(Answered) NURS C790 Foundations In Nursing Informatics Exam Test Prep.
C790 Practice Questions 1. Place the steps for the Staggers and Nelson life cycle in order from first (1) to last (4): o Implementation (3) o Analysis/planning (1) o Design/development (2) o Maintenance and support (4) 2. What describes the maintenance phase of the system development life cycle? • The system is upgraded o The system requirements are defined o The system undergoes a readiness assessment o The system user undergo education and training 3. During which phase of the system life cycle is the scope of the proposed project identified? o Testing • Planning o Development o Implementation 4. What is the next step in the system life cycle after a new health information system has been purchased? • Test the system o Evolve the system o Analyze the system o Implement the system 5. In which ways can the use of clinical decision support systems affect health information technology and create a culture of safety within healthcare? Choose 2 answers. • It improves quality of care • It improves patient satisfaction o It takes away the need for education o It increases costs to the healthcare facility o It automatically gives the definitive diagnosis6. What is the major reason to install a clinical decision support system withing healthcare information technology? • It reduces errors o It enhances data analytics o It provides faster documentation o It improves throughput in the organization 7. How does a clinical decision support system that uses ANSI and WEDI support a culture of safety? o By publicizing healthcare information • By standardizing healthcare information o By negotiating healthcare costs and services o By standardizing financial management information 8. A large healthcare corporation is preparing to implement a new patient portal for healthcare records. Multiple literature searches have been done, trade shows have been attended, and a final list of potential vendors has been developed. What is the next step in the project life cycle? o A demonstration of the product is done for the analyst and staff o A market analysis is done to determine the financial stability of a company • A letter is sent to potential vendors asking for specific information about the product o A list of potential vendors is sent to the chief executive officer and chief information officer 9. Why do healthcare facilities favor purchased information systems over organizationdeveloped information systems? o Outside infrastructure is used o Project management is enhanced • System enhancements are provided o Resource cost of switchboard operations is reduced 10. Which system development life cycle uses the most predictive approach? • Waterfall model o Domain modeling o Systems analysis model o System communications modeling11. Which step in the project implementation of the electronic health record relies heavily upon the ability of super users? o Organize design requirements and build system • Manage go-live activities and post go-live support o Manage the upgrades and roll out to additional sites o Test the system and conduct user validation sessions o Finalize the build and move the product to production 12. Which stage of the planning phase provides the high-level direction needed to reach organizational goals? o Tactical planning o Milestone planning • Strategic planning o Feasibility planning 13. What initiates the life cycle of an information system? o Selection of a vendor product o Evaluation of the current system • Identification of a vision or need o Increase the instability of the system 14. Place the implementation steps of the electronic health record life cycle in order from first (1) to last (4). o Build, test, and integrate system components (3) o Complete system tests and then deploy the solution (4) o Discover and understand the details of the problem or the need (2) o Identify the problem or need and obtain approval to proceed with the project (1) 15. As a crucial part of the whole information technology (IT) infrastructure (hardware, software, networks, operations, etc.) of the organization, this step in the project implementation must be aligned with the organization’s mission and support the overall business goals. Which part of the project implementation plan would this be? • Strategic planning o Tactical planning o SWOT analysis o Gap analysis16. What is the correct order of the phases of an adaptive system development life cycle with six core processes and multiple iterations? ~*~ I. Complete system tests and deploy solutions II. Build, test, and integrate system components III. Discover and understand the details IV. Identify the problem and obtain approval V. Design system components VI. Plan and monitor project ~*~ I. Discover and understand the details II. Build, test, and integrate system components III. Identify the problem and obtain approval IV. Complete system tests and deploy the solution V. Plan and monitor project VI. Design system components ~*~ I. Identify the problem and obtain approval II. Plan and monitor project III. Discover and understand details IV. Design system components V. Build, test, and integrate system components VI. Complete system tests and deploy the solution ~*~ I. Discover and understand the details II. Build, test, and integrate system components III. Identify the problem and obtain approval IV. Complete the system test and deploy the solution V. Plan and monitor project VI. Design system components ~*~ 17. Which system development life cycle approach does the waterfall model describe” o A spiral approach o The newest approach o An adaptive approach • A sequential approach X18. During which phase of the system development lifecycle (SDLC) are new components and programs obtained and installed? • Develop or purchase o Implementation o Maintenance o Test 19. As the implementation phase of the system development lifecycle (SDLC) is occurring, a member of the project management team wants to confirm that all bar code printers have been updated to work with the new system. What testing should be used? o ARRA-related Meaningful Use testing o Unit testing and functional testing o Volume testing • Hardware testing 20. The nursing team has been charged with selecting a new information system for managing patient census data. Which system should be chosen? • Open system o Closed system o Targeted system o Conceptual system 21. An institution is using the systems development lifecycle (SDLC) adaptive approach for developing its new information system. The institution will need to be flexible throughout development. Which SDLC approach should be used? • Agile development o Waterfall development o Big bang development o Rapid adaptive development 22. A physician’s office wants to adopt an electronic medical record. The providers and staff are unsure which system will best suit the needs of the office. Which system development lifecycle approach suits this practice? o Spiral • Adaptive o Waterfall o Predictive23. A complex healthcare system is implementing a new electronic health record system with multiple sites. The sites include both inpatient and outpatient clinics. Which systems development lifecycle model is appropriate for this institution? o Waterfall • Layered o Predictive o Sequential 24. Which interdisciplinary team role will a chief information officer undertake when implementing a health information system? o Advisor to ancillary and clinical care areas o Project manager of timeline and budgeting • Chair of the information steering committee o Troubleshooter for problems with an application’s function 25. Who focuses on the enterprise, surrounding environment, resources, quality issues, and business processes to support direct patient care delivery? o Educator o Clinician o Researcher • Administrator 26. Which groups are responsible for standards development during the implementation of a health information system? Choose 3 answers. • Physicians o Accountants • Pharmacists o Human resources • Registered nurses o Operations management 27. A project manager working with the surgery department at a local hospital wants to increase revenue by 20% within three years by capturing lost changes. The current supply charge process is evaluated and found to be dysfunctional. An automated dispensing system is identified as a possible solution. It is projected this system will pay for itself in six months. Which step in the tactical planning process is taking place? • Feasibility study o Initiation of the project o Controlling and monitoring o Development of the project plan28. An electronic medical record project has been implemented. The executive team has approved the system and signed for payment to the vendor. The information technology manager has verified that items on the issues list have been resolves. In which phase is the project management team working? • Closing the project o Planning the project o Execution of the project o Initiation of the project 29. An electronic health record project quality team is preparing to present a benefit-cost analysis comparing two systems for the project manager. Which phase of project management is described? • Planning o Execution o Initiation o Controlling and monitoring 30. What is the name of the group of people who work together to coordinate the implementation of the electronic heath record (EHR) project? o Physician champions o Chief financial officer o Nursing administration team • Steering committee 31. The information technology department of the local hospital has implemented the Academic Center for Evidence-Based Practice (ACE) Star Model of Knowledge Transformation to assist nursing staff to care for patients with methicillin-resistant Staphylococcus aureus more effectively. Which point of the ACE Star Model of Knowledge Transformation is least useful in clinical decision-making when using evidence-based practice to problem solve? • Point 1: discovery research o Point 2: evidence summary o Point 3: translation to guidelines o Point 4: practice integration o Point 5: evaluation32. A nursing informatics nurse is assisting with testing the upgraded messaging system that was added to the electronic health record. Which test should be used? o ADT testing o Unit testing o Hardware testing • Integrated testing 33. The informatics nurse completes a strengths, weaknesses, opportunities, and threats (SWOT) analysis of the organization’s electronic health record related to medication errors. The issue involves the spelling of certain medications. Which component of SWOT analysis is applicable given the risk to patients? • Threats o Strengths o Weaknesses o Opportunities 34. A nursing administrator wants to change practices in the electronic health record to reduce duplication of documentation. The nursing administrator decides to use the STEEEP model as the foundation for the project. Which principle of this model should be used to guide the implementation of the change? o Complete documentation at the end of the shift • Use flow sheets to replace narrative documentation o Document changes in care in the electronic health record when adjusted due to payer source o Maintain documentation of vital signs in two different locations in the electronic health record 35. A hospital is setting up a Patient Online Portal for patients to monitor health and request services. The portal is being set up because patients have heard from friends and family about how useful and easy the innovation is, or they have used it at other organizations and now expect it to be available everywhere. Which change process perspective is being demonstrated? • Diffusion of innovation o Planned change o Driving change o Equilibrium of innovation36. How will a nursing educator implement the most rigorous approach to evidence summary? • By using systematic review o By providing integrative review o By creating an evidence review o By conducting a literature review 37. What is defined as a recommendation intended to optimize patient care by utilizing basis of a systematic review of evidence and as assessment of the perceived benefits and harms to the patient? o Bedside care reports o Patient treatment record • Clinical practice guidelines o Medication administration record 38. Which terminologies or classifications are used by multiple disciplines? Choose 2 answers. o Omaha System (OS) o Clinical Care Classification (CCC) o Current Procedural Terminology (CPT) • Systematized Nomenclature of Medicine (SNOMED) • Logical Observation Identifiers, Names, and Codes (LOINC) 39. Which organization provides a database clearinghouse of 1,500 clinical practice guidelines with standardized medical terminology that optimize patient outcomes? o National Health Quality Report (NHQR) o American Health Care Association (AHCA) o National Health Care Association (NHCA) • Agency for Healthcare Research and Quality (AHRQ) 40. What is the relationship between human error and risky behaviors when it comes to patient safety? • They are both types of behaviors that are connected to the “Just Culture” approach o They are both types of behaviors that are connected to the “Safety Culture” approach o They are both types of behaviors that are connected to the “Healthcare Culture” approach o They are both types of behaviors that are connected to the “Validation Culture” approach41. The most recent version of Systematized Nomenclature of Human and Veterinary Medicine Clinical Terms (SNOMED-CT) was uploaded to an organization’s clinical information system. In which way does this terminology support interdisciplinary care? o It focuses on clinical findings • It can be used across all sites of care and healthcare facilities o It identifies the medical diagnosis as a starting point for care o It eliminates the need to code clinical information according to discipline 42. Match each common standardized clinical terminology with its correct definition. Answer options may be used more than once or not at all. o Logical Observation Identifier Names and Codes terminology (c) o Current Procedural Terminology classification system (a) o Systematized Nomenclature of Medicine clinical terms (b) a. Used for ordering, billing, and reimbursing medical procedures and diagnostic services b. Developed as a nomenclature for pathology; it has been extended to become a highly comprehensive terminology in various applications, including EHRs c. A universal code system for tests, measurements, and observations 43. What does ICNP stand for? o Internal Care Nursing Procedures o Intensive Care Nursing Program o Information Care Nursing Program • International Classification for Nursing Practice 44. Which standardized clinical terminology provides the official names and standardized codes for laboratory and other clinical observations? • Logical Observation Identifier Names and Codes (LOINC) o Systematized Nomenclature of Medicine Reference Terminology Clinical Terms (SNOMED-CT) o International Classification for Nursing Practice (ICNP) o Perioperative Nursing Data Set (PNDS) 45. What system assists in ensuring patient safety by utilizing a computer to collect and manage data? • Database Management System o Performance Management System o Practice Management System o Knowledge Management System46. A database management system (DBMS) enables a user to store data by organizing the data to be searched and categorized to obtain the information necessary. How does a DBMS help with patient outcomes? o It reduces the amount of programming needed o It simplifies the basic concepts and query languages as well as processing time and similar characteristics o It collects the patient’s demographics • It allows for easy access to data in a timely manner 47. What is the correct order of the knowledge discovery in large data sets (KDD) process? o Obtain, preprocess, interpret, identify, apply • Identify, obtain, preprocess, apply, interpret o Preprocess, identify, apply, obtain, interpret o Obtain, identify, preprocess, apply, interpret 48. A clinician can enter medication and care orders such as laboratory, pathology, radiology, nursing, and supply orders immediately into a computer. Which of the essential components of the electronic health record (EHR) does this scenario describe to ensure patient safety? o Results management o Health information and data • Order entry management o Electronic communication and connectivity 49. The vice president of Patient Services learns of no change in the number of medication errors since the implementation of the clinical information system (CIS) and decisionsupport software (DSS). Which action should be taken to reduce the number of errors? o Change the CIS o Change the DSS o Train the staff on the use of the CIS • Ensure the DSS is correctly programmed 50. How can a best practice advisory/alert (BPA) that suggests a care plan, based on an order, improve patient outcomes? o Improves clinical documentation • Improves patient education o Decreases documentation o Decreases ordering51. How does providing disease-specific order sets help improve patient outcomes? Choose 2 answers. • Recommends medications based on the patient’s primary diagnosis o Provides needed guidance for standard care • Provides a focus on disease prevention and health promotion o Reduces length of stay 52. Which example demonstrates an outcome of the implementation of a point-of-care alert/reminder? o Assists with notating necessary doses to a patient • Triggers care providers’ awareness of patient’s necessary care o Provides specified patient information from a record o Presents diagnostic guidance regarding patient care 53. Which clinical decision support (CDS) category would be used to help clinicians determine the appropriate frequency of medicine? • Medication dosing support o Expert systems o Workflow support o Order facilitators 54. To assist with improving effective healthcare delivery, standardized terminologies are implemented. Which terminology represents the interoperability of clinical and administrative data? o Nursing Interventions Classification (NIC) • Health Level Seven (HL7) o Standards Developing Organization (SDO) o The North American Nursing Diagnosis Association International (NANDA-I) 55. Which standardized terminology ensures consistent, proper documentation of nurses by clinical reasoning judgements regarding definitions, defining characteristics, and risk factors or related factors? o Nursing Interventions Classification (NIC) o Nursing Outcomes Classification (NOC) • The North American Nursing Diagnosis Association International (NANDA-I) o Health Level Seven (HL7)56. Which standardized classification system was adopted from the North American Nursing Diagnosis Association International (NANDA-I) and assists with documenting patient experiences from preadmission to discharge? • Perioperative Nursing Data Set (PNDS) o Nursing Interventions Classification (NIC) o Nursing Outcomes Classification (NOC) o Omaha System (OS) 57. Which standardized classification supports documenting and communicating the nursing process through problem classification scheme, intervention scheme, and problem measurement with a rating scale? o Nursing Interventions Classification (NIC) • Omaha System (OS) o Nursing Outcomes Classification (NOC) o International Classification for Nursing Practice (ICNP) 58. CORBA produces object-oriented interoperability standards that sustain architecture and infrastructure for computer applications to use to work together over networks. What does CORBA stand for? o Consistent Origin Reply Backend Architecture • Common Object Request Broker Architecture o Common Office of Recommendations Broker Associates o Common Office Resources Broker Associates 59. Which component of a hospital information system is required when a project needs to store information about patients’ test results? o Data dictionary o Interface engine o Master person index • Clinical data repository 60. Which mechanisms are required for hospitals to demonstrate compliance with Meaningful Use of electronic health records? Choose 2 answers. • Using a certified electronic health record system o Limiting the exchange of electronic health record information o Providing standardized order sets in electronic health record • Submitting electronic health record data for quality reporting61. Which two statements reflect a challenge to the clinical decision support (CDS) system? Choose 2 answers. • Ability to integrate with a healthcare organization’s clinical workflow • Mapping of codes and formats o Obtaining the funds to implement the system o Obtaining the training to utilize the system 62. What is a core objective of MU for the hospital? o Record of weight on every patient o Protect electronic patient health information • Protect hospital records o Have more than one free-standing facility 63. A nurse performs a patient assessment and documents the pain level as acute within the electronic health record. Which patient care benefit does this provide? o Capture billing associated costs o Decrease clinical decision support o Reduce quality assurance and research • Support data exchange with internal systems 64. A nurse is writing the care plan for a patient with comorbidities using the problem classification scheme taxonomy. How is this used to help provide care? o To diagnose a patient o To evaluate the pain assessment o To prioritize patient interventions • To organize a comprehensive assessment 65. Human responses are the indicators of patterns and can be documented under the problem list in an electronic health record (EHR) system to meet meaningful use (MU) measures mandated by which federal agency? o World Health Organization (WHO) o Department of Health and Human Services (DHHS) o Health Information Technology for Economic and Clinical Health (HITECH) • Centers for Medicare and Medicaid Services (CMS) 66. Why is the use of a reference taxonomy beneficial for data collection in healthcare? o It facilitates research projects by collecting data at the point of care o It decreases the need for healthcare decisions to be made at the bedside o It guides researchers to identify expert opinion, the strongest level of evidence • It classifies and measures data from research to identify evidence-based practice67. Why are taxonomies necessary in the development of clinical practice guidelines? o To primarily establish expert opinion • To rate evidence and recommendations o To collect information stored in databases o To decrease the number of decisions made by nurses 68. What is the purpose of a reference taxonomy in clinical data collection? o To determine the need for warehousing o To determine the healthcare stakeholders o To verify the interoperability of the data • To measure and classify the data collected 69. Which tool needs to be utilized to collect specific clinical data in a research project? o Terabyte matrixes o Safety data sheets o Longitudinal scales • Reference taxonomies 70. Taxonomy of integration provides several solutions for healthcare. Which statement is a taxonomy solution? o Focuses on language details such as whether something is natural or complimentary and alternative medicine (CAM) o Measures perceived biomedicine bias by integrating the parallel biomedicine structure and hierarchy o Uses a large amount of interpretation in the assignment of modalities to domains • Allows categories to be divided into subcategories as needed for clarification or educational purposes
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nurs c790 foundations in nursing informatics exam test prep
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place the steps for the staggers and nelson life cycle in order from first 1 to last 4
