Nursing Informatics Certification Mid Term Exam with Questions and Answers
Metastructure of NI - AnswerThe ability of the nurse to utilize data, information, and knowledge to make wise clinical decisions.
Definition of Nursing Informatics - AnswerA speciality 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 - AnswerUsing 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) - AnswerUsed to depect Quality Management measures. Examples include:
- cause and effect diagrams
- flowcharts
- histograms
- Pareto charts
- Run charts
- Control charts
- scatter diagrams
Quality and Safey Education for Nurses (QSEN) - AnswerGoal 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
1|Page
, Nursing Informatics Certification Mid Term Exam with Questions and Answers
• Quality improvement
• Safety
• Informatics
Failure mode and Effects Analysis (FMEA) - AnswerA 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) - AnswerUsed 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 - AnswerStructured method to analyze serious adverse events.
Identifies underlying problems that increase the likelyhood of errors (retrospective approach)
FOCUS Model and PDCA - AnswerAn preformance 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 continious improvement PDCA: repetitive process
during FOCUS stages Plan - Do - Check - Act
Turley's Model of Nursing Informatics - AnswerNursing Informatics is is the center of computer, cognitive, and informations
sciences under the umbrella of Nursing Science
Lewin's Theory of Change - AnswerUsed infacilitating change, the concepts of this theory include: Unfreezing - Movement - Refreezing
Driving and restraining forces Deals with
disconfirmation Cogintive redefinition
Creation of psychological safety or overcoming learning anxiety
Lean Six Sigma - AnswerFocus on removing wasteful practices and making processes
2|Page
, Nursing Informatics Certification Mid Term Exam with Questions and Answers
smoother and more efficient
Six Sigma - AnswerUsed for process improvement. Project increase quality and yield while reducing defects and variations.
Define, Measure, Analyze, Improve, Control
Leapfrog Group - AnswerTriggers giant leaps in the safety, quality, and affordability of healthcare by:
- supporting informed healthcare decisiona
- promoting high-value healthcare through incentives and
rewards
Good Leapfrog scores - more patients
Regulatory and Accreditation Requirements - 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 - AnswerData: 1st step of database design; conceptual design
Workflow: Swimlane models, Lean Six Sigma, value stream mapping
Predictive: (Analytics) used to predict future outcomes
Ludwig Von Bertalanffy Systems theory - AnswerThe 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 - AnswerSender - Message - Receiver Obstacles to effective communication:
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, Nursing Informatics Certification Mid Term Exam with Questions and Answers
- Interference (noise)
- Facilitation
- Block (body language, assumptions) Communication is
a continuous loop
Maslow's Hierarchy of Needs - AnswerDepicted as a pyramid, needs listed from the base of the pyramid to the top. Based on importance
to survival.
Physiological needs Safety
Social
Self-Esteem
Self-actualization
Cognitive Theory - Answer-Learning process may be unique to the student
-Learning involves mental associations that cannot be observed
-Knowledge is organized
-Learning relates information to experience Benner's Stage's of Clinical
Competence
Novice to Expert Nurse - AnswerNovice: little experience, rule-governed Advanced Beginner: some experience with new
situations
Competent: ability to master new situations, needs extra planning time, lacks
flexibility
Proficient: thinks holistically, relies on experience, adaptable
Expert: wealth of experience, acts intuitively
Computer Science - AnswerFoundation of NI; the study of the principles and the use of computers.
Information Science - AnswerFoundation of NI; the study of processes for storing and
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Metastructure of NI - AnswerThe ability of the nurse to utilize data, information, and knowledge to make wise clinical decisions.
Definition of Nursing Informatics - AnswerA speciality 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 - AnswerUsing 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) - AnswerUsed to depect Quality Management measures. Examples include:
- cause and effect diagrams
- flowcharts
- histograms
- Pareto charts
- Run charts
- Control charts
- scatter diagrams
Quality and Safey Education for Nurses (QSEN) - AnswerGoal 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
1|Page
, Nursing Informatics Certification Mid Term Exam with Questions and Answers
• Quality improvement
• Safety
• Informatics
Failure mode and Effects Analysis (FMEA) - AnswerA 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) - AnswerUsed 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 - AnswerStructured method to analyze serious adverse events.
Identifies underlying problems that increase the likelyhood of errors (retrospective approach)
FOCUS Model and PDCA - AnswerAn preformance 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 continious improvement PDCA: repetitive process
during FOCUS stages Plan - Do - Check - Act
Turley's Model of Nursing Informatics - AnswerNursing Informatics is is the center of computer, cognitive, and informations
sciences under the umbrella of Nursing Science
Lewin's Theory of Change - AnswerUsed infacilitating change, the concepts of this theory include: Unfreezing - Movement - Refreezing
Driving and restraining forces Deals with
disconfirmation Cogintive redefinition
Creation of psychological safety or overcoming learning anxiety
Lean Six Sigma - AnswerFocus on removing wasteful practices and making processes
2|Page
, Nursing Informatics Certification Mid Term Exam with Questions and Answers
smoother and more efficient
Six Sigma - AnswerUsed for process improvement. Project increase quality and yield while reducing defects and variations.
Define, Measure, Analyze, Improve, Control
Leapfrog Group - AnswerTriggers giant leaps in the safety, quality, and affordability of healthcare by:
- supporting informed healthcare decisiona
- promoting high-value healthcare through incentives and
rewards
Good Leapfrog scores - more patients
Regulatory and Accreditation Requirements - 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 - AnswerData: 1st step of database design; conceptual design
Workflow: Swimlane models, Lean Six Sigma, value stream mapping
Predictive: (Analytics) used to predict future outcomes
Ludwig Von Bertalanffy Systems theory - AnswerThe 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 - AnswerSender - Message - Receiver Obstacles to effective communication:
3|Page
, Nursing Informatics Certification Mid Term Exam with Questions and Answers
- Interference (noise)
- Facilitation
- Block (body language, assumptions) Communication is
a continuous loop
Maslow's Hierarchy of Needs - AnswerDepicted as a pyramid, needs listed from the base of the pyramid to the top. Based on importance
to survival.
Physiological needs Safety
Social
Self-Esteem
Self-actualization
Cognitive Theory - Answer-Learning process may be unique to the student
-Learning involves mental associations that cannot be observed
-Knowledge is organized
-Learning relates information to experience Benner's Stage's of Clinical
Competence
Novice to Expert Nurse - AnswerNovice: little experience, rule-governed Advanced Beginner: some experience with new
situations
Competent: ability to master new situations, needs extra planning time, lacks
flexibility
Proficient: thinks holistically, relies on experience, adaptable
Expert: wealth of experience, acts intuitively
Computer Science - AnswerFoundation of NI; the study of the principles and the use of computers.
Information Science - AnswerFoundation of NI; the study of processes for storing and
4|Page
