NURSING INFORMATICS PRACTICE TEST 90 Questions with Verified Answers,100% CORRECT

NURSING INFORMATICS PRACTICE TEST 90 Questions with Verified Answers People - CORRECT ANSWER On the three fundamental components of informatics, the end-user who may benefit it concepts are the Relevant - CORRECT ANSWER In informatics , the end-user may apply data that are significant in the daily operation of the hospital Information Technologies - CORRECT ANSWER The Nurse utilizes the Hospital Information System (HIS) as the platform for the retrieval of patient's profile. Which of the fundamental components of nursing informatics are referring with Health Care Processes - CORRECT ANSWER The Nurses identifies the fundamental components on nursing informatics with her activities on storage, retrieval and protection of patient's profile. This refers to: Nursing Sciences - CORRECT ANSWER The Nurse is aware that Nursing Informatics is a specialization which basically require a systematic concept that applies principles of nursing. Informatics - CORRECT ANSWER It refers to the science that improves human health and the delivery of health care services. -Data -Information -Knowledge - CORRECT ANSWER Informatics is the science of how to use the following: Advancement of life sciences and research - CORRECT ANSWER Health Informatics applies the principle of computer and information science to the: computer, cognitive, social sciences - CORRECT ANSWER Multidisciplinary and integrative fields focuses on health information technology and involves: -Improve patient care -Improve the health of the entire population -Enable health organizations to deliver care more cost-effectively. - CORRECT ANSWER The goals of health informatics includes: Chief Medical Information Officer - CORRECT ANSWER A _____________________ interacts and works in both the technological and medical areas of medicine. Nursing Informatics - CORRECT ANSWER In ___________________, the nurse interacts with health IT systems during patient care. -Potential method for improving the delivery of quality health care. -Minimizing errors -Promoting meaningful use of electronic health records - CORRECT ANSWER The benefits of health care informatics includes the following: Data - CORRECT ANSWER It refers to observations, terms or numbers Information - CORRECT ANSWER It refers to data with meaning and answers who, what, when, where, and why? Use of Algorithms - CORRECT ANSWER Which of the following is not identified with Information Science? Data protection and security - CORRECT ANSWER The Nurse attends in a training with the core objectives on Basic Computer Competencies. Which of the following is not an expected coverage of the training? Advancement of technologies in health care - CORRECT ANSWER Which of the following is the reason on acquisition of nursing informatics competencies for all practicing nurses that identifies 95% of hospitals adopted EHR technologies? Board certification offered by Professional Regulatory Board of Nursing - CORRECT ANSWER Nursing Informatics evolve as a Nursing Specialty. Which of the following information is incorrect? People - CORRECT ANSWER Which of the following fundamental components of informatics is focus on development of professional skills of human resources? Communicate - CORRECT ANSWER The nurse utilizes the sciences that converts meaningful information to purposes of coordination among health practitioners in the hospital. Define? Not sure to - CORRECT ANSWER The nurse identifies data that give clear meaning of profile of patients for effective care management. Processes - CORRECT ANSWER Nursing Informatics are useful to nurses in decision-making. Its area when the nurse practice storage, retrieval, and protection of electronic health records of patients, it refers to: 1992 - CORRECT ANSWER Nursing Informatics as a specialty was established by American Nurses Association (ANA) guided by scope and standards of practice in Data Analysis and Reporting - CORRECT ANSWER Which of the following roles of Nurse Informaticist or Informatics Nurses are referring on the use of technology platform to facilitate generation of data for proper consolidation. Information Science - CORRECT ANSWER The Nurse is aware of the discipline that investigates the properties and behavior of information, the forces governing the flow of information, and the means of processing information for optimum accessibility and usability. It refers to: Nursing Science - CORRECT ANSWER The Nurse emphasizes that the branch of science that deals with the principles and applications of nursing and related services refers to: Nursing Informatics - CORRECT ANSWER The Nurse considers the concept that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice. It refers to Collaboration and leadership - CORRECT ANSWER Which of the following roles of Nurse Informatics Specialist is focus on interprofessional or interdisciplinary coordination? Education/ training - CORRECT ANSWER The Nurse Informatics Specialist discharge her performance of tasks related to conceptualization that will orient and train the nursing service personnel to acquire the expected competencies. It refers to her role in Research in Nursing Informatics - CORRECT ANSWER Nurse E uses systematic methods to collect and analyze data, informatics nurse specialists can build knowledge that applies across settings and applications Public Health Informatics - CORRECT ANSWER Nurse E provides community-health information to consumers, other healthcare workers, and policymakers. Educational Informatics - CORRECT ANSWER Nurse E focuses on education develop, select, implement, and evaluate learning resources for consumers or healthcare professionals Consumer Health Informatics - CORRECT ANSWER Nurse focuses on assessing consumers' needs for health information and treatments, conducting research. Clinical informatics - CORRECT ANSWER Nurse performs job that draw directly on their clinical backgrounds as well as their organizational skills and Informatics knowledge Consumer Health Informatics - CORRECT ANSWER Nurse E delivers patient's data to clinicians through Telemonitoring Clinical informatics - CORRECT ANSWER Nurse E focuses on needs assessment, system selection, marketing, education, and implementation Public Health Informatics - CORRECT ANSWER Nurse E utilizes technology to improve biosurveillance programs. Consumer Health Informatics - CORRECT ANSWER Nurse E assesses the readiness of an organization for new technology, the needs for IT, the adequacy of available technology. Educational informatics - CORRECT ANSWER Nurse E utilizes online learning delivery system to administer assessment tasks Nursing Informatics - CORRECT ANSWER integrates nursing, computer, & information science to manage and communicate data, information, knowledge, and wisdom in nursing practice 3 sciences involved in Nursing Informatics - CORRECT ANSWER 1. Nursing science 2. Computer science 3. Information science Describe change theory involved in Nursing Informatics - CORRECT ANSWER Change theory = Rogers change theory (diffusion of innovation theory) -how people accept innovation and innovation ideas a. 2.5% innovators (make new iphone) b. 13.5% early adopters (first to get new iphone) c. 34% early majority (get new iphone, wont wait in line to get it) d. 34% late majority (will get it eventually) e. 16% laggards (refuse to get it, give in when everyone has it, Debbie Downers) Information Theory - CORRECT ANSWER Processing data to produce information, and using that information to provide care through knowledge and wisdom EX: 39 (Datum) + CELSIUS (Datum) combined into TEMPERATURE (Information) and synthesized into HYPERTHERMIA(knowledge); wisdom combines knowledge and experience to make care decisions (another theory) Systems theory - CORRECT ANSWER Interaction w/ system will create something bigger/better than just sum of the parts (another theory) Social technical theory - CORRECT ANSWER Study how people work and what they do to create improved interaction between technology and an organization's culture (another theory) Chaos theory - CORRECT ANSWER Focus on design improvements that account for conditions that exist in an organization EMR (Electronic Medical Record) - CORRECT ANSWER One provider/organization records EHR (Electronic Health Record) - CORRECT ANSWER Multiple organizations records PHR? Who responsible for its maintenance? - CORRECT ANSWER Personal Health Records i. paper, website, usb drive ii. patient controls their own health records 3 benefits & 3 limitations of PHR? - CORRECT ANSWER a. Benefits i. see results faster ii. preventative health complication tool iii. get patients involved in their own health care (patient centered care) b. Limitations i. privacy ii. knowledge about how to do it, what to put iii. hard to maintain & keep up-to-date c. Barriers (doesn't let other people see medical info) i. doesnt want to know pre-existing conditions ii. out of date, must maintain them iii. safety factor, do not give something to interfere w/ other drugs Smart Card - CORRECT ANSWER a. secure portable way to carry PHR b. improves security, privacy, reduce health care fraud c. compliant w/ gov. initiatives d. secure access to EMRs 3 core objectives to stage 1&2 of 'meaningful use' requirement of the American Reinvestment and Recovery Act (ARRA) - CORRECT ANSWER a. Stage 1 (vitals, BP) i. implement drug/drug and drug/allergy interaction checks ii. maintain up-to-date problem list of current and active diagnoses iii. record demographics: preferred language, gender, race, ethnicity, DOB b. Stage 2 i. CPOE for medication, lab and radiology orders ii. provides patients w/ ability to view, transmit, and download their health information iii. use electronic messaging to communicate health information w/ patients How does EMR or EHR contribute to patient safety? - CORRECT ANSWER a. improves legibility b. supports safe medication practice (drug interaction/ allergy) c. improves nursing workflow; eliminates redundant documentation Give an example of data about specific quality indicator and describe how that data could be obtained from a clinical information system? - CORRECT ANSWER a. Fall i. on clinical flowsheet in Horizon there is a fall risk tab where risk of patient is charted ... formula calculates patient fall risk (high, moderate, low) ii. indicates you give quality care According to nursing researchers Staggers, Gassert, and Curran, what informatics competencies (ability to do job) should be demonstrated by: a. beginning nurses? b. experienced nurses? c. nursing informatics specialists d. informatics innovators? - CORRECT ANSWER a. beginning nurses? i. info management ter tech skills iii. uses existing info systems and available info to manage practice b. experienced nurses? i. proficiency in domain of interest (public health, ed., administration) ii. highly skilled in using info management and computer tech. skills to support major area of practice iii. sees relationships among data elements and makes judgments based on trends and patterns w/in these data iv. uses current info systems but collaborates w/ informatics nurse specialist to suggest improvement to systems c. nursing informatics specialists? i. RN w/ advanced preparation possessing additional knowledge and skills to info management and computer tech. ii. focuses on info needs for practice of nursing (ed., admin., research, clinical practice) iii. uses critical thinking, process skills, data management skills (identifying, acquiring, preserving, retrieving, aggregating, analyzing and transmitting data), and computer skills d. informatics innovators? i. educationally prepared to conduct informatics research & generate informatics theories ii. has vision of what is possible and keen sense of timing to make things happen iii. leads advancement of informatics practice and research iv. possesses sophistical level understanding & skills in info management and computer tech. v. understands interdependence of systems, disciplines, outcomes, and can finesse situation and maximize outcomes Computer fluency - CORRECT ANSWER a. individual has a lifelong commitment to acquiring new skills for being more effective in work and personal life b. being able to increase one's ability to effectively use a computer when needed (do not confuse w/ computer lit. - temporary state) QSEN? - CORRECT ANSWER Quality and Safety Education for Nurses 6 categories of QSEN - CORRECT ANSWER 1. Patient centered care 2. Teamwork & collaboration 3. Evidence based practice 4. Quality improvement 5. Safety 6. Informatics 3 nursing lit bibliographic databases - CORRECT ANSWER 1. CINAHL 2. Cochrane Library and ProQuest Nursing 3. Allied Health Source How do Boolean operators affect a lit search? - CORRECT ANSWER increase/limit amount of info retrieved EX: OR, AND, NOT 7 levels of Evidence described in Sewell textbook - CORRECT ANSWER 1 - evidence from systematic review or meta-analysis of all relevant randomized controlled trials (RCTs) or evidence-based clinical practice guideline 2 - one well-designed RCT 3 - well-designed controlled trials w/o randomization 4 - well-designed case control and cohort study 5 - systematic review of descriptive and qualitative study 6 - single descriptive or qualitative study 7 - opinion of authorities and/or reports of expert committees Research Practice Gap - CORRECT ANSWER descrepancy btw research on effective clinical practice AND direct care provided to patients 2 factors that cause research practice gap - CORRECT ANSWER 1. lack of time 2. lack of sufficient staff 3. difficulties in interpreting statistics & research writings 4. access to resources seminal work - CORRECT ANSWER work freq. cited by others or influences opinions of others; may require searching into older resources Just Culture - CORRECT ANSWER nonpunitive environment that aims at REDUCING ERRORS w/o firing an employee for simple error but still HOLD THEM ACCOUNTABLE examples of barriers to Just Culture; how can these barrier be reduced? - CORRECT ANSWER a. worried about lawsuits b. employees intentionally cut corners knowing they wouldn't be punished c. pride and ignorance of individual and admin. i. Education of leaders and employees can reduce barriers How can informatics be used to monitor errors and support a Just Culture? - CORRECT ANSWER a. J b. organizations distinguish btw human errors and reckless behavior BCMA? How does it contribute to patient safety? - CORRECT ANSWER a. Bar Code Medication Administration - system where patients have bar coded wrist bands b. bar codes must be scanned before administering medication, suppose to reduce errors when distributing medications Limitations of BCMA - CORRECT ANSWER a. cannot detect when med is being administered at wrong time not be useful for coding patient c. system can shut down/power outages If you were a nursing manager, what report data could help you monitor use of BCMA technology on your nursing unit? - CORRECT ANSWER a. common doses b. who is making errors (day/night shift) c. education level of BCMA system d. most/least given meds e. usability f. how many ovverides are occurring (emergency only) g. errors before vs after Telenursing - CORRECT ANSWER use of telecommunication tech to provide nursing care; facetime, phone calls, apps 2 examples of patient assessments that may be accomplished using telenursing? - CORRECT ANSWER 1. monitor recovery process by email or facetime -color of skin, interview, etc., online charting 2. Constant EKG upload via Bluetooth to doctor hub 3. mobile apps, robotics, disaster in area of world w/o doctors, automated med systems w/ remote monitoring Benefits and Limitations of telenursing - CORRECT ANSWER a. Benefits i. Quality of life for patients who cannot leave home easily and would otherwise not have access to care ii. reduce spreading infection and viruses (stay away from hospitals) iii. career longevity-older nurses can give advice from home-easier on body iv. cost b. Limitations i. not kept up to date/time ii. hard to adapt to tech for providers and patients iii. not everything can be done - touch, smell, human interaction Leapfrog Group? How can healthcare organization meet CPOE criteria to be recognized by this group? - CORRECT ANSWER a. Leapfrog Group - large healthcare purchaser organization w/ focus on patient safety and value-promoting transparency through data collection and public reporting from hospitals b. nonprofit organization driving a movement for giant leaps forward in the quality and safety of American health care i. Criteria: - 75% med orders must be ordered through computer that has error reduction tech - 50% common prescribing errors must be reported How can CPOE contribute to patient safety? - CORRECT ANSWER a. alerts physician about drug reactions and appropriate doses b. detailed alerts about high risk med - safety net c. easier to read over hand written notes Barriers to CPOE - CORRECT ANSWER a. high cost b. stubborn doctors dont want to use it c. systems still have glitches-dangerous Bioinformatics - CORRECT ANSWER collecting and analyzing biological data through tech How did the Human Genome Project utilize bioinformatics? - CORRECT ANSWER a. Provided tools and programs for study and analysis for the genome present in humans - they mapped it >>computer programs/sequence data example of data about specific disease or condition that could be contained in bioinformatics database - CORRECT ANSWER a. Cancer genome atlas - able to map genomic alterations during dev. of tumors b. drugs that will cross blood-brain barrier c. any condition/disease w/ genetic disposition (alzhemiers, heart disease, diabetes, sickle cell, multiple sclerosis, parkinsons 2 examples of nursing or medical decision support - CORRECT ANSWER 1. using CPOE so when you enter meds you get pop up alert 2. bed alarms 3. fall risk reduction guidelines 4. evaluating fetal well-being using an algorithm & monitoring 5. charting flowchart has normal ranges of BP, alert if number is charted not w/in normal range Alert Fatigue - CORRECT ANSWER Nurses become desensitized to alerts (bed alarms), begin to ignore which makes them stop using info being presented Benefits and Limitations of clinical decision support systems? - CORRECT ANSWER a. Benefits i. Safer, more efficient - second pair of eyes ii. Fall risk reduction guidelines iii. drug interaction, allergy checking b. Limitations i. Alert fatigue - desensitization ii. not patient specific, BP might run high/low, doesnt account for everyone iii. power outages 4 ways a nurse can follow HIPAA guidelines for securing patient data - CORRECT ANSWER 1. freq changing password 2. not sharing password w/ anyone 3. log off 4. not sharing info about patient in public areas where individuals not involved in patient's care can hear 4 basic guidelines for quality documentation and reporting - CORRECT ANSWER 1. Factual i. descriptive objective info ii. AVOID: vague terms (appears, seems, apparently), opinions (patient seems anxious) 2. Accurate and Complete i. Legal: (libel-written/slander-spoken) i. DO NOT: make comments about HCT members (DR. was late), chart for others, chart what others did or did not do (PCT failed to give bath), chart statements that can be libelous (patient is angry) 3. Current i. timely entries, record near bedside (point of care), electronic documentation, military time 4. Organized i. logical order: Assessment, interventions, client response Cyberchondriac - CORRECT ANSWER a. people who become distressed and frightened after repeated and excessive web searches for health info b. a person who compulsively searches the Internet for information on real or imagined symptoms of illness. Online Diagnoser - CORRECT ANSWER a. individual who searched for online health info, it affects individuals understanding of any health problem they had and improves their health management b. diagnose themselves off of what the internet says and not a medical professional Health Literacy - CORRECT ANSWER individual have capacity to obtain, process and understand basic health info and services needed to make appropriate health decisions EX: ability to understand instructions on med bottle Health Numeracy - CORRECT ANSWER ability of consumer to interpret and act on all numerical info (graphical and probabilistic) needed to make effective health decisions EX: lab values & med schedules 5 types of patient data found in hospital's clinical information system? - CORRECT ANSWER a. Admission Nursing History Form (Horizon: Admission Assessment) b. Flow Sheet and Graphic Record (eg. VS, I&O, Nursing Assessment) c. Client Care Summary (Horizon: eKardex) d. Acuity Records eMAR e. Standardized Care Plans (Horizon: Care Plan/Care Practice Guidelines) f. Discharge Summary Form (Horizon: Discharge note)