NR 599: NURSING INFORMATIC FINAL EXAM 2022/2023 CHAMBERLAIN COLLEGE OF NURSING NR 599: NURSING INFORMATICS FINAL EXAM 2021 Part I: Multiple Choice
... [Show More] Questions 1. Why is it difficult to integrate information from all hospital departments into a single hospital information system? a. Individual departments want to obtain & maintain specialized systems b. Hospital departments are organized along vertical lines while the continuum of care for patients flows along horizontal lines c. Patient care systems & financial management systems are incompatible with each other d. Each department is required by law & the Joint Commission on Accreditation of Hospitals & Health Care Organizations to maintain specific information for billing & accreditation purposes e. Individual departments do not see the value in comprehensive patient records 2. Which of the following groups of activities represent challenges to the technologist when building an integrated hospital information system? a. Synthesizing different types of information into a cohesive whole, getting all departments to agree to a single billing procedure, realigning traditional departments into a case management model b. Synthesizing different types of information into a cohesive whole, getting all departments to agree to a single care model, realigning traditional departments into a case management model c. Allowing specific departments to retain their individualized information systems, getting all departments to agree to a single billing procedure, realigning traditional departments into a case management model d. Synthesizing different types of information into a cohesive whole, getting all departments to agree to a single billing procedure, keeping all hospital departments within the traditional vertical structure e. Allowing all departments to retain their individual information systems, allowing all departments to have their own billing system, keeping all hospital departments separate but equal 3. The conceptual components of informatics are: a. Management, processing, & transformation b. Data, information, & paradigms c. Data, information, & knowledge d. Management, processing, & data e. Management, processing, & knowledge 4. Several colleges have suggested that Wikipedia™ be banned as a resource for academic papers. Which of the following statements support that ban? a. Wikipedia™ cannot be considered a primary source of information b. Wikipedia™ cannot be considered an authoritative source of information c. Wikipedia™ is sometimes unreliable d. Wikipedia™ allows almost anyone to edit most of its articles e. All of the above 5. When would you use the word “and” in a literature search? a. When you want to eliminate citations with a certain term in the title b. When only one of multiple search terms must be in the title of the citation c. When all of multiple search terms must be in the title of the citation d. When you want to index a particular article e. When you want the abstract of the citations to be included in the literature search 6. What is a refereed journal? a. Any scholarly journal b. Any journal with a title that begins with “The Journal of…” c. A journal that uses a blind review process to determine the suitability and worth of articles received for publication d. Any journal that can be found on Ohio Link or through Kelvin Smith Library e. Any journal edited by someone with a Ph.D. 7. Several indexes to scholarly literature can be found in the library. Which one of these indexes has the most applicability to the profession of Nursing? a. MEDLARS b. MEDLINE c. ERIC d. CINAHL e. Social SciSearch 8. Why are informatics nurse specialists and nurse scholars so interested in nursing nomenclatures, taxonomies, and classification? a. It gives them something to do b. The information is used to capture, store, and manipulate data in electronic health records c. It enhances the credibility of the profession d. It allows nurses to clearly define the profession for physicians e. All of the above 9. How many classification systems are recognized by the American Nurses Association? a. Six b. Four c. Thirteen d. Seven e. None 10. Which three data sets must be used together to complete the nursing process? a. NANDA, Clinical Care Classification (CCC), International Classification of Nursing Practice (ICNP) b. NANDA, Nursing Intervention Classification, Patient Care Data Set c. NANDA, Nursing Outcome Classification, SNOMED RT d. NANDA, Nursing Intervention Classification, Nursing Outcome Classification e. NANDA, Omaha System, SNOMED RT 11. Which of the following are forces that impact the nursing profession and are causing a growing interest in information technology? a. Change from a retrospective to a prospective reimbursement system b. Changing standards of health care accreditation agencies c. Transformation of the health care system from a provider-driven monopoly to a customer-centered, market driven, health oriented marketplace d. Shifting emphasis on automation for its own sake to data collection for survival & improvement e. All of the above 12. Which of the following statements is a definition of Nursing Informatics? a. Collected information technologies concerned with medical patient care & decision making b. Use of information technology management concepts & methods to support the delivery of patient care c. Complex processing of data by a computer to produce new kinds of information d. Any use of information technology by nurses in relation to the care of patients, administration of health care facilities, & educational preparation of individuals to practice nursing e. Combination of computer science, information science, & nursing science designed to assist in the management & processing of nursing data 13. The functional components of informatics are: a. Data, information, & knowledge b. Management, processing, & transformation c. Management, processing, & information d. Processing, transformation & knowledge e. None of the above 14. The role of the Informatics Nurse Specialist (INS) encompasses multiple activities ranging from the development of Informatics theory to the ongoing maintenance & provision of enhancements to information systems. Which of the following statements describes the education, experience, & user groups that concern an INS? a. Formal education & practical experience in using computers; supports the automation needs of critical care nurses b. Formal education & practical experience in using computers; supports the automation needs of maternal-child nurses c. Formal education & practical experience in using computers; supports the automation needs of community health nurses d. Formal education & practical experience in using computers; supports the automation needs of all e. Formal education & practical experience in using computers; supports the automation needs of psychiatric nurses 15. Security can be defined as: a. The right of individuals to determine at what time, in what way, & to what extent information about them is communicated to others b. Physical protection of information from unauthorized access, modification, & destruction c. An expectation that information collected will be used for the purpose for which it was gathered d. Organizational beliefs about who generates, stores, retrieves & uses information e. The belief that the existence, purpose, & type of records in system shall be public knowledge 16. Beliefs about who generates, stores, retrieves, & uses information within an organization are known as the organizations: a. Mission for information use b. Philosophy of information use c. Vision of information use d. Framework for information technology development and implementation e. Legal-ethical responsibilities for information use and storage 17. Privacy can be defined as: a. An expectation that information collected will be used for the purpose for which it was gathered b. The right of individuals to determine at what time, in what way, & to what extent information about them is communicated to others c. Protection of information from unauthorized access, modification, & destruction d. Organizational beliefs about who generates, stores, retrieves & uses information e. All of the above 18. Confidentiality can be defined as: a. Organizational beliefs about who generates, stores, retrieves & uses information b. Physical protection of information from unauthorized access, modification, & destruction c. An expectation that information collected will be used for the purpose for which it was gathered d. The right of individuals to determine at what time, in what way, & to what extent information about them is communicated to others e. The belief that the existence, purpose, & type of records in system shall be public knowledge 19. As a nurse practitioner, you are questioned by a patient about the usefulness of a particular web site for health information. You do not know the web site and have no computer available to access the site in your office. Which of the following replies would be the most appropriate to make to your patient? a. “If the site showed up on your search engine- it must be good. Go ahead and use it!” b. “I don’t really know the site, but here are some things to look for. You can also go to the Health on the Net Foundation and check it out” c. “Have any of your friends used it? What did they think?” d. “No Internet sites have any useful information. Let me give you some written information instead.” e. “What does your doctor think about the site?” 20. Why are nurses’ natural advocates of consumer health applications? a. With the nursing shortage, it lightens the workload b. Nurses are more computer literate than physicians c. Nurses have always taken a leadership role in patient education d. Only nurses are exposed to consumer informatics in school e. It’s easier to get patients to teach themselves than it is to spend the time and teach them 21. A consumer health care application can be described as: a. An intervention providing health care information through technology b. An outcome resulting in patient education c. A care plan detailing the steps in teaching the patient d. A patient’s application to be accepted into an insurance plan e. All of the above 22. The four areas in which Informatics Nurse Specialists practice are: a. Critical care units, neonatal intensive care units, medical-surgical units, pediatric units b. Administration, education, research, clinical practice c. Nursing science, information science, research, computer science d. Hospitals, nursing homes, outpatient clinics, mobile radiology units e. Long term care facilities, nursing homes, nursing administration offices, pediatric intensive care units 23. Which of the following are impediments to the successful implementation of a computerized medical record? a. Oversimplification of user needs b. Oversimplification of the requirements for a new system c. Little understanding of the manual system that the computerized system will be replacing d. Clinicians are not aware of what computerized medical records can and cannot do e. All of the above 24. Which of the following statements represent conditions recommended by the Institute of Medicine for the future electronic health record? a. Users must be confident that the information they have entered will integrate data from all sources reliably b. Clinicians must actively use the record in the clinical process c. Clinicians must understand that the record is a resource for use beyond patient care d. Users must be proficient in the use of information systems in health service organizations e. All of the above 25. Inputs in geographic information systems are frequently derived from: a. Hard copy maps b. Aerial photographs c. Reports & survey documents d. Human input of information e. All of the above 26. Which of the following definitions best describes a Geographic Information System? a. A computer mapping & analysis system that allows large quantities of information to be viewed & analyzed within a geographic context b. A system which allows researchers to study the distribution of disease in a neighborhood c. System which allows the community health nurse to locate a patient’s home without using a map (a Global Positioning System) d. A system which allows research about infant mortality in a particular census tract e. All of the above [Show Less]