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A nurse is teaching a new nurse about knowledge workers. Which statement by the nurse is correct?

"Advanced practice nurses who are experts in nursing are considered knowledge generators."

A nurse is explaining how cognitive informatics helps improve information technology in health care. Which statement by the nurse is correct?

"Cognitive informatics examines how humans interact with computers so better information technology systems can be built."

A nurse is explaining cognitive science to a nursing student. Which statement indicates that the nursing student understands?

"Cognitive science pertains to how information is processed in the mind."

Researchers and discipline experts are likely to be which type of knowledge worker?

Knowledge generators

True or False? Morals are widely shared social conventions about right and wrong human conduct.

True

True or False? Much can be learned from the related fields of cognitive engineering, human factors, and ergonomics about how to make interfaces more compatible with their human users and the context of care.

True

True or False? Nurses may generate and record data from their own observations or with the assistance of various devices. Free text (informational data, such as drug dosages administered, resources used, and problems diagnosed) is recorded electronically. Free text is then interpreted and organized by some standardizing principle, either manually or by computer. In this way, data (often qualitative data that cannot be traditionally measured in a numeric sense) can be organized and processed. A central issue to the generation and analysis of free text data is the lack of a generally accepted set of terminology to capture nursing data.

True

True or False? Nurses must know key aspects of national laws and organizational policies governing privacy and security of health information.

True

True or False? Nursing science focuses on the ethical application of knowledge.

True

True or False? Once standardized, a term can be measured and coded.

True

True or False? Quantitative data collection tools or instruments include questionnaires, interviews, surveys, quizzes, assessments, email interviews, and web-based surveys.

True

True or False? Situations, experiences, education, and knowledge building promote transitions between types of knowledge workers.

True

True or False? The Foundation of Knowledge Model suggests that the most important aspect of information discovery, retrieval, and delivery is the ability to acquire, process, generate, and disseminate knowledge in ways that help those managing the knowledge reevaluate and rethink the way they understand and use what they know and have learned.

True

True or False? The Policy Committee established by the HITECH Act is responsible for making recommendations to the coordinator about how to implement the requirements of the HITECH Act, such as the technologies to use in the infrastructure.

True

True or False? The federal Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH Act) is part of the American Recovery and Reinvestment Act (ARRA). The ARRA was enacted to stimulate various sectors of the United States. The health information technology (HIT) industry was one area where lawmakers saw an opportunity to stimulate the economy and improve the delivery of health care at the same time.

True

True or False? The human interfaces for each of the various technologies are different and can even differ among different brands or versions of the same device.

True

True or False? The user experience (UX) is the user's experience from interacting with an object, product, or service. It has been connected to the term usability and refers to the design of products and services with the user in mind in order to meet the user's needs.

True

True or False? Wearable technology is the next new frontier in human-technology interfacing where the devices we wear can also interject signals into our body.

True

________ is the term that denotes the ease with which people can use an interface to achieve a particular goal.

Usability

AI frequently functions in an assistive role in healthcare decision-making. This is also known as:

augmented intelligence

Practice-based ethics as described by Husted and Husted (1995) focuses on:

bringing about human benefit.

Case-based ethical reasoning that considers the facts of a case in a sound, logical, and ordered or structured manner is known as:

casuistry.

In ethics theory, autonomy means:

freedom from controlling interferences.

Task analysis examines:

how the user approaches the task in order to accomplish it.

When nursing professionals work with information and generate information and knowledge as a product, they can be described as:

knowledge workers.

The nurse violates a patient's confidentiality and right to privacy by:

looking up a colleague's diagnosis and laboratory results.

When healthcare agencies provide access to health information on websites they:

must adhere to responsible information standards.

A cognitive walkthrough:

observes the steps users are likely to take to use the interface to accomplish typical tasks.

A nurse is using the International Classification for Nursing Practice when documenting patient care. The nurse understands this facilitates the ability to compare and combine:

patient care data from different sources.

A nurse accesses lab results of a patient not under the nurse's care in the electronic health record. The nurse is violating:

patient confidentiality.

New technologies in digital communications, electronic health records, and telehealth raise issues related to:

privacy and confidentiality

The core skill set related to the use of computers, electronic health records, healthcare technologies, and knowledge generation in a discipline is known as:

informatics competency.

A nurse reviews a patient's blood pressure measurements over the past 12 hours and recognizes that the blood pressure has been elevated. The clustering of these data represents:

information.

A nurse is learning about a new nursing skill through observations and interactions. This process is known as:

knowledge acquisition.

A nurse is caring for a patient who experiences a complication after surgery. The nurse understands the cause-and-effect relationship because her knowledge is based in:

reason.

What is the human-technology interface?

Hardware and software that support humans interacting with technology

A nurse is explaining the impact of a nationwide electronic health record on nursing to a nursing student. Which statement by the nurse is correct?

"The electronic health record will likely provide the ability to make more efficient and timely nursing care decisions for patients."

Different web address (domain) suffixes indicate who is responsible for creating a website. A web address sponsored by an educational institution would have which suffix?

.edu

A nurse is teaching a peer about the Open Access Initiative and explains that the Internet serves as which of the following?

A library of knowledge

A patient is admitted to a healthcare facility and has questions about the facility's privacy practices. To which of the following does the patient have a right?

A paper copy of the notice of privacy practices of the facility

The HITECH Act had which of the following goals?

A. Improve healthcare quality B. Reduce healthcare costs C. Improve and protect public health D. All of these are correct.

The impactful Institute of Medicine report To Err Is Human listed the top 10 most persistent medication and safety errors/issues. Which of the following errors was/were included and has/have continued two decades after the report was issued.

A. Look-alike labeling B. Unsafe practices associated with IV push medications C. Wrong route D. All of these are correct.

Evidence-based practice (EBP) is a combination of research findings and nonresearch evidence. What is/are the source(s) of nonresearch evidence?

A. Organizational values B. Local data and context C. Patient preferences D. All of these are correct.

Which of the following is not part of the 21st Century Cures Act?

A. Promoting research into preventing and curing serious illnesses B. Supporting community mental health efforts C. Improving interoperability and health information exchange by providing seamless access to improved EHRs D. Regulating the development and release of medical apps

Which of the following activities is/are used to build a foundation of knowledge in professional practice?

A. Reading research and theory articles B. Attending continuing education programs C. Consulting with expert colleagues and using clinical practice guidelines D. All of these are correct.

Nurses gather atomic-level data reflected in:

A. blood pressure. B. pulse rate. C. blood glucose. D. All of these are correct.

Clinical decision support systems help users to:

A. consider the consequences of alternative actions. B. provide stores of information. C. make decisions in unfamiliar circumstances. D. All of these are correct.

Skills related to nursing information literacy include:

A. differentiating between scholarly and popular journals. B. locating and retrieving information from credible sources. C. recognizing a need for information. D. All of these are correct.

Quantitative data collection tools or instruments generate numerical data rather than text-based data. Examples of these types of tools include:

A. questionnaires. B. interviews, email interviews, and surveys, including web-based surveys. C. quizzes and assessments. D. All of these are correct

Nursing terminology must be easy to access, with information and knowledge available anywhere. These qualities can be described by which of the following terms?

Accessibility and ubiquity

___________ is a type of study in which patients who have an outcome of interest and patients who do not have the outcome are identified; the researcher then looks back in time (typically using health records) to determine exposures and experiences that could have contributed to the outcome occurring or not occurring.

Case control research

A nurse is documenting nursing care in the electronic health record. What is the most important reason for this action?

Communicating patient information to help coordinate care

__________ laws in the world of technology are notoriously misunderstood. The same laws that cover physical books, artwork, and other creative material apply in the digital world, and violations can lead to prosecution.

Copyright

____________ is the process by which data collected during the course of a study are processed to identify trends and patterns of relationships.

Data analysis

The HITECH Act has had a significant impact on HIPAA's Privacy and Security Rules in which of the following ways?

Enhanced notification requirements in the event of a breach in the security of health information

A nurse recognizes that there is an increase in urinary tract infections when urinary catheters are left in place for more than 24 hours. The nurse questions, "Does leaving catheters in place for more than 24 hours increase the risk of infection?" The nurse has initiated which method of research?

Evidence-based practice

A nurse is evaluating the effectiveness of nursing interventions. Which type of knowledge will they use?

Explicit

True or False? As AI becomes more sophisticated, it is likely to replace human decision-making in health care.

False

True or False? HIPAA was signed into law by President Bill Clinton in 1996 to monitor physicians and hospitals and enhance information exchange without consequences.

False

True or False? Qualitative data focus on numbers and frequencies, with the goal of describing a situation or looking for more robust relationships such as correlations and specific variable contributions to an outcome. This aim stands in contrast to quantitative analysis, which focuses on experiences and meaning.

False

True or False? The time between research dissemination and clinical translation is typically 1 to 2 months.

False

True or False? Videos have been combined as earcons to represent relationships among data elements, such as the relationship of systolic to diastolic blood pressure.

False

A nurse is educating a patient on privacy of health information. The nurse explains that privacy is part of which federal law?

Health Insurance Portability and Accountability Act

A nurse is reading a nursing research article and would like to translate the findings into clinical practice. Which of the following can help the nurse bridge the gap between research and practice?

Identify a clinical mentor who can help with understanding the research.

A nurse researcher is initiating an evidence-based research project and understands that the initial step in translating research into practice is which of the following?

Identifying the problem, issue, or topic in nursing practice

From which perspective does cognitive science study the mind, intelligence, and behavior?

Information processing

Which of the following is/are a professional database?

MEDLINE and Cumulative Index to Nursing and Allied Health Literature (CINAHL)

CMS meaningful use guidelines were replaced by which of the following laws?

Medicare Access and CHIP Reauthorization Act

A nurse using open access for a literature search would be able to obtain which of the following?

Peer-reviewed, free journal articles

In 2015, the American Nurses Association published the second edition of the:

Nursing Informatics: Scope and Standards of Practice.

Which of the following terms is defined as any physical or mental health information created, received, or stored by a "covered entity" that can be used to identify an individual patient, regardless of the form of the health information.

Protected health information

A nursing instructor is teaching nursing students about informatics and evidence-based practice, which are key competencies in which of the following?

Quality and Safety Education for Nurses (QSEN)

A nurse is caring for a complex patient with a multidisciplinary team. The nurse demonstrates autonomy, advanced critical thinking, and interpersonal skills. What challenge might this nurse have in working with the team?

Resistance to change

True or False? Information literacy initiates, sustains, and extends lifelong learning through abilities that may use technologies but are ultimately independent of them.

True

A nurse has committed to lifelong learning and understands that it will come from which of the following?

The knowledge generation and dissemination from other healthcare providers

A patient's electronic health record in a health system has been breached by an outside source. Which of the following is the priority action by the health system?

The patient must be notified of the breach.

True or False? A key benefit of using electronic data collection is the ability to transmit data to another computer directly for compilation and analysis, thereby cutting down on the risk of error.

True

True or False? A security breach is considered discovered as soon as an employee other than the individual who committed the breach knows or should have known of the breach, such as unauthorized access or even an unsuccessful attempt to access information.

True

True or False? All nurses need to be engaged in the development and integration of a nationwide electronic health record.

True

True or False? Big data is a field that deals with ways to examine, analyze, and systematically extract data and information from data sets that are too large or complex to be processed using conventional data-processing application software. The ability to research these data using advanced data analytics to find better answers is changing the healthcare landscape and how we care for our patients.

True

True or False? Cognitive science is the interdisciplinary field that studies the mind, intelligence, and behavior from an information processing perspective.

True

True or False? Existing accounting rules are enhanced under the HITECH Act, giving patients the right to access their EHR and receive an accounting of all disclosures. Before the HITECH Act, HIPAA regulations provided an exception to the accounting requirements.

True

True or False? In order for people to interact with other devices and computers, these machines must have smart ways to interact with each other. Near Field Communication Interface and Protocol (NFCIP-1) provides the communication network for these devices to be interconnected.

True

True or False? In the future, nurses are likely to have access to evidence and knowledge derived from large aggregates of clinical data, including nursing interventions and resultant outcomes.

True

Microblogging occurs on/in:

a tweet

A nurse attends continuing education programs and reads nursing research articles regularly, thereby:

contributing to the nurse's foundation of knowledge

The FITT model:

encourages the evaluator to examine the fit between each two of the components: user and technology, task and technology, and user and task.

Reflection on practice to gain insight into why an approach was successful (or not) in a practice situation helps a professional to build:

tacit knowledge

In ethics theory, nonmaleficence means:

the obligation not to inflict harm intentionally

The most reliable source of research evidence for informing practice is:

the randomized controlled trial.

The use of social media has increased dramatically in recent years among:

virtually all groups

A nurse takes a continuing education course on a new nursing skill. The application of this new knowledge in a practical way is known as:

wisdom.


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