Fundamentals Chapter 20- Informatics

a. simplicity

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? a. simplicity b. naturalness c. consistency d. forgiveness

b. Efficient interactions

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? a. Forgiveness b. Efficient interactions c. Naturalness d. Effective use of language

c. retrieval of information is more efficient.

A hospital is switching to computerized charting. The nurse recognizes that one advantage to an electronic client chart is: a. no other charting method is necessary. b. access is open to anyone. c. retrieval of information is more efficient. d. it is less costly to maintain.

1Unit 2Function 3Integration 4Performance 5User acceptance

A informatics nurse is involved in testing a new clinical information system at the clinic. Place the phases of testing that would occur from first to last. Function Performance User acceptance Unit Integration

c. Telemedicine and mobile technology

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? a. Client engagement technology b. Data aggregation technology c. Telemedicine and mobile technology d. Population health management technology

a. Data Values such as vital signs, height, and weight would be considered data, 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.

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? a. Data b. Information c. Knowledge d. Wisdom

a. Improvement in health care quality c. Greater client engagement d. Reduction in privacy breaches of client information

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. a. Improvement in health care quality b. Increased health disparities c. Greater client engagement d. Reduction in privacy breaches of client information e. Reduced health of populations

Wisdom

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

b. "Documentation helps ensure that any practice improvements needed can occur."

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? a. "Documentation demonstrates that the monies were used correctly." b. "Documentation helps ensure that any practice improvements needed can occur." c. "Like any documentation, it is evidence that we completed the evaluation." d. "Documentation supports why we implemented the protocol."

a. Florence Nightingale

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? a. Florence Nightingale b. Dorothea Orem c. Hildegard Peplau d. Virginia Henderson

a. Analyze and Plan

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. Analyze and Plan b. Test c. Train d. Implement

a. Data visualization

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. Big Data d. Data mining

c. "We can make improvements to the system to improve our delivery of care."

An informatics nurse specialist is conducting a discussion with a group of staff nurses who have been participating in the implementation of an updated electronic protocol system. The informatics nurse specialist is gathering information about the system's optimization. One of the participants asks, "Why is this information important?" Which response by the informatics nurse specialist would be appropriate? a. "This information will help us meet accreditation standards." b. "We need to show evidence to the executives that the money has been well spent." c. "We can make improvements to the system to improve our delivery of care." d. "This is part of the standard protocol required by federal legislation."

a. Use of strong passwords

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. Use of strong passwords b. Thorough knowledge of interoperability c. Intuitive system design d. Testing

c. "It combines nursing science with information management and analytical sciences."

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 combines nursing science with information management and analytical sciences." d. "It is a specialty that deals with online client educational programs."

a. Patient portal

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. Patient portal b. Telehealth c. Telemedicine d. Telecare

Data

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

a. Study design

An informatics nurse specialist is evaluating a new electronic assessment tool recently implemented at the clinic. The nurse specialist has determined what will be evaluated and developed a question to determine the data to be collected. The nurse specialist then conducted the literature search and identified the specific data elements that will be collected. The nurse considers the question being asked and the data to be collected to answer the question as a basis for determining which aspect? a. Study design b. Collection method c. Sample size d. Data display

Predictive analytics

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

Identify clients at risk for infection

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

a. Determine the data elements to be collected

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? a. Determine the data elements to be collected b. Determine the study design c. Determine how the data will be collected d. Determine the sample size

a. 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? a. Patient portal b. Electronic health record c. Clinical information system d. Predictive analytics

Data Information Knowledge Wisdom

An informatics nurse specialist is preparing a presentation on nursing informatics for a group staff nurses. The group will be participating in the implementation of a new electronic system to support improved client care delivery. When describing the concepts that are key to nursing informatics, which concept would the informatics nurse specialist include? Select all that apply. Data Information Knowledge Wisdom Functionality

a. "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 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? a. "I always put a sticky note on the computer terminal with my password on it in case I forget it." b. "My password for work is not the same one I use for social media." c. "When I choose a password, I make it something that is unique to me." d. "I make sure that my password is at least 8 characters in length with an exclamation point added."

a. Health teaching and health promotion

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? a. Health teaching and health promotion b. Consultation c. Quality of practice d. Leadership

a. "Your clients will be able to actively participate in their care." b. "Your clients will be more motivated to get preventive care." c. "Your clients will be more likely to seek out care if needed." e. "Your clients will be able to manage their chronic problems better."

An informatics nurse specialist is talking with a group of health care providers at a local clinic about implementing a patient portal system. During the presentation, one of the providers asks the nurse specialist, "I understand what this portal is, but how will it help our clients?" Which response by the nurse would be appropriate? Select all that apply. a. "Your clients will be able to actively participate in their care." b. "Your clients will be more motivated to get preventive care." c. "Your clients will be more likely to seek out care if needed." d. "Your clients will reimburse you for this service." e. "Your clients will be able to manage their chronic problems better."

b. Design and build

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. Analyze and plan b. Design and build c. Test d. Train

Determine the need or problem to be solved

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

a. Usability

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. Usability b. Interoperability c. Optimization d. Security

d. "You can make extra money with overtime pay with end-of-shift charting."

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? a. "You don't have to worry about trying to read poor handwriting." b. "The computer reminds the nurse to enter information and inhibits omissions." c. "You save time because you don't have to look for the physical chart." d. "You can make extra money with overtime pay with end-of-shift charting."

d. The nurse locks out client information, except to those who have been authorized through appropriate security measures.

Which strategy could be implemented by the nurse in ensuring the protection of electronic data at health care agencies? a. The nurses are expected to change their access number and password less frequently. b. The nurse is being asked to remove the screen saver for data that have been displayed for prolong periods. c. The nurse gives unlimited access to the multidisciplinary team so that personnel from various departments can retrieve data. d. The nurse locks out client information, except to those who have been authorized through appropriate security measures.