Quiz 2 HIT (ch.8-11)
Communication during the maintenance phase of the system's life cycle is crucial. Which is most beneficial to the organization during the maintenance phase? A) A newsletter for users is posted yearly on accessible sites for new information. B) A help desk provides 24/7 telephone user support for employees. C) Users are given Internet access and procedure manual to troubleshoot problems. D) A list of frequently asked questions (FAQs) is posted on a password-protected site.
B) A help desk provides 24/7 telephone user support for employees.
The informatics nurse is highlighting how the health information system supports knowledge. Which standardized nomenclature is an example of textual knowledge for concepts in nursing? A) HIS B) CMS C) NIH D) NIC
A) HIS
The implementation team is reviewing the upcoming plans for the information system. Which strategy might cause problems during implementation? A) Once the committee has given information to the vendor regarding system needs, a small addition is requested. B) An open system is set up so that software upgrades can be implemented quickly and easily. C) The vendor is asked to fully customize the information system for a specialty organization. D) The committee verifies that the vendor provides annual maintenance with an additional contract.
C) The vendor is asked to fully customize the information system for a specialty organization.
Any significant change in the workplace can lead to discomfort and resistance. Which statement can decrease staff resistance to the implementation of a new system? A) "Give it time; you will like it." B) "Perhaps you need more staff development programs." C) "We know what we are doing. The committee has worked on this project for months." D) "If you find that its functions are not user-friendly, the committee can make the appropriate changes."
D) "If you find that its functions are not user-friendly, the committee can make the appropriate changes."
The informatics nurse is reviewing potential clinical information systems. Which is the best example of a monitoring system? A) The automatic blood pressure machine takes one reading of 164/104 and is turned off. B) Manual blood pressure of 132/82 is entered into the vital sign section of the graphic sheet. C) A temperature probe is connected to the pulmonary artery catheter to continuously monitor core temperature. D) Blood glucose readings of 162 for 7:30 a.m. and 198 for 11:30 a.m. are obtained and entered into the computer system.
C) A temperature probe is connected to the pulmonary artery catheter to continuously monitor core temperature.
The planning committee for the implementation of the clinical information system is using a work breakdown structure (WBS). What is the purpose of this structure? A) A project planning software program is selected for use by the steering committee to assist in planning needed changes. B) The implementation committee learns about the capabilities of a new wireless system. C) A timeline is developed to determine who will do necessary tasks for the implementation of each project phase. D) A committee is formed to guide the implementation of a new wireless system.
C) A timeline is developed to determine who will do necessary tasks for the implementation of each project phase.
The implementation team is aware that backloading of some pre-existing data must be completed for the system to create accurate medication administration records and billing charges. How is this best accomplished? A) Selected data from client records are loaded into the system by data entry specialists. B) Each staff member is responsible for inputting medications for each patient for the 24 hours prior to going live. C) When the system goes live, data from clients' medication administration records since admission are inputted for all clients. D) A pharmacist selects needed data from client medication administration records and inputs the data immediately prior to going live.
D) A pharmacist selects needed data from client medication administration records and inputs the data immediately prior to going live.
The leadership team is deciding which clinical decision support system to implement in a large healthcare organization. Which should the team consider? A) A system used to schedule client visits for follow-up care after extensive abdominal surgery B) A system used to register clients who are admitted to an acute healthcare facility for surgery C) A system used by emergency room administration to bill clients once their diagnoses are verified D) A system used by nurses to provide alerts for drug allergy, drug-drug interaction, and drug-laboratory interactions
D) A system used by nurses to provide alerts for drug allergy, drug-drug interaction, and drug-laboratory interactions
The informatics nurse is reviewing usability tests to examine the effectiveness, efficiency, or satisfaction of components and interactions in the human—computer interaction framework. Which usability test should the nurse use? A) Identifying appropriate hours to offer patients sleep medication B) Completing a longitudinal study of nursing effectiveness during lunch hours C) Exploring time management strategies in central supply D) Describing the satisfaction with a new computerized provider order entry (CPOE) application.
D) Describing the satisfaction with a new computerized provider order entry (CPOE) application.
The informatics nurse meets with the health information system implementation team to review which tasks are to be completed in the week ahead. Which document should the nurse use as a reference for this information? A) Timeline B) Project scope C) Project charter D) Functionality checklist
D) Functionality checklist
The leadership team is reviewing a computer application that will send a text message to the healthcare provider when a laboratory or diagnostic test result is available to review. Which is this application demonstrating? A) Usability test B) Ergonomic enhancement C) User interface programming D) Information technology-initiated interaction
D) Information technology-initiated interaction
The project planning committee for an outpatient center is planning to conduct a needs assessment prior to implementing wireless technology to enhance their computer system. Which source should the committee identify as most valuable to assess? A) Interviews with the director and unit managers of outpatient services and the chief executive officer B) Guidelines provided by the Joint Commission C) Health Insurance Portability and Accountability Act (HIPAA) regulations D) Interviews with administrators and representative employees from all of the outpatient services
D) Interviews with administrators and representative employees from all of the outpatient services
The informatics nurse is concerned that staff members will develop health-related issues from computer work. What should the nurse explain about ergonomics to the staff? A) It is the ability of the nurse to complete computer processing. B) It focuses on correct posture while keyboarding. C) It establishes protocols for benchmarking. D) It is the physical design for safety, comfort, and convenience.
D) It is the physical design for safety, comfort, and convenience.
The informatics nurse is invited to attend a leadership meeting to discuss an upgrade to the current health information system. Which should the nurse keep in mind during this meeting? A) Altering the mission of the organization B) Representing the staff of the patient care areas C) Using as much of the current system as possible D) Ensuring the organization's place in the industry
A) Altering the mission of the organization
The implementation team is scheduling events to support system testing. Which actions should be taken to maximize the success of this testing? Select: all that apply. A) Plan ahead. B) Construct detailed test scripts. C) Determine what will be tested. D) Identify how testing will be managed. E) Identify committee members to run the tests.
A, B, C, D A) Plan ahead. B) Construct detailed test scripts. C) Determine what will be tested. D) Identify how testing will be managed.
The nurse desires to become more involved with the clinical information system and asks the informatics nurse for direction. Which skills should the informatics nurse identify as important? Select all that apply. A) Problem solving B) Communication C) Time management D) Change management E) Human resource management
A, B, C, D A) Problem solving B) Communication C) Time management D) Change management
The informatics nurse is preparing material to explain the client registration and scheduling system. Which aspect of this system tracks a patient's activities throughout the healthcare system? A) Admission system B) Admission/discharge/transfer system C) Transfer system D) Discharge system
B) Admission/discharge/transfer system
To be effective users of a new documentation system, the staff must be trained. Which approach demonstrates the most effective use of training for a new computer system? A) A training environment is set up off site. B) Training is scheduled during the normal workday. C) Training is provided with actual live software. D) Actual client data are stored in the training system.
A) A training environment is set up off site.
A group of staff nurses working on the hospice unit have notoriously been opposed to technology use. They assert technology is not essential for the care of people who are actively dying and have decided not to participate in the training process. What can be done by committee members to decrease resistance in this setting? A) Data can be collected and stored electronically to develop evidence-based practice models that would be useful in alleviating the suffering of the dying. B) Have the head nurse document the resistance in each person's file. C) Have the director of human resources attend the next staff meeting to review position descriptions. D) Terminate staff that refuse to participate in training.
A) Data can be collected and stored electronically to develop evidence-based practice models that would be useful in alleviating the suffering of the dying.
A group of nurse managers are brainstorming ways to ensure staff buy-in with the implementation of a new health information system. Which principle should the managers focus on first? A) Determine where the resistance is. B) Assess computer skills of the staff. C) Suggest disciplinary actions for resisters. D) Identify those who might voluntarily terminate.
A) Determine where the resistance is.
The informatics nurse is leading the team for the implementation of the clinical information system. Which is a key element for a successful system implementation? A) Effective training B) Incorporating data dictionaries at every terminal C) Providing a help desk during the day shift D) Finding an ancillary staff member to assist in troubleshooting the new system
A) Effective training
A hospital is implementing a new electronic nurse charting system. When selecting members for the implementation committee, which colleague should be given priority? A) Informatics nurse specialist B) Experienced consultant C) Planning committee chairperson D) Chief information officer
A) Informatics nurse specialist
A large healthcare organization is reviewing the health information systems being used in the various facilities. Which facility would benefit the most from a complete computer system upgrade? A) Mid-sized facility using a mainframe legacy system B) A small clinic that has an electronic record system in place C) Merging two smaller facilities that use similar mainframe systems D) Merging three large facilities that use similar Windows-based operating systems
A) Mid-sized facility using a mainframe legacy system
Scanning the environment is part of the planning process. Which should the informatics nurse consider as part of the external environment? A) Published reports B) Interviews from managers C) Questionnaires from managers and end users D) Observations of current technology
A) Published reports
The leadership team is meeting to determine the vision for the future of the organization. Which is the very first step in any strategic planning process? A) Realization of the need for change B) Review of the mission C) Gather key stakeholders D) Assess the budget
A) Realization of the need for change
An implementation is to go live in a limited number of client units but in all ancillary departments. The remaining client units would be scheduled to go live in groups, staggered over a specified time frame. What implementation strategy is being used? A) Roll out B) Modular C) Occur all at once D) Direct
A) Roll out
The leadership team is evaluating the types of technology to integrate with the health information system. Which term should be used to explain the entry and retrieval of information at the point of care or wherever it is needed by the healthcare professional? A) Smart technology B) Computerized order entry C) Bar coding systems D) Monitoring systems
A) Smart technology
The implementation team is considering the life cycle of the new system. Which should be considered as impacting the life cycle the most? A) The life cycle is an ongoing process that never ends. B) The life cycle and information system are unrelated. C) The life cycle stops to upgrade the system. D) The life cycle is altered with any upgrade.
A) The life cycle is an ongoing process that never ends.
The information technology department is focusing on the broad goals of usability during the analysis of a computer system. What should cause a user interface to disappear? A) The system is designed well. B) The system has multiple partners. C) The system has a comprehensive set of instructions. D) The system has little to no downtime.
A) The system is designed well.
The informatics nurse is requested to help the same staff members access and complete documentation on the new computer system. Which should be considered as a reason for the ongoing problems? A) Usability B) Ergonomics C) Learning curve D) Human—computer interaction (HCI)
A) Usability
The information technology department is reviewing usability studies. For which reason should this type of study be completed in the healthcare setting? Select all that apply. A) Assesses the adequacy of a design or redesign early in the systems life cycle B) Helps determine or clarify users' requirements determination C) Creates an interest in learning the new system D) Determines the actual price of the system E) Supports infrastructure
A, B A) Assesses the adequacy of a design or redesign early in the systems life cycle B) Helps determine or clarify users' requirements determination
The implementation team is planning the implementation of a clinical information system. Which critical element should be addressed when developing the timeline? Select all that apply. A) Necessary tasks B) Scope of each task C) The members' roles and responsibilities in accomplishing the tasks D) Driving forces of the market E) Development of crib sheets
A, B, C A) Necessary tasks B) Scope of each task C) The members' roles and responsibilities in accomplishing the tasks
The informatics nurse (NI) is assigned as the project manager for the implementation of an upgraded health information system. Which actions should the nurse take to raise the likelihood of success during this project? Select all that apply. A) Defines the scope and results of the project B) Defines who is responsible for each task C) Establishes timeline for task completion D) Establishes how project decisions will be made E) Partners with similar institutions to achieve project's goals
A, B, C, D A) Defines the scope and results of the project B) Defines who is responsible for each task C) Establishes timeline for task completion D) Establishes how project decisions will be made
The implementation committee members analyze the base system as delivered from the vendor before the system is installed in the event that clarification or changes are necessary. Which should be analyzed throughout this process? Select all that apply. A) Technology B) Vendor standing C) Vendor compliance with regulatory requirements D) Integration with other systems E) Cost effectiveness
A, B, C, D A) Technology B) Vendor standing C) Vendor compliance with regulatory requirements D) Integration with other systems
Considerable planning must be done before the go-live event. Which should the implementation plan before this occurs? Select all that apply. A) Implementation strategy is determined. B) Decisions must be made regarding what information will be backloaded or preloaded. C) Support schedule is developed. D) Evaluation procedures are addressed. E) Procedures must be initiated to approve all mandatory overtime.
A, B, C, D, E
The implementation team is creating a list of ongoing system technical maintenance issues. Which should the team include? Select all that apply. A) Problem solving and debugging B) Performing a file backup C) Maintaining a backup supply of hardware D) Maintaining and updating the disaster recovery plan E) Scheduling staff to perform testing
A, B, C, D, E
The informatics nurse is meeting with the pharmacy director to review possible automated pharmacy systems. Which should the nurse highlight as a feature of these systems? Select all that apply. A) Pulls in client information from the HIS more quickly to identify potential interactions B) Controls inventory C) Prepares patient profiles and medication labels D) Limits the use to pharmacists E) Suggests patient education based upon clinical information
A, B, C, E A) Pulls in client information from the HIS more quickly to identify potential interactions B) Controls inventory C) Prepares patient profiles and medication labels E) Suggests patient education based upon clinical information
The leadership team is creating a strategic plan to upgrade the current health information system. Which goal would be useful in this plan? Select all that apply. A) Support business and clinical decisions. B) Make effective use of emerging technologies. C) Enhance the organization's image. D) Spend whatever is necessary to create a state of the art system. E) Provide a safer environment for clients.
A, B, C, E A) Support business and clinical decisions. B) Make effective use of emerging technologies. C) Enhance the organization's image. E) Provide a safer environment for clients.
The informatics nurse is heading a committee to enhance the sharing of knowledge within a large healthcare organization. Which characteristics should the committee members possess? Select all that apply. A) Understand the science B) Understand the research evidence C) Able to assist others with comprehension D) Possess an upper level educational degree E) Able to present information for interpretation
A, B, C, E A) Understand the science B) Understand the research evidence C) Able to assist others with comprehension E) Able to present information for interpretation
Usability is a subset of human-computer interaction (HCI) and one of its major components. Which topics should the informatics nurse include when discussing usability? Select all that apply. A) Using an application B) Learning to use a system C) User satisfaction D) Cost-effectiveness E) Error-free/error-forgiving interactions
A, B, C, E A) Using an application B) Learning to use a system C) User satisfaction E) Error-free/error-forgiving interactions
A group of tasks related to the analysis of hardware requirements must be addressed during the implementation phase. Which are considered specific tasks for the implementation team to address? Select all that apply. A) Network infrastructure analysis B) Review of workstation types C) Input applications review D) Printer decisions E) Hardware location requirements
A, B, D, E A) Network infrastructure analysis B) Review of workstation types D) Printer decisions E) Hardware location requirements
The leadership team of a large healthcare organization is evaluating the success of a new clinical information system. Which finding suggests that usability of the system is poor? Select all that apply. A) Increased errors B) Increased use of email C) Decreased productivity D) Increased user frustration E) Delayed treatment decisions
A, C, D, E A) Increased errors C) Decreased productivity D) Increased user frustration E) Delayed treatment decisions
A healthcare organization invites a stakeholder to be a part of the strategic planning process. Which are considered stakeholders? Select all that apply. A) Internal customers B) Unions C) Government bodies D) Community members E) External customers
A, C, D, E A) Internal customers C) Government bodies D) Community members E) External customers
The team is planning the implementation of a clinical information system. Which are recommended for developing system procedures and documentation? Select all that apply. A) Create backup procedures to be used in the event that the system is not running, either because of scheduled maintenance or unforeseen circumstances. B) If major modifications were made to the base system, use the vendor's system user guides. C) Develop a data dictionary containing system terms and terms for mapping from one system to another. D) During the training process, develop procedures for how the system will be used to support client care and associated administrative activities. E) Create separate documentation that includes the downtime procedures and manual requisition forms and locate in an easily identifiable and accessible location.
A, C, E A) Create backup procedures to be used in the event that the system is not running, either because of scheduled maintenance or unforeseen circumstances. C) Develop a data dictionary containing system terms and terms for mapping from one system to another. E) Create separate documentation that includes the downtime procedures and manual requisition forms and locate in an easily identifiable and accessible location.
The informatics nurse is preparing a presentation on clinical information systems. Which should the nurse explain as a characteristic of an automated radiology information system (RIS)? A) Once a test is completed, the film is scanned to an optical imaging disc. B) As each test is ordered, the user is prompted to answer patient-focused information. C) Images may be faxed to other institutions for timely consultations. D) As soon as the test is performed, the system interprets the results and sends an electronic report.
B) As each test is ordered, the user is prompted to answer patient-focused information.
The leadership team of a large healthcare organization is developing a five-year strategic plan for the health information system. Which should the team plan to address in the coming years? A) Creating standardized languages B) Bar code medication administration C) Identification of Microsoft's new product line D) Hiring an appropriate chief executive officer
B) Bar code medication administration
The informatics nurse is reviewing types of usability studies. Which study consists of a detailed review of a sequence of real or proposed actions to complete a task in a system? A) Simplified usability tests using early prototypes B) Cognitive walkthrough C) Heuristic evaluations or heuristic inspection methods D) Exploratory test
B) Cognitive walkthrough
The planning committee collects data during the internal and external environmental scans. Which should be the committee's next step? A) Review the budget for a technology line. B) Complete a gap analysis. C) Write the pros and cons of the proposed upgrades. D) Contact the vendors for price comparisons.
B) Complete a gap analysis.
The informatics nurse suggests a clinical information system with computerized provider order entry (CPOE). Which is an advantage of having a CPOE? A) Can use electronic entry or hand-written orders B) Each department is notified simultaneously as orders are processed through the system C) Eliminates standing orders D) Reduces the need to validate telephone orders
B) Each department is notified simultaneously as orders are processed through the system
The informatics nurse is reviewing how ethnographic studies have been incorporated within healthcare settings to glean data at the point of care. On which statement about ethnography should the nurse focus? A) Ethnography is a quantitative method from anthropology and sociology that includes fieldwork and analysis of people in cultural, social settings. B) In ethnography, researchers describe the person-of-interest's point of view focusing on experience and interactions in social settings rather than the actions themselves. C) Ethnography is an outdated method of inquiry. D) The use of ethnography is criticized as a method to determine HCI effectiveness.
B) In ethnography, researchers describe the person-of-interest's point of view focusing on experience and interactions in social settings rather than the actions themselves.
The leadership team is selecting the chair of the technology committee who will be charged with leading the committee members and decision making regarding implementation of the new system. Which person is best suited for this role? A) The vice president of nursing B) Informatics nurse specialist C) Information technology programmer D) Staff nurses affected by the system implementation
B) Informatics nurse specialist
The implementation team is reviewing the roles and responsibilities after the system is implemented. Which department is responsible for ongoing maintenance of technical issues? A) Nursing B) Information services department C) Computer programmers D) Vice president of technology
B) Information services department
The informatics nurse is helping the leadership team select a health information system. Which system should the nurse identify that supports the use and documentation of nursing processes and activities and provides tools for managing the delivery of nursing care? A) Administrative information system B) Nursing information system C) Computerized provider order entry (CPOE) D) Clinical information system
B) Nursing information system
The informatics nurse is reviewing health information systems. Which clinical system function allows the nurse to provide more efficient patient care? A) Electronic presentations B) Order entry C) Identification coding D) Help desk
B) Order entry
The leadership team desires to change the culture of the work environment. Which action should the nurse leader take to promote innovation and minimize resistance? A) Demanding staff listen to rationale behind the changes B) Planning a strategy to support people and process changes C) Asking staff to trust their colleagues D) Understanding that the change is for their benefit
B) Planning a strategy to support people and process changes
The leadership team is considering unforeseen issues that may occur during the implementation phase of the life cycle. Which issues should be considered a barrier? A) Staff training B) Poor communication C) Employing a qualified nurse informatics specialist to lead the change D) Incorporating the suggestions of point-of-care staff
B) Poor communication
The leadership team is updating the mission statement for a large healthcare organization. Which phrase should the team consider? A) Develop wellness service clinics in an urban area in the Midwest. B) Promote educational activities related to caring for the sick and injured. C) Build a unit for clients with chronic obstructive pulmonary disease. D) Expand home care services in the rural area in the Southeast.
B) Promote educational activities related to caring for the sick and injured.
The informatics nurse reviews the implementation plan for the new health information system. When should the nurse expect the strategic planning process to end? A) System implementation. B) Review of lessons learned. C) Purchase of the equipment. D) Hiring of the IT support staff.
B) Review of lessons learned.
The strategic planning committee is developing the project plan for the implementation of a health information system. For which reason is a timeline developed? A) Achievement of the mission B) The completion of all tasks C) Review of the scope and objectives D) Define the length of the vendor's availability
B) The completion of all tasks
The implementation team is discussing the test environment. What should be kept in mind when planning this environment? A) The findings of the system test always indicate how well the system will perform in the live environment. B) The test environment is not exactly the same as the live environment because the live environment is much larger and more complex. C) The test environment is unnecessary with the progress made in technology. D) The test environment is done for training purposes.
B) The test environment is not exactly the same as the live environment because the live environment is much larger and more complex
The informatics nurse is seeking information about human—computer interaction (HCI) frameworks that are based on work-centered research and distributed cognition. On which framework should the nurse focus? A) CoCom (Contextual Control Model) B) UFuRT (User, Function, Representation, and Task analysis) framework C) SEIPS 2.0 (Systems Engineering Initiative for Patient Safety) D) The Staggers Human—Computer Interaction Framework
B) UFuRT (User, Function, Representation, and Task analysis) framework
The informatics nurse is preparing a presentation to support planning for an upgraded clinical information system. Which should the nurse use as an example of strategic planning in an acute care facility? A) Team members of an organization take on a project to develop policies and procedures one year prior to the Joint Commission accreditation visit. B) Upon acquiring a new facility, team members are selected to identify goals and strategies to develop policies fitting the newly revised mission statement. C) A project team from a marketing firm is hired to develop an advertising campaign for the specialized health-promotion services of the acute-care facility. D) Team members from administration meet as a group to rewrite their one-year-old acute care institution's mission statement.
B) Upon acquiring a new facility, team members are selected to identify goals and strategies to develop policies fitting the newly revised mission statement.
Once the go-live date of the system has been established, the production environment is in effect. Which planning is most necessary at this time? Select all that apply. A) A newly released software upgrade will be performed so the new system provides users with the latest technology. B) A website is constructed so employees may answer questionnaires relating to system satisfaction and ask questions as needed. C) A 24/7 support schedule is initiated to answer questions when necessary. D) Information backloading is scheduled the day that the system is to go live. E) The implementation of the system will begin in the emergency department and will move to other units when they signal that they are ready.
B, C, D, E B) A website is constructed so employees may answer questionnaires relating to system satisfaction and ask questions as needed. C) A 24/7 support schedule is initiated to answer questions when necessary. D) Information backloading is scheduled the day that the system is to go live. E) The implementation of the system will begin in the emergency department and will move to other units when they signal that they are ready.
The informatics nurse is working with the planning committee on the implementation of the new computer documentation system. Which steps should be considered when planning for the computer changes to be accepted by the clinical staff? Select: all that apply. A) Laggard B) Decision C) Persuasion D) Knowledge E) Confirmation
B, C, D, E B) Decision C) Persuasion D) Knowledge E) Confirmation
The leadership team is selecting the project leader for the implementation of the clinical information system. Which strategy should be used? Select all that apply. A) Because this will be a complex implementation, focus on the candidate's technical skills and less on communication and leadership skills. B) Restrict the selection to someone who is a member of the planning committee because of their understanding of the vision, goals, and expectations for the system. C) Select the consultant that has been assigned to the project from the beginning as the leader. D) Delay the selection of a leader until after the committee members are selected and then, with the help of the members, select one of the members as leader. E) Select the chief information officer because of the position of authority and knowledge of the organization's information needs.
B, C, E B) Restrict the selection to someone who is a member of the planning committee because of their understanding of the vision, goals, and expectations for the system. C) Select the consultant that has been assigned to the project from the beginning as the leader. E) Select the chief information officer because of the position of authority and knowledge of the organization's information needs.
The board of directors is appointing a colleague to head the implementation of a new health information system. Which employee would be the most appropriate leader? A) Resident emergency department physician who was recently hired B) Nurse manager of a 16-bed coronary-care unit who has been employed at the institution for one year C) Chief nursing information officer (CINO) appointed two years ago D) Nurse supervisor of the medical-surgical units, encompassing 130 beds
C) Chief nursing information officer (CINO) appointed two years ago
After attending a preliminary planning meeting for the implementation of a health information system, the manager holds a staff meeting to share the exciting features of the proposed system. Which action is the manager taking to support the change process? A) Instilling fear B) Initiating chaos C) Creating urgency D) Establishing expectations
C) Creating urgency
The Board of Directors for a major large healthcare organization are seeking federal funds for expansion of facilities and the associated health information system. What should the directors review prior to submitting the request for funding to the federal government? A) Affordable Care Act B) Healthy People 2020 C) Federal Health IT Strategic Plan D) Health Insurance Portability and Accountability Act
C) Federal Health IT Strategic Plan
The leadership team of a large healthcare organization is designing a new strategic plan for an electronic health record system. Which has been most instrumental in mandating strategic planning to achieve organization and population healthcare goals? A) Internal stakeholders B) Community members C) Healthcare reform D) Nursing informatics specialist
C) Healthcare reform
The informatics nurse reviews the scientific study of the interaction between people, machines, and their work environments. On which topic is the nurse focusing? A) Ergonomics B) Human—computer interaction (HCI) C) Human factors D) Usability
C) Human factors
The informatics nurse reviews the goals of usability and human—computer interaction (HCI). Which should the nurse identify as being absent as a goal? A) Effectiveness B) Efficiency C) Replication D) User satisfaction
C) Replication
The informatics nurse is explaining smart technology to a group of staff nurses. Which statement suggests that the use of mobile devices in the healthcare setting can enhance patient care? A) Personal access to patient's home address B) A finite amount of space on portable devices to receive instantaneous lab results C) The elimination of paper copies of lab reports D) The elimination of a unit secretary position because all data are housed on the mobile device
C) The elimination of paper copies of lab reports
The leadership team is in the request for proposal phase of the information system planning process. Which would enhance the decision making process at this time? A) Use of a lottery system B) Hiring a consultant to make the decision C) Time off to reflect on decisions D) Weighted scoring tool
D) Weighted scoring tool
The leadership team is beginning the strategic planning process for an electronic health record system. Which should this team use as a goal for this plan? A) Enhance the organization's website image within six months. B) Clinical decision-making in the emergency department will be supported by additional funds for personnel training during the fall. C) The scope of home care services will be maintained with the same budget for the next fiscal year, during which an audit will be conducted. D) Make effective use of emerging technologies.
D) Make effective use of emerging technologies.
The leadership team is contemplating a change in the clinical information system. Which definition of strategic planning should this team follow? A) A chaotic approach to organizational change B) A series of sequential steps leading to individualized goals C) A plan devoid of a mission and goals D) Process of determining what an organization wants to be in the future and planning how it will get there
D) Process of determining what an organization wants to be in the future and planning how it will get there
The implementation team is concerned about feature creep. Which best describes this occurrence? A) When an additional feature must be added to the system, the implementation committee approves the change after investigating its cost. B) The system is totally customized for an individual organization to reflect the current workflow. C) Staff nurses expect the new system will cut their workload relating to documentation in half. D) The emergency department and intensive care unit supervisors meet and come up with a list of new features to be added to the system.
D) The emergency department and intensive care unit supervisors meet and come up with a list of new features to be added to the system.
The leadership team is selecting the leaders for the implementation of a clinical information system. Which skill does the informatics nurse possess that supports the implementation process? A) Communication B) Time management C) Conflict resolution D) Usability principles
D) Usability principles
