Informatics Final, Informatics Final Exam, Informatics Final, 399 11-14, Module 8 Quiz - Informatics, finalreview informatics, 399 15&16, 399 17-20, 399 15&16, Nursing Healthcare Informatics, Ch.8 Legislative Aspects of Nursing Informatics: HITECH &....

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The health educator is aware that health literacy is the same as being able to read and write.

False

The time between research dissemination and clinical translation is typically one to two months

False

The top patient safety issues are identified as early discharge and polypharmacy

False

The top patient safety issues are identified as early discharge and polypharmacy. T/F

False

Health informatics can facilitate all aspects of health care, especially in the __________ of knowledge and ________research, where we attempt to bridge the gap between what we know and what we do.

Generation; translational

One can capture and codify tacit knowledge by engaging in:

NOT lifelong learning

When persons living with a chronic disease use the Internet for blogging about their health challenges or participating in online discussion forums, this is known as:

NOT self-management

Successful collaborative learning is based on which?

NOT supporting individualized competition

What describes the impact the informatics specialist has on the practice of nursing?

NOT using a portable medication cart

Biomedical informatics is the science underlying the acquisition, maintenance, retrieval, and application of biomedical knowledge and information to improve patient care, medical education, and health sciences research.

TRUE

The pump must be reprogrammed so that the rate and dose for administration of the high-hazard intravenous drug falls within the facility's safe infusion parameters.

A benefit for nurses to using technology for patient education is

To improve the compliance and documentation of education

A benefit for nurses to using technology for patient education is:

To improve the compliance and documentation of education

Successful pre-live strategies in a change management plan developed for implementing an electronic health record will include all of the following except:

disciplinary measures for addressing resistance by professionals

A strength of the FITT model is that it:

encourages the evaluator to examine the fit between each two of the components: user and technology, task and technology, and user and task

Caring functions include all of the following, except:

ethics

Having healthcare practitioners working in individual professional silos has proven to be effective for improving quality patient outcomes.

false

Healthcare professionals acquire most of what they need to know for lifelong practice in basic education programs.

false

Tacit knowledge is easy to convey, transmit, or share.

false

Technologies are usually not disruptive to the profession-patient caring encounter.

false

The work of healthcare professionals is primarily physical

false

While relationship-centered care promotes enhanced mental and physical well-being in patients, it has little effect on professionals.

false

When a nurse uses information from other sources to help rethink, revise, and apply knowledge to a clinical situation, this is known as:

feedback

Simulators encompass a broad range of devices including, but not limited to: (Select all that apply)

partial task trainers, such as an IV insertion arm/screen based simulations, including simulated EHR's simulated environments replicating a realistic patient care area complex computer drive human patient simulation manikins

When persons living with a chronic disease use the Internet for blogging about their health challenges or participating in online discussion forums, they are engaging in:

peer to peer support

Integrating technology into the medication administration cycle helps to reduce errors by:

performing electronic checks against a database of safe medication administration parameters and providing alerts.

Computer-based instruction may:

All of these are correct. (erase geographic boundaries for students, enhance the presentation of content, improve learning outcomes)

Information literacy is:

An intellectual framework for finding, understanding, evaluating, and using information activities that may be accomplished in part through fluency with information technology and sound investigative methods, but most importantly, through critical reasoning and discernment

When a nurse is largely competent in carrying out care, efficient with interventions, but inattentive to communication and nonverbal cues projected by patients and families, we say the professional is: A. fully present. B. demonstrating transcendent presence. C. physically present. D. All of these are correct.

When persons living with a chronic disease use the Internet for blogging about their health challenges or participating in online discussion forums, they are engaging in: A. self-diagnosis. B. self-management. C. peer-to-peer support. D. All of these are correct.

Which of the following terms is defined as any physical or mental health information created, received, or stored by a "covered entity" that can be used to identify an individual patient, regardless of the form of the health information. A. Provider health information B. Patient health information C. Protected health information D. All of these are correct.

Which if the following statements best describes caring as defined by Watson's Theory of Human Caring?

Caring is healing consciousness and intentionality to care and promote healing.

Which statement best describes caring as defined by Watson's Theory of Human Caring?

Caring is healing consciousness and intentionality to care and promote healing.

Casuist approach

Casuistry is a specific ethical reasoning method that analyzes the facts of a case in a sound, logical, and ordered or structured manner.

Continuous Care model

Which of the following are driving force(s) for increased use of telehealthcare? (Select all that apply)

Demographics Nursing/healthcare worker shortages Excessive costs of health care services

The gap between those who have access to online information and those who do not is called the:

Digital Divide

Online communication among healthcare teams is called:

Electronic communication and connectivity

Healthcare technologies frequently result in all of the following, except:

Elimination of patient safety issues

A major goal of the eHealth Initiative is to

Empower consumers to understand their health needs

What is an analytic, logical process with the ultimate goal of forecasting or predicting?

Data Mining

_______ ________ is an analytic, logical process with the ultimate goal of forecasting or prediction.

Data mining

What seeks to determine the type of health problems that could be caused by exposure to a potentially hazardous material?

Hazardous Identification

When individuals have the capacity to obtain, process and understand health information, this is known as:

Health Literacy

______ is another purpose of the HITECH Act. This term is defined as differences or gaps in the care experienced by one population compared with another population.

Health disparities

Individuals having the capacity to obtain, process, and understand health information is known as:

Health literacy

Bioinformatics tools:

Help biomedical informaticists and healthcare personnel tackle the analysis of large data sets

The dynamic system development method (DSDM) is

Highly interactive

Clinical Support Tools

Historical examples include practice guidelines carried in clinicians' pockets, patient cards used by providers to track a patient's treatments, and tables of important medical knowledge. The primary goal of implementing a CDS tool is to leverage data and the scientific evidence to help guide appropriate decision making

Data integrity can be compromised through which of the following? (select all that apply)

Human error or hackers Transmission errors

The HITECH Act had which of the following goals?

Increase information exchange

According to the Food and Drug Administration, the broad definition of personalized medicine is:

Individualized care

Webcasts are:

Live video presentations via the Web

An adverse event response team:

Reenacts or simulates adverse events to better understand the organizational or procedural processes that failed

Blockchain

Security of health data remains one of the challenges for HIEs and, in general, interoperability of health data and information. Blockchain is a standard increasingly put forth as a solution. Best known for its use for bitcoins, blockchain is extremely secure when coupled with encryption.

What assesses the risk of the hazardous material causing illness in the population?

Risk characterization

A nursing instructor is designing an assignment that requires social interaction and is goal oriented. Which learning environment would meet these learning requirements?

Simulation

A nursing instructor is designing an assignment that requires social interaction and is goal-oriented. Which learning environment would meet these requirements?

Simulation

A teenaged patient is distracted and not engaged in a patient education class in a healthcare facility. What alternative education method might the nurse recommend for this patient?

An interactive computer game

Cybersecurity

Another federal regulatory agency with a role in the privacy and security of health care data is the (FDA). The FDA oversees the safety of medical devices, which includes addressing the management of cybersecurity risks and hospital network security. Recent guidelines issued recommend that medical device manufacturers and health care facilities take steps to ensure that appropriate safeguards are in place to reduce the risk of failure caused by cyberattack. This could be initiated by the introduction of malware into the medical equipment or unauthorized access to configuration settings in medical devices and hospital networks. As medical devices are increasingly integrated within health care environments, there will be a need for vigilance toward cybersecurity practices to ensure all systems are adequately protected and patients remain safe from harm. Nurse Informaticists are frequently called on to evaluate safety and effectiveness of new devices and software. Considerations of cybersecurity must be included in any evaluation process.

A nurse is playing an educational game that requires quick action and intervention, which is known as a(n): A. strategy game. B. action game. C. building game. D. adventure game.

A nursing instructor is designing an assignment that requires social interaction and is goal-oriented. Which learning environment would meet these requirements? A. Virtual world B. Simulation C. Tutorial D. Gaming

A nursing student makes an error in patient care during the simulation activity. Which statement by the nursing instructor can assist the student in learning from the simulation? A. "Did you see that your peers did not make this mistake?" B. "How could you prevent this error in the real world?" C. "Why did you do that?" D. "What did you to do prepare for this simulation?"

Healthcare organizations typically do not encourage use of personal devices for professional matters, and in many instances they actually have policies in place forbidding employees from using personal devices in the workplace. What is an issue or are issues with "bring your own device" (BYOD)? A. Validity B. Security of PHI C. Portability D. All of these are correct.

Multiple false alarms may lead to alarm fatigue and compromise patient safety by slow response or no response to physiologic alarms. Strategies to improve alarm response include: A. increasing the sensitivity of the physiologic monitors and feeding alarms directly to beepers or phones carried by professionals. B. feeding alarm data into a reporting database for further analysis. C. discouraging healthcare professionals from rounding with physicians because they are often guilty of ignoring alarms. D. All of these are correct.

Telehealth used in the medical field is known as: A. teleradiology. B. telemedicine. C. telepathology. D. telenursing.

There are solutions to health problems that are not implemented in a timely fashion because of the lack of access to important health information, a condition known as the: A. digital divide. B. know-do gap. C. health divide. D. knowledge divide.

What is the term for a live, online, interactive three-dimensional environment in which users interact using speech or text via a personalized avatar? A. Simulation B. Virtual world C. Game mechanics D. Game play

When we enter the uncharted world of the other without preconceived notions about what to expect, we are practicing: A. centering. B. bracketing. C. meditation. D. All of these are correct.

Which of the following factors are drivers of the growing trend toward telehealth and technology use and will influence nursing practice significantly in the next decades? A. Overabundance of nursing and healthcare workers B. Chronic diseases and conditions C. Uneducated consumers D. All of these are correct.

______ is a tool designed to emulate some aspect of the clinical practice environment, which may be focused on a single task or designed to mimic a complete patient care situation. A. A game B. A simulator C. Scaffolding D. All of these are correct.

Patient-centered care means that practitioners should focus on:

The subjective experience of patients

Human-to-human data generated in authentic interactions is not as valuable as technology-generated data.

FALSE

Before data can be analyzed or critically reviewed to determine outcomes or assessment, they must be collected and aggregated. A. true B. false

True

Information literacy is an intellectual framework for finding, understanding, evaluating, and using information. These activities are accomplished in part through: A. all of these are correct B. sound investigative methods C. fluency with information technology D. critical reasoning and discernment

all of these are correct

One should never blindly trust information found on a webpage. When possible, you should check: A. the data of the most recent update B. contact information C. links to external sources and previous attained knowledge from other reputable sources D. all of these are correct

all of these are correct

Quantitative data collection tools are instruments generate numerical data rather than text-based data. Examples of these types of tools include: A. all of these are correct B. questionnaires C. quizzes and assessments D. interviews, e-mail interviews, and surveys, including web-based surveys

all of these are correct

Which of the following are professional databases? A. Cumulative Index to Nursing and Allied Health Literature (CINAHL) B. MEDLINE C. PsycInfo D. All of these are correct

all of these are correct

Which of the following is a major source of qualitative data? A. all of these are correct B. written document C. direct observation D. in-depth interview

all of these are correct

Point-of-care-testing (POCT)

allows for testing and diagnosis at the patient's side and can be conducted anywhere the patient is, such as the home, physician office, ambulance, or hospital bedside. This technology allows for quick, on-the-spot testing, with immediately available results. Additionally, these results can be downloaded directly into the EHR through interface engines. This decreases the risk of error in manually entered results, and the results are immediately available to caregivers for making treatment decisions.

What is the term for how the learner interacts with the game? A. simulation B. virtual world C. game play D. game mechanics

game play

DICOM (think digital)

is a messaging standard that is used to communicate diagnostic and therapeutic information on digital images and associated data.

Boosting is what the term implies—a means of increasing the power of the models generated by weighting the combinations of predictions from those models into a predicted classification.

True

Browser privacy settings can control how cookies are used.

True

Brushing is a technique in which the user manually chooses specific data points or observations or subsets of data on an interactive data display.

True

Caring consciousness is energy within the human-environmental field of a caring moment.

True

Caring consciousness is energy within the human-environmental field of a caring moment. T/F

True

Chronic diseases are of major concern to the United States, not only because of the impact they have on individuals, but also because of the tremendous cost associated with providing treatment for patients with these conditions. Adult-onset diabetes, for example, has reached epidemic proportions. A national health information technology infrastructure will help providers better identify those patients who are at risk for developing this disease and provide treatment strategies to avoid it. True or False

True

Quantitative data collection tools or instruments include questionnaires, interviews, surveys, quizzes, assessments, e-mail interviews, and Web-based surveys.

True

RFID technologies have both supply chain and patient care applications to patient safety.

True

Repetition of previous research studies is more valued in advancing new knowledge than too many original studies.

True

Research has shown that patients have expressed satisfaction with telehealth.

True

Research results have shown that data mining is an analytical process that can be effective for planning the appropriate interventions for many areas of health care.

True

Researcher Titler (2007) suggests there is a need for the development of theoretical formulations to guide research and systematic reviews.

True

Risk factor systems are used throughout the United States and may be local, regional, or national in scope.

True

Risk factor systems are used throughout the country and may be local, regional, or national in scope. Similarly, specific risk assessment tools exist for specific health issues.

True

Simulated experiences in nursing education should contain the PEDA (pre-brief, enactment, debrief, and assessment) elements to provide important opportunities for students to hone critical thinking and clinical skills in a safe and supportive environment.

True

Six Sigma is a data-driven method to eliminate defects, avoid waste, or assess quality control issues. It aims to decrease discrepancies in business and manufacturing processes through dedicated improvements. Six Sigma uses the DMAIC steps: define, measure, analyze, improve, and control.

True

Smart pump technologies are designed to safely administer high-hazard drugs and to reduce adverse drug events during intravenous medication administration. Smart pumps have software that is programmed to reflect the facility's infusion parameters and a drug library that compares normal dosing rates with those programmed into the pump.

True

Surveillance data systems, such as infectious disease trackers that collect data on adverse health effects, are invaluable tools for public health officials to tap for planning, evaluating, or implementing public health interventions.

True

Telehealth can positively impact the healthcare outcomes for patients with chronic diseases, particularly those with higher acuity levels who are at significant risk of having a medical crisis that might necessitate emergency or unplanned acute interventions. Many other patients with chronic diseases are less susceptible to a health crisis but would greatly benefit from home telemonitoring to improve care and reduce costs.

True

The American Recovery and Reinvestment Act of 2009 was implemented to encourage healthcare organizations to adopt the meaningful use of the electronic health record.

True

The Cochran Collaboration was established in 1993, and is a database of the reviews of clinical trials

True

The HIPAA privacy requirements, which went into effect on April 14, 2003, limited the release of protected health information without the patient's knowledge and consent. True or False

True

The Patient Safety and Quality Improvement Act of 2005 mandated the creation of a national database of medical errors and funded several organizations to analyze these data with the goal of developing shared learning to prevent medical errors.

True

The Patient Safety and Quality Improvement Act of 2005 mandates the creation of a national database of medical errors and funded several organizations to analyze these data with the goal of developing shared learning to prevent medical errors.

True

The availability of data and speed of data exchange can have a significant impact on critical public health functions, such as disease monitoring and syndromic surveillance.

True

The data processed into public health information can be obtained from administrative, financial, and facility sources. Included in this data stream may be encounter, screening, registry, clinical, laboratory, and surveillance data.

True

The electronic health record may be used to identify patients who qualify for research studies

True

The future of health care lies in an organization's ability to effectively communicate and work together with others via technology in order to improve patient care.

True

The human interfaces for each of the various technologies are different and can even differ among different brands or versions of the same device.

True

The overall question the risk assessment has to answer is, "How much risk is acceptable?"

True

The popularity of social and mobile networking applications is one indication of how new Web-based technologies are changing communication preferences. True or False

True

Using social media in education may promote the development of skills that will support professional collaboration as students enter the practice arena.

True

Virtual reality can be used successfully to train and educate healthcare professionals.

True

Virtual worlds are intended for users to inhabit and interact, and the term today has become largely synonymous with interactive 3D virtual environments, where users take the form of avatars visible to others graphically.

True

Feedback

uses information sources to help rethink, revise, and apply knowledge

Transparency

using knowledge without being consciously aware of what aspect of knowledge

Knowledge Transparency

using knowledge without conscious thoughts

A meta-analysis helps to generate new practice evidence and nursing knowledge by:

using statistical methods to combine the results of several quantitative studies.

What is the term for a live, online, interactive three-dimensional environment in which users interact using speech or text via a personalized avatar?

virtual world

What is the term for a live, online, interactive three-dimensional environment in which users interact using speech or text via a personalized avatar? A. game play B. game mechanics C. virtual world D. simulation

virtual world

Two ethics approaches that emphasize considerations for human needs and responsibility to meet needs are:

virtue and care ethics

Behaviors leading to unintentional data breaches include:

walking away from a workstation without logging off

Nurses are knowledge workers, knowledge work is

work that entails a significant amount of cognitive activity

Object-oriented systems development (OOSD) uses object-oriented modeling to represent real:

world objects

Rapid application development is:

a fast way to add functionality through prototyping and user testing

Ethics is best described as:

a goal-oriented approach to answering questions that potentially have multiple acceptable answers.

Clinical decision support (CDS)

a process designed to aid directly in clinical decision making, in which characteristics of individual patients are used to generate patient specific interventions, assessments, recommendations, or other forms of guidance that are then presented to a decision-making recipient or recipients that can include clinicians, patients, and others involved in care delivery.

_______ is a tool designed to emulate some aspect of the clinical practice environment, which may be focused on a single task or designed to mimic a complete patient care situation.

a simulator

_______ is a tool designed to emulate some aspect of the clinical practice environment, which may be focused on a single task or designed to mimic a complete patient care situation. A. all of these are correct B. a game C. a simulator D. scaffolding

a simulator

Videoconferencing technology:

allows professionals to communicate more effectively and frequently with in-home patients

In what type of game does a person use a device, such as a smartphone, to overlay additional information onto the real world?

augmented reality game

In what type of game does a person use a device, such as a smartphone, to overlay additional information onto the real world? A. casual game B. augmented reality game C. serious game D. educational game

augmented reality game

A simulated medical record or simulated electronic health record has four components. Which of the following is one component? A. static webpage shells B. computers with internet access C. all of these are correct D. spreadsheet

computers with internet access

New professionals and students can be thought of as knowledge ____________ because they use the knowledge of experienced professionals or search for sources of knowledge related to their practice.

consumers

Heuristic Evaluation

detects problems early in the design process

A nurse is documenting in the electronic health record and uses standardized terminology, which is important because:

it captures and codifies the work of nursing

Different Web address (domain) suffixes indicate who is responsible for creating the website. A Web address sponsored by the government would have which suffix? A. .edu B. .gov C. .org D. .com

.gov

Which domain name do Internet users consider to be a reliable source of quality health education information?

.org

There are solutions to health problems that are not implemented in a timely fashion because of the lack of access to important health information, a condition known as the:

know-do gap

Wisdom is: (select all that apply

knowledge applied in a practical way or translated into actions insight to exercise sound judgment in practical matters the synthesis of our experience, insight, understanding and knowledge

A novice nurse is more likely to be which type of knowledge worker?

knowledge consumer

Which group is mainly users of knowledge who do not have the expertise to provide the knowledge they need for themselves?

knowledge consumers

Intranets, extranets, knowledge directories, blogs, and wikis are examples of

knowledge management tools

Explicit Knowledge

knowledge that can be exchanged in data, manuals, principles, policies, & theories

When students in an online course engage in discussion in an electronic forum they are involved in what type of interaction?

learner-learner

Organizations are able to monitor who is using the organizational network and what files that user has accessed, because any use of an electronic network:

leaves a digital footprint

Syndromic surveillance

mechanism that is used to identify disease clusters early, before diagnoses, to confirm and report findings to public health agencies

physically present

New technologies in digital communications, electronic health records and telehealth raise issues related to:

privacy and confidentiality

Radio frequency identifier (RFID) technology may gradually replace bar-code technology in the medication administration cycle because RFID provides:

reduced potential that a counterfeit medication is inadvertently introduced into the supply.

Although nurses have an ethical duty to ensure patient safety, increasing demands on professionals in complex and fast-paced healthcare environments may lead to workarounds. What is a workaround?

A shortcut to save time

What represents a copyright infringement

A copied document used without owner's consent

Positive impacts noted with using an informatics system to manage patients with chronic illness include:

All of these are correct. (Guidelines adherence, a decrease in emergency department visits, improved provider documentation

Privacy

According to Healthit.gov (2014) Protecting Your Health Information, the privacy and security of patient health information is a top priority for patients and their families, health care providers and professionals, and the government. This was also previously discussed under HIPAA. It also requires that "key persons and organizations that handle health information to have policies and security safeguards in place to protect your health information whether it is stored on paper or electronically." An important issue related to personal information, about the owner or about other individuals, that focuses on sharing this information with others electronically and the mechanisms that restrict access to this personal information.

Informatics education tools (educational technologies) must be designed to be:

All of these are correct. (Intuitive and affordable, usable, responsive and evidence-based)

A decision support system in the electronic health record consists of: A. reminders and alerts to improve the diagnosis of a patient. B. screening for drug selection, dosing, and interactions. C. preventive health reminders. D. All of these are correct

All of these are correct

An organization's confidentiality policy should clearly define: A. which data are confidential. B. procedures for releasing confidential information. C. procedures to follow if confidential information is accidentally released without authorization. D. All of these are correct.

All of these are correct

Health information and data in the electronic health record consist of: A. demographics. B. medical diagnoses. C. medication lists and allergies. D. All of these are correct.

All of these are correct

Patients partnering with healthcare professionals to manage their health is an example of: A. empowerment. B. patient engagement. C. connected health. D. All of these are correct.

All of these are correct

Patients who have which of the following characteristics can use telenursing services? A. Are immobilized B. Have a chronic disease C. Live in remote places D. All of these are correct.

All of these are correct

Positive impacts noted with using an informatics system to manage patients with chronic illness include: A. guidelines adherence. B. a decrease in emergency department visits. C. improved provider documentation. D. All of these are correct.

All of these are correct

Task analysis involves: A. inputs needed for the task. B. how a task must be accomplished. C. constraints on actors' choices on carrying out the task. D. All of these are correct.

All of these are correct

Which of the following is a potential outcome of patient-centered care? A. Patients can provide their subjective experience as an input to improve healthcare delivery. B. Care providers may develop their capacity for reflexivity, which may improve their understanding of the implications of their actions. C. Patients and practitioners can provide insights into the overall organization on how to innovate processes and facilities to respond to local needs. D. All of these are correct

All of these are correct

In addition to organizational commitment of resources to address safety concerns, what is a key feature of a safety culture as identified by the AHRQ?

All of these are correct (Acknowledgment of the high-risk nature of an organization's activities and the determination to achieve consistently safe operations., A blame-free environment where individuals are able to report errors or near misses without fear of reprimand or punishment., Encouragement of collaboration across ranks and disciplines to seek solutions to patient safety problems.)

Healthcare Information and Management Systems Society (HIMSS) has been tracking EHR adoption since 2005 through its Stage 7 awards program. HIMSS Stage 7 (the highest level) consists of:

All of these are correct (EHRs with data sharing, EHRs with data warehousing, Totally paperless documentation)

When professionals observes their work for a different perspective and generate insights about how healthcare services and processes could be improved, they are practicing:

reflection

A nurse is writing a narrative of a nursing care experience for an editorial in a nursing journal. What is this nurse demonstrating?

reflective practice

Anne is feeling overwhelmed with her personal issues and the complexity of the patients she cares for. She decides to keep a personal journal to provide her with insights into her patient experiences, and help her get back to her caring roots. This strategy is known as:

reflective practive

Telehealth interactions today help to insure that professionals can:

replicate usual clinical interactions in all specialties across a distance

Translation Memory

reuses past translations to improve translation productivity. It works by splitting text into short segments and storing their translations in a database. Whenever a segment is repeated, the translator can reuse a fitting previous translation, or sometimes paste a translation of a similar segment with minor edits.

An educational game- one designed for learning- is a subset of both play and fun and is sometimes referred to as a(n): A. augmented reality game B. educational game C. casual game D. serious game

serious game

Strategies for active listening include all of these, except:

sharing test results

What is the term for an imitation of a real-life event or circumstance?

simulation

What is the term for an imitation of a real-life event or circumstance? A. simulation B. game mechanics C. game play D. virtual world

simulation

Public Health Nursing is about monitoring disease outbreaks within communities. What are the ways that Public Health Departments monitor possible disease outbreaks? (Select all that apply)

situational awarenesssurveillancedetection of potential health threatscountermeasures

Examples of peripheral devices used in home telehealth include: (select all that apply) spirometers peak flow meters Pyxis medication carts pulse oximeters

spirometers peak flow meters pulse oximeters

A nursing student makes an error in patient care during the simulation activity. Which statement by the nursing instructor can assist the student in learning from the simulation?

"How could you prevent this error in the real world?"

The future of health care will be driven by an integration of new technology with:

(NOT data collection software)

Employers may use telehealth in a wellness program to:

All of these are correct (Reduce absenteeism and increase productivity, Lower healthcare costs and associated insurance premiums, Create financial incentives for achieving healthcare objectives)

Clinical Support Tools examples

-Computerized alerts and reminders for providers and patients -Drug-drug interaction alerts -Underdose or overdose alerts based on renal or liver functions or age or drug levels -Actionable clinical guidelines -condition specific order sets -Focused pt data reports and summaries -Diagnostic support -Contextually relevant info

Alert fatigue

-Defined as simply disrupting clinical workflow -Can result in dismissed alerts -Contributes to resistance to CDSSs -Alert fatigue and clinical burnout are common byproducts of poorly implemented clinical decision support features that overwhelm users with unimportant information or frustrating workflow freezes that require extra clicks to circumvent.

Rationale for NOT being considered medical device per FDA

-Ebook, audiobooks, medical textbooks: intended to use for reference and not for diagnosing -Mobile apps for providers that is used for education or to reinforce facts already known: Intended for user education and NOT diagnosing -Apps for general patient info: " "

Ethical decision making

-Ethical decision making refers to the process of making informed choices about ethical dilemmas based on a set of standards differentiating right from wrong. -The E-Health Code of Ethics (eHealth code, n.d.), which includes eight standards for the ethical development of health-related Internet sites: (1) candor, (2) honesty, (3) quality, (4) informed consent, (5) privacy, (6) professionalism, (7) responsible partnering, and (8) accountability. -the concept of nonmaleficence ("do no harm") will be broadened to include those individuals and groups whom one may never see in person, but with whom one will enter into a professional relationship of trust and care.suggests that both autonomy and justice are enhanced with universal access to information, but that tensions may be created in patient-provider relationships as a result of this access to outside information. Healthcare workers need to realize that they are no longer the sole providers and gatekeepers of health-related information; ideally, they should embrace information empowerment and suggest websites to patients that contain reliable, accurate, and relevant information

Apps for being considered medical device per FDA

-Mobile apps that provide or facilitate supplemental clinical care, by coaching or prompting, to help patients manage their health in their daily environment - Examples include apps that coach patients with conditions such as cardiovascular disease, hypertension, diabetes or obesity, and promote strategies for maintaining a healthy weight, getting optimal nutrition, exercising and staying fit, managing salt intake, or adhering to pre-determined medication dosing schedules by simple prompting. -Mobile apps that provide patients with simple tools to organize and track their health information - Examples include apps that provide simple tools for patients with specific conditions or chronic disease (e.g., obesity, anorexia, arthritis, diabetes, heart disease) to log, track, or trend their events or measurements (e.g., blood pressure measurements, drug intake times, diet, daily routine or emotional state) and share this information with their health care provider as part of a disease-management plan. -Mobile apps that provide easy access to information related to patients' health conditions or treatments (beyond providing an electronic "copy" of a medical reference) -Examples include apps that use a patient's diagnosis to provide a clinician with best practice treatment guidelines for common illnesses or conditions such as influenza;Apps that are drug-drug interaction or drug-allergy look-up tools. -Mobile apps that are specifically marketed to help patients document, show, or communicate to providers potential medical conditions - Examples include apps that serve as videoconferencing portals specifically intended for medical use and to enhance communications between patients, healthcare providers, and caregivers;Apps specifically intended for medical uses that utilize the mobile device's built-in camera or a connected camera for purposes of documenting or transmitting pictures (e.g., photos of a patient's skin lesions or wounds) to supplement or augment what would otherwise be a verbal description in a consultation between healthcare providers or between healthcare providers and patients/caregivers. -Mobile apps that perform simple calculations routinely used in clinical practice-Examples of such general purpose tools include medical calculators for Body Mass Index (BMI), Total Body Water / Urea Volume of Distribution, etc. -Mobile apps that enable individuals to interact with PHR systems or EHR systems-Examples include apps that provide patients and providers with mobile access to health record systems or enables them to gain electronic access to health information stored within a PHR system or EHR system. -Mobile apps that meet the definition of Medical Device Data Systems -Examples include apps that are intended to transfer, store, convert format, and display medical device data, without controlling or altering the functions or parameters of any connected medical device.

Areas for mHealth growth

-Preventive medicine and health promotion can be leveraged through education and awareness applications; -Portable diagnostic devices that allow monitoring of human conditions in clinical settings or offsite locations; -Applications for data management, training medical personnel, and mobile payments

Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH)

-Under this act, healthcare organizations can qualify for financial incentives based on the level of meaningful use achieved -the HITECH Act specifically incentivizes health organizations and providers to become "meaningful user

Mobile health (mHealth)

-defined as the use of wireless communication to support efficiency in public health and clinical practice -To facilitate mHealth, mobile applications (apps) have been developed, which can be executed either on a mobile platform or on a web-based software application that is tailored to a mobile platform but is executed on a server. Mobile medical apps are accessories to a regulated medical device or are software that transforms a mobile platform into a regulated medical device. These mobile devices may include, but are not limited to, mobile phones or smartphones, tablet computers, smartwatches, and point-of-care (POC) devices.

What is bioinformatics?

...

A patient is using an online patient education resources and is unable to use a computer mouse effectively. What technology is appropriate for this patient? A. Voice interactivity B. Voice engagement C. Voice commands D. Video game

Integrating technology into the medication administration cycle helps to reduce errors by: A. performing electronic checks against a database of safe medication administration parameters and providing alerts. B. increasing the workload and efficiency of clinicians. C. Employing human factors engineering principles to streamline workflow processes. D. All of these are correct.

It is termed __________if a nurse knows that a colleague has accessed or attempted to access the record of a patient for whom the colleague is not providing care. A. a breach B. a violation C. negligent behavior D. an infringement

The prevalence of healthcare-associated infections demonstrates how the _______ can address healthcare quality issues. A. electronic health record B. paper-based chart C. local database D. All of these are correct.

What is the name of the federal legislation in the United States to control how financial institutions handle the private information they collect from individuals? A. Gramm-Leach-Bliley Act (GLBA) B. Sarbanes-Oxley (SOX) Act C. HL7 D. All of these are correct.

What term refers to a nurse taking a few calming breaths, clearing his or her mind of clutter, and silently saying the patient's name a time or two before beginning the patient encounter? A. Centering B. Cognitive focus C. Psychological being D. All of these are correct.

A Nursing Practice Council is focused on reducing workarounds related to medication administration. Which approach is likely to be more successful?

Principlism

A foundation for ethical decision making by rational individuals and belief

Electronic health records may help promote public health initiatives by:

All of these are correct. (Promoting early detection of potential pandemic occurrences, Automating syndromic surveillance of emergency department records, Generating population-level alerts to be sent to clinicians)

Electronic prompts in a technology-based medication administration system warn against the possibility of drug interaction, allergy, or medication overdose when:

All of these are correct (the physician enters the order in the CPOE system, the pharmacist verifies and dispenses the medication, the medication is about to be administered)

A potential outcome of patient-centered care is:

All of these are correct.

An educational game is:

All of these are correct. (A game designed for learning, a subset of both play and fun, sometimes referred to as a serious game.)

What is the driving force for the increased use of telehealthcare?

All of these are correct. (Demographics, nursing/healthcare worker shortages, excessive costs of healthcare services)

Key opportunities provided by developing a portfolio include:

All of these are correct. (Developing a working relationship, networking with other professionals, providing evidence of key qualities and characteristics to share with potential employers.)

A nurse is caring for an 80-year-old male patient who has a chronic disease and does not have access to the Internet. What factor below may contribute to health disparity for this patient?

Age

All of the following are advantage of technology mediated care except:

Assessment technology providing a complete and objective assessment

A nurse is evaluating the effectiveness of nursing interventions and will use which type of knowledge? A. Critical B. Explicit C. Clinical D. Indirect

Evaluation and Management Coding

Before you can determine your E&M, code you must first identify the p lace of service, type of service , and the patient status. The place of service refers to where the service was rendered There are several categories to choose from, but the two most common are the inpatient and outpatient settings. This is pretty straightforward. The type of service refers to t he type of service provided . Some examples of types of services include consultation, hospital admission, office visit, and so forth. Again, pretty straightforward. As a student in your practicum rotations, nearly all of your place s and types of service will be outpatient office visits. Finally, you need to identify the patient's status. Patient status refers to whether or not the patient is a new patient or an established patient of your practice. By definition, a new patient is one who has not received professional service from a provider from the same group practice within the past 3 years. Conversely, an established patient has received professional service from a provider of your office within the last 3 years. So, let's look at an example. Let's say that Jane is scheduled to see you today for a CC of sore throat. She has a medical record on file in your system, and you see that her last visit was in 2012 with your partner, Dr. Tom. Is she considered an established patient or a new patient? She is considered a new patient because e ven though she has been seen by someone in your office previously, it has been more than 3 years since her last visit. There are three key components that determine risk-based E&M codes. 1. History 2. Physical 3. Medical Decision Making (MDM) Each one of these components (history, physical, and MDM) must have a specific number of elements documented to meet the visit requirements .

What is unstructured, represents more than 75% of an organization's data, is not contained in databases and is easily overlooked, but helps identify patterns and provides meaningful insights?

Big data

Transcendent presence requires:

Both centering and clearing the mind of potential distractions, and calling the patient by name and using gentle touch to convey interest and responsiveness

Psych Info, OTR Seeker, and SpeechBITE are examples of:

Both online databases and credible information sources

How much is spent on health care in the United States per year? A. Greater than $1 billion B. Less than $1 trillion C. Greater than $2 trillion D. Less than $2 billion

In what type of game does a person use a device, such as a smartphone, to overlay additional information onto the real world? A. Casual game B. Educational game C. Augmented reality game D. Serious game

Radio frequency identifier (RFID) technology may gradually replace bar-code technology in the medication administration cycle because RFID provides: A. opportunities to check patient identification before administration of the medication. B. replacement of bar codes in blood banking. C. reduced potential that a counterfeit medication is inadvertently introduced into the supply. D. All of these are correct.

The American Telemedicine Association released a clinical care guideline for TeleICU. In this guideline, they identified three practice models. Which practice model refers to monitoring the patient without interruption for a designated period of time? A. Responsive (reactive) care model B. Reimbursement for care episode model C. Continuous care model D. Scheduled care model

The American Telemedicine Association released a clinical care guideline for TeleICU. In this guideline, they identified three practice models. Which practice model refers to periodic consultation within a predetermined time frame? A. Reimbursement for care episode model B. Responsive (reactive) care model C. Scheduled care model D. Continuous care model

The ________ is a student-centered discussion during which the participants and observers reflect on performance during the scenario and make recommendations for future practice. A. enactment B. pre-brief C. debrief D. assessment

What is the term for an imitation of a real-life event or circumstance? A. Virtual world B. Game play C. Simulation D. Game mechanics

Which system primarily solves the problems of poor handwriting and incomplete medication orders?

CPOE

What term refers to a nurse taking a few calming breaths, clearing his or her mind of clutter, and silently saying the patient's name a time or two before beginning the patient encounter?

Centering

Meaningful Use

Certification Commission for Healthcare Information Technology certifies an EHR

Which of the following factors are drivers of the growing trend toward telehealth and technology use and will influence nursing practice significantly in the next decades?

Chronic diseases and conditions

The analyzing tool used to identify the three health conditions and factors that determined discharge destination and length of stay for home care patients was:

Classification and regression tree

A Nursing Practice Council is focused on reducing workarounds related to medication administration. Which approach is likely to be more successful?

Collecting data in the institution by asking nurses to journal examples of workarounds.

Computer-aided translators (CAT tool)

Computer Aided Translation (CAT), is a broad term used to describe software that human translators use during the translation process to improve their productivity. Most professional translators use CAT tools. With a CAT tool, translators can work faster, eliminate repetitive translations, automatically correct mistakes, and achieve higher consistency of translations. Typical CAT tools are text editors that support bilingual file formats, and have built-in translation memory.

Vendor-owned cloud computing might offer the benefit of reduced costs of maintaining hardware and IT support in an individual healthcare system. What is the main reason that cloud computing is not widely accepted in health care?

Concern about information security and privacy.

_________ laws in the world of technology are notoriously misunderstood. The same laws that cover physical books, artwork and other physical materials apply in the digital world and violations can lead to prosecution.

A Community of Practice (CoP) would be best described as

Cost of set-up and maintenance Delays in documentation e-Messaging between providers Continuous need for updates and lack of accountability for doing so

Hybrid or blended delivery of courses means that:

Courses have both face-to-face and online learning episodes

A nurse educator is selecting a method of patient education and is considering an educational pamphlet. Which of the following is a disadvantage of a pamphlet for patient education? A. The digital divide B. Inconsistency in the education provided C. The dynamic nature of written education D. The cost of design and production of a pamphlet

A nurse is caring for an 80-year-old male patient who has a chronic disease and does not have access to the Internet. What factor below may contribute to health disparity for this patient? A. Gender B. Citizenship C. Religious preference D. Age

A nurse is writing a narrative of a nursing care experience for an editorial in a nursing journal. What is this nurse demonstrating? A. Situational practice B. Evaluative practice C. Intuitive practice D. Reflective practice

A teenaged patient is distracted and not engaged in a patient education class in a healthcare facility. What alternative education method might the nurse recommend for this patient? A. A book on the disease B. Educational handouts C. A health brochure D. An interactive computer game

All of the following are advantages of technology-mediated care except: A. effective use of technology helps to improve clinical workflow. B.clinical decision support system technology reminds clinicians of critical interventions that have not yet been implemented. C. smart pump technology provides maximum dose safeguards. D. assessment technology provides a complete and objective picture of the patient experience.

Although nurses have an ethical duty to ensure patient safety, increasing demands on professionals in complex and fast-paced healthcare environments may lead to workarounds. What is a workaround? A practice that deviates from accepted and expected practice protocols B. A shortcut to save time C. An inappropriate action or omission of appropriate actions D. All of these are correct

HIPAA was enacted by the federal government for several purposes, including: A. better portability of health insurance as a worker moved from one job to another. B. deterrence of fraud, abuse, and waste within the healthcare delivery system. C. simplification of the administrative functions associated with the delivery of health care, such as reimbursement claims sent to Medicare and Medicaid. D. All of these are correct.

Patient-centered care means that practitioners should focus on: A. their interpretation of the patient's experience. B. objective signs and symptoms .C. data gathered by technology. D. the subjective experience of patients.

Patients partnering with healthcare professionals to manage their health is an example of: A. empowerment .B. patient engagement. C. connected health. D. All of these are correct.

Patients who have which of the following characteristics can use telenursing services? A. Are immobilized B. Have a chronic disease C. Live in remote places D. All of these are correct.

Smart pumps are designed for safe administration of high-hazard drugs and to reduce adverse drug events during intravenous medication administration. What happens when a hard alarm is generated by a smart pump? A. A licensed clinician or a pharmacist can override a hard alarm and administer the drug as programmed. B. Members of the biomedical engineering department can reprogram the pump to avoid these nuisance alarms. C. The nurse must call the physician for a verbal order to turn off the smart pump technology and administer the drug as ordered. D. The pump must be reprogrammed so that the rate and dose for administration of the high-hazard intravenous drug falls within the facility's safe infusion parameters.

Which of the following is a potential outcome of patient-centered care? A. Patients can provide their subjective experience as an input to improve healthcare delivery. B.Care providers may develop their capacity for reflexivity, which may improve their understanding of the implications of their actions. C.Patients and practitioners can provide insights into the overall organization on how to innovate processes and facilities to respond to local needs. D. All of these are correct.

The first step in implementing an EHR into an organization is the vendor selection process. The other factor included in the first step is:

Documenting the desired functions of the EHR

Estimating how much exposure to the potential hazard would cause varying degrees of health effects is known as:

Dose-response assessment

What estimates how much exposure to a potential hazard would cause varying degrees of health effects?

Dose-response assessment

Acceptable use policies in an organization typically restrict downloads of files by employees because:

Downloads increase vulnerabilities to viruses

Which data mining concept identifies a variable by exposing more data?

Drill down

Which statement is false?

EBP takes away from the critical-thinking skills used by healthcare professionals.

Which of the following genres are goal oriented

Educational game and simulation

_______ refers to making learning fun. A. Edutainmaint B. scaffolding C. game playing D. simulation

Edutainmaint

The Hippocratic tradition

Ethics approach that was applied to relatively homogenous societies where beliefs were similar

Core public health functions include all of the following except:

Evaluating web pages for information quality

The eHealth Initiative is largely successful because of interoperability among healthcare systems and the adoption of national data standards.

False

The eHealth Initiative is largely successful because of interoperability among healthcare systems and the adoption of national data standards. T/F

False

A nurse is evaluating the effectiveness of nursing interventions and will use which type of knowledge?

Explicit

Knowledge that can be exchanged or shared in the form of data, manuals, product specifications, principles, policies, or theories is known as:

Explicit knowledge

What occurs to determine the length, amount, and pattern of exposure to the potentially hazardous material?

Exposure assessment

Which type of delivery of material to students has a 5% information retention rate?

Face-to-face

A proactive method for developing a safety culture that learns from mistakes is:

Failure modes and effects analysis

A domain suffix is a good way to determine credibility of a website.

False

A password consisting of the ampersand character (&) and the user's birthdate is strong.

False

An EHR may help to lower healthcare costs by integrating patient information from multiple sources

False

An important consideration for a successful education intervention is the means by which a provider learns best

False

An important consideration for a successful education intervention is the means by which a provider learns best. T/F

False

Big data is the process of using software to sort through data to discover patterns and ascertain or establish relationships.

False

Current telehealth technologies are focused on clinicians being able to see patients and not interact with them since audio and streaming video capabilities are costly

False

Focusing on all the information found on the Internet will help the healthcare professional find the best and most accurate data

False

Health care does not generate big data.

False

In a store-and-forward telehealth transmission, digital images, video, audio, and clinical data are immediately transmitted securely to a specialist or clinician at another location, where they are studied by the relevant specialist or clinician and then are captured and stored on the client's computer or device

False

In the United States, telehealth nurses are required to be licensed only in the state from which they are providing telehealth services, even if they are interacting with patients in other states.

False

In the United States, telehealth nurses are required to be licensed only in the state from which they are providing telehealth services, even if they are interacting with patients in other states. T/F

False

Interactive screening forms housed on a patient portal have been shown to increase the number of emergency room visits.

False

It is safe to open an email attachment from a known sender.

False

Stage 1 Meaningful Use criteria focused on health information exchange and patient control over health data.

False

Stage 1 meaningful use criteria focused on health information exchange and patient control over health data

False

Storing healthcare data through cloud computing would allow for expandability and increased security.

False

An informatics nurse is consulting with a healthcare organization for expansion of the electronic health record (EHR). Which of the following is a barrier to expansion of EHRs in healthcare organizations?

Financial barriers

A Community of Practice (CoP) would best be described as

Groups of people who share a concern or a passion for something they do and learn how to do it better as they interact regularly

HIPPA

HIPAA was enacted in 1996. While it is best known among consumers and healthcare professionals for its protection of personal health information (PHI) and the additional forms that each of us are asked to sign when we go to provider offices, HIPAA also ensures portability of insurance for individuals moving from one job to another, legal protection for PHI, and mandates standards for the electronic data interchange of healthcare data for encounter and claims information, and was intended to simplify the claims submission process by eliminating paper claims. HIPAA established legal sanctions for institutions and individuals who fail to protect PHI. As healthcare professionals, we are cognizant of HIPAA requirements before we share PHI via writing, electronic means, faxes, telephone, or in person. Specific measures to protect PHI include limiting record access to individuals with a right to know, signed disclosures to release information, encryption of e-mail and files, fax cover sheets, designated persons who may receive PHI, and the use of passwords to guarantee that PHI is only disclosed with persons designated by the consumer as having a right to know. HIPAA has also changed sign-in procedures for patients, disposal of forms containing PHI, and how we use whiteboards to show patient information.

What is the human-technology interface?

Hardware and software that support humans interacting with technology

How would you best describe the throughput or processing components of computers?

Inputted data can be visualized by manipulating the mouse and keyboard input devices and the computer monitor is a unique example of a visible throughput component.

Simulation episodes are concluded with ______. (Select all that apply)

Instructor feedback Debriefing Interactive review of the simulated episode by the team

Telehealth interfaces allow patients to: (Select all that apply)

Interact with a virtual clinician (actually a computer program) interact when they want to

A novice nurse is more likely to use which aspect of the Foundation of Knowledge Model?

Knowledge Acquisition

A novice nurse is more likely to use which aspect of the Foundation of Knowledge Model?

Knowledge acquisition

A novice professional is more likely to be a:

Knowledge consumer

What is possible because data mining looks at the data from different vantage points, aspects, and perspectives, and brings new insights to the data set?

Knowledge discovery

When working with data, _______ _________ is key, as data mining looks at the data from different vantage points, aspects, and perspectives and brings new insights to the data set.

Knowledge discovery

Professionals who craft discipline theories are primarily:

Knowledge generators

Researchers and discipline experts are likely to be:

Knowledge generators

What represents a challenge that healthcare organizations face in their ability to exchange information with other organizations?

Lack of public trust for privacy

A sense of ownership must initially be secured from which of the following to prevent a disruption in the implementation plans for the electronic health record?

Leadership

What is meant by the statement that learning is a multispatial function?

Learning can take place in both physical and virtual spaces.

When a knowledge worker leaves an organization, the knowledge they possess:

Leaves with them

According to Stetler et al (1998), the best quality evidence is:

Meta-analysis

Multiple false alarms may lead to alarm fatigue and compromise patient safety by slow response or no response to physiologic alarms. Strategies to improve alarm response include:

Most common diseases, such as diabetes, cancer, stroke, heart disease, depression, and asthma, are affected by:

NOT AGES AND GENES

An example of a nonclinical use of telehealth is:

NOT Administrative supervision

A Practice Council is focused on reducing workarounds related to medication administration. Which approach is likely to be more successful?

NOT Developing an education program to improve understanding of medication administration.

A safety culture is a blame-free environment where individuals are able to report errors or near misses without fear of reprimand or punishment. Conversely, a just culture emphasizes individual accountability and:

NOT Encourages error reporting and seeks to understand workflow and process issues that lead to errors

The benefits of EHR use recognized in early studies include all of these, except:

NOT Enhanced capacity to perform surveillance and monitoring for disease conditions

Epidemiology is:

NOT Incidence, prevalence, and control of disease)

Characteristics of explicit knowledge include:

NOT Knowledge exchanged or shared in manuals, policies, and theories

What defines interdisciplinary collaboration?

NOT Nurses attending a state nurses' association meeting

Which data mining model uses the organization's same business model, but makes improvements by simply thinking differently?

NOT SEMMA (I think CRISP-DM)

Generating new knowledge from the implementation of a study that is based on, but unrelated to, several original studies is known as:

NOT Translational science

What is an example of nonclinical use of telehealth?

NOT administrative supervision

Educational games, simulations, and virtual worlds:

NOT all of these are correct

RFID technology may gradually replace bar-code technology in the medication administration cycle, because RFID provides:

NOT all of these are correct

Which of the following are characteristics of a collaborative learning environment?

NOT both peer support and instructor as facilitator

What creates information that becomes the basis for knowledge in the field of public health?

NOT examination of school aged children

Which factor will support the increased use of telehealth in the future?

NOT increased need for immediate healthcare information

What is a knowledge worker's primary resource?

NOT knowledge

Quantitative data focuses on:

Numbers and frequencies

Knowledge Workers

Nurses who work with information and generate information and knowledge as products they are described

Workflow analysis

Observation and documentation of workflow to better understand what is happening in the current environment and how it can be altered is referred to as process or workflow analysis. A typical output of workflow analysis is a visual depiction of the process, called a process map. The process map ranges from simplistic to fairly complex and provides an excellent tool to identify specific steps.

How is public health informatics different than health informatics?

PHI focus is on promoting health and disease prevention in populations and communities.

Which of the following teaching methods yields the highest retention over a 24 hour period?

Peer teaching

To become a successful owner of an EHR in the healthcare organization, it must be:

Part of the facility's long term vision

Integrating technology into the medication administration cycle helps to reduce errors by:

Performing electronic checks against a database of safe medication administration parameters and providing alerts

According to McGonigle, a simulation should contain four components: pre-brief, enactment, debrief, and assessment (PEDA). The students receive the simulation information in what component? A. pre-brief B. assessment C. enactment D. debrief

Pre-brief

Computational biology can be defined as the development and application of data-analytical and theoretical methods, mathematical modeling and computational simulation techniques to the study of biological, behavioral, and social systems.

TRUE

The part of the e-portfolio that explains how critical decisions were made and the decision outcomes is called:

Reflective commentary

_________________ is the ability to manage results of all types electronically including laboratory and radiology procedure reports, both current and historical.

Results management

Scheduled care model

What indicates that the healthcare professional is fully present with the patient during an encounter?

Sitting in a chair at the patient's bedside while conducting an admission assessment

What is a data driven method to eliminate defects, avoid waste, or assess quality control issues, and is aimed at decreasing disparities in a business and manufacturing process through dedicated improvements?

Six Sigma

_________ _________ is a data driven method to eliminate defects, waste, or assess quality control issues.

Six Sigma

What translates commands into computer language?

Software

An ID badge is an example of authentication by:

Something the user has

CAT tool functionality

Spell checkers, autocorrect—automatically highlight and fix spelling and grammar mistakes. In-context review—display multimedia documents with images, text box sizes and layout in real time in both source and target language. Integrated machine translation—suggest translations for segments from a connected MT engine. Adaptive machine translation—offer translations for segments from a connected MT engine as autosuggest pop-ups, learn from user input (examples: Lilt, YarakuZen, SDL Trados Studio 2017). Concordance—retrieve instances of a word or an expression and their respective context in a text corpus, such as a translation memory database, to check their usage. Electronic dictionaries—allow term search inside the tool, track usage statistics. Text search tools—find phrases or terms in the text for reference. Alignment—build translation memories texts from source text and its translation. When a translation company adopts a CAT-tool, they often use alignment to create their first TM databases.

What is an important need for public health informatics regarding data collection?

Standardizing vocabulary and coding structure.

A meta-analysis helps to generate new practice evidence and nursing knowledge by

Statistical method to combine results of quantitive studies

Clinical data captured electronically and transmitted then interpreted by clinicians is known as:

Store and forward Telehealth

Advantage(s) of EHR use include: (Select all that apply)

Support for home telemonitoring Improved communications Improved medication administration safety

The system approach used by public health to detect early outbreaks of disease is called:

Surveillance data

On the biomedical side of informatics, we must be cognizant of the fact that medical data typically are extracted from personal, confidential, and legally protected medical records. The protection of human subjects must be paramount and all ethical, legal, and social (ESLI) issues must be addressed.

TRUE

Personalized medicine (also known as precision medicine) may be thought of as the tailoring of medical treatment to the individual characteristics, needs, and preferences of a patient during all stages of care, including prevention, diagnosis, treatment, and follow-up.

TRUE

Reflection on practice to gain insight into why an approach was successful (or not) in a practice situation helps a nurse to build:

Tacit knowledge

Telehealth

Telehealth is still an evolving technology; while the offsite interventions or contacts often lead to less time being wasted on non-care-oriented tasks because of the efficiencies offered by the technology applications, its use must never be associated with less care. It is also important to note that nursing activity in telehealth still follows the same best practice standards as those espoused in conventional care.

What is considered the most familiar communication tool in telehealth?

Telephone

FDA Oversight for Medical Devices

The FDA intends to apply its regulatory authorities to select software applications intended for use on mobile platforms. Given the rapid expansion and broad applicability of mobile apps, the FDA is issuing this guidance document to clarify the subset of mobile apps to which the FDA intends to apply its authority. Many mobile apps are not medical devices, meaning such mobile apps do not meet the definition of a device by the FDA. therefore, the FDA does not regulate them.Some mobile apps may meet the definition of a medical device but because they pose a lower risk to the public, the FDA intends to exercise enforcement discretion over these devices (meaning it will not enforce requirements under the FD&C Act). One example is a mobile app that makes a light emitting diode (LED) operate. If the manufacturer intends the system to illuminate objects generally (i.e., without a specific medical device intended use), the mobile app would not be considered a medical device. If, however, through marketing, labeling, and the circumstances surrounding the distribution, the mobile app is promoted by the manufacturer for use as a light source for providers to examine patients, then the intended use of the light source would be similar to a conventional device such as an ophthalmoscope.

What is computational biology?

The actual process of analyzing and interpreting data.

A nurse educator is selecting a method of patient education and is considering an educational pamphlet. Which of the following is a disadvantage of a pamphlet for patient education?

The cost of design and production of a pamphlet

Biomedical informatics is:

The interdisciplinary science of acquiring, structuring, analyzing, and providing access to biomedical data, information and knowledge. As an academic discipline, biomedical informatics is grounded in the principles of computer science, information science, cognitive science, social science, and engineering, as well as the clinical and basic biological sciences.

Confidentiality

The mandate that all personal information be safeguarded by ensuring that access is limited to only those who are authorized to view that information. Consequently, stringent confidentiality laws and more widespread availability and use of social and mobile media, numerous ethical and legal dilemmas have been posed to all healthcare workers. What are not well defined are the expectations of healthcare providers regarding this technology. In some cases, APNs have been subjected to video and audio recordings by patients and families when procedure is performed. Providers must be aware of the institutional policy regarding audio/video recording by patients and families, as well as the state laws governing two-party consent. Such laws require consent of all parties to any recording or eavesdropping activity

ICD-10 Coding

The most common code sets used are the diagnostic and procedural coding or classification systems. The oldest and most established system is the ICD, which is promulgated and maintained by the World Health Organization (WHO). The United States converted to ICD-10-CM on October 1, 2015. An international standard does not exist for procedures. In the United States, there are separate standards for inpatient procedures and ambulatory care procedures. ICD-9-CM, volume 3, was historically used for inpatient procedures, with a new system, ICD-10-PCS, adopted on October 1, 2015. In late 2016, WHO publicly announced its development efforts for ICD-11. Specifically, ICD-11 will be designed to be compatible with electronic health applications and information systems.

HL7

The most common healthcare messaging standard for text information Messaging standards ranging from patient administration to order entry to medical records management to personnel management, among other functions.

Qualitative research on a practice intervention provides insights into:

The patient's subjective opinion of the effectiveness of the intervention

Describing educational games, simulations, and virtual worlds, which of the following statements are true? (Select all that apply)

They all share some characteristics. It's difficult to find a "pure" experience in any of the genres. Simulations may have game-like qualities, and virtual worlds may be used to present a simulation.

A benefit for healthcare professionals of using technology for patient education is:

To improve the compliance and documentation of education

Clinical uses for telehealth

Transmitting images for assessment or diagnosis. One example is transmission of digital images, such as images of wounds for assessment and treatment consults. Transmitting clinical data for assessment, diagnosis, or disease management. One example is remote patient monitoring and transmitting patients' objective or subjective clinical data, such as monitoring of vital signs and answers to disease management questions. Providing disease prevention and promotion of good health. Examples include case management provided via telephone or smartphone app and patient education provided through asthma and weight management programs conducted in schools. Using telephonic or video interactive technologies to provide health advice in emergent cases. One example is performing teletriage in call centers or real-time stroke consultation between a rural health center and an academic medical center. Using real-time video. One example is exchanging health services or education live via videoconference.

A challenge to the American healthcare system is improving the quality of care while controlling costs.

True

A clinical use for telehealth technologies includes providing disease prevention and promotion of good health. One example is telephonic or smartphone app case management and patient education provided through asthma and weight management programs conducted in public schools.

True

A comprehensive surveillance effort supports timely investigation and identifies data needs for managing the public health response to an outbreak or terrorist event. Informatics tools are becoming increasingly important in these public health efforts.

True

A required step in the Iowa Model that translates research into practice is a critique of related evidence.

True

A risk assessment may also be called a "threat and risk assessment." A "threat" is a harmful act, such as the deployment of a virus or illegal network penetration. A "risk" is the expectation that a threat may succeed and the potential damage that can occur.

True

A three-dimensional virtual world often mimics a real-world environment, although it may also include impossible abilities, such as flying unaided T/F

True

A three-dimensional virtual world often mimics a real-world environment, although it may also include impossible abilities, such as flying unaided.

True

According to the Agency for Healthcare Research and Quality, one way to balance the competing cultural values of blamelessness versus accountability is to establish a "just culture."

True

According to the Agency for Healthcare Research and Quality, one way to balance the competing cultural values of blamelessness versus accountability is to establish a "just culture." T/F

True

Algorithms are typically computer-based recipes or methods with which data mining models are developed.

True

An e-portfolio may foster improved communication with a mentor or others through professional networking.

True

An electronic health record may lead to better clinical decision making by integrating patient information from multiple sources.

True

An important part of the safety culture is cultivating a blame-free environment.

True

Clinical decision making is guided by targeted information delivery ensuring that the five rights of CDS are implemented: the right information provided to the right person in the right format through the right channel at the right time in workflow.

True

Clinical decision making is guided by targeted information delivery ensuring that the five rights of clinical decision support are implemented: the right information provided to the right person in the right format through the right channel at the right time in workflow.

True

Cognitive task analysis usually starts by identifying, through interviews or questionnaires, the particular task and its typicality and frequency.

True

Data analysis in quantitative studies may allow the researcher to make inferences to a population beyond the sample, as long as the sample was representative of the population. In contrast, generalizing to a larger population is not a goal of qualitative research. Rather, in qualitative research the goals are exploration and deeper understanding of a phenomenon that has not been widely studied. A. True B. False

True

Data mining tools scan databases and identify previously hidden patterns.

True

Decision trees are a powerful tool that can be used to mine large data sets and discover previously unknown relationships among the data.

True

Decision trees are useful for large data and use an algorithm to explain how to separate and stop the splitting of data.

True

Drill down analysis typically begins with identifying variables of interest to drill down into the data.

True

Embedding EBP into professional documentation can increase the compliance with Joint Commission core measures, such as providing information on influenza and pneumococcal vaccinations to at-risk patients.

True

Evidence-based practice was developed in 1972 as the result of a physician and prisoner of war's belief that not all medical interventions were necessary.

True

Exploratory data analysis (EDA) is an approach or philosophy that uses mainly graphical techniques to gain insight into a data set.

True

Games are goal-oriented and may be competitive in nature. Games should be fun and perhaps a bit "fantastical" and light-hearted.

True

Healthcare professionals have an ethical duty to ensure patient safety.

True

Human-technology interface problems are a major cause of patient monitoring incidents. It is not always that the technology itself is faulty. In fact, the technology may perform flawlessly, but the interface design may cause human error.

True

Implementation best practice data would be available if more healthcare organizations moved more quickly to adopt use of the electronic health record.

True

In deep transpersonal caring, both the caregiver and the care recipient may experience healing

True

In deep transpersonal caring, both the caregiver and the care recipient may experience healing. T/F

True

Information prescriptions direct patients and families to credible websites and to wikis and blogs that may help them understand their health issues.

True

Information prescriptions direct patients and families to credible websites and to wikis and blogs that may help them understand their health issues. T/F

True

Interoperable EHRs are a foundation of developing HIEs

True

Libraries have begun to demonstrate their understanding and support of collaborative learning by providing group study rooms.

True

Many health-related websites now support a Spanish language format.

True

Most EHR benefits studies are hypothesis-testing studies.

True

Most software developers allow for a back-up of the software to be used in the case of a hardware failure.

True

Once technology is integrated into the organization, biomedical engineers can become valuable partners in promoting patient safety through appropriate use of these technologies.

True

One of the most important tools to reduce medication errors is the use of electronic records and information systems to provide point-of-care decision support and automation.

True

Organizational leaders must drive the culture change by making a visible commitment to safety.

True

Ownership of the electronic health record must be felt by all levels of staff before implementation will be successful.

True

Public health may be identified as an occupation that focuses on protecting communities through an understanding and blend of science, policy development, and government decisions.

True

When RFID tags are embedded in patient identification bracelets, they can help with patient tracking during procedures and testing, or function as part of the EHR by communicating pertinent information to clinicians at the bedside.

True

When someone disregards established policies and procedures, it is thought of as reckless behavior.

True

When someone disregards established policies and procedures, it is thought of as reckless behavior. T/F

True

Confidential information in a secure network is most typically breached by

Unauthorized use by authorized users

________ is the term that denotes the ease with which people can use an interface to achieve a particular goal

Usability

The Agency for Healthcare Research and Quality is a government sponsored organization that seeks to improve patient outcomes through:

Use of technology focused on evidence-based practice

Reimbursement Coding: Current Procedural Terminology Codes (CPT)

Used to code procedures for billing The CPT system offers the official procedural coding rules and guidelines required when reporting medical services and procedures performed by physician and nonphysician providers . CPT codes are recognized universally and also provide a logical means to be able to track hea l thcare data, trends, and outcomes. Each service or procedure is represented by a five-digit code that is presented in six sections , including evaluation and management; anesthesiology; surgery; radiology; pathology; and medicine.

Digital natives, or Generation Y, would be most receptive to education delivered by:

Video games

A patient is using an online patient education resources and is unable to use a computer mouse effectively. What technology is appropriate for this patient?

Voice interactivity

Workflow design

Workflow is a term used to describe the action or execution of a series of tasks in a prescribed sequence. Another definition of workflow is a progression of steps (tasks, events, interactions) that constitute a work process, involve two or more persons, and create or add value to the organization's activities. In a sequential workflow, each step depends on the occurrence of the previous step; in a parallel workflow, two or more steps can occur concurrently. The term workflow is sometimes used interchangeably with process or process flows, particularly in the context of implementations. Observation and documentation of workflow to better understand what is happening in the current environment and how it can be altered is referred to as process or workflow analysis. A critical aspect of the informatics role is workflow design. Nursing informatics is uniquely positioned to engage in the analysis and redesign of processes and tasks surrounding the use of technology.

The widely accepted definition of a knowledge worker is one who:

Works with information and generates information and knowledge

The HITECH Act had which of the following goals

a. Improve healthcare quality b. Reduce healthcare costs c. Improve and protect public health All of these are correct. ***

With the use of emerging technologies in nursing and health care education, simulation is used to provide students with:

actively using informatics in an authentic and realistic learning context

Organizations can ensure information integrity in a network by developing policies to

a. specify how data are actually input. b. indicate who has the authorization to change such data. c. track how and when data are changed and by whom. d.ALL THE ABOVE (correct answer)

Results Management

ability to manage results of all types electronically with laboratory and radiology procedures

A nurse is playing an educational game that requires quick action and intervention, which is known as a(n):

action game

Emerging technologies in nursing and health care education, simulation is used to allow students

actively use informatics in an authentic and realistic context

Surveys of potential or actual users of a website can be conducted to:

assess preferences for a number of design characteristics such as display color, menu buttons, text, photo size, icon metaphor, and layout by selecting, on a computer screen, their preferences for each item from two or three options.

During the ________, the student should be provided with a detailed explanation of how he or she will be evaluated and graded that relates to the goal, educational outcomes, and, if applicable, course/program outcomes; also during this component, the student's performance is rated. A. debrief B. assessment C. enactment D. pre-brief

assessment

All of the following are advantages of technology-mediated care except

assessment technology provides a complete and objective picture of the patient experience.

Bioethical standards

bioethical decision-making model centers on the healthcare professional's implicit agreement with the patient or client (1) autonomy, (2) freedom, (3) veracity, (4) privacy, (5) beneficence, and (6) fidelity.

Clearing the mind of preconceived notions and expectations based on a patient's diagnosis is known as:

bracketing

When we enter the uncharted world of the other without preconceived notions about what to expect, we are practicing:

bracketing

Case-based ethical reasoning that considers the facts of a case in a sound.

cau

Taking a few calming breaths, clearing the mind of clutter, silently saying the patient's name once or twice before beginning the patient encounter is known as:

centering

Generating Knowledge

collecting health data and mining that data for relationships and understanding is an example of

A dedicated clinician is required on the receiving end of the transmissions from patients at home

cost and difficulty scheduling

computer technology has ushered in what has been called the "Information Age" an age when:

data, information, and knowledge and are all accessible

The ______ is a student-centered discussion during which the participants and observers reflect on performance during the scenario and make recommendations for future practice. A. debrief B. enactment C. pre-brief D. assessment

debrief

The ________ is a student-centered discussion during which the participants and observers reflect on performance during the scenario and make recommendations for future practice.

debrief

The prevalence of healthcare-associated infections (1.7 million cases per year) demonstrates how the _______ can address quality issues.

electronic health record

______ is the term for the student actually assuming the role or performing the activity. A. debrief B. pre-brief C. enactment D. assessment

enactment

Proxy Server

hardware security tool that helps protect an organization against security breaches

Telehealth is provided for which of the following patient populations? (Select all that apply)

homebound patient or those with limited access to transportation rural populations who lack access to primary care those recently discharged from hospitals

A student nurse is starting clinical experience. What will creating an e-portfolio demonstrate to a future employer?

how the student used critical thinking to make decisions

Data Mapping

is defined as the process of linking interoperable components from one system to another, involving mapping "one component to another," and is an essential component for interoperability (McBride, Gilder, Davis, & Fenton, 2006). The International Organization for Standardization (ISO) defines data mapping as "the process of associating concepts or terms from one coding system to concepts or terms in another coding system and defining their equivalence in accordance with a documented rationale and a given purpose" Each map originates from a data or code set known as the source. The code or data set in which one is attempting to find a code or data representation with an equivalent meaning is known as the target.

When healthcare agencies provide access to information on websites they

must adhere to responsible information standards

A hardware security tool that helps protect an organization against breeches

proxy server

A hardware security tool that helps protect an organization against security breaches by issuing masks to protect the identity of a corporation's employees who are accessing the Internet is a(n):

proxy server

Examples of peripheral devices used in home telehealth include: (select all that apply)

pulse oximeters peak flow meters spirometers

Reflection to gain insight into why, or why not, an approach was successful in a practice situation helps a professional build:

tacit knowledge

Telehealth used in the medical field is known as:

telemedicine

An ethics approach that was applied to relatively homogenous societies where beliefs were similar and the majority of societal members shared common values is known as:

the Hippocratic tradition

Patient-centered care means that practitioners should focus on:

the subjective experience of patients

Some organizations provide offsite employees such as homecare nurses with a network interface device that does not have secure information stored on it. These devices are also known as

thin clients

A key benefit of using electronic data collection is the ability to transmit data to another computer directly for compilation and analysis, thereby cutting down on the risk of error. A. True B. False

true

An important issue associated with internet-based data collection is whether participants actually are who they say they are, and whether they actually have the variable of interest or are just pretending to be someone or something they are not. A. true B. false

true

Because nursing informatics combines all four nursing practice areas (clinical, research, administration, and education), the ability to recognize the need for a specific kind of information and then locate, evaluate, and effectively use the information within the nursing informatics paradigm will catapult nurses ahead of other healthcare professionals in applying and engaging various facets of technology. A. True B. False

true

Bioinformatics is the branch of biology that is concerned with the acquisition, storage, display, and analysis of the information found in nucleic acid and protein sequence data. Computers and bioinformatics software are the tools of the trade.

true

Both the molecular biomarkers and the protein-based network biomarkers have limitations because of their static nature. To increase the ability to make early diagnosis, identify disease-specific biomarkers and therapeutic targets, and predict patient outcome, dynamic network biomarkers (DNBs) were created, monitored and evaluated at different stages and time-points of the disease, based on non-linear dynamical theory and complex network theory.

true

Computers can aid greatly in the storage, tabulation, and retrieval of qualitative data by acting as the equivalent of an electronic filing cabinet. Data analysis can also be aided by simple data management programs, such as Excel, Access, or NVivo, in which a user can categorize data and link categories which key words. A. True B. False

true

DNBs differ from molecular biomarkers and network biomarkers to describe and identify disease progress situations and interactions rather than the static nature and approach.

true

Data analysis is the process by which data collected during the course of a study is processed to identify trends and patterns of relationships.

true

Data can be converted into information and knowledge by either inductive or deductive reasoning. Most qualitative methods used an inductive approach in which the researcher generated hypotheses (versus the deductive approach typical of quantitative studies, in which hypotheses are tested). A. true B. false

true

Each person processes and assimilates knowledge in a unique way.

true

Farr and Cressy (2015) found that intangible tacit knowledge was just as important to the personal perception of quality of performance as more standardized rational measures.

true

Healthcare professionals who take care of their own health are more likely to be effective in patient and family care.

true

Interactions with patients are shaped by the healthcare professional's knowledge, experiences, ethics, and competencies.

true

Self-reflective practice is a way to boost self-awareness and promote self-care.

true

The HapMap will help researchers identify patterns of variations in human DNA sequences in an effort to find the genes responsible for many diseases.

true

The Human Genome Project (HGP) began in 1990 and was completed in 2003.

true

The future of genomic study and use of technology will help healthcare practitioners identify the best treatment for an individual through a review of genetic testing.

true

The promise of DNBs lies in the fact that they can help us uncover disease-specific biomarkers that we can map to compute and diagnose pre-disease circumstances and conditions.

true

There is a unique culture of data sharing previously unknown among biological researchers since molecular data and measurement tools are now publicly available.

true

Three projects are pivotal in genomics: The HGP focused on the DNA sequence from a single individual, the HapMap project focused on variation in the genome and on human populations, and the Cancer Genome Atlas Project is concerned with how cancer affects the genomes.

Informatics Final, Informatics Final Exam, Informatics Final, 399 11-14, Module 8 Quiz - Informatics, finalreview informatics, 399 15&16, 399 17-20, 399 15&16, Nursing Healthcare Informatics, Ch.8 Legislative Aspects of Nursing Informatics: HITECH &....

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