informatics questions
Which of these is not one of the stages in Lewin's field theory? Refreeze Move Unfreeze Melt
D
Which of these was the top telehealth target of 2013? Diabetes Mental health Hypertension Congestive heart failure
D
Which of these is not a competency needed for telenursing? Determine your malpractice insurance carrier's position on telehealth. Know your organization's policies related to providing telehealth. Recognize when telehealth is not appropriate to meet a patient's needs. Consider ways you can use telehealth to enhance and improve patient care.
A
The TIGER Nursing Informatics Competencies Model includes tasks in which of the following areas? Select all that apply. Information management Basic computer competencies Information literacy Cyber safety
ABC
Which informatics skills should every nurse know? (Select all that apply) How to access digital information efficiently How to use a database How to evaluate and apply digital information
ABC
What nursing services are available through telehealth? Select all that apply. Electronic referrals with nurse practitioners Connects to call centers Minor injury consulting Home telenursing Transportation to local health care centers
ABCD
Which information management process is an example of a spreadsheet a nurse might be familiar with? Select all that apply. Adverse drug reactions Attendance records Budget analysis Staff scheduling Continuing education models
ABCD
Which services are made possible through telehealth? Select all that apply. Telemonitoring Text messaging Electronic consultation (E-Consult) Teleconferencing
ABCD
Roughly what percentage of Americans seek information online? 75% 55% 35% 95%
A
How is the TIGER initiative assuring that the profession of nursing is best prepared to participate in the era of digital health care delivery? Ensuring that all nurses are educated in using informatics Participating in the creation of nursing care-focused software Joining into partnerships with technology-focused corporations Donating computers to selected schools of nursing nationwide
A
One of the challenges of integrating genetics and genomics into health care is that many nurses know little about the field and lack the competence needed to effectively counsel and teach patients in this regard True False
A
One of the challenges to developing an effective data management infrastructure is supporting knowledge maintenance over time. True False
A
Hospitals should consider scheduling additional staff during the early phases of EHR implementation to ensure adequate time for all staff to learn to use the system. True False
A
Telehealth is the delivery of health-related services through telecommunication devices. True False
A
Where can telehealth be used to connect with patients? Remote parts of the world All of the above Colleges and universities Their homes
B
True or false: This is an example of sensational writing style: "pills contain a secret ingredient guaranteed to cure diabetes!!!!!"
True
Data management can be defined as the functional ability to collect, analyze, and apply information True False
B
Which form of online communication would best substitute for a traditional nursing seminar? Blog Group discussion forum Webinar Web cast
C
Healthcare.gov is an example of what type of Internet site?
Health portal
What are the sciences that makeup nursing informatics? Select all that apply.
Nursing science, computer science, information science
When you are conducting research online, it is important to know who funds the website you are viewing.
True
A doctor sends a patient's medical history directly to another doctor through a secure, encrypted messaging system. This is an example of what form of health exchange? Indirect exchange Direct exchange Consumer-mediated exchange Query-based exchange
B
Addressing and ensuring confidentiality, data security, and patient privacy are within the scope of nursing informatics. FALSE TRUE
B
The term "digital divide" is used to describe the gap between those who have ready access to information and communication technology and those who do not have access. FALSE TRUE
B
"How will telehealth affect the financial bottom line?" is a question related to which organizational factor? The team Set-up Infrastructure Equipment
C
In order for two organizations to experience interoperability for information exchange, what must both organizations have? Identical computer systems Similar informational needs Standards that are like-minded Employee support
C
An example of information would be vital signs plotted on a graph. True or false?
True
Improvement of which aspect of health is the ultimate goal for the implementation of emerging technologies? Safer Affordable Unbiased Available
A
Which of the following are considered social media platforms? Select all that apply. Twitter Facebook Gmail YouTube
ABD
When considering informatics, what is a decision support system? Standardized data that is accessed by many interested consumers Aggregated data supplied by many individuals Secondary data that is collected for a variety of uses Data found in patient records
A
Which association sets standards for and offers certification in telehealth nursing? American Academy of Ambulatory Care Nursing National League for Nursing American Telemedicine Association International Council of Nurses
A
Errors in patient identification can affect which of the following? All of the above Costs to patients, providers, and payers Patient safety Testing
A
One nursing leadership challenge in integrating new technology is assuring that the technology use is ethical. True False
A
Who defined telemedicine as "the electronic exchange of patient information between two sites for improving the patient's health status," and defined telehealth as "a broader term extending beyond the delivery of clinical services"? U.S. Department of Health and Human Services (HHS) American Medical Association (AMA) American Telemedicine Association (ATA) World Health Organization (WHO)
C
How is it that nursing is so well suited to having its professionals attain computer fluency? Nurses are accustomed to the role of lifetime learners. Nurses readily adjust to new technologies. Nurses recognize the need to collect and retrieve data. Nurses are expected to manage multiple tasks
A
Telenursing is the practice of nursing over distance using telecommunications technology. True False
A
Who defined telenursing as "telecommunications technology in nursing to enhance patient care"? International Council of Nurses (ICN) American Nurses Association (ANA) U.S. Department of Health and Human Services (HHS) National League for Nursing (NLN)
A
Whose responsibility is it to identify potential gaps in patient confidentiality? The health care professional's The patient's The insurance carrier's The chief security officer's
A
Which statement concerning nursing data and its relationship with informatics is true? As nursing informatics advances, the need to analyze nursing data will decrease. Informatics has little impact on the nature and value of nursing data. The impact of informatics on nursing data will grow only if nurses become computer literate. Informatics now makes nursing data easily accessible to nursing researchers.
D
Which of the following is not an example of a Web 2.0 tool that can be useful when seeking health information? Online dating sites Blogs Social media platforms Wikis
A
What is the greatest concern about information presented on the World Wide Web?
Its validity is not guaranteed.
Health information exchange (HIE) is the mobilization of health care information electronically across organizations within a region, community, or hospital system. True False
A
Lewin's field theory focuses on what aspect of change related to adopting new innovations? Forming a positive attitude about change Dealing with the barriers to change Implementing steps to bring about change Identifying the need for change
A
What patient benefit has telehealth provided for rural hospitals that has allowed those hospitals to enhance their ability to provide trauma care? Select all that apply. A decrease in the cost of care A decrease in transfer time to trauma centers A decrease in long-term physical complications of the trauma A decrease in psychiatric complications of the trauma A decrease in the length of stay at the initial hospital
ABE
Which of these is not a characteristic of mobile technology: Intuitive Stationary Cost-effective Data-driven
B
The demonstration of which competency is required of nurse managers? Select all that apply. Use telecommunication devices. Recognize the relevance of nursing data. Evaluate revision of patient care systems. Use spreadsheets. Create processes to implement necessary change.
ABCD
What are the technical standards addressed when considering the implementation of a telehealth system? Select all that apply. Safety and function standards Redundant systems Nursing standards of care Policies and procedures HIPAA standards
ABD
Which issues are of concern to a health care agency when determining the feasibility of implementing telehealth for patients? Select all that apply. Technical issues Reimbursement Staffing Research Medico-legal issues
ABDE
Which aspect of professional nursing is most impacted by the influences of informatics? Care interventions: Motor skills Critical thinking: Cognitive Patient advocacy: Interpersonal skills Patient education: Communications
B
Which is an example of sensational writing? 100,000 Americans each year die from prescription drugs Drop 30 pounds in 5 days with this new miracle pill!!!!!!! Studies show that sleep deprivation could affect the brain's ability to retain information. Exercising for just 20 minutes a day could decrease your risk of diabetes.
B
Which of the following is an example of informatics in nursing?
Electronic Health Record (EHR)
What action did the American Nursing Association (ANA) take in 1995 to recognize the importance of nursing informatics?
Established the informatics certification examination
All health related websites can be trusted to provide reliable information.
False
What is the foundational focus of nursing informatics?
The management of patient-focused information
The focus of informatics is information management, not computers. True or false?
True
An example of telehealth advancing the health care field is the development of the subfield of teledermatology. True False
A
As a nurse, you probably won't use informatics knowledge and skills on a daily basis. FALSE TRUE
A
Which of these is within the professional role of nursing informatics? Data integration Patient order compliance Technical computer hardware support Health professional disciplinary action
A
Despite differences in hardware and operating systems, which is a primary design feature common to all mobile computers? Smartphone technology Interoperability Increased storage capacity E-book technology
B
How is a wiki most useful to nursing? Maintaining a discussion board concerning advocacy for AIDS patients Collaborative work on a research project Providing access to a web conference on emerging healthcare issues Storing slides for a public presentation on childhood inoculations
B
Posting user surveys to look for issues is an example of which of the following? Benefit Strategy for success Organizational factor Barrier
B
Reimbursement of services across state lines is handled no differently than reimbursement of services within the state. True False
B
Tele-assessment is a form of remote patient monitoring via telehealth True False
B
Telehealth usually requires very few resources to implement, but requires great financial support to maintain. True False
B
Telemental health is the delivery of a recorded therapy session to a patient. True False
B
The Novice to Expert Theory was proposed by Patricia Benner. FALSE TRUE
B
The digital divide has no effect on consumers' ability to receive quality health care information. TRUE FALSE
B
The term "Web 2.0" is used to describe tools that are only available on tablets and smartphones. True False
B
The use of devices and sensors to collect and automatically transmit health information (e.g., vital signs) without voice interaction between the patient and health provider is known as what? Telecoaching Unobtrusive telemonitoring Tele-education Telesupport
B
Under the Code of Ethics for Nurses with Interpretive Statements (ANA, 2015), the nursing informaticist has a duty to the physician first and foremost. TRUE FALSE
B
What is the most likely cause of an older adult's inability to access health care information on the Internet? Lacks interest in health information Lacks technical computer skills Impaired vision Impaired cognitive abilities
B
What term is used to identify the ability of two or more organizations to use their IT systems to pass and use exchanged information effectively for a common purpose? Reference terminology Interoperability Health information exchange Mapping
B
Which intervention by the nurse demonstrates a paternalistic approach to providing the patient diagnosed with diabetes with foot care information? Providing the patient with a list of website addresses that provide appropriate diabetic foot care information Accessing the computer in order to search for and print out information regarding the appropriate care for the feet of the diabetic patient Asking the patient to describe concerns about providing care for his or her feet Determining whether the patient has easy access to a computer
B
Which of the following is a factor that contributes to the digital divide? Economics All of the above Academic background Age
B
What is the primary benefit of an electronic prescription medication records system for those affected by natural disasters like Hurricane Katrina? Patients have access to education about various medications. Pharmacies could anticipate the medication needs of the affected population. Patients are assured uninterrupted access to their prescription medications. Medication orders can be made to unaffected pharmacies.
C
Which of the following are benefits of HIE? Improved public health reporting and monitoring Reduced health-related costs All of the above Safer, more effective care for patients
C
Research supports what benefits of using remote monitoring for chronically ill patients? Select all that apply. Higher patient satisfaction Improved health literacy Reduced emergency room visits Reduced costs Reduced hospital readmission rates
CDE
What is the meaning of the term digital divide? The area on the computer keyboard where the numerical keys are located The difference between high-speed and dial-up computer access The diversity presence in various software programs The space created between those who can easily access the Internet and those who cannot
D
What action is most important for a patient to take when considering whether to base health decisions on information found on the web?
Discuss the information with the healthcare provider.
True or false: Wikipedia is an excellent website to go on when seeking health related information.
False
True or false: a doctor is the best place to seek answers to health related questions?
True
Electronic clinical decision support is an advantage of using mobile technology in health care. TRUE FALSE
A
SmokefreeTXT—a program designed by the National Cancer Institute's Tobacco Control Research Branch that delivers tips, motivation, encouragement, and information via text messages—is an example of an mHealth program. True False
A
The goal of the TIGER Initiative is to enable nurses to use informatics and emerging technologies to make health care safer, more effective, efficient, and patient-centered. TRUE FALSE
A
The three concepts involved in Lewin's Force Field Analysis Theory are behavioral disruptions, behavioral compliance, and balance. FALSE TRUE
A
What does current research state concerning patient care outcomes related to telehealth services? Outcomes have been significant and positive. Patient outcomes are similar to those of traditional care models. There has not been enough research done to arrive at a conclusion. There has been moderate improvement in patient outcomes
A
What is the first step in forecasting and meeting future data management needs? Collecting information on what data is currently being managed Determining who will be affected by future data management processes Forecasting when new management processes will need to be implemented Evaluating existing data management processes
A
What is the greatest positive impact that communication among health care providers has on patient care? Staying informed of standards of care and practices Advancements in computer informatics have been supported. Health care information can be shared. Interaction among health care disciplines has been strengthened.
A
Which of the following choices is an example of an advantage telehealth provides for nurses? Distance learning Shorter work days Fewer patient interactions Self-scheduling
A
The nurse who effectively uses information technologies is most importantly affecting what aspect of professional nursing in the future?
Assuring that patient care is meeting an acknowledged standard of care
Which of the following is not a skill set nurses need to respond to emerging technologies today? Understanding and using genomics in nursing Having expertise in hospital organization, bureaucracy, and management Having expertise in knowledge information, acquisition, and distribution The ability to use technology to facilitate mobility, communication, and relationships
B
Which of these is an example of mobile technology in health care? Downloadable drug references All of the above Class podcasts Patient portals
B
Which one of these questions is not something an organizational leader should consider when implementing telehealth? What equipment would best serve the purpose of the telehealth program? Is the staff prepared to lose patients due to changes in procedure? What technical support is needed to maintain the program? How will executive leadership implement the program?
B
Which topics should you consider when determining whether a website can be trusted? Select all that apply. Website traffic Source Privacy Date of publication
B,C,D
What are the recognized benefits of telehealth on patient care? Select all that apply. Reduced cost of services Reduced travel time Access to specialists Enhanced patient care Increased productivity
BCDE
How can cognitive theory help the informatics nurse in designing decision-making tools? Minimizes the amount of information nurses will need to make decisions Eliminates the need to research information regarding decision-making Provides positive reinforcement for designing decision-making tools Improves understanding of how nurses process information when making decisions
D
According to the United States Census Bureau's 2012 Current Population Survey, what percentage of U.S. households are without Internet access? 0.25 0.15 0.35 0.45
A
Blogs are typically written in a conversational, first-person style. True False
A
Which familiar nursing equipment is computer-driven? Select all that apply. Bedside telephone Intravenous administration pumps Barcode patient identification bracelets Medication scanning system Digital thermometer
BCDE
Which stages of change are associated with Lewin's field theory? Select all that apply. Confirmation Unfreezing Persuasion Moving Refreezing
BDE
Research among nurses currently working as telenurses suggests what change should be made to nursing education curriculum? Clinical experience should include telehealth exposure. In-depth instruction should be provided at the BSN level. Telehealth should be included in basic nursing studies. Telehealth should be addressed as a course within the curriculum
C
What does the acronym TIGER mean? Technology Is a Great Educational Resource Technology Information Guild Eastern Region Technology Informatics Guiding Education Reform Training and Informatics Group Eastern Region
C
What is the primary source of educational preparation for the telenurse? Medical/surgical clinical experience Undergraduate nursing courses On-the-job training Home health courses
C
Which of the following emerging technologies provides health care professionals with access to critical patient information from multiple providers 24 hours a day, 7 days a week? Biometrics Robotics Electronic health record (EHR) CPOE
C
Which of the following theories or disciplines is related to nursing informatics? Chemical science Darwinian theory Computer science Quantum theory
C
What is the greatest benefit of telehomecare for the chronically ill patient? Decreases anxiety regarding recurring illness Provides a means of effective patient education Provides for a nurse-patient relationship Allows for ongoing monitoring
D
What is the major advantage of a handheld computer when considering the care of patients? Easy accessibility Availability Patient confidence Time management
D
Which of these is a component of an effective data management infrastructure? Data mining techniques Health care standards Data acquisition strategies All of the above
D
LOINC is an example of a mobile technology. FALSE TRUE
A
The HIPAA Breach Notification Rule document contains regulatory requirements for telehealth. True False
A
Telehealth has the potential to improve a patient's quality of life. True False
A
What is the fundamental benefit of telehomecare for the patient? Select all that apply. Quality of life is improved Increased patient level of computer literacy Care is provided in the patient's home Decreased costly office visits Avoidance of time-consuming office appointments
ACDE
What has been the focus of telehealth regarding the delivery of psychiatric care? Education regarding the identification and prevention of domestic violence Service to areas where access has been historically difficult Depression and anxiety assessment of victims of natural disasters Service to military personnel and their families
B
Research on the effect of telehealth services on health outcomes has demonstrated the most significant positive impact on what health issues? Gastrointestinal and dermatologic conditions Juvenile respiratory and general eye conditions Heart and psychiatric conditions Chronic urinary and respiratory conditions
C
What type of interoperability makes it possible for information being exchanged to be acted on by the receiving system without the help of a person? Process Technical Functional Semantic
D
What has been identified as the greatest barrier to the implementation of telehealth technology? Lack of effective technical support Effective training for the staff Cost of implementation and upkeep Legal and ethical concerns
C
Which of these is not a responsibility of a nurse informaticist? Foster positive relationships between providers and patients Streamline processing using technology Encourage resource and reference access Identify budget deficits
D
