Nursing Informatics

Integrating technology into the medication administration cycle helps to reduce errors by: A. performing electronic checks against a database of safe medication administration parameters and providing alerts. B. increasing the workload and efficiency of clinicians. C. Employing human factors engineering principles to streamline workflow processes. D. All of these are correct.

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

A teenaged patient is distracted and not engaged in a patient education class in a healthcare facility. What alternative education method might the nurse recommend for this patient? A. An interactive computer game B. A health brochure C. A book on the disease D. Educational handouts

A. An interactive computer game

What 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 nurse is writing a narrative of a nursing care experience for an editorial in a nursing journal. What is this nurse demonstrating? A. Reflective practice B. Intuitive practice C. Evaluative practice D. Situational practice

A. Reflective practice

A nursing instructor is designing an assignment that requires social interaction and is goal-oriented. Which learning environment would meet these requirements? A. Simulation B. Gaming C. Virtual world D. Tutorial

A. Simulation

A nurse educator is selecting a method of patient education and is considering an educational pamphlet. Which of the following is a disadvantage of a pamphlet for patient education? A. The cost of design and production of a pamphlet B. The digital divide C. The dynamic nature of written education D. Inconsistency in the education provided

A. The cost of design and production of a pamphlet

Smart pumps 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 intravenous drug falls within the facility's safe infusion parameters. 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 intravenous drug falls within the facility's safe infusion parameters.

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.

_______ 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. A. A game B. A simulator C. Scaffolding D. All of these are correct.

B. A simulator

Which of the following factors are drivers of the growing trend toward telehealth and technology use and will influence nursing practice significantly in the next decades? A. Overabundance of nursing and healthcare workers B. Chronic diseases and conditions C. Uneducated consumers D. All of these are correct.

B. Chronic diseases and conditions

A nurse is evaluating the effectiveness of nursing interventions and will use which type of knowledge? A. Clinical B. Explicit C. Critical D. Indirect

B. Explicit

A patient is using an online patient education resources and is unable to use a computer mouse effectively. What technology is appropriate for this patient? A. Voice engagement B. Voice interactivity C. Voice commands D. Video game

B. Voice interactivity

All of the following are advantages of technology-mediated care except: A. effective use of technology helps to improve clinical workflow. B. assessment technology provides a complete and objective picture of the patient experience. C. smart pump technology provides maximum dose safeguards. 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.

When we enter the uncharted world of the other without preconceived notions about what to expect, we are practicing: A. centering. B. bracketing. C. meditation. D. All of these are correct.

B. bracketing.

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. pre-brief B. debrief C. assessment D. enactment

B. debrief

There are solutions to health problems that are not implemented in a timely fashion because of the lack of access to important health information, a condition known as the: A. digital divide. B. know-do gap. C. knowledge divide. D. health divide.

B. know-do gap.

Examples of peripheral devices used in home telehealth include: (select all that apply) A. Pyxis medication carts B. spirometers C. peak flow meters D. pulse oximeters

B. spirometers C. peak flow meters D. pulse oximeters

Patient-centered care means that practitioners should focus on: A. data gathered by technology. B. the subjective experience of patients. C. objective signs and symptoms. D. their interpretation of the patient's experience.

B. the subjective experience of patients.

Radio frequency identifier (RFID) technology may gradually replace bar-code technology in the medication administration cycle because RFID provides: A. opportunities to check patient identification before administration of the medication. B. replacement of bar codes in blood banking. C. reduced potential that a counterfeit medication is inadvertently introduced into the supply. D. All of these are correct.

C. reduced potential that a counterfeit medication is inadvertently introduced into the supply.

A nurse is caring for an 80-year-old male patient who has a chronic disease and does not have access to the Internet. What factor below may contribute to health disparity for this patient? A. Gender B. Citizenship C. Age D. Religious preference

C. Age

The American Telemedicine Association released a clinical care guideline for TeleICU. In this guideline, they identified three practice models. Which practice model refers to monitoring the patient without interruption for a designated period of time? A. Reimbursement for care episode model B. Scheduled care model C. Continuous care model D. Responsive (reactive) care model

C. Continuous care model

A nurse is playing an educational game that requires quick action and intervention, which is known as a(n): A. adventure game. B. strategy game. C. action game. D. building game.

C. action game.

When persons living with a chronic disease use the Internet for blogging about their health challenges or participating in online discussion forums, they are engaging in: A. self-diagnosis. B. self-management. C. peer-to-peer support. D. All of these are 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.

A nursing student makes an error in patient care during the simulation activity. Which statement by the nursing instructor can assist the student in learning from the simulation? A. "Did you see that your peers did not make this mistake?" B. "What did you to do prepare for this simulation?" C. "Why did you do that?" D. "How could you prevent this error in the real world?"

D. "How could you prevent this error in the real world?"

A decision support system in the electronic health record consists of: A. reminders and alerts to improve the diagnosis of a patient. B. screening for drug selection, dosing, and interactions. C. preventive health reminders. D. All of these are correct.

D. All of these are correct.

Although nurses have an ethical duty to ensure patient safety, increasing demands on professionals in complex and fast-paced healthcare environments may lead to workarounds. What is a workaround? A. A practice that deviates from accepted and expected practice protocols B. A shortcut to save time C. An inappropriate action or omission of appropriate actions D. All of these are correct.

D. All of these are correct.

Health information and data in the electronic health record consist of: A. demographics. B. medical diagnoses. C. medication lists and allergies. D. All of these are correct.

D. All of these are correct.

Patients partnering with healthcare professionals to manage their health is an example of: A. empowerment. B. patient engagement. C. connected health. D. All of these are correct.

D. All of these are correct.

Patients who have which of the following characteristics can use telenursing services? A. Are immobilized B. Have a chronic disease C. Live in remote places D. All of these are correct.

D. All of these are correct.

Positive impacts noted with using an informatics system to manage patients with chronic illness include: A. guidelines adherence. B. a decrease in emergency department visits. C. improved provider documentation. D. All of these are correct.

D. All of these are correct.

Which of the following is a potential outcome of patient-centered care? A. Patients can provide their subjective experience as an input to improve healthcare delivery. B. Care providers may develop their capacity for reflexivity, which may improve their understanding of the implications of their actions. C. Patients and practitioners can provide insights into the overall organization on how to innovate processes and facilities to respond to local needs. D. All of these are correct.

D. All of these are correct.

In what type of game does a person use a device, such as a smartphone, to overlay additional information onto the real world? A. Casual game B. Educational game C. Serious game D. Augmented reality game

D. Augmented reality game

An informatics nurse is consulting with a healthcare organization for expansion of the electronic health record (EHR). Which of the following is a barrier to expansion of EHRs in healthcare organizations? A. Need to decrease interoperability B. Lack of meaningful use incentives C. Nursing staff work support D. Financial barriers

D. Financial barriers

_________________ is the ability to manage results of all types electronically including laboratory and radiology procedure reports, both current and historical. A. Digital manipulation B. Data warehousing C. Electronic searching D. Results management

D. Results management

The American Telemedicine Association released a clinical care guideline for TeleICU. In this guideline, they identified three practice models. Which practice model refers to periodic consultation within a predetermined time frame? A. Responsive (reactive) care model B. Continuous care model C. Reimbursement for care episode model D. Scheduled care model

D. Scheduled care model

What is the term for an imitation of a real-life event or circumstance? A. Game play B. Game mechanics C. Virtual world D. Simulation

D. Simulation

What is the term for a live, online, interactive three-dimensional environment in which users interact using speech or text via a personalized avatar? A. Simulation B. Game play C. Game mechanics D. Virtual world

D. Virtual world

Successful pre-live strategies in a change management plan developed for implementing an electronic health record will include all of the following except? A. hosing end-user usability testing sessions. B. involving subject-matter experts to validate workflow. C. formal training activities. D. disciplinary measures for addressing resistance by professionals.

D. disciplinary measures for addressing resistance by professionals.

A nurse is documenting in the electronic health record and uses standardized terminology, which is important because: A. it prevents information from being shared. B. it ensures the right diagnosis code will be used. C. it reduces interoperability. D. it captures and codifies the work of nursing.

D. it captures and codifies the work of nursing.

Telehealth used in the medical field is known as: A. telenursing. B. teleradiology. C. telepathology. D. telemedicine.

D. telemedicine.

An important consideration for a successful education intervention is the means by which a provider learns best. T/F

False

In a store-and-forward telehealth transmission, digital images, video, audio, and clinical data are immediately transmitted securely to a specialist or clinician at another location, where they are studied by the relevant specialist or clinician and then are captured and stored on the client's computer or device. T/F

False

In the United States, telehealth nurses are required to be licensed only in the state from which they are providing telehealth services, even if they are interacting with patients in other states. T/F

False

Stage 1 meaningful use criteria focused on health information exchange and patient control over health data. T/F

False

The eHealth Initiative is largely successful because of interoperability among healthcare systems and the adoption of national data standards. T/F

False

The top patient safety issues are identified as early discharge and polypharmacy. T/F

False

A clinical use for telehealth technologies includes providing disease prevention and promotion of good health. One example is telephonic or smartphone app case management and patient education provided through asthma and weight management programs conducted in public schools. T/F

True

A three-dimensional virtual world often mimics a real-world environment, although it may also include impossible abilities, such as flying unaided. T/F

True

According to the Agency for Healthcare Research and Quality, one way to balance the competing cultural values of blamelessness versus accountability is to establish a "just culture." T/F

True

An electronic health record may lead to better clinical decision making by integrating patient information from multiple sources. T/F

True

Caring consciousness is energy within the human-environmental field of a caring moment. T/F

True

Clinical decision making is guided by targeted information delivery ensuring that the five rights of clinical decision support are implemented: the right information provided to the right person in the right format through the right channel at the right time in workflow. T/F

True

In deep transpersonal caring, both the caregiver and the care recipient may experience healing. T/F

True

Information prescriptions direct patients and families to credible websites and to wikis and blogs that may help them understand their health issues. T/F

True

Simulated experiences in nursing education should contain the PEDA (pre-brief, enactment, debrief, and assessment) elements to provide important opportunities for students to hone critical thinking and clinical skills in a safe and supportive environment. T/F

True

Telehealth can positively impact the healthcare outcomes for patients with chronic diseases, particularly those with higher acuity levels who are at significant risk of having a medical crisis that might necessitate emergency or unplanned acute interventions. Many other patients with chronic diseases are less susceptible to a health crisis but would greatly benefit from home telemonitoring to improve care and reduce costs. T/F

True

The Patient Safety and Quality Improvement Act of 2005 mandated the creation of a national database of medical errors and funded several organizations to analyze these data with the goal of developing shared learning to prevent medical errors. T/F

True

The electronic health record may be used to identify patients who qualify for research studies. T/F

True

When someone disregards established policies and procedures, it is thought of as reckless behavior. T/F

True