Deck 26: Nursing Informatics and the Foundation of Knowledge

Question 1

Using knowledge without being consciously aware of what aspect of knowledge we are using at any given moment during our practice is known as knowledge:

A) processing.
B) transparency.
C) feedback.
D) management.

Answer 1

B

Question 2

A novice professional is more likely to use which aspect of the Foundation of Knowledge model?

A) Knowledge acquisition
B) Knowledge processing
C) Knowledge generation
D) Knowledge dissemination

Answer 2

A

Question 3

Reflection on practice to gain insight into why an approach was successful (or not) in a practice situation helps a professional to build:

A) tacit knowledge.
B) explicit knowledge.
C) organizational knowledge.
D) collaborative knowledge.

Answer 3

A

Question 4

A practice council is focused on reducing workarounds related to medication administration. Which approach is likely to be more successful?

A) Developing an explicit policy requiring adherence to medication administration guidelines
B) Developing an education program to improve understanding of medication administration
C) Searching the literature for research studies related to medication administration workarounds
D) Collecting data in the institution by asking professionals to journal examples of workarounds

Question 5

Vendor-owned cloud computing might offer the benefit of reduced costs of maintaining hardware and information technology support in an individual healthcare system. What is the main reason that cloud computing is not widely accepted in healthcare?

A) Concern about vendor support and functionality of the products
B) Concern about usability and interoperability of systems
C) Concern about information security and privacy
D) Concern about data storage and retrieval

Question 6

A community of practice would best be described as groups of people:

A) working on a unit in an institution or organization.
B) who share a concern or a passion for something they do and learn how to do it better as they interact regularly.
C) who work together in a specialty area.
D) who share the same educational levels.

Question 7

As knowledge expands with professional growth, its use becomes more:

A) conscious.
B) static.
C) transparent.
D) All of these are correct.

Question 8

Early in the professional nurse's education, conscious attention is focused mainly on:

A) knowledge acquisition.
B) processing knowledge.
C) generating knowledge.
D) knowledge dissemination.

Question 9

Which of the following is a characteristic of explicit knowledge?

A) It is conveyed in letters, words, and numbers.
B) It is obtained intuitively.
C) It is highly individualized.
D) All of these are correct.

Question 10

All of the following are examples of explicit knowledge except:

A) knowledge disseminated publically.
B) a practice model or theory.
C) manuals and product specifications.
D) value-based knowledge.

Question 11

Reflection on practice includes:

A) putting personal or experiential knowledge into words.
B) considering why a practice situation turned out as it did.
C) codifying tacit knowledge.
D) All of these are correct.

Question 12

Which of the following is a strategy to build an organization's knowledge base?

A) Sharing experiences in a practice council
B) Encouraging collaboration with other professionals
C) Joining a community of practice
D) All of these are correct.

Question 13

Which of the following are mainly users of knowledge who do not have the expertise to provide the knowledge they need for themselves?

A) Knowledge consumers
B) Knowledge brokers
C) Knowledge generators
D) Professional researchers

Question 14

Researchers and discipline experts are likely to be which type of knowledge worker?

A) Knowledge consumers
B) Knowledge innovators
C) Knowledge generators
D) knowledge brokers

Question 15

According to Dixon (2012), knowledge workers need to acquire new knowledge every ________ or else they become obsolete.

A) 4 to 5 years
B) 3 months
C) week
D) 10 years

Question 16

When knowledge workers leave an organization, their knowledge:

A) is stored in the information technology system.
B) leaves with them.
C) can be easily replaced.
D) can be surfaced in the exit interview.

Question 17

Farr and Cressy (2015) found that intangible tacit knowledge was just as important to the personal perception of quality of performance as more standardized rational measures.

Question 18

Each person processes and assimilates knowledge in a unique way.

Question 19

Situations, experiences, education, and knowledge building promote transitions between types of knowledge workers.

Question 20

Knowledge brokers know where to find information and knowledge and are primarily responsible for generating new knowledge.

Question 21

A nurse has committed to lifelong learning and understands that it will come from which of the following?

A) The knowledge generation and dissemination from other healthcare providers
B) The knowledge acquisition and processing of other healthcare providers
C) The research generation from nurse researchers and application of evidence
D) The generation of knowledge and research from medical health providers

Question 22

A nurse is evaluating the effectiveness of nursing interventions and will use which type of knowledge?

A) Explicit
B) Indirect
C) Clinical
D) Critical

Question 23

A nurse is writing a narrative of a nursing care experience for an editorial in a nursing journal. What is this nurse demonstrating?

A) Reflective practice
B) Intuitive practice
C) Evaluative practice
D) Situational practice

Question 24

A new nurse is searching a library database for information about patient care. Which type of knowledge worker is this nurse?

A) Knowledge consumer
B) Knowledge broker
C) Knowledge generator
D) Knowledge researcher

Question 25

A nurse administrator is reviewing trends in patient outcomes across several hospitals in a healthcare system. Her effort is facilitated through accessing which of the following?

A) A central data warehouse
B) The electronic health records of individual patients
C) Deidentified informatics research data
D) Aggregate data from a meta-analysis

Question 26

An algorithm is used to mine the electronic health record and identify adverse events. Which components of the electronic health record should be mined for data on adverse events?

A) Nursing clinical documentation
B) Insurance utilization
C) Deidentified patient demographic data
D) Informed consent data

Question 27

In a learning healthcare system, a nurse uses science and technology for which of the following?

A) Real-time access to knowledge and evidence
B) Facilitation of a culture of teamwork
C) Facilitation of transparency
D) Communication with patients and families

Question 28

A nursing administrator in the learning healthcare system encourages continuous improvement and waste reduction and, thus, incentivizes which of the following?

A) Value
B) Cost reduction
C) Insurance billing
D) Increased profits

Question 29

Intangible, tacit knowledge was important to professionals in the perception of quality.

Question 30

Informatics nurses need to develop patient privacy policies to safeguard the genetic data in electronic health records.

Question 31

A nurse is reviewing the knowledge management life cycle in an organization and identifies which of the following as integral to knowledge sharing, structuring, and auditing?

A) Informatics tools
B) Research activities
C) Data mining
D) Feedback

Question 32

A nurse is using a well-developed nursing model to share which type of knowledge?

A) Explicit knowledge
B) Tacit knowledge
C) Feedback
D) Generative

Question 33

A nurse is identifying priorities in nursing care based on intuition and nursing skills. The nurse is applying:

A) tacit knowledge.
B) explicit knowledge.
C) critical knowledge.
D) clinical knowledge.

Question 34

A new nurse is discussing an error that was made in patient care with another nurse. This reflection can do which of the following?

A) Promote a change in nursing practice
B) Reduce knowledge acquisition by the new nurse
C) Decrease collaboration with other nurses
D) Reduce knowledge sharing with colleagues

Question 35

A nurse is teaching a new nurse about knowledge workers. Which statement by the nurse is correct?

A) "Advanced practice nurses who are experts in nursing are considered knowledge generators."
B) "Experienced nurses are knowledge consumers because they know where to find knowledge."
C) "Nurse researchers are knowledge consumers because they collect data that already exists."
D) "A new nurse is a knowledge broker because he or she uses resources to find out information."

Question 36

An experienced nurse is assigned to be a mentor for a new nurse and shares personal insights and experiences. The nurse is demonstrating:

A) tacit knowledge.
B) explicit knowledge.
C) clinical knowledge.
D) experiential knowledge.

Question 37

A team of healthcare providers meets at the beginning of a shift to discuss the utilization of resources and concerns of team members. This process helps facilitate:

A) communication.
B) knowledge generation.
C) knowledge brokering.
D) coordination.

Question 38

A nurse is including the patient and family members to gain their perspectives and needs in the Learning Healthcare System. This inclusion promotes:

A) empowerment and engagement of the patient and family.
B) application of explicit knowledge about the patient and family.
C) application of best evidence available to enhance outcomes for the patient and family.
D) capturing of the work of nursing.

Question 39

Alerts and reminders should be built into electronic health records to remind a healthcare professional about a patient's biometric markers.

Question 40

Collaboration between healthcare providers does not significantly impact the quality of outcomes for patients.

Question 41

How can I apply the knowledge I gain from my practice setting to benefit my patients and enhance my practice?

Question 42

How can I help my colleagues and patients embrace, understand, and use technologies to manage health?

Question 43

How can I use and communicate my wisdom to help create the theories, tools, and knowledge of the future?