informatics mid-term 2020

A nurse is creating a slide presentation for a group of newly hired nurses. After creating the title slide, the nurse moves onto the next slide. Which placeholder in the layout would the nurse expect to find?

Bulleted text

A nurse manager has created a spreadsheet with data about the number of nurses enrolled in continuing education programs over the past 6 months. The nurse manager now wants to use this information to create a chart to compare the amounts over each quarter. Which type of chart would be most appropriate for the nurse manager to use?

Clustered bar chart

A nurse who has just purchased a new laptop computer for the home is reading the manual and finds information about power-saving features. Which feature would the nurse most likely be reading about? Select all that apply.

E. Sleep A. Hibernate

A new graduate nurse is working at a facility that uses electronic documentation. The nurse has questions about the policies and procedures related to data security. The nurse would identify which person as being responsible for the policies and procedures related to data security?

HIPAA security officer

Matching of a term or concept in one standardized terminology to another leads to a result that is not always equivalent. Which term is used to describe that the match addresses all the degrees of standardized terminology so that they can be used?

Harmonization

A nurse receives an e-mail containing a web address hyperlink on his personal computer. The e-mail instructs the nurse to go to the website to confirm his bank account number. When the nurse clicks on the link, it would take him to a phony website. This is an example of:

phishing.

After entering information about groups of clients attending follow-up client education sessions into a spreadsheet, a nurse decides to create a chart to represent the information. Which type of chart would be most appropriate to use to depict the percentages of the groups of clients?

Pie chart

A nurse is reviewing the development of PDAs and smartphones. Which device would the nurse identify as being the most popular before being replaced by the iPhone and Android smartphones?

Pocket PC

A nurse is reading an article about databases and their use. Which tool would the nurse expect to find as the most powerful in a database?

Querying

A nurse is using a mobile device and stores his calendar, contacts, and notes. The nurse understands that this information is stored at which location?

ROM

A nurse participates in a blog with other nurses about caring for terminally ill clients. Through which does the nurse receives an alert when new information is added?

RSS feed

A group of nurse managers are working to develop a refresher course for staff nurses in cardiopulmonary resuscitation and want to use a high-fidelity patient simulator. The nurse managers decide this is the best method for teaching the staff for which reason?

Realistic learning helps to promote performance.

When creating a paper using the APA style, which section would the nurse include last?

Reference list

A nurse has purchased proprietary software for the computer. Which step is essential when installing proprietary software?

Registering the product

When preparing to use healthcare information databases for secondary data use, which step would be most important?

Removing any client-identifying information

When describing the various theories underlying informatics, which theory addresses change in society and an individual?

Rogers' Diffusion of Innovation Theory

An agency committee conducts a needs assessment for a health information system and identifies a list of potential vendors to be considered for the project. Which step would the committee do next?

Send out a request for proposal

A nurse executive is composing an e-mail to the professional organization. In addition to the name, which information would the nurse include when signing an e-mail?

Sender's title

A nurse is writing an e-mail to a colleague that includes the following statement: "IT SHOULD NOT TAKE SOMEONE OVER AN HOUR TO ASSIST WITH A BEDBATH." How might the colleague interpret this statement?

Shouting

Which term describes what happens to a computer after a specific period of inactivity?

Sleeping

A nurse is presenting a slide presentation on diabetes to a group of newly diagnosed clients with diabetes. When starting the presentation, the nurse uses which view?

Slideshow

Which theory contributing to informatics addresses improving the interaction between an information system and the organizational culture?

Sociotechnical theory

While planning a slide presentation for a local health fair, the nurse is putting the ideas and visuals into an organized framework. The nurse is performing which step?

Storyboarding

A nurse is reviewing information about obtaining data from large databases. Which name identifies the coding used for querying?

Structured query language

While working as a member of a group tasked with addressing meaningful use with electronic data, the group has met the criteria for stage 1 and is now moving onto stage 2. Which action would now become a focus for the group?

Submitting electronic data to immunization registries

A nurse is reviewing a database and identifies which object as containing all of the data?

Tables

During a presentation on standardized nursing terminologies, a nurse asks the nursing informatics specialist, "If standardized terminology is so great, why is it so difficult to get the terminologies to work together? Which response by the nurse specialist would be most appropriate?

"Each terminology is based on a philosophy that expresses a culture."

A nurse is talking with a client who says that he has used the World Wide Web (WWW) many times to look up his medications. Which statement best reflects the World Wide Web?

"The WWW is a network within the Internet."

Which statement best reflects data mining?

A data warehouse is more effective for the use of data mining."

A nurse is preparing to insert a date for the current year into a spreadsheet to be used for calculation. Which format would be most appropriate for the nurse to use?

4/3

A nursing informatics specialist is describing the benefits of informatics to a group of agency staff. Which would the nurse identify as a primary benefit for healthcare in general?

Increase in the usability of data

During a presentation about networking, a nurse asks, "I've heard all about 'Twitter', but how is it different from text messaging?" Which response by the presenter would be most appropriate?

The message is shared with others."

A nurse is reviewing a spreadsheet and identifies a cell containing an absolute formula. Which symbol would the nurse interpret as indicating this?

$

A nurse is reading an online journal article about the development of standardized healthcare terminologies. Which statement best reflects these terminologies?

. Client mortality and morbidity were used as the basis for early terminologies.

Which word processor is considered a commercial word processor?

. Microsoft Word

An nursing informatics specialist is preparing a presentation for the nursing administration addressing the use of mobile devices in the institution. Which reason would the specialist most likely address?

. Nurses are expected to be proficient with technology.

A new clinical information system is being implemented. Project planners have decided to continue the old system for a time while specific units will be targeted for a specific date to switch over to the new system. Which approach is being used?

. Parallel conversion

When setting up the body of an APA paper, margins are set for the page layout. Which margin setting would be most appropriate to use?

1-inch top and bottom margins, 1-inch side margins

When inserting a video clip in a slide presentation, a clip of which duration would be most effective?

45 to 60 seconds

The end of a slide presentation includes a slide containing summary points. To ensure retention by the audience, a maximum of how many points would be included?

5

A nurse has become certified in nursing informatics. The nurse would need to renew this certification after how long?

5 years

A nurse is considering purchasing a mobile device to view videos that demonstrate physical assessment skills as part of continuing education course that the nurse is taking. The nurse wants to ensure that she has the clearest image possible. Which screen resolution would the nurse select as the best choice?

960 × 640

A nursing informatics specialist is working on evaluating a system that has been implemented in an agency. Which statement reflects the goals of usability?

A user can perform the needed tasks quickly once he or she has learned the system.

A certified nursing informatics specialist is preparing a presentation for prospective candidates for certification. Which prerequisites would the nurse specialist include as being necessary to write the examination for certification? Select all that apply.

A. Active RN licensure B. Bachelor's degree in nursing D. 2,000 hours in informatics nursing within the past 3 years

When describing the components needed to provide evidence-based care through informatics, which components would be included? Select all that apply

A. Competency of practitioners using the information C. Standards for exchange of information D. Information presented in a digital format

A nurse has purchased Microsoft cloud software for a Mac computer for the year. Which software would the nurse be able to use? Select all that apply.

A. Excel D. Word E. PowerPoint

A nurse is reviewing the ANA toolkit for social media that is available online. Which items would the nurse identify as being included? Select all that apply.

A. Fee-based continuing education credit B. Social networking principles D. Fact sheet E. Webinar

A nurse is reviewing various client safety databases for safety issues. Which databases would the nurse identify as voluntary? Select all that apply.

A. National Healthcare Safety Network C. National Database of Nursing Quality Indicators

A nurse is accessing the World Wide Web using a web browser for information about the incidence of stroke. The nurse would likely be using which browser? Select all that apply.

A. Opera B. Internet Explorer C. Firefox D. Chrome

Which advantages are associated with the use of cloud computing? Select all that apply.

A. Provides a backup of files in a location different from where the original document is stored B. Allows for sharing files with other users

When reviewing a client safety database, the nurse understands that which is used?

Aggregated data

A nurse is reading numerous comments made by various individuals on the topic of scoliosis. The information ranges from personal views about living with the condition to technical information about bracing and medical treatment. The nurse adds a comment about her experiences in caring for clients with this disorder. The nurse is engaged in which type of networking?

Blog

A nursing informatics specialist is describing meaningful use of electronic health records to a group of newly hired nurses at the facility. Which requirement would the nurse specialist include?

An interoperable healthcare information system

A nurse is reading an article about mobile computers and the different operating systems in use. The nurse would likely find that which operating system is most often used?

Android OS

A nurse is using a handheld computer to conduct a client teaching session using an online course developed for the facility. The course requires Adobe flash for streaming audio and video. The nurse understands that which operating system would be needed on the handheld computer?

Android OS

A nurse is participating in an online course and uses the course materials at various times that are convenient for her. The nurse is using which type of learning?

Asynchronous

A nurse is preparing to upload photos and videos to social media. Which products would the nurse most likely use? Select all that apply.

B. Picasa C. Instagram E. Pinterest

According to the National Center for Nursing Research, which are considered program goals for nursing informatics research? Select all that apply.

B. Testing client care decision support systems C. Determining how nurses give client care using data D. Establishing a nursing language E. Developing methods to build clinical information databases

A nurse is reviewing the different cloud office applications available. When comparing the iCloud to other cloud office applications, which feature would the nurse identify as being different? Select all that apply.

B. The app is not a downloadable type. E. Web browser is needed to access the app.

When describing commercial software to a group of students, which information would be most appropriate to include? Select all that apply.

B. Users must accept the terms of use to install it. C. Individuals must purchase it. D. The software is proprietary.

A nurse has prepared a spreadsheet with times spent on various nursing activities. The data fill three columns and four rows. The nurse names a cell range that encompasses the first cell of the second column through the last cell of the third column. The nurse would express this cell range as

B1:C4.

A nurse is about to install antivirus software on his home computer. Which action would the nurse need to do first to protect his data?

Backup important files in another location

A nurse working in the clinical setting would most likely use a handheld computer for which activity?

Barcode medication administration

A nurse is preparing an in-service program for staff nurses and is designing learning activities for the group. The nurse wants to focus on the highest level of learning. The nurse includes activity to achieve this goal?

Case studies

The nurse is explaining to a client how he can access his electronic medical record. Which type of connection would the nurse include as being used?

Client-server architecture

Which catalogue involving standardized terminologies for nursing was developed from a home care focus?

Clinical Care Classification

A nurse is working as part of a project management team. The team is currently involved in the planning. Which activities would occur during this step?

Conducting a workflow analysis

A nurse is reviewing a client's electronic health record. Based on the nurse's understanding of data standards, which would the nurse identify as defining what data are shared?

Continuity of Care Document

When developing learning outcomes, which action would be best to use to signify the highest level of learning?

Create

A nursing informatics specialist is describing the benefits of electronic records to a group of facility administrators. The nurse specialist would address which aspect as resulting from searchable and analyzable information?

Creation of knowledge for informed practice

A nursing informatics specialist is speaking to a group of colleagues about the benefits of informatics for the nursing profession. Which benefits would the specialist most likely include? Select all that apply.

D. Building of evidence-based knowledge E. Improvement in documentation A. Use of data for quality control

A nursing informatics specialist is preparing an in-service program about forces driving the increased use of informatics in healthcare. Which forces would the nurse include as a national force? Select all that apply.

D. Creation of the Office of the National Coordinator for Health Information Technology (ONC) E. The Institute of Medicine (IOM) report on health professions education

Which statement best reflects saving data in a database?

Data entry is saved as soon as the insertion point moves from the record of entry.

Which step should be done first when implementing a workflow redesign for an electronic documentation system?

Determining what the system is expected to accomplish

A nurse on a committee is conducting a workflow analysis. Which action would be most helpful when completing this task?

Diagramming the activity

While working on a personal computer, a nurse searches for updated practice guidelines on the Internet. The nurse's computer connects to the Internet via a telephone line. This is an example of which type of connection?

Dial-up

A nurse has purchased a copy of a nursing review eBook. The nurse understands that the information is copyrighted by:

Digital Rights Management

A nursing informatics specialist applies Lewin Field Theory to implementing a new documentation system. Which action would be most important for the nurse specialist to do first?

Enlist members to be involved in the process

For which is information literacy considered essential?

Evidence-based practice

A nursing informatics specialist is part of a project management team that is working with a new clinical information system. Currently, the team is working to customize the system to meet the needs of the organization. The team is in which stage of the systems life cycle?

Executing

When designing a relational database, which field setup best reflects the user's use of atomic-level data?

First and last names are in separate fields.

A nurse has created a database in which data are contained in one table. The nurse has created which model of database?

Flat

When using the International Classification of Nursing Practice, which axis would the nurse expect to find?

Focus

A new nurse is learning how to use a spreadsheet and how it differs from word processing. Which action would the nurse most likely identify as specific to spreadsheets?

Formula functions are built into the menu options.

A nurse practicing in nursing informatics is a guest speaker for a nursing class. One of the students in the class asks the nurse how she gained her knowledge. Which response by the nurse would be most likely?

I basically learned on the job and with continuing education."

A nurse has decided to write a paper for a presentation at a local healthcare facility. Which step would be most important for the nurse to do first?

Identify the audience

A nurse is part of a committee that is working to develop and implement an electronic documentation system. Which step would the committee do first during the initiating phase?

Identify the project goal

During a group discussion about using e-mails, a member asks about spam and how to deal with it. Which information would be the most appropriate to include in the response?

If you don't know the sender, the e-mail is probably junk."

An electronic documentation system will be implemented in an agency. As part of the process, the staff is receiving education about the system and the overall benefits. Which benefit would be mentioned as the most important?

Improvement in client care outcomes

A nurse is writing a paper for a class and wants to include a direct quotation to support the viewpoint. The quotation is 30 words in length. Which action should the nurse do?

Include the quote in the paragraph using double quotation marks citing the author

An agency involved in testing a new electronic documentation system is evaluating the systems communication and network functioning. The agency is involved with which action?

Integration testing

Based on the evolution of the development of standardized terminology adopted by the American Nurses Association (ANA), which terminology was adopted last?

International Classification for Nursing Practice

A nursing informatics specialist is preparing a presentation about nursing-focused standardized terminologies recognized by the ANA. Which system would the nurse specialist most likely describe as originally being developed as a reference terminology?

International Classification of Nursing Practice

The design of mobile computing software is focused on which feature?

Interoperability

A nursing informatics specialist is conducting a presentation about the electronic medical record (EMR) to a group of facility staff. Which statement would the nurse specialist most likely include when describing the EMR?

It describes the care rendered during an agency visit

A nursing informatics specialist is preparing a class on electronic documentation for a group of staff nurses. As part of the class, the nurse specialist is planning to describe nursing documentation of the past. Which characteristic would the nurse specialist most likely include?

It used simplistic language.

A nurse is using a mobile device that is Bluetooth enabled. Which action would be most appropriate for the nurse to do when using the Bluetooth?

Keeping the distance between each device to within 32 feet

In Rogers' Diffusion of Innovation Theory, there are five stages of individual change. Which stage is first?

Knowledge of an innovation

A clinical nurse specialist is developing a teaching plan for new mothers on a maternal-newborn nursing unit. The nurse is incorporating educational software with computerized video clips, slide presentations, illustrations, and quiz questions developed by nurse experts in the field. The information can be changed in many ways to address the clinical nurse specialist's needs. Which type of instruction is the clinical nurse specialist using?

Learning content management system

A nurse is documenting electronically and selects a problem from a drop-down menu to enter into the record. The nurse is using which feature?

Linear list

A nurse wants to reference a cell range in another workbook to the current spreadsheet. Which process would the nurse use?

Linking

Which term is used to identify the connection of computers that are physically close to one another?

Local area network

A nurse is reviewing the components of a computer system that he has just purchased. Which operating system would he expect to find as the most common?

Microsoft Windows

To ensure that a spreadsheet effectively communicates what is intended, which action would be most important to include?

Naming each spreadsheet to clearly identify its purpose or topic

A group of nurse managers are discussing the possible use of a virtual reality for the unit staff to promote skill learning and training. The nurse managers would need to address which aspect of this type of learning before implementing the program with the staff?

Navigating the virtual world

When working with the USA-Nursing Minimum Data Set (NMDS), which information would the nurse expect to see as part of data collected for nursing care?

Nursing diagnosis

A nurse has attended a class on databases and searching. Which database analysis method would the nurse identify as fastest?

Online analytical processing

Which statement best reflects the status of the adoption of electronic records in the United States?

Over three quarters of the hospitals have at least a basic EHR system.

A nurse is preparing the body of a scholarly paper. On which page would the nurse start the text?

Page 3

After writing a paper, a nurse wants to generate a table of contents automatically using the word processor. The nurse understands that this table of contents will be created using which feature?

Paragraph headings

A nurse is using a PDA when caring for clients. The PDA contains clinical data. Which feature would be most important for use of this PDA?

Password encryption

A nurse is reading a journal article about the various efforts by the ANA for standardization. The nurse would expect to find which standard as being retired?

Patient Care Data Set

A nurse is creating a slide presentation that uses only images that are visible for 20 seconds. The nurse is using which presentation slide design?

PechaKucha

A nurse superuser is part of a group testing a new clinical information system. The group is faced with several situations that involve something going wrong with the system. The nurse superuser identifies this as which testing?

Test scripts

A nursing informatics specialist is presenting a seminar on nursing informatics. After the seminar, a group of nurses are talking with the presenter and one of the nurses states, "I'm pretty good with computers, so I should become an informatics nurse." Which response would be most appropriate?

The computer is just a tool for the real focus, information management."

A nurse is reading a colleague's paper on caring for a client with coronary artery disease. Which formatting would indicate that the colleague has correctly followed the APA style for line spacing?

The entire document is double spaced

A group of nurses are creating a slide presentation for a group of clients about heart failure. The nurses ask the nursing informatics specialist for assistance in developing the presentation using the free version of the software, Prezi. After describing this type of presentation, the specialist determines that the nurses have a firm grasp of this style when they state:

The navigation through the presentation is not linear.

A nurse is reviewing a draft version of a scholarly paper being written by a colleague and friend using Writer. The nurse determines that the colleague is using the default font based on which font?

Times New Roman, Regular

A nurse is writing a paper for a journal article based on an outline previously developed using Roman numerals. The topic in the outline is "A. Major causes." Using APA formatting, which outline convention would the nurse use for this topic?

Title style, flush left, and boldface

A nurse is reviewing information about standardized terminology. The nurse demonstrates the need for additional reading when identifying which as an interface terminology?

USA-NMDS

A nurse has attended a conference sponsored by a professional nursing organization. During the conference, the nurse met several other professionals and wants to send each of them an e-mail thanking them for their insight and suggestions. When writing the e-mail, which step would be most important for the nurse to keep in mind?

Use correct spelling and grammar before sending.

When describing meaningful use, which statement would be most appropriate to include?

Use of information from EHRs to improve healthcare delivery

When obtaining vital signs on a postoperative client, the nurse notes that the client is significantly tachycardic and the systolic blood pressure is 72 mm Hg. The nurse suspects that the client is experiencing hypovolemic shock and notifies the primary care provider of these findings. According to nursing informatics theory, which key component is the nurse demonstrating?

Wisdom

A nurse is interested in e-learning opportunities and asks the nursing informatics specialist for advice. Which response by the nurse specialist would be most appropriate?

You need to be motivated and disciplined with this type of learning."

A nurse who is attending a graduate educational program is referred to a Multimedia Educational Resource for Learning and Online Teaching (MERLOT) site as an excellent source for learning resources. The nurse would expect to find:

access to other digital libraries.

A nurse working with a spreadsheet identifies that a logic error is occurring. The nurse understands that this type of error reflects:

bug in the program

An exact duplication of the data on a clinical information system is being stored on a server at a remote location as a precaution. This would be identified as:

business continuity plan

After implementing a health information system, the agency takes steps to prevent loss of data from a power failure by having the system use the backup power supply. This is an example of:

business continuity plan.

a nurse is working on a committee that is involved with documentation. what stage is the committee working on?

data capturing and sharing

A nursing informatics specialist is characterized by colleagues as an informatics innovator. This nurse would demonstrate the ability to:

generate informatics theory.

A nurse writes a nursing diagnosis and includes information about the etiology along with manifestations associated with that etiology. The nurse is demonstrating an understanding of:

granularity.

When using a computer program, a nurse enters a command by pointing and clicking. The nurse student understands that this action is the result of:

graphical user interfaces.

A nurse wants to share the address of the clinical facility with another nurse colleague in the group via beaming. The nurses must:

have IR, Bluetooth, or NFC on both devices

An nursing informatics specialist is planning to record her lecture for an in-service program and then upload it to a secure website. Participants in the in-service program are instructed to view the presentation before attending the in-person part of the program. The specialist hopes that viewing the presentation beforehand will stimulate a more involved question-and-answer discussion. Which software would the participants most likely use to view the presentation?

iTunes

A nurse researcher is reviewing the line graph created from data on a spreadsheet. The researcher identifies the data point as:

intersection of value on the x- and y-axes.

A nurse is working with a client recently diagnosed with heart failure. He asks the nurse about good websites that he could use to learn more about his condition. The client tells the nurse that his computer uses a wireless connection. The nurse understands that this type of connection:

is limited in distance.

A nursing informatics specialist is part of a project management team that was responsible for implementing an agency-wide clinical information system. The system was implemented in January of this year. The team plans to conduct a planned evaluation of the system at which time after implementation

july

An educational software program has been developed to sharpen the skills of the nursing staff. The program incorporates a set of fill-in-the-blanks and true/false questions. These activities would promote development of:

knowledge.

A nurse is using a combinatorial vocabulary for electronic nursing documentation using a multiaxial taxonomy. The nurse creates a term that includes a term from the client and focus categories. The nurse is using:

postcoordinated term.

A nurse is participating in an online certification course and is preparing to take the exam. According to the program, the exam uses computerized adaptive testing. The nurse understands that this type of exam:

provides subsequent questions on previous responses.

A nurse is creating a slide presentation using a newer presentation style and slide design instead of the standard slide title and bullet design. The nurse understands that this type of design primarily:

reduces cognitive load.

A nurse is working on the computer using a trial copy of a software program. The nurse is using:

shareware.

A nurse is a part of a committee working on a project for implementing an electronic documentation system in the agency. The committee conducts a thorough needs assessment to ensure the:

system implementation is a success.

A nurse is working with a database and identifies the attributes of each field. The nurse understands that an attribute refers to:

the smallest structure in the database.

A nurse is creating a slide presentation and is using a predesigned combination of colors, font style, size, and position of place keepers. The nurse is utilizing a:

theme.

A nurse is accessing the Internet using the following URL—http://www.ahrq.gov/research/findings/evidence-based-reports/index.html. The nurse identifies the ".gov" as:

top-level domain name.

During an in-service slide show, each slide fades into view. This is called:

transition.

The nurse is developing a plan of care for a client, integrating information from the client's history and physical examination, laboratory and diagnostic test results, and medications using the new informatics system adopted by the facility. The nurse understands that informatics facilitates the task because it focuses on:

using information technology.

A committee is evaluating several vendors for a health information system, and the members notice that one of the vendors describes some new and amazing features that are in development, along with an upcoming release of a new product that is designed to increase the user friendliness of the system. Unfortunately, the vendor fails to deliver on these features. The committee interprets this as:

vaporware

A client contacts his healthcare provider through a web-based portal software program to ask for a medication refill. The client is using:

virtual private network