Exam 2 Study Questions
A case manager discovers that a physical therapist is regularly billing one-hour sessions while providing 20 minutes of care. Which of the following actions of the case manager is most appropriate? A. Documenting the discrepancy in the case notes B. Notifying the patient of the discrepancy C. Reporting the activity to the plan administrator D. Visiting with the physical therapist to highlight the discrepancy E. Doing nothing
C
The student is having problem in researching for journals and articles which will support his study. Which of the following bibliographical site should you recommend? A. Google.com B. CINAHL C. ERICA D. MedOnline
B
Which of the following fields were affected by the information technology? A. Nursing Education B. Nursing Research C. Nursing Administration D. All of the above
D
The informatics nurse conducts a test designed to look at a fixed glitch and ensure it has not caused unintended secondary problems. This type of testing is known as: A Alpha testing. B Totality testing. C Beta testing. D Regression testing.
D regression testing is done to check that a fixed item has not inadvertently caused another error
n a workflow management system, processing occurs during which phase? A Input. B Output. C Throughput. D Outflow.
C Processing occurs during throughput, while clinical data is received during input. The output is produced after processing.
Which of the following is the correct definition of granularity? A Granularity describes the accurate quality of information. B Granularity describes the range of information. C Granularity describes the timely quality of information. D Granularity describes the depth of detail of information.
D Granularity describes the depth of detail that the language system represents. For example, a nursing diagnosis that does not provide a complete picture of a patient is not granular. If they add further information, that will increase the granularity successfully.
Each of the following is part of the hospital discharge process EXCEPT: A. Assessment of the needs of a patient B. Coordination of appropriate resources for a patient C. Development of statistical profiling D. Integration of the action of team members
C
A chief of surgery decides to address a quality problem among thoracic surgeons directly with staff. Who should participate in the meetings to address the problem? A. Medical staff leadership B. Nursing and risk management staff C. Quality assurance committee D. Relevant physicians, nurses and non-clinical staff E. Thoracic surgeons only
D
Bloom's taxonomy outlines behaviors necessary for learning. Which 3 kinds of learning does the theory describe? a. Auditory, visual, and kinesthetic. b. Formal and informal. c. Attitudes, subjective norms, and behavioral intention. d. Cognitive, affective, and psychomotor.
D
Which of the following competencies is not included as expected outcome after taking the subject nursing informatics? A. Basic computer skills B. Information literacy C. Basic informatics competencies D. Advance informatics competencies
D
According to Part I of the International Medical Informatics Association (IMIA) Code of Ethics, legitimate infringement refers to: a. Consideration for the greater good of society in regard to an individual's right to privacy. b. Consideration of the rules of conduct related to the right to privacy. c. Maintenance of an individual's right to privacy. d. Right to access of personal information.
A
Telehealth provides alternative method of providing care to the patients in various places. Which of the following legal issues that can implicate this practice? A. The license of a practitioner from one place may not be honored by in the area from where the client is residing B. Different culture may not accept telehealth nursing C. No legal implications D. Language barrier may play a major legal implications in the deliverance of care
A
Which of the following can be considered as major development in Community Health Nursing in terms of information technology? A. Medication dispensing B. Telehealth C. Patient Monitoring D. Prevention of epidemiological diseases through quality care
B
A diabetic patient takes his blood sugar every day and relays this information using the household telephone jack to a central server location. He is most likely using a: A personal emergency response system. B peripheral biometric device. C sensor and activity monitoring system. D real-time telehealth system
B Peripheral biometric devices are telecommunications-ready measurement devices, such as blood pressure cuffs and blood glucose meters, which typically use the household telephone jack to transmit patient data to a central server location.
A student is asking his instructor regarding distance learning. Which these will best describe e-learning? A. It requires every participants to log on at the same time B. It provides unstructured type of learning C. Provide alternative learning to those who can not access traditional schooling D. Synchronous provide 24/7 schedule session
C
Medical care for workers' compensation claims is delivered primarily in which of the following settings? A. Hospital B. Nursing Home C. Outpatient D. Residential Facility
C
Which of the following best describe virtual reality (VR)? A. It brings the learner to another reality even if it is not existing B. It provides a case study C. It creates competition to all participants D. It simulates different cases and situations
A
Which of the following is LEAST likely to be a basis of liability for a health maintenance organization (HMO)? A. Administrative downsizing B. Financial incentives encouraging underutilization C. Improper selection of participating physicians D. Negligent utilization review
A
Which of the following variables is used to determine which Diagnosis Related Group (DRG) is associated with an inpatient admission? A. Principal diagnosis B. Prior admission diagnosis C. Secondary diagnosis D. Total number of diagnoses
A
The informatics nurse know that data warehouses are related to data marts when she explains that: A Data warehouses contain data marts. B Data marts contain data warehouses. C Data warehouses are identical to data marts. D Data warehouses are the opposite of data marts.
A Data warehouses contain data marts, which are smaller, more specific collections of information.
What is the purpose of read-only memory (ROM)? To maintain information saved on a hard drive even when the computer shuts down. B To hold onto temporary information and erase it when the computer shuts down. C To hold files only accessible by personnel. D To maintain information in a secondary, back-up drive.
A ROM is a form of permanent storage. Its data and programs can only be read by the computer and are not erased by a computer shut-down.
Input, output, processing, feedback, and control are all elements related to which of the following? A System Theory. B Cognitive Theory. C Behavioral Science. D Data Loss Protection.
A The Systems Theory is based on parts, interaction between the parts, interdependency between the parts, as well as input, output, processing, feedback, and control.
Which of the following is a tool that is used by more than 90 percent of America's health insurance plans in order to measure performance on dimensions of care and service? A The Healthcare Information Data (HID). B The Healthcare Effectiveness Data and Information Set (HEDIS). C The Healthcare Modulation Arrangement (HMA). D None of the above.
B
What is the difference between phishing and malware when it comes to data security? A Malware infects the computer while phishing only infects email. B Malware infects the computer while phishing is an attempt to acquire sensitive information by masquerading as a trustworthy entity. C Malware gains access to information and reports back, while phishing keeps the information local. D Malware infects a computer and makes it difficult to access, while phishing allows the user to retain access to information.
B Phishing emails commonly pretend to be other companies or entities in order to get people to respond and provide their private information. Malware is malicious software that is used to gather sensitive information, disrupt computer operations, and access private computer systems.
Under which of the following conditions are physicians allowed to disclose confidential patient information? A. Disclosure of the information is not likely to harm the patient B. An insurance company assures the confidentiality of the information C. A patient authorizes disclosure of the information D. The patient's guardian or proxy permits the disclosure
C
Which of the following electronic devices aid a critical patient from breathing? A. Gomco Machine B. Defibrillator machine C. Ventilator Machine D. Oxygen humidifier
C
Which of the following reasons for removing a physician from a health maintenance organization (HMO) provider network requires a report to the National Practitioner Data Bank (NPDB)? A. The physician hires an associate who has several member complaints and a liability suit pending to provide call coverage B. The physician is a recovering alcoholic and peers worry that he might relapse C. The physician's medical license has been revoked D. The physician performs more hysterectomies than any provider in the state E. The physician's provider profile shows that his charges are well in excess of his peers
C
Nursing Informatics is a specialty in nursing that is supported with different theoretical foundations. The Social Learning Theory is an adult learning theory based on the idea that: A a person's behavior is focused on conscious goals and intended outcomes. B a person's behavior is based on expectancy and the learner's opinion of the outcome. C a person's behavior is learned by watching others. D a person's behavior is controlled by the consequences.
C The Social Learning Theory is based on the idea that adults learn by watching the behaviors of other adults. When a person's behavior is controlled by the consequences, this is known as Reinforcement Theory. The Goal Setting Theory talks about conscious goals determining behavior, while the Expectancy Theory focuses on what the person expects.
The nurse receives an order from the doctor to send him via email a compressed file of the patient's laboratory and diagnostic results. The nurse understands that to compress a file is to: A eliminate enough random bits of information to get the file down to a predetermined size. B add bits of information which, paradoxically, make the file smaller. C reduce bits by identifying and eliminating statistical redundancy. D to send as is in a different email program
C compression is the act of removing reabundant bits of information from a file in order to make it smaller in size
One of the health care-related responsibilities of the Food and Drug Administration (FDA) is: A. Assisting public health care providers in the provision of medical care B. Enforcing foreign quarantine activities and regulations C.Expanding clinical practice guidelines by evaluating their effect on the quality of health care D. Monitoring the safety and effectiveness of medical devices for human use
D
Which of the following is a major complaint made by physicians against the use of information obtained from outcomes assessment? A. Increased market share will not be realized by cooperating physicians B. Information about internal costs and processes are not necessary for success C. Information gained cannot be shifted to the point of service D. The information is not statistically valid for individual physicians E. Linking process to outcomes does not control quality or cost
D
Which of the following programs was established through the Tax Equity and Fiscal Responsibility Act (TEFRA) of 1982 to assure quality of care to Medicare recipients? A. Continuing medical education B. Medicaid C. Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) D. Peer Review Organization (PRO)
D
Spurred by the Institute of Medicine reports on medical errors, a hospital's governing body demands a crash program to reduce medical errors. The chief executive officer orders the senior staff to immediately start nine patient safety projects. This decision will impede the likelihood of the organization lowering the rate of medical errors for which of the following reasons? A. Information technology implementation is required to efficiently start patient safety projects B. Involvement of the medical staff is critical in all patient safety projects C. Projects should focus on medical errors D. The quality assurance committee should direct all patient safety efforts E. Resources are allocated to too many projects
E
Which of the following is the most likely root cause of medication errors in health care entities? A. Carelessness of nurses B. Illegible physician handwriting C. Look-alike, sound-alike drugs D. Manual medication delivery systems E. Systems failure
E
A nurse is having trouble in coping with distance learning but her schedule cannot fit the traditional schooling. Which of the following advices should you give to the nurse? A. Take asynchronous model B. Take synchronous model C. Take hybrid type of distance learning D. Go back to traditional schooling
C
A newly hired nurse gets her orientation at the Critical Care Unit. She understands that a physiologic monitoring systems consist of the following: A bedside monitor, telemetry unit, central station, and other associated network components. B telemetry unit and bedside monitor. C sensors and alarm systems. D network components and bedside monitor.
A A complete physiologic monitoring system would comprise of the following: bedside monitor, telemetry unit, central station, and other associated network components.
A staff nurse having computer access to health care information such as trauma history, vital signs, and current treatments, in summary form with graphics depicting trends, is an example of: A a clinical decision support system. B artificial intelligence. C a point of care system. D healthcare technology.
A Clinical decision support systems are computer software applications that match patient characteristics with a knowledge base to generate specific care recommendations.
Which of the following was enacted by Congress to amend the Patient Protection and Affordable Care Act? A The Health Care and Education Reconciliation Act of 2010. B American Health Care Reform Act of 2013. C America's Affordable Health Choices Act of 2009. D Health Insurance Portability and Accountability Act
A The Patient Protection and Affordable Care Act (also known as "ACA" or "Obamacare") was passed by Congress in an unusual method. Two separate reform bills had been passed by each house of Congress, but neither bill was passed by the other house by the end of 2009. Lacking 60 votes in the Senate, the House passed the Senate bill and then passed a new bill to amend it using the reconciliation process. This bill was called the Health Care and Education Reconciliation Act of 2010. As a reconciliation bill it was able to pass in the Senate needing only 50 votes, and was then signed by President Obama.
When generating a report of an information system, an error/exception report can indicate: a. Data about the system itself. b. Data outside of normal parameters. c. Changes occurring over a period of time. d. How the elements of the system compare to the baseline.
B Types of system reports that may be available include: Error/Exception: Indicate faults or data outside of normal parameters. Configuration: Contain data about the system itself, including hardware and software as well as workstations and servers. Informational: Often include built-in templates and provide fact-finding to glean information from databases. Change: Usually automated and show changes occurring in the system over a period of time. Baseline: Usually automated to show how the system or elements of the system compare to a baseline. Summary/Management: Show summaries of actions, processes, data. Periodic: Issued at predetermined periods, such as monthly claims reports.
A ___________ is a computer system that supports some aspect of the human decision-making process. A transaction system B decision support system C physiologic monitoring system D management information system
B A decision support system is a computer system that supports some aspect of the human decision-making process. Decision support systems work with the user to support, but not replace, human judgment in a decision-making situation.
The IT staff directed the nurse supervisor that the newly integrated software is now ready for "load testing". Which of the following is an example of load testing? A Adding qualities to a piece of software and testing them. B Have the max number of users access the software at the same time. C Run the software through an antivirus. D Remove RAM from the computer and then test the software.
B Load testing assesses the behavior of the software by applying maximum load in terms of software accessing and manipulating large input data.
Select the type of database model that would be BEST for a hospital patient record management system. A Database management system. B Object-oriented database model. C Relational database model. D Object programming.
B Object-oriented database models are best for hospital patient record systems because they are able to relate a large number of characteristics to each other.
Nursing Administration also affected by information technology. Which of the following can be considered as benefits from IT? (Select all that apply) A. It provide absolute protection from web threats B. Projection of trends in terms of cases, patients and medical diagnoses can be done C. It limits errors in various fields D. Help in communicating to different employees
B,C,D
Which of the following entities regulates the disposal of infectious waste? A. Centers for Disease Control and Prevention (CDC) B. Food and Drug Administration (FDA) C. Occupational Safety and Health Administration (OSHA) D. United States Public Health Service
C
The hospital administration is working towards providing their employees higher workplace satisfaction, and they are selecting ergonomically designed office fixtures as one of their strategies to meet this goal. Ergonomics is the science of designing: A the most efficient use of time by workers. B the quickest method of getting work done. C the work environment for the usability of workers. D the work environment for the purpose of challenging workers.
C ergonomics is the science of designing a work environment for the convenience and usability of the worker
A chief nursing officer pulls together a Quality Improvement team to improve the efficiency of transferring patients from the emergency department to the patient floors. To ensure that the newly designed process is efficiently implemented, who must be part of the team? A. Chief information officer B. Chief medical officer C. Chief operating officer D. Emergency department head nurse E. President of the medical staff
D
A hemodynamic monitor can do all the following functions except: A capnographic studies. B monitoring of glucose levels. C assess vascular system integrity. D measure brain waves activity.
D Question 17 Explanation: Hemodynamic monitors assess and monitors hemodynamic parameters and not neurological or brain wave activities.
The informatics nurse requires a tool that includes software permitting users to share documents online and work on them in real time. Which of the following types would be most suitable? A Hybrid tool. B Offline tool. Web-enhanced tool. Web-based tool.
D allows real-time document collaboration