informatics exam 2
false
SDLC can only occur within an organization and should not be outsourced.
false
U.S. citizens could opt to have their Social Security numbers changed to a different ID number on their Medicare cards as a result of the MACRA legislation.
across organizations
Interoperability is the ability to share information:
The ability to share information across organizations
Interoperability refers to which of the following?
health disparities
_________is defined as differences or gaps in the care experienced by one population compared with another population. Reducing these differences or gaps is one purpose of the HITECH Act.
testing
_____evaluates the system and its components including determining if the system performs appropriately for the user.
"You should contact the Office of Civil Rights to file a complaint about privacy and security rights."
A patient has a concern that the security and privacy of health information has been compromised. Which statement by the nurse is correct?
BYOD Policy
A relatively new nurse downloaded a wonderful app for her smartphone that provides a wealth of information about medications. She intends to use this app when she is administering medications. Which policy should she consult in her institution before she uses the app?
project developer
An informatics nurse is at an information technology conference and is promoting a new informatics product to healthcare providers. Which role is the informatics nurse assuming?
"Electronic health records are expensive, and the cost has prohibited widespread adoption of this technology."
An informatics nurse is explaining barriers to the adoption of electronic health records to a group of administrators. Which statement by the informatics nurse is correct?
"An informatics innovator has a vision of what is possible and is creative."
An informatics nurse is explaining the definition of an informatics innovator to other nurses. Which statement by the informatics nurse is correct about an informatics innovator?
Consultant
An informatics nurse is providing expert advice and recommendations on the implementation of an electronic health record to a healthcare system. Which informatics role is the informatics nurse fulfilling?
at least 2 years of recent experience is required.
An informatics nurse is reviewing the process for a nursing informatics certification through the American Nurses Credentialing Center. The nurse understands that:
Promotion of the use of standardized nursing terminology
An informatics nurse is working on the integration of nursing documentation into a new electronic health record. Her role will focus on which of the following?
reach across professional boundaries. surface and support the unique contributions of professionals to patient care. design team meetings for effectiveness and efficiency.
An informatics nurse specialist educated in a collaborative practice philosophy is able to:
Project manager
Because nurses are able to manage multiple complex situations, which role can nurses fulfill in Information Systems?
true
Chronic diseases are of major concern to the United States, not only because of the impact they have on individuals, but also because of the tremendous cost associated with providing treatment for patients with these conditions. Adult-onset diabetes, for example, has reached epidemic proportions. A national health information technology infrastructure will help providers better identify those patients who are at risk for developing this disease and provide treatment strategies to avoid it.
Monetary incentives
Which does the HITECH Act provide to healthcare providers and facilities that participate in meaningful use of health information technology?
Guidance on health information security
Which does the HITECH Act require that the U.S. Department of Health and Human Services (HHS) provide each year?
Graduate degree programs
Which formal educational programs are available for nursing informatics?
Journal of the American medicine informatics association
Which is a scholarly journal for nursing informatics?
Rapidly evolving technology
Which is a trend that will influence the future of nursing informatics?
Health information technology adoption, development, and implementation
Which is addressed by the HITECH Act?
Administration, leadership, and management Systems analysis and design Compliance and integrity management
Which of the following are considered functional areas by the American Nurses Association?
Improvement of patient safety
Which of the following is a reward of nursing informatics?
A locked, secured location that stores PHI
Which of the following is an example of a physical safeguard for protected health information (PHI)?
Class hierarchy
Which of the following must be clearly defined and appropriately designed in object-oriented systems development?
Informatics nurse specialist
Which of the following nursing professionals applies and integrates the core informatics sciences: information, computer, and nursing science?
Informatics nurse specialist
Which of the following nursing professionals applies aspects of human-technology interface to screen, device, and software design?
Beginning nurse
Which of the following nursing professionals collects and enters patient data into the information system?
Informatics nurse specialist
Which of the following nursing professionals focuses on nursing's information needs, which include education, administration, research, and clinical practice?
Sharing patient records from an evaluation at a mental health treatment center
Which of the following requires a release of information in accordance with the Health Insurance Portability and Accountability Act (HIPAA)?
Apps that help users track fitness Apps that help users organize medical information Apps that help users self-manage a disease None of these is correct.
Which of the following types of apps are subject to regulation by the FDA?
educator
A nurse informaticist provides training for new nurses on an electronic health record. which role has the nurse informaticist assumed?
Bachelor of science in nursing
A nurse is interested in acquiring formal education on nursing informatics. Which degree must the nurse obtain first?
true
Nursing informatics does not focus on direct patient care.
Informatics innovator
Nursing informatics is classified into skill levels based on competencies. The most advanced skill level is:
Information related to an individual's mental or physical health
Protected health information includes which of the following?
true
SDLC can be a blend of two approaches.
true
Two key pieces of legislation have shaped the nursing informatics landscape-the Health Insurance Portability and Accountability Act (HIPAA) of 1996 and the Health Information Technology for Economic and Clinical Health Act (HITECH) of 2009
Workshops and focus groups
Which does the rapid requirements-gathering phase rely on to build a prototype application?
true
As informatics nurse specialists assume their roles, it is evident that typical roles cover more than one functional area.
Experienced nurse
Which of the following nursing professionals is proficient in a specialty?
Informatics innovator
Which of the following nursing professionals leads the advancement of informatics practice and research?
Experienced nurse
Which of the following nursing professionals pulls trends out of data and makes judgments based on this information?
Competent, innovative, experienced
A nurse demonstrates knowledge, skills, and the ability to perform the duties of nursing informatics. Which term describes this nurse?
Ability to use institution's information systems to manage patients
A beginning nurse will have which skill competency?
Informatics nurse
A healthcare system is developing a new clinical support tool for nurses and needs an expert to assist in research. Which individual would best fulfill this role?
U.S. Food and Drug Administration (FDA)
A mobile medical application may be subject to regulation in the future by which agency?
Develop educational materials for nurses and other healthcare providers
A new electronic health record is being developed by a team including an informatics nurse. Which of the following will the informatics nurse do?
computer technology and information management skills.
A new graduate nurse is orienting the informatics nurse on the electronic health record. The informatics nurse should assess the new graduate nurse's:
Health Information Technology for Economic and Clinical Health Act
A nurse is learning about the protection of patient privacy in a new electronic health record that is adopted by a healthcare system. The nurse understands that protection of patient privacy in an electronic health record is addressed by which law?
"You can opt out of the facility's directory."
A patient does not want to be identified in the healthcare facility's directory and informs the nurse. Which of the following is an appropriate response by the nurse?
shredding. electronic sanitation. encryption.
An accepted method or methods for securing PHI include:
false
Care delivery models will not influence nursing informatics in the future.
true
Class hierarchy allows objects to inherit characteristics or attributes from parent classes, which fosters object reuse resulting in less coding.
Standardization and thoroughness
Computer-aided software engineering systems offer which advantage(s)?
Automation of required tasks
Computer-aided software engineering tools help with which of the following?
Advocate/policy developer
Developing policy on a local, national, and international level is an integral part of which of the following roles?
false
Developing systems that truly meet business needs is an easy task and quite simple when the correct approach is chosen.
true
During the COVID-19 pandemic, the Secretary of Health and Human Services issued a limited waiver of HIPAA sanctions and penalties in response to the declaration of a nationwide emergency.
true
Electronic health record technology will make it easier for all providers involved in a patient's care to readily access that patient's complete and current healthcare record, thereby allowing providers to make well-informed, efficient, and effective decisions about a patient's care at the time those decisions need to be made.
systems analysis and design
Functional areas of nursing informatics include which of the following?
often overlap
Functional areas of nursing informatics:
better portability of health insurance as a worker moved from one job to another. deterrence of fraud, abuse, and waste within the healthcare delivery system. simplification of the administrative functions associated with the delivery of health care, such as reimbursement claims sent to Medicare and Medicaid
HIPAA was enacted by the federal government for several purposes, including:
Financial incentives
Healthcare facilities were encouraged to adopt electronic health record systems. As facilities adopted these systems for meaningful use, they were entitled to which of the following benefits?
Security
Healthcare organizations typically do not encourage use of personal devices for professional matters, and in many instances they actually have policies in place forbidding employees from using personal devices in the workplace. What is an issue with "bring your own device (BYOD)"?
Networking with other informatics nurses
Informatics organizations promote which of the following?
perform an audit
How does a healthcare facility evaluate for a security breach in an electronic health record?
3
How many phases does the dynamic system development method have?
Every individual whose protected health information was breached
If a breach occurs regarding protected health information, who must be notified?
Standardized nursing terminology
In health information systems, nursing informatics have been instrumental in developing and promoting:
Libraries of source codes
In order to integrate open-source software, the programmer must use which of the following?
Practicing nurses
In the development of health information systems, nurses have provided educational materials for which of the following?
Preproject
In the dynamic system development method, stakeholders and funding are secured in which phase?
Methods to improve nursing workflow
In the future, the electronic health record will provide data to informatics nurses about which of the following?
Product developer
In which of the following roles does the informatics nurse specialist participate in the design, production, and marketing of new informatics solutions? An understanding of business and nursing is essential in this role
Clinical analyst
In which of the following roles does the informatics nurse specialist work at varying levels and serve as a link between nursing and information services in healthcare organizations?
Project manager
In which of the following roles is the informatics nurse specialist responsible for the planning and implementation of informatics projects?
false
It is not common to run over budget and miss milestones.
A breach
It is termed _________if a nurse knows that a colleague has accessed or attempted to access the record of a patient for whom the colleague is not providing care
Centers for Medicare and Medicaid Services (CMS)
Meaningful use of health information technology is monitored by which agency?
true
MoSCoW stands for "Must have, Should have, Could have, and Would have." The "could have" requirements are those that would be nice to have met, and the "would have" requirements can be put off until later; these may be undertaken during future developmental iterations.
true
MoSCoW stands for "Must have, Should have, Could have, and Would have." The "should have" requirements are those that would be great to have if possible, but the success of the project does not depend on them being addressed:
true
Nurses and other healthcare workers who use social media must be aware that the overlapping of networks may unintentionally create privacy and confidentiality breaches.
Decision support/outcomes manager
Nurses assuming which of the following roles use tools to maintain data integrity and reliability? Contributing to the development of a nursing knowledge base is an integral component of this role.
Themselves from violation of privacy laws
Nurses who protect the privacy and security of patient information are also protecting which of the following?
True
Nursing has been involved in the purchase, design, and implementation of information systems since the 1970s.
Current staff members
Nursing informatics competencies may be used to determine the educational needs of:
true
Object-oriented modeling makes an effort to represent real-world objects by modeling the real-world entities or things.
false
Projects are static, and typically few or no changes occur during the SDLC.
a fast way to add functionality through prototyping and user testing.
Rapid application development (RAD) iS:
true
Technological and systems feasibility addresses the issues of technological capabilities, including the expertise and infrastructure to complete the project.
true
The "Level Seven" in HL7's name refers to the highest level of the International Organization for Standardization (ISO) communications model for Open Systems Interconnection (OSI) application level.
true
The Standards Committee established by the HITCH Act is responsible for recommending standards by which health information is to be electronically exchanged.
promoting prevention. enabling early detection. assisting in the management of chronic diseases.
The HITECH Act had the purpose of:
Facilitate clinical research
The HITECH Act had which of the following goals?
true
The HITECH Act has enhanced the security and privacy protections each patient has a right to expect under HIPAA
true
The HITECH Act has improved the privacy and security of patient health information by applying the requirements of HIPAA directly to the business associates of covered entities. In the past, it was up to the covered entity to enter into contracts with its business associates to ensure compliance with HIPAA. Now business associates are responsible for their own compliance.
true
The HITECH Act made provisions to include meaningful public input in the development of a national HIT infrastructure. Both the Policy Committee and the Standards Committee established by the HITECH Act hold public meetings, and anyone interested in this process can participate.
American Recovery and Reinvestment Act
The HITECH Act was part of which law?
Create and approve health terminologies
The Office of the National Coordinator (ONC) has recently added several new strategic goals in addition to the original core functions of supporting and enhancing health IT infrastructure and promoting information exchange. Which of the following is not a current strategic goal of the ONC?
Policy Committee and Standards Committee
The Office of the National Coordinator for Health Information Technology has two committees for the development of the health information technology infrastructure. Which are these two committees?
true
The RAD approach uses informal communication, repurposes components, and typically follows a fast-paced schedule.
true
The agile software development approach realizes rapid delivery of functional software because solutions develop through collaboration between self-organizing cross-functional teams using the correct practices for their situation.
improve the delivery of nursing care and the quality of that care. make more efficient and timely nursing care decisions for patients. avoid errors that may harm patients and promote health and wellness for the patients whom nurses serve.
The development and implementation of a nationwide electronic health records system holds great promise for nursing practice and nursing informatics. The profession of nursing will benefit from the many enhancements such an infrastructure has to offer, including the ability to:
helping to capture the care that nurses provide patients.
The integration of electronic health records will influence nursing practice by:
speed of product deployment.
The major advantage of rapid application development is:
Repetition
The object-oriented systems development approach involves which of the following?
true
The popularity of social and mobile networking applications is one indication of how new web-based technologies are changing communication preferences.
disciplinary actions by licensing boards. loss of job litigation
The potential consequences of violating patient privacy may include:
true
The success or failure of the integration of informatics is related to the education and training that were provided for end users, including healthcare providers.
sequential
The waterfall model occurs in what type of order?
true
Those nurses involved in the entrepreneur role combine their passion, skills, and knowledge to develop marketable business ideas by analyzing nursing information needs and developing and marketing solutions
Feasibility
What term refers to determining whether a project should be initiated and supported?
true
When developing a strategic plan, the design must take into account the existence of the organization within the larger healthcare delivery system and assess the various factors outside of the organization itself, including technological, legislative, and environmental issues that impact the organization.
becomes input for the next stage.
When using the waterfall model, output from the previous stage:
increased costs
Which can occur from a lack of interoperability in healthcare systems?
using social media
Which can place healthcare providers at risk for unintentionally breaching patient privacy and confidentiality?
Education and professional initiatives
Which do nursing informatics organizations develop?
Technologic lags
Why did open-source software networks initially fail in health care?
An informatics nurse specialist must:
have expertise and knowledge in informatics.
