Nursing informatics Midterm Exam
Cognitive science pertains to how information is processed in the mind.
A nurse is explaining cognitive science to a nursing student. Which statement indicates that the nursing student understands?
Cognitive informatics examines how humans interact with computers so better information technology systems can be built.
A nurse is explaining how cognitive informatics helps improve information technology in health care. Which statement by the nurse is correct?
Privacy and Confidentiality
New technologies in digital communications, electronic health records, and telehealth raise issues related to:
-Blood pressure -pulse rate -blood glucose
Nurses gather atomic-level data reflected in:
True.
Nurses must know key aspects of national laws and organizational policies governing privacy and security of health information. True/False?
True
Nursing science focuses on the ethical application of knowledge. True/False?
Accessibility and ubiquity
Nursing terminology must be easy to access, with information and knowledge available anywhere. How can these qualities be described?
True
Once standardized, a term can be measured and coded. True/False?
Bringing about human benefit
Practice-based ethics as described by Husted and Husted (1995) focuses on:
Explicit
A nurse is evaluating the effectiveness of nursing interventions. Which type of knowledge will they use?
HIPAA
A nurse is educating a patient on privacy of health information. The nurse explains that privacy is part of which federal law?
True
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. True/False?
Patient confidentiality
A nurse accesses lab results of a patient not under the nurse's care in the electronic health record. The nurse is violating:
Contributing to the nurses foundation of knowledge.
A nurse attends continuing education programs and reads nursing research articles regularly, thereby:
The knowledge generation and dissemination from other healthcare providers.
A nurse has committed to lifelong learning and understands that it will come from which of the following?
Resistance to change
A nurse is caring for a complex patient with a multidisciplinary team. The nurse demonstrates autonomy, advanced critical thinking, and interpersonal skills. What challenge might this nurse have in working with a team?
Reason
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:
Communicating patient information to help coordinate care
A nurse is documenting nursing care in the electronic health record. What is the most important reason for this action?
The electronic health record will likely provide the ability to make more efficient and timely nursing care decisions for patients.
A nurse is explaining the impact of a nationwide electronic health record on nursing to a nursing student. Which statement by the nurse is correct?
Knowledge acquisition
A nurse is learning about a new nursing skill through observations and interactions. This process is known as:
Identify a clinical mentor who can help with understanding the research
A nurse is reading a nursing research article and would like to translate the findings into clinical practice. What action can help the nurse bridge the gap between research and practice?
Advanced practice nurses who are experts in nursing are considered knowledge generators.
A nurse is teaching a new nurse about knowledge workers. Which statement by the nurse is correct?
A library of knowledge
A nurse is teaching a peer about the Open Access Initiative and explains that the Internet serves as what?
Patient care data from different sources
A nurse is using the International Classification for Nursing Practice when documenting patient care. The nurse understands this facilitates the ability to compare and combine:
Evidence-based practice
A nurse recognizes that there is an increase in urinary tract infections when urinary catheters are left in place for more than 24 hours. The nurse questions, "Does leaving catheters in place for more than 24 hours increase the risk of infection?" The nurse has initiated which method of research?
Identifying the problem, issue, or topic in nursing practice.
A nurse researcher is initiating an evidence-based research project and understands that the initial step in translating research into practice is what?
Information
A nurse reviews a patient's blood pressure measurements over the past 12 hours and recognizes that the blood pressure has been elevated. The clustering of these data represents:
Wisdom
A nurse takes a continuing education course on a new nursing skill. The application of this new knowledge in a practical way is known as:
D. Quality and Safety education for Nurses (QSEN)
A nursing instructor is teaching nursing students about informatics and evidence-based practice, which are key competencies in which of the following? A. Agency for Healthcare Research and Quality (AHRQ) B. Translating Research into Practice Initiative (TRIP-II) C. National Guideline Clearinghouse (NGC) D. Quality and Safety Education for Nurses (QSEN)
A paper copy of the notice of privacy practices of the facility
A patient is admitted to a healthcare facility and has questions about the facility's privacy practices. To which of the following does the patient have a right?
The patient must be notified of the breach
A patient's electronic health record in a health system has been breached by an outside source. What is the priority action by the health system?
True
A security breach is considered discovered as soon as an employee other than the individual who committed the breach knows or should have known of the breach, such as unauthorized access or even an unsuccessful attempt to access information.
Augmented intelligence
AI frequently functions in an assistive role in healthcare decision-making. This is also known as:
True
All nurses need to be engaged in the development and integration of a nationwide electronic health record. True/False?
False
As AI becomes more sophisticated, it is like to replace human-decision making in health care. True/False?
Medicare access and CHIP Reauthorization Act
CMS meaningful use guidelines were replaced by which of the following laws?
Casuistry
Case-based ethical reasoning that considers the facts of a case in a sound, logical, and ordered or structured manner is known as:
D
Clinical decision support systems help users to: A. Consider the consequences of alternative actions B. Provide stores of information C. Make decisions in unfamiliar circumstances. D. All of these are correct.
.edu
Different web address (domain) suffixes indicate who is responsible for creating a website. A web address sponsored by an educational institution would have which suffix?
- Organizational values - Local data and context - Patient preferences
Evidence-based practice (EBP) is a combination of research findings and nonresearch evidence. What is/are the source(s) of nonresearch evidence?
True
Existing accounting rules are enhanced under the HITECH Act, giving patients the right to access their EHR and receive an accounting of all disclosures. Before the HITECH Act, HIPAA regulations provided an exception to the accounting requirements. True/FALSE?
information processing
From which perspective does cognitive science study the mind, intelligence, and behavior?
False
HIPAA was signed into law by President Bill Clinton in 1996 to monitor physicians and hospitals and enhance information exchange without consequences. True/False?
Nursing Informatics: Scope and Standards of Practice.
In 2015, the American Nurses Association published the second edition of the:
Freedom from controlling interferences
In ethics theory, autonomy means:
The obligation not to inflict harm intentionally
In ethics theory, nonmaleficence means:
True
In order for people to interact with other devices and computers, these machines must have smart ways to interact with each other. Near Field Communication Interface and Protocol (NFCIP-1) provides the communication network for these devices to be interconnected. True/False?
True
In the future, nurses are likely to have access to evidence and knowledge derived from large aggregates of clinical data, including nursing interventions and resultant outcomes.
A tweet
Microblogging occurs on/in:
True
Morals are widely shared social conventions about right and wrong human conduct. True/False?
True
Much can be learned from the related fields of cognitive engineering, human factors, and ergonomics about how to make interfaces more compatible with their human users and the context of care. True/False?
- Questionaires - Interviews, email interviews, and surveys, including web based surveys. - Quizzes and assessments
Quantitative data collection tools or instruments generate numerical data rather than text-based data. Examples of these types of tools include.
True
Quantitative data collection tools or instruments include questionnaires, interviews, surveys, quizzes, assessments, email interviews, and web-based surveys. True/False?
tacit knowledge
Reflection on practice to gain insight into why an approach was successful or nor in a practice situation helps a professional to build:
Knowledge generators
Research and discipline experts are likely to be which type of knowledge worker?
-Differentiating between scholarly and popular journals -Locating and retrieving information from credible sources -Recognizing a need for information
Skills related to nursing information literacy include:
Encourages the evaluator to examine the fit between each two of the components: user and technology, task and technology, and user and task.
The FITT model:
True
The Foundation of Knowledge Model suggests that the most important aspect of information discovery, retrieval, and delivery is the ability to acquire, process, generate, and disseminate knowledge in ways that help those managing the knowledge reevaluate and rethink the way they understand and use what they know and have learned. True/False?
-Improve healthcare quality -Reduce healthcare costs -Improve and protect public health
The HITECH Act had what goals?
Enhanced notification requirements in the event of a breach in the security of health information.
The HITECH Act has had a significant impact on HIPAA's Privacy and Security Rules in which way?
True
The Policy Committee established by the HITECH Act is responsible for making recommendations to the coordinator about how to implement the requirements of the HITECH Act, such as the technologies to use in the infrastructure. True/False?
Informatics competency
The core skill set related to the use of computers, electronic health records, healthcare technologies, and knowledge generation in a discipline is known as:
True
The federal Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH Act) is part of the American Recovery and Reinvestment Act (ARRA). The ARRA was enacted to stimulate various sectors of the United States. The health information technology (HIT) industry was one area where lawmakers saw an opportunity to stimulate the economy and improve the delivery of health care at the same time. True/False?
D. All of the above
The impactful Institute of Medicine report To Err Is Human listed the top 10 most persistent medication and safety errors/issues. Which of the following errors was/were included and has/have continued two decades after the report was issued. A. Look-alike labeling B. Unsafe practices associated with IV push medications C. Wrong route D. All of these are correct.
Looking up a colleague's diagnosis and laboratory results.
The nurse violates a patient's confidentiality and right to privacy by:
False.
The time between research dissemination is typically 1-2 months. True/False?
All groups
The use of social media has increased dramatically in recent years among:
True
The user experience (UX) is the user's experience from interacting with an object, product, or service. It has been connected to the term usability and refers to the design of products and services with the user in mind in order to meet the user's needs. True/False?
True
True or False? Big data is a field that deals with ways to examine, analyze, and systematically extract data and information from data sets that are too large or complex to be processed using conventional data-processing application software. The ability to research these data using advanced data analytics to find better answers is changing the healthcare landscape and how we care for our patients.
True
True or False? Information literacy initiates, sustains, and extends lifelong learning through abilities that may use technologies but are ultimately independent of them.
True
True or False? Nurses may generate and record data from their own observations or with the assistance of various devices. Free text (informational data, such as drug dosages administered, resources used, and problems diagnosed) is recorded electronically. Free text is then interpreted and organized by some standardizing principle, either manually or by computer. In this way, data (often qualitative data that cannot be traditionally measured in a numeric sense) can be organized and processed. A central issue to the generation and analysis of free text data is the lack of a generally accepted set of terminology to capture nursing data.
False
True or False? Qualitative data focus on numbers and frequencies, with the goal of describing a situation or looking for more robust relationships such as correlations and specific variable contributions to an outcome. This aim stands in contrast to quantitative analysis, which focuses on experiences and meaning.
True
True or False? The human interfaces for each of the various technologies are different and can even differ among different brands or versions of the same device.
False
Videos have been combined as earcons to represent relationships among data elements, such as the relationship of systolic to diastolic blood pressure. True/False?
True
Wearable technology is the next new frontier in human-technology interfacing where the devices we wear can also interject signals into our body. True/False?
Observes the steps users are likely to take to use the interface to accomplish typical tasks.
What does a cognitive walkthrough do?
Examines how the user approaches the task in order to accomplish it.
What does task analysis do?
Hardware and software that support humans interacting with technology.
What is the human-technology interface?
The randomized control trial
What is the most reliable source of research evidence for informing practice?
Peer reviewed and free journal articles
What kind of sources would the nurse be able to obtain is they were using open access for a literature search?
Situations, experiences, education, and knowledge building.
What promotes transitions between types of knowledge workers?
Must adhere to responsible information standards
When healthcare agencies provide access to health information on websites they:
Knowledge workers
When nursing professionals work with information and generate information knowledge as a product, they can be described as:
D
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 are correct.
C. Regulating the development and release of medical apps
Which of the following is not part of the 21st Century Cures Act? A. Improving interoperability and health information exchange by providing seamless access to improved EHRs B. Supporting community mental health efforts C. Regulating the development and release of medical apps D. Promoting research into preventing and curing serious illnesses
C. MEDLINE and Cumulative Index to Nursing and Allied Health Literature (CINAHL)
Which of the following is/are a professional database? A. Cumulative Index to Nursing and Allied Health Literature (CINAHL) B. MEDLINE C. MEDLINE and Cumulative Index to Nursing and Allied Health Literature (CINAHL) D. None of these is correct.
A protected Health information
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. Protected health information B. Patient health information C. Provider health information D. None of these are correct.
Usability
________ is the term that denotes the ease with which people can use an interface to achieve a particular goal.
Cognitive science
____________ ____________ is the interdisciplinary field that studies the mind, intelligence, and behavior form an information processing perspective.
Data Analysis
____________ is the process by which data collected during the course of a study are processed to identify trends and patterns of relationships.
Copy right
_____________ laws in the world of technology are notoriously misunderstood. The same laws that cover physical books, artwork, and other creative material apply in the digital world, and violations can lead to prosecution.
Case control research
______________ is a type of study in which patients who have an outcome of interest and patients who do not have the outcome are identified; the researcher then looks back in time (typically using health records) to determine exposures and experiences that could have contributed to the outcome occurring or not occurring.
