Nursing Informatics Ch 5-8, Midterm Nursing Info. and Tech.

T/F A password consisting of the ampersand and the user's birthdate is strong.

False

T/F Current telehealth technologies are focused on clinicians being able to see patients and not interact with them since audio and streaming video capabilities are costly.

False

T/F It is safe to open an email from a known sender.

False

T/F Stage 1 meaningful use criteria focused on health information exchange and patient control over health data.

False

Information

Processing in Nursing Informatics will assist in the transformation of data into ______________, and _____________ into knowledge. A. healthcare B. research C. wisdom D. information

interpretation of data

A nurse reviews the electronic health record of a patient and identifies a drug allergy to the medication that has been prescribed. The nurse has demonstrated: A. informatics competency. B. interpretation of data. C. generation of new knowledge. D. dissemination of nursing science.

Reason

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: A. reason. B. empiricism. C. intuition. D. instinct.

gathering information and data

A nurse reviews the patient's electronic health record prior to meeting the patient. The nurse is: A. acquiring knowledge and wisdom. B. analyzing knowledge and data. C. gathering information and data. D. applying knowledge from the basic sciences.

All of these are correct

A nurse's knowledge work includes interpreting or evaluating trends in: A. laboratory results. B. symptoms. C. outcomes. D. All of these are correct.

acquiring knowledge

A nursing professional reads a nursing journal article on a new patient care technology. This nursing professional is: A. generating knowledge. B. using feedback. C. acquiring knowledge. D. processing knowledge.

What is the name of the federal legislation in the United States to control how financial institutions handle the private information they collect from individuals? A. Gramm-Leach-Bliley Act (GLBA) B. Sarbanes-Oxley (SOX) Act C. HL7 D. All of these are correct

A. Gramm Leach Bliley Act (GLBA)

The prevalence of healthcare-associated infections demonstrates how the _________ can address healthcare quality issues. A. electronic health record B. paper-based chart C. local database D. All of these are correct

A. electronic health record

True

Artificial intelligence is the field that deals with the conception, development, and implementation of informatics tools based on intelligent technologies. This field attempts to capture the complex processes of human thought and intelligence. True or false

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. A. negligent behavior B. a breach C. a violation D. an infringement

B. a breach

A strength of the FITT Model is that it: A. observes the steps users are likely to take to use the interface to accomplish typical tasks. B. encourages the evaluator to examine the fit between each 2 of the components: user and technology, task and technology, and user and task. C. is the least expensive testing method D. all of these are correct

B. encourages the evaluator to examine the fit between each 2 of the components: user and technology, task and technology, and user and task.

What is the human technology interface? A. software being designed to make technology work faster B. hardware and software that support humans interacting with technology C. hardware designed to facilitate its software D. educating users on the use of the system

B. hardware and software that support humans interacting with technology

A hardware security tool that helps protect an organization against security breaches by issuing masks to protect the identity of a corporation's employees who are accessing the internet is a: A. masking program B. proxy server C. antivirus program D. firewall

B. proxy server

____________ is the ability to manage results of all types electronically including laboratory and radiology procedure reports, both current and historical. A. electronic searching B. results management C. data warehousing D. digital manipulation

B. results management

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 or issues with "bring your own device" (BYOD)? A. validity B. security of PHI C. portability D. All of these are correct

B. security of PHI

Some organizations provide offsite employees such as homecare nurses with a network interface device that does not have secure info stored on it. These devices are known as: A. secure devices B. thin clients C. networking facilitators D. All of these are correct

B. thin clients

Behaviors leading to unintentional data breaches includes: A. safeguarding an input device B. walking away from a work station without logging off C. using numerical characters in a password D. two of these are ridiculous

B. walking away from a work station without logging off

Acceptable use policies in an organization typically restrict downloads of files by employees because: A. employees may waste work time B. downloads interfere with backup and storage of data C. downloads increase vulnerabilities to viruses D. all of these are correct

C. downloads increase vulnerabilities to viruses

An informatics nurse is consulting with a health care organization for expansion of the electronic health record (EHR). Which of the following is a barrier to expansion of EHRs in healthcare organizations? A. nursing staff work support B. lack of meaningful use incentives C. financial barriers D. need to decrease interoperability

C. financial barriers

Organizations are able to monitor who is using the organizational network and what files that user has accessed, because any use of an electronic network: A. constitutes fair use B. protects against spam C. leaves a digital footprint D. all of these are correct

C. leaves a digital footprint

Which of the following terms is defined as any physical or mental health information created, received, or stored by a 'covered entoty' that can be used to identify an individual patient, regardless of the form of the health information. A. provider health info B. patient health info C. protected health info D. All of these are correct

C. protected health info

An ID badge is an example of authentication by: A. something the user knows B. something the user is C. something the user has D. all of these are dumb

C. something the user has

__________ is the term that denotes the ease with which people can use an interface to achieve a particular goal. A. workaround B. situational awareness C. usability D. all of these are correct

C. usability

All of These are correct

Clinical decision support systems help users to: A. consider consequences of alternative actions. B. provide stores of information. C. make decisions in unfamiliar circumstances. D. All of these are correct.

human mental workload.

Considering principles of cognitive informatics when designing technology interfaces helps to mitigate A. information processing. B. use of resources. C. human mental workload. D. None of these is correct.

A decisions support system in the electronic health record consists of: A. reminders and alerts to improve the diagnosis of a patient B.screening for drug selection, dosing, and interactions C. preventative health reminders D. All of these are correct

D. All of these are correct

HIPAA was enacted by the federal government for several purposes, including: A. better portability of health insurance as a worker moved from one job to another. B. Deterrence of fraud, abuse, and waste within the healthcare delivery system. C. Simplification of the administrative functions associated with the delivery of healthcare, such as reimbursement claims sent to Medicare and Medicaid. D. All of the above

D. all of the above

An organization's confidentiality policy should clearly define: A. which data are confidential B. procedures for releasing confidential information C. procedures to follow if confidential information is accidentally released without authorization D. all of these are correct

D. all of these are correct

Health information and data in the electronic health record consists of: A. demographics B. medical diagnoses C. medication lists and allergies D. all of these are correct

D. all of these are correct

Positive impacts noted with using an informatics system to manage patients with chronic illness includes: A. guidelines adherence B. a decrease in ED visits C. improved provider documentation D. all of these are correct

D. all of these are correct

Task analysis involves: A. inputs needed for the task B. how a task must be accomplished C. constraints on actors choices on carrying out the task D. all of these are correct

D. all of these are correct

Successful pre-live strategies in a change management plan developed for implementing an electronic health record will include all of the following except: A. involving subject matter experts to validate workflow B. formal training activities C. hosting end user usability testing sessions D. disciplinary measures for addressing resistance by professionals

D. disciplinary measures for addressing resistance by professionals

True

Ethical dilemmas arise when issues raise questions that cannot be answered with a simple, clearly defined rule, fact, or authoritative view. t/f

B.

Ethics is best described as: A. ever-changing principles that guide decision making. B. a process of systematically examining varying viewpoints related to moral questions of right and wrong. C. paradigmatic changes that involve rhythmic processes central to the healthcare system. D. a revolution in health care brought on by technologic change.

True

Every nurse must commit to lifelong learning and the use of knowledge in practice in order to be successful. True or False

T/F An electronic health record may lead to better clinical decision making by integrating patient information from multiple sources.

True

T/F Browser privacy settings can control how cookies are used

True

T/F 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.

True

T/F Cognitive task analysis usually starts by identifying, through interviews or questionnaires, the particular task and its typicality and frequency.

True

T/F Human technology interface problems are a major cause of patient monitoring incidents. It is not always that the technology itself is faulty. In fact, the technology may perform flawlessly, but the interface design may cause human error.

True

T/F The HIPAA privacy requirements, which went into effect 14 Apr 03, limited the release of protected health information without the patient's knowledge and consent.

True

T/F The electronic health record may be used to identify patients who qualify for research studies.

True

T/F The popularity of social and mobile networking applications is one indication of how new web-based technologies are changing preferences.

True

To manage and communicate data, information, knowledge, and wisdom in the delivery of nursing care

Which of the following best describes the central goal of nursing informatics? A. To manage and communicate data, information, knowledge, and wisdom in the delivery of nursing care B. To foster interdisciplinary collaboration and communication in a healthcare organization C. To increase efficiency of care delivery and help to manage costs D. To promote patient safety and prevent falls by assigning a fall risk number to hospitalized patients

Wisdom

Which of the following can be described as the appropriate use of knowledge to manage and solve human problems? A. Research B. Wisdom C. Transformation D. Information

Close the electronic health record immediately.

A new nurse is documenting in a patient's electronic health record when a visitor approaches the nurse to ask questions. What should the nurse do to ensure confidentiality and security of the patient's electronic health record? A. Close the electronic health record immediately. B. Take the visitor to the nurse's station for assistance. C. Continue documenting the record and answer the visitor's questions. D. None of these is correct.

A Moral

A nurse is considering a social convention about right and wrong human conduct that has formed a communal social consensus, known as which of the following? A. A value B. A bioethic C. A moral D. A right

A technologically based translator

A nurse is discussing options in the treatment plan with a patient who speaks another language. To enhance interaction and exchange of data and information, the nurse will use which of the following? A. An Internet website on the medical condition B. A family member as a translator C. A technologically based translator D. Another nurse to translate the information

communication with other healthcare providers

A nurse is documenting patient data in the electronic health record, which will assist in: A. all of the above B. communication with other healthcare providers. C. learning new nursing skills D. the communication of patient status updates with the patient's friends

c

A nurse is explaining justice in health care to a nursing student. Which statement is correct? A. "Justice refers to the individual's freedom from controlling interferences by others and from personal limitations that prevent meaningful choices." B. "Justice is intentionally imposing risks that are unreasonable and unintentionally but carelessly imposing risks." C. "Justice refers to fair, equitable, and appropriate treatment no matter what is owed to a person." D. "Justice refers to actions performed that contribute to the welfare of others."

B

A nurse is explaining nursing informatics to a nursing student. Which statement by the nurse is correct, according to the ANA? A. "Nursing science is based in computer engineering and sciences." B. "Nursing informatics integrates nursing science with multiple information and analytical sciences to identify, define, manage, and communicate data, information, knowledge and wisdom in nursing practice." C. "Nursing informatics is a combination of computer science and mathematics." D. "Nursing informatics involves information science and computer technology."

Heart monitor

A nurse is performing a physical assessment on a patient with chest pain. Which of the following is a technology that the nurse would use to obtain objective data on the physical status of the patient? A. Electronic health record B. Heart monitor C. Clinical practice guideline D. Electronic nursing journal

Psychology

A nurse is reading literature on cognitive science and understands that this discipline is influenced by which field of science? A. Physiology B. Sociology C. Psychology D. Chemistry

Data

A nurse is reviewing the conceptual framework of nursing informatics and understands the first concept in this framework is: A. decision making. B. data. C. knowledge. D. informatio

c

A nurse is teaching a nursing student about the use of social media and health care. Which statement is correct by the nurse? A. "Posts on social media can be deleted, so caution in posting is overrated." B. "Social media is safe for nurses to use because individuals can restrict access to posts." C. "Nurses must use social media cautiously to protect patients' rights." D. "Nurses can use social media at work as long as they don't post pictures of themselves with patients."

insulin pump

An example of an expert system is the: A. non-programmed intravenous pump. B. insulin pump. C. pulse oximeter. D. the electrocardiographic monitor.

Videoconferencing technology: A. is very easy to use B. allows professionals to communicate more effectively and frequently with in-home patients C. must be used for telehealth D. all of these are correct

B. allows professionals to communicate more effectively and frequently with in-home patients

Surveys of potential or actual users of a website can be conducted to: A. observe the steps users are likely to take to use the interface to accomplish typical tasks B. encourage the evaluator to examine the fit between each two of the components: user and technology, task and technology, and user and task. C. reveal problems with the decision rules used to tailor content to users. D. assess preferences for a number of design characteristics such as display color, menu buttons, text, photo size, icon metaphor, and layout by selecting, on a computer screen, their preferences for each item from 2 or 3 options.

D. assess preferences for a number of design characteristics such as display color, menu buttons, text, photo size, icon metaphor, and layout by selecting, on a computer screen, their preferences for each item from 2 or 3 options.

How much is spent on healthcare in the United States per year? A. less than $1 trillion B. greater than $1 billion C. less than $2 billion D. greater than $2 trillion

D. greater than $2 trillion

A nurse is documenting in the electronic health record and uses standardized terminology, which is important because: A. it reduces inoperability B. it prevents info from being shared C. it ensures the right diagnosis code will be used D. it captures and codifies the work of nursing

D. it captures and codifies the work of nursing

data and information

Experts in computer science strive to understand how the mind processes: A. data and information. B. knowledge. C. sensory input. D. None of these is correct.

True

Extended and expanded access to clinical research findings and decision support tools has been significantly influenced by the advent of computerization and the Internet. T/F

True

Knowledge can be defined as the awareness and understanding of a set of information. T/F

privacy and confidentiality

New technologies used in health care, such as smartphones and Google Glass, create potential ethical issues associated with: A. cognitive load. B. interoperability. C. the human technology interface. D. privacy and confidentiality

Ability to share knowledge

Paper documentation (paper record) hinders which of the following? A. Ability to use nursing terminology B. Ability to care for patients C. Ability to apply research to patient care D. Ability to share knowledge

All of these are correct

Some of the disciplines involved in cognitive science include: A. psychology and philosophy. B. neuroscience and linguistics. C. biology and physics. D. All of these are correct.

reach a rational justifiable decision

The main goal of any ethical decision is to: A. promote professionalism. B. promote trust. C. generate knowledge. D. reach a rational justifiable decision.

clinical decision support tools

Understanding of clinical practice decision making using cognitive science principles promotes the development of: A. administrative processing systems. B. clinical decision support tools. C. knowledge warehouses. D. All of these are correct.

wisdom, courage, self-control, and justice

What are the 4 cardinal virtues according to Plato? A. wisdom, courage, self-control, and revenge B. wisdom, courage, self-control, and justice C. imagination, courage, self-control, and justice D. wisdom, independence, self-control, and justice

feedback

When a nurse uses information from other sources to help rethink, revise, and apply knowledge to a clinical situation, this information is known as: Answers: A. feedback. B. knowledge processing. C. knowledge engineering. D. None of these is correct

All of these

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

Nonmaleficence

Which of the following terms matches this definition: "Do no harm, or an obligation not to inflict harm intentionally" A. Confidentiality B. Ethical decision making C. Nonmaleficence D. Privacy

B

t is important to use standardized terminologies in nursing practice, because: A. data cannot be shared between clinicians. B. it provides continuity of care between care providers and identifies trends. C. it encourages free text documentation by clinicians. D. All of these are correct.

T/F 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