Question 1

At which point does knowledge overlap with wisdom?&#10;A) Data elements are identified.&#10;B) Data are processed to produce meaning.&#10;C) There is high-level thinking with increased complexity.&#10;D) The relationship between data and information is formalized.

Accepted Answer

The synthesis of different types of knowledge leads to higher levels of thinking with increased complexity, interactions, and interrelationships. At this point of synthesis, knowledge begins to overlap with wisdom. Data elements are building blocks for information. Processed data that produce meaning is information. The formalization of data and information creates knowledge.

Question 2

Which type of literacy is a component of digital health literacy?&#10;A) Rights&#10;B) Critical&#10;C) Computer&#10;D) Communicative

Accepted Answer

Digital health literacy requires the synthesis of (1) basic literacy, (2) computer literacy, (3) information literacy, (4) digital literacy, and (5) health literacy. Rights is a component of legal literacy. Critical and communicative are components of health literacy.

Question 3

Which of the following types of action indicates that a nurse has technical competency?&#10;A) Automatically uses a device without direction&#10;B) Understands the interrelated function of digital tools&#10;C) Learns to use a device after reading an owner's manual&#10;D) Uses emotional intelligence when communicating digitally

Accepted Answer

Technical competency means one can learn to use a device with the help of the owner's manual and a bit of trial and error. Technical competency does not mean automatically using a device without direction. Understanding the interrelated function of digital tools and using emotional intelligence when communicating digitally are competencies within digital literacy.

Question 4

Which of the following would a nurse identify as shaping a patient's social determinant of health?&#10;A) Individual behavior&#10;B) Biology and genetics&#10;C) Physical environment&#10;D) Distribution of money

Accepted Answer

Social determinants of health are shaped by the distribution of money, power, and resources. Individual behavior, biology and genetics, and physical environment are determinants of health.

Question 5

Which of the following is a characteristic of an electronic health record (EHR)?&#10;A) Patient control of the data&#10;B) Ease of tracking data over time&#10;C) Provision of alerts for follow-up visits&#10;D) Ability to share information with other care providers

Accepted Answer

A characteristic of an EHR is the ability to share information with other care providers. The patient controls the data in a personal health record (PHR). Ease of tracking data over time and providing alerts for follow-up visits are characteristics of an electronic medical record (EMR).

Question 6

Which of the following is a performance category within the merit-based incentive payment system?&#10;A) Process standards&#10;B) Structure of the electronic health record (EHR)&#10;C) Medication management&#10;D) Advanced care information

Accepted Answer

The merit-based incentive program contains the performance categories of quality, advanced care information, improvement activities, and cost. Process standards, structure of the EHR, and medication management are not performance categories of the payment system.

Question 7

How would a nurse describe telehealth?&#10;A) Information input by a patient for a health history&#10;B) Use of technology to provide patient education and care&#10;C) A secure Web site for a patient to access health information&#10;D) Health services and information delivered through the internet

Accepted Answer

Telehealth is the use of electronic information and telecommunication technology to provide patient education and care. Information input by a patient for a health history is patient-generated health data. A patient portal is a secure Web site for a patient to access health information. E-health is the delivery of health services and information through the internet.

Question 8

Why would a nurse avoid setting up a social media account?&#10;A) Privacy settings are easy to access.&#10;B) Personal information will be publicly displayed.&#10;C) Terms and conditions are tedious to read.&#10;D) A social media account does not permit establishing a false identity.

Accepted Answer

One of the reasons for refusing to use a social media account is that personal information is expected to be posted. Privacy settings are important, but they would not hinder use of a social media account. Terms and conditions that are tedious to read are thorough and would not hinder use of a social media account. Establishing a false identity is a positive feature and would not hinder use of a social media account.

Question 9

Which of the following should a nurse identify as a major challenge when using an app for m-health?&#10;A) Ease of use&#10;B) Variation in quality&#10;C) Interfacing with other software&#10;D) Amount of memory needed on the device to store data

Accepted Answer

A major challenge of using m-health apps, either to support the care process in an acute setting or to engage patients in health promotion, is the reality that these apps vary greatly in quality. Most m-health apps are created and sold with little to no research or regulation. The ease of use, interfacing with other software, and the amount of memory needed on the device to store data are not identified as major challenges when using apps for m-health.

Question 10

Which of the following is a disadvantage for a patient using a portal to input personal health information?&#10;A) The data are not secure.&#10;B) The data have to be entered repeatedly.&#10;C) The patient is the only one who can see the data.&#10;D) The information is tethered to the electronic health record.

Accepted Answer

The main disadvantage of using a portal to input personal health information is that the tethered personal health record (PHR) is linked only to one specific health-care provider or system. In addition, while these systems may include the ability to enter a health history or other questionnaire, a patient's opportunity to enter his or her own data is often highly controlled. The data that are tethered to an electronic health record (EHR) is secure. The data do not need to be entered repeatedly. The patient is not the only one who can see the data.

Deck 13: Applying Health Informatics Concepts and Skills to Health Promotion and Disease Prevention