ANCC INFORMATICS CORRECT STUDY GUIDE
QUESTIONS AND ANSWERS SURE A+
✔✔Map current workflow - ✔✔First step in preparing for the workflow redesign
necessitated for implementation of the EHR. Done at macro, mini and micro levels,
focusing on areas most likely to be impacted by the implementation
✔✔PubMed - ✔✔resource for evidence-based research provided by the National
Library of Medicine
✔✔Most critical assessment when considering transitioning to cloud storage and
assessing vendors - ✔✔Regulatory requirements is most important bcz if the vendor
cannot verify that the company meets HIPPA requirements and satisfies the Code of
Federal Regulations Title 21, Part 11 (re: e- rec & e- sig), then security may be
inadequate. Other important considerations are cost analysis, monitoring mechanisms
and interoperability
✔✔When utilizing a prioritization matrix to prioritize activities as a project manager, the
Inf Nrs must first establish? - ✔✔First est criteria and a rating scale. The criteria
includes those factors that are utilized to determine how important ea project is. Rating
sale for ea project should be est w numeric values (ie 1-10) to demo how effective the
project is in meeting the criteria. A typical prioritization matrix may have up to a dozen
criteria
✔✔An advantage of an identity and access management (IAM) system is that the IAM
system? - ✔✔meets HIPPAA's Security Rules requirements re: access to PHI thru
identity mgmt. It provides, captures, updates, and records user IDs and provides approp
access privileges, preventing "privilege creep" wh increases risks to security. It should
provide authentication (SSO & session mgmt), authorization (based on roles, rules,
attributes) user management (provisioning & password mgmt) and a central directory
, ✔✔A standardized nursing terminology that is comprised of 1-problem classification 2-
intervention scheme 3-probelm rating scale for outcomes - ✔✔OMAHA; developed by
VNA in the 1970's, is a public domain but must be used as published
✔✔Smallest possible piece of data utilized in computer processing - ✔✔Bit (binary digit)
comprises of zeros (off) and ones (on). Four bits equal one nibble, eight bits equal one
byte, 1024 bytes=1 kilobyte, 1024 kilobyte=1 megabyte, 1024 megabyte=1 gigabyte.
Bits are used to describe transmission speed and bytes are used to describe storage.
✔✔Type of software responsible for storage management - ✔✔Operating system
software. Loads first when computer is turned on; is most critical, handling both
hardware and software applications, is responsible for a number of processes, including
mgmt of memory, devices, processors, application interface, and the user interface. OS
incl Mac OS X, Unix, Linux, Microsoft Windows.
✔✔Communication software is most commonly used for? - ✔✔Email and IM.
✔✔Network that connects the departments in an origanization is likely? - ✔✔LAN- local
area network; usually wi-fi base WLAN (wireless local area networks). There are also:
MAN- metropolitan area network for larger networks for city or area of city
WAN- wide area network, even larger area such as a country
VSN- virtual social network; targeted network often serves one group, such as Inf Nrs,
to provide opportunity for sharing experiences & collaborating
✔✔Primary role of the Inf Nrs when an institution is transitioning to CPOE - ✔✔Role of
liaison to promote multidisciplinary collaboration and cooperation among various
members of the healthcare team- to ensure end-product has the fx needed for wf and
that it meets req for safety and security. Needs re software and hardware must be
clearly comm to IT personnel
✔✔Field of science that attempts to create intelligent technologies and then apply these
technologies to the field of informatics - ✔✔Artificial intelligence: researchers must
engineer general intelligence and reasoning skills into the AI programs as well as ability
to develop & learn from experiences & errors and to process natural language. One ex
of AI program is Siri (apple)
✔✔In an EHR w CPOE & CDS, allergy alerts should be triggered? - ✔✔Before orders
are written and they should be automated; alerts that occur after orders are written are
more likely to be ignored/overwritten; Additional alerts, incl hard stops, should occur if
orders for contraindicated drugs to wh the pt is allergic are ordered despite the original
alert.
✔✔Accordint to Peplau's Interpersonal Relations Model of nursing, the nurse-patient
relationship goes thru overlapping phases that incl orientation, problem identification,
explanation of potential solutions and ??` - ✔✔and problem resolution.
QUESTIONS AND ANSWERS SURE A+
✔✔Map current workflow - ✔✔First step in preparing for the workflow redesign
necessitated for implementation of the EHR. Done at macro, mini and micro levels,
focusing on areas most likely to be impacted by the implementation
✔✔PubMed - ✔✔resource for evidence-based research provided by the National
Library of Medicine
✔✔Most critical assessment when considering transitioning to cloud storage and
assessing vendors - ✔✔Regulatory requirements is most important bcz if the vendor
cannot verify that the company meets HIPPA requirements and satisfies the Code of
Federal Regulations Title 21, Part 11 (re: e- rec & e- sig), then security may be
inadequate. Other important considerations are cost analysis, monitoring mechanisms
and interoperability
✔✔When utilizing a prioritization matrix to prioritize activities as a project manager, the
Inf Nrs must first establish? - ✔✔First est criteria and a rating scale. The criteria
includes those factors that are utilized to determine how important ea project is. Rating
sale for ea project should be est w numeric values (ie 1-10) to demo how effective the
project is in meeting the criteria. A typical prioritization matrix may have up to a dozen
criteria
✔✔An advantage of an identity and access management (IAM) system is that the IAM
system? - ✔✔meets HIPPAA's Security Rules requirements re: access to PHI thru
identity mgmt. It provides, captures, updates, and records user IDs and provides approp
access privileges, preventing "privilege creep" wh increases risks to security. It should
provide authentication (SSO & session mgmt), authorization (based on roles, rules,
attributes) user management (provisioning & password mgmt) and a central directory
, ✔✔A standardized nursing terminology that is comprised of 1-problem classification 2-
intervention scheme 3-probelm rating scale for outcomes - ✔✔OMAHA; developed by
VNA in the 1970's, is a public domain but must be used as published
✔✔Smallest possible piece of data utilized in computer processing - ✔✔Bit (binary digit)
comprises of zeros (off) and ones (on). Four bits equal one nibble, eight bits equal one
byte, 1024 bytes=1 kilobyte, 1024 kilobyte=1 megabyte, 1024 megabyte=1 gigabyte.
Bits are used to describe transmission speed and bytes are used to describe storage.
✔✔Type of software responsible for storage management - ✔✔Operating system
software. Loads first when computer is turned on; is most critical, handling both
hardware and software applications, is responsible for a number of processes, including
mgmt of memory, devices, processors, application interface, and the user interface. OS
incl Mac OS X, Unix, Linux, Microsoft Windows.
✔✔Communication software is most commonly used for? - ✔✔Email and IM.
✔✔Network that connects the departments in an origanization is likely? - ✔✔LAN- local
area network; usually wi-fi base WLAN (wireless local area networks). There are also:
MAN- metropolitan area network for larger networks for city or area of city
WAN- wide area network, even larger area such as a country
VSN- virtual social network; targeted network often serves one group, such as Inf Nrs,
to provide opportunity for sharing experiences & collaborating
✔✔Primary role of the Inf Nrs when an institution is transitioning to CPOE - ✔✔Role of
liaison to promote multidisciplinary collaboration and cooperation among various
members of the healthcare team- to ensure end-product has the fx needed for wf and
that it meets req for safety and security. Needs re software and hardware must be
clearly comm to IT personnel
✔✔Field of science that attempts to create intelligent technologies and then apply these
technologies to the field of informatics - ✔✔Artificial intelligence: researchers must
engineer general intelligence and reasoning skills into the AI programs as well as ability
to develop & learn from experiences & errors and to process natural language. One ex
of AI program is Siri (apple)
✔✔In an EHR w CPOE & CDS, allergy alerts should be triggered? - ✔✔Before orders
are written and they should be automated; alerts that occur after orders are written are
more likely to be ignored/overwritten; Additional alerts, incl hard stops, should occur if
orders for contraindicated drugs to wh the pt is allergic are ordered despite the original
alert.
✔✔Accordint to Peplau's Interpersonal Relations Model of nursing, the nurse-patient
relationship goes thru overlapping phases that incl orientation, problem identification,
explanation of potential solutions and ??` - ✔✔and problem resolution.
