N400 Ch20: Nursing Informatics
An informatics nurse specialist is describing the role of informatics in health care to a group of staff at a facility. The nurse specialist determines that the teaching was successful when the group identifies which as a core practice area? electronic health record telehealth patient portals data analytics
electronic health record
An informatics nurse specialist teaches a group of staff nurses how to document client care in the new electronic health record. To document assessment findings, the nurses are to select the correct information from a drop-down list. During the teaching session, one of the nurses asks, "Why do we have to use this list. Why can't we just type in what we want to say?" Which response by the informatics nurse specialist would reflect the most important reason for documenting in this way? "Documenting this way allows nurses' actions to be measured." "This type of documentation is what the system will support." "It avoids issues related to typing that most nurses have." "This type of free-text documentation is more effective for communication."
"Documenting this way allows nurses' actions to be measured."
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? Analyze and Plan Test Train Implement
Analyze and Plan
An informatics nurse is assisting with the development of a new clinical information system that will be implemented in the facility. As part of the process, the team is evaluating the purpose of the system and the technological options available. The team is in which phase of the system development lifecycle? Analyze and plan Design Test Train
Analyze and plan
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? Forgiveness Efficient interactions Naturalness Effective use of language
Efficient interactions
An informatics nurse is evaluating a new clinical information system for usability. The nurse notes that the system requires the user to complete a maximum of 3 steps to complete a task. The system also provides shortcuts to frequent users of the system. The nurse would determine that which concept of usability is being addressed? Consistency Minimizing cognitive load Efficient interactions Naturalness
Efficient interactions
A nurse working in a primary care provider's office is using the clinical information system to review a client's health information. The nurse is able to review the client's last visit to the primary care provider as well as information from a recent hospitalization, and also a visit that the client made to the cardiologist last week. The nurse's ability to review this information is based on which aspect of the clinical information system? Usability Optimization Interoperability Security
Interoperability
An informatics nurse is part of a team that is testing a new electronic health record system. The testing involves large groups of health care providers who will be using the system. During this testing, the system stalls and fails to respond when large numbers of providers are using the system at the same time. Which phase of testing is being conducted? Integration Function Performance User acceptance
Performance
A nurse is reviewing the medical record of a client at the clinic. The nurse notes that the medication and dosage prescribed for the client was based on information gathered about the client's genetic makeup from the electronic health record. The nurse interprets this as: Genetics Genomics Pharmacogenomics Telehealth
Pharmacogenomics
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
Predictive analytics
A informatics nurse is working as part of a team that is working to develop a new electronic health record system that will be used in the facility. The team has thoroughly analyzed, planned, and designed an appropriate system and is planning to test the system. Which type of testing would the team do first? Unit Function Integration Performance
Unit
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? Use of strong passwords Thorough knowledge of interoperability Intuitive system design Testing
Use of strong passwords
A facility is planning to implement an update to the electronic health record. This update is designed to facilitate documentation of critical changes in clients' condition to save time that nurses spend when documenting these changes. An informatics nurse specialist asks a group of staff nurses to test this update to determine if it is working as it was designed. The nurses are involved in which type of testing? Performance User acceptance Integration Function
User acceptance
An informatics nurse specialist is engaged in evaluating a clinical information system. At which time would the nurse specialist anticipate the need to obtain help from a statistician? During the literature search When determining the data collection method When preparing how to display the data Just before documenting the outcome evaluation
When determining the data collection method
A nurse is attending a job fair at the local community center and stops at a booth that is demonstrating technology for client care. While touring the booth, the nurse meets an informatics nurse specialist (INS). Being unfamiliar with this position, the nurse asks the INS, "How did you get this position?" Which response by the nurse would be most appropriate? "I am required to have a bachelor's degree in nursing." "I've had graduate-level education focusing on informatics." "I was involved in getting our electronic health record off the ground." "I have a doctorate in nursing with a minor in computer technology."
"I've had graduate-level education focusing on informatics."
An informatics nurse specialist is working with a team to design a clinical information system. To ensure system usability, the team would make sure that the language meets which criterion? Select all that apply. Conciseness Clarity Jargon-like Familiarity for the user Computer-based
Conciseness Clarity Familiarity for the user
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? "It involves working primarily with computers and programming codes." "It refers to the use of the electronic health record." "It combines nursing science with information management and analytical sciences." "It is a specialty that deals with online client educational programs.""
"It combines nursing science with information management and analytical sciences."
A client comes to the primary care provider's office for a routine follow-up visit. While completing the assessment, the nurse tells that client about a new patient portal that the office has begun to use. The client asks the nurse, "I guess this is a good thing, but what is it and what does it do?" Which response by the nurse would be appropriate? Select all that apply. "You can use it to set up contact with your health insurance company." "It's a site you can access through your home computer or smartphone." "It allows you to get information about your health status and care." "You can communicate with your provider through the system." "It allows you to request refills for your prescriptions."
"It's a site you can access through your home computer or smartphone." "It allows you to get information about your health status and care." "You can communicate with your provider through the system." "It allows you to request refills for your prescriptions."
A nurse asks an informatics nurse, "How can I make sure that the passwords I create are strong enough to prevent a security problem?" Which action would be appropriate for the informatics nurse to suggest to the nurse? Select all that apply. "Make sure that your password is at least eight characters long." "Sharing your password with a coworker is okay but not with anyone else." "Wait at least 2 months before you reuse a password." "Try using a mnemonic that works only for you." "Avoid using multifactor authentication whenever possible."
"Make sure that your password is at least eight characters long." "Try using a mnemonic that works only for you."
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? "This information will help us meet accreditation standards." "We need to show evidence to the executives that the money has been well spent." "We can make improvements to the system to improve our delivery of care." "This is part of the standard protocol required by federal legislation."
"We can make improvements to the system to improve our delivery of care."
An informatics nurse is discussing the implementation of a new documentation system with a group of staff nurses who are using the system. Which response by the group would indicate to the nurse that the system's usability is effective? Select all that apply. "We've noticed that this system really helps to save us valuable time." "Using the system is highly intuitive." "This system makes it challenging to complete tasks." "This system fits nicely into how we work." "The screen has a lot of confusing information on it."
"We've noticed that this system really helps to save us valuable time." "Using the system is highly intuitive." "This system fits nicely into how we work."
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? "You don't have to worry about trying to read poor handwriting." "The computer reminds the nurse to enter information and inhibits omissions." "You save time because you don't have to look for the physical chart." "You can make extra money with overtime pay with end-of-shift charting."
"You can make extra money with overtime pay with end-of-shift charting."
A facility plans to implement a new electronic medication documentation system. An informatics nurse specialist conducts a focus group with staff nurses to gather information. The nurse specialist asks the group about the current system being used, including a step-by-step account of the actions they perform. The nurse specialist also asks the nurses how they see this new system affecting this process and their overall daily tasks. The informatics nurse specialist is demonstrating which ANA informatics competency? Assessment Outcomes identification Planning Coordination of activities
Assessment
An informatics nurse specialist working at an ambulatory care center is interviewing clients about their experiences in using the center's patient portal. A majority of the clients have voiced dissatisfaction, stating that they "find the display screen confusing and are not sure what to click on to get the necessary information." They also talk about difficulties in trying to find their test results. Based on this information, the nurse specialist identifies a need to talk with the information technology team about ways to make the portal easier for clients to use. The informatics nurse specialist is demonstrating which ANA informatics competency? Professional practice evaluation Collaboration Resource utilization Environmental health
Collaboration
An informatics nurse is demonstrating how to use an updated version of an electronic documentation system to a group of staff nurses. The nurse shows the staff that they can follow the same steps that they used with the previous system but need to add one additional final step to the process. The informatics nurse's actions reflect which concept of usabilty? Simplicity Consistency Naturalness Minimizing cognitive load
Consistency
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? Data Information Knowledge Wisdom
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
Data
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? Data visualization Predictive analytics Big Data Data mining
Data visualization
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? Analyze and plan Design and build Test Train
Design and build
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
Determine the need or problem to be solved
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? Florence Nightingale Dorothea Orem Hildegard Peplau Virginia Henderson
Florence Nightingale
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? Health teaching and health promotion Consultation Quality of practice Leadership
Health teaching and health promotion
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
Identify clients at risk for infection
An informatics nurse is assisting with the evaluation of a newly implemented system for electronic documentation of client assessments. The nurse is planning to involve staff nurses in this process. When beginning the evaluation process, the informatics nurse would focus on which area first? Identifying what will be evaluated Developing the question related to what data is to be collected Reviewing available databases related to the topic Collecting the necessary data
Identifying what will be evaluated
An informatics nurse specialist is working as part of a team to develop and implement a new electronic documentation and reporting system at the clinic. The team has analyzed the situation, created a plan based on supporting evidence, created a design, built the program, and has worked out issues with the system. Staff who will be using the system have received education about the system and how it works, as well as how to use it. The team would proceed to which phase of the system development lifecycle next? Test Implement Maintain Evaluate
Implement
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. Improvement in health care quality Increased health disparities Greater client engagement Reduction in privacy breaches of client information Reduced health of populations
Improvement in health care quality Greater client engagement Reduction in privacy breaches of client information
An informatics nurse specialist has received an update from the vendor who is providing the electronic health record. During which phase of the system development lifecycle would this update be made? Test Maintain Implement Evaluate
Maintain
An informatics nurse specialist is interviewing several nurses who have participated in testing a new electronic assessment tool. The nurses report that the tool "feels so familiar, like we know exactly what it is that we're supposed to do." The nurse specialist interprets this as indicating which concept? Naturalness Consistency Simplicity Forgiveness
Naturalness
An informatics nurse specialist is involved with implementing strategies to improve the performance of the clinical information system being used. As part of this process, the nurse specialist is working on updating the plans of care in the system to reflect changes to a procedure based on new evidence. The nurse is also working to streamline the display screens to reduce the need to document the same information in three different areas. The nurse specialist is addressing which aspect of the system? Usability Optimization Standard terminology Interoperability
Optimization
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? Patient portal Telehealth Telemedicine Telecare
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? Patient portal Electronic health record Clinical information system Predictive analytics
Patient portal
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? Client engagement technology Data aggregation technology Telemedicine and mobile technology Population health management technology
Telemedicine and mobile technology
An informatics nurse specialist is preparing a presentation about patient portals for a group of primary care providers in an office practice. When describing the tasks that can be accomplished by clients using the portal, which activity would the informatics nurse specialist include? Select all that apply. Paying their bill Checking their lab test results Scheduling appointments Talking with the provider face-to-face Receiving screening reminders
Paying their bill Checking their lab test results Scheduling appointments Receiving screening reminders
An informatics nurse is involved in testing an update to a clinical information system. Numerous caregivers are using the system at the same time. The testing is being done to see if the system can handle the large amount of users at one time. The nurse is involved with which type of testing? Unit Function Performance User-acceptance
Performance
An informatics nurse specialist is conducting a seminar on the emergence of telehealth and its importance in health care delivery. The nurse specialist determines that additional discussion is needed when the group identifies which aspect as an advantage of this technology? Promote the development of new health care services Provides a new way to delivery existing health care Helps to save time and money Aids in reducing time spent away from work
Promote the development of new health care services
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? Simplicity Naturalness Consistency Forgiveness
Simplicity
A healthcare provider in a different state is reviewing the x-rays and scans of a patient who lives in another state. The patient's primary care provider has asked the other healthcare provider for their interpretation of the tests and to obtain the provider's opinion about the diagnosis. Which technology is being used? Telehealth Telemedicine Patient portal Diagnostic application
Telehealth
An informatics nurse specialist is working with a team designing an update to a clinical information system being used by the nursing staff. When selecting the language to be used with the system, which characteristic would be most appropriate to address? Select all that apply. Terminology is clear and concise for the nurses Terminology reflects the technological aspects of a system Terminology is familiar to the user Terminology reflects the users work context Terminology is ambiguous to the user
Terminology is clear and concise for the nurses Terminology is familiar to the user Terminology reflects the users work context
Which strategy could be implemented by the nurse in ensuring the protection of electronic data at health care agencies? The nurses are expected to change their access number and password less frequently. The nurse is being asked to remove the screen saver for data that have been displayed for prolong periods. The nurse gives unlimited access to the multidisciplinary team so that personnel from various departments can retrieve data. The nurse locks out client information, except to those who have been authorized through appropriate security measures.
The nurse locks out client information, except to those who have been authorized through appropriate security measures.
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? Usability Interoperability Optimization Security
Usability
