Course Point Fund. of Nursing- CH. 20

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

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

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

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

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

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

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

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

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

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

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

Analyze and Plan

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

Conciseness Clarity Familiarity for the user

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

Consistency

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

Data

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

Data

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

Data visualization

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

Design and build

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

Determine the need or problem to be solved

A group of nurses are participating in being the first group of staff to use a new electronic pain assessment tool. The group is discussing whether or not the system is easy to use. During the discussion, the group mentions that "the shortcuts provided are really helpful and save valuable time." The informatics nurse specialist interprets this statement as reflecting which concept?

Efficient interactions

An informatics nurse specialist is working as part of the team working on adding a new pain rating assessment tool to an already established electronic health record. The team is discussing which type of training would be best. After reviewing the various options available, the informatics nurse specialist determines that additional discussion is needed when the team identifies which type of training as being appropriate? Select all that apply.

Formal classroom sessions Tip sheet Just-in-time training

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

Health teaching and health promotion

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

Identify clients at risk for infection

An informatics team is evaluating the implementation of a new system for admission assessments. The team has determined what to evaluate, developed the question for necessary data collection, and conducted a literature review. Place the steps listed below in the order that the team would follow to complete the evaluation.

Identify the specific data elements to be collected. Determine the design of the study. Clarify how the data will be collected. Display data that was collected and analyzed. Document the outcome evaluation.

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

Identifying what will be evaluated

An informatics nurse specialist is part of a team that will be implementing a new clinical information system at the facility. The nurse specialist advocates to include staff nurses who will be using the system to be involved in the process. The nurse specialist advocates for this based on which reason?

Improve the chances that the system will meet the intended need

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

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

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

Interoperability

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

Interoperability

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

Naturalness

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

Patient portal

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

Patient portal

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

Pharmacogenomics

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

Predictive analytics

An informatics nurse specialist is involved in evaluating a new clinical information system recently implemented at the facility. As part of the evaluation process, the nurse specialist is preparing to conduct a study to evaluate the system. Which aspect would the nurse specialist need to consider when determining the type of study to be done? Select all that apply.

Question being asked Data being collected

The nurse is performing a quality improvement audit and gathering client records to begin the audit. How would the nurse use client records for quality assurance purposes?

Randomly select client records to determine whether certain standards of care were met and documented.

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

Simplicity

An informatics nurse specialist is participating in a career day at a local job fair. When describing the primary responsibilities to a group of attendees, which responsibilities would the nurse specialist include? Select all that apply.

Strategy development Multidisciplinary collaboration Implementation of a clinical system System evaluation

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

Telehealth

A nurse has a two-way video communication with the specialist involved in the care of a client in a long-term care facility. This is an example of what nursing informatics technology?

Telemedicine and mobile technology

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

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

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

Usability

A nurse is reading a journal article about informatics and use in health care. When reading the article, which concepts would the nurse likely expect to find as specifically related to this field? Select all that apply.

Usability Optimization Interoperability

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

Use of strong passwords

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

mHealth

An informatics nurse specialist is conducting an in-service program for a group of informatics nurses. The nurse specialist is reviewing the components of the system development lifecycle and determines that the education was successful when the group identifies the phases of the lifecycle as similar to the:

nursing process.

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

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

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

Optimization

A hospital is switching to computerized charting. The nurse recognizes that one advantage to an electronic client chart is:

retrieval of information is more efficient.

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

Efficient interactions

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

Florence Nightingale