Deck 3: Ensuring Quality and Best Use of Information

Question 1

The best teaching method to assure nurses are competent with laptops and handheld devices is which of the following?

A)A class based on relevant learning objectives with student demonstration of competence.
B)Point-of-care orientation
C)Online orientation
D)Written directions found in a central location

Answer 1

A class based on relevant learning objectives with student demonstration of competence.

Question 2

Which of the following is a result of the shift toward evidence-based practice in health care?

A)Quality of clinical data collected is not as important as the quantity of the data because AI can extract needed information.
B)Data mining has reduced the need for special analysis and statistics.
C)Dependence on information derived from examining patterns and relationships in data has increased.
D)The need for primary data storage has increased while the need for secondary data storage has decreased.

Answer 2

Dependence on information derived from examining patterns and relationships in data has increased.

Question 3

In which instance is using the technique of data mining most appropriate?

A)To document quality improvement when problems are identified and targeted on a medical-surgical unit
B)To find the appropriate treatment for a client with advanced lung cancer
C)To identify an appropriate diagnosis for a client with undetermined signs and symptoms
D)To assist in the determination of the correct dose of medication to give a client in congestive heart failure

Answer 3

To document quality improvement when problems are identified and targeted on a medical-surgical unit

Question 4

Data verification techniques are important to ensure data accuracy. For which of the following clients is data verification most difficult?

A)A client who is visually impaired can verbalize which data are correct and incorrect.
B)A client who is hard of hearing can read and confirm printouts of entered data.
C)A client who does not speak English can point to the screen to verify correct data.
D)A client who is unable to read can affirm verbally that the information is correct.

Question 5

All members of the nurse manager's staff have attended classes that emphasized appropriate system access, input device use, potential harmful effects associated with incorrect data, data verification techniques, and error correction. They received a certificate indicating proficiency in the use of the input device and computer systems. These staff members will not require additional training unless the technology changes significantly. Which of the following suggests that this statement is false?

A)Continuing education is only necessary with significant changes.
B)Continuing education should be consistent.
C)Continuing education should be performed when time permits.
D)Continuing education is essential for point-of-care staff only.

Question 6

Which of the following is an example of a system check?

A)When a duplicate entry is entered into the system, that entry is immediately deleted.
B)The nurse asks clients to verify their names when prompted by the computer system.
C)After turning on the bedside computer, the system performs a self-check before data will input.
D)Software in the system automatically corrects misspelled words and abbreviations.

Question 7

Which type of storage document is most accurate and improves access to records?

A)Immediate entry of data into automated systems
B)Films of old records converted from old client paper records
C)Document imaging and scanning of old client paper records
D)Original paper records from old client charts

Question 8

No agreement exists among health care groups in the United States regarding a common electronic data interchange (EDI) standard. This statement is true because of which of the following?

A)Experts have not yet finished the discussion phase leading to an agreement.
B)There is an agreement among health care groups because there is no need for a common EDI.
C)Agreements are part of the national health care reform initiative.
D)Health groups have isolated databases while working toward unification.

Question 9

_______________________________ is the process of controlling the collection, storage, retrieval, and use of data to optimize accuracy and utility while safeguarding integrity.

Question 10

When is it more appropriate to use online storage as compared to offline storage?

A)Safety of backup materials is a must
B)Long-term data storage is required for old records
C)Old client records should be kept more safely
D)Immediate access to data may be needed

Question 11

Data integrity is crucial to the success of professional nursing practice. Which of the following phrases identifies its relevance to quality care?

A)Data integrity provides a systematic approach to the care of the patient.
B)The use of authentic data ensures mistakes are avoided.
C)All data entered into the system are accurate.
D)Data integrity is a driving force in treatment decision making.

Question 12

The rate of suspected adverse drug reaction (ADR) among clients in the maternity unit is climbing. The nurse manager is aware that a World Health Organization (WHO) ADR database analyzes millions of suspected ADR reports in order to uncover new adverse effects. This WHO tracking is an example of which of the following?

A)Data scrubbing
B)Data mining
C)Knowledge discovery
D)Electronic data interchange

Question 13

Which of the following is a key motivation to outsource data storage?

A)To allow company personnel to maintain their positions in the company
B)To contract with company employees to maintain their loyalty
C)To reduce costs required for data storage and maintenance
D)To maintain data storage on site with the least amount of effort

Question 14

A relational database is a type of database that is specifically designed for which of the following?

A)Accessing data stored in multiple databases
B)Exclusive use of a database administrator (DBA)
C)Answering complex analytical questions
D)Using data that are represented as tables

Question 15

Which of the following will have the greatest impact on data integrity?

A)The computer system goes down but is completely restored within one minute.
B)A nurse collects data related to allergies but fails to document all reported allergies.
C)A clinic manager uses secondary storage for storing clinical records offline.
D)A number of printed media clinical records are discarded in the regular trash dumpster.

Question 16

Which of the following is considered a threat to information quality?

A)An unauthorized user hacks into the system to review the clients' records
B)Not verifying information as correct prior to entry
C)An earthquake interrupts the power supply and causes data loss
D)A wireless transmission is intercepted to review a new client's records.

Question 17

The night shift charge nurse is being promoted to the position of mental health unit nurse manager. The supervisor would contact the database administrator (DBA) to allow the nurse manager access to needed data required for this new position. Which of the following suggests this is a correct statement?

A)The DBA is responsible for overseeing all activities related to maintaining the database.
B)The database administrator has no authority over the management of data input.
C)The mental health manager should not have access to the database.
D)The mental health manager does not have to communicate with the database manager and ask for permission for access.

Question 18

Which of the following is an example of data cleansing or scrubbing?

A)Abbreviations are compared using software to ensure standard language is used.
B)When the name of the admitting physician is blank, the primary physician is used by default.
C)Users may sort and compare data to determine relationships.
D)Data are used to identify standardized treatments for specific diseases.

Question 19

Data integrity may be affected by how data is stored. Which of the following storage methods is the most reliable?

A)Portable hard drive with removable disk
B)Optical media and disks
C)Magnetic tape or cartridges
D)Redundant Array of Disks (RAID)

Question 20

Which of the following statements is not part of the data storage process?

A)Environmental control and conditions maximize the shelf life for media
B)Data storage on magnetic tape is a long-term solution to data storage
C)A contingency plan is developed to prevent the loss of data
D)The state dictates the length of time client records are stored

Question 21

Which of the following statements is true about knowledge discovery and the role of the nurse?

A)Point-of-care nurses do not have the education to translate knowledge into best practice models.
B)Nurses have the ability to translate knowledge into improved practice patterns.
C)Nurses cannot act upon data unless in collaboration with other health care professionals.
D)Attending physicians rather than nurses are in the best position to deliver high-quality and cost-effective care that is dependent upon their ability to translate knowledge (evidence) into practice.

Question 22

Technology committee members debate the merits of online versus offline storage. Which response is the most accurate when describing data storage?

A)Online storage is a slower retrieval system.
B)Offline storage provides access to current data.
C)Offline storage is used for data that are needed less frequently.
D)Online storage provides limited access to current data.

Question 23

Which of the following terms is a knowledge management tool that engages software to uncover inter-relationships within large data-sets?

A)Data mining
B)Knowledge discovery
C)Data destruction
D)Data cleansing

Question 24

Knowledge discovery in databases offers the health care team trended patterns that can be transformed into useful data. Which nursing role can best benefit from knowledge discovery as it pertains to evidence-based practice?

A)The nurse as administrator
B)The nurse as educator
C)The nurse as researcher
D)The nurse at point of care

Question 25

Data retrieval most commonly occurs as a function of a ________________________ in conjunction with secondary storage media