Informatics Final
über-connected world
Using social media tools, such as wikis, blogs, and other social networks, to connect employees and people globally. Companies are finding that über-connected workplaces are not only about applying a new set of tools, but also about adopting a cultural paradigm shift to establish an open environment where employees are supported and encouraged to collaborate, share, transform, and innovate virtually.
ethical dilemma
arises when moral issues raise questions that cannot be answered with a simple, clearly defined rule, fact, or authoritative view
tacit knowledge
individualized and highly personal, or private, knowledge including one's values or emotions
reusability
information should be useful for a range of purposes
explicit knowledge
knowledge that one can convey in letters, words and numbers. it can very exchanged or shared in the form of data, manuals, product specifications, principles, policies, and theories
According to the Joint Commission, a patient safety issue that results in death, serious harm, or temporary harm is termed a: A. clinical lapse. B. Sentinel event C. Rare occurrence D. Safety culture issues.
B. Sentinel event
Of the below options, which best describes the major goal of the eHealth Initiative: A. empower consumers to understand their health needs. B. manage health information. C. promote the ability to understand the economics of payment for services. D. promote technology as a means of improving healthcare worker satisfaction.
A. empower consumers to understand their health needs.
A nurse is teaching a peer about the Open Access Initiative and explains that the Internet serves as which of the following? A. A library of knowledge B. A consistent source of evidence-based practice C. A vehicle of clinical best practices D. A repository of translational research
A. A library of knowledge
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? A. A paper copy of the notice of privacy practices of the facility B. An individual safeguard policy for the patient's protected health information C. A copy of staff training records on patient privacy D. An electronic copy of privacy disclosures for the facility
A. A paper copy of the notice of privacy practices of the facility
A patient is allergic to penicillin. A trigger in the electronic health record will alarm after which of the following occurs? A. A physician enters a medication order for penicillin. B. A nurse enters data into the patient's medical history. C. A pharmacist reviews the patient's demographic information. D. A nurse reviews the documentation on the patient's allergies in the electronic health record.
A. A physician enters a medication order for penicillin.
A nurse researcher is using the electronic health record to identify patients who fall into gaps of care what function embedded in the EHR assists the nurse research and identifying these patients A. A registry B A database C. A quality alert D. A diagnosed code
A. A registry
______________ 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. A. Case control research B. Outcome research C. Focus group research D. Cohort research
A. Case control research
Which term refers to a nurse taking a few calming breaths, clearing his or her mind of clutter, and silently saying the patient's name a time or two before beginning the patient encounter? A. Centering B. Cognitive focus C. Psychological being D. All of these are correct.
A. Centering
A physician is entering a medication order for aspirin and an alert is generated, reminding the physician that the patient is allergic to salicylic acid and listing alternative medications. This alert is known as which of the following? A. Clinical decision support trigger B. Pharmaceutical support alert C. Health information trigger D. Physician order entry alert
A. Clinical decision support trigger
A healthcare organization creates a blame-free environment in which staff members can report errors and commit additional resources to address safety concerns. This organization is said to have a A. Culture of safety. B. Culture of accountability. C. Safety promotion culture, D. Failure-tolerance culture.
A. Culture of safety.
____________ is the process by which data collected during the course of a study are processed to identify trends and patterns of relationships. A. Data analysis B. Database management C. Data setting D. Data warehousing
A. Data analysis
A nurse is educating a patient on privacy of health information. The nurse explains that privacy is part of which federal law? A. Health Insurance Portability and Accountability Act B. U.S. Department of Health and Human Services Act C. American Recovery and Reaffirmation Act D. Health Information Technology for Economic and Clinical Health Act
A. Health Insurance Portability and Accountability Act
A nurse is reading a nursing research article and would like to translate the findings into clinical practice. Which of the following can help the nurse bridge the gap between research and practice? A. Identify a clinical mentor who can help with understanding the research. B. Initiate a nursing research study in the patient care nursing unit. C. Seek the opinion of an experienced peer to see if the research is valid. D. Ask a physician to explain the research findings and utility in nursing practice.
A. Identify a clinical mentor who can help with understanding the research.
A nurse researcher is initiating an evidence-based research project and understands that the initial step in translating research into practice is which of the following? A. Identifying the problem, issue, or topic in nursing practice B. Conducting an analysis of the patient outcomes and results C. Performing a comprehensive literature review of nursing journals D. Adapting practice to include the research
A. Identifying the problem, issue, or topic in nursing practice
A nurse researcher understands that data mining is most successful to reduce inefficiencies, improve quality, and support transformations when paired with which of the following? A. Interprofessional collaboration B. Nursing research C. Data warehouse D. Quantitative research
A. Interprofessional collaboration
A problem has been identified, and data on the performance of a process are collected at the beginning of the process. These data are known as which of the following? A. Process metrics B. System metrics C. Current state metrics D. Employee metrics
A. Process metrics
A nursing instructor is teaching nursing students about informatics and evidence-based practice, which are key competencies in which of the following? A. Quality and Safety Education for Nurses (QSEN) B. Agency for Healthcare Research and Quality (AHRQ) C. National Guideline Clearinghouse (NGC) D. Translating Research into Practice Initiative (TRIP-II)
A. Quality and Safety Education for Nurses (QSEN)
A critical care nurse is considering how the nursing care guidelines and policies could be modified to better respond to a patient's complex care needs. This is an example of which of the following? A. Reflective practice B. Patient-centered care C. Centering D. Caring between
A. Reflective practice
What is the term for an imitation of a real-life event or circumstance? A. Simulation B. Virtual world C. Game play D. Game mechanics
A. Simulation
Microblogging occurs on/in: A. a tweet. B. a wiki. C. Skype. D. Instagram.
A. a tweet.
The ________ is a student-centered discussion during which the participants and observers reflect on performance during the scenario and make recommendations for future practice. A. debrief B. assessment C. enactment D. prebrief
A. debrief
In 2019, the Office of the national Coordinator for Health Information Technology (ONC) amended the EHR benefits that it had listed in 2014. The ONC reminded us that the EHR provides: A. information whenever and wherever it is needed to improve patient care. B. data and information that each individual provider should apply only to their profession. D. None of these is correct.
A. information whenever and wherever it is needed to improve patient care.
A cognitive walkthrough: A. observes the steps users are likely to take to use the interface to accomplish typical tasks. B. detects problems early in the design process. C. is the least expensive method. D. All of these are correct.
A. observes the steps users are likely to take to use the interface to accomplish typical tasks.
A nurse accesses lab results of a patient not under the nurse's care in the electronic health record. The nurse is violating: A. patient confidentiality. B. patient safety. C. the state nurse practice act. D. care coordination.
A. patient confidentiality.
Integrating technology into the medication administration cycle mostly helps to reduce errors by: A. performing electronic checks against a database of safe medication administration parameters and providing alerts. B. reducing the workload and increasing the efficiency of clinicians. C. employing human factors engineering principles to streamline workflow processes. D. Allowing nurses and other health care providers a break from paying close attention to detail.
A. performing electronic checks against a database of safe medication administration parameters and providing alerts.
A patient with the comorbidities of diabetes, hypertension, and fibromyalgia lives in a home in a rural area. A telenurse remotely monitors the patient's objective data, which would include: A. vital signs and blood glucose results. B. a 24-hour nutritional log. C. complaints of shortness of breath, lightheadedness, and shakiness. D. pain scores.
A. vital signs and blood glucose results.
International Classification of Nursing Practice (ICNP)
An agreed upon, designated set of terms that are used to record nursing care globally, including observations and interventions made by the nurse. This framework provides a means to share and compare nursing care across practice settings.
care ethics
An ethical approach to solving moral dilemmas encountered in health care that is based on relationships and a caring attitude toward others.
Augmented Reality (AR)
An interactive experience within a real-world environment that enhances real-world objects using virtually simulated, or computer-generated, perceptual information. It provides stimulation for multiple senses, including olfactory, visual, auditory, haptic, and somatosensory (e.g., pressure, pain, or warmth). It comprises apps; wearable technologies, such as glasses; and software that not only interacts with users, but also enhances their senses with data, information, audio, and images.
An informatics nurse is tracking and assessing decision making through a clinical course of care, which ultimately will do what? A. Contribute to research databases B. Improve patient care C. Enhance collaboration between providers D. Reduce medical errors
B. Improve patient care
The universal denominator in the development of EHRs is
B. Patient safety
A ________________ is a tool designed to emulate some aspect of the clinical practice environment, which may be focused on a single task or designed to mimic a complete patient care situation. They encompass a broad range of devices, such as partial task trainers (e.g., an IV insertion arm); screen-based simulations, including simulated EHRs, simulated documentation, and simulated environments replicating a realistic patient care area (virtual simulation); and complex computer-driven human patient simulation manikins (latex-based simulation).
B. simulator
A patient asks a telenurse about the efficiency of telenursing. Which of the following is the appropriate response by the nurse? A. "Telenursing is not very efficient because telenurses have more documentation to complete." B. "Telenursing reduces the need to have face-to-face interactions, which improves efficiency of care." C. "Telenursing reduces the amount of care required, which enables better use of nursing time." D. "Telenursing increases non-care-related tasks, so telenursing care must then be efficient."
B. "Telenursing reduces the need to have face-to-face interactions, which improves efficiency of care."
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? A. "The electronic health record will not impact nursing or nursing care delivery in any meaningful way." B. "The electronic health record will likely provide the ability to make more efficient and timely nursing care decisions for patients." C. "The electronic health record will increase errors but will increase the access to patient data." D. "The electronic health record will not impact the quality of care but will make patient care more efficient."
B. "The electronic health record will likely provide the ability to make more efficient and timely nursing care decisions for patients."
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? A. .com B. .edu C. .org D. .gov
B. .edu
An elderly patient who lives alone is homebound and receives telehealth services. The telenurse has discovered that the patient often forgets to turn off appliances after use. Which of the following telehealth tools would the nurse recommend? A. A medication management device B. A sensor and activity-monitoring system C. A personal emergency response system D. A central station
B. A sensor and activity-monitoring system
A nurse is documenting nursing care in the electronic health record. What is the most important reason for this action? A. Contributing to public health information B. Communicating patient information to help coordinate care C. Advancing information technology D. Following the healthcare facility's policy
B. Communicating patient information to help coordinate care
_____________ 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. A. Fair use B. Copyright C. Public domain D. None of these is correct.
B. Copyright
_____________ 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. A. Fair use B. Copyright C. Public domain D. None of these are correct
B. Copyright
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? A. Translational research B. Evidence-based practice C. Research utilization D. Clinical research informatics
B. Evidence-based practice
A telenurse reviews a patient's blood sugar level and phones the patient to instruct them on a change in the dose of insulin. This process is known as which of the following? A. Knowledge gathering B. Knowledge dissemination C. Knowledge processing D. Knowledge generation
B. Knowledge dissemination
CMS meaningful use guidelines were replaced by which of the following laws? A. FDA Electronic Records Act B. Medicare Access and CHIP Reauthorization Act C. 21st Century Cures Act. D. Sarbanes Oxley Act
B. Medicare Access and CHIP Reauthorization Act
In 2015, the American Nurses Association published the second edition of the: A. Scope of Nursing Informatics. B. Nursing Informatics: Scope and Standards of Practice. C. Nursing Informatics Practice: Scope and Standards. D. Standards of Nursing Informatics.
B. Nursing Informatics: Scope and Standards of Practice.
An informatics nurse is performing a workflow analysis, which is a necessity for which of the following? A. Financial well-being B. Safe patient care C. Patient satisfaction D. Nursing satisfaction
B. Safe patient care
Smart pump are designed for safe administration of high-hazard drugs and to reduce adverse drug events during intravenous medication administration. What happens when a hard alarm is generated by a smart pump? A. A licensed clinician or a pharmacist can override a hard alarm and administer the drug as programmed. B. The pump must be reprogrammed so that the rate and dose for administration of the high-hazard drug falls within the facility's safe infusion parameter. C. The nurse must call the physician for a verbal order to turn off the smart pump technology and administer the drug as ordered. D. Members of the biomedical engineering department can reprogram the pump to avoid these nuisance alarms.
B. The pump must be reprogrammed so that the rate and dose for administration of the high-hazard drug falls within the facility's safe infusion parameter.
In order to prepare future healthcare workers for the integration of VR into practice, what must occur in education? A. The current technologies must be explained to the students so they are aware of what is going on in practice. B. There must be a meaningful integration of the current technologies into the educational programming to prepare our future healthcare workforce. C. All healthcare educational programs must expose their students to the current technologies. D. The students must at least be able to define the technologies.
B. There must be a meaningful integration of the current technologies into the educational programming to prepare our future healthcare workforce.
A criminal attack on a network using software designed to guess passwords is known as: A. a zero day attack. B. a brute force attack. C. both a zero day attack and a brute force attack. D. None of these is correct.
B. a brute force attack.
A nurse is sitting at the same level as the patient, listening attentively, and nodding appropriately. These actions demonstrate: A. full presence. B. active listening. C. transcendence. D. physical presence.
B. active listening.
"Blog" is: A. being linguistic, on-game. B. an online journal. C. the German word for talking. D. None of these is correct.
B. an online journal.
All of the following are advantages of technology-mediated care except: A. smart pump technology provides maximum dose safeguards. B. assessment technology provides a complete and objective picture of the patient experience. C. effective use of technology helps to improve clinical workflow. D. clinical decision support system technology reminds clinicians of critical interventions that have not yet been implemented.
B. assessment technology provides a complete and objective picture of the patient experience.
All of the following are advantages of technology-mediated care except: A. effective use of technology that helps to improve clinical workflow. B. assessment technology that provides a complete and objective picture of the patient experience. C. smart pump technology that provides maximum dose safeguards. D. clinical decision support system technology that reminds clinicians of critical interventions that have not yet been implemented.
B. assessment technology that provides a complete and objective picture of the patient experience.
Sometimes, one uses a device, such as a smartphone, to overlay additional information on the real world. For example, one might use the camera in the phone to view the stars at night and see on the phone's screen both the stars and the constellation labels and linking lines between the stars in a constellation. The _______________ exploits this concept in gamelike ways, bringing people together physically and virtually to solve a series of challenges. A. educational game B. augmented reality game C. casual game D. serious game
B. augmented reality game
Devices that recognize thumbprints, retina patterns, or facial patterns are known as: A. biologic devices. B. biometric devices. C. radiofrequency identifiers. D. All of these are correct.
B. biometric devices.
Practice-based ethics as described by Husted and Husted (1995) focuses on: A. understanding right or good action. B. bringing about human benefit. C. normative approaches to ethics. D. examining moral life.
B. bringing about human benefit.
The gap between those who have access to online information and those who do not is called the: A. know-do gap. B. digital divide. C. gray gap. D. weblog.
B. digital divide.
The FITT model: A. observes the steps users are likely to take to use the interface to accomplish typical tasks. B. encourages the evaluator to examine the fit between each two of the components: user and technology, task and technology, and user and task. C. is the least expensive method. D. All of these are correct.
B. encourages the evaluator to examine the fit between each two of the components: user and technology, task and technology, and user and task.
Multiple false alarms may lead to alarm fatigue and compromise patient safety by slow response or no response to physiologic alarms. Strategies to improve alarm response include: A. increasing the sensitivity of the physiologic monitors and feeding alarms directly to beepers or phones carried by professionals. B. feeding alarm data into a reporting database for further analysis. C. discouraging healthcare professionals from rounding with physicians because they are often guilty of ignoring alarms. D. All of these are correct.
B. feeding alarm data into a reporting database for further analysis.
Task analysis examines: A. the number of tasks involved. B. how the user approaches the task in order to accomplish it. C. what the needed output is. D. who performs the task.
B. how the user approaches the task in order to accomplish it.
A benefit for nurses to using technology for patient education is to: A. standardize the instructions. B. improve the compliance and documentation of education. C. access information from any website on the computer. D. easily distribute brochures to each patient.
B. improve the compliance and documentation of education.
The core skill set related to the use of computers, electronic health records, healthcare technologies, and knowledge generation in a discipline is known as: A. essential practice. B. informatics competency. C. informatics wisdom. D. the DIKW paradigm.
B. informatics competency.
Although first proposed in 2004, EHR implementation blossomed after passage of the HITECH Act in 2009 because of: A. the president discussing EHRs in the State of the Union address. B. monetary incentives and potential penalties administered by CMS. C. implementation support provided by IT professionals. D. the president discussing EHRs in the State of the Union address and because of implementation support provided by IT professionals.
B. monetary incentives and potential penalties administered by CMS.
Acceptable use policies in an organization typically restrict downloads of files by employees because: A. employees may waste work time. B. of increased vulnerabilities to viruses. C. downloads interfere with backup and storage of data. D. None of these is correct.
B. of increased vulnerabilities to viruses.
Even though it is realistic to develop alerts, such as sepsis alerts, using the EHR, further research is necessary to comprehend how to design these alerts in order to actually change: A. the structure of the EHR. B. the healthcare provider's behavior. C. patient engagement. D. None of these is correct.
B. the healthcare provider's behavior.
Expansion of telehealth can impact the impending shortage of nurses in which of the following ways? A. Decreasing access to healthcare services for patients B. Improving patient satisfaction C. Increasing job retention and job satisfaction D. Increasing interdisciplinary collaboration
C. Increasing job retention and job satisfaction
A nurse is teaching a nursing student about the art of nursing. Which statement by the nurse is correct? A. "Artful nursing can be practiced only by expert nurses." B. "Artful nursing does not have a direct impact on patient care." C. "Artful nursing can improve mental and physical well-being among patients." D. "Artful nursing seeks to enhance the relationships between nurses."
C. "Artful nursing can improve mental and physical well-being among patients."
Which of the following web domain suffixes is more likely to contain quality health education material? A. .net B. .com C. .org D. .ca
C. .org
A nurse administrator is reviewing data from the Government Accountability Office (GAO) on patient safety and develops a database for medical errors and near misses in the healthcare facility. This database addresses which gap that was recognized by the GAO? A. A gap in the available information on the experience of hospitals that have previously used specific patient safety implementation strategies B. A deficit in the information about the effect of contextual factors on implementation of patient safety practices C. A lack of valid and accurate measurement of how frequently certain adverse events occur D. A lack of organizational leadership and collaboration in support of patient safety
C. A lack of valid and accurate measurement of how frequently certain adverse events occur
A nurse replaces a new patient's wristband after the first was misplaced. This action by the nurse is which of the following? A. Overproduction B. A non-value-added action C. A value-added action D. Waste
C. A value-added action
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.
C. MEDLINE and Cumulative Index to Nursing and Allied Health Literature (CINAHL)
A nurse researcher is reviewing the results of a telehealth study. Which of the following would be considered a clinical outcome of the study? A. Enrollment criteria B. Demographics of the patient sample C. Patient and family satisfaction D. Raw data results
C. Patient and family satisfaction
The cornerstones of safety as identified by the Institute for Healthcare Improvement's white paper include all of the following except: A. emphasizing patient engagement. B. establishing a learning system. C. appointing an organizational safety officer. D. paying attention to organizational culture.
C. appointing an organizational safety officer.
Case-based ethical reasoning that considers the facts of a case in a sound, logical, and ordered or structured manner is known as: A. principlism. B. case-based ethics. C. casuistry. D. ethical decision-making.
C. casuistry.
In ethics theory, autonomy means: A. personal responsibility. B. acting alone. C. freedom from controlling interferences. D. All of these are correct.
C. freedom from controlling interferences.
he EHR function that allows a clinician to enter medication and other care orders directly into a computer including laboratory, microbiology, pathology, radiology, nursing, supply orders, ancillary services, and consults is known as the: A. the core care function B. the physical interface C. order entry management D. None of these are correct.
C. order entry management
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: A. national standards and care recommendations. B. research findings from different authors. C. patient care data from different sources. D. treatment options and outcomes.
C. patient care data from different sources.
When persons living with a chronic disease use the Internet for blogging about their health challenges or participating in online discussion forums, this is known as: A. self-diagnosis. B. self-management. C. peer-to-peer support. D. None of these is correct.
C. peer-to-peer support.
When a nurse is largely competent in carrying out care, efficient with interventions, but inattentive to communication and nonverbal cues projected by patients and families, we say the professional is: A. fully present. B. demonstrating transcendent presence. C. physically present. D. All of these are correct.
C. physically present.
Transmitting radiologic images to specialists is: A. telemedicine. B. telenursing. C. teleradiology. D. telepathology.
C. teleradiology.
The most reliable source of research evidence for informing practice is: A. quasi-experimental research. B. the opinion of experts. C. the randomized controlled trial. D. qualitative research.
C. the randomized controlled trial.
The use of social media has increased dramatically in recent years among: A. mainly the elderly. B. different groups in different regions of the country. C. virtually all groups. D. only the young.
C. virtually all groups.
nursing theory
Concepts, propositions, and definitions that represent a methodical viewpoint and provide a framework for organizing and standardizing nursing actions.
Characteristics of information that contribute to information chaos include: A. information overload or underload. B. information scatter. C. erroneous or conflicting information. D. All of these are correct.
D. All of these are correct.
A staff nurse consistently exhibits disregard for established policies and procedures in an organization where there is just culture. Which statement by the nurse manager is correct about a just culture? A. "A just culture involves error reporting, not individual behaviors." B. "Workflow, including procedures and policies, can be changed for individual nurses." C. "Personal accountability is not part of just culture." D. "Reckless behaviors like ignoring policies and procedures will not be tolerated."
D. "Reckless behaviors like ignoring policies and procedures will not be tolerated."
A nurse is interacting with a patient who is a digital native. This patient was probably born after: A. 1972. B. 1976. C. 1979. D. 1982.
D. 1982.
Nursing terminology must be easy to access, with information and knowledge available anywhere. These qualities can be described by which of the following terms? A. Accessibility and longevity B. Accessibility and standardization C. Accessibility and reusability D. Accessibility and ubiquity
D. Accessibility and ubiquity
A nurse would read research on safety initiatives and reviews initiatives from which agency? A. Food and Drug Administration B. The Joint Commission C. Medical Product Safety Network D. Agency for Healthcare Research and Quality
D. Agency for Healthcare Research and Quality
An organization's confidentiality policy should clearly define: A. which data are confidential. B. procedures for releasing confidential information. C. procedures to follow if confidential information is accidentally released without authorization. D. All of these are correct.
D. All of these are correct.
Evidence-based practice (EBP) is a combination of research findings and nonresearch evidence. What is/are the source(s) of nonresearch evidence? A. Organizational values B. Local data and context C. Patient preferences D. All of these are correct.
D. All of these are correct.
In addition to organizational commitment of resources to address safety concerns, what is a key feature of a safety culture as identified by the Agency for Healthcare Research and Quality? A. Acknowledgment of the high-risk nature of an organization's activities and the determination to achieve consistently safe operations B. A blame-free environment where individuals are able to report errors or near misses without fear of reprimand or punishment C. Encouragement of collaboration across ranks and disciplines to seek solutions to patient safety problems D. All of these are correct.
D. All of these are correct.
Nurses gather atomic-level data reflected in: A. blood pressure. B. pulse rate. C. blood glucose. D. All of these are correct.
D. All of these are correct.
Quantitative data collection tools or instruments generate numerical data rather than text-based data. Examples of these types of tools include: A. questionnaires. B. interviews, email interviews, and surveys, including web-based surveys. C. quizzes and assessments. D. All of these are correct.
D. All of these are correct.
Skills related to nursing information literacy include: A. differentiating between scholarly and popular journals. B. locating and retrieving information from credible sources. C. recognizing a need for information. D. All of these are correct.
D. All of these are correct.
The HITECH Act had which of the following goals? A. Improve healthcare quality B. Reduce healthcare costs C. Improve and protect public health D. All of these are correct.
D. All of these are correct.
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.
D. All of these are correct.
The use of teletechnology allows the telenurse to: A. evaluate a patient's status. B. use data to make decisions to better manage patients' health conditions. C. monitor a patient's vital signs. D. All of these are correct.
D. All of these are correct.
Which of the following is an example of telemonitoring? A. Monitoring patient parameters during home-based nocturnal dialysis B. Cardiac and multiparameter monitoring of remote intensive care units C. Daily home telemonitoring of vital signs by patients D. All of these are correct.
D. All of these are correct.
Which of the following is/are most important when looking to adopt a simulated EHR? A. Cost and overall fidelity or realism B. Ease of use for the instructor and learner and flexibility of the system to be customized and used as a stand-alone tool or in the setting of a full-scale simulation scenario C. Technical support from the vendor, time to build or develop the patient database, and additional simulation materials included with the package D. All of these are correct.
D. All of these are correct.
All of the following are advantages of technology-mediated care except: A. Smart pump technology that provides maximum dose safeguards. B. Effective use of technology that helps to improve clinical workflow. C. Clinical decision support system technology that reminds clinicians of critical interventions that have not yet been implemented. D. Assessment technology provides a complete and objective picture of the patient experience
D. Assessment technology provides a complete and objective picture of the patient experience
An informatics nurse is developing an integration plan of a new electronic health record and anticipates a workflow redesign. Which of the following will the informatics nurse develop first? A. Clinical transformation B. Workflow analysis C. Workflow evaluation D. Change management plan
D. Change management plan
A healthcare organization has committed to a culture of safety. Which of the following is a strategy to encourage adoption of a culture of safety? A. Individual accountability for development of safety plans B. Leadership safety directives C. Systemwide safety teams of administrators D. Collaboration between leadership and staff on patient safety initiatives
D. Collaboration between leadership and staff on patient safety initiatives
A nurse is working with an interdisciplinary team in a healthcare organization and identifies which of the following as essential for practice improvement? A. Proper utilization of resources B. Data collection and analysis C. Coordination of ancillary services D. Ethical sensitivity
D. Ethical sensitivity
In home telehealth care, which of the following would not be considered a home location? A. Assisted living facility B. Hospice facility C. Nursing home D. Hotel room
D. Hotel room
Which website has a tutorial for learning how to evaluate health information? A. HON. B. NSF. C. WebMD. D. MedlinePlus.
D. MedlinePlus.
A nurse using open access for a literature search would be able to obtain which of the following? A. Clinical guidelines produced by the federal government B. Nursing research articles with a small associated cost C. Evidence-based practice quality initiative templates D. Peer-reviewed, free journal articles
D. Peer-reviewed, free journal articles
A nurse is performing nursing interventions effectively but is inattentive and does not respond to the patient's questions or concerns. The nurse is which of the following? A. Fully present B. Transcendent C. Partially present D. Physically present
D. Physically present
An advanced practice nurse is providing telehealth care for patients who are incarcerated. The nurse understands which of the following? A. Telehealth is used for this patient population because public safety outweighs quality of patient care. B. Patients have increased options of appointment times when telehealth is delivered in this manner. C. Patients prefer telehealth when they are incarcerated because they do not have to leave the facility. D. Telehealth provides cost-effective care and supports public safety.
D. Telehealth provides cost-effective care and supports public safety.
A nurse is providing nursing care that is patient-centered, which will enhance which of the following? A. The nurse's use of technologies and innovations B. The healthcare organization's application of nursing theory C. The healthcare organization's use of patient data D. The nurse's understanding of the implications of his or her actions
D. The nurse's understanding of the implications of his or her actions
Organizations with the authority to accredit EHRs: A. test EHRs B. compares EHRs against NIST standards and test EHRs C. develop and test EHRs D. compare EHRs against NIST standards and test EHRs.
D. compare EHRs against NIST standards and test EHRs.
New technologies in digital communications, electronic health records, and telehealth raise issues related to: A. justice and fidelity. B. comprehensiveness of care. C. the digital divide. D. privacy and confidentiality.
D. privacy and confidentiality.
An educational game—one designed for learning—is a subset of both play and fun, and is sometimes referred to as a(n): A. augmented reality game. B. casual game. C. children's game. D. serious game.
D. serious game.
One of the major outcomes of the Human Genome Project was A. the reduction in costs associated with the study of genomes at the beginning of the project as compared to those same costs nearing the end of the project. B. that all patients must be assessed and treated using genomics. C. that all of the DNA sequencing work was completed and the benefits were ready to be implemented in our health care delivery systems. D. the realization that ethical, legal, and social issues (ELSI) arise from studying human genomes.
D. the realization that ethical, legal, and social issues will arise from studying human genomes.
eudaemonistic principles
Describes a system of ethical evaluation that involves consideration of which actions lead to being an excellent and happy person.
cognitive science
Interdisciplinary field that studies the mind, intelligence, and behavior from an information-processing perspective.
Human Mental Workload (HMW)
Mental processing or cognitive demands placed on a person when he or she is interacting with technology.
Bioinformatics (BI)
The application of computer science, information science, and cognitive science principles to biological systems, especially in the human genome field of study; an interdisciplinary science that applies computer and information sciences to solve biological problems.
nursing science
The ethical application of knowledge acquired through education, research, and practice to provide services and interventions to patients to maintain, enhance, or restore their health; to advocate for health; and to acquire, process, generate, and disseminate nursing knowledge to advance the nursing profession.
artificial intelligence (AI)
The field that deals with the conception, development, and implementation of informatics tools based on intelligent technologies. This field attempts to capture the complex processes of human thought and intelligence.
confidentiality
The mandate that all personal information be safeguarded by ensuring that access is limited to only those who are authorized to view that information.
virtue ethics
Theory that suggests that individuals use power to bring about human benefit. One must consider the needs of others and the responsibility to meet those needs.
casuistry
a case-based ethical reasoning method that analyzed facts of a case in a sound, logical, and ordered manner
nursing informatics
a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice
veracity
right to truth
accessibility
the information and knowledge needed to deliver care or manage a health service should be easy to access
epistemology
the study of the nature and origin of knowledge, that is, what it means to know
ubiquity
with changing models of healthcare delivery, information and knowledge should be available anywhere
