Deck 6: History and Evolution of Nursing Informatics

Question 1

How is the concept of wisdom in NI like or unlike professional nursing judgment? Can any aspect of nursing wisdom be automated?

Answer 1

No Answer

Question 2

How can a single agreed-upon model of terminology use (with linkages to a single terminology) help to integrate knowledge into routine clinical practice?

Answer 2

No Answer

Question 3

Can you create examples of how expert systems (not decision support systems but true expert systems) can be used to support nursing practice?

Answer 3

No Answer

Question 4

How would you incorporate the data-to-wisdom continuum into a job description for nurse?

Question 5

What are the possibilities to accelerate the generation and uptake of new nursing knowledge?

Question 6

Nurses gather atomic-level data reflected in:

A) blood pressure.
B) pulse rate.
C) blood glucose.
D) All of these are correct.

Question 7

Which of the following can be described as discrete entities described objectively?

A) Data
B) Information
C) Knowledge
D) Wisdom

Question 8

Which of the following can be described as discrete entities that are interpreted, organized, or structured?

A) Data
B) Information
C) Knowledge
D) Wisdom

Question 9

Which of the following can be described as discrete entities that are interpreted, organized, or structured and are synthesized so that relationships are identified and formalized?

A) Data
B) Information
C) Knowledge
D) Wisdom

Question 10

Nursing informatics can be defined as which of the following?

A) The specialty that integrates advanced practice with professional intuition to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice
B) The synthesis of nursing science, information science, computer science, and cognitive science for the purpose of managing, disseminating and enhancing healthcare data, information, knowledge, and wisdom to improve collaboration and decision making, provide high-quality patient care, and advance the profession of nursing.
C) The regulation of private patient information for the purpose of sharing patient-specific data with third-party providers.
D) All of these are correct.

Question 11

Which of the following can be described as the appropriate use of knowledge to manage and solve human problems?

A) Transformation
B) Information
C) Research
D) Wisdom

Question 12

In 2015 the American Nurses Association published the second edition of the:

A) Scope of Nursing Informatics.
B) Standards of Nursing Informatics.
C) Nursing Informatics: Scope and Standards of Practice.
D) Nursing Informatics Practice: Scope and Standards.

Question 13

Nursing terminology must be easy to access with information and knowledge available anywhere. These qualities can be described by which of the following terms?

A) Accessibility and reusability
B) Accessibility and ubiquity
C) Accessibility and longevity
D) Accessibility and standardization

Question 14

Which of the following describes the concept that information should be usable beyond the immediate clinical encounter?

A) Accessibility
B) Reusability
C) Ubiquity
D) Longevity

Question 15

Information should be useful for a range of purposes, a concept conveyed by the term:

A) accessibility.
B) reusability.
C) ubiquity.
D) longevity.

Question 16

Nursing terminologies have evolved significantly over the past several decades in line with best practices in terminology work. The _________ approach consists of simple lists of words or phrases represented in a list or a simple hierarchy.

A) enumerative
B) ontological
C) subsumption
D) translational

Question 17

Nursing terminologies have evolved significantly over the past several decades in line with best practices in terminology work. The _________ approach is compositional in nature and provides a partial representation of the entities within a domain and the relationships that hold between them. The evolution of this approach to terminology standardization has been facilitated by advances in knowledge representation.

A) enumerative
B) ontological
C) subsumption
D) translational

Question 18

A nurse's knowledge work includes interpreting trends in:

A) laboratory results.
B) symptoms.
C) outcomes.
D) All of these are correct.

Question 19

Of the four nurse as knowledge worker roles, which one is least supported?

A) Knowledge user
B) Information user
C) Data gatherer
D) Knowledge builder

Question 20

An example of an expert system is the:

A) programmed intravenous pump.
B) the electrocardiographic monitor.
C) insulin pump.
D) pulse oximeter.

Question 21

Smart technologies and invisible computing are:

A) ubiquitous.
B) diagnostic.
C) robotic.
D) All of these are correct.

Question 22

What nursing organization has recognized the terminologies that support nursing practice?

A) The National League of Nursing
B) The American Nurses Association
C) The National Council of State Boards of Nursing
D) The American Academy of Nursing

Question 23

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

Question 24

Central to the development of robust expert systems is the agreement on and use of standard terminologies that accurately codify and capture the nature of nursing in these electronic systems

Question 25

Once standardized, a term can be measured and coded.

Question 26

Information technology is not a panacea for all of the challenges found in health care, but it will provide the nursing profession with an unprecedented capacity to generate and disseminate new knowledge at rapid speed, thus supporting the knowledge work of nursing.

Question 27

Nurses use data and information. This information is then converted to knowledge. The nurse then acts on this knowledge by initiating a plan of care, updating an existing one, or maintaining the status quo.

Question 28

The industrial worker is slowly being replaced by the technologist.

Question 29

Knowledge workers are specialized, have advanced education, and typically have a high degree of autonomy and control over their own work environments.

Question 30

Through each and every instance of interacting with the clinical information system, nurses add to the repositories of knowledge by chronicling their daily clinical challenges and queries.

Question 31

Currently, nurses cannot accurately capture multifaceted data and information.

Question 32

The basic education of all health professions will evolve over the next decade to incorporate core informatics competencies.

Question 33

Knowledge is garnered from others, and wisdom is our own internal ability to make correct assessments, conclusions, and decisions.

Question 34

Information systems are shown at the intersection of data and information; decision support systems are depicted at the intersection of information and knowledge; and expert systems, the most complex of the systems, reside at the intersection of knowledge and wisdom.

Question 35

Paper documentation hinders which of the following?

A) Ability to share information
B) Ability to apply research to patient care
C) Ability to collect patient care data over time
D) Ability to use nursing terminology

Question 36

Computerized technologies will assist in the transformation of data into:

A) information.
B) wisdom.
C) knowledge.
D) research.

Question 37

A nurse is documenting patient data in the electronic health record, which will assist in:

A) communication with other healthcare providers.
B) the communication of patient status updates with the patient's family members.
C) building nursing skills and clinical experiences.
D) stimulating nursing research ideas and dissemination of knowledge.

Question 38

A nurse is explaining nursing informatics to a nursing student. Which statement by the nurse is correct?

A) "Nursing informatics integrates nursing sciences and analytical sciences."
B) "Nursing informatics is a combination of computer science and mathematics."
C) "Nursing informatics involves information science and computer technology."
D) "Nursing science is based in computer engineering and sciences."

Question 39

A nurse is reviewing the conceptual framework of nursing informatics and understands the first concept in this framework is:

A) data.
B) knowledge.
C) information.
D) decision making.

Question 40

A nurse is collecting data for a research study and reviewing electronic health records. Which of the following helps the nurse codify data?

A) Standardized nursing terminology
B) Evidence-based standards
C) Nursing competencies
D) Standardization of nursing outputs

Question 41

Nurses in a critical care unit collaborate to standardize data that is entered into the electronic health record. Which of the following is an example of this standardized data entry?

A) Documenting patient weight in kilograms
B) Writing narrative notes on subjective patient data
C) Using symptoms to document reports of pain
D) Documenting in word phrases only

Question 42

A nurse is entering patient data into the electronic health record. These data will inform:

A) the present patient encounter.
B) future patient encounters.
C) past patient encounters.
D) inpatient encounters only.

Question 43

An enumerative approach uses simple lists of words or phrases in a list or a simple hierarchy.

Question 44

A knowledge worker does not have to have advanced formal education but must be able to apply theoretical and analytical knowledge.

Question 45

A nurse is preparing to administer a medication to a patient and uses the bar-code medication administration system. The nurse understands that this bar-code medication system:

A) improves patient outcomes.
B) reduces the risk of malpractice lawsuits.
C) decreases nursing documentation time.
D) reduces pharmacy manpower.

Question 46

A nurse reviews a patient's blood pressure measurements over the past 12 hours and recognizes that the blood pressure has been elevated. The clustering of these data represents:

A) information.
B) wisdom.
C) a data set.
D) a diagnosis.

Question 47

A nurse is performing a fall risk assessment on a patient. This standardized assessment:

A) helps quantify the impact of nursing care.
B) improves collaboration with physical therapists.
C) directly reduces the risk of patient falls.
D) provides medical researchers data on medical care.

Question 48

A nurse is using a nursing diagnosis terminology system to describe a patient problem in simple terms. The nurse understands this is an example of the:

A) enumerative approach.
B) ontological approach.
C) hierarchical approach.
D) knowledge representation.

Question 49

A nurse is using the International Classification for Nursing Practice when documenting patient care. The nurse understands this facilitates the ability to compare and combine:

A) patient care data from different sources.
B) research findings from different authors.
C) national standards and care recommendations.
D) treatment options and outcomes.

Question 50

A nurse is reviewing laboratory results in the electronic health record that indicate a reduction in kidney function. The patient has a history of hypertension and kidney failure. The nurse demonstrates wisdom by:

A) reporting the laboratory findings to the physician immediately.
B) documenting the blood pressure and lab data in the patient's chart.
C) calling the laboratory to verify results.
D) evaluating the patient's blood pressure 4 hours later.

Question 51

A nurse is documenting patient care. To communicate with other providers about the patient, the nurse should use which of the following?

A) Standardized nursing terminology
B) Narrative documentation notes only
C) Coded data fields
D) Numerical terminology

Question 52

A nurse is caring for a complex patient with a multidisciplinary team. The nurse demonstrates autonomy, advanced critical thinking, and interpersonal skills. What challenge might this nurse have in working with the team?

A) Resistance to change
B) Inexperience in leadership
C) Difficulty making nursing judgments
D) Lack of expertise

Question 53

Healthcare systems need to recognize that employees are mature, self-reliant, independent-thinking adults who function as partners in carrying out the work of the organization.

Question 54

Education of all health professions will evolve over the next decade to incorporate core informatics competencies.