WGU D220 NURSING INFORMATICS
ACTUAL FINAL TEST PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
⩥ Change Theory. Answer: unfreezing -->moving-->refreezing
⩥ Systems Theory. Answer: interaction among parts
⩥ Behaviorism. Answer: desired behaviors are reinforced
⩥ Constructivism. Answer: reinterpret the world to fit new situations
⩥ Adult learning. Answer: learn by doing, must know why they need to
learn and value of learning
⩥ nursing informatics is a combination of what?. Answer: -nursing
science: Professional Nursing principles and practices in the delivery
and management of patient care
-computer science: Data storage, management,
retrieval, and processing
-information science: What data are needed; how to obtain it, and how to
communicate that data as useable information
,⩥ nursing informatics definition. Answer: A specialty that integrates
nursing science, computer science, and information science to manage
and communicate data, information, knowledge and wisdom in nursing
practice.
⩥ Institute of Medicine Report - 2001 on information technology.
Answer: -There must be a renewed national commitment to building an
information infrastructure to support health care delivery, consumer
health, quality measurement and improvement, public accountability,
clinical and health services research, and clinical education.
-This commitment should lead to the elimination of most handwritten
clinical data by 2010.
⩥ Health Information Technology (Dept. of HHS) Vision:. Answer: -
Medical information follows consumers; consumer-centered care
-Consumers choose physicians and hospitals based on known
performance results
-Clinicians access medical history, computerized ordering systems, and
electronic reminders
-Quality performance initiatives drive quality-based competition
-Clinical research and post-marketing surveillance are fostered
⩥ American Recovery and Reinvestment Act (ARRA). Answer: -
Financial incentives
-Adopt electronic records
,-"Meaningful Use"
-Medicare EHR Incentive Program
-Hospitals and individual providers
-Begin by 2012
-In 2015, penalty if unable to show meaningful use
-Includes provider order entry
-Health Information Exchanges (shared EMRs)
⩥ How can Informatics improve Patient Safety?. Answer: -Improves
legibility
-Provides greater continuity of care
-Supports safe medication practices
-Improves nursing workflow; eliminates redundant documentation
-Provides access to up-to-date, accurate data for informed decision-
making
-Decision support based on assessment data
⩥ Using Decision Support in Practice. Answer: -Emphasis on Evidence-
Based Practice (EBP) - match patient data with a specific knowledge
base to generate evidence-based recommendations
-Assists clinicians with varying levels of clinical experience (novice vs.
expert)
-Reduces decisions that are made based on incomplete or misinterpreted
information
, ⩥ Documentation Principles. Answer: -Reflects current standards of
practice and level of quality care
-Regulations/Standards
-Contents of electronic and written record
-Purposes of records
-Confidentiality/ HIPAA
⩥ Confidentiality in the Workplace. Answer: -Don't share information in
public areas (elevators, cafeterias, hallways, public restrooms)
-Don't share information with anyone not directly involved with the
patient's care.
-Patient may not want family to know details of care.
-Don't look up friends, family, celebrities or other patients on other
floors.
-Don't speak of the patients outside of the hospital to family, friends,
neighbors, etc
⩥ Rules to help keep the record top secret!. Answer: -Timely log off
-Frequently change password
-Don't share passwords or codes with ANYONE!
⩥ Methods of Recording. Answer: -Narrative
ACTUAL FINAL TEST PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
⩥ Change Theory. Answer: unfreezing -->moving-->refreezing
⩥ Systems Theory. Answer: interaction among parts
⩥ Behaviorism. Answer: desired behaviors are reinforced
⩥ Constructivism. Answer: reinterpret the world to fit new situations
⩥ Adult learning. Answer: learn by doing, must know why they need to
learn and value of learning
⩥ nursing informatics is a combination of what?. Answer: -nursing
science: Professional Nursing principles and practices in the delivery
and management of patient care
-computer science: Data storage, management,
retrieval, and processing
-information science: What data are needed; how to obtain it, and how to
communicate that data as useable information
,⩥ nursing informatics definition. Answer: A specialty that integrates
nursing science, computer science, and information science to manage
and communicate data, information, knowledge and wisdom in nursing
practice.
⩥ Institute of Medicine Report - 2001 on information technology.
Answer: -There must be a renewed national commitment to building an
information infrastructure to support health care delivery, consumer
health, quality measurement and improvement, public accountability,
clinical and health services research, and clinical education.
-This commitment should lead to the elimination of most handwritten
clinical data by 2010.
⩥ Health Information Technology (Dept. of HHS) Vision:. Answer: -
Medical information follows consumers; consumer-centered care
-Consumers choose physicians and hospitals based on known
performance results
-Clinicians access medical history, computerized ordering systems, and
electronic reminders
-Quality performance initiatives drive quality-based competition
-Clinical research and post-marketing surveillance are fostered
⩥ American Recovery and Reinvestment Act (ARRA). Answer: -
Financial incentives
-Adopt electronic records
,-"Meaningful Use"
-Medicare EHR Incentive Program
-Hospitals and individual providers
-Begin by 2012
-In 2015, penalty if unable to show meaningful use
-Includes provider order entry
-Health Information Exchanges (shared EMRs)
⩥ How can Informatics improve Patient Safety?. Answer: -Improves
legibility
-Provides greater continuity of care
-Supports safe medication practices
-Improves nursing workflow; eliminates redundant documentation
-Provides access to up-to-date, accurate data for informed decision-
making
-Decision support based on assessment data
⩥ Using Decision Support in Practice. Answer: -Emphasis on Evidence-
Based Practice (EBP) - match patient data with a specific knowledge
base to generate evidence-based recommendations
-Assists clinicians with varying levels of clinical experience (novice vs.
expert)
-Reduces decisions that are made based on incomplete or misinterpreted
information
, ⩥ Documentation Principles. Answer: -Reflects current standards of
practice and level of quality care
-Regulations/Standards
-Contents of electronic and written record
-Purposes of records
-Confidentiality/ HIPAA
⩥ Confidentiality in the Workplace. Answer: -Don't share information in
public areas (elevators, cafeterias, hallways, public restrooms)
-Don't share information with anyone not directly involved with the
patient's care.
-Patient may not want family to know details of care.
-Don't look up friends, family, celebrities or other patients on other
floors.
-Don't speak of the patients outside of the hospital to family, friends,
neighbors, etc
⩥ Rules to help keep the record top secret!. Answer: -Timely log off
-Frequently change password
-Don't share passwords or codes with ANYONE!
⩥ Methods of Recording. Answer: -Narrative
