320 Informatics Prep
An informatics nurse is heading a team working on evaluating a newly implemented nurse-driven protocol for urinary catheter care. The team has completed the evaluation and is now ready to document the findings. One of the team members asks, "Why do we need to document this information. Isn't the fact that we evaluated the protocol enough?" Which response by the informatics nurse would be most appropriate as the priority reason for this documentation? "Documentation demonstrates that the monies were used correctly." "Documentation helps ensure that any practice improvements needed can occur." "Like any documentation, it is evidence that we completed the evaluation." "Documentation supports why we implemented the protocol."
"Documentation helps ensure that any practice improvements needed can occur." Documentation during evaluation is important to make sure any improvements that need to be made will be
An informatics nurse specialist is presenting an in-service program for a group of staff nurses on using the electronic health record. As part of the presentation, the nurse specialist is emphasizing the need for maintaining security and privacy of the record. During a break in the program, the nurse specialist overhears a conversation among several of the staff nurses. Which statement would the nurse specialist identify as a cause for concern? "I always put a sticky note on the computer terminal with my password on it in case I forget it." "My password for work is not the same one I use for social media." "When I choose a password, I make it something that is unique to me." "I make sure that my password is at least 8 characters in length with an exclamation point added."
"I always put a sticky note on the computer terminal with my password on it in case I forget it."
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 involves working primarily with computers and programming codes." "It refers to the use of the electronic health record." "It combines nursing science with information management and analytical sciences." "It is a specialty that deals with online client educational programs."
"It combines nursing science with information management and analytical sciences."
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. "We've noticed that this system really helps to save us valuable time." "Using the system is highly intuitive." "This system makes it challenging to complete tasks." "This system fits nicely into how we work." "The screen has a lot of confusing information on it."
"We've noticed that this system really helps to save us valuable time." "Using the system is highly intuitive." "This system fits nicely into how we work."
The nursing student is discussing the benefits of electronic charting with a precepting nurse who is frustrated with computerized documentation. Which statement by the student requires intervention from the nursing instructor? "You don't have to worry about trying to read poor handwriting." "The computer reminds the nurse to enter information and inhibits omissions." "You save time because you don't have to look for the physical chart." "You can make extra money with overtime pay with end-of-shift charting."
"You can make extra money with overtime pay with end-of-shift charting."
An informatics nurse specialist has conducted the initial testing of an update to the clinical information system and is preparing to conduct further testing. Which area would the nurse test next? Ability of the system to work for a specific function Ability of the system to work for an entire workflow Ability to work when multiple users are using the system Ability of the system to function in its entirety as designed
Ability of the system to work for a specific function Unit testing is the initial testing completed. Once this is done, the informatics nurse specialist would complete function testing (testing of the system for one particular function). This would be followed by integration testing (working as designed for an entire workflow), then performance testing (ability of the system to handle multiple users at one time), and finally user acceptance testing (ability of the system to function as designed in its entirety).
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? Analyze and Plan Test Train Implement
Analyze and Plan
A facility plans to implement a new electronic medication documentation system. An informatics nurse specialist conducts a focus group with staff nurses to gather information. The nurse specialist asks the group about the current system being used, including a step-by-step account of the actions they perform. The nurse specialist also asks the nurses how they see this new system affecting this process and their overall daily tasks. The informatics nurse specialist is demonstrating which ANA informatics competency? Assessment Outcomes identification Planning Coordination of activities
Assessment In this situation, the informatics nurse specialist is demonstrating the competency of assessment by collecting information about the nurses' usual workflow to evaluate current practice as well as determine the needs of the system. The nurse also gathers information about the effect that the new system might have on the nurses' typical workflow. The competency of outcomes identification is reflected by the nurse specialist identifying expected outcomes for the plan based on the information gathered from the interviews. The competency of planning is reflected by the nurse specialist developing a customized plan that addresses the clinical needs voiced by the nurses but at the same time, meets the financial needs of the facility. Coordination of activities is reflected by the nurse specialist organizing the different parts of the plan for an integrated, efficient, cost-effective solution.
The unit where a nurse works is undergoing structural changes along with changes in client load and managerial style. The nurse feels disorganized and stressed and is having difficulty sleeping. The nurse wonders if these feelings are related to the changes at work. What next step should the nurse choose in the 4A plan to address this issue? Acting to make a change Committing to self-care Analyzing the risks and benefits of acting to reduce the distress Determining the severity of the distress
Committing to self-care In this scenario the nurse is Asking if the distress being felt is from changes at work. The next step is to Affirm that distress exists and commit to take care of self. The nurse affirms distress by validating feelings and perceptions with others. The third step is to Assess which includes determining the severity of the distress and analyzing the risks and benefits of acting on the distress. The fourth step is to Act which is implementing strategies to initiate changes to reduce distress.
An informatics nurse specialist is participating in a career day at a local job fair. When describing the primary responsibilities to a group of attendees, which responsibilities would the nurse specialist include? Select all that apply. Strategy development Multidisciplinary collaboration Implementation of a clinical system Computer maintenance System evaluation
Computer maintenance
An informatics nurse specialist is working with a team to design a clinical information system. To ensure system usability, the team would make sure that the language meets which criterion? Select all that apply. Conciseness Clarity Jargon-like Familiarity for the user Computer-based
Conciseness Clarity Familiarity for the user
An informatics nurse is demonstrating how to use an updated version of an electronic documentation system to a group of staff nurses. The nurse shows the staff that they can follow the same steps that they used with the previous system but need to add one additional final step to the process. The informatics nurse's actions reflect which concept of usability? Simplicity Consistency Naturalness Minimizing cognitive load
Consistency - consistency involves a user's prior experience
A nurse is documenting a client's vital signs, height, and weight in the electronic health record. Applying the framework for informatics practice, the nurse would identify these values as which component of the framework? Data Information Knowledge Wisdom
Data - information is data that has been interpreted
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? Data Knowledge Information Wisdom
Data Data is the component that involves discrete entities that are described without interpretation. Information refers to data that have been interpreted, organized, or structured. Knowledge refers to information that is synthesized so that relationships are identified. Wisdom refers to the appropriate use of knowledge to manage and solve human problems.
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? Analyze and plan Design and build Test Train
Design and build
An informatics nurse specialist is participating in evaluating the a new clinical information system being used at a provider's office. The nurse specialist has determined what is being evaluated and the question being asked and has completed the literature search. Which action would the nurse specialist do next? Determine the data elements to be collected Determine the study design Determine how the data will be collected Determine the sample size
Determine the data elements to be collected
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 Identify the use of standard terminology Conduct testing of the system Train those who will be using the system
Determine the need or problem to be solved
The focus of the unit where a nurse works is changing. The nurse has deeply held moral and religious objections to procedures that will be commonly performed on clients on this new unit. Which action(s) should the nurse take? Select all that apply. Resign before the new unit focus is implemented. Discuss the situation with the unit nurse manager. Be careful not to share objections with anyone. Plan to care only for clients who will not have these procedures. Do not compromise the nurse's own personal moral standards.
Discuss the situation with the unit nurse manager. Do not compromise the nurse's own personal moral standards. The nurse should discuss this situation with the nurse manager and should not compromise personal moral standards. The nurse can express conscientious objection to participating in activities that violate personal ethical beliefs
A group of nurses are participating in being the first group of staff to use a new electronic pain assessment tool. The group is discussing whether or not the system is easy to use. During the discussion, the group mentions that "the shortcuts provided are really helpful and save valuable time." The informatics nurse specialist interprets this statement as reflecting which concept? Forgiveness Efficient interactions Naturalness Effective use of language
Efficient interactions
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? Consistency Minimizing cognitive load Efficient interactions Naturalness
Efficient interactions
Several nurses on the unit meet with the informatics nurse specialist about some concerns that they have with the current clinical information system. The nurses mention that the layout of the screen is such that it causes strain on the eyes when using it for more than short periods of time. They also mention that because the system requires repetitive clicking to complete one task, they are concerned about repetitive-use injuries when multiple tasks need to be completed. The informatics nurse specialist takes this information back to the technology team and they develop potential solutions to address these issues. The informatics nurse specialist is demonstrating which ANA informatics competency? Environmental health Leadership Implementation Outcomes identification
Environmental health The nurses are voicing concerns related to ergonomics, which is reflected by the competency of environmental health.
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? Florence Nightingale Dorothea Orem Hildegard Peplau Virginia Henderson
Florence Nightingale
An informatics nurse specialist is recommending the addition of an alert system tool to the facility's patient portal. The tool would be designed to send alerts to the client to schedule routine screenings and immunizations. This recommendation most likely reflects which ANA informatics competency? Health teaching and health promotion Consultation Quality of practice Leadership
Health teaching and health promotion
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? Identify clients at risk for infection Determine client satisfaction with care Correlate the client's diagnosis with intervention Evaluate client care
Identify clients at risk for infection
An informatics nurse is assisting with the evaluation of a newly implemented system for electronic documentation of client assessments. The nurse is planning to involve staff nurses in this process. When beginning the evaluation process, the informatics nurse would focus on which area first? Identifying what will be evaluated Developing the question related to what data is to be collected Reviewing available databases related to the topic Collecting the necessary data
Identifying what will be evaluated
An informatics nurse specialist is working as part of a team to develop and implement a new electronic documentation and reporting system at the clinic. The team has analyzed the situation, created a plan based on supporting evidence, created a design, built the program, and has worked out issues with the system. Staff who will be using the system have received education about the system and how it works, as well as how to use it. The team would proceed to which phase of the system development lifecycle next? Test Implement Maintain Evaluate
Implement
An informatics nurse specialist is part of a team that will be implementing a new clinical information system at the facility. The nurse specialist advocates to include staff nurses who will be using the system to be involved in the process. The nurse specialist advocates for this based on which reason? Improve the chances that the system will meet the intended need Emphasize the role nurses play in providing care Ensure that the nurses gain familiarity with the system Promote recognition of nurses by administration
Improve the chances that the system will meet the intended need
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. Improvement in health care quality Increased health disparities Greater client engagement Reduction in privacy breaches of client information Reduced health of populations
Improvement in health care quality Greater client engagement Reduction in privacy breaches of client information
A nurse working in a primary care provider's office is using the clinical information system to review a client's health information. The nurse is able to review the client's last visit to the primary care provider as well as information from a recent hospitalization, and also a visit that the client made to the cardiologist last week. The nurse's ability to review this information is based on which aspect of the clinical information system? Usability Optimization Interoperability Security
Interoperability
A client comes to see the cardiologist for a routine follow-up visit. At the visit, the nurse reviews the client's electronic health record. The nurse is able to access a report from the client's last visit to the primary care provider last month and the report from an emergency department visit two weeks ago for reports of shortness of breath. The record also lists two changes in the client's medication based on the emergency department visit. The nurse's ability to access this information reflects which concept? Usability Interoperability Optimization Security
Interoperability Being able to access the client's information from multiple sources, that is share information across health care systems, reflects interoperability. Usability reflects a system's ease of use or intuitiveness. Optimization commonly includes strategies for improvement. Security reflects the privacy and confidentiality of the information.
An informatics nurse specialist has received an update from the vendor who is providing the electronic health record. During which phase of the system development lifecycle would this update be made? Test Maintain Implement Evaluate
Maintain
An informatics nurse specialist is working with the technology team to address errors in the clinical information system that was recently put into action at the facility. They are also addressing ongoing updates to the provider client lists. The nurse specialist and team are involved with which phase of the system development lifecycle? Implement Maintain Evaluate Analyze and plan
Maintain
Which actions by the nurse demonstrate the ethical principle of fidelity? Select all that apply. Maintaining current nursing registration and meeting continuing education requirements Performing an intervention for a client at the time that was promised Taking scheduled breaks on time Calling in sick due to a lack of sleep Taking an extra client assignment so that the client will be cared for
Maintaining current nursing registration and meeting continuing education requirements Performing an intervention for a client at the time that was promised Taking an extra client assignment so that the client will be cared for
An informatics nurse specialist is interviewing several nurses who have participated in testing a new electronic assessment tool. The nurses report that the tool "feels so familiar, like we know exactly what it is that we're supposed to do." The nurse specialist interprets this as indicating which concept? Naturalness Consistency Simplicity Forgiveness
Naturalness Naturalness refers to how automatically "familiar" and easy to use (intuitive) the application feels to the user. Consistency involves the user's ability to apply prior experience to a new system. The more that users can apply prior experience to a new system, the lower the learning curve, the more effective their usage, and the fewer their errors. Simplicity involves design and refers to everything from lack of visual clutter and concise information display to inclusion of only functions that are needed to effectively accomplish tasks. Forgiveness means that a design allows the user to discover it through exploration without fear of disastrous results.
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 Optimization Standard terminology Interoperability
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? Patient portal Telehealth 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? Patient portal Electronic health record Clinical information system Predictive analytics
Patient portal
An informatics nurse specialist is preparing a presentation about patient portals for a group of primary care providers in an office practice. When describing the tasks that can be accomplished by clients using the portal, which activity would the informatics nurse specialist include? Select all that apply. Paying their bill Checking their lab test results Scheduling appointments Talking with the provider face-to-face Receiving screening reminders
Paying their bill Checking their lab test results Scheduling appointments Receiving screening reminders
A nurse is reviewing the medical record of a client at the clinic. The nurse notes that the medication and dosage prescribed for the client was based on information gathered about the client's genetic makeup from the electronic health record. The nurse interprets this as: Genetics Genomics Pharmacogenomics Telehealth
Pharmacogenomics Pharmacogenomics uses information about a person's genetic makeup, or genome, to choose the drugs and drug doses that are likely to work best for that particular person.
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? Data visualization Predictive analytics Big data Genomics
Predictive analytics
An informatics nurse specialist is involved in evaluating a new clinical information system recently implemented at the facility. As part of the evaluation process, the nurse specialist is preparing to conduct a study to evaluate the system. Which aspect would the nurse specialist need to consider when determining the type of study to be done? Select all that apply. Question being asked Data being collected Types of studies found in the literature review Data collection method Sample size
Question being asked Data being collected When determining the study design during the evaluation phase, the informatics nurse specialist would need to first take into account the question being asked and the data being collected. The literature search would identify the types of studies conducted on similar topics but these would not necessarily play a role in the current study design. The data collection method and sample size would be important considerations once the study design was determined.
The nurse is performing a quality improvement audit and gathering client records to begin the audit. How would the nurse use client records for quality assurance purposes? Randomly select client records to determine whether certain standards of care were met and documented. Considers all data on the client record when developing goals, outcome criteria, interventions, and evaluation criteria for and with clients. Gather data from groups of records to determine significant similarities in disease presentation, to identify contributing factors, or to determine the effectiveness of therapies. Have a student go through client records to learn how a disease might present itself in certain clients.
Randomly select client records to determine whether certain standards of care were met and documented. Quality assurance is when records are randomly selected to determine whether certain standards of care were met and documented.
A client comes to the health care provider's office for a follow up. The client was recently hospitalized for heart failure. The nurse reviews the client's discharge plan, which included the client being supplied with telecommunications technology for monitoring daily weights and blood pressure. Then each day, after completing those tasks, the client would receive a phone call from the nurse practitioner about the results and adjust the client's medication schedule. The nurse identifies this specifically as reflecting which type of care? Telehealth Telemedicine Telecare mHealth
Telemedicine Examples include conducting diagnostic tests, monitoring a client's progress after treatment or therapy, and facilitating access to specialists that are not located in the same place as the client
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 reflects the technological aspects of a system Terminology is familiar to the user Terminology reflects the users work context Terminology is ambiguous to the user
Terminology is clear and concise for the nurses Terminology is familiar to the user Terminology reflects the users work context
Which strategy could be implemented by the nurse in ensuring the protection of electronic data at health care agencies? The nurses are expected to change their access number and password less frequently. The nurse is being asked to remove the screen saver for data that have been displayed for prolong periods. The nurse gives unlimited access to the multidisciplinary team so that personnel from various departments can retrieve data. The nurse locks out client information, except to those who have been authorized through appropriate security measures.
The nurse locks out client information, except to those who have been authorized through appropriate security measures.
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. Unit testing Function testing Performance testing User-acceptance testing
Unit testing Function testing -Integration testing is the third phase of testing and occurs after unit testing and function testing, but before performance testing and user-acceptance testing. Function testing Unit testing Performance testing User-acceptance testing
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? Use of strong passwords Thorough knowledge of interoperability Intuitive system design Testing
Use of strong passwords
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? During the literature search When determining the data collection method When preparing how to display the data Just before documenting the outcome evaluation
When determining the data collection method
A nurse takes specific elements from the electronic health record and then interprets and organizes them to identify relationships. The nurse applies understanding of the relationships to client care situations to enhance client care delivery. The nurse's action reflects which component of the informatics framework? Data Knowledge Information Wisdom
Wisdom
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 visually clean and uncluttered and that it provides only the information needed for decision making. Which concept of usability is the nurse incorporating? simplicity naturalness consistency forgiveness
simplicity - simplicity refers to visual display
