Nursing Informatics Certification Exam with
Verified Question and Answer
Megastructure of NI - Correct Answer -The ability of the nurse to utilize
data, information, and knowledge to make wise clinical decisions.
Definition of Nursing Informatics - Correct Answer -A specialty that
integrates nursing science with multiple information and analytical
sciences to identify, define, manage and communicate data, information,
knowledge and wisdom in nursing practice.
Meaningful Use - Correct Answer -Using certified electronic health
record technology to:
- improve quality, safety, efficiency, and reduce
Health disparities
- engage patients and families
- improve care coordination, population and
Public health
Total Quality Management (TQM) - Correct Answer -Used to depict
Quality Management measures. Examples include:
- Cause and effect diagrams
- Flowcharts
- Histograms
- Pareto charts
- Run charts
- Control charts
- scatter diagrams
Quality and Safety Education for Nurses (QSEN) - Correct Answer -Goal
is to tackle the task of preparing nurses to enhance "the quality and
safety of the healthcare systems in which they work" Used in Nursing
Education and focuses on six competencies:
• Patient-centered care
• Teamwork and collaboration
• Evidence-based practice
• Quality improvement
• Safety
• Informatics
1
,Failure mode and Effects Analysis (FMEA) - Correct Answer -A
systematic, proactive approach for evaluating a process to identify
where and how it might fail and to assess the relative impact of different
failures.
Ishikawa Diagram (Fishbone) - Correct Answer -Used for brainstorming
and to help identify root causes for performance improvement by
visualizing causes and effects. The effect is the "head" and the causes
are the
"Bones"
Root Cause Analysis - Correct Answer -Structured method to analyze
serious adverse events.
Identifies underlying problems that increase the likelihood of errors
(retrospective approach)
FOCUS Model and PDCA - Correct Answer -A performance
improvement model
F- Find a process to improve
0- organize an effort
C- Clarify current knowledge
U- Understand process variation/capability
S- Select a strategy for continuous improvement
PDCA: repetitive process during FOCUS stages
Plan - Do - Check - Act
Turley's Model of Nursing Informatics - Correct Answer -Nursing
Informatics is is the center of computer, cognitive, and information’s
sciences under the umbrella of Nursing Science
Lewin's Theory of Change - Correct Answer -Used in facilitating change,
the concepts of this theory include: Unfreezing - Movement - Refreezing
Driving and restraining forces
Deals with disconfirmation
Cognitive redefinition
Creation of psychological safety or overcoming learning anxiety
Lean Six Sigma - Correct Answer -Focus on removing wasteful practices
and making processes smoother and more efficient
Six Sigma - Correct Answer -Used for process improvement. Project
increase quality and yield while reducing defects and variations.
Define, Measure, Analyze, Improve, Control
2
, Leapfrog Group - Correct Answer -Triggers giant leaps in the safety,
quality, and affordability of healthcare by:
- supporting informed healthcare decision
- promoting high-value healthcare through
Incentives and rewards
Good Leapfrog scores - more patients
Regulatory and Accreditation Requirements - Correct Answer --Joint
Commission
-Centers for Medicare and Medicaid Services
(CMS)
-Meaningful Use
-HITECH (health information technology for
Economic and clinical health)
-Affordable Care Act
-ADA regulations (Americans with Disabilities Act)
Models Supporting Practice - Correct Answer -Data: 1st step of
database design; conceptual
Design
Workflow: Swim lane models, Lean Six Sigma, value
Stream mapping
Predictive: (Analytics) used to predict future
Outcomes
Ludwig Von Bertalanffy Systems theory - Correct Answer -The Nursing
Informatics specialist must understand the fundamentals of systems and
how systems affect the decision-making process; closed versus open
systems
Shannon-Weaver Model of Communication Theory - Correct Answer -
Sender - Message - Receiver
Obstacles to effective communication:
- Interference (noise)
- Facilitation
- Block (body language, assumptions)
Communication is a continuous loop
Maslow's Hierarchy of Needs - Correct Answer -Depicted as a pyramid,
needs listed from the base of the pyramid to the top. Based on
importance to survival.
Physiological needs
3
Verified Question and Answer
Megastructure of NI - Correct Answer -The ability of the nurse to utilize
data, information, and knowledge to make wise clinical decisions.
Definition of Nursing Informatics - Correct Answer -A specialty that
integrates nursing science with multiple information and analytical
sciences to identify, define, manage and communicate data, information,
knowledge and wisdom in nursing practice.
Meaningful Use - Correct Answer -Using certified electronic health
record technology to:
- improve quality, safety, efficiency, and reduce
Health disparities
- engage patients and families
- improve care coordination, population and
Public health
Total Quality Management (TQM) - Correct Answer -Used to depict
Quality Management measures. Examples include:
- Cause and effect diagrams
- Flowcharts
- Histograms
- Pareto charts
- Run charts
- Control charts
- scatter diagrams
Quality and Safety Education for Nurses (QSEN) - Correct Answer -Goal
is to tackle the task of preparing nurses to enhance "the quality and
safety of the healthcare systems in which they work" Used in Nursing
Education and focuses on six competencies:
• Patient-centered care
• Teamwork and collaboration
• Evidence-based practice
• Quality improvement
• Safety
• Informatics
1
,Failure mode and Effects Analysis (FMEA) - Correct Answer -A
systematic, proactive approach for evaluating a process to identify
where and how it might fail and to assess the relative impact of different
failures.
Ishikawa Diagram (Fishbone) - Correct Answer -Used for brainstorming
and to help identify root causes for performance improvement by
visualizing causes and effects. The effect is the "head" and the causes
are the
"Bones"
Root Cause Analysis - Correct Answer -Structured method to analyze
serious adverse events.
Identifies underlying problems that increase the likelihood of errors
(retrospective approach)
FOCUS Model and PDCA - Correct Answer -A performance
improvement model
F- Find a process to improve
0- organize an effort
C- Clarify current knowledge
U- Understand process variation/capability
S- Select a strategy for continuous improvement
PDCA: repetitive process during FOCUS stages
Plan - Do - Check - Act
Turley's Model of Nursing Informatics - Correct Answer -Nursing
Informatics is is the center of computer, cognitive, and information’s
sciences under the umbrella of Nursing Science
Lewin's Theory of Change - Correct Answer -Used in facilitating change,
the concepts of this theory include: Unfreezing - Movement - Refreezing
Driving and restraining forces
Deals with disconfirmation
Cognitive redefinition
Creation of psychological safety or overcoming learning anxiety
Lean Six Sigma - Correct Answer -Focus on removing wasteful practices
and making processes smoother and more efficient
Six Sigma - Correct Answer -Used for process improvement. Project
increase quality and yield while reducing defects and variations.
Define, Measure, Analyze, Improve, Control
2
, Leapfrog Group - Correct Answer -Triggers giant leaps in the safety,
quality, and affordability of healthcare by:
- supporting informed healthcare decision
- promoting high-value healthcare through
Incentives and rewards
Good Leapfrog scores - more patients
Regulatory and Accreditation Requirements - Correct Answer --Joint
Commission
-Centers for Medicare and Medicaid Services
(CMS)
-Meaningful Use
-HITECH (health information technology for
Economic and clinical health)
-Affordable Care Act
-ADA regulations (Americans with Disabilities Act)
Models Supporting Practice - Correct Answer -Data: 1st step of
database design; conceptual
Design
Workflow: Swim lane models, Lean Six Sigma, value
Stream mapping
Predictive: (Analytics) used to predict future
Outcomes
Ludwig Von Bertalanffy Systems theory - Correct Answer -The Nursing
Informatics specialist must understand the fundamentals of systems and
how systems affect the decision-making process; closed versus open
systems
Shannon-Weaver Model of Communication Theory - Correct Answer -
Sender - Message - Receiver
Obstacles to effective communication:
- Interference (noise)
- Facilitation
- Block (body language, assumptions)
Communication is a continuous loop
Maslow's Hierarchy of Needs - Correct Answer -Depicted as a pyramid,
needs listed from the base of the pyramid to the top. Based on
importance to survival.
Physiological needs
3
