Competencies and Objective Assessment
1. Chapter 1: Workflow - Page 4
2. Chapter 2: Telehealth - Page 8
3. Chapter 3: Nursing Informatics Foundations - Page 12
4. Chapter 4: Telehealth - Page 16
5. Chapter 5: Privacy HIPAA - Page 20
6. Chapter 6: Privacy HIPAA - Page 24
7. Chapter 7: EHR - Page 28
8. Chapter 8: Telehealth - Page 32
9. Chapter 9: Telehealth - Page 36
10. Chapter 10: Future Trends - Page 40
11. Chapter 11: Workflow - Page 44
12. Chapter 12: CDS - Page 48
13. Chapter 13: Privacy HIPAA - Page 52
14. Chapter 14: Nursing Informatics Foundations - Page 56
15. Chapter 15: Privacy HIPAA - Page 60
16. Chapter 16: Workflow - Page 64
17. Chapter 17: Workflow - Page 68
18. Chapter 18: Telehealth - Page 72
19. Chapter 19: Systems Lifecycle - Page 76
20. Chapter 20: CDS - Page 80
21. Chapter 21: Nursing Informatics Foundations - Page 84
22. Chapter 22: Future Trends - Page 88
23. Chapter 23: Privacy HIPAA - Page 92
24. Chapter 24: Privacy HIPAA - Page 96
25. Chapter 25: EHR - Page 100
,1. Comprehensive OA scenario: A hospital implements a new nursing informatics system
requiring a scenario requiring WGU C790 nursing informatics competency. The nurse
informaticist must apply data management, systems analysis, and ethical principles. What is
the most appropriate evidence-based action per WGU OA standards?
A. Neglect data governance
B. Fail to assess system interoperability
C. Evaluate CDS effectiveness, monitor analytics, and ensure privacy and security per HIPAA
D. Skip usability testing
Answer: C
Rationale: Correct because it applies nursing informatics foundations, DIKW framework, data management,
and information science principles per WGU C790 OA competencies. It demonstrates understanding of EHR,
interoperability, and data governance. Incorrect options confuse data vs information, ignore data quality, or
misapply informatics theories. This knowledge is essential for objective assessment and for improving patient
care through technology, which is high-yield for WGU C790. Domain: privacy.
2. Comprehensive OA scenario: A hospital implements a new nursing informatics system
requiring a scenario requiring WGU C790 nursing informatics competency. The nurse
informaticist must apply data management, systems analysis, and ethical principles. What is
the most appropriate evidence-based action per WGU OA standards?
A. Evaluate CDS effectiveness, monitor analytics, and ensure privacy and security per HIPAA
B. Implement system without stakeholder input
C. Disable CDS alerts without evaluation
D. Ignore data quality and proceed without validation
Answer: A
Rationale: This answer reflects evidence-based nursing informatics including CDS, EHR optimization,
workflow design, and human factors. It considers usability, clinical judgment, and system evaluation per AMIA
and ANI guidelines. Distractors bypass privacy, ignore security, or fail to assess workflow impact. Mastery of
informatics systems, privacy HIPAA, and ethics ensures safe technology implementation and is frequently
tested on WGU C790 OA exam. Domain: foundations.
3. Comprehensive OA scenario: A hospital implements a new nursing informatics system
requiring a scenario requiring WGU C790 nursing informatics competency. The nurse
informaticist must apply data management, systems analysis, and ethical principles. What is
the most appropriate evidence-based action per WGU OA standards?
A. Conduct workflow analysis, involve stakeholders, and implement change management
B. Neglect data governance
C. Disable CDS alerts without evaluation
D. Bypass privacy controls and share PHI via unsecured channels
Answer: A
Rationale: Correct because it applies nursing informatics foundations, DIKW framework, data management,
and information science principles per WGU C790 OA competencies. It demonstrates understanding of EHR,
interoperability, and data governance. Incorrect options confuse data vs information, ignore data quality, or
misapply informatics theories. This knowledge is essential for objective assessment and for improving patient
care through technology, which is high-yield for WGU C790. Domain: privacy.
, 4. Comprehensive OA scenario: A hospital implements a new nursing informatics system
requiring a scenario requiring WGU C790 nursing informatics competency. The nurse
informaticist must apply data management, systems analysis, and ethical principles. What is
the most appropriate evidence-based action per WGU OA standards?
A. Neglect data governance
B. Fail to assess system interoperability
C. Conduct workflow analysis, involve stakeholders, and implement change management
D. Bypass privacy controls and share PHI via unsecured channels
Answer: C
Rationale: Correct because it applies nursing informatics foundations, DIKW framework, data management,
and information science principles per WGU C790 OA competencies. It demonstrates understanding of EHR,
interoperability, and data governance. Incorrect options confuse data vs information, ignore data quality, or
misapply informatics theories. This knowledge is essential for objective assessment and for improving patient
care through technology, which is high-yield for WGU C790. Domain: privacy.
5. Comprehensive OA scenario: A hospital implements a new nursing informatics system
requiring a scenario requiring WGU C790 nursing informatics competency. The nurse
informaticist must apply data management, systems analysis, and ethical principles. What is
the most appropriate evidence-based action per WGU OA standards?
A. Neglect data governance
B. Fail to assess system interoperability
C. Ignore data quality and proceed without validation
D. Evaluate CDS effectiveness, monitor analytics, and ensure privacy and security per HIPAA
Answer: D
Rationale: Correct because it applies nursing informatics foundations, DIKW framework, data management,
and information science principles per WGU C790 OA competencies. It demonstrates understanding of EHR,
interoperability, and data governance. Incorrect options confuse data vs information, ignore data quality, or
misapply informatics theories. This knowledge is essential for objective assessment and for improving patient
care through technology, which is high-yield for WGU C790. Domain: workflow.
6. Comprehensive OA scenario: A hospital implements a new nursing informatics system
requiring a scenario requiring WGU C790 nursing informatics competency. The nurse
informaticist must apply data management, systems analysis, and ethical principles. What is
the most appropriate evidence-based action per WGU OA standards?
A. Implement system without stakeholder input
B. Conduct workflow analysis, involve stakeholders, and implement change management
C. Ignore HIPAA and ethical guidelines
D. Bypass privacy controls and share PHI via unsecured channels
Answer: B
Rationale: Selected option aligns with telehealth, consumer health informatics, and emerging trends including
AI, big data analytics, and precision health per WGU C790. It integrates privacy, security, ethics, and
interprofessional collaboration while evaluating outcomes. Alternatives violate HIPAA, ignore data analytics,
or fail to address workflow. This high-yield content demonstrates informatics competency needed for WGU
C790 OA success and modern nursing practice. Domain: workflow.