Nursing Informatics: Chapter 1
Which of the following is not associated with information literacy? 1. Recognizing when information is needed 2. Ability to find, evaluate, and effectively use information 3. Familiarity with the use of personal computers and software 4. Understanding ethical issues surrounding the use of information
3
Describe at least three factors in the current healthcare delivery system that drive the implementation of information technology in the acute care setting. 1. Patient safety 2. Nursing shortage 3. Evidence-based practice 4. Increased numbers of digital natives in nursing practice
4
The Quality and Safety Education for Nursing (QSEN) project sets an agenda to improve the quality and safety of the health care delivery system. To achieve the goals set by QSEN, the Institute of Medicine (IOM) suggested the following competencies for nurses except for which of the following? 1. Patient centered care 2. Team work and collaboration 3. Informatics and evidence-based practice 4. Professional code of conduct
4
The American Nurses Credentialing Center (ANCC) incorporated the foundation provided by the American Nurses Association (ANA) in its definition of nursing informatics and scope and standards of practice. Applicants for the Informatics Nurse credentialing examination are required to meet which of the following minimum criteria? Standard Text: Select all that apply. 1. Advanced graduate education in nursing informatics (or related field) 2. Equivalent of two years of full-time professional practice 3. Professional clinical practice for at least 500 hours 4. Baccalaureate or higher degree in nursing (or relevant field baccalaureate) 5. Current, active license as a professional nurse
2,4,5
The TIGER initiative is an acronym for which of the following? 1. Technology Information Grants Electronic Records 2. Technological Initiative Given Electronic Reform 3. Technology Informatics Guiding Education Reform 4. Technology Information Guiding Electronic Reports
3
A nurse manager wishes to hire a new nurse who has just graduated from nursing school. At the beginning level of informatics competencies, the nurse should be able to do which of the following? 1. Attain informatics nurse certification within six months of beginning practice. 2. Input vital signs and intake and output data in the electronic medical record. 3. Utilize the Internet to review trends in health care information technology. 4. Use an electronic spreadsheet to create staffing rotations.
2
Which statement by the nurse verifies that the nurse is "information literate"? 1. "I understand how to search for a website and evaluate its usefulness for health care needs." 2. "I utilize databases in the health care setting to input client information such as skin condition." 3. "I use email over the Internet to correspond with clients and provide information." 4. "I can use software applications such as word processing, spreadsheets, and presentations."
1
The best estimate of the number of informatics nurses needed over the next few years is which of the following? 1. 500 to 1500 2. 6000 to 12,000 3. 2000 to 5000 4. 15,000 to 25,000
2
Access to patient care data and utilization of nursing research are essential components of evidence-based practice designed to increase patient safety and provide quality care. Which of the following can technology cannot be employed to remove barriers to information and evidence-based practice? 1. Online report cards 2. Handheld devices 3. Electronic spreadsheet software to manage data 4. World Wide Web
1
In which way does medical informatics overlap with nursing informatics? 1. Medical and nursing informatics focus on the areas of information retrieval. 2. Medical and nursing informatics focus on patients' families. 3. Medical and nursing informatics focus on hospital complications. 4. Medical and nursing informatics focus on hospital complications.
1
Nursing informatics employs information and computer technology to support all aspects of nursing practice, including research. Which is an example of supporting research? 1. Development of a standardized nursing language 2. Identifying evidence of best clinical nursing practices 3. Familiarity with spreadsheets and statistics software and analysis 4. Housing collected client data within automated record systems
1
Over the next few years, nursing informatics and other health informatics disciplines will crisscross, resulting in more interdisciplinary projects. This statement is true because of which of the following reasons? 1. Nurse informatics specialists will work collaboratively with other disciplines to develop user-friendly systems. 2. Nurse informatics specialists will work with other disciplines in an attempt to gain control over the use of the health care technology. 3. Nurse informatics specialists understand all of the disciplines and are able to effect changes in technology. 4. Nurse informatics specialists are knowledgeable about the needs of the typical consumer of technology.
1
The nurse understands that nursing informatics is recognized as a specialty area of practice by which statement? 1. Research priorities for nursing informatics include the development of a standard nursing language and the development of databases for clinical information. 2. A formal educational program at the master's level must be completed before a nurse is eligible to sit for the credentialing examination. 3. As a differentiated practice, nursing informatics is focused upon the client, the environment, health, and the nurse. 4. There is a need for nursing informatics interests to gain representation by work groups and organizations within the United States.
1
There are no available nursing informatics programs including doctoral degrees; therefore, nurses prepare for advanced practice through medical informatics curriculum. This answer is false because of which of the following reasons? 1. There are a number of accredited advanced nursing education programs in informatics in the United States. 2. Advanced degrees in nursing informatics are available only online in the United States. 3. There is limited interest in advanced education in nursing informatics. 4. There are advanced degrees available in nursing informatics, however, with technology experience there is no need for advanced theoretical education.
1
Which of the following answers is the best definition of data? 1. Data are a collection of numbers, characters, or facts that are gathered according to some perceived need for analysis and possibly action at a later point in time. 2. Data are the synthesis of information derived from several sources to produce a single concept or idea. 3. The definition of data is knowledge used appropriately to manage and solve problems. 4. The general term data is used to refer to the management and processing of information with the assistance of computers.
1
Which statement indicates the appropriate level of informatics competencies to the correct nurse? 1. A nurse informatics specialist extrapolates data to develop best practice model for indwelling catheter care. 2. The novice nurse using a spreadsheet to document medication reactions. 3. An experienced staff nurse creates databases employing SNOMED. 4. A beginning nurse utilizes the Internet to integrate multidisciplinary languages.
1
Which statement regarding pressures that drive the health care delivery system today is not accurate? 1. The current and projected nursing shortage may be eliminated by instituting technology enhancements in the acute care setting. 2. Evidence-based practice is supported with technology that enables the health care provider to utilize up-to-date research findings. 3. Medication errors and adverse events may be reduced with the implementation of computerized physician order entry (CPOE). 4. Managed care may utilize disease management to identify clients with chronic conditions, and treat them effectively to minimize complications and cost.
1
A disadvantage to the utilization of the electronic medical record (EMR) includes which of the following? 1. Accessibility from several different locations simultaneously and by different levels of providers 2. The intensive training in the beginning needed to prepare staff members to use the EMR 3. Less time available for client care because more time is required for documentation activity 4. Inability to incorporate diagnostic images into the EMR because of space limitations
2
Health care consumers have all the information and tools to make health care choices because they can easily compare quality and cost of care. Which of the following is correct? 1. This statement is true because the tool has been invented. 2. The statement is false because the tool has not been developed. 3. The statement is true because most consumers have Internet access. 4. The statement is true because of the steep learning curve associated with searching the Internet.
2
The Informatics Nurse Specialist is an integral member of the health care team with the expertise to: 1. Create a vision of what is possible in the specialty of informatics. 2. Create standardized nursing languages. 3. Create interactive web sites . 4. Create strategic plans for hardware improvement
2
The reason that nursing lags behind in the education of nursing informatics specialists is because of which of the following? 1. The surplus of nursing informatics professionals in the hospital setting 2. The lack of qualified faculty in graduate programs 3. Too few nurses are interested in the specialty area 4. Nursing informatics is an expensive specialty with little government funding
2
The role of the informatics nurse does not include assessing the usability of devices for health care consumers. This statement is false because of which of the following reasons? 1. The informatics nurse approves the usability of devices. 2. The development of policy regarding usability is an important part of the informatics nurse's role. 3. The informatics nurse is concerned more with the actual device than the usability. 4. The informatics nurse's role is to work only with the nursing staff and not patients.
2
Which action indicates the nurse is functioning as a knowledge worker? 1. The nurse auscultates hypoactive bowel sounds while doing a client assessment eight hours postoperatively after abdominal surgery and documents the assessment in the electronic medical record. 2. The nurse administers four units of regular insulin to the client whose blood glucose is 240 at 11:30 a.m. per physician's sliding scale orders and documents it on the electronic medical administration record. 3. The nurse auscultates diminished breath sounds in a postoperative client the morning after abdominal surgery and encourages the client to turn, cough, and deep breathe every hour instead of every two hours. 4. The nurse obtains the client's vital signs of BP-120/82, P-112, and R-32, totals up the intake of 1040 ml and the output of 1100 ml, and records these data in the electronic medical record.
3
Knowledge management is a structured process for the generation, storage, distribution, and application of what kind of knowledge in the organization? Standard Text: Select all that apply. 1. Chronological knowledge 2. Redundant knowledge 3. Tacit knowledge (personal experience) 4. Generational knowledge 5. Explicit knowledge (evidence)
3,5
The nurse gathers much data when caring for clients. Which is an example of the higher-level "information" useful in caring for clients? 1. The vital signs are BP of 130/70, HR of 88, RR of 24, temperature of 98.8 degrees F., and oxygen saturation of 98%. 2. Lab work results include an electrolyte panel and complete blood count with differential. 3. The client is a widowed 64-year-old black male admitted with prostatitis. 4. After receiving Rocephin (ceftriaxone sodium) 1.0 gram IV yesterday, the client reported feeling better today.
4
Which of the following groups have been selected to help drive the changes necessary to transform the health care delivery system, improve quality of services delivery, and improve safety? 1. Software engineers 2. Members of TIGER initiative 3. Members of the Institute of Medicine 4. Informatics nurse specialists
4
Which role is only appropriate for the informatics nurse specialist (INS)? 1. Disseminating information for appropriate health care uses 2. Transforming data into information 3. Transforming information into knowledge 4. The design of nursing research protocols and databases
4
Which statement best distinguishes the difference between information literacy and computer literacy? 1. Information literacy is unnecessary in health care whereas computer literacy provides the basis for computer order entry. 2. Information literacy is the foundation of the EHR whereas computer literacy helps the nurse to access data. 3. A nurse can extrapolate data with computer literacy and not information skills. 4. Information literacy forms the basis for ongoing learning whereas computer literacy refers to a familiarity with the use of personal computers
4
Which of the following examples demonstrate how nursing informatics helps to support nursing practice? Standard Text: Select all that apply. 1. Quick access to computer-archived patient data from previous encounters 2. Computer-generated client documentation including discharge instructions 3. Computer-generated nursing care plans and critical pathways 4. Tools to assist consumers in assuming greater responsibility for payment for services 5. Prompts that appear during documentation to ensure comprehensive charting
1,2,3,5
Information is defined as which of the following? 1. The management and processing of facts 2. Interpreted data 3. A collection of numbers, characters, or facts that are needed for analysis and possible action 4. A synthesis of data derived from several sources to produce a single concept or idea
2
Nurses need to become skilled at using patient-centered IT tools to access information that can expand their knowledge in a just-in-time, evidence-based approach. Which one of these answers best indicates the nurse is functioning as a knowledge worker? 1. The nurse assumes the role of knowledge user. 2. The nurse shifts from primarily using critical thinking to also using critical synthesis. 3. The nurse assumes the roles of data gatherer and information user. 4. The nurse utilizes computerized assessment and documentation forms, including prompts.
2
Technology has been useful in reducing errors by assisting the health care team to identify the patient before rendering care. The most common way for nurses to identify patients using technology is through which of the following? 1. Handheld devices 2. Use of barcodes 3. Use of computers on wheels 4. Reviewing patient monitors
2