Informatics final
Which acronym is used to identify a standardized patient classification system developed in the early 1980s for the purpose of reviewing the use of hospital resources?
DRG (diagnosis-related groups
Which of these is not a phase of training EHR users?
Data backup
Which of these is within the professional role of nursing informatics?
Data integration
What is the major focus of the controlling (maintenance and evaluation) phase of the computer conversion process?
Debugging and solving system problem
What action is most important for a patient to take when considering whether to base health decisions on information found on the web?
Discuss the information with the health care provider.
Which of the following choices is an example of an advantage telehealth provides for nurses?
Distance learning
Which is an example of a sensational writing style?
Drop 30 pounds in five days with this new miracle pill!!!!
What aspect of computerized record management is most responsible for the fact that keeping patient records confidential is a difficult task?
Ease of inappropriate access to multiple patient records
Which of these are methods recommended by HealthIT.gov to improve the security of your data systems? Select all that apply.
Education Risk assessment NIST Cybersecurity Framework
The term "Web 2.0" is used to describe tools that are only available on tablets and smartphones.
False
The three concepts involved in Lewin's Force Field Analysis Theory are behavioral disruptions, behavioral compliance, and balance.
False
Under the Code of Ethics for Nurses with Interpretive Statements (ANA, 2015), the nursing informaticist has a duty to the physician first and foremost.
False
Lewin's field theory focuses on what aspect of change related to adopting new innovations?
Forming a positive attitude about change
How can nursing as a science-based profession most benefit from the implementation of electronic health record systems?
General information is easily accessible for research purposes
What is the greatest barrier to the acceptance of electronic health records (EHR) and personal health records (PHR) among health care providers?
Lost autonomy
Which of the following is not an example of a Web 2.0 tool that can be useful when seeking health information?
Online dating site
What does current research state concerning patient care outcomes related to telehealth services
Outcomes have been significant and positive
On which area of privacy is the Health Insurance Portability and Accountability Act (HIPAA) focused?
Patient privacy
Which learning format allows the learners to develop both physical skills and higher-level thinking proficiencies?
Patient simulators
Improvement of which aspect of health is the ultimate goal for the implementation of emerging technologies?
Safer
Telehealth usually requires very few resources to implement, but requires great financial support to maintain.
false
Despite differences in hardware and operating systems, which is a primary design feature common to all mobile computers?
interoperability
The person attributed with coining the phrase "medical informatics" is J.R. Graves?
False
The process for asking a research question for evidence-based practice involves using a mnemonic known as TIKO.
False
patient satisfaction increases with use of EHRs due to which of these reasons?
All
Which of the following is a factor that contributes to the digital divide?
All of the above
Which of these is an example of mobile technology in health care?
All of the above
The digital divide has no effect on consumers' ability to receive quality health care information.
False
A Russian scientist coined the term "informatika" and defined it as "the discipline of science which investigates the structures and properties of scientific information..." in what year?
1968
In what year did the American Nurses Association (ANA) recognize informatics as a nursing subspecialty?
1992
According to the United States Census Bureau's 2012 Current Population Survey, what percentage of U.S. households are without Internet access?
25%
Which information source is most reliable for presenting evidence-based information?
A scholarly nursing journal websit
Which intervention by the nurse demonstrates a paternalistic approach to providing the patient diagnosed with diabetes with foot care information?
Accessing the computer in order to search for and print out information regarding the appropriate care for the feet of the diabetic patien
Which intervention by the nurse demonstrates a paternalistic approach to providing the patient diagnosed with diabetes with foot care information?
Accessing the computer in order to search for and print out information regarding the appropriate care for the feet of the diabetic patient
In 1992, the ______________________ first recognized nursing informatics as a specialty.
American Nurses Association
Who defined telemedicine as "the electronic exchange of patient information between two sites for improving the patient's health status," and defined telehealth as "a broader term extending beyond the delivery of clinical services"?
American Telemedicine Association (ATA
When considering system interoperability, what is a standard?
An agreement to the use of specific methods of achieving interoperability
Which of these is the first step in the process of EBP?
Ask a searchable, clinical question
The nurse who effectively uses information technologies is most importantly affecting what aspect of professional nursing in the future?
Assuring that patient care is meeting an acknowledged standard of care
Which of these is not a step in the process of EBP
Attain the authorization
Which information management process is an example of a spreadsheet a nurse might be familiar with? Select all that apply.
Attendance records Adverse drug reactions Budget analysis Staff scheduling
Which familiar nursing equipment is computer-driven? Select all that apply.
Barcode patient identification bracelets Intravenous administration pumps Digital thermometer Medication scanning system
Which statement is true regarding the adaptation of evidence-based practice (EBP) by nursing professionals?
Barriers to its implementation exist in clinical practice settings
The TIGER Nursing Informatics Competencies Model includes tasks in which of the following areas? Select all that apply.
Basic computer competencies Information literacy Information managemen
What area of nursing is most affected when a big bang conversion of a hospital's computer system is implemented?
Clinical nursing care
How is a wiki most useful to nursing?
Collaborative work on a research projec
What is the first step in forecasting and meeting future data management needs?
Collecting information on what data is currently being managed
Which of the following theories or disciplines is related to nursing informatics?
Computer science
Which of these is an information subsystem that contributes data to a patient's global EHR?
Computerized provider order entry (CPOE)
What has been identified as the greatest barrier to the implementation of telehealth technology?
Cost of implementation and upkeep
Which aspect of professional nursing is most impacted by the influences of informatics?
Critical thinking: Cognitive
Which services are made possible through telehealth? Select all that apply
Electronic consultation (E-Consult) Telemonitoring Text messaging Teleconferencing
Which of the following is an example of informatics applied in nursing?
Electronic health record (EHR
What nursing services are available through telehealth? Select all that apply.
Electronic referrals with nurse practitioners Connects to call centers Home telenursing Minor injury consulting
How does the Internet impact nursing's use of evidence-based practice (EBP)? Select all that apply.
Encourages interdisciplinary utilization of EBP resources Provides access to abundant EBP nursing resources Encourages analytical review of available EBP resources
In the third step before an EHR go-live event, all staff must be actively __________ with the new systems
Engaged
How is the TIGER initiative assuring that the profession of nursing is best prepared to participate in the era of digital health care delivery?
Ensuring that all nurses are educated in using informatics
What is a disadvantage of distance learning? Select all that apply
Equipment is needed for both student and teacher. It does not meet the needs of all learning content. There is a lack of face-to-face contact. Not all students are comfortable with the technology
What is the greatest significance to health care when an information system lacks interoperability?
Errors related to patient care can more easily occur
What action did the American Nursing Association (ANA) take in 1995 to recognize the importance of nursing informatics?
Established the informatics certification examination
The demonstration of which competency is required of nurse managers? Select all that apply.
Evaluate revision of patient care systems. Use spreadsheets. Use telecommunication devices. Recognize of the relevance of nursing data.
After the American Nurses Association established the definition of nursing informatics in 1992, the definition has remained unchanged despite technological and field advancements.
False
All health-related websites can be trusted to provide reliable information.
False
As a nurse, you probably won't use informatics knowledge and skills on a daily basis.
False
Evidence-based medicine (EBM) and evidence-based practice (EBP) are synonymous
False
In Phase 1 of preparing for the go-live event of an EHR, the target date should be determined after all necessary training and procedural changes have taken place
False
In the evaluation stage of training EHR users, the EHR product is evaluated for its strengths, weaknesses, and possible future implications.
False
Interoperability means that you can trade out one subsystem for another; it does not matter which one you use as long as you pick at least one.
False
LOINC is an example of a mobile technology.
False
One great advantage of EHRs is producing faster turnaround on patient data such as lab results, which leads to lengthier hospital stays.
False
Only nurses who work in the lab need to learn about the laboratory information system (LIS).
False
Prior to releasing an EHR, all networking and connectivity issues for the hardware, software, and user interfaces should pass testing in the last step before the go-live event.
False
Stakeholders can't affect project outcome
False
Tele-assessment is a form of remote patient monitoring via telehealth
False
Telemental health is the delivery of a recorded therapy session to a patient.
False
Which organization founded in 1987 has a stated mission to provide a "comprehensive framework and related standards for the exchange, sharing and retrieval of electronic health care information"?
Health Level Seven (HL7)
Healthcare.gov is an example of what type of Internet site?
Health portal
Research on the effect of telehealth services on health outcomes has demonstrated the most significant positive impact on what health issues?
Heart and psychiatric condition
Which of these is not a responsibility of a nurse informaticist?
Identify budget deficit
In which phase of EHR training is the training program administered?
Implementation
What is the primary goal of evidence-based nursing practice (EBP)?
Improved patient outcome
How can cognitive theory help the informatics nurse in designing decision-making tools?
Improves understanding of how nurses process information when making decisions
How does the public benefit most from the implementation of electronic health record systems?
Increased involvement in their health care planning
Which statement concerning nursing data and its relationship with informatics is true?
Informatics now makes nursing data easily accessible to nursing researchers.
What is the greatest advantage of an electronic health record (EHR)?
Information can be accessed wherever Internet access is available
What are the sciences that make up nursing informatics? Select all that apply.
Information science Computer science Nursing science
"How will telehealth affect the financial bottom line?" is a question related to which organizational factor?
Infrastructure
Who defined telenursing as "telecommunications technology in nursing to enhance patient care"?
International Council of Nurses (ICN
What are the main issues associated with establishing the processes required of electronic health information management? Select all that apply.
Interoperability Workflow redesign Data security User design
In the PICO process for creating a good research question for EBP, what does the I represent?
Intervention
Which one of these questions is not something an organizational leader should consider when implementing telehealth?
Is the staff prepared to lose patients due to changes in procedure
What is the greatest concern about information presented on the World Wide Web?
Its validity is not guaranteed.
What is the individual nurse's greatest barrier to the implementation of evidence-based practice (EBP) for nursing?
Lack of knowledge regarding the access of EBP research
What is the most likely cause of an older adult's inability to access health care information on the Internet?
Lacks technical computer skill
What is the most likely cause of an older adult's inability to access health care information on the Internet?
Lacks technical computer skills
What term is used to identify the software that assists learning by delivering course material electronically?
Learning management system (LMS)
What criminal act was the Health Insurance Portability and Accountability Act (HIPAA) originally designed to minimize?
Medical fraud
What legal issue does the Stark Law address?
Medicare fraud
Which of these is not one of the stages in Lewin's field theory?
Melt
Which stages of change are associated with Lewin's field theory? Select all that apply.
Moving Unfreezing Refreezing
How is it that nursing is so well suited to having its professionals attain computer fluency?
Nurses are accustomed to the role of lifetime learners
What is PHR an abbreviation for?
Personal health record
What is the term used to identify the process of a gradual, institution-wide switch from one computer system to another?
Phased conversion
Which topics should you consider when determining whether a website can be trusted? Select all that apply.
Privacy Date of publication Source
What are the recognized benefits of telehealth on patient care? Select all that apply.
Reduced travel time Access to specialists Increased productivity Enhanced patient care
What are the technical standards addressed when considering the implementation of a telehealth system? Select all that apply.
Redundant systems Safety and function standards Policies and procedures
What is an electronic health record (EHR) composed of?
Several EMRs and the PHR
Which nursing organization is striving to become a global source of information on evidence-based practice (EBP) nursing?
Sigma Theta Tau International (STT
When considering informatics, what is a decision support system?
Standardized data that is accessed by many interested consumer
Which of these is not a characteristic of mobile technology:
Stationary
What is the greatest positive impact that communication among health care providers has on patient care?
Staying informed of standards of care and practice
What model focuses on moving research-based practice into the clinical setting using a cyclical form?
Stevens Star model
What term is used to describe the process of laying the groundwork and identifying pivotal issues associated with the adoption of technological systems?
Strategic planning
Posting user surveys to look for issues is an example of which of the following?
Strategy for success
What type of interoperability is intended to coordinate work processes?
Structural
How can nursing education best enhance the use of evidence-based practice (EBP) for future nurses?
Teach the necessary access and analysis skills to nursing students
Which issues are of concern to a health care agency when determining the feasibility of implementing telehealth for patients? Select all that apply.
Technical issues Reimbursement Medico-legal issues Research
What does the acronym TIGER mean
Technology Informatics Guiding Education Reform
Which of the following is a disadvantage to EHRs?
The issue of ownership
What is the foundational focus of nursing informatics?
The management of patient-focused information
Which situation is an example of how a hospital's interoperability electronic health records systems support nursing care?
The nurse determines that a patient is likely to be discharged after reviewing daily laboratory results.
Besides its impact on nursing practice, what other aspect of the nursing profession stands to be greatly advanced by nursing informatics?
The science of nursing
What is the meaning of the term digital divide?
The space created between those who can easily access the Internet and those who canno
What is the major advantage of a handheld computer when considering the care of patients?
Time management
What is the purpose of the ACE Star Model?
To emphasize crucial steps in converting one form of knowledge to the next
Addressing and ensuring confidentiality, data security, and patient privacy are within the scope of nursing informatics.
True
An example of information would be vital signs plotted on a graph.
True
Blogs are typically written in a conversational, first-person style.
True
Electronic clinical decision support is an advantage of using mobile technology in health care.
True
Employ evidence-based practice" is one of the competencies outlined by the Institute of Medicine (IOM).
True
HIPAA compliance requires EHR risk assessment through documenting how the organization will mitigate and address risks.
True
Hospitals should consider scheduling additional staff during the early phases of EHR implementation to ensure adequate time for all staff to learn to use the system.
True
Identifying the references and resources that are available to trainers and trainees occurs in the design phase of training EHR users.
True
One of the advantages of using EHRs in health care is easier access to aggregate data.
True
One of the strongest and most important trends in health care today is evidence-based practice.
True
SmokefreeTXT—a program designed by the National Cancer Institute's Tobacco Control Research Branch that delivers tips, motivation, encouragement, and information via text messages—is an example of an mHealth program.
True
Telehealth is the delivery of health-related services through telecommunication devices.
True
Telenursing is the practice of nursing over distance using telecommunications technology
True
The Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the American Recovery and Reinvestment Act of 2009, was signed into law to promote the adoption and meaningful use of health information technology.
True
The Novice to Expert Theory was proposed by Patricia Benner.
True
The focus of informatics is information management, not computers.
True
The goal of the TIGER Initiative is to enable nurses to use informatics and emerging technologies to make health care safer, more effective, efficient, and patient-centered.
True
The primary concern for patients in regards to EHR implementation is access to health care information.
True
The term "digital divide" is used to describe the gap between those who have ready access to information and communication technology and those who do not have access.
True
To define an effective EHR, the Institute of Medicine (IOM) has identified eight functions to improve quality care, chronic disease management, efficiency, and feasibility.
True
When you are conducting research online, it is important to know who funds the website you are viewing.
True
When considering health information technology (HIT), what does the term interoperability mean?
Two or more health-related service providers can access and share information.
When considering nursing, when should information literacy, an integral component of evidence-based practice (EBP), first be introduced?
Undergraduate nursing education
The use of devices and sensors to collect and automatically transmit health information (e.g., vital signs) without voice interaction between the patient and health provider is known as what?
Unobtrusive telemonitoring
Which of the following people is not a stakeholder in an EHR implementation?
Web developer
Which form of online communication would best substitute for a traditional nursing seminar?
Webinar
What is the key difference between an electronic medical record (EMR) and a personal health record (PHR)?
Who manages the records
Which international organization is responsible for the codes that focus on social and environmental factors impacting the health of people?
World Health Organization (WHO
Which of the following are considered social media platforms? Select all that apply.
YouTube Facebook Twitte
Which statement is true regarding the current definition of nursing informatics?
t has evolved over time with the input of several different sources