Ch 20: Informatics
Several nurses are discussing their impressions of the newly implemented electronic health record with an informatics nurse specialist. They say, "There is so much information on one screen, it hard to tell what we should do first. It's not really clear." The informatics nurse specialist interprets the comments as reflecting an issue with which area? a) Usability b) Interoperability c) Optimization d) Security
a) Usability
An informatics nurse is preparing a training program for staff nurses in the facility. The facility will be implementing a new electronic health record. To ensure the best results, which type of training would the informatics nurse most likely use? a) Online training b) Classroom education c) Web-based training d) Printed tip sheet
b) Classroom education
The nursing student is discussing the benefits of electronic charting with a precepting nurse who is frustrated with computerized documentation. Which statement by the student requires intervention from the nursing instructor? a) "You don't have to worry about trying to read poor handwriting." b) "The computer reminds the nurse to enter information and inhibits omissions." c) "You save time because you don't have to look for the physical chart." d) "You can make extra money with overtime pay with end-of-shift charting."
d) "You can make extra money with overtime pay with end-of-shift charting."
An informatics nurse is applying the informatics framework to a clinical situation. Which component of the framework would the nurse apply first? a) Knowledge b) Information c) Wisdom d) Data
d) Data
A group of nurses along with an informatics nurse specialist are conducting user acceptance testing of an update to a clinical information system. During this testing, which question is the group looking to answer? a) Does everything appear on the screen in the proper place? b) Do the components of the system work for an entire workflow? c) Can the system function properly when being used by multiple staff? d) Does the update function and work as intended?
d) Does the update function and work as intended?
An informatics nurse specialist is meeting with a primary care provider's staff members. The office has agreed to implement a patient portal. When describing this tool, the nurse specialist would identify which aspects as being possible for clients? Select all that apply. a) Access their medical history b) Schedule office appointments c) Communicate with the health care provider d) Undergo a diagnostic test e) Contact a specialist
a) Access their medical history b) Schedule office appointments c) Communicate with the health care provider
An informatics nurse specialist has completed the evaluation of an update to a current clinical information system used by the staff at the local hospital and has documented the results. Documentation reveals the need for an improvement in the screen display. Which action would be next? a) Analyze and Plan b) Test c) Train d) Implement
a) Analyze and Plan
An informatics nurse is assisting with the evaluation of a new health information technology system implemented at the facility. When conducting the literature review, which source would be appropriate for the informatics nurse to use? Select all that apply, a) Cumulative Index to Nursing and Allied Health Literature (CINAHL) b) PubMed c) Cochrane database d) Mayo Clinic e) WebMD
a) Cumulative Index to Nursing and Allied Health Literature (CINAHL) b) PubMed c) Cochrane database
An informatics nurse specialist is describing the framework underlying informatics practice. Which component of the framework would the nurse specialist describe as discrete entities without interpretation? a) Data b) Knowledge c) Information d) Wisdom
a) Data
An informatics nurse specialist is collecting data from the clinical information system about the demographics of individuals diagnosed with heart failure admitted to the facility over the past five years. The nurse specialist is preparing a presentation to the facility's executive board. To promote understanding of this complex information, the nurse specialist prepares the data results using a pie chart and a bar graph. The nurse specialist is using which area of analytics? a) Data visualization b) Predictive analytics c) Big Data d) Data mining
a) Data visualization
An informatics nurse specialist is recommending the addition of an alert system tool to the facility's patient portal. The tool would be designed to send alerts to the client to schedule routine screenings and immunizations. This recommendation most likely reflects which ANA informatics competency? a) Health teaching and health promotion b) Consultation c) Quality of practice d) Leadership
a) Health teaching and health promotion
An informatics nurse is assisting with the evaluation of a newly implemented system for electronic documentation of client assessments. The nurse is planning to involve staff nurses in this process. When beginning the evaluation process, the informatics nurse would focus on which area first? a) Identifying what will be evaluated b) Developing the question related to what data is to be collected c) Reviewing available databases related to the topic d) Collecting the necessary data
a) Identifying what will be evaluated
An informatics nurse specialist is interviewing several nurses who have participated in testing a new electronic assessment tool. The nurses report that the tool "feels so familiar, like we know exactly what it is that we're supposed to do." The nurse specialist interprets this as indicating which concept? a) Naturalness b) Consistency c) Simplicity d) Forgiveness
a) Naturalness
An informatics nurse specialist is preparing a presentation for a local community group about advances in technology in health care. Part of the presentation will focus on technological advances to promote greater client participation in managing health. Which component would the nurse likely describe as playing a major role? a) Patient portal b) Electronic health record c) Clinical information system d) Predictive analytics
a) Patient portal
An informatics nurse is assisting with the design of a clinical information system for use by the staff of a health center. The nurse is working to ensure that the system reflects usability by making sure that the screen display is visually clean and uncluttered and that it provides only the information needed for decision making. Which concept of usability is the nurse incorporating? a) Simplicity b) Naturalness c) Consistency d) Forgiveness
a) Simplicity
An informatics nurse specialist is conducting an in-service education program for a group of staff nurses. The topic is ensuring electronic client data is secure and private. The specialist determines that the teaching was successful when the group identifies which aspect as essential to ensuring the security of electronic data when using clinical systems? a) Use of strong passwords b) Thorough knowledge of interoperability c) Intuitive system design d) Testing
a) Use of strong passwords
An informatics nurse specialist is describing the role of informatics in health care to a group of staff at a facility. The nurse specialist determines that the teaching was successful when the group identifies which as a core practice area? a) electronic health record b) telehealth c) patient portals d) data analytics
a) electronic health record
An informatics nurse is demonstrating how to use an updated version of an electronic documentation system to a group of staff nurses. The nurse shows the staff that they can follow the same steps that they used with the previous system but need to add one additional final step to the process. The informatics nurse's actions reflect which concept of usability? a) Simplicity b) Consistency c) Naturalness d) Minimizing cognitive load
b) Consistency
A nurse is documenting a client's vital signs, height, and weight in the electronic health record. Applying the framework for informatics practice, the nurse would identify these values as which component of the framework? a) Information b) Data c) Knowledge d) Wisdom
b) Data
An informatics nurse specialist is working as part of a team that will be developing and implementing a new client assessment tool. During which phase of the system development lifecycle would the team be integrating information about workflow patterns, standard terminology, and recommendations for screen layout from supportive research? a) Analyze and plan b) Design and build c) Test d) Train
b) Design and build
A group of nurses are participating in being the first group of staff to use a new electronic pain assessment tool. The group is discussing whether or not the system is easy to use. During the discussion, the group mentions that "the shortcuts provided are really helpful and save valuable time." The informatics nurse specialist interprets this statement as reflecting which concept? a) Forgiveness b) Efficient interactions c) Naturalness d) Effective use of language
b) Efficient interactions
An informatics nurse is participating in an online continuing education course about nursing informatics. The nurse demonstrates successful comprehension of the course by identifying which individual as being considered the first informatics nurse? a) Dorothea Orem b) Florence Nightingale c) Hildegard Peplau d) Virginia Henderson
b) Florence Nightingale
An informatics nurse specialist is gathering data from electronic health records at the facility about clients who have had central venous catheters inserted for more than the recommended time as specified by the facility's protocol. The nurse specialist is collecting this data most likely for which purpose? a) Determine client satisfaction with care b) Identify clients at risk for infection c) Correlate the client's diagnosis with intervention d) Evaluate client care
b) Identify clients at risk for infection
An informatics nurse specialist is working as part of a team to develop and implement a new electronic documentation and reporting system at the clinic. The team has analyzed the situation, created a plan based on supporting evidence, created a design, built the program, and has worked out issues with the system. Staff who will be using the system have received education about the system and how it works, as well as how to use it. The team would proceed to which phase of the system development lifecycle next? a) Test b) Implement c) Maintain d) Evaluate
b) Implement
A client comes to see the cardiologist for a routine follow-up visit. At the visit, the nurse reviews the client's electronic health record. The nurse is able to access a report from the client's last visit to the primary care provider last month and the report from an emergency department visit two weeks ago for reports of shortness of breath. The record also lists two changes in the client's medication based on the emergency department visit. The nurse's ability to access this information reflects which concept? a) Usability b) Interoperability c) Optimization d) Security
b) Interoperability
An informatics nurse specialist is extracting data from the facility's electronic health record in an attempt to identify clients at risk for developing catheter-related bloodstream infections. When gathering this data, the nurse specialist is using which technique? a) Data visualization b) Predictive analytics c) Big data d) Genomics
b) Predictive analytics
An informatics nurse specialist is conducting an in-service program for a group of staff nurses about this specialty. One of the nurses asks, "What exactly is nursing informatics?" Which response by the informatics nurse specialist would be most appropriate? a) "It involves working primarily with computers and programming codes." b) "It refers to the use of the electronic health record." c) "It combines nursing science with information management and analytical sciences." d) "It is a specialty that deals with online client educational programs."
c) "It combines nursing science with information management and analytical sciences."
An informatics nurse specialist is conducting a discussion with a group of staff nurses who have been participating in the implementation of an updated electronic protocol system. The informatics nurse specialist is gathering information about the system's optimization. One of the participants asks, "Why is this information important?" Which response by the informatics nurse specialist would be appropriate? a) "This information will help us meet accreditation standards." b) "We need to show evidence to the executives that the money has been well spent." c) "We can make improvements to the system to improve our delivery of care." d) "This is part of the standard protocol required by federal legislation."
c) "We can make improvements to the system to improve our delivery of care."
A facility plans to implement a new electronic medication documentation system. An informatics nurse specialist conducts a focus group with staff nurses to gather information. The nurse specialist asks the group about the current system being used, including a step-by-step account of the actions they perform. The nurse specialist also asks the nurses how they see this new system affecting this process and their overall daily tasks. The informatics nurse specialist is demonstrating which ANA informatics competency? a) Outcomes identification b) Planning c) Assessment d) Coordination of activities
c) Assessment
An informatics nurse specialist is working on a team that is considering a new technological system for the facility. Which aspect would be most important for the team to do as the first step? a) Identify the use of standard terminology b) Conduct testing of the system c) Determine the need or problem to be solved d) Train those who will be using the system
c) Determine the need or problem to be solved
An informatics nurse is evaluating a new clinical information system for usability. The nurse notes that the system requires the user to complete a maximum of 3 steps to complete a task. The system also provides shortcuts to frequent users of the system. The nurse would determine that which concept of usability is being addressed? a) Consistency b) Minimizing cognitive load c) Efficient interactions d) Naturalness
c) Efficient interactions
A nurse working in a primary care provider's office is using the clinical information system to review a client's health information. The nurse is able to review the client's last visit to the primary care provider as well as information from a recent hospitalization, and also a visit that the client made to the cardiologist last week. The nurse's ability to review this information is based on which aspect of the clinical information system? a) Usability b) Optimization c) Interoperability d) Security
c) Interoperability
An informatics nurse specialist has received an update from the vendor who is providing the electronic health record. During which phase of the system development lifecycle would this update be made? a) Test b) Implement c) Maintain d) Evaluate
c) Maintain
A nurse is reviewing the medical record of a client at the clinic. The nurse notes that the medication and dosage prescribed for the client was based on information gathered about the client's genetic makeup from the electronic health record. The nurse interprets this as: a) Genetics b) Genomics c) Pharmacogenomics d) Telehealth
c) Pharmacogenomics
An informatics nurse specialist is working with a group of nurses who are tasked to test a new electronic health record system. Which phase would the group be involved with as the last phase of testing? a) Unit b) Performance c) User acceptance d) Integraton
c) User acceptance
Which strategy could be implemented by the nurse in ensuring the protection of electronic data at health care agencies? a) The nurses are expected to change their access number and password less frequently. b) The nurse is being asked to remove the screen saver for data that have been displayed for prolong periods. c) The nurse gives unlimited access to the multidisciplinary team so that personnel from various departments can retrieve data. d) The nurse locks out client information, except to those who have been authorized through appropriate security measures.
d) The nurse locks out client information, except to those who have been authorized through appropriate security measures.
During a recent visit to the clinic, a client tells the nurse, "I've been using my cell phone to track and record the foods that I eat so that I can better understand if I'm making healthy food choices." The nurse interprets the client's statement as reflecting which technology? a) Telemedicine b) Patient portal c) Pharamcogenomics d) mHealth
d) mHealth
