Informatics

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? .com .edu .org .gov

.edu

Which of the following web domain suffixes is more likely to contain quality health education material? .ca .net .org .com

.org

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 sensor and activity-monitoring system A personal emergency response system A medication management device A central station

A sensor and activity-monitoring system

True or False? Qualitative data focus on numbers and frequencies, with the goal of describing a situation or looking for more robust relationships such as correlations and specific variable contributions to an outcome. This aim stands in contrast to quantitative analysis, which focuses on experiences and meaning.

F

True or False? The time between research dissemination and clinical translation is typically 1 to 2 months.

F

Which website has a tutorial for learning how to evaluate health information? MedlinePlus NSF HON WebMD

MedlinePlus

The gap between those who have access to online information and those who do not is called the: digital divide gray gap know-do gap weblog

digital divide

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: increasing the sensitivity of the physiologic monitors and feeding alarms directly to beepers or phones carried by professionals feeding alarm data into a reporting database for further analysis discouraging HCP from rounding with physicians because they are often guilty of ignoring alarms all

feeding alarm data into a reporting database for further analysis

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? Knowledge dissemination Knowledge generation Knowledge processing Knowledge gathering

knowledge dissemination

The universal denominator in the development of EHRs is user friendliness patient safety user friendliness and patient safety none

patient safety

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: self-diagnosis self-management peer-to-peer support none

peer-to-peer support

_________________ is the ability to manage results of all types electronically, including laboratory and radiology procedure reports, both current and historical. data warehousing results management digital manipulation electronic searching

results managment

Which of the following is/are a professional database? Cumulative Index to Nursing and Allied Health Literature (CINAHL) MEDLINE MEDLINE and Cumulative Index to Nursing and Allied Health Literature (CINAHL) None of these is correct.

Medline + CINAHL

Which of the following is an example of telemonitoring? Monitoring patient parameters during home-based nocturnal dialysis Cardiac and multiparameter monitoring of remote intensive care units Daily home telemonitoring of vital signs by patients All of these are correct.

NOT daily home telemonitoring of vital signs by patient

A nurse using open access for a literature search would be able to obtain which of the following? Peer-reviewed, free journal articles Clinical guidelines produced by the federal government Nursing research articles with a small associated cost Evidence-based practice quality initiative templates

Peer-reviewed, free journal articles

True or False? A major barrier to widespread adoption of email and text messaging among American healthcare providers is the fact that reimbursement mechanisms for electronic healthcare interventions are inadequate or nonexistent.

T

True or False? Automated medication dispensing devices promote patient safety through access security, safety, supply chain, and charge functions.

T

True or False? The goal of health literacy for all is widely embraced in many sectors of health care, was a major goal of Healthy People 2010 and Healthy People 2020, and is continuing in Healthy People 2030.

T

A patient is allergic to penicillin. A trigger in the electronic health record will alarm after which of the following occurs? a physician enters a medication order for penicillin a nurse reviews the documentation on the patient's allergies in the EHR a nurse enters data into the patient's medical history a pharmacist reviews the patient's demographic info

a physician enters a medication order for penicillin

The cornerstones of safety as identified by the Institute for Healthcare Improvement's white paper include all of the following except: appointing an organizational safety officer paying attention to organizational culture establishing a learning system emphasizing patient engagement

NOT paying attention to organizational culture

The most reliable source of research evidence for informing practice is: the opinion of experts. qualitative research. quasi-experimental research. the randomized controlled trial.

NOT qualitative research

Characteristics of information that contribute to information chaos include: info overload or underload info scatter erroneous or conflicting info all of the above

all

Evidence-based practice (EBP) is a combination of research findings and nonresearch evidence. What is/are the source(s) of nonresearch evidence? Organizational values Local data and context Patient preferences All of these are correct.

all

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? acknowledgement of the high-risk nature of an organization's activities and the determination to achieve consistently safe operations a blame-free environment where individuals are able to report errors or near misses without fear of reprimand or punishment encouragement of collaboration across ranks and disciplines to seek solutions to patient safety problems all of the above

all

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: vital signs and blood glucose results. complaints of shortness of breath, lightheadedness, and shakiness. a 24-hour nutritional log. pain scores.

vital signs & blood glucose results

Expansion of telehealth can impact the impending shortage of nurses in which of the following ways? Improving job retention and job satisfaction Improving patient satisfaction Improving access to healthcare services for patients Increasing interdisciplinary collaboration

NOT increasing interdisciplinary collaboration

A nurse researcher is reviewing the results of a telehealth study. Which of the following would be considered a clinical outcome of the study? Patient and family satisfaction Demographics of the patient sample Raw data results Enrollment criteria

NOT raw data results

True or False? Big data is a field that deals with ways to examine, analyze, and systematically extract data and information from data sets that are too large or complex to be processed using conventional data-processing application software. The ability to research these data using advanced data analytics to find better answers is changing the healthcare landscape and how we care for our patients.

T

True or False? Information literacy initiates, sustains, and extends lifelong learning through abilities that may use technologies but are ultimately independent of them.

T

True or False? Interoperable EHRs are foundational to the development of HIEs.

T

True or False? Mobile apps are software programs that operate or run on smartphones and other mobile communication devices. They can also be accessories that attach or connect to a smartphone or other mobile communication devices.

T

An advanced practice nurse is providing telehealth care for patients who are incarcerated. The nurse understands which of the following? Telehealth provides cost-effective care and supports public safety. Telehealth is used for this patient population because public safety outweighs quality of patient care. Patients have increased options of appointment times when telehealth is delivered in this manner. Patients prefer telehealth when they are incarcerated because they do not have to leave the facility.

Telehealth provides cost-effective care and supports public safety.

The use of teletechnology allows the telenurse to: evaluate a patient's status. use data to make decisions to better manage patients' health conditions. monitor a patient's vital signs. All of these are correct.

all

"Blog" is being linguistic, on-game an online journal the German word for talking none

an online journal

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? collaboration between leadership and staff on patient safety initiatives system-wide safety teams of administrators leadership safety directives individual accountability for development of safety plans

collaboration between leadership and staff on patient safety initiatives

A nurse is teaching a peer about the Open Access Initiative and explains that the Internet serves as which of the following? A library of knowledge A consistent source of evidence-based practice A repository of translational research A vehicle of clinical best practices

library

Integrating technology into the medication administration cycle helps to reduce errors by: performing electronic checks against a database of safe medication administration parameters and providing alerts reducing the workload and increasing the efficiency of clinicians employing human factors engineering principles to streamline workflow processes all

performing electronic checks against a database of safe medication administration parameters and providing alerts

In home telehealth care, which of the following would not be considered a home location? Nursing home Assisted living facility Hotel room Hospice facility

NOT hospice facility

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? Identify a clinical mentor who can help with understanding the research. Initiate a nursing research study in the patient care nursing unit. Seek the opinion of an experienced peer to see if the research is valid. Ask a physician to explain the research findings and utility in nursing practice.

NOT initiate a nursing research study in the patient care nursing unit

An integrated CIS/EHR system supports administrative clinical analytics functions such as: staffing and acuity data outcome measures staffing & acuity data & outcome measures

NOT staffing + acuity data + outcome measures ch 14

Even though it is realistic to develop alerts, such as sepsis alerts, using the EHR, future research is neccessary to comprehend how to design theses alerts in order to actually change: the structure of the EHR the HCP's behavior patient engagement none of the above

NOT the HCP's behavior ch 14

A nursing instructor is teaching nursing students about informatics and evidence-based practice, which are key competencies in which of the following? Quality and Safety Education for Nurses (QSEN) National Guideline Clearinghouse (NGC) Agency for Healthcare Research and Quality (AHRQ) Translating Research into Practice Initiative (TRIP-II)

QSEN

True or False? Nurses using telehealth have much greater access to their patients' conditions and needs and are able to respond in a more timely way than is possible using only face-to-face visits.

T

True or False? Quantitative data collection tools or instruments include questionnaires, interviews, surveys, quizzes, assessments, email interviews, and web-based surveys.

T

True or False? The Foundation of Knowledge Model suggests that the most important aspect of information discovery, retrieval, and delivery is the ability to acquire, process, generate, and disseminate knowledge in ways that help those managing the knowledge reevaluate and rethink the way they understand and use what they know and have learned.

T

True or False? The demand for telehealth visits and virtual consultations increased as a result of the COVID-19 pandemic as a way of reducing exposure to the virus.

T

____________ is the process by which data collected during the course of a study are processed to identify trends and patterns of relationships. Data warehousing Data analysis Database management Data setting

data analysis

John, a 78-year-old male patient in a hospital, is referred to a pulmonary specialist for a consult on his breathing problems. The specialist orders a CT scan of the lungs and is alerted by the EHR that a CT scan was performed 1 week ago. This alert is designed to prevent duplicate testing and is part of which essential EHR component? decision support system cost savings function physician assist system testing management system

decision support system

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? Identifying the problem, issue, or topic in nursing practice Performing a comprehensive literature review of nursing journals Conducting an analysis of the patient outcomes and results Adapting practice to include the research

identifying the problem, issue, or topic in nursing practice

The benefits of EHR use recognized in early studies include all of the following except: increased delivery of guidelines-based care enhanced capacity to perform surveillance and monitor for disease conditions reduction in medication errors improved workflow

improved workflow