Question 1

A nursing student is interested in the field of nursing informatics.What should the student do to prepare for a career in this specialty as a nurse leader?&#10;A)Obtain a baccalaureate degree in nursing.&#10;B)Complete 5 years on a medical-surgical unit.&#10;C)Obtain critical care experience.&#10;D)Obtain a graduate degree.

Accepted Answer

Informatics nurses who want to hold a leadership role in nursing informatics will need graduate-level preparation.

Question 2

Which action can the nurse take to evaluate an Internet resource?&#10;A)Assume that the resource is credible if it is on an Internet page.&#10;B)Determine if the resource provides evidence for claims made.&#10;C)Assess the popularity of the resource.&#10;D)Determine the date the resource was published;older material is more reliable.

Accepted Answer

To evaluate an Internet resource,the nurse should use the CARS checklist developed by Harris (2007).The nurse should assess credibility,accuracy,reasonableness,and support.The nurse assesses support by determining if the source provides evidence for claims made.The nurse should not assume that the resource is credible because it is on the Internet,assess popularity,or rely on information that is old or outdated.

Question 3

The nurse has adequate understanding of HIPAA when stating that the major impact from this privacy regulation is in (Select all that apply.)&#10;A)&#34;health information privacy law.&#34;&#10;B)&#34;bedside nursing care.&#34;&#10;C)&#34;nursing report communication.&#34;&#10;D)&#34;data security standards.&#34;&#10;E)&#34;electronic transaction standards.&#34;

Accepted Answer

The nurse has an adequate understanding of HIPAA when stating that the major impact from this privacy regulation is in health informatics privacy law,data security standards,and electronic transaction standards.Bedside nursing care and nursing report communication are not included as areas of major impact.

Question 4

Which statement by the nurse indicates understanding of the General Systems Theory?&#10;A)&#34;It is a 5-step process of an individual's decision to adopt an innovation.&#34;&#10;B)&#34;It is known as a change theory.&#34;&#10;C)&#34;It includes knowledge,persuasion,decision,implementation,and confirmation.&#34;&#10;D)&#34;It organizes interdependent parts working together to produce a product that none used alone could produce.&#34;

Accepted Answer

The nurse understands the General Systems Theory when he or she states that it organizes interdependent parts working together to produce a product that none used alone could produce.Rogers' Diffusion of Innovation Theory is a 5-step process of an individual's decision to adopt an innovation.It includes the steps of knowledge,persuasion,decision,implementation,and confirmation.Kurt Lewin's theory is known as the Change Theory.

Question 5

Which of the following statements indicates the nurse's understanding of the difference between the electronic health record (EHR)and electronic medical record (EMR)is accurate?&#10;A)&#34;EHR provides nursing with a standardized nomenclature of taxonomy to record nursing care.&#34;&#10;B)&#34;EMR is the inclusion of only data collected by the patient's personal health record (PHR).&#34;&#10;C)&#34;EHR is a longitudinal record of the patient's health information.&#34;&#10;D)&#34;EMR allows nurses to document nursing care in a system that is intuitive to their level of computer literacy.&#34;

Accepted Answer

EHR is the longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting.Included in this information are patient demographics,progress notes,problems,medications,vital signs,past medical history,immunizations,laboratory data,and radiology reports.The EHR automates and streamlines the clinician's work flow.The EHR has the ability to generate a complete record of a clinical patient encounter-as well as supporting other care-related activities directly or indirectly via interface-including evidence-based decision support,quality management,and outcomes reporting.The EMR is composed of data from multiple software applications used by a facility such as a hospital or provider officer to order,document,and store patient information just as a paper medical record did in the past.The ability of the computer systems to combine data from various EMRs to form a more holistic view of a patient is one of the major benefits of electronic documentation.The inclusion of data collected by the patient into the EHR is called the personal health record (PHR).

Question 6

Which statement by the nurse indicates understanding of general systems theory in regard to nursing informatics?&#10;A)&#34;General systems theory organizes interdependent parts that,when working together,can produce a product that none used alone could produce.&#34;&#10;B)&#34;General systems theory provides theory support for a system that maintains confidentiality when handling patient data and information.&#34;&#10;C)&#34;General systems theory incorporates external databases from state agencies to allow for performance comparison within a specific institution.&#34;&#10;D)&#34;General systems theory is a nursing theory regarding the use of nurse informatics to integrate the systems within health care for support of nursing education and practice.&#34;

Accepted Answer

Nursing informatics uses a theoretical foundation.This theory organizes interdependent parts that,when working together,can produce a product that none of the interdependent parts used alone could produce.Nursing informatics uses this theoretical foundation for analysis and design,implementation and support,and testing and evaluation of automated systems.It is used as a basis for decision making,education curriculum needs,and foundation for system and project management.HIPAA defines standards that were developed to ensure that health care organizations collect the right data in a common format so that the data can be shared,as well as protect the privacy and security of patient data.Systems theory consists of six elements:
(1)Interdependent parts-elements of the system that interact for processing
(2)Input-any outside element or factor that is brought into the system
(3)Process-the activity within the system
(4)Output-any product that is produced from the processing activity
(5)Control-rules or procedures within the system
(6)Feedback-reusing output from the system as input back into the system for validation or correction
There is no mention of external databases in these six elements.

Question 7

The nurse manager is teaching a new nurse about computer monitoring on a telemetry unit.The nurse manager judges the teaching to be effective when the new nurse states which of the following?&#10;A)&#34;Computer monitoring provides continuous streaming of data that allows nurses to respond to patient changes quickly.&#34;&#10;B)&#34;Computer monitoring provides for continuous around-the-clock direct observation of patients.&#34;&#10;C)&#34;Computer monitoring improves documentation of patient care.&#34;&#10;D)&#34;Computer monitoring reduces the need for additional nurses to provide patient care.&#34;

Accepted Answer

The continuous flow of data from a computer allows nurses to respond to patient changes very quickly.Timely nursing responses and actions are crucial in leading to positive outcomes when caring for critically ill patients.Computer monitoring is not a substitute for patient observation.The number of nurses required to care for patients is not reduced because of computer monitoring,nor does it improve documentation,but rather it provides a means to document data.

Question 8

A nurse manager is educating a group of staff nurses on violation of HIPAA standards.The manager judges the teaching to be effective when one of the staff nurses states (Select all that apply.)&#10;A)&#34;Violations of HIPAA standards no longer occur because the consequences are so severe.&#34;&#10;B)&#34;Violations of HIPAA standards can result in termination of employment.&#34;&#10;C)&#34;Violations of HIPAA standards can result in an indictment.&#34;&#10;D)&#34;Violations of HIPAA standards are waived if it is your first offense.&#34;&#10;E)&#34;Violations of HIPAA standards can result in prison time.&#34;

Accepted Answer

The teaching has been effective when one of the staff nurses states that violation of HIPAA standards can result in termination of employment,indictment,or prison time.Violations still occur,even in the face of consequences,and are not waived for first offenses.

Question 9

Which statement by the nurse is true regarding the focus of nursing informatics? The focus of nursing informatics&#10;A)&#34;is to improve patient care with health care technology.&#34;&#10;B)&#34;is to improve patient care by increasing health care expertise.&#34;&#10;C)&#34;is to improve patient care by improving nursing performance.&#34;&#10;D)&#34;is to improve patient care by allowing the patient access to medical records.&#34;

Accepted Answer

The focus on nursing informatics is to improve patient care with health care technology that encourages clinicians to make more accurate and timely decisions.The focus is not on increasing health care expertise,improving nursing performance or access to medical records.

Question 10

Which statement by the nurse indicates an understanding of the definition of nursing informatics?&#10;A)&#34;Nursing informatics is a specialty area of hospital nursing in which management of patient care is done via computers.&#34;&#10;B)&#34;Nursing informatics is the specialty practice of nursing integrating nursing science with multiple information management.&#34;&#10;C)&#34;Nursing informatics includes the input and retrieval of a patient's complete medical history via electronic data.&#34;&#10;D)&#34;Nursing informatics is an area of computer system design and analysis to provide and retrieve patient health data during the period of hospitalization.&#34;

Accepted Answer

The ANA has defined informatics as "the specialty that integrates nursing science with multiple information management and analytical sciences to identify,define,manage,and communicate data,information,knowledge,and wisdom in nursing practice."

Question 11

What is an example of a regulatory agency or requirement that will affect health care policy with regard to informatics?&#10;A)Health Insurance Portability and Accountability Act (HIPAA)&#10;B)American Nursing Credentialing Center (ANCC)&#10;C)American Nurses Association (ANA)&#10;D)Medicare/Medicaid authorization

Accepted Answer

The answer of What is an example of a regulatory...

Question 12

The nurse is educating a nursing student on the difference between the informatics nurse and the informatics nurse specialist.The teaching has been effective when the nursing student states which of the following?

A)"The informatics nurse has a graduate degree."
B)"The informatics nurse specialist has experience in informatics but no advanced degree."
C)"The informatics nurse supports consumers."
D)"The informatics nurse specialist has an advanced degree."

Accepted Answer

The answer of The nurse is educating a nursing student...

Question 13

How does the IN/INS use HIPAA regulations and TJC requirements in daily practice? (Select all that apply.)&#10;A)Investigation of violations&#10;B)Writing of policies&#10;C)Involvement in the discipline process&#10;D)Writing of procedures&#10;E)Managing the nursing unit

Accepted Answer

The answer of How does the IN/INS use HIPAA regulations...

Question 14

A nurse is learning about the role of the informatics nurse/informatics nurse specialist.The nurse learns that which of the following pertains to this role and data security?&#10;A)&#34;The IN/INS may help write data security policies.&#34;&#10;B)&#34;Investigating data breaches will be the primary job of the IN/INS.&#34;&#10;C)&#34;This is such a new role,no real outcomes for it exist yet.&#34;&#10;D)&#34;The IN/INS will be the lead person on technology development.&#34;

Accepted Answer

The answer of A nurse is learning about the role...

Question 15

A nurse is educating students on how to evaluate a website.The nurse judges the teaching to be effective when the students can state&#10;A)&#34;Internet information must go through careful screening before it can be posted.&#34;&#10;B)&#34;Credibility,accuracy,and reasonableness of the information should be considered.&#34;&#10;C)&#34;It is important to have the hospital librarian verify the authenticity of the website.&#34;&#10;D)&#34;Most Internet information can be downloaded or beamed to a smartphone or handheld device (personal digital assistant [PDA]).&#34;

Accepted Answer

The answer of A nurse is educating students on how...

Question 16

The nurse understands the benefits of Computerized Provider Order Entry (CPOE)when stating&#10;A)&#34;CPOE does not change the process of patient care.&#34;&#10;B)&#34;CPOE averts problems with handwritten orders.&#34;&#10;C)&#34;CPOE benefits only the nurses in the health care system.&#34;&#10;D)&#34;CPOE benefits only the pharmacists in the health care system.&#34;

Accepted Answer

The answer of The nurse understands the benefits of Computerized...

Question 17

How can the nurse expect to be impacted by nursing informatics?&#10;A)The nurse would not be directly impacted unless he or she worked in nursing informatics.&#10;B)Nurses at the bedside are minimally impacted.&#10;C)Nurses are impacted by the use of barcode medication administration.&#10;D)Nurse managers are the only hospital staff who are impacted.

Accepted Answer

The answer of How can the nurse expect to be...

Question 18

The nurse has an adequate understanding of the informatics nurse (IN)and informatics nurse specialist (INS)when making which of the following statements?&#10;A)&#34;The IN/INS does not require any computer or network knowledge on entry into the profession.&#34;&#10;B)&#34;The IN/INS does not interact directly with clinical staff.&#34;&#10;C)&#34;The IN/INS does not need prior knowledge of software or hardware implementation.&#34;&#10;D)&#34;The IN/INS should be prepared to help with system implementation.&#34;

Accepted Answer

The answer of The nurse has an adequate understanding of...

Question 19

What is the importance of using classification systems for nursing nomenclature to describe nursing practice?&#10;A)To provide a system to develop and use a patient care management system&#10;B)To allow nursing administration to project,define,and implement nursing care policies and guidelines&#10;C)To assist the quality control team to survey and gather data that will reflect the acuity classification of patients&#10;D)To facilitate collection of consistent data that can be accurately manipulated in an electronic medical record

Accepted Answer

The answer of What is the importance of using classification...

Question 20

A nurse is preparing to graduate with a degree in nursing informatics.The nurse is explaining career options to friends.The nurse understands the options when stating (Select all that apply.)&#10;A)&#34;I can work alongside engineers as they create new products.&#34;&#10;B)&#34;I can work for a consulting firm and specialize in workflow improvement.&#34;&#10;C)&#34;I cannot work for third-party payers.&#34;&#10;D)&#34;I do not have the option of working for the government.&#34;&#10;E)&#34;I am excited to work for an educational institution.&#34;

Accepted Answer

The answer of A nurse is preparing to graduate with...

Question 21

Which actions by the nurse incorporate standard practice for protecting patient privacy on mobile devices? (Select all that apply.)&#10;A)Keep careful physical control of the device at all times.&#10;B)Avoid use of mobile devices.&#10;C)Use a password and a time-out to authenticate the reactivation.&#10;D)Enable encryption.&#10;E)Keep security software up-to-date.

Accepted Answer

The answer of Which actions by the nurse incorporate standard...

Question 22

A nurse manager is lecturing staff nurses on the barriers to the full integration of health information technology.The nurse manager judges the teaching to be effective when a staff nurse states (Select all that apply.)

A)"Barriers include lack of standardization across care areas."
B)"A barrier to the full integration is funding."
C)"Currently there are no barriers."
D)"A current barrier is privacy laws."
E)"Barriers to full integration are not likely to be overcome."

Accepted Answer

The answer of A nurse manager is lecturing staff nurses...

Deck 23: Nursing Informatics