Week 2 - Chapter 20: Informatics
During a recent visit to the clinic, a client tells the nurse, "I've been using my cell phone to track and record the foods that I eat so that I can better understand if I'm making healthy food choices." The nurse interprets the client's statement as reflecting which technology? mHealth Patient portal Telemedicine Pharamcogenomics
mHealth
An informatics nurse specialist is conducting an in-service program for a group of staff nurses about this specialty. One of the nurses asks, "What exactly is nursing informatics?" Which response by the informatics nurse specialist would be most appropriate? "It is a specialty that deals with online client educational programs." "It combines nursing science with information management and analytical sciences." "It refers to the use of the electronic health record." "It involves working primarily with computers and programming codes."
"It combines nursing science with information management and analytical sciences."
An informatics nurse specialist has completed the evaluation of an update to a current clinical information system used by the staff at the local hospital and has documented the results. Documentation reveals the need for an improvement in the screen display. Which action would be next? Implement Train Test Analyze and Plan
Analyze and Plan
An informatics nurse specialist is describing the framework underlying informatics practice. Which component of the framework would the nurse specialist describe as discrete entities without interpretation? Knowledge Data Information Wisdom
Data
An informatics nurse specialist is collecting data from the clinical information system about the demographics of individuals diagnosed with heart failure admitted to the facility over the past five years. The nurse specialist is preparing a presentation to the facility's executive board. To promote understanding of this complex information, the nurse specialist prepares the data results using a pie chart and a bar graph. The nurse specialist is using which area of analytics? Big Data Data visualization Predictive analytics Data mining
Data visualization
An informatics nurse specialist is working as part of a team that will be developing and implementing a new client assessment tool. During which phase of the system development lifecycle would the team be integrating information about workflow patterns, standard terminology, and recommendations for screen layout from supportive research? Train Test Analyze and plan Design and build
Design and build
An informatics nurse specialist is working on a team that is considering a new technological system for the facility. Which aspect would be most important for the team to do as the first step? Determine the need or problem to be solved Train those who will be using the system Identify the use of standard terminology Conduct testing of the system
Determine the need or problem to be solved
An informatics nurse is evaluating a new clinical information system for usability. The nurse notes that the system requires the user to complete a maximum of 3 steps to complete a task. The system also provides shortcuts to frequent users of the system. The nurse would determine that which concept of usability is being addressed? Efficient interactions Minimizing cognitive load Consistency Naturalness
Efficient interactions
An informatics nurse specialist is gathering data from electronic health records at the facility about clients who have had central venous catheters inserted for more than the recommended time as specified by the facility's protocol. The nurse specialist is collecting this data most likely for which purpose? Determine client satisfaction with care Correlate the client's diagnosis with intervention Evaluate client care Identify clients at risk for infection
Identify clients at risk for infection
A nurse is reading a journal article about health information technology and the need for this technology to demonstrate meaningful use. Which information would the nurse anticipate reading about as reflective of meaningful use? Select all that apply. mprovement in health care quality Increased health disparities Reduction in privacy breaches of client information Reduced health of populations Greater client engagement
Improvement in health care quality Greater client engagement Reduction in privacy breaches of client information
An informatics nurse specialist is involved with implementing strategies to improve the performance of the clinical information system being used. As part of this process, the nurse specialist is working on updating the plans of care in the system to reflect changes to a procedure based on new evidence. The nurse is also working to streamline the display screens to reduce the need to document the same information in three different areas. The nurse specialist is addressing which aspect of the system? Usability Standard terminology Interoperability Optimization
Optimization
An informatics nurse specialist is conducting an orientation for the staff of a primary care provider's office about a new web-based tool that they will be implementing. The goal of the tool is to promote patient engagement. The informatics nurse specialist is most likely orienting the staff to which system? Telehealth Patient portal Telemedicine Telecare
Patient portal
An informatics nurse specialist is preparing a presentation for a local community group about advances in technology in health care. Part of the presentation will focus on technological advances to promote greater client participation in managing health. Which component would the nurse likely describe as playing a major role? Clinical information system Patient portal Electronic health record Predictive analytics
Patient portal
An informatics nurse specialist is conducting a seminar on the emergence of telehealth and its importance in health care delivery. The nurse specialist determines that additional discussion is needed when the group identifies which aspect as an advantage of this technology? Helps to save time and money Provides a new way to delivery existing health care Promote the development of new health care services Aids in reducing time spent away from work
Promote the development of new health care services
A nurse has a two-way video communication with the specialist involved in the care of a client in a long-term care facility. This is an example of what nursing informatics technology? Data aggregation technology Telemedicine and mobile technology Client engagement technology Population health management technology
Telemedicine and mobile technology
An informatics nurse specialist is working with a team designing an update to a clinical information system being used by the nursing staff. When selecting the language to be used with the system, which characteristic would be most appropriate to address? Select all that apply. Terminology is clear and concise for the nurses Terminology is familiar to the user Terminology is ambiguous to the user Terminology reflects the users work context Terminology reflects the technological aspects of a system
Terminology is clear and concise for the nurses Terminology is familiar to the user Terminology reflects the users work context
An informatics nurse specialist is involved in the testing of a new clinical information system that is being planned for use by the health network. The system is currently undergoing unit testing. Which information would be addressed during this phase? Select all that apply. System works for one particular area. There are no typographical errors. The correct information appears on the screen. Information is in its proper location on screen. All information is included.
The correct information appears on the screen. All information is included. There are no typographical errors. Information is in its proper location on screen.
An informatics nurse specialist is involved with testing an update to a facility's clinical information system. The specialist is in the integration testing phase. Which phase has the informatics nurse specialist already completed? Select all that apply. Performance testing User-acceptance testing Unit testing Function testing
Unit testing Function testing
An informatics nurse is assisting with the design of an clinical information system for use by the staff of a health center. The nurse is working to ensure that the system reflects usability by making sure that the screen display is viusually clean and uncluttered and that it provides only the information needed for decision making. Which concept of usability is the nurse incoroporating? a. Simplicity b. Naturalness c. Consistency d. Forgiveness
a
An informatics nurse specialist is conducting an orientation for the staff of a primary care provider's office about a new web-based tool that they will be implementing. The goal of the tool is to promote patient engagement. The informatics nurse specialist is most likely orienting the staff to which system? a. Telehealth b. Patient portal c. Telecare d. Telemedicine
b
An informatics nurse specialist is describing the framework underlying informatics practice. Which component of the framework would the nurse specialist describe as discrete entities without interpretation? a. Information b. Data c. Knowledge d. Wisdom
b
An informatics nurse specialist is preparing a presentation for a local community group about advances in technology in health care. Part of the presentation will focus on technological advances to promote greater client participation in managing health. Which component would the nurse likely describe as playing a major role? a. Predictive analytics b. Patient portal c. Electronic health record d. Clinical information system
b
Several nurses are discussing their impressions of the newly implemented electronic health record with an informatics nurse specialist. They say, "There is so much information on one screen, it hard to tell what we should do first. It's not really clear." The informatics nurse specialist interprets the comments as reflecting an issue with which area? a. Interoperability b. Usability c. Security d. Optimization
b
An informatics nurse is participating in an online continuing education course about nursing informatics. The nurse demonstrates successful comprehension of the course by identifying which individual as being considered the first informatics nurse? Dorothea Orem Hildegard Peplau Florence Nightingale Virginia Henderson
Florence Nightingale
An informatics nurse specialist is conducting an in-service education program for a group of staff nurses. The topic is ensuring electronic client data is secure and private. The specialist determines that the teaching was successful when the group identifies which aspect as essential to ensuring the security of electronic data when using clinical systems? Intuitive system design Testing Thorough knowledge of interoperability Use of strong passwords
Use of strong passwords
An informatics nurse is evaluating a new clinical information system for usability. The nurse notes that the system requires the user to complete a maximum of 3 steps to complete a task. The system also provides shortcuts to frequent users of the system. The nurse would determine that which concept of usability is being addressed? a. Efficient interactions b. Consistency c. Minimizing cognitive load d. Naturalness
a
An informatics nurse specialist is collecting data from the clinical information system about the demographics of individuals diagnosed with heart failure admitted to the facility over the past five years. The nurse specialist is preparing a presentation to the facility's executive board. To promote understanding of this complex information, the nurse specialist prepares the data results using a pie chart and a bar graph. The nurse specialist is using which area of analytics? a. Data visualization b. Predictive analytics c. Data mining d. Big Data
a
An informatics nurse specialist is extracting data from the facility's electronic health record in an attempt to identify clients at risk for developing catheter-related bloodstream infections. When gathering this data, the nurse specialist is using which technique? a. Predictive analytics b. Data visualization c. Genomics d. Big data
a
An informatics nurse specialist is working on a team that is considering a new technological system for the facility. Which aspect would be most important for the team to do as the first step? a. Determine the need or problem to be solved b. Conduct testing of the system c. Identify the use of standard terminology d. Train those who will be using the system
a
An informatics nurse specialist attends a three-day seminar on current trends in health information technology. Experts are presenting sessions involving the current state of informatics, issues associated with this field, and new and innovative methods being developed based on current research. The informatics nurse specialist plans to share this information with the facility's health information technology team to see if they can incorporate it into the facility's current clinical information system. The informatics nurse specialist is demonstrating which ANA informatics competency? Select all that apply. a. Evidence-based practice and research b. Ethics c. Education d. Health teaching and health promotion e. Evaluation
a, c
An informatics nurse is discussing the implementation of a new documentation system with a group of staff nurses who are using the system. Which response by the group would indicate to the nurse that the system's usability is effective? Select all that apply. a. "Using the system is highly intuitive." b. "This system makes it challenging to complete tasks." c. "The screen has a lot of confusing information on it." d. "We've noticed that this system really helps to save us valuable time." e. "This system fits nicely into how we work."
a, d, e
An informatics nurse specialist is working with a team designing an update to a clinical information system being used by the nursing staff. When selecting the language to be used with the system, which characteristic would be most appropriate to address? Select all that apply. a. Terminology is familiar to the user b. Terminology is ambiguous to the user c. Terminology reflects the technological aspects of a system d. Terminology is clear and concise for the nurses e. Terminology reflects the users work context
a, d, e
An informatics nurse specialist is conducting an in-service education program for a group of staff nurses. The topic is ensuring electronic client data is secure and private. The specialist determines that the teaching was successful when the group identifies which aspect as essential to ensuring the security of electronic data when using clinical systems? a. Testing b. Intuitive system design c. Use of strong passwords d. Thorough knowledge of interoperability
c
An informatics nurse specialist working at an ambulatory care center is interviewing clients about their experiences in using the center's patient portal. A majority of the clients have voiced dissatisfaction, stating that they "find the display screen confusing and are not sure what to click on to get the necessary information." They also talk about difficulties in trying to find their test results. Based on this information, the nurse specialist identifies a need to talk with the information technology team about ways to make the portal easier for clients to use. The informatics nurse specialist is demonstrating which ANA informatics competency? a. Resource utilization b. Collaboration c. Professional practice evaluation d. Environmental health
b
An informatics nurse specialist has completed the evaluation of an update to a current clinical information system used by the staff at the local hospital and has documented the results. Documentation reveals the need for an improvement in the screen display. Which action would be next? a. Test b. Implement c. Analyze and Plan d. Train
c
An informatics nurse specialist is engaged in evaluating a clinical information system. At which time would the nurse specialist anticipate the need to obtain help from a statistician? a. When preparing how to display the data b. During the literature search c. When determining the data collection method d. Just before documenting the outcome evaluation
c
An informatics nurse specialist is conducting an in-service program for a group of staff nurses about this specialty. One of the nurses asks, "What exactly is nursing informatics?" Which response by the informatics nurse specialist would be most appropriate? a. "It involves working primarily with computers and programming codes." b. "It refers to the use of the electronic health record." c. "It is a specialty that deals with online client educational programs." d. "It combines nursing science with information management and analytical sciences."
d
An informatics nurse specialist is using technology to collect health care-related data from multiple sources in an attempt to transform that data to answer questions. The nurse plans to use this data to assist with the management of clients regardless of the setting. The nurse is using which area of analytics? a. Data visualization b. Predictive analytics c. Population health d. Big Data
d
An informatics nurse specialist is working as part of a team that will be developing and implementing a new client assessment tool. During which phase of the system development lifecycle would the team be integrating information about workflow patterns, standard terminology, and recommendations for screen layout from supportive research? a. Test b. Train c. Analyze and plan d. Design and build
d
During a recent visit to the clinic, a client tells the nurse, "I've been using my cell phone to track and record the foods that I eat so that I can better understand if I'm making healthy food choices." The nurse interprets the client's statement as reflecting which technology? a. Patient portal b. Telemedicine c. Pharamcogenomics d. mHealth
d