Quiz 1- Foundations of Practice
The informatics nurse understands that a main tenet of nursing informatics is to: a. respond to the regulatory mandates of security b. provide the latest technology to improve efficiencies c. serve as a fiscal manager in the project management process d. support clinical efforts and improve quality of care through improved information management
D. Support clinical efforts and improve quality of care through improved information management. Informatics nurse understands the need to support and advocate for real time entry and use of accurate information within information systems as a mechanism to positively affect health care delivery models.
Which federal act outlines measures to prevent information blocking? a. 21st Century Cures Act b. Health Information Technology for Economic and Clinical Health (HITECH) Act c. Health Insurance Portability and Accountability Act (HIPAA) d. Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)
a. 21st Century Cures Act The 2016 21st century cures act provided funding for advancing electronic health records, interoperability, increased patient access to health information, and preventative measures against information.
Nursing informatics is classified as a specialty because it has the following characteristics: Differentiated practice, professional organizations, education programs, credentialing, and: a. A clear research program b. Leadership in policy development c. Licensing requirements d. Megastructures and models
a. A clear research program Based on the work of Styles in 1988, a specialty encompasses those characteristics
An example of collaboration is: a. An informatics nurse engaging with a clinical nurse specialist to address restraint documentation citation b. An informatics nurse presenting on their independent audit of restraint documentation c. An informatics nurse summarized restraint best practice d. An informatics nurse implantation restraint documentation changes
a. An informatics nurse engaging with a clinical nurse specialist to address restraint documentation citation Collaboration is engaging in teamwork, affecting change, and producing outcomes.
The stages of the Standards of Nursing Informatics Practice methodology for system implementation include: a. Assessment, problem identification, outcome identification, planning, implementation, and evaluation b. Initiation, analysis, design, implementation, and support c. Assessment, diagnosis, planning, implementation, and evaluation d. Planning, analysis, design, and implementation
a. Assessment, problem identification, outcome identification, planning, implementation, and evaluation The Standards of Nursing Informatics Practice outlines the nursing informatics methodology for implementation.
An informatics nurse positively manages a system conversion through: a. communication, collaboration, change management, and education b. Initiation, analysis, design, implementation, and support c. communication, analysis, education, and implementation d. analysis, planning, design, and planning
a. Communication, collaboration, change management, and education A successful implementation includes awareness and frequent updates (communication), partnership with stakeholders (collaboration), standardized processes (change management), and adoption (education).
When the current respiratory system was purchased, some available options were not initially implemented. Respiratory therapy leadership is requesting assistance to implement the options now. Which of the following is the initial step by an informatics nurse? a. Conduct group and one on one interviews, paper surveys, and workflow review b. Request a project manager c. Develop an education d. Implement requested options
a. Conduct group and one on one interviews, paper surveys, and workflow review The first step of the Nursing Informatics Standard methodology assesses the problem by collecting relevant data related to the problem.
The primary metastructures of nursing informatics are: a. data, information, knowledge, and wisdom b. observations, data, information, and knowledge c. nursing science, information science, and computer science d. information, knowledge, and wisdom.
a. Data, information, knowledge, and wisdom Data, information, knowledge, and wisdom serve as the foundations or metastructures for many leading nursing informatic frameworks and theories.
An informatics nurse is performing a literature review using PubMed. This represents the principle of: a. FAIR data principal b. the empowerment informatics framework (EIF) c. data information knowledge wisdom (DIKW) paradigm d. the nursing process
a. FAIR data principal The FAIR data principle is unable, accessible, interoperable, and reusable.
An informatics nurse (IN) is developing a communication plan for an upcoming system upgrade and downtime. While the upgrade will allow for future expanded functionality, the IN knows that the communication needs to highlight immediate positive system changes to: a. Gain and maintain positive momentum b. Identify possible risk c. Ensure approval of future implementations d. Validate design decisions
a. Gain and maintain positive momentum Identifying "quick wins" is one method used in successful change management.
What federal act gave states the ability to enforce Health Insurance Portability and Accountability Act (HIPAA)? a. Health Information Technology for Economic and Clinical Health (HITECH) Act b. Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) c. 21st Century Cures Act d. Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)
a. Health Information Technology for Economic and Clinical Health (HITECH) Act Before HITECH, HIPAA violations were only enforceable by the federal government.
An informatics nurse (IN) is seeking feedback on their practice from stakeholders. The IN is demonstrating the competency of: a. Professional practice evaluation b. Communication c. Collaboration d. Leadership
a. Professional practice evaluation An IN demonstrates professional practice evaluation when the IN assess their own practice against professional standards and expectations.
An informatics nurse (IN) is meeting with nursing leadership to request super-users to inform a redesign of the current electronic activities of daily living documentation. The IN describes an ideal super-user as: a. Respected and credible b. Comfortable with change c. Adept with computers and other technologies d. Tenured or most senior
a. Respected and credible To gain buy in from front line staff, a change management strategy includes populating a team with respected, credible members.
As an informatics nurse, you observe a difference in the rate of adoption of a new system among a group of nurses. You anticipate these differences in adoption based on: a. Rogers Change Theory: Diffusion of Innovation b. Cognitive Science c. Computer Science d. Data Information Knowledge Wisdom paradigm
a. Rogers Change Theory: Diffusion of Innovation Rogers recognized five groups of adopters: innovators, early adapters, early majority, late majority, and laggard.
A logically, meaning full grouping of similar or related data is: a. a data set b. a data warehouse c. a database d. a data element
a. a data set. A data set is collection of interconnected or associated data.
The 21st century curious act included stipulations to address information blocking. An example of information blocking is: a. patient refusing to sign a release information consent b. a healthcare organization implementing a "pay to play" process that requires other authorized healthcare entities to pay a fee to access patient information c. a provider not a string with the regional information health exchange d. a healthcare organization refusing to confirm if a person is currently a patient to media outlets
a. a healthcare organization implementing a "pay to play" process that requires other authorized healthcare entities to pay a fee to access patient information The business practice requires other organization to pay fees in order to access patient information that they otherwise would not be able to access, a practice known as information blocking.
The informatics nurse is interested in promoting the use of telehealth as a way to improve healthcare delivery in rural community. A core activity that contributes to this process is: a. Advocacy b. Fiscal accounting c. Contracting d. Technical writing
a. advocacy The advocacy function of informatics nurse includes educating community and legislative leaders emerging technologies that can be leveraged to improve the access of underserviced communities to healthcare.
The informatics nurse participates in a system selection gathers data to form information. The nurse informaticist then develops knowledge about the vendors by: a. Gathering all scores together from all evaluations and demonstrations and creating a scale b. Interviewing all users on the phone and asking questions c. Reading the web site information d. Making a site visit to multiple users of equal size
a. gathering all scores together from all evaluations and demonstrations and creating a scale Knowledge is interpretation, integration, and understanding given information.
An informatics nurse participating in the local chapter of American Nursing Informatics Association is demonstrating what Nursing Informatics Standard of Practice? a. leadership b. education c. quality of practice d. collaboration
a. leadership Participating in professional and informatics organization is a competency for Standard 12: Leadership
Data security and misuse, digital signatures, and confidentiality are examples of: a. legal issues b. ethical issues c. staff performance challenges d. interoperability issues
a. legal issues These examples would fall under the auspices of laws regarding fraud and privacy.
Which healthcare technology was identified in the Nathional Institute for Nursing Research's (NNIR's) 2016 strategic plan? a. Mobile health b. electronic health record c. computerized provider order entry d. secure texting
a. mobile health The NNIR's 2016 strategic plan specifically identified clinical decision support, mobile health, care coordination, and shared decision making as strategies to remote and improve health and quality of life for individuals and community.
As an informatics nurse, URS to manage a small implementation project for specimen lab generation in the surgery center to meet a need supported by the National Patient Safety Goals. you outlined strategies, alternatives, and recommendations to distribute to the members of your team. which nursing informatics standard addresses this activity? a. planning b. ongoing evaluation towards attaining goals c. problem identification d. assessment
a. planning The informatics nurse develops a plan that prescribes strategies, alternatives, and recommendations to attain expected outcomes
An informatics nurse (IN) is designing a telehealth product for monitoring patients diagnosed with COVID-19. The IN knows the basics of a communication channel requires a sender, transmission medium, and: a. Receiver b. Receptacle c. Resolution d. Radio channel
a. receiver Sender, transmission medium, and receiver are components of a communication channel within the theories of information.
Advocating for nursing mobile solutions that allow for real time documentation and alerting is an example of which nursing informatics standard of practice? a. Resource utilization b. Professional practice evaluation c. Education d. Consultation
a. resource utilization Advocating for resources that improve nursing practice is a competency for resource utilization.
In Systems Theory, the following concepts of change include equifinality, negentropy, entropy, specialization, dynamic homeostasis, and: a. reverberation b. adoption c. stabilization d. performing
a. reverberation Reverberation is when a change in one part of a system has effects in other parts of same system
The informatics nurse is evaluating the usability of a new system. This nurse will evaluate: a. The easy of learning the system b. The speed of the processor c. The coverage of the data elements d. The size of the screen
a. the ease of learning the system Usability means the efficiency and effectiveness of a system. This can first be assessed by the ease of learning.
An electronic nursing care plan is the result of: a. wisdom b. information c. knowledge d. data
a. wisdom Wisdom focuses on appropriate use and application of knowledge and an understanding of the consequence of available actions and options to achieve desired outcomes.
After reviewing all information available on a patient within an electronic health record and performing an assessment, the nurse chooses an intervention based on: a. Wisdom b. Education c. Knowledge d. Preference
a. wisdom Wisdom is defined as the appropriate use of knowledge to manage and solve human problems.
You been asked to review the Medicare's Blue Button 2.0 list. What information do you expect to find? a. A list of HER vendors that can electronically transmitted Medicare data b. A list of application developers who have agreed to use the application programming interface (API) c. A list of healthcare organizations and provider who have achieved HIMSS certification d. A list of durable medical equipment (DME) that can electronically bill Medicare patients
b. A list of application developers who have agreed to use the application programming interface (API) Medicare's Blue Button 2.0 stipulates the use of specific API requirements for developers and in return, developers gain access to Medicare data for 4 years.
An informatics nurse (IN) is preparing a presentation about health information exchanges (HIEs). When describing what HIEs are, the IN includes that HIEs: a. Are exempt from HIPAA b. Allow the electronic sharing of patient information such as medication history across different organizations c. Require all organizations and clinics in a region or community to implement the same electronic health record vendor d. Are used in only metropolitan areas
b. Allow the electronic sharing of patient information such as medication history across different organizations HIEs are community or reginal based entities that support the exchanges of patient information based on contractual requirements amongst defined health care organizations
An informatics nurse developing a graphical display of vital signs over time for individual patients is applying the concept of: a. Representation of outcomes b. Construction of information c. Depiction of accurate data d. Formation of evidence
b. Construction of information Chronological sets of data elements are considered construction of information
Which of the following is an example of an informatics nurse advocating for improved patient access? a. Evaluating nursing documentation for improved patient outcomes b. Contributing to public policy that supports the expansion of broadband internet access c. Implementing an electronic health record system in an ambulatory clinic d. Designing a patient portal
b. Contributing to public policy that supports the expansion of broadband internet access Lack of broadband access inhabits patient access to healthcare information technologies such as telehealth and remote monitoring.
Which of the following is an informatics- based competency for a registered nurse? a. Analyzing healthcare information technology strategy for risk b. Demonstrating Basic computer skills c. Contributing to Informatics Research d. Designing electronic health record
b. Demonstrating Basic computer skills Information literacy, information management, and basic computer are considered informatics competencies for all registered nurses.
Data is used in nursing informatics to: a. identify, manage, define, and communicate knowledge b. identify, manage, define, and communicate information c. to find information, communicate knowledge, and manage outcomes d. identify, manage, define, and communicate outcomes
b. Identify, manage, define, and communicate information. Data can be analyzed and grouped in a multitude of ways to support the advancement of knowledge, affect decision making, and health care outcomes.
An informatics nurse (IN) is developing a training session for a new enterprise planning resource system. The IN incorporates the theory of andragogy by: a. scheduling the training times to be before and after work shifts b. including real life examples in the curriculum c. asking the product vendor to provide training d. ensuring the session is less than four hours long
b. Including real life examples in the curriculum incorporating actual or realistic events or scenarios is a principle of andragogy.
An informatics nurse (IN) has been mentoring a registered nurse who wants to specialize in nursing informatics. The IN is demonstrating what nursing informatics standard of practice? a. Communication b. Leadership c. Ethics d. Professional Practice Evaluation
b. Leadership Leadership includes that the IN mentors registered nurses for the advancement of nursing informatics practice, the profession, and quality health care.
Medicare EHR Incentive Program (Meaningful Use) transitioned to: a. Health Information Technology for Economic and Clinical Health (HITECH) Act b. Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) c. American Recovery and Reinvestment Act (ARRA) d. 21st Century Cures Act
b. Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) MACRA established Merit-Based Incentive Payment Systems (MIPS)
An informatics nurse is developing a proposal for streamlining nursing documentation as one solution to address nursing burnout. Which statement is true in regard to nursing documentation and burnout? a. Nursing staff are commonly unaware of policies and regulatory requirements that dictate documentation b. Nursing staff commonly have to work after the end of their scheduled shift to complete documentation c. Nursing staff commonly wait to the end of their scheduled work hours to complete their documentation d. Nursing documentation is difficult to review and requires nursing staff to frequently verbally review their documentation with other members of the healthcare team
b. Nursing staff commonly have to work after the end of their scheduled shift to complete documentation Research has found that more than 20% of nursing documentation is completed outside of scheduled work hours. Longer work hours, along with associated stress, have been linked to increased incidence of nursing burnout.
The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule stipulates: a. regulations for the use and disclosure of protected health information collected only by healthcare organizations b. regulations for the use and disclosure of protected health information c. regulations for the use and disclosure of protected health information collected only by using paper-based method d. regulations for the use and disclosure of protected health information collected only by electronic-based methods
b. Regulations for the use and disclosure of protected health information The HIPAA Privacy Rule provides patients with the expectation of privacy by setting forth regulations for covered entities.
As information technology becomes more pervasive in healthcare settings in the need for access increases, the informatics nurse must advocate for: a. system optimization b. reliability and availability c. increased use of wireless access d. generic user ID at all times
b. Reliability and availability. As systems become more pervasive and providers more reliant, there is an increased need for the informatics nurse to be advocating for reliability and availability standards.
The informatics nurse (IN) demonstrates the nursing informatics standard of education by: a. Advocating for healthcare consumer access to electronic healthcare records b. Sharing educational findings, experience, and ideas with peers c. Promoting the organization's vision, the associated goals, and the strategic plan d. Demonstrating documentation skills in electronic health records
b. Sharing educational findings, experience, and ideas with peers An IN is expected to contribute to the specialty by openly sharing knowledge and experiences through formal and informal method.
The use of edutainment as a way to engage patients in their own health management is supported by: a. Data Information Knowledge Wisdom (DIKW) paradigm b. The Empowerment Informatics Framework (EIF) c. Internet of Things (IOT) d. Artificial Intelligence (AI)
b. The Empowerment Informatics Framework (EIF) One principle of EIF is integrating patient self-management with nursing informatics.
The informatics nurse is evaluating the human-computer interaction (CHI) factors related to a new system. This nurse will evaluate: a. The speed of the processor b. The cognitive processing of the clinical user c. The accuracy of the data entered d. The implementation involvement of the clinical user
b. The cognitive processing of the clinical user HCI deals with people software, applications, and technology and the ways the influence each other.
A nursing unit manager contacts and informatics nurse to report complaints that electronic charting system is lagging and non-responsive at times. what initial action does the informatics nurse take? a. wait until another nursing unit complaints about the issue b. validates the problem by requesting a system performance audit or report c. request The IT department update the system d. directs the nursing staff to use downtime process
b. Validates the problem by requesting a system performance audit or report An informatics nurse validates the problem based on assignment data.
Weight incorrectly entered as pounds instead of kilograms will lead to differences in outcomes such as incorrect weight-based medication dosing is illustrating what theory: a. Cognitive Theory b. Chaos Theory c. System Theory d. Communication Theory
b. chaos theory Chaos Theory describes how change at the start of a process can lead to many intended and unintended differences in outcomes.
Activities of daily living is an example of: a. nursing data formats b. data sets c. nursing data mining d. data repositories
b. data sets Activities of daily living is a grouping of interrelated data.
An informatics nurse specialist in an executive or chief information officer role may be: a. Communicating with end users b. Developing national strategic policy c. Managing phases of the lifecycle d. Building coalitions of users
b. developing national strategic policy Informatics Nurse Specialist in senior leadership roles are expected to be visionary and to establish direction.
Individuals who were raised with and interact with technology (i.e. mobile phones, internet) their entire lives are known as: a. Digital experts b. Digital natives c. The internet generation d. Millennials
b. digital natives Digital Natives is the first generation to be raised in a time when the internet and other digital technology have existed their entire lives.
The use of a cipher is associated with: a. usability b. encryption c. interoperability d. integrity
b. encryption Encryption is the use of a cipher (mathematical algorithm) obfuscating information.
An informatics nurse (IN) has been informed by their organization privacy office that a patient is requesting a list of everyone who has accessed their medical records. The IN nose patients were given the right to make this request by: a. 21st century cures act b. health insurance portability and accountability act (HIPAA) c. Medicare access and CHIP we authorization act of 2015 (MACRA) d. health information technology for economic and clinical health (HITECH) act
b. health insurance portability and accountability act (HIPAA) Under HIPAA, a patient can request an account of who has accessed there are medical records and healthcare providers are required to provide this information in a reasonable time frame.
A data record is comprised of: a. A single data element b. multiple related data elements c. multiple related data sets d. multiple disparate data elements
b. multiple related data elements A data record is a collection of data elements
An informatics nurse developing a uniform graphical display of vital signs, medications administration, and pain levels is applying the concept of: a. Development of legal documentation b. Provision of information c. Management of care maps d. Formation of knowledge
b. provision of information The synthesis of information becomes knowledge.
Data are: a. transformed information. b. raw facts that lack meaning. c. interpreted findings. d. knowledge points for discussion.
b. raw facts that lack meaning Data are discrete elements that have not been interpreted.
The informatics nurse involved in the process of developing a software solution will be involved in the requirements development, design, iterative development, and then: a. Dissemination b. Testing c. Support d. Implementation
b. testing The development process for the informatics nurse is: requirements, design, iterative development, and then testing before dissemination can occur.
An informatics nurse (IN) is completing an assessment for environmental health in an ambulatory practice office. Which assessment finding would require intervention by the IN? a. Obstructed waiting room signage b. Low toner levels in the fax/scan/copy printer c. Computer workstation in a poorly lit space d. Unlabeled food in breakroom fridge
c. Computer workstation in a poorly lit space The IN supports practice in a safe and healthy environment by assessing for items that could threaten health.
The responsibility of the Office of the National Coordinator (ONC) for Healthcare Information and Technology is: a. implementation of a national coding and billing regulations b. coordination of broadband Internet access to support telehealth c. coronation of nationwide efforts to implement the use of advanced health IT and electronic health exchange d. coordination of a single nationwide standard electronic health record
c. Coordination of nationwide efforts to implement the use of advance health IT and electronic health exchange The ONC is charged with coordination of a National Health information technology infrastructure to support exchange of health information.
At your facility, a security breach occurred involving unauthorized access to patient chart and the misuse of data. You are asked to participate in a root cause analysis. This type of event is conducted to: a. determine how to notify the patient b. determine security measures that need to be implemented c. determine the factor(s) causing the breach d. determine who is to blame
c. Determine the factor(s) crossing the breach Root cause analysis is a type of investigation or survey used to identify why a process has failed.
In response to requirements outlined in Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014, the informatics nurse identifies the need for the following EHR modification: a. evaluation for appropriate post-acute screening survey b. Determination of current and potential post-acute patients c. Incorporation of standardized patient assessment data elements in nursing documentation d. Implementation of early warning systems
c. Incorporation of standardized patient assessment data elements in nursing documentation IMPACT requires the capture and sharing of standardized data elements, including nursing assessments, in post-acute care venues.
Knowledge is defined as: a. raw, uninterpreted information b. information that represents a collection of option c. information that has been integrated to create awareness and understanding d. information, wisdom, and data
c. Information that has been integrated to create awareness and understanding Knowledge is the synthesized information where connection and relationship within the information has been recognized.
In Nelson's Revised Data Information Knowledge Wisdom (DIKW) paradigm, each level: a. Must be accompanied by the next higher level. b. is stable. c. Interacts with other levels d. Is independent of each other's levels
c. Interacts with other levels The different levels within the DIKW paradigm are in constant flux with each other based on changing complexity and changing relationships.
Which of Tuckman's strategies of group development does the group spend time getting used to each other and developing trust and productivity? a. Storming b. Forming. c. Norming. d. Performing.
c. Norming Norming, the third of Tuckman's stages, when the group develops a level of comfort and security with each other.
An informatics nurse is presenting a monthly project update to the project executive steering group. What information is appropriate to include in the update? a. Interpersonal conflict with the project management office b. Review of all design decisions c. Progression of project tasks, timeline delays and risk to the project's success d. Assignment of tasks and system change management documentation
c. Progression of project tasks, timeline delays and risk to the project's success The informatics nurse communicates effectively based on the audience of the communication.
An informatics nurse is presenting about new capabilities of a nurse call system. According to Roger's Change Theory: Diffusion of Innovation, this reflects what characteristic? a. Trialability b. Combability c. Relative advantage d. Observability
c. Relative advantage Relative advantage is the extent in which a user understands or perceives the change to be an improvement over the current process or system.
An informatics nurse process and electronic nursing documentation optimization project. An example of an appropriate project outcome is: a. happier nursing staff b. improved nursing ability to complete barcode scanning c. a 25% decrease in required nursing charting fields d. positive doctor feedback on the quality of nursing documentation
c. a 25% decrease in required nursing charting fields Outcomes is it application describes the expected outcomes as measurable goals.
Successful adaptation to change is critical within an organization. The informatics nurse understands that principles of change management include: a. technical requirements b. gap analysis c. communication d. scope
c. communication Change management must address communication to stakeholders, involvement of stakeholders, and agreement of you stakeholder.
An example of formal adult learning strategies is: a. formal slide deck presentation b. limited group activities c. competency-based training d. instructor directed reading
c. competency-based training According to Knowles' theory of andragogy, adults are problem-centered learners.
And informatics nurse is assisting with the development of an infectious disease alert and a bed capacity management system. This activity demonstrates: a. leadership b. design c. environment of health d. education
c. environment of health The informatics nurse supports practice in a safe and healthy environment.
A research coordinator requests access to the electronic health record to look for potential candidates for a study. The informatics nurse must assess the: a. Patient waivers allowing universal access b. Validity of the study to the population c. Ethical use of data and application of security standards d. Beneficence of the research
c. ethical use of data and application of security standards The informatics nurse is responsible for maintaining and ethical standard and ensuring compliance with legal and regulatory parameters protecting security and confidentiality.
An informatics nurse is advocating for the implementation of a model that informs a prescribing clinician of less costly prescriptions substitutions based on the patients prescription plan. This is an example of: a. collaboration b. system design c. ethics d. continuity of care
c. ethics Nursing informatics ethics directs the informatics nurse to always focus on the patient, and the actions and results that will benefit the patient.
And informatics nurse receives a call from a close friend that the friend's mother is being admitted to the hospital. A friend has not been able to get information on the severity of the problem and ask the informatics nurse to look in the EHR for any information about the mother's condition. The area of Nursing Informatics Professional Standard impacted by this request is: a. quality of practice b. leadership c. ethics d. advocacy
c. ethics The informatics nurse is responsible for maintaining an ethical standard and ensuring compliance with legal and regulatory parameters protecting security and confidentiality.
A qualified electronic health record must have: a. both integrated coding and integrated charging b. capabilities to support provider referrals and patients request for copies of medical records c. health care information query functionality and interoperability capabilities d. establish health exchange interface with Centers for Medicare and Medicaid Services
c. health care information query functionality and interoperability capabilities A qualified electronic house record must contain patient demographic information, medical history, and health problems, support provider order entry, be able to report quality data, and be able to share and receive this information electronically.
When an informatics nurse (IN) meets with each member of a multidisciplinary care team to learn about their individual concerns with a newly implemented system change, the IN is demonstrating what provision of the ANA's code of ethics for nurses? a. Provision 3: the nurse promotes, advocates for and strives to protect the health, safety, and rights of the patient b. provision 2: the nurse's primary commitment is to the patient, whether it is individual, family, group, or community c. provision 1: the nurse practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual regardless of background d. provision 4: the nurse is responsible and accountable for individual nursing practice and demonstrates the appropriate delegation of tasks consistent with the nurses obligation to provide optimal care
c. provision 1: the nurse practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual regardless of background As an integral part of the healthcare team, an IN respectfully interacts and collaborates with members of the team who may have different expertise, priorities and values
An informatics nurse specialist in a midlevel leadership position may be: a. Wiring a network and testing for breaches of security b. Caring for patients using technology c. Supervising and gathering end user requirements d. Repairing hardware and networks
c. supervising and gathering end user requirements A midlevel informatics nurse specialist will be supervising activities within the Systems Development Life Cycle.
Personal health information (PHI) is considered secured when a clinician: a. prints to publicly assessable printer b. use personal email accounts c. use encryption d. faxes to an unconfirmed number
c. use encryption The US Department of Health and Human Services considers PHI to be secured when the information is unreadable, unstable, or indecipherable when accessed by unauthorized parties.
The MyHealthEData initiative's goal is to increase patients' access to their health data by: a. Requiring all progress, consult, and diagnostic notes to be authored electronically b. Allowing patients to make direct changes to their medical records electronically c. Giving patients immediate access to all of their medical record on January 1st, 2020. d. Allowing patients electronic access to their medical records using their device of choice
d. Allowing patients electronic access to their medical records using their device of choice The 2018 MyHealthEData seeks to give patients more access and control over their medical information.
A key legislation to be considered when implementing a project encompassing persons with special needs is: a. Health Information Technology for Economic and Clinical Health (HITECH) Act b. Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) c. Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) d. Americans with Disabilities Act (ADA)
d. Americans with Disabilities act (ADA) An informatics nurse evaluates the effects of public policy on project implementation and adoption. The ADA regulates a company's interaction with persons with special needs.
The scope of a project has been developed and the feasibility has been approved. One of the first activities that the informatics nurse will do is to conduct: a. Walkthrough of the future state b. An "as is" or current state workflow c. A risk mitigation plan d. An analysis of system needs
d. An analysis of system needs By having an understanding of current clinical processes, and informatics nurse will then inform system design to ensure support for optimal clinical safety and efficiency.
The Quality Payment Program (QPP) promotes interoperability objectives through the following activities: a. electronic prescribing, health information exchange, integrating coding, and extractable data b. integrating coding, health information exchange, provider to patient exchange, and public health and clinical data exchange c. computerized order entry, integrating coding, health information exchange, and provider to patient exchange d. electronic prescribing, health information exchange, provider to patient exchange, and public health and clinical data exchange
d. Electronic prescribing, health information exchange, provider to patient exchange, and public health and clinical data exchange QPP outlines in detail how Merit-Based Incentive Payment Systems (MIPS) eligible providers can meet the promoting interoperability objectives of electronic prescribing, health information exchange, provider to patient exchange, and public health and clinical data exchange.
When the informatics nurse (IN) recommends holding the implementation of a new solution designed to reduce hospital visit cost because it will introduce increased error in appropriate diagnostic test ordering, the IN is demonstrating with nursing informatics standard of practice? a. Evaluation b. Evidence-Based Practice and Research c. Education d. Ethics
d. Ethics The IN is demonstrating the nurse's primary commitment to the patient care, safety, and well-being.
The informatics nurse (IN) has been asked to monitor the progression of a system change. The IN uses what tool? a. E-mail b. RACI charter c. Time reporting tool d. Gantt chart
d. Gantt chart A Gantt chart is used to track task, resources, and milestones over the life of a change.
An informatics nurse (IN) analyzes the hospital's electronic clinical quality measures (eCQMs) performance. What of the following is an appropriate action for the IN to take next? a. Release eCQMs to payroll so incentive bonus can be processed b. Release eCQMs to contracted insurance companies c. Validate that manual extraction of measures was done correctly by repeating the extraction d. Identify opportunities to educate clinicians on quality measures documentation
d. Identify opportunities to educate clinicians on quality measures documentation Healthcare organization and provider groups use eCQMs to further investigate opportunities we're clinical improved.
When caring for patients, a nurse focuses on the patient, health, and environment continuum. A similar an analogy for an informatics nurse would be: a. Information source, information label, and information store b. information source, information goal, and information store c. information user, information goal, and information exchange d. information user, information receipt, and information exchange
d. Information user, information receipt, and information exchange The one of the specialized focuses of an informatics nurse is the synthesis of data and information into knowledge and wisdom.
In a study provisioned by the 21st Century cures Act, what are the two most common patient-matching errors? a. Patients incorrectly validate their demographics and failure of automated matching processes b. Human input error of matching data and records for two different patients are matched c. Human input error of matching data and failure of automated matching processes d. Records for two different patients are matched and all records for one patient are not matched
d. Records for two different patients are matched and all records for one patient are not matched A 2019 report by the United States Government Accountability Office found the most frequent patient-match errors occur when either different patients are matched or when all the records for a single patient are not matched.
Which of the following is a concern for when nursing students use healthcare information technologies and systems? a. Students' access to healthcare organizations' patient databases b. Students' unfamiliarity with different healthcare information technologies and systems c. Students' computer skills and experience d. Students' overreliance on automated processes and decision support functionalities in electronic health records
d. Students' overreliance on automated processes and decision support functionalities in electronic health records The concern is that students may rely on structured information such as electronic functionalities reminders, alerts, and decision support systems, rather than critical thinking skills.
An informatics nurse (IN), known that ethics is relevant to nursing informatics because: a. The IN reviews healthcare information technology contracts b. The IN needs to maintain direct patient care competencies c. The IN is responsible for implementation of healthcare regulations d. The IN works with electronic systems and solutions that deliver care to patients
d. The IN works with electronic systems and solutions that deliver care to patients An IN affects patient care through support of healthcare information technologies that deliver patient care.
What is one determinant that an informatics nurse (IN) must take into account when selecting the type of process map used for a new documentation project? a. The venue of patient care b. The funding source c. The audience for whom the map is being done d. The goal for which the map is being done
d. The goal for which the map is being done The IN needs to evaluate goal of map, complexity of the change or project, and whether swim lanes are needed.
The informatics nurse involved in helping end users to optimally interact with a new system must use the principles of: a. Group leadership b. Group formation c. Computer training d. Adult education
d. adult education Adherence to educational principles is a major component of professional development and optimal technology use.
Malcolm Knowles' term, andragogy is a principal theory in: a. environment health b. leadership c. ethics d. adult learning
d. adult learning. Andragogy is a theoretical framework describing how adult learn.
The healthcare enterprise has a large data warehouse. Nursing Administration requests a review of staffing vs. length of stay for certain diagnoses. The informatics nurse will initially use: a. Data mining and visual review techniques b. Machine learning and statistical mining c. Data extraction and chart review d. Data mining and machine learning methods to extract data
d. data mining and machine learning methods to extract data Knowledge discovery in databases uses data mining and machine learning methods to extract data.
One of the key attributes of an informatics nurse in the role of project manager or project coordinator is: a. Technical skill b. Management experience c. Budgetary oversight d. Effective commination
d. effective communication Effective communication is an inherent part of the informatics nurse function related to coordination, facilitation, and integration.
The three levels of interoperability are: a. qualitative interoperability, quantitative interoperability, and meaningful interoperability b. foundational interoperability, structural interoperability, and meaningful interoperability c. meaningful interoperability, internal interoperability, and external interoperability d. foundational interoperability, structural interoperability, and semantic interpretability
d. foundational interoperability, structural interoperability, and semantic interpretability The goal of interoperability is to allow poor they capture and sharing of patient information in a valuable way and to achieve this, 3 levels of interoperability exist: foundational interoperability, structural interoperability, and semantic interpretability.
An informatics nurse (IN) is designing an electronic note repository structure where a physical therapy evaluation can be accessed and seen by the interdisciplinary team. The IN is utilizing the principles of: a. computer science b. cognitive science c. communication systems d. general systems
d. general systems General Systems is a theory that explains how complex systems can be broken down into smaller parts to understand how each part of can affect each other.
Openness, security, and access fall under the general principles of: a. interoperability standards b. encryption c. qualified clinical data registries d. informatics ethics
d. informatics ethics The general principles of informatics ethics include information and privacy, access, accountability and legitimate infringement, and openness, security, and access.
In what stage are clinicians when they expressed confusion as they try to reconcile their understanding of an old process with a new process? a. Unfreezing b. Adopting c. Refreezing d. Moving
d. moving In Lewin's theory of planned change, the stage of moving is when clinicians recognize that old process or tools are being changed or replaced with new process or tools but do not have a clear picture or understanding of how this change is to occur.
New users to a system in which they had no previous experience or considered: a. beginners b. first time users c. early adopters d. novices
d. novices Benner's Novice to Expert Model defines a learner with having little to no previous experience or knowledge with a topic or skill as novice.
When an informatics nurse (IN) identifies and monitors documentation and patient outcomes for a process improvement effort, this is which nurse informatics standard of practice? a. Ethics b. Communication systems c. Education d. Quality of practice
d. quality of practice Quality of practice is when the IN contributes to the quality and effectiveness of nursing and informatics practice.
An informatics nurse (IN) is facilitating a workgroup tasked with addressing pain intervention documentation issues. The group is having a heated disagreement about possible solutions. The IN recognizes that the group is in what stage of decision making? a. Forming b. Performing c. Norming d. Storming
d. storming Tuchman's stage describes the four stages (forming, storming, norming, and performing) of group decision making. You stage of storming is characterized by impassioned sharing, deferring understanding of the issue, and potential solution.
The informatics nurse is concerned with ergonomics as part of the Human Factors. One assessment made will be: a. That the chart can be used for 12 hours w/o charging b. That the design follows the flow of thought c. That the vital signs graph aligns all measures in a row d. That the placement of a keyboard can be raised to the correct height for each user
d. that the placement of a keyboard can be raised to the correct height for each user Ergonomics is concerned with optimizing the fit between equipment and the human body.
Standards of Nursing Informatics Practice provide: a. the legal requirements for the informatics nurse. b. the job description for the informatics nurse. c. the regulatory requirements for the informatics nurse. d. the description of the behaviors of a competent informatics nurse.
d. the description of the behaviors of a competent informatics nurse The Nursing Informatics Scopes and Standards contain the authoritative statements describing accountability and responsibilities of an informatics nurse.
The Standards of Nursing Informatics Practice have their foundation in: a. project management institute. b. system development lifecycle c. change management d. the nursing process
d. the nursing process These standards of nursing informatics describes a competent level of nursing care demonstrated by the clinical thinking model known as the nursing process.
