Informatics Exam 1

A nurse is caring for a client who has a smart card. The nurse understands that this card includes which components? Select all that apply. A) Encrypted microchip B) Contact interface C) Microcontroller D) Embedded battery E) Contactless RF interface

A) Encrypted microchip B) Contact interface C) Microcontroller E) Contactless RF interface

When describing privacy and security associated with personal health information, which issue would the nursing informatics specialist identify as most important for their maintenance? A) Standards B) Policies C) Consumerism D) Confidentiality

D) Confidentiality

For which is information literacy considered essential? A) Critical thinking B) Problem solving C) Data evaluation D) Evidence-based practice

D) Evidence-based practice

A nurse is working with software that has no copyright restriction. The nurse is using which type of software? A) Open source B) Shareware C) Freeware D) Public domain

D) Public domain

Which term describes what happens to a computer after a specific period of inactivity? A) Crashing B) Copyrighting C) Encrypting D) Sleeping

D) Sleeping

A nurse is working on a Mac computer and wants to open a new web browser window. Which universal keyboard shortcut would the nurse use? A) Command + A B) Ctrl + A C) Command + N D) Ctrl + C

C) Command + N

When reviewing a client safety database, the nurse understands that which information is being used? A) Aggregated data B) Deidentified data C) Genomics D) Protocols

A) Aggregated data

A nurse is talking with a client who says, "I've used the World Wide Web (WWW) many times to look up my medications." Which statement best describes the World Wide Web? A) "The WWW is a network within the Internet." B) "It is a tool that allows files to be retrieved." C) "The WWW is maintained by the local consortiums." D) "The WWW permits access to text-free documents."

A) "The WWW is a network within the Internet."

A client tells the nurse, "I'm not so sure that I like the computer as my chart. I've heard so many horror stories of security problems on the computer." Which response by the nurse demonstrates understanding of the recent strategic planning goals aimed at inspiring confidence and trust in health information technology? A) "We are doing everything possible to protect the confidentiality of your health information." B) "This technology will make it possible for everyone to have use of electronic medical records." C) "It might sound strange, but we can exchange information with others so your care will improve." D) "By using this technology, we can provide better care because we can actually measure the care you receive."

A) "We are doing everything possible to protect the confidentiality of your health information."

A nurse is checking the nurse's e-mail and finds the following: "If you have a file named 'workline' on your computer, delete it immediately. The file contains a virus that will be released in 5 days and destroy your hard drive." The e-mail goes on to describe how to delete the file. The nurse interprets this as: A) A damaging hoax. B) An urban legend. C) A Trojan horse. D) Spyware.

A) A damaging hoax.

A nursing informatics specialist is participating as a member of panel that is conducting a presentation about computers for a community group. When describing graphical user interfaces (GUIs), which advantage would the nurse include? Select all that apply. A) Ability to have multiple programs open at the same time B) Increased ease in moving data between open programs C) Enhanced use of statistical information for analysis D) Decreased need to remember specific command words E) Decreased length of time needed for booting up the computer

A) Ability to have multiple programs open at the same time B) Increased ease in moving data between open programs D) Decreased need to remember specific command words

A nursing informatics specialist is preparing a presentation about online security. When describing different types of computer malware, which would the specialist include? Select all that apply. A) Botnets B) Pharming C) Trojan horse D) Web cookies E) Bookmarks

A) Botnets B) Pharming C) Trojan horse

Which action would a nurse identify as the current focus of today's practice informatics? A) Capturing data at the point of care B) Performing secondary data analysis C) Using aggregated data D) Making decisions based on data

A) Capturing data at the point of care

A nurse has just purchased a new Mac computer for graduate school classes. The nurse previously used a Windows computer. When making the transition to the new computer, the nurse would identify that the Command key on the Mac is the same as which key on the Windows computer? A) Ctrl B) Esc C) Alt D) Windows logo

A) Ctrl

A nurse is reading an article about electronic health records in use by most healthcare agencies in the current healthcare climate. Based on this information, the nurse would expect to read about which type of record? A) Electronic medical record B) Electronic health record C) Personal health record D) Patient health portal

A) Electronic medical record

Client information files are to be stored on a cloud computing website. Which step would be most important to do? A) Encrypting the files B) Checking the software copyright C) Accepting the terms of use D) Checking the site for viruses

A) Encrypting the files

A client is attempting to access a secure Wi-Fi network. To be successful, which action would the client need to do? A) Enter the authentication code. B) Create a new password. C) Run a virus scan first. D) Connect to the Internet.

A) Enter the authentication code.

According to the National Center for Nursing Research, which are considered program goals for nursing informatics research? Select all that apply. A) Establishing a nursing language B) Developing methods to build clinical information databases C) Testing client care decision support systems D) Eliminating the need for workstations for nurses E) Determining how nurses give client care using data

A) Establishing a nursing language B) Developing methods to build clinical information databases C) Testing client care decision support systems E) Determining how nurses give client care using data

A nurse is reading a journal article about implementing personal health records. Which benefit would the nurse expect to find? Select all that apply. A) Improved collaboration between provider and client B) Enhanced privacy due to use of unique client identifiers C) Greater standardization of data D) Greater effectiveness in treating a client's disease E) More useful methods of data presentation

A) Improved collaboration between provider and client B) Enhanced privacy due to use of unique client identifiers D) Greater effectiveness in treating a client's disease

A nursing informatics specialist is speaking to a group of colleagues about the benefits of informatics for the nursing profession. Which benefits would the specialist most likely include? Select all that apply. A) Improvement in documentation B) Use of data for quality control C) Building of evidence-based knowledge D) Increase in time needed for documentation E) Separation of nursing information from other healthcare information

A) Improvement in documentation B) Use of data for quality control C) Building of evidence-based knowledge

A nursing informatics specialist is describing the benefits of informatics to a group of agency staff. Which would the nurse identify as a primary benefit for healthcare in general? A) Increase in the usability of data B) Promotion of cost saving C) Promotion of time saving D) Ability to identify patterns

A) Increase in the usability of data

A nursing informatics specialist is preparing an in-service program for staff on healthcare informatics and information technology. The nurse would emphasize which component as the focus? A) Information B) Computer C) Access D) Data storage

A) Information

A nurse involved in informatics identifies the need for information and demonstrates ability to locate, evaluate, and effectively use it. The nurse is demonstrating which competency? A) Information literacy B) Computer literacy C) Computer fluency D) Information management

A) Information literacy

When describing the components needed to provide evidence-based care through informatics, which components would be included? Select all that apply. A) Information presented in a digital format B) Standards for exchange of information C) Limited ability to capture relevant data D) Multiple language structures for documentation E) Competency of practitioners using the information

A) Information presented in a digital format B) Standards for exchange of information C) Limited ability to capture relevant data

A nurse is accessing the World Wide Web using a web browser for information about the incidence of stroke. The nurse would likely be using which browser? Select all that apply. A) Internet Explorer B) Firefox C) Chrome D) Microsoft Office E) Opera

A) Internet Explorer B) Firefox C) Chrome E) Opera

A nurse is reviewing the components of a computer system that he or she has just purchased. Which operating system would he or she expect to find as the most common? A) Microsoft Windows B) Mac OSX C) Linux D) Google Chrome

A) Microsoft Windows

A client at home is setting up his or her computer so that he or she can access his or her healthcare team. The client will be connected to a Wi-Fi network. Which item would the client need to set up the connection? Select all that apply. A) Modem B) Router C) Mouse D) Second keyboard E) Web browser

A) Modem B) Router

A nurse is reviewing various client safety databases for safety issues. Which databases would the nurse identify as voluntary? Select all that apply. A) National Healthcare Safety Network B) National Database of Nursing Quality Indicators C) Vaccine adverse event report system D) FDA reporting system E) Quality and Safety Education for Nurses (QSEN)

A) National Healthcare Safety Network B) National Database of Nursing Quality Indicators

A nurse is speaking with a client who has just seen his healthcare provider for a routine follow-up appointment. The nurse is explaining to the client about the new client portal that is now available. When describing the portal, which functions would the nurse most likely include? Select all that apply. A) Notifying about appointments B) Scheduling appointments C) Renewing prescriptions D) Alerting about immunizations E) Testing blood glucose levels

A) Notifying about appointments B) Scheduling appointments C) Renewing prescriptions D) Alerting about immunizations

An nursing informatics specialist is preparing an in-service program for the nursing staff at a local health center about personal health records. As part of the program, the specialist discusses a system of rules for the exchange of data by computers. The specialist is describing: A) Protocols. B) An identifier. C) Security. D) Privacy.

A) Protocols.

A nurse is working as part of a group in the facility to investigate the use of smart cards for healthcare data. Which advantages would the group recognize? Select all that apply. A) Provide immediate access to lifesaving information B) Allow for data to be portable C) Ensure privacy regardless of client condition via biometrics D) Allow for unlimited life span of the card due to use of embedded battery E) Provide protection against healthcare fraud and abuse

A) Provide immediate access to lifesaving information B) Allow for data to be portable E) Provide protection against healthcare fraud and abuse

Which advantages are associated with the use of cloud computing? Select all that apply. A) Provides a backup of files in a location different from where the original document is stored B) Allows for sharing files with other users C) Permits the users to have full control over the site D) Reduces the risk for access by cyber criminals E) Eliminates the need to ever have to purchase any software

A) Provides a backup of files in a location different from where the original document is stored B) Allows for sharing files with other users

When describing commercial software to a group of students, which information would be most appropriate to include? Select all that apply. A) The software is proprietary. B) Individuals must purchase it. C) It lacks copyright protection. D) Users must accept the terms of use to install it. E) The software can be used without restrictions.

A) The software is proprietary. B) Individuals must purchase it. D) Users must accept the terms of use to install it.

A nurse is accessing the Internet using the following URL— http://www.ahrq.gov/research/findings/evidence-based-reports/index.html. The nurse identifies the ".gov" as: A) Top-level domain name. B) Folder. C) Descriptor. D) File name.

A) Top-level domain name.

While working on creating a document on a laptop computer, a nurse finds that the program and computer have stopped responding. The nurse has tried several methods to address the problem without success. What would the nurse most likely do next? A) Turn off the computer's power. B) Wait for the program and computer to respond C) Disconnect any devices attached to the computer. D) Press the escape button three times.

A) Turn off the computer's power.

A nurse is reviewing the different cloud office applications available. When comparing the iCloud to other cloud office applications, which feature would the nurse identify as being different? Select all that apply. A) Web browser is needed to access the app. B) The app is not a downloadable app. C) It cannot sync files with other devices. D) The app does not include office apps. E) File sharing is significantly limited.

A) Web browser is needed to access the app. B) The app is not a downloadable app.

A nurse has purchased Microsoft cloud software for a Mac computer for the year. Which software would the nurse be able to use? Select all that apply. A) Word B) OneNote C) Access D) PowerPoint E) Excel

A) Word D) PowerPoint E) Excel

A nurse manager is reading a journal article about the different operating systems (OSs) used with computers in preparation for a project with several colleagues. The team will be preparing a clinical role-playing scenario for a group of newly hired nurses as part of the unit orientation. Each of the colleagues is working on a personal computer. Based on what the nurse manager learned in the journal article, the nurse manager would anticipate which OS as being most commonly used? A) Linux B) Microsoft Windows OS C) Mac OSX D) Google Chrome OSX

B) Microsoft Windows OS

. A nursing informatics specialist is presenting a class to a local community group about computer security and protection against malware. The specialist determines that the teaching was successful when the group states: Select all that apply. A) "Reusing a password is probably the best thing to do." B) "Downloading the latest software updates is important." C) "Most regular computer users don't get computer viruses." D) "We should scan downloaded files with antivirus software before installing." E) "People need to avoid social networking sites entirely."

B) "Downloading the latest software updates is important." D) "We should scan downloaded files with antivirus software before installing."

A nursing informatics specialist is working as part of group tasked with evaluating the current health information technology system in the facility. As part of the evaluation process, the nurse is reviewing the initial strategic plan developed for the nationwide implementation of health information technology. Which result would lead the nurse to determine that the system has met the initial goals? A) The use of personal electronic health records was eliminated. B) A collaborative governance was developed to support information use for population health. C) Statewide adoption of the electronic health record was fostered. D) The use of telehealth systems became significantly limited.

B) A collaborative governance was developed to support information use for population health.

The nurse recently completed a computer training course about the different types of networks available. Which statement would the nurse identify as correctly describing a local area network (LAN)? A) The connection includes a large geographical area. B) A connection of computers that are physically close to one another. C) Exchanges files with other computers on a standalone network. D) A network that encompasses a city or town.

B) A connection of computers that are physically close to one another.

. When describing an electronic health record, which characteristic makes the software a true electronic health record? A) Information included in the record B) Ability to interface with outside agencies C) Access to information by clients D) Healthcare information owned by the agency

B) Ability to interface with outside agencies

Which characteristics would be associated with spyware? A) Random pop-up advertisements that occur when using a program B) Ability to monitor keystrokes to send to a third party C) Maintenance of default home pages on web browsers D) Inability to scan the hard drive

B) Ability to monitor keystrokes to send to a third party

A nurse is about to install antivirus software on his or her home computer. Which action would the nurse need to do first to protect his or her data? A) Install a firewall. B) Backup important files in another location. C) Perform a quick scan of the files. D) Update the software program.

B) Backup important files in another location.

A nurse asks the nursing informatics specialist, "What is the difference between computer literacy and computer fluency?" Which information would the nursing informatics specialist integrate into the response? A) Computer fluency is a temporary state. B) Computer literacy refers to the ability to perform tasks with a computer. C) Computer fluency is static. D) Computer literacy involves increasing one's ability to effectively use a computer.

B) Computer literacy refers to the ability to perform tasks with a computer.

When describing how new systems for information are organized, which would the nursing informatics specialist explain as being used? A) Process B) Data C) Flow D) Increments

B) Data

A nurse is reading a journal article about the evolution of consumer empowerment. The nurse would expect to read that this movement began around which time? A) 1850s B) Early 1900s C) Late 1930s D) Mid-1960s

B) Early 1900s

Which software is considered to be the highest level of integration of healthcare information records? A) Electronic medical record B) Electronic health record C) Personal health record D) Smart card

B) Electronic health record

A nurse is preparing to recommend a personal health record resource to a client. Which step would be most appropriate for the nurse to do first? A) Look for reputable advertisements on the site B) Evaluate the complete site C) Read the privacy statement D) Access one of the links shown on the site

B) Evaluate the complete site

After reviewing the various types of network connections available, a client chooses a network connection that is considered to have excellent signal reliability. Which connection did the client choose? A) Television cable B) Fiber-optic cable C) Satellite D) Digital subscriber lines

B) Fiber-optic cable

A nursing informatics specialist is characterized by colleagues as an informatics innovator. This nurse would demonstrate the ability to: A) Use basic desktop software. B) Generate informatics theory. C) Make judgments based on trends. D) Communicate via a computer.

B) Generate informatics theory.

When using a computer program, a nurse enters a command by pointing and clicking. The nurse student understands that this action is the result of: A) Disk operating system. B) Graphical user interfaces. C) Freeware. D) Cloud computing.

B) Graphical user interfaces.

While using a program, a user gets a message saying that the program is not responding. The user decides to shut down the program, but it does not happen. Which action would the user do next? A) Continue to click on the X at the right hand corner B) Hold down the Ctrl, Alt, and Delete keys simultaneously C) Turn off the computer manually D) Open the program in another window

B) Hold down the Ctrl, Alt, and Delete keys simultaneously

A nurse wants to create interactive web pages. Which product would the nurse expect to use? A) Java B) JavaScript C) Active X D) Active server pages

B) JavaScript

A nurse is presenting an in-service program on nursing informatics competencies. When describing the need for computer fluency for nursing informatics competencies, which would the nurse include as characterizing this concept? A) Temporary state B) Lifelong learning C) Task oriented D) Competency

B) Lifelong learning

A nurse is reading a journal article about the evolution of computers and operating systems. The nurse would expect to read about which operating system as the first released? A) Windows B) Mac C) Linux D) Chrome

B) Mac

Which serves as the foundation for secure information exchange over the Internet? A) Office of the National Coordinator (ONC) B) Nationwide Health Information Network (NwHIN) C) Health Insurance Portability and Accountability Act (HIPAA) D) Health Information Technology for Economic and Clinical Health ACT (HITECH Act)

B) Nationwide Health Information Network (NwHIN)

A nurse is preparing a presentation for a group of clinic clients about personal health records. Which information would the nurse most likely integrate into the presentation? Select all that apply. A) Encourages traditional medical model practice B) Promotes collaborative care C) Improves management of disease condition D) Uses a consistent, unique means of identifying clients E) Has a defined core set of data elements

B) Promotes collaborative care C) Improves management of disease condition D) Uses a consistent, unique means of identifying clients

A nurse has purchased proprietary software for the computer. Which step is essential when installing proprietary software? A) Checking the serial number B) Registering the product C) Purchasing the license to use D) Calling the vendor to initiate service

B) Registering the product

The nurse is developing a plan of care for a client, integrating information from the client's history and physical examination, laboratory and diagnostic test results, and medications using the new informatics system adopted by the facility. The nurse understands that informatics facilitates the task because it focuses on: A) Using computers. B) Using information technology. C) Managing nursing care. D) Accessing the Internet.

B) Using information technology.

A client contacts his or her healthcare provider through a web-based portal software program to ask for a medication refill. The client is using: A) Intranet. B) Virtual private network. C) Extranet. D) Plug-in.

B) Virtual private network.

A nurse educator is developing a presentation on renal failure. As the educator adds media and images to the presentation, the nurse educator is considering that the images correctly convey the content and are appropriate for the audience. What principles of presentation is the nurse educator using? A) Extraneous cognitive load B) Visual literacy C) Culture literacy D) Intrinsic cognitive load

B) Visual literacy

A nurse is reading a journal article about computer viruses. Which examples of computer viruses would the nurse most likely read about? Select all that apply. A) Botnet B) Worm C) Pharming D) Trojan horse E) Phishing

B) Worm D) Trojan horse

A nursing informatics specialist is explaining the difference between computer literacy and computer fluency. Which statement correctly defines computer fluency? A) "Computer fluency is the ability of the nurse to perform various tasks with a computer." B) "Computer literacy is the skill to be able to troubleshoot parts of the computer access information from the computer data." C) "Computer fluency is the understanding of how to use a computer when needed." D) "Computer literacy is knowing how to locate and evaluate information."

C) "Computer fluency is the understanding of how to use a computer when needed."

After participating in an informational program about electronic health records, an agency nurse asks the nursing informatics specialist, "What does it mean when they say that the records must be interoperable?" Which response by the specialist would be most appropriate? A) "The records need to have standardized language." B) "The information in the records needs to be presented logically." C) "The data contained in the records must be able to be shared electronically." D) "Information contained in the record must be kept confidential."

C) "The data contained in the records must be able to be shared electronically."

A nurse is using a web browser and wants to save links to some of the favorite nursing information websites. Which feature would be helpful to use? A) Streaming B) Plug-in C) Bookmark D) Web cookie

C) Bookmark

The nurse is explaining to a client how he or she can access his or her electronic medical record. Which type of connection would the nurse include as being used? A) Broadband connection B) Botnet C) Client-server architecture D) Metropolitan area network

C) Client-server architecture

An nursing informatics specialist is conducting a group discussion on the implementation of personal health records. Which aspect would the specialist include as being currently available for promoting interoperability? A) Protocols for use B) Standardized data C) Computer technology D) Procedures for use

C) Computer technology

When comparing and contrasting DOS with current operating systems, which information would be appropriate to include? A) DOS allows multiple programs to be used at the same time. B) Transferring information between programs in DOS was tedious. C) Creating nontext documents was easier than creating text documents. D) Only a small number of point and click options were available with DOS

C) Creating nontext documents was easier than creating text documents.

While working on a personal computer, a nurse searches for updated practice guidelines on the Internet. The nurse's computer connects to the Internet via a telephone line. This is an example of which type of connection? A) Broadband B) Cable C) Dial-up D) Digital subscriber lines

C) Dial-up

A nurse interested in nursing informatics is reading a journal article about early computerized clinical information systems. Which information would the nurse most likely find as characteristic of these early systems? A) Two or three functions could be performed at one time. B) Information could be shared among several departments. C) Different software systems were created for different areas. D) Data entry needed to be done once.

C) Different software systems were created for different areas.

A nurse writing a presentation using a computer that uses a Windows Operating System deletes a portion of text and then realizes that he or she deleted the wrong thing. Which action should he or she do next? A) Tap the Ctrl + Y key B) Hit the Ctrl + X key Page 7 C) Hit the Ctrl + Z key D) Use the Ctrl + S key

C) Hit the Ctrl + Z key

A nurse is working with a client recently diagnosed with heart failure. He or she asks the nurse about good websites that he or she could use to learn more about his or her condition. The client tells the nurse that his or her computer uses a wireless connection. The nurse understands that this type of connection: A) Is more secure than hard-wired connections. B) Does not require nodes. C) Is limited in distance. D) Has a router that determines the transmission speed.

C) Is limited in distance.

A nurse is reading a journal article about the evolution of nursing informatics. The nurse demonstrates understanding of the article by identifying which time frame as being associated with the shift in definition from a technology orientation to more of an information orientation? A) Early 1960s B) Late 1970s C) Mid-1980s D) Early 1990s

C) Mid-1980s

A client asks the nurse about possible resources for personal health records. After teaching the client about possible resources, the nurse determines that the client needs additional teaching when the client identifies which resource as an example? A) My Family Health Portrait B) Microsoft HealthVault C) MyPHR D) MyMedicare.gov

C) MyPHR

A nurse is working on the computer using a trial copy of a software program. The nurse is using: A) Freeware. B) Cloud computing. C) Shareware. D) Open source software.

C) Shareware.

An agency is implementing the use of smart cards for healthcare. Which statement best describes this personal health record? A) Clients create their own card to be given to their providers. B) The card is contained in a device that plugs into a USB port. C) The card contains a microcontroller for managing data. D) The card contains an encrypted microchip that can only be read.

C) The card contains a microcontroller for managing data.

A group of nurses are researching information about smart cards for healthcare information. The nurses are preparing a presentation for a staff meeting that will be introducing the implementation of this technology. The nurses demonstrate a need for additional research when they identify which data as being included on a smart card? A) Data for privacy protection B) Unique consumer data C) Clinical data D) Financial data

D) Financial data

. A nurse receives an e-mail containing a web address hyperlink on his or her personal computer. The e-mail instructs the nurse to go to the website to confirm his or her bank account number. When the nurse clicks on the link, it would take him or her to a phony website. This is an example of: A) Pharming. B) Worm. C) Trojan horse. D) Phishing

D) Phishing.

An nursing informatics specialist is preparing a presentation for staff at a local agency about implementing personal health records. When discussing the barriers to implementation, which would the specialist most likely include? A) Inability to allow collaboration B) Less effective disease management C) Lack of personalization of care D) Reluctance of some providers to relinquish autonomy

D) Reluctance of some providers to relinquish autonomy