Nurs 222 CoursePoint Chapter 20

An informatics nurse is applying the informatics framework to a clinical situation. Which component of the framework would the nurse apply first? a) Knowledge b) Information c) Wisdom d) Data

d) Data

An informatics nurse specialist is part of a team that is evaluating a clinical information system being used at the facility. Place the initial steps below in the correct order from first to last that reflect the steps necessary for the team to evaluate the system. 1) Determine what to evaluate. 2) Conduct a literature review in peer-reviewed journals. 3) Determine what data will need to be collected. 4) Determine specific data elements to be collected.

1) Determine what to evaluate. 3) Determine what data will need to be collected. 2) Conduct a literature review in peer-reviewed journals. 4) Determine specific data elements to be collected.

An informatics nurse is teaching a client recently diagnosed with heart failure how to use a web-based tool to learn more about this condition. The tool is provided by the client's primary care provider. The informatics nurse is teaching the client about: a) Telehealth b) Telemedicine c) Pharmacogenomics d) Patient portal

d) Patient portal

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. a) "We've noticed that this system really helps to save us valuable time." b) "Using the system is highly intuitive." c) "This system makes it challenging to complete tasks." d) "This system fits nicely into how we work." e) "The screen has a lot of confusing information on it."

a) "We've noticed that this system really helps to save us valuable time." b) "Using the system is highly intuitive." d) "This system fits nicely into how we work."

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? a) Analyze and Plan b) Test c) Train d) Implement

a) Analyze and Plan

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? a) Data b) Knowledge c) Information d) Wisdom

a) 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? a) Data visualization b) Predictive analytics c) Big Data d) Data mining

a) Data visualization

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? a) Electronic health record b) Telehealth c) Patient portals d) Data analytics

a) Electronic health record

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? a) Florence Nightingale b) Dorothea Orem c) Hildegard Peplau d) Virginia Henderson

a) Florence Nightingale

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? a) Identify clients at risk for infection. b) Determine client satisfaction with care. c) Correlate the client's diagnosis with intervention. d) Evaluate client care.

a) Identify clients at risk for infection.

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. a) Improvement in health care quality b) Increased health disparities c) Greater client engagement d) Reduction in privacy breaches of client information e) Reduced health of populations

a) Improvement in health care quality c) Greater client engagement d) Reduction in privacy breaches of client information

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? a) Naturalness b) Consistency c) Simplicity d) Forgiveness

a) Naturalness

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? a) Patient portal b) Electronic health record c) Clinical information system d) Predictive analytics

a) Patient portal

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. a) Paying their bill b) Checking their lab test results c) Scheduling appointments d) Talking with the provider face-to-face e) Receiving screening reminders

a) Paying their bill b) Checking their lab test results c) Scheduling appointments e) Receiving screening reminders

An informatics nurse is reading a journal article about standard terminologies. The nurse demonstrates a need to reread the article when identifying which example as reflecting a standard terminology? a) PubMed b) Nursing Interventions Classification c) Clinical Care Classification System d) NANDA Nursing Diagnoses

a) PubMed

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 incoroporating? a) Simplicity b) Naturalness c) Consistency d) Forgiveness

a) Simplicity

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. a) Terminology is clear and concise for the nurses. b) Terminology reflects the technological aspects of a system. c) Terminology is familiar to the user. d) Terminology reflects the users work context. e) Terminology is ambiguous to the user.

a) Terminology is clear and concise for the nurses. c) Terminology is familiar to the user. d) Terminology reflects the users work context.

An informatics nurse specialist is involved in evaluating a new electronic documentation system being used by the facility. The nurse specialist has collected the necessary data, analyzed it, and is now preparing to display the data using a bar graph to present the information. When displaying the data, which information would be important for the nurse specialist to include? Select all that apply. a) Title of the graph b) Date range c) Sample size d) Legends for colors e) Team members who collected the data

a) Title of the graph b) Date range c) Sample size d) Legends for colors

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? a) Usability b) Interoperability c) Optimization d) Security

a) Usability

A nurse is reading a journal article about informatics and use in health care. When reading the article, which concepts would the nurse likely expect to find as specifically related to this field? Select all that apply. a) Usability b) Optimization c) Interoperability d) Genomics e) Analytics

a) Usability b) Optimization c) Interoperability

During a recent visit to the clinic, a client tells the nurse, "I've been using my cell phone to track and record the foods that I eat so that I can better understand if I'm making healthy food choices." The nurse interprets the client's statement as reflecting which technology? a) mHealth b) Telemedicine c) Patient portal d) Pharamcogenomics

a) mHealth

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. a) "You can use it to set up contact with your health insurance company." b) "It's a site you can access through your home computer or smartphone." c) "It allows you to get information about your health status and care." d) "You can communicate with your provider through the system." e) "It allows you to request refills for your prescriptions."

b) "It's a site you can access through your home computer or smartphone." c) "It allows you to get information about your health status and care." d) "You can communicate with your provider through the system." e) "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. a) "Sharing your password with a coworker is okay but not with anyone else." b) "Make sure that your password is at least eight characters long." c) "Wait at least 2 months before you reuse a password." d) "Try using a mnemonic that works only for you." e) "Avoid using multifactor authentication whenever possible."

b) "Make sure that your password is at least eight characters long." d) "Try using a mnemonic that works only for you."

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. a) Computer-based b) Conciseness c) Clarity d) Jargon-like e) Familiarity for the user

b) Conciseness c) Clarity e) Familiarity for the user

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? a) Analyze and plan b) Design and build c) Test d) Train

b) 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? a) Identify the use of standard terminology b) Determine the need or problem to be solved c) Conduct testing of the system d) Train those who will be using the system

b) Determine the need or problem to be solved

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? a) Forgiveness b) Efficient interactions c) Naturalness d) Effective use of language

b) Efficient interactions

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? a) Test b) Implement c) Maintain d) Evaluate

b) Implement

A client comes to see the cardiologist for a routine follow-up visit. At the visit, the nurse reviews the client's electronic health record. The nurse is able to access a report from the client's last visit to the primary care provider last month and the report from an emergency department visit two weeks ago for reports of shortness of breath. The record also lists two changes in the client's medication based on the emergency department visit. The nurse's ability to access this information reflects which concept? a) Usability b) Interoperability c) Optimization d) Security

b) Interoperability

An informatics nurse specialist has been involved in obtaining feedback about a clinical information system recently implemented in the facility. The information gathered provided recommendations for improving the satisfaction of the end users when using the system. Which aspect is the informatics nurse specialist addressing? a) Usability b) Optimization c) Interoperability d) Meaningful use

b) Optimization

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? a) Usability b) Optimization c) Standard terminology d) Interoperability

b) Optimization

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? a) Data visualization b) Predictive analytics c) Big data d) Genomics

b) Predictive analytics

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? a) During the literature search. b) When determining the data collection method. c) When preparing how to display the data. d) Just before documenting the outcome evaluation.

b) When determining the data collection method.

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? a) "It involves working primarily with computers and programming codes." b) "It refers to the use of the electronic health record." c) "It combines nursing science with information management and analytical sciences." d) "It is a specialty that deals with online client educational programs."

c) "It combines nursing science with information management and analytical sciences."

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? a) "This information will help us meet accreditation standards." b) "We need to show evidence to the executives that the money has been well spent." c) "We can make improvements to the system to improve our delivery of care." d) "This is part of the standard protocol required by federal legislation."

c) "We can make improvements to the system to improve our delivery of care."

An informatics nurse specialist is using data visualization to present information about client populations admitted to the health care facility. Which type of format would the nurse most likely use? Select all that apply. a) Spreadsheet b) Textual summaries c) Bar graphs d) Infographics e) Pie charts

c) Bar graphs d) Infographics e) Pie charts

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? a) Consistency b) Minimizing cognitive load c) Efficient interactions d) Naturalness

c) Efficient interactions

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? a) Consultation b) Quality of practice c) Health teaching and health promotion d) Leadership

c) Health teaching and health promotion

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? a) Usability b) Optimization c) Interoperability d) Security

c) Interoperability

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: a) Genetics b) Genomics c) Pharmacogenomics d) Telehealth

c) Pharmacogenomics

A hospital is switching to computerized charting. The nurse recognizes that one advantage to an electronic client chart is: a) No other charting method is necessary b) Access is open to anyone c) Retrieval of information is more efficient d) It is less costly to maintain

c) Retrieval of information is more efficient

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? a) Client engagement technology b) Data aggregation technology c) Telemedicine and mobile technology d) Population health management technology

c) Telemedicine and mobile technology

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? a) "You don't have to worry about trying to read poor handwriting." b) "The computer reminds the nurse to enter information and inhibits omissions." c) "You save time because you don't have to look for the physical chart." d) "You can make extra money with overtime pay with end-of-shift charting."

d) "You can make extra money with overtime pay with end-of-shift charting."

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? a) Telehealth b) Telemedicine c) Telecare d) Patient portal

d) Patient portal

Which strategy could be implemented by the nurse in ensuring the protection of electronic data at health care agencies? a) The nurses are expected to change their access number and password less frequently. b) The nurse is being asked to remove the screen saver for data that have been displayed for prolong periods. c) The nurse gives unlimited access to the multidisciplinary team so that personnel from various departments can retrieve data. d) The nurse locks out client information, except to those who have been authorized through appropriate security measures.

d) The nurse locks out client information, except to those who have been authorized through appropriate security measures.

A nurse is conducting a client assessment and documenting the findings in the client's electronic health record (EHR). Which description would the nurse most likely enter as data in the system to document the client's activity level? a) Uses a walker to ambulate to the bathroom at night b) Walks without any difficulties c) Is unable to ambulate at all d) Walks without assistance

d) Walks without assistance

A nurse takes specific elements from the electronic health record and and then interprets and organizes them to identify relationships. The nurse applies understanding of the relationships to client care situations to enhance client care delivery. The nurse's action reflects which component of the informatics framework? a) Data b) Knowledge c) Information d) Wisdom

d) Wisdom