Nursing Informatics Final Exam
Which acronym is used to identify a standard patient classification system developed in the early 1980s for the purpose of reviewing the use of hospital resources?
DRG (diagnosis related groups)
Antivirus programs are best suited to deal with a virus attached to what form of electronic communication?
Emails
Is this statement true or false? (22) The Privacy Rule of HIPAA only covers electronic health records.
False (22)
What is the greatest advantage of an EHR?
Information can be accessed wherever internet access is available
What is the greatest concern about information presented on the World Wide Web?
Its validity is not guaranteed
Which of the following are ways to keep personal health information safe?
Think carefully before sharing information on social media, create strong passwords, use caution when using mobile devices to store health information
What is an example of an interface technology?
NANDA
Patient outcomes are the focus of which data set?
Nursing Outcomes Classification (NOC)
What is the key difference between an EMR and a PHR?
Who manages the records
What information source is the most reliable for presenting evidence-based information?
a scholarly nursing journal website
Which organization founded in 1987 has 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)
What is NOT health information that is protected under HIPAA?
Health information stored on a personal device
How can you tell if a website is a secure one?
Its address will begin with https://
What form of online communication would best substitute for a traditional nursing seminar?
Webinar
Finish the sentence: The EHR is a(n) ___ health care record.
interoperable
What is the purpose of interface terminology?
Allows for the electronic translation or correlation of one reference terminology into that of another
When considering system interoperability, what is a standard?
An agreement to the use of specific methods of achieving interoperability
What is the purpose of clinical terminologies?
Assist in data collection
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 the following are technical safeguards to keep protected health information safe?
Audit trails, ensuring the person logging into the system is in fact that person, secure networks
Which of the following are physical safeguards to keep protected health information safe?
Cable locks and computer monitor privacy filters, locks and alarms in the building
North American Nursing Diagnosis Association (NANDA) is an example of what type of terminology?
Classification
How is a wiki most useful to nursing?
Collaborative work on a research project
What areas of electronic information security does the Health Insurance Portability and Accountability Act (HIPAA) govern?
Disposal, reuse, removal, transfer
What is an example of a sensational writing style?
Drop 30 pounds in 5 days with this new miracle pill!!!!!
What is an example of informatics applied in nursing?
Electronic Health Record (EHR)
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
Is this statement true or false? (12) All health related websites can be trusted to provide reliable information.
False (12)
Healthcare.gov is what type of internet site?
Health portal
The standard billing terminology used to code for diagnoses is what?
ICD
What reference terminology was established in 1974 at the National Center for Health Statistics and collaborates internationally?
ICD-9-CM
What is the primary goal of evidence based nursing practice?
Improved patient outcomes
Nurse managers would be particularly interested in which standardized data set?
Nursing Management Minimum Data Set (NMMDS)
EHRs usually contain what component?
Order entry system
In the PICO process for creating a good research question for EBP, what do each of the letters represent?
P- patient, problem or population I- intervention C- comparison O- outcome
What does PHR stand for?
Personal Health Record
What is an EHR composed of?
Several Electronic Medical Records, and the PHR
Which nursing organization is striving to become a global source of information on evidence based practice nursing?
Sigma Theta Tau International (STTI)
What is the greatest positive impact that communication among health care providers has on patient care?
Staying informed of standards of care and practices
What type of interoperability is intended to coordinate work processes?
Structural
How does standardized terminology impact nursing?
Supports effective communication between nurses
What security measure is standard for health care emails sent via "secure message delivery"?
The information is stored on a secure server
What is the foundational focus of nursing informatics?
The management of patient focused information
What 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
Is this statement true or false? (14) When you are conducting research online, it is important to know who funds the website you are viewing.
True (14)
What does the term interoperability mean?
two or more health related service providers can access and share information
Is this statement true or false? (70) Only nurses who work in the lab need to learn about the Laboratory Information System (LIS).
False (70)
Is this statement true or false? (28) Physical threats to the privacy and security of protected health information are more serious than administrative threats and need to be treated with a higher level of caution.
False (28)
Is this statement true or false? (42) The mission of LOINC is to facilitate the development, refinement, dissemination, and the use of standardized nursing diagnostic terminology.
False (42)
Is this statement true or false? (47) The purpose of billing technologies is to assist in billing patients for the services provided by health care organizations.
False (47)
Is this statement true or false? The process for asking a research question for evidence based practice involves using a mnemonic known as TIKO.
False, this mnemonic is PICO
Who is responsible for setting the firewall's protective limits on a network computer?
Network administrator
What is the first line of protection against malware viruses?
Never download files from site you are unfamiliar with
What was the first set of formal nursing diagnoses created for nursing use?
North American Nursing Diagnosis Association (NANDA)
Which topics should you consider when determining whether a website can be trusted?
Privacy, date of publication, source
Is this statement true or false? (36) One of the strongest and most important trends in health care today is evidence based practice (EBP).
True (36)
Is this statement true or false? (40) A reference terminology is a concept based, controlled medical terminology that gives a documentation term a code related to concepts at a higher level.
True (40)
Is this statement true or false? (5) The focus of informatics is information management, not computers.
True (5)
Which international organization is responsible for the codes that focus on social and environmental factors impacting the health of the people?
World Health Organization (WHO)
What are the sciences that make up nursing informatics?
Computer science, information science, nursing science
What information subsystem that contributes to data to a patient's global EHR?
Computerized Provider Order Entry (CPOE)
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
Is this statement true or false? (67) 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 (67)
What is the benefit to computer generated reporting via EHRs?
More accuracy
What methods are recommended by HealthIT.gov to improve the security of your data systems?
NIST Cybersecurity Framework, Risk assessment, Education
Which of the following are patients' rights regarding their health records?
Patients can access their records, patients can be contacted at some other place other than home regarding their records, patients can choose to designate a person or persons to access their records, patients can change misinformation
Is this statement true or false? (69) HIPAA compliance requires EHR risk assessment through documenting how the organization will mitigate and address risks.
True (69)
Is this statement true of false? (7) An example of information would be vital signs plotted on a graph.
True (7)
Is this statement true or false? (56) 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 (56)