false

Adware and spyware are types of spam and can spread viruses.

false

An enzine article is subjected to a complex peer-review.

false

Any patient's health record is considered private and confidential by law.

false