NRS 450 Exam 3 V1 | NRS 450 Nursing Informatics
| Actual Q&A with Rationale (NRS450 Exam 3) |
Grand Canyon University
1. A nurse is teaching a group of staff nurses about the benefits of implementing an Electronic
Health Record (EHR). Which of the following are recognized benefits of an EHR? Select all that
apply.
A. Improved access to patient information at the point of care
B. Reduction in medical errors due to legible documentation
C. Elimination of the need for nursing critical thinking
D. Enhanced coordination of care among multidisciplinary teams
E. Lowering the cost of care by reducing redundant testing
F. Automatic generation of clinical judgment
Correct Answer: A, B, D, E
Explanation: The Electronic Health Record (EHR) is designed to streamline workflows and
improve patient outcomes through data accessibility and coordination. It facilitates the
reduction of errors caused by illegible handwriting and ensures that all team members
have the most current data. While it supports clinical decision-making, it does not replace
the professional critical thinking or clinical judgment required of a nurse.
,2. Which component of the DIKW (Data, Information, Knowledge, Wisdom) framework
represents the application of knowledge to manage and ameliorate human problems?
A. Data
B. Information
C. Knowledge
D. Wisdom
Correct Answer: D
Explanation: Wisdom is defined as the highest level of the hierarchy where knowledge is
applied to solve complex problems and make ethical decisions. Data consists of raw facts,
information is organized data, and knowledge is the synthesis of information. The
transition to wisdom requires experience and professional insight to provide high-quality
care.
3. The HITECH Act was enacted to promote the adoption and ‘Meaningful Use’ of health
information technology. What is the primary purpose of the ‘Meaningful Use’ criteria?
A. To penalize hospitals that do not use computers
B. To ensure that EHR technology is used to improve quality, safety, and efficiency
C. To mandate that all patients access their records daily
D. To replace all registered nurses with informatics specialists
Correct Answer: B
,Explanation: Meaningful Use established specific objectives that eligible professionals and
hospitals must meet to qualify for incentive payments. The focus is on using certified EHR
technology to improve patient outcomes and engage patients in their own care. This
legislation significantly accelerated the digitization of health records across the United
States.
4. Which organization is responsible for the TIGER (Technology Informatics Guiding Education
Reform) initiative?
A. American Nurses Association (ANA)
B. Healthcare Information and Management Systems Society (HIMSS)
C. Centers for Medicare and Medicaid Services (CMS)
D. Joint Commission
Correct Answer: B
Explanation: The TIGER initiative was launched by HIMSS to bridge the gap between
nursing practice and information technology. Its goal is to ensure that the nursing
workforce is prepared to use technology to provide safer and more efficient care. TIGER
emphasizes the importance of informatics competencies for all healthcare professionals,
not just specialists.
, 5. A nurse is reviewing the Health Insurance Portability and Accountability Act (HIPAA)
Security Rule. Which of the following is an example of a technical safeguard? Select all that
apply.
A. Facility access controls
B. Unique user identification and passwords
C. Automatic log-off on computer terminals
D. Encryption and decryption of data
E. Workstation positioning away from public view
Correct Answer: B, C, D
Explanation: Technical safeguards involve the technology and the policy and procedures
for its use that protect electronic protected health information (ePHI) and control access to
it. Items like passwords, encryption, and automatic log-offs fall under this category. Facility
access and workstation positioning are considered physical safeguards.
6. When evaluating the usability of a new clinical information system, which factor focuses on
how easy it is for users to accomplish basic tasks the first time they encounter the design?
A. Efficiency
B. Satisfaction
C. Memorability
D. Learnability
| Actual Q&A with Rationale (NRS450 Exam 3) |
Grand Canyon University
1. A nurse is teaching a group of staff nurses about the benefits of implementing an Electronic
Health Record (EHR). Which of the following are recognized benefits of an EHR? Select all that
apply.
A. Improved access to patient information at the point of care
B. Reduction in medical errors due to legible documentation
C. Elimination of the need for nursing critical thinking
D. Enhanced coordination of care among multidisciplinary teams
E. Lowering the cost of care by reducing redundant testing
F. Automatic generation of clinical judgment
Correct Answer: A, B, D, E
Explanation: The Electronic Health Record (EHR) is designed to streamline workflows and
improve patient outcomes through data accessibility and coordination. It facilitates the
reduction of errors caused by illegible handwriting and ensures that all team members
have the most current data. While it supports clinical decision-making, it does not replace
the professional critical thinking or clinical judgment required of a nurse.
,2. Which component of the DIKW (Data, Information, Knowledge, Wisdom) framework
represents the application of knowledge to manage and ameliorate human problems?
A. Data
B. Information
C. Knowledge
D. Wisdom
Correct Answer: D
Explanation: Wisdom is defined as the highest level of the hierarchy where knowledge is
applied to solve complex problems and make ethical decisions. Data consists of raw facts,
information is organized data, and knowledge is the synthesis of information. The
transition to wisdom requires experience and professional insight to provide high-quality
care.
3. The HITECH Act was enacted to promote the adoption and ‘Meaningful Use’ of health
information technology. What is the primary purpose of the ‘Meaningful Use’ criteria?
A. To penalize hospitals that do not use computers
B. To ensure that EHR technology is used to improve quality, safety, and efficiency
C. To mandate that all patients access their records daily
D. To replace all registered nurses with informatics specialists
Correct Answer: B
,Explanation: Meaningful Use established specific objectives that eligible professionals and
hospitals must meet to qualify for incentive payments. The focus is on using certified EHR
technology to improve patient outcomes and engage patients in their own care. This
legislation significantly accelerated the digitization of health records across the United
States.
4. Which organization is responsible for the TIGER (Technology Informatics Guiding Education
Reform) initiative?
A. American Nurses Association (ANA)
B. Healthcare Information and Management Systems Society (HIMSS)
C. Centers for Medicare and Medicaid Services (CMS)
D. Joint Commission
Correct Answer: B
Explanation: The TIGER initiative was launched by HIMSS to bridge the gap between
nursing practice and information technology. Its goal is to ensure that the nursing
workforce is prepared to use technology to provide safer and more efficient care. TIGER
emphasizes the importance of informatics competencies for all healthcare professionals,
not just specialists.
, 5. A nurse is reviewing the Health Insurance Portability and Accountability Act (HIPAA)
Security Rule. Which of the following is an example of a technical safeguard? Select all that
apply.
A. Facility access controls
B. Unique user identification and passwords
C. Automatic log-off on computer terminals
D. Encryption and decryption of data
E. Workstation positioning away from public view
Correct Answer: B, C, D
Explanation: Technical safeguards involve the technology and the policy and procedures
for its use that protect electronic protected health information (ePHI) and control access to
it. Items like passwords, encryption, and automatic log-offs fall under this category. Facility
access and workstation positioning are considered physical safeguards.
6. When evaluating the usability of a new clinical information system, which factor focuses on
how easy it is for users to accomplish basic tasks the first time they encounter the design?
A. Efficiency
B. Satisfaction
C. Memorability
D. Learnability
