CH 20 Nursing Informatics Exam 33 Questions with Verified Answers
1. Because several disciplines support the foundation of informatics nursing, it is
... [Show More] important for the informatics nurse to understand that:
A) informatics nursing differs from other disciplines, as it focuses on supporting the process of obtaining data.
B) informatics nursing uses the concepts, tools, and methods of various disciplines to facilitate nursing process.
C) information technology and nursing technology are synonymous, as they have the same goal.
D) the boundaries between the various disciplines are clearly defined. - CORRECT ANSWER b
Knowledge that is patterned for use in reasoning is known as:
A) artificial intelligence.
B) knowledge query
.C) knowledge representation.
D) neural computing. - CORRECT ANSWER c
Which document articulates the primary factors that guide professional nursing judgment, regarding confidential patient information?
A) Administrative Simplification Provisions.
B) Code of Ethics for Nurses with Interpretive Statements.
C) Health Insurance Portability and Accountability Act.
D) Nursing Informatics: Scope and Standards of Practice. - CORRECT ANSWER b
In promoting change, the people who are recognized as opinion leaders and role models are known as the:
A) early adopters.
B) early majority.
C) innovators.
D) risk takers. - CORRECT ANSWER a
The basic network protocol that determines the rules used to create and route packets of data between computers is:
A) HL7.
B) URL.
C) TCP/IP.
D) XML. - CORRECT ANSWER c
Applications that are designed to run on a common platform, operate in a common environment, and communicate through direct data transfer are known as:
A) integrated.
B) interfaced.
C) normalized.
D) optimized. - CORRECT ANSWER a
What is the most common risk to patient privacy and confidentiality? A) An organization's employees
.B) Inadequate firewall protection
.C) Inadequate system design.
D) Viruses, worms, and Trojan horses. - CORRECT ANSWER a
Adherence to a standardized nursing language will lead to:
A) a barrier in national interoperability.
B) a larger database of interventions.
C) improved evaluation of nursing outcomes.
D) increased nursing competencies. - CORRECT ANSWER c
The informatics nurse violates a patient's legal right to privacy and confidentiality, by:
A) discussing a patient's diagnosis with an authorized family member.
B) discussing care-related information with the patient's physical therapist.
C) looking up a colleague's diagnosis and laboratory results while he or she is hospitalized.
D) providing a handoff report containing patient information to another department. - CORRECT ANSWER c
Using parallel strategy for the roll-out of an electronic medication administration system means that all:
A) data entries are cosigned by two health care team members.
B) medications are documented using both the current method and the new system.
C) notebook computers and bar code scanners are positioned on the same surface.
D) vital signs are entered on the same screen as is medication administration. - CORRECT ANSWER b
In project management, the critical path is best described as a series of activities that:
A) includes the path with the most slack or float.
B) indicates the earliest possible time a project can be completed.
C) is scheduled for the next current phase of the process.
D) shows the shortest path through the network diagram. - CORRECT ANSWER b
The foundation of strategic system planning begins with a review of the:
A) existing computing environment.
B) health care industry.
C) information system plan.
D) organization's business mission. - CORRECT ANSWER d
The focus of data analysis is to:
A) collect data from various sources.
B) evaluate data for efficiency.
C) identify data sources for later inclusion.
D) transform data into a usable form. - CORRECT ANSWER d
Which tool tracks resources, milestones, and time frames associated with the implementation of a new clinical program?
A) A database.
B) An expert system.
C) Project management software.
D) Spreadsheet software. - CORRECT ANSWER c
What process produces a blueprint that details how hardware and software meet the needs of the organization?
A) Benchmarking.
B) Feasibility study.
C) System analysis.
D) System design. - CORRECT ANSWER d
A downtime of the electronic health record (EHR) system is planned for three months from today. The informatics nurse is formulating a communication plan for the clinical staff about the downtime. The nurse plans to:
A) announce the upcoming downtime at system-wide meetings, and at department meetings of specific system hospitals affected by the downtime.
B) bring copies of the communication plan to IT meetings, and discuss it with the IT directors and managers.
C) present the information at the super-user meetings, department and unit meetings, and at other specialty clinician meetings, in addition to having a message posted on the message-of-the-day screen in the EHR.
D) print fliers with the downtime plan and post them in bathrooms and breakrooms, as well as on bulletin boards in various locations in the hospitals. - CORRECT ANSWER c
Adult learners most effectively learn about a new clinical information system when the instructor:
A) assumes that the learner knows nothing about the system.
B) begins the formal training as early as possible in the implementation process.
C) emphasizes the technical specifications of the structure of the system.
D) encourages the learner to use previous experience to interpret new learning. - CORRECT ANSWER d
As an ambulatory provider reviews the patient's chart, the provider reads lab data from an external organization. This scenario exemplifies:
A) a health information exchange.
B) a system to update patient records.
C) a violation of privacy regulations.
D) an electronic health record. - CORRECT ANSWER a
19. The problems of an existing system have been identified, along with possible solutions. What is the next step in the systems analysis stage?
A) A feasibility study.
B) Requirements gathering.
C) Systems design.
D) Systems testing. - CORRECT ANSWER a
What type of testing is performed on functionally grouped components to ensure that the subset works with the entire system?
A) Integration.
B) System.
C) Unit.
D) User acceptance. - CORRECT ANSWER a
The informatics nurse is working on a chart to demonstrate the increasing incidence of obesity in the patient population at a health clinic. The data will represent patients who are of normal weight, overweight, obese, and morbidly obese, and it will include the percentage of the total population for each group. This type of data is most effectively represented by a:
A) bar chart.
B) column chart.
C) line chart.
D) pie chart. - CORRECT ANSWER d
Integrating clinical practice guidelines with an electronic health record facilitates quality improvement measurement by:
A) comparing guideline parameters to clinical outcomes.
B) presenting results at the point of treatment decisions.
C) providing reference information to measurement staff.
D) representing patient acuity data. - CORRECT ANSWER a
System analysis is the process by which:
A) a proposed design is reviewed for feasibility.
B) potential vendor solutions are explored.
C) the management needs are identified.
D) the system's functional requirements are derived from users' needs. - CORRECT ANSWER d
A home health care nurse is using the steps of the SDLC, to design a new system for home health care documentation. The nurse analyzes the old system and develops plans for the new system. What is the next step of the nurse in this process?
A) Test
B) Design
C) Implement
D) Evaluate - CORRECT ANSWER b
After instituting a new system for recording patient data, a nurse evaluates the "usability" of the system. Which actions by the nurse BEST reflect this goal? Select all that apply.
A) The nurse checks that the screens are formatted to allow for ease of data entry.
B) The nurse reorders the screen sequencing to maximize effective use of the system.
C) The nurse ensures that the computers can be used by specified users effectively.
D) The nurse checks that the system is intuitive, and supportive of nurses.
E) The nurse improves end-user skills and satisfaction with the new system.
F) The nurse ensures patient data is able to be shared across health care systems. - CORRECT ANSWER a,c,d
A nurse is using informatics technology to decide which patients may be at risk for readmission. What is the term for this type of analytic?
A) Data visualization
B) Predictive analytics
C) Big data
D) Data recall - CORRECT ANSWER b
Population health addresses the health status and health issues of aggregate populations and addresses ways in which resources may be allocated to address these concerns. What is the driving force behind the use by health corporations of analytics and big data to support population health?
A) The transition from fee-for-service models to value-based payment models
B) A growing older population with more complicated health needs
C) The overcrowding and understaffing of hospitals
D) The shortage of health care professionals, particularly nurses - CORRECT ANSWER a
Nurses incorporate telecare in patient care plans. Which services are MOST representative of this technologic advance? Select all that apply.
A) Diagnostic testing
B) Easy access to specialists
C) Health and fitness apps
D) Early warning and detection technologies
E) Digital medication reminder systems
F) Monitoring of progress following treatment - CORRECT ANSWER b,c,d
A nurse is testing a new computer program designed to store patient data. In what phase of testing would the nurse determine if the system can handle high volumes of end-users or care providers using the system at the same time?
A) Unit
B) Function
C) Integration
D) Performance - CORRECT ANSWER d
Nurses test new technology in phases. In which phase would the nurse "test drive" the new system?
A) Unit
B) Function
C) User acceptance
D) Integration - CORRECT ANSWER c
A nurse is using the steps in informatics evaluation to evaluate the use of a portal as a patient resource. What are examples of activities that might occur in the "determining the question" step? Select all that apply.
A) The nurse develops a clear, focused question to determine the data to be collected.
B) The nurse determines what to evaluate.
C) The nurse determines how the data ultimately should be reported.
D) The nurse decides what specific data elements need to be collected.
E) The nurse clarifies exactly how the data will be collected.
F) The nurse performs comprehensive documentation of the data collected. - CORRECT ANSWER a,c
A nurse is using information from informatics technology that is synthesized so that relationships between lung cancer diagnoses and smoking are identified. What part of "DIKW" does this represent?
A) Data
B) Information
C) Knowledge
D) Wisdom - CORRECT ANSWER c
A nurse designing a new EHR system for a pediatric office follows usability concepts in system design. Which concepts are recommended in system design? Select all that apply.
A) Users should not explore with forgiveness for unintended consequences.
B) Shortcuts for frequent users should not be incorporated into the system.
C) Content emphasis should be on information needed for decision making.
D) The less times users need to apply prior experience to a new system the better.
E) All the information needed should be presented to reduce cognitive load.
F) The number of steps it takes to complete tasks should be minimized. - CORRECT ANSWER c,e,f [Show Less]