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?

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?

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that the resource is credible because it is on the Internet,assess popularity,or rely on information that is old or outdated.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

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?

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?

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?

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?

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

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

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?

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?

Accepted Answer

The Health Insurance Portability and Accountability Act (HIPAA)is an example of a regulatory requirement that will affect health care policy with regard to informatics.The American Nurses Association (ANA)is the professional nursing organization.Medicare and Medicaid are governmental organizations that provide services.They do not regulate health care policy.

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?

Accepted Answer

The informatics nurse has experience in nursing informatics but does not have a degree in the specialty.The informatics nurse specialist does have an advanced degree.Both the informatics nurse and the informatics nurse specialist support consumers and nurses.

Question 13

How does the IN/INS use HIPAA regulations and TJC requirements in daily practice?

Accepted Answer

The IN/INS's use of HIPAA regulations and TJC regulations includes writing of policies and procedures and investigation of violations.It does not involve the discipline process or managing the nursing unit.

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?

Accepted Answer

The IN/INS may be involved in writing data security policies.This nurse may be called on to help in data breach investigations,but neither that nor developing technology is the main 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

Accepted Answer

The credibility of the information that you obtain from Internet searches should be challenged.It is important to be skeptical because not all information that is posted on a website is accurate.Information should be evaluated and reevaluated on a regular basis.It is important to remember that Internet information is dynamic and fluid in nature compared with printed information.Although librarians can assist with the verification of the authenticity of the website,nurses need to understand how to evaluate information from various Internet sources.It is true that most information can be downloaded to a smartphone or handheld device;however,the question is asking about evaluating a website.

Question 16

The nurse understands the benefits of Computerized Provider Order Entry (CPOE)when stating

Accepted Answer

Computerized Provider Order Entry benefits everyone in the health care system and greatly changes the process of patient care,as well as averts problems with handwritten orders.

Question 17

How can the nurse expect to be impacted by nursing informatics?

Accepted Answer

Everyone in the health care system is impacted by nursing informatics in one way or another.Nurses are directly impacted by the use of barcode medication administration.

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?

Accepted Answer

The IN/INS should be prepared to help with system implementation,have computer and network knowledge on entry into the profession,and interact directly with staff.

Question 19

What is the importance of using classification systems for nursing nomenclature to describe nursing practice?

Accepted Answer

Nursing nomenclatures offer a recognized systematic classification and consistent method of describing nursing practice.Without a common language,data cannot be aggregated into a useful language.If the unique nomenclature of accepted classification systems is used consistently,gathered data elements can be captured,stored,and manipulated accurately in the electronic medical record.Acuity systems allow nursing administration to address ways to deal with issues such as shift-to-shift changes in patient care needs,admission-discharge-transfer volumes,and factors such as ancillary support and technology and equipment considerations to support CQI measures.Nursing classification systems do not assist in the use of a patient care management system or the writing of policies and guidelines.

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

Accepted Answer

The nurse graduating with a degree in nursing informatics has a variety of opportunities.These include working alongside engineers and for consulting firms,third-party payers,the government,and educational institutions.

Quiz 23: Nursing Informatics