INFORMATICS MIDTERM

A nurse reviews the patient's electronic health record prior to meeting the patient. The nurse is: A. analyzing knowledge and data. B. applying knowledge from the basic sciences. C. acquiring knowledge and wisdom. D. gathering information and data.

GATHERING INFO AND DATA

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. Al

GRAMM LWACH BILILIEY ACT

A nurse is performing a physical assessment on a patient with chest pain. Which of the following is a technology that the nurse would use to obtain objective data on the physical status of the patient? A. Clinical practice guideline B. Heart monitor C. Electronic nursing journal D. Electronic health record

HEART MONITOR

A nurse is explaining how cognitive informatics helps improve information technology in health care. Which statement by the nurse is correct? A. "Cognitive informatics examines how humans interact with computers so better information technology systems can be built." B. "Cognitive informatics examines how the human brain is similar to a computer." C. "Cognitive informatics looks at how the human brain processes data and information that comes from a computer." D. "Cognitive informatics helps build complex computer systems for human use."

A

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. negligent behavior B. an infringement C. a violation D. a breach

A BREACH

A nurse is considering a social convention about right and wrong human conduct that has formed a communal consensus, known as which of the following A. A moral B. A value C. A bioethic D. A right

A MORAL

A nurse is explaining nursing informatics to a nursing student. Which statement by the nurse is correct? A. "Nursing informatics integrates nursing sciences and analytical sciences." B. "Nursing informatics involves information science and computer technology." C. "Nursing informatics is a combination of computer science and mathematics." D. "Nursing science is based in computer engineering and sciences."

A. "Nursing informatics integrates nursing sciences and analytical sciences."

Browser privacy settings can control how cookies are used. TRUE FALSE

TRUE

A nursing professional reads a nursing journal article on a new patient care technology. This nursing professional is: A. generating knowledge. B. acquiring knowledge. C. using feedback. D. processing knowledge.

ACQUIRING KNOWLDEGE

Some of the disciplines involved in cognitive science include: A. psychology and philosophy. B. neuroscience and linguistics. C. biology and physics. D. All of these are correct.

ALL

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 ARE CORRECT

Which of the following activities is/are used to build a foundation of knowledge in professional practice? A. Reading research and theory articles B. Attending continuing education programs C. Consulting with expert colleagues and using clinical practice guidelines D. All of these

ALL OF THEM

A nurse's knowledge work includes interpreting trends in: A. laboratory results. B. symptoms. C. outcomes. D. All of these are correct.

ALL OF THESE

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 are correct

ALL OF THESE ARE CORRECT

Clinical decision support systems help users to: A. consider consequences of alternative actions. B. provide stores of information. C. make decisions in unfamiliar circumstances. D. All of these are correct.

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.

ALL OF THESE ARE CORRECT

Paper documentation hinders which of the following? A. Ability to collect patient care data over time B. Ability to use nursing terminology C. Ability to share information D. Ability to apply research to patient care

Ability to SHARE INFORMATION

Understanding of clinical practice decision making using cognitive science principles promotes the development of: A. administrative processing systems. B. clinical decision support tools. C. knowledge warehouses. D. All of these are correct.

B CLINICAL DESCION SUPPORT TOOLS

Nursing informatics can be defined as which of the following? A. The specialty that integrates advanced practice with professional intuition to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice B. The synthesis of nursing science, information science, computer science, and cognitive science for the purpose of managing, disseminating and enhancing healthcare data, information, knowledge, and wisdom to improve collaboration and decision making, provide high-quality patient care, and advance the profession of nursing. C. The regulation of private patient information for the purpose of sharing patient-specific data with third-party providers. D. All of these are correct.

B. The synthesis of nursing science, information science, computer science, and cognitive science for the purpose of managing, disseminating and enhancing healthcare data, information, knowledge, and wisdom to improve collaboration and decision making, provide high-quality patient care, and advance the profession of nursing.

A nurse is explaining justice in health care to a nursing student. Which statement is correct? A. "Justice refers to the individual's freedom from controlling interferences by others and from personal limitations that prevent meaningful choices." B. "Justice refers to actions performed that contribute to the welfare of others." C. "Justice refers to fair, equitable, and appropriate treatment no matter what is owed to a person." D. "Justice is intentionally imposing risks that are unreasonable and unintentionally but carelessly imposing risks."

C. "Justice refers to fair, equitable, and appropriate treatment no matter what is owed to a person."

A nurse is discussing options in the treatment plan with a patient who speaks another language. To enhance interaction and exchange of data and information, the nurse will use which of the following? A. An Internet website on the medical condition B. A family member as a translator C. A technologically based translator D. Another nurse to translate the information

C. A technologically based translator

A new nurse is documenting in a patient's electronic health record when a visitor approaches the nurse to ask questions. What should the nurse do to ensure confidentiality and security of the patient's electronic health record? A. Close the electronic health record immediately. B. Take the visitor to the nurse's station for assistance. C. Continue documenting the record and answer the visitor's questions. D. None of these is correct.

CLOSE ELECTRONIC HEALTH RECORD IMMEDIATELY

A nurse is documenting patient data in the electronic health record, which will assist in: A. the communication of patient status updates with the patient's family members. B. building nursing skills and clinical experiences. C. stimulating nursing research ideas and dissemination of knowledge. D. communication with other healthcare providers.

Communicate with other healthcare providers

A nurse is teaching a nursing student about the use of social media and health care. Which statement is correct by the nurse? A. "Posts on social media can be deleted, so caution in posting is overrated." B. "Social media is safe for nurses to use because individuals can restrict access to posts." C. "Nurses can use social media at work as long as they don't post pictures of themselves with patients." D. "Nurses must use social media cautiously to protect patients' rights."

D. "Nurses must use social media cautiously to protect patients' rights."

Which of the following best describes the central goal of nursing informatics? A. To promote patient safety and prevent falls by assigning a fall risk number to hospitalized patients B. To increase efficiency of care delivery and help to manage costs C. To foster interdisciplinary collaboration and communication in a healthcare organization D. To manage and communicate data, information, knowledge, and wisdom in the delivery of nursing care

D. To manage and communicate data, information, knowledge, and wisdom in the delivery of nursing care

The nurse violates a patient's confidentiality and right to privacy by: A. discussing care-related information with the patient's respiratory therapist. B. providing bedside report containing patient information to the oncoming nurse. C. discussing a patient's diagnosis with an authorized family member. D. looking up a colleague's diagnosis and laboratory results.

D. looking up a colleague's diagnosis and laboratory results.

A nurse is reviewing the conceptual framework of nursing informatics and understands the first concept in this framework is: A. data. B. knowledge. C. information. D. decision making.

DATA

Experts in computer science strive to understand how the mind processes: A. data and information. B. knowledge. C. sensory input. D. None of these is correct

DATA AND INFORMATION

Acceptable use policies in an organization typically restrict downloads of files by employees because: A. employees may waste work time. B. downloads increase vulnerabilities to viruses. C. downloads interfere with backup and storage of data. D. All of these are correct.

DOWNLAODS INCREASE VULNERABILITIES TO VIRUSES

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.

ELECTRIONIC HEALTH RECORD

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

FALSE

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

FALSE

Considering principles of cognitive informatics when designing technology interfaces helps to mitigate: A. information processing. B. use of resources. C. human mental workload. D. None of these is correct.

HUMAN MENTAL WORKLOAD

What is the human-technology interface? A. Educating users on the use of the system B. Software being designed to make technology work faster C. Hardware designed to facilitate its software D.Hardware and software that support humans interacting with technology

Hardware and software that support humans interacting with technology

Computerized technologies will assist in the transformation of data into: A. wisdom. B. research. C. information. D. knowledge.

INFORMATION

An example of an expert system is the: A. programmed intravenous pump. B. pulse oximeter. C. the electrocardiographic monitor. D. insulin pump.

INSULIN PUMP

A nurse reviews the electronic health record of a patient and identifies a drug allergy to the medication that has been prescribed. The nurse has demonstrated: A. informatics competency. B. dissemination of nursing science. C. generation of new knowledge. D. interpretation of data.

INTERPREATION OF DATA

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: A. constitutes fair use. B. protects against spam. C. leaves a digital footprint. D. All of these are correct.

LEAVES A DIGITAL FOOTPRINT

A patient reviews inaccurate information about a medical condition on the Internet that results in a delay in care. This is a violation of which of the following? A. Privacy B. Nonmaleficence C. Confidentiality D. Ethical decision making

NONMALFICEINCE

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

OVER 2 TRILLION DOLLARS

New technologies used in health care, such as smartphones and Google Glass, create potential ethical issues associated with: A. the human technology interface. B. privacy and confidentiality. C. interoperability. D. cognitive load.

PRIVACY AND CONFIDENTIALITY

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): A. antivirus program. B. masking program. C. firewall. D. proxy server.

PROXY SERVER

A nurse is reading literature on cognitive science and understands that this discipline is influenced by which field of science? A. Chemistry B. Physiology C. Sociology D. Psychology

PSYCHOLOGY

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.

Protected health information

The main goal of any ethical decision is to: A. promote trust. B. promote professionalism. C. reach a rational justifiable decision. D. generate knowledge.

REACH A TARTIONAL JUSTIFIABLE DESCION

A nurse is caring for a patient who experiences a complication after surgery. The nurse understands the cause-and-effect relationship because her knowledge is based in: A. intuition. B. reason. C. empiricism. D. instinct.

REASON

An ID badge is an example of authentication by: A. something the user knows. B. something the user is. C. something the user has. D. All of these are correct.

SOMETHING THE USER HAS

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.

Security of PHI (personal health information)

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: A. secure devices. B. networking facilitators. C. thin clients. D. All of these are correct.

THIN CLEINTS

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 FLASE

TRUE

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

TRUE

Ethical dilemmas arise when issues raise questions that cannot be answered with a simple, clearly defined rule, fact, or authoritative view. TRUE OR FALSE

TRUE

Every nurse must commit to lifelong learning and the use of knowledge in practice in order to be successful. TRUE OR FALSE

TRUE

Extended and expanded access to clinical research findings and decision support tools has been significantly influenced by the advent of computerization and the Internet. True False

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 OR FALSE

TRUE

Knowledge can be defined as the awareness and understanding of a set of information. TRUE OR FALSE

TRUE

TRUE OR FALSE Artificial intelligence is the field that deals with the conception, development, and implementation of informatics tools based on intelligent technologies. This field attempts to capture the complex processes of human thought and intelligence.

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 FLASE

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 OR FALSE

TRUE

________ is the term that denotes the ease with which people can use an interface to achieve a particular goal. A. Workaround B. Situational awareness C. Usability D. All of these are correct.

USABILITY

Two ethics approaches that emphasize considerations for human needs and responsibility to meet needs are: A. beneficence and care ethics. B. bioethics and casuistry. C. virtue and care ethics. D. principlism and antiprinciplism.

VIRTUE AND CARE ETHICS

Which of the following can be described as the appropriate use of knowledge to manage and solve human problems? A. Transformation B. Information C. Wisdom D. Research

WISDOM

Ethics is best described as: A. a revolution in health care brought on by technologic change. B. a goal-oriented approach to answering questions that potentially have multiple acceptable answers. C. ever-changing principles that guide decision making. D. paradigmatic changes that involve rhythmic processes central to the healthcare system.

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

Videoconferencing technology: A. is very easy to use. B. allows professionals to communicate more effectively and frequently with in-home patients. C. must be used for telehealth. D. All of these are correct

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

Surveys of potential or actual users of a website can be conducted to: A. encourage the evaluator to examine the fit between each two of the components: user and technology, task and technology, and user and task. B. observe the steps users are likely to take to use the interface to accomplish typical tasks. C. 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. D. rreveal problems with the decision rules used to tailor content to users.

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.

A strength of the FITT model is that it: A. observes the steps users are likely to take to use the interface to accomplish typical tasks. B. encourages the evaluator to examine the fit between each two of the components: user and technology, task and technology, and user and task. C. is the least expensive testing method. D. All of these are correct.

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

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. true or false?

false

When a nurse uses information from other sources to help rethink, revise, and apply knowledge to a clinical situation, this is known as: A. feedback. B. knowledge processing. C. knowledge engineering. D. None of these is correct.

feedback

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

Behaviors leading to unintentional data breaches include: A. safeguarding an input device. B. walking away from a workstation without logging off. C. using numeral characters in passwords. D. All of these are correct.

walking away from a workstation without logging off.