Nursing Informatics Quiz 1

An informatics nurse is explaining barriers to the adoption of electronic health records to a group of administrators. Which statement by the informatics nurse is correct?

"Electronic health records are expensive, and the cost has prohibited widespread adoption of this technology

A nurse is explaining the difference between instinct and reason to a student nurse. Which statement by the nurse is correct?

"Instinct is reacting without reason, and reason is generalizing and considering facts."

A patient does not want to be identified in the healthcare facility's directory and informs the nurse. Which of the following is an appropriate response by the nurse

"You can opt out of the facility's directory"

A patient has a concern that the security and privacy of health information has been compromised. Which statement by the nurse is correct?

"You should contact the Office of CIvil RIghts to file a complaint about privacy and security rights"

Which of the following makes information valuable and meaningful?

-Accessible and accurate -Timely and complete -Reliable and relevant

Which of the following are considered functional areas by the American Nurses Association?

-Administration, leadership, and management -Systems analysis and design -Compliance and integrity management

HIPAA was enacted by the federal government for several purposes, including:

-Better portability of health insurance as a worker moved from on job to another -Deterrence of fraud, abuse, and waste within the healthcare delivery system -Simplification of the administrative functions associated with the delivery of health care, such as a reimbursement claims sent to Medicare and Medicaid.

The development and implementation of a nationwide electronic health records system holds great promise for nursing practice and nursing informatics. The profession of nursing will benefit from the many enhancements such an infrastructure has to offer, including the ability to

-Improve the delivery of nursing care and the quality of that care -Make more efficient and timely nursing care decisions for patients -Avoid errors that may harm patients and promote health and wellness for the patients whom nurses serve

Some of the disciplines involved in cognitive science include:

-Psychology and philosophy -Neuroscience and linguistics -Biology and physics

Reliable information comes from:

-Reliable or clean data -Authoritative sources -Credible sources

Which of the following is a strategy to build an organization's knowledge base?

-Sharing experiences in a practice council -Encouraging collaboration with other professionals -Joining a community of practice

An accepted method or methods for securing PHI include:

-Shredding -Electronic sanitation -Encryption

Which of the following statements is correct about the input components of computers?

-They include the keyboard; mouse; joysticks (usually used for playing computer games); game controllers or pads; web cameras (webcams); stylus (often used with tablets or personal digital assistants); image scanners for copying a digital image of a document or picture; or other plug and play input devices, such as a digital camera, digital video recorder (camcorder), MPS player, electronic musical instrument, or physiologic monitors. -Input devices are the origin or medium used to input text, visual , audio, or multimedia data into the computer system for viewing, listening, manipulation, creating, or editing. -The two primary input devices on a computer are the keyboard and mouse.

The intent of HIPAA was to

-curtail healthcare fraud and abuse and enforce standards for health information -guarantee the security and privacy of health information -assure health insurance portability for employed persons

Ethics is best described as:

A goal-oriented approach to answering questions that potentially have multiple acceptable answers

Aristotle described intuition as knowledge obtained by:

A leap of understanding

Computer science can facilitate:

Acquisition and manipulation of data and information

A nursing student must learn about cognitive science in the nursing program of study including courses in which of the following?

Biology

Artificial intelligence uses which of the following to replicate human intelligence?

Cognitive science and computer science

A practice council is focused on reducing workarounds related to medication administration. Which approach is likely to be more successful?

Collecting data in the institution by asking professionals to journal examples of workarounds.

Nursing informatics competencies may be used to determine the educational needs of

Current staff members

Which of the following is a discrete entity described objectively without interpretation?

Data

When a nurse reviews the electronic health record prior to interacting with a patient, he or she is gathering:

Data and information

A new electronic health record is being developed by a team including an informatics nurse. Which of the following will the informatics nurse do?

Develop educational materials for nurses and other healthcare providers

Which of the following nursing professionals pulls trends out of data and makes judgments based on this information?

Experienced nurse

The HITECH Act had which of the following goals?

Facilitate clinical research

Care delivery models will not influence nursing informatics in the future

False

Computer science studies the application and usage of information and knowledge in organizations and the interface or interaction between people, organizations, and information systems (IS). (True or false)

False

Nurses routinely depend on their peers to process knowledge. (True or false)

False

One of the driving forces behind the initiation of cloud computing was the need for limited, affordable resources. (True or false)

False

The storage area of a computer is referred to as the processor. (True or false)

False

Virtual reality is a two-dimensional, computer-generated "world" where a person (with the right equipment) can move about and interact as if he or she were in the visualized location. (True or False)

False

When a nursing professional creates new knowledge by changing and evolving knowledge based on experience, education, and input from others, he or she is:

Generating knowledge

A nurse is performing a physical assessment on a patient with chest pain. Which of the following is a technology that the nurse would use to obtain objective data on the physical status of the patient?

Heart monitor

The nursing staff of an intensive care unit is collaborating with staff pharmacists to install an automated medication dispensing system, which will help:

Improve patient safety

A nurse is preparing to administer a medication to a patient and uses the car-code medication administration system. The nurse understands that this bar-code medication system:

Improves patient outcomes

A nurse is required to use standardized terminology in the electronic health record when documenting. She understands that doing so:

Improves safe patient care

Which of the following nursing professionals leads the advancement of informatics practice and research?

Informatics innovator

A healthcare system is developing a new clinical support tool for nurses and needs an expert to assist in research. Which individual would best fulfill this role?

Informatics nurse

Which of the following nursing professionals applies aspects of human-technology interface to screen, device, and software design?

Informatics nurse specialist

Another name for data that having meaning is:

Information

An example of an expert system is the:

Insulin pump

The largest computer network in the world is the:

Internet

According to the Standford Encyclopedia of Philosophy, the central hypothesis of cognitive science is that thinking can best be understood in terms of representational structures in the mind and computational procedures that operate on those structures. Applications of cognitive science to nursing informatics include all of the following except:

Interoperability of systems

Early in the professional nurse's education, conscious attention is focused mainly on:

Knowledge acquisition

A nurse informaticist is orienting nursing staff to a new electronic health record. The nurse informaticist understands that which of the following are needed to successfully implement the new record?

Knowledge and wisdom

A new nurse is searching a library database for information about patient care. Which type of knowledge worker is this nurse?

Knowledge consumer

Which of the following are mainly users of knowledge who do not have the expertise to provide the knowledge they need for themselves?

Knowledge consumers

Which of the following describes the concept that information should be usable beyond the immediate clincal encounter?

Longevity

Which falls outside the realm of social media?

Microsoft Word

What term refers to the visual display resembling a television screen?

Monitor

Which of the following types of apps are subject to regulation by the FDA?

None of these is correct

Professional obligations of nonmaleficence include:

Not inflicting harm and not imposing risks of harm

A nurse id documenting patient care. To communicate with other providers about the patient, the nurse should use which of the following?

Numerical terminology

New technologies used in health care such as smartphones or Google Glass create potential ethical issues associated with:

Privacy and confidentiality

In which of the following roles does the informatics nurse specialist participate in the design, production, and marketing of new informatics solutions? An understanding of business and nursing is essential in this role?

Product developer

In which of the following roles is the informatics nurse specialist responsible for the planning and implementation of informatics projects?

Project manager

An informatics nurse is working on the integration of nursing documentation into a new electronic health record. Her role will focus on which of the following?

Promotion of the use of standardized nursing terminology

According to Derse and Miller (2008), practice entails all of the following except:

Recognition by patients that professionals are gatekeepers of health information

Which of the following terms refers to the OS incorporating hardware protection for virtual memory and software protection mechanisms for OS resources?

Security

Which of the following requires a release of information in accordance with the health Insurance Portability and Accountability Act (HIPAA)

Sharing patient records from an evaluation at a mental health treatment center

An ethics approach that emerged from relatively homogenous societies where beliefs were similar and the majority of societal members shared common values is known as:

The Hippocratic tradition

A nurse is caring for a patient with multiple complex diagnoses. Which of the following is an example of cognitive informatics in nursing practice?

The nurse reviews information on the patient's diagnosis that is embedded in the electronic health record to assist in selecting nursing interventions.

A nurse is entering patient data into the electronic health reocrd, These data will inform:

The present patient encounter

Which of the following provides the most accurate definition of nursing informatics?

The synthesis of nursing science, information science, computer science, and cognitive science for the purpose of managing, disseminating and enhancing healthcare data, information, knowledge, and wisdom to improve collaboration and decision-making, provide high-quality patient care, and advance the profession of nursing.

Nurses who protect the privacy and security of patient information are also protecting which of the following?

Themselves from violation of privacy laws

Which of the following best describes the central goal of nursing informatics?

To manage and communicate data, information, knowledge, and wisdom in the delivery of nursing care.

A common thread in all ethics approches is they all are goal-oriented approches to answering questions that have the potential for multiple acceptable answers

True

A core difficulty with social media networks is that networks overlap so that the unintended audience is almost always greater than the intended one

True

All nursing roles (practice, administration, education, research, and informatics ) involve the science of nursing. (True of false)

True

Artificial intelligence principles assist with capturing, mimicking, and creating the complex processes of the mind informatics tools.

True

As informatics nurse specialists assume their roles, it is evident that typical roles cover more than one functional area

True

Computers support collaboration, networking, and information exchange. (True or false)

True

Data collected from electronic health records may provide insights into both the health of populations and global health challenges. (True or false)

True

Education of all health professions will evolve over the next decade to incorporate core informatics competencies.

True

Ethical dilemmas arise when issues raise questions that cannot be answered with a simple, clearly defined rule, fact, or authoritative view

True

Extended and expanded access to clinical research findings and decision support tools has been significantly influenced by the advent of computerization and the Internet.

True

Farr and Cressy (2015) found that intangible tacit knowledge was just as important to the personal perception of quality of performance as more standardized rational measures. (True or false)

True

Healthcare systems need to recognize that employees are mature, self-reliant, independent-thinking adults who function as partners in carrying out the work of the organization. (True or false)

True

Human enhancement technology (HET) refers to technologies and biomedical technologies such as prostheses that augment a person using human-machine integration

True

Information science is the science of information, studying the application and usage of information and knowledge in organizations and the interfacings or interaction between people, organizations, and information systems. (True or false)

True

Information technology is not a panacea for all of the challenges found in health care, but it will provide the nursing profession with an unprecedented capacity to generate and disseminate new knowledge at rapid speed, this supporting the knowledge work of nursing.

True

Information to be valuable or meaningful, it must be accessible, accurate, timely, complete, cost-effective, flexible, reliable, relevant, simple, verifiable, and secure. (True and false)

True

Knowledge can be defined as the awareness and understanding of a set of information.

True

Knowledge is garnered from others, and wisdom is our own ability to make correct assessments, conclusions, and decisions

True

Knowledge is the awareness and understanding of a set of information and ways that information can be made useful to support a specific task or arrive at a decision. (True or false)

True

Neural networks are interconnected simple processing devices or simplified models of the brain and nervous system that consist of a considerable number of elements or units (analogs of neurons linked together in a pattern of connections (analogs of synapses).

True

Nursing has been involved in the purchase, design, and implementation of information systems since the 1970s

True

Nursing informatics does not focus on direct patient care

True

One of the main issues in healthcare informatics deals with how healthcare information is managed to make it meaningful. (True and false)

True

Processed data are information when they have meaning. (True or false)

True

The Foundation of Knowledge model concepts are knowledge acquisition, knowledge processing, knowledge generation, and knowledge dissemination. (True or false)

True

The Information Age is an age when data, information, and knowledge are both accessible and able to be manipulated by more people than ever before in history. (True or false)

True

The central procession unit (CPU) or processor is the computer component that actually executes, calculates, and processes the binary computer code (which consists of various configurations of 0s and 1s), instigated by the operating system (OS) and other applications on the computer. (True or false)

True

The deluge of information available via computers must be mastered and organized by the user if knowledge is to emerge. (True or false)

True

Those nurses involved in the entrepreneur role combine their passion, skills, and knowledge to develop marketable business ideas by analyzing nursing information needs and developing and marketing solutions

True

Timely information means that the information is available when it is needed for the right purpose and at the right time. (True or false)

True

Two key pieces of legislation have shaped the nursing informatics landscape- the Health Insurance Portability and Accountability Act (HIPAA) of 1996 and the Health Information Technology for Economic and Clinical Health Act (HITECH) of 2009

True

Utility refers to the ability to provide the right information at the right time to the right person for the right purpose. (True or false)

True

Smart technologies and invisible computing are:

Ubiquitous