Question 1

When describing the role of the nurse administrator in relation to information management systems, which would be expected as a basic skill?

Accepted Answer

A

Question 2

A nurse administrator is using a spreadsheet for forecasting. Which action would the administrator do first?

Accepted Answer

Obtaining data spanning several years is the first step in forecasting, as it provides a historical context and baseline from which patterns, trends, and the impact of external influences can be analyzed.

Question 3

A nurse administrator is involved in process improvement and uses a chart to examine the relationships among complex processes. The chart resembles a fishbone. The administrator has used which type of chart?

Accepted Answer

The chart described is a cause-and-effect chart, also known as a fishbone diagram or Ishikawa diagram, which is used to identify, explore, and display the possible causes of a specific problem or quality characteristic.

Question 4

A nurse administrator is evaluating several human resource management systems to determine if one would be appropriate for the agency. To make the decision, the nurse administrator evaluates each system to see if it meets the minimum requirements. Which characteristic would lead the nurse to reject a system?

Accepted Answer

Minimizing allowances for staff self-scheduling would likely be seen as a negative feature because it reduces flexibility for staff, which can impact morale and retention. The other options (A, C, D) are generally considered positive features that enhance the functionality and efficiency of a human resource management system.

Question 5

A nurse manger is discussing with staff the type of data that is submitted to the National Database of Nursing Quality Indicators (NDNQI). Which data will the nurse manager include in the discussion? Select all that apply.

Accepted Answer

The National Database of Nursing Quality Indicators (NDNQI) collects data on various indicators that reflect the quality of nursing care and patient outcomes. This includes pressure ulcer development, unit-based falls, nursing turnover rates, and nosocomial infections. Blood glucose levels, while important for patient care, are not specifically collected by the NDNQI as a nursing quality indicator.

Question 6

A nurse administrator is reviewing a report about the agency's nursing units and the care they provide. The results have been compared and benchmarked to similar units from other agencies. The administrator is reviewing a report from the:

Accepted Answer

The National Database of Nursing Quality Indicators (NDNQI) allows nursing units to compare their performance and quality of care with similar units at other facilities, which is what the scenario describes.

Question 7

A nurse manager is using real-time information on key performance indicators to guide decision-making. Which is the nurse using?

Accepted Answer

Dashboards provide real-time information on key performance indicators, allowing for immediate insight and decision-making based on current data.

Question 8

A nurse manager is working on the schedule for unit staffing. To determine the needs accurately, the nurse manager would use:

Accepted Answer

A patient classification system helps determine staffing needs by categorizing patients based on their care requirements, ensuring appropriate nurse-to-patient ratios.

Question 9

A nurse administrator who is using project management software wants to ensure that the project stays on time and on budget. The nurse administrator also identifies key tasks that must occur during the project to keep it on target. The administrator would most likely use which tool to track the project's status?

Accepted Answer

A Gantt chart is a project management tool that is used to represent the timing of tasks required to complete a project. It allows for scheduling of tasks, visualizing the project timeline, and tracking the progress of tasks against the planned schedule, making it an ideal choice for ensuring a project stays on time and on budget.

Question 10

A nurse administrator is working as part of a group that conducts surveys of clients about their healthcare experiences. Which aspect would be most important to address?

Accepted Answer

The answer of A nurse administrator is working as part...

Question 11

A nurse administrator is reviewing data collected for core measurements. Which area would most likely be included? Select all that apply.

Accepted Answer

Core measurements in healthcare typically focus on significant and common conditions or preventive health measures. Myocardial infarction, immunizations, heart failure, and pregnancy are all areas with established protocols and benchmarks for care, making them likely subjects for core measurement data collection. Gastric upset, while common, is not typically a focus of standardized core measurements due to its broad range of causes and treatments.

Question 12

A nurse administrator is conducting a seminar for new nurse administrators about business intelligence in healthcare and the use of dashboards to make operational decisions. The group demonstrates understanding of the information when they identify which as a characteristic of an effective dashboard? Select all that apply.

Accepted Answer

Effective dashboards in healthcare or any other sector should have components that work together cohesively (A), display key performance indicators (D) to provide quick insights into performance against goals, and flag below-targeted indicators (E) to draw attention to areas needing improvement. These features help in making informed operational decisions.

Question 13

For which purposes would a nurse manager in an agency use a spreadsheet? Select all that apply.

Accepted Answer

The answer of For which purposes would a nurse manager...

Question 14

A nurse manager is looking at ways to improve the admission process from the emergency department to the inpatient unit. Which tool would be most appropriate for the nurse manager to use?

Accepted Answer

A flowchart is the most appropriate tool for improving processes such as the admission process from the emergency department to the inpatient unit because it visually maps out the steps of the process, allowing for identification of inefficiencies and areas for improvement.

Question 15

A nurse administrator is conducting an in-service presentation to a group of nurse managers about human resource management systems (HRMS). The group demonstrates understanding of the topic when they identify which category as being contained within the HRMS? Select all that apply.

Accepted Answer

HRMS typically includes personnel profiles, daily schedules, and payroll data as these are essential components for managing human resources in terms of employee information, work schedules, and compensation. Task ending dates and milestones might be part of project management or specific task management systems rather than a general HRMS.

Question 16

The National Database of Nursing Quality Indicators (NDNQI) includes information about which topic? Select all that apply.

Accepted Answer

The NDNQI focuses on nursing-sensitive indicators which include process, outcomes, and structure to measure the quality of nursing care.

Question 17

A nurse administrator is part of a committee working on evaluating information systems for the agency for future purchase. Which role would be most important for the nurse administrator to fulfill?

Accepted Answer

The nurse administrator's primary role in this context is to ensure that the information system meets the needs of the nursing services, advocating for features and functionalities that support nursing practice and patient care.

Question 18

Competency in which area would be identified as critical for nursing education based on the Quality Safety Education for Nurses (QSEN)? Select all that apply.

Accepted Answer

The answer of Competency in which area would be identified...

Question 19

A nurse is working as part of a group tasked with reviewing situations that have occurred on the unit involving near misses and errors. The group is working to find the underlying issue related to safety and propose solutions to the problems. When conducting the investigation, which method would be appropriate to use? Select all that apply.

Accepted Answer

Workflow analysis, cause-and-effect charts, and root cause analysis are appropriate methods for investigating safety issues, as they help identify underlying problems and their causes in processes and systems.

Question 20

A nurse administrator is reviewing numerous client surveys returned from clients recently hospitalized on a specific nursing unit. The clients voiced dissatisfaction with care because of miscommunication among staff, poor scheduling of client procedures, and lack of adequate transport services. The nurse administrator is examining:

Accepted Answer

Throughput refers to the processes and systems involved in moving patients through the healthcare system efficiently. The dissatisfaction expressed by clients regarding miscommunication among staff, poor scheduling of client procedures, and lack of adequate transport services directly relates to issues in the throughput process, which includes scheduling, communication, and transportation services within the healthcare setting.

Quiz 24: Informatics in Management