ALL CHAPTERS 20 COVERED
TEST BANK
Chapter 1-20
1
Copyright © 2024 Pearson Education, Inc.
, TABLE OF CONTENTS
1. An Overview of Informatics in Healthcare
2. Informatics Theory and Practice
3. The Challenges of Technology in Healthcare
4. Electronic Resources for Healthcare Professionals
5. Using Informatics to Support Evidence-Based Practice and
Research
6. Policy, Legislation, and Regulation Issues for Informatics Practice
7. Electronic Health Information and Record Systems
8. Strategic Planning and Project Management Concepts for HIT and
Quality Improvement Initiatives
9. Healthcare Information Technology: Implementation, Maintenance,
and Evaluation
10. Improving the Usability of Health Informatics Applications
11. Information Networks and Information Exchange
12. Workforce Development
13. Information Security and Confidentiality
14. Continuity Planning and Management and Disaster Recovery
15. The Role of Standardized Terminology and Language in
Informatics
16. Using Informatics to Educate
17. Consumer Health Informatics
18. Connected Healthcare (Telehealth and Technology-Enabled
Healthcare)
19. Public Health Informatics
20. A Glimpse into the Future of Nursing Informatics
2
Copyright © 2024 Pearson Education, Inc.
,Chapter 1 An Overview of Informatics in Healthcare
1) Healthcare today should address the Quintuple Aim. What of the following best demonstrates how
healthcare information technology might be used to help address disparities in care?
A) Collect data elements that could be used to identify vulnerable individuals
B) Use collected data to identify vulnerable individuals
C) Incorporate GPS locators into predictions
D) A and B
Answer: D
Eẋplanation: A) Many demographic and other relevant data elements are/or could easily be collect
that could be used to identify vulnerable individuals.
B) Collected data can be used and leveraged to identify vulnerable individuals.
C) Location may be an indicator of risk but zip code alone does not indicate vulnerability. Other
factors that include familial predisposition, occupational risks, economic level, personal health
habits, living conditions, and community support all factor into determination of vulnerability. D)
Both A and B together comprise the best response.
Page Ref: 1-2
Cognitive Level: Applying
QSEN Grad. Competencies: A3, B1
AACN Essen. Competencies: 8.1g,h; 8.2i; 8.3g
2) Which of the following best reflects benefits realized from the use of health information
technology?
A) Improved safety, improved efficiencies, decreased clinician documentation times
B) Improved safety, improved efficiencies, improved charge capture, improved communication
C) Improved safety, improved efficiencies, improved protection of personal health information D)
Improved safety, improved efficiencies, significant reduction in costs for care, improved
protection of patient information
Answer: B
Eẋplanation: A) HIT can result in improved safety through measures such as positive patient
identification and may improve efficiencies but clinician documentation burden is an issue seen with
poorly designed and poorly used systems.
B) HIT can result in improved safety through positive patient identification, alerts, and similar
measures. HIT may improve some efficiencies such as improved charge capture and shortened
revenue cycle and theoretically improves communication.
C) HIT can result in improved safety and improved efficiencies in some respects but despite
safeguards to protect patient health information it also increases vulnerabilities in some respects.
D) Despite its promise to significantly reduce costs for care costs associated with the purchase
and maintenance of HIT, among other U.S. issues have not resulted in significant reduction in costs
for care.
Page Ref: 1-2
Cognitive Level: Applying
QSEN Grad. Competencies: A1,4; C1,5
AACN Essen. Competencies: 8.1j,k; 8.2 I; 8.3i; 8.4g
3) In which ways can health information technology support the learning health system?
3
Copyright © 2024 Pearson Education, Inc.
, A) Incorporation of evidence-based practice and big data findings to provide care interventions that
are proven to be effective
B) Real-time analysis of data
C) Integration of devices and the data that they collect to inform care decisions
D) All of the above
Answer: D
Eẋplanation: A) Big data findings supplement EBP often providing information and knowledge in a
more timely fashion.
B) Real-time analysis of data can be particularly useful when healthcare delivery systems and
providers are facing challenges that are new to them as was seen with the emergence of a body of
knowledge relative to the impact of COVID and most successful treatment modalities. C) Data
streams from all relevant sources provide a more complete picture.
D) A combination of research and big data findings from a myriad of sources that is analyzed in real
time provides a quick turnaround to support, and further improve, care delivered.
Page Ref: 3-4
Cognitive Level: Applying
QSEN Grad. Competencies: A5; B8, 9, 11; C1, 2
AACN Essen. Competencies: 8.1g; 8.2f; 8.3j; 8.4f
4) Which of the following are considered necessary components to create a learning or informatics
culture? Select all that apply.
A) Standardized languages and terminologies
B) Data in digital format
C) Interoperability and data sharing
D) Prerequisite information knowledge and skills
Answer: A, B, C, D
Eẋplanation: A) Standardized languages and terminologies ensure that concepts maintain a uniform
meaning across settings and the ability to generalize results.
B) Data in digital format is conducive to electronic capture, storage, analysis, transmission, and
re-use.
C) In order to have value data must be shareable which is best attained when systems are
interoperable.
D) Computer, information, and (for the consumer), health literacy are foundational skills in the
learning health system where data, information, and knowledge are constantly generated as a result
of care processes as well as the integration of research findings to support best practices for patient
care.
Page Ref: 9-13
Cognitive Level: Knowledge
QSEN Grad. Competencies: A5; B2, 11; C1, 4
AACN Essen. Competencies: 8.1g; 8.2i; 8.4g
5) When asked to eẋplain what the SAFER Guides are and their relevance for HIT what should the
informatics nurse first know?
A) SAFER Guides are a resource provided by the Centers for Medicare and Medicaid to guide
reimbursement.
4
Copyright © 2024 Pearson Education, Inc.
TEST BANK
Chapter 1-20
1
Copyright © 2024 Pearson Education, Inc.
, TABLE OF CONTENTS
1. An Overview of Informatics in Healthcare
2. Informatics Theory and Practice
3. The Challenges of Technology in Healthcare
4. Electronic Resources for Healthcare Professionals
5. Using Informatics to Support Evidence-Based Practice and
Research
6. Policy, Legislation, and Regulation Issues for Informatics Practice
7. Electronic Health Information and Record Systems
8. Strategic Planning and Project Management Concepts for HIT and
Quality Improvement Initiatives
9. Healthcare Information Technology: Implementation, Maintenance,
and Evaluation
10. Improving the Usability of Health Informatics Applications
11. Information Networks and Information Exchange
12. Workforce Development
13. Information Security and Confidentiality
14. Continuity Planning and Management and Disaster Recovery
15. The Role of Standardized Terminology and Language in
Informatics
16. Using Informatics to Educate
17. Consumer Health Informatics
18. Connected Healthcare (Telehealth and Technology-Enabled
Healthcare)
19. Public Health Informatics
20. A Glimpse into the Future of Nursing Informatics
2
Copyright © 2024 Pearson Education, Inc.
,Chapter 1 An Overview of Informatics in Healthcare
1) Healthcare today should address the Quintuple Aim. What of the following best demonstrates how
healthcare information technology might be used to help address disparities in care?
A) Collect data elements that could be used to identify vulnerable individuals
B) Use collected data to identify vulnerable individuals
C) Incorporate GPS locators into predictions
D) A and B
Answer: D
Eẋplanation: A) Many demographic and other relevant data elements are/or could easily be collect
that could be used to identify vulnerable individuals.
B) Collected data can be used and leveraged to identify vulnerable individuals.
C) Location may be an indicator of risk but zip code alone does not indicate vulnerability. Other
factors that include familial predisposition, occupational risks, economic level, personal health
habits, living conditions, and community support all factor into determination of vulnerability. D)
Both A and B together comprise the best response.
Page Ref: 1-2
Cognitive Level: Applying
QSEN Grad. Competencies: A3, B1
AACN Essen. Competencies: 8.1g,h; 8.2i; 8.3g
2) Which of the following best reflects benefits realized from the use of health information
technology?
A) Improved safety, improved efficiencies, decreased clinician documentation times
B) Improved safety, improved efficiencies, improved charge capture, improved communication
C) Improved safety, improved efficiencies, improved protection of personal health information D)
Improved safety, improved efficiencies, significant reduction in costs for care, improved
protection of patient information
Answer: B
Eẋplanation: A) HIT can result in improved safety through measures such as positive patient
identification and may improve efficiencies but clinician documentation burden is an issue seen with
poorly designed and poorly used systems.
B) HIT can result in improved safety through positive patient identification, alerts, and similar
measures. HIT may improve some efficiencies such as improved charge capture and shortened
revenue cycle and theoretically improves communication.
C) HIT can result in improved safety and improved efficiencies in some respects but despite
safeguards to protect patient health information it also increases vulnerabilities in some respects.
D) Despite its promise to significantly reduce costs for care costs associated with the purchase
and maintenance of HIT, among other U.S. issues have not resulted in significant reduction in costs
for care.
Page Ref: 1-2
Cognitive Level: Applying
QSEN Grad. Competencies: A1,4; C1,5
AACN Essen. Competencies: 8.1j,k; 8.2 I; 8.3i; 8.4g
3) In which ways can health information technology support the learning health system?
3
Copyright © 2024 Pearson Education, Inc.
, A) Incorporation of evidence-based practice and big data findings to provide care interventions that
are proven to be effective
B) Real-time analysis of data
C) Integration of devices and the data that they collect to inform care decisions
D) All of the above
Answer: D
Eẋplanation: A) Big data findings supplement EBP often providing information and knowledge in a
more timely fashion.
B) Real-time analysis of data can be particularly useful when healthcare delivery systems and
providers are facing challenges that are new to them as was seen with the emergence of a body of
knowledge relative to the impact of COVID and most successful treatment modalities. C) Data
streams from all relevant sources provide a more complete picture.
D) A combination of research and big data findings from a myriad of sources that is analyzed in real
time provides a quick turnaround to support, and further improve, care delivered.
Page Ref: 3-4
Cognitive Level: Applying
QSEN Grad. Competencies: A5; B8, 9, 11; C1, 2
AACN Essen. Competencies: 8.1g; 8.2f; 8.3j; 8.4f
4) Which of the following are considered necessary components to create a learning or informatics
culture? Select all that apply.
A) Standardized languages and terminologies
B) Data in digital format
C) Interoperability and data sharing
D) Prerequisite information knowledge and skills
Answer: A, B, C, D
Eẋplanation: A) Standardized languages and terminologies ensure that concepts maintain a uniform
meaning across settings and the ability to generalize results.
B) Data in digital format is conducive to electronic capture, storage, analysis, transmission, and
re-use.
C) In order to have value data must be shareable which is best attained when systems are
interoperable.
D) Computer, information, and (for the consumer), health literacy are foundational skills in the
learning health system where data, information, and knowledge are constantly generated as a result
of care processes as well as the integration of research findings to support best practices for patient
care.
Page Ref: 9-13
Cognitive Level: Knowledge
QSEN Grad. Competencies: A5; B2, 11; C1, 4
AACN Essen. Competencies: 8.1g; 8.2i; 8.4g
5) When asked to eẋplain what the SAFER Guides are and their relevance for HIT what should the
informatics nurse first know?
A) SAFER Guides are a resource provided by the Centers for Medicare and Medicaid to guide
reimbursement.
4
Copyright © 2024 Pearson Education, Inc.
