WGU- D220 Nursing Informatics Practice Test Aids with Complete Solution

5 Main Issues associated with electronic health information - ANSWER Interoperability standards Workflow re-design Data security Quality measurement User design Standards of Nursing Informatics Practice - ANSWER 1. Assessment 2. Diagnosis, Problems, and Issues Identification 3. Outcomes Identification 4. Planning 5. Implementation 5a. Coordination of activities 5b. Health teaching and health promotion 5c. Consultation 6. Evaluation 7. Ethics 8. Education 9. Evidence Based Practice and Research 10. Quality of Practice 11. Communication 12. Leadership 13. Collaboration 14. Professional Practice Evaluation 15. Resource Utilization 16. Environmental Health The "Security Rule" - ANSWER Found under HIPAA. Created to protect individuals electronic health information. 1. Administrative 2. Physical 3. Technical Primary benefits of an EHR - ANSWER 1. Patient self management 2. Patient care delivery 3. Patient care management 4. Patient care support 5. Financial and other administrative processes Five steps of the nursing process - ANSWER 1) Assessment/data collection 2) Diagnosis - Analysis/data collection 3) Outcome - planning 4) Implementation - intervention 5) Evaluation Total Quality Management (TQM) Principles - ANSWER 1. Continuous Quality Improvement 2. Customer Focus 3. Teamwork Keyboard shortcut for Mac to redo - ANSWER Command + Y Clinical Information System - ANSWER A comprehensive and integrative system that manages the administrative, financial, and clinical aspects of a clinical facility, which helps to link financial and clinical outcomes When is HIPAA minimum necessary requirement not imposed? - ANSWER Minimum necessary requirement is associated with covered entities making reasonable efforts to disclose, use, and request only the minimum PHI needed to meet the intended purpose of disclosure, use, or request. This standard will not be imposed in six circumstances. These are: disclosure to a health care provider to be used for treatment, disclosure to an individual whom the information is about, disclosure for an authorization, disclosure to a HHS investigation, disclosure required by law, and disclosure required for compliance with HIPAA. FOCUS-PDCA - ANSWER Find Organize Clarify Understand Select Plan Do Check Act What would be considered when a document is removed from standard view with the electronic health record (EHR)? - ANSWER Retraction Retraction would be considered when a document is removed from standard view with the electronic health record (EHR) and posted to another within the EDMS. This wouldn't be part of the designated record set. The steps of a root cause analysis are: - ANSWER Collect all data surrounding event, thoroughly analyze data, identify probable causes, outline corrective actions A good training plan should include - ANSWER Approach Evaluation strategy Training needs Resources Budget Costs Philosophy Schedule Gap Analysis - ANSWER Gap analysis consists of listing the characteristics factors of the present situation, the listing of factors that will be needed to achieve future objectives, and highlighting the present gaps that will need to be filled. The use of gap analysis forces a company to look at where it is now and where they want to be in the future. Mobile devices and web based applications. - ANSWER Any mobile devices used to access the system will need to be tested at the same time that the system is tested. Adding them at a later time could reveal issues, not seen before, and require additional time. Language - ANSWER A system of communication using an arbitrary set of vocal sounds, written symbols, signs or gestures in conventional ways with conventional meanings. In the healthcare field, there is typically a language of medicine. Strategic Planning Steps - ANSWER The analysis of the data. The scope and goals are identified. The implementation Scanning of the internal and external environments Identifying potential solutions Identifying ongoing evaluation and feedback Implementation Planned Evaluation - ANSWER At least every 6 months. Leave Takers - ANSWER A leave taker is a person that will leave the facility to avoid accepting the changes. In some cases, this may be considered good, but not if too many leave. Core Values for Performance Excellence - ANSWER Agility Systems perspective Management by fact Voluntary leadership Patient-focused excellence Organizational and personal learning Focus on results and creating value Social responsibility and community health Managing for innovation Focus on the future Valuing staff and partners Project Management Software - ANSWER Gantt, SmartWorks, Microsoft Project, QuickBase, Experience in Software 5 Steps of Planning and Conducting Usability Tests - ANSWER Assessment of constraints Definition of purpose Matching methods to the purpose, constraints, and framework assessment. Use of an HCI framework to refine each component. Emphasis on components of interest. Nielsen-Shneiderman Heuristic - ANSWER Focuses on pairing the technology and the way users think The technology uses several methods to make this connection. Some of these include appropriate information flow, typical options users need, and expected actions by the system. Match between system and world Foundations of Nursing Informatics - ANSWER Concepts, Sciences, Metastructures Secondary Data Collection - ANSWER Most of the time, secondary data is considered aggregate data. This is data that is about groups of patients, but doesn't identify the patients. Benefits of fully integrates electronic health record for patients - ANSWER Evidence-based healthcare Ability to check the accuracy of their records Knowledge of who has access to their data One location for all healthcare data Individualized treatment anywhere the computer-based patient record is available. The principal metastructures of informatics - ANSWER Rely upon a nurse's capacity to integrate a wide array of data, health information, and medical and semantic knowledge to make wise decisions in practice. Data, information, and knowledge represent more than just medical content. It represents a flow of learning, absorption, and application. The four tasks (identified by Snyder-Halpern, 2001) that are associated with human information processing - ANSWER Data gathering Information use Generation of new knowledge Creative application of knowledge to clinical practice