Nursing informatics mid term

A nurse on a committee is conducting a workflow analysis. Which action would be most helpful when completing this task?

diagramming the activity

+A nurse executive is composing an e-mail to the professional organization. In addition to the name, which information would the nurse include when signing an e-mail?

Senders title

A nurse practicing in nursing informatics is a guest speaker for a nursing class. One of the students in the class asks the nurse how she gained her knowledge. Which response by the nurse would be most likely?

"I basically learned on the job and with continuing education."

A nurse is reading an article about mobile computers and the different operating systems in use. The nurse would likely find that which operating system is most often used?

Android OS

A nurse is reviewing the ANA toolkit for social media that is available online. Which items would the nurse identify as being included? Select all that apply.

A. Webinar B. Social networking principles C. Fee-based continuing education credit D. Fact sheet

+When reviewing a client safety database, the nurse understands that which is used?

Aggregated data

A nursing informatics specialist is describing meaningful use of electronic health records to a group of newly hired nurses at the facility. Which requirement would the nurse specialist include?

An interoperable healthcare information system

A nurse is writing an e-mail to a colleague that includes the following statement: "IT SHOULD NOT TAKE SOMEONE OVER AN HOUR TO ASSIST WITH A BEDBATH." How might the colleague interpret this statement?

Shouting

A nurse is using a handheld computer to conduct a client teaching session using an online course developed for the facility. The course requires Adobe flash for streaming audio and video. The nurse understands that which operating system would be needed on the handheld computer?

Android OS

An agency committee conducts a needs assessment for a health information system and identifies a list of potential vendors to be considered for the project. Which step would the committee do next?

Send out a request for proposal

+A nurse has purchased proprietary software for the computer. Which step is essential when installing proprietary software?

Registering the product

During a presentation on standardized nursing terminologies, a nurse asks the nursing informatics specialist, "If standardized terminology is so great, why is it so difficult to get the terminologies to work together? Which response by the nurse specialist would be most appropriate?

"Each terminology is based on a philosophy that expresses a culture."

+During a group discussion about using e-mails, a member asks about spam and how to deal with it. Which information would be the most appropriate to include in the response?

"If you dont know the sender, the e-mail is probably junk."

A nurse is talking with a client who says that he has used the World Wide Web (WWW) many times to look up his medications. Which statement best reflects the World Wide Web?

"The WWW is a network within the Internet."

+A nursing informatics specialist is presenting a seminar on nursing informatics. After the seminar, a group of nurses are talking with the presenter and one of the nurses states, "Im pretty good with computers, so I should become an informatics nurse." Which response would be most appropriate?

"The computer is just a tool for the real focus, information management."

+During a presentation about networking, a nurse asks, "Ive heard all about Twitte, but how is it different from text messaging?" Which response by the presenter would be most appropriate?

"The message is shared with others."

A nurse has become certified in nursing informatics. The nurse would need to renew this certification after how long?

5 years

A nurse is considering purchasing a mobile device to view videos that demonstrate physical assessment skills as part of continuing education course that the nurse is taking. The nurse wants to ensure that she has the clearest image possible. Which screen resolution would the nurse select as the best choice?

960 × 640

A nursing informatics specialist is working on evaluating a system that has been implemented in an agency. Which statement reflects the goals of usability?

A user can perform the needed tasks quickly once he or she has learned the system.

+According to the National Center for Nursing Research, which are considered program goals for nursing informatics research? Select all that apply.

A. Establishing a nursing language B. Testing client care decision support systems C. Determining how nurses give client care using data D. Developing methods to build clinical information databases

+Which advantages are associated with the use of cloud computing? Select all that apply.

B. Allows for sharing files with other users C. Provides a backup of files in a location different from where the original document is stored

A certified nursing informatics specialist is preparing a presentation for prospective candidates for certification. Which prerequisites would the nurse specialist include as being necessary to write the examination for certification? Select all that apply.

Bachelors degree in nursing Active RN licensure 2,000 hours in informatics nursing within the past 3 years

A nurse is about to install antivirus software on his home computer. Which action would the nurse need to do first to protect his data?

Backup important files in another location

+A nurse is reading numerous comments made by various individuals on the topic of scoliosis. The information ranges from personal views about living with the condition to technical information about bracing and medical treatment. The nurse adds a comment about her experiences in caring for clients with this disorder. The nurse is engaged in which type of networking?

Blog

A nursing informatics specialist is speaking to a group of colleagues about the benefits of informatics for the nursing profession. Which benefits would the specialist most likely include? Select all that apply.

Building of evidence-based knowledge Use of data for quality control Improvement in documentation

A nurse is reading an online journal article about the development of standardized healthcare terminologies. Which statement best reflects these terminologies?

Client mortality and morbidity were used as the basis for early terminologies.

+The nurse is explaining to a client how he can access his electronic medical record. Which type of connection would the nurse include as being used?

Client-server architecture

Which catalogue involving standardized terminologies for nursing was developed from a home care focus?

Clinical care classification

A nursing informatics specialist is describing the benefits of electronic records to a group of facility administrators. The nurse specialist would address which aspect as resulting from searchable and analyzable information?

Creation of knowledge for informed practice

A nurse is working on a committee that is involved with electronic documentation. The committee is currently working on stage 1. On which action would the committee be focusing?

Data capturing and sharing

When describing the various theories underlying informatics, which theory addresses change in society and an individual?

Rogers Diffusion of Innovation Theory

Which step should be done first when implementing a workflow redesign for an electronic documentation system?

Determining what the system is expected to accomplish

+While working on a personal computer, a nurse searches for updated practice guidelines on the Internet. The nurses computer connects to the Internet via a telephone line. This is an example of which type of connection?

Dial-up

A nurse has purchased a copy of a nursing review eBook. The nurse understands that the information is copyrighted by:

Digital Rights Management.

+A nursing informatics specialist applies Lewin Field Theory to implementing a new documentation system. Which action would be most important for the nurse specialist to do first?

Enlist members to be involved in the process

+For which is information literacy considered essential?

Evidence-based practice

A nurse is accessing the World Wide Web using a web browser for information about the incidence of stroke. The nurse would likely be using which browser? Select all that apply.

Explorer, Firefox, Chrome, and Opera

When using the International Classification of Nursing Practice, which axis would the nurse expect to find?

Focus

A new graduate nurse is working at a facility that uses electronic documentation. The nurse has questions about the policies and procedures related to data security. The nurse would identify which person as being responsible for the policies and procedures related to data security?

HIPAA security officer

Matching of a term or concept in one standardized terminology to another leads to a result that is not always equivalent. Which term is used to describe that the match addresses all the degrees of standardized terminology so that they can be used?

Harmonization

+A nurse who has just purchased a new laptop computer for the home is reading the manual and finds information about power-saving features. Which feature would the nurse most likely be reading about? Select all that apply.

Hibernate, sleep

A nurse is part of a committee that is working to develop and implement an electronic documentation system. Which step would the committee do first during the initiating phase?

Identify the project goal

An electronic documentation system will be implemented in an agency. As part of the process, the staff is receiving education about the system and the overall benefits. Which benefit would be mentioned as the most important?

Improvement in client care outcomes

+A nursing informatics specialist is describing the benefits of informatics to a group of agency staff. Which would the nurse identify as a primary benefit for healthcare in general?

Increase in the usability of data

When describing commercial software to a group of students, which information would be most appropriate to include? Select all that apply.

Individuals must purchase it. Users must accept the terms of use to install it. The software is proprietary.

Based on the evolution of the development of standardized terminology adopted by the American Nurses Association (ANA), which terminology was adopted last?

International Classification for Nursing Practice

A nursing informatics specialist is preparing a presentation about nursing- focused standardized terminologies recognized by the ANA. Which system would the nurse specialist most likely describe as originally being developed as a reference terminology?

International Classification of Nursing Practice

A nursing informatics specialist is conducting a presentation about the electronic medical record (EMR) to a group of facility staff. Which statement would the nurse specialist most likely include when describing the EMR?

It describes the care rendered during an agency visit.

A nursing informatics specialist is preparing a class on electronic documentation for a group of staff nurses. As part of the class, the nurse specialist is planning to describe nursing documentation of the past. Which characteristic would the nurse specialist most likely include?

It used simplistic language

A nursing informatics specialist is part of a project management team that was responsible for implementing an agency-wide clinical information system. The system was implemented in January of this year. The team plans to conduct a planned evaluation of the system at which time after implementation?

July

A nurse is using a mobile device that is Bluetooth enabled. Which action would be most appropriate for the nurse to do when using the Bluetooth?

Keeping the distance between each device to within 32 feet

+In Rogers Diffusion of Innovation Theory, there are five stages of individual change. Which stage is first?

Knowledge of an innovation

When describing the components needed to provide evidence-based care through informatics, which components would be included? Select all that apply.

Limited ability to capture relevant data Standards for exchange of information

A nurse is documenting electronically and selects a problem from a drop-down menu to enter into the record. The nurse is using which feature?

Linear list

Which term is used to identify the connection of computers that are physically close to one another?

Local area network

+A nurse is reviewing the components of a computer system that he has just purchased. Which operating system would he expect to find as the most common?

Microsoft Windows

A nurse is reviewing various client safety databases for safety issues. Which databases would the nurse identify as voluntary? Select all that apply.

National Database of Nursing Quality Indicators National Healthcare Safety Network

A group of nurse managers are discussing the possible use of a virtual reality for the unit staff to promote skill learning and training. The nurse managers would need to address which aspect of this type of learning before implementing the program with the staff?

Navigate the virtual world

An nursing informatics specialist is preparing a presentation for the nursing administration addressing the use of mobile devices in the institution. Which reason would the specialist most likely address?

Nurses are expected to be proficient with technology.

When working with the USA-Nursing Minimum Data Set (NMDS), which information would the nurse expect to see as part of data collected for nursing care?

Nursing diagnosis

Which statement best reflects the status of the adoption of electronic records in the United States?

Over three quarters of the hospitals have at least a basic EHR system.

After writing a paper, a nurse wants to generate a table of contents automatically using the word processor. The nurse understands that this table of contents will be created using which feature?

Paragraph headings

A new clinical information system is being implemented. Project planners have decided to continue the old system for a time while specific units will be targeted for a specific date to switch over to the new system. Which approach is being used?

Parallel conversion

A nurse is using a PDA when caring for clients. The PDA contains clinical data. Which feature would be most important for use of this PDA?

Password encryption

A nurse is reading a journal article about the various efforts by the ANA for standardization. The nurse would expect to find which standard as being retired?

Patient Care Data Set

A nurse is reviewing the development of PDAs and smartphones. Which device would the nurse identify as being the most popular before being replaced by the iPhone and Android smartphones?

Pocket PC

A nurse is using a mobile device and stores his calendar, contacts, and notes. The nurse understands that this information is stored at which location?

ROM

A nurse participates in a blog with other nurses about caring for terminally ill clients. Through which does the nurse receives an alert when new information is added?

RSS feed

A group of nurse managers are working to develop a refresher course for staff nurses in cardiopulmonary resuscitation and want to use a high-fidelity patient simulator. The nurse managers decide this is the best method for teaching the staff for which reason?

Realistic learning helps to promote performance.

+Which term describes what happens to a computer after a specific period of inactivity?

Sleeping

+Which theory contributing to informatics addresses improving the interaction between an information system and the organizational culture?

Sociotechnical theory

While working as a member of a group tasked with addressing meaningful use with electronic data, the group has met the criteria for stage 1 and is now moving onto stage 2. Which action would now become a focus for the group?

Submitting electronic data to immunization registries

A nurse superuser is part of a group testing a new clinical information system. The group is faced with several situations that involve something going wrong with the system. The nurse superuser identifies this as which testing?

Test scripts

+A nurse is reviewing the different cloud office applications available. When comparing the iCloud to other cloud office applications, which feature would the nurse identify as being different? Select all that apply.

The app is not a downloadable type. Web browser is needed to access the app.

A nurse is reviewing information about standardized terminology. The nurse demonstrates the need for additional reading when identifying which as an interface terminology?

USA-NMDS

+A nurse has attended a conference sponsored by a professional nursing organization. During the conference, the nurse met several other professionals and wants to send each of them an e-mail thanking them for their insight and suggestions. When writing the e-mail, which step would be most important for the nurse to keep in mind?

Use correct spelling and grammar before sending.

When describing meaningful use, which statement would be most appropriate to include?

Use of information from EHRs to improve healthcare delivery

When obtaining vital signs on a postoperative client, the nurse notes that the client is significantly tachycardic and the systolic blood pressure is 72 mm Hg. The nurse suspects that the client is experiencing hypovolemic shock and notifies the primary care provider of these findings. According to nursing informatics theory, which key component is the nurse demonstrating?

Wisdom

A nurse working in the clinical setting would most likely use a handheld computer for which activity?

barcode medication administration

After implementing a health information system, the agency takes steps to prevent loss of data from a power failure by having the system use the backup power supply. This is an example of:

business continuity plan.

A nurse is working as part of a project management team. The team is currently involved in the planning. Which activities would occur during this

conducting a workflow analysis

A nursing informatics specialist is part of a project management team that is working with a new clinical information system. Currently, the team is working to customize the system to meet the needs of the organization. The team is in which stage of the systems life cycle?

executing

+A nursing informatics specialist is characterized by colleagues as an informatics innovator. This nurse would demonstrate the ability to:

generate informatics theory.

A nurse writes a nursing diagnosis and includes information about the etiology along with manifestations associated with that etiology. The nurse is demonstrating an understanding of:

granularity

When using a computer program, a nurse enters a command by pointing and clicking. The nurse student understands that this action is the result of:

graphical user interfaces.

A nurse wants to share the address of the clinical facility with another nurse colleague in the group via beaming. The nurses must:

have IR, Bluetooth, or NFC on both devices.

An nursing informatics specialist is planning to record her lecture for an in-service program and then upload it to a secure website. Participants in the in-service program are instructed to view the presentation before attending the in-person part of the program. The specialist hopes that viewing the presentation beforehand will stimulate a more involved question-and-answer discussion. Which software would the participants most likely use to view the presentation?

iTunes

An agency involved in testing a new electronic documentation system is evaluating the systems communication and network functioning. The agency is involved with which action?

integration testing

The design of mobile computing software is focused on which feature?

interoperability

+A nurse is working with a client recently diagnosed with heart failure. He asks the nurse about good websites that he could use to learn more about his condition. The client tells the nurse that his computer uses a wireless connection. The nurse understands that this type of connection:

is limited in distance.

+A nurse receives an e-mail containing a web address hyperlink on his personal computer. The e-mail instructs the nurse to go to the website to confirm his bank account number. When the nurse clicks on the link, it would take him to a phony website. This is an example of:

phishing.

+A nurse is preparing to upload photos and videos to social media. Which products would the nurse most likely use? Select all that apply.

pintrest, picasa, instagram

A nurse is working on the computer using a trial copy of a software program. The nurse is using:

shareware.

A nurse is a part of a committee working on a project for implementing an electronic documentation system in the agency. The committee conducts a thorough needs assessment to ensure the:

system implementation is a success.

+A nurse is accessing the Internet using the following URL—http://www.ahrq.gov/research/findings/evidence-based- eports/index.html. The nurse identifies the ".gov" as:

top-level domain name.

The nurse is developing a plan of care for a client, integrating information from the clients history and physical examination, laboratory and diagnostic test results, and medications using the new informatics system adopted by the facility. The nurse understands that informatics facilitates the task because it focuses on:

using information technology..

A committee is evaluating several vendors for a health information system, and the members notice that one of the vendors describes some new and amazing features that are in development, along with an upcoming release of a new product that is designed to increase the user friendliness of the system. Unfortunately, the vendor fails to deliver on these features. The committee interprets this as:

vaporware.

+A client contacts his healthcare provider through a web-based portal software program to ask for a medication refill. The client is using:

virtual private network.

+A nurse has purchased Microsoft cloud software for a Mac computer for the year. Which software would the nurse be able to use? Select all that apply.

word, excel, powerpoint

A nursing informatics specialist is preparing an in-service program about forces driving the increased use of informatics in healthcare. Which forces would the nurse include as a national force? Select all that apply.

~ The Institute of Medicine (IOM) report on health professions education ~Creation of the Office of the National Coordinator for Health Information Technology (ONC)