TEST BANK FOR Handbook of Informatics for Nurses &
Healthcare Professionals, 7th Edition by Toni L. Hebda
Melody Rose Kathleen Hunter Patricia Czar
Chapter 1-20
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
Explanation: 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
Explanation: 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?
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
Explanation: 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
Explanation: 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 explain 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.
B) SAFER Guides are a resource provided by the Consortium of Vendors for selection of HIT.
C) SAFER Guides are a resource provided by the ONCHIT to ensure best practices for HIT
implementation and use.
D) SAFER Guides are the result of a report by the Commonwealth Fund to improve U.S. health
outcomes.
Answer: C
Explanation: A) SAFER Guides have nothing to do with reimbursement although the Centers for
Medicare and Medicaid added them to ensure an ongoing focus on improving interoperability and
patient access to health information.
B) SAFER Guides complement tools and research developed by the Agency for Healthcare
Research and Quality and the ONCHIT, not from vendors.
C) The SAFER acronym stands for Safety Assurance Factors for EHR Resilience and are therefore
intended to guide implementation practices and use for HIT, and EHRs in particular.
D) SAFER Guides having nothing to do with the Commonwealth Fund reports.
Page Ref: 6
Cognitive Level: Applying
QSEN Grad. Competencies: B1, 12
AACN Essen. Competencies: 8.1g,h; 8.4f,k
6) A large healthcare organization is planning to implement a new electronic health record. What
should be considered when selecting this system?
A) Whether training is required
B) Nursing staff documentation requirements are the top priority
C) The organization needs to meet multiple competing demands
D) Integration with laboratory and pharmacy would be nice
Answer: C
Explanation: A) No evidence supports limiting training on the system.
B) Every department in a large healthcare organization has an essential role in patient care.
C) The healthcare organization today is a complex system faced with multiple, competing
demands.
D) Every department in a large healthcare organization has an essential role in patient care.
Page Ref: 1-2
Cognitive Level: Applying
QSEN Grad. Competencies: GA1, GA3
AACN Essen. Competencies: 8.1k. 8.3e, 8.3g
, 7) Thea3leadershipa3teama3ofa3aa3multisystema3healthcarea3organizationa3isa3replacinga3thea3currenta3
electronica3medicala3recorda3witha3onea3thata3woulda3integratea3informationa3throughouta3thea3en
tirea3system.a3Thea3advantagesa3ofa3thisa3proposeda3approacha3woulda3includea3whicha3ofa3thea3foll
owing?a3Selecta3alla3thata3apply.
A) Decreaseda3supporta3costs
B) Reducea3staffa3turnover
C) Improveda3communication
D) Improveda3safetya3anda3qualitya3ofa3care
E) Ensurea3carea3isa3provideda3ina3ana3effective,a3efficienta3
mannera3Answer:a 3 A,a3C,a3D,a3E
Explanation:a 3 A)a3Technologya3isa3aa3pervasivea3parta3ofa3everya3aspecta3ofa3society,a3including
a3healthcarea3delivery.a3Healtha3informationa3technologya3(HIT)a3providesa3thea3toolsa3toa3decre
asea3costs.
B) Technologya3isa3aa3pervasivea3parta3ofa3everya3aspecta3ofa3society,a3includinga3healthcarea3delive
ry.a3Healtha3informationa3technologya3(HIT)a3isa3nota3identifieda3asa3aa3mechanisma3toa3reducea3
staffa3turnover.
C) Technologya3isa3aa3pervasivea3parta3ofa3everya3aspecta3ofa3society,a3includinga3healthcarea3delive
ry.a3Healtha3informationa3technologya3(HIT)a3providesa3thea3toolsa3toa3improvea3communication.
D) Technologya3isa3aa3pervasivea3parta3ofa3everya3aspecta3ofa3society,a3includinga3healthcarea3delive
ry.a3Healtha3informationa3technologya3(HIT)a3enablesa3thea3deliverya3ofa3safe,a3qualitya3care.
E) Technologya3isa3aa3pervasivea3parta3ofa3everya3aspecta3ofa3society,a3includinga3healthcarea3delive
ry.a3Healtha3informationa3technologya3(HIT)a3ensuresa3carea3isa3provideda3ina3ana3effective,a3effi
cienta3manner.a3Sharinga3dataa3enablesa3learning.
Pagea3Ref:a31-8
Cognitivea3Level:a 3 a 3 Knowledge
QSENa3Grad.a3Competencies:a 3 A1-
4;a3B1,a35,a38,a312;a3c1,a32a3AACNa3Essen.a3Competencies:a
3 8.2i;a38.3g
8) Thea3informaticsa3nursea3isa3preparinga3aa3presentationa3fora3newa3nursinga3staff.a3Whicha3definiti
ona3shoulda3thea3nursea3usea3whena3explaininga3informaticsa3toa3thesea3colleagues?
A) Aa3subspecialtya3ofa3nursinga3thata3focusesa3ona3traininga3ina3thea3usea3ofa3computers
B) Aa3specifica3areaa3ofa3medicinea3thata3highlightsa3thea3importancea3ofa3technologya3ina3patienta3car
e
C) Aa3professiona3thata3isa3seekinga3ana3identitya3separatea3froma3medicine,a3nursing,a3ora3othera
3behaviorala3sciences
D) Ana3interdisciplinarya3fielda3thata3includesa3computer,a3decision,a3information,a3manageme
nt,a3anda3cognitivea3sciences
Answer:a 3 a 3 D
Explanation:a 3 A)a3Informaticsa3isa3aa3subspecialtya3ofa3nursinga3buta3itsa3focusesa3extendsa3wella
3beyonda3thea3usea3ofa3computers.
B) Informaticsa3isa3nota3aa3specifica3areaa3ofa3medicinea3thata3highlightsa3thea3importancea3ofa3te
chnologya3ina3patienta3care.
C) Informaticsa3isa3nota3aa3professiona3thata3isa3seekinga3ana3identitya3separatea3froma3medicine,a
3nursing,a3ora3othera3behaviorala3sciences.
D) Thea3Americana3Medicala3Informaticsa3Associationa3statesa3thata3informaticsa3isa3ana3interdis
ciplinarya3fielda3thata3drawsa3from,a3asa3wella3asa3contributesa3to,a3computera3science,a3decision
a3science,a3informationa3science,a3managementa3science,a3anda3cognitivea3science.
Pagea3Ref:a32-3
Cognitivea3Level:a 3 Knowledgea 3 Q
SENa3Grad.a3Competencies:a 3 B2,a3
C1a3AACNa3Essen.a3Competencies:
Healthcare Professionals, 7th Edition by Toni L. Hebda
Melody Rose Kathleen Hunter Patricia Czar
Chapter 1-20
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
Explanation: 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
Explanation: 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?
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
Explanation: 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
Explanation: 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 explain 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.
B) SAFER Guides are a resource provided by the Consortium of Vendors for selection of HIT.
C) SAFER Guides are a resource provided by the ONCHIT to ensure best practices for HIT
implementation and use.
D) SAFER Guides are the result of a report by the Commonwealth Fund to improve U.S. health
outcomes.
Answer: C
Explanation: A) SAFER Guides have nothing to do with reimbursement although the Centers for
Medicare and Medicaid added them to ensure an ongoing focus on improving interoperability and
patient access to health information.
B) SAFER Guides complement tools and research developed by the Agency for Healthcare
Research and Quality and the ONCHIT, not from vendors.
C) The SAFER acronym stands for Safety Assurance Factors for EHR Resilience and are therefore
intended to guide implementation practices and use for HIT, and EHRs in particular.
D) SAFER Guides having nothing to do with the Commonwealth Fund reports.
Page Ref: 6
Cognitive Level: Applying
QSEN Grad. Competencies: B1, 12
AACN Essen. Competencies: 8.1g,h; 8.4f,k
6) A large healthcare organization is planning to implement a new electronic health record. What
should be considered when selecting this system?
A) Whether training is required
B) Nursing staff documentation requirements are the top priority
C) The organization needs to meet multiple competing demands
D) Integration with laboratory and pharmacy would be nice
Answer: C
Explanation: A) No evidence supports limiting training on the system.
B) Every department in a large healthcare organization has an essential role in patient care.
C) The healthcare organization today is a complex system faced with multiple, competing
demands.
D) Every department in a large healthcare organization has an essential role in patient care.
Page Ref: 1-2
Cognitive Level: Applying
QSEN Grad. Competencies: GA1, GA3
AACN Essen. Competencies: 8.1k. 8.3e, 8.3g
, 7) Thea3leadershipa3teama3ofa3aa3multisystema3healthcarea3organizationa3isa3replacinga3thea3currenta3
electronica3medicala3recorda3witha3onea3thata3woulda3integratea3informationa3throughouta3thea3en
tirea3system.a3Thea3advantagesa3ofa3thisa3proposeda3approacha3woulda3includea3whicha3ofa3thea3foll
owing?a3Selecta3alla3thata3apply.
A) Decreaseda3supporta3costs
B) Reducea3staffa3turnover
C) Improveda3communication
D) Improveda3safetya3anda3qualitya3ofa3care
E) Ensurea3carea3isa3provideda3ina3ana3effective,a3efficienta3
mannera3Answer:a 3 A,a3C,a3D,a3E
Explanation:a 3 A)a3Technologya3isa3aa3pervasivea3parta3ofa3everya3aspecta3ofa3society,a3including
a3healthcarea3delivery.a3Healtha3informationa3technologya3(HIT)a3providesa3thea3toolsa3toa3decre
asea3costs.
B) Technologya3isa3aa3pervasivea3parta3ofa3everya3aspecta3ofa3society,a3includinga3healthcarea3delive
ry.a3Healtha3informationa3technologya3(HIT)a3isa3nota3identifieda3asa3aa3mechanisma3toa3reducea3
staffa3turnover.
C) Technologya3isa3aa3pervasivea3parta3ofa3everya3aspecta3ofa3society,a3includinga3healthcarea3delive
ry.a3Healtha3informationa3technologya3(HIT)a3providesa3thea3toolsa3toa3improvea3communication.
D) Technologya3isa3aa3pervasivea3parta3ofa3everya3aspecta3ofa3society,a3includinga3healthcarea3delive
ry.a3Healtha3informationa3technologya3(HIT)a3enablesa3thea3deliverya3ofa3safe,a3qualitya3care.
E) Technologya3isa3aa3pervasivea3parta3ofa3everya3aspecta3ofa3society,a3includinga3healthcarea3delive
ry.a3Healtha3informationa3technologya3(HIT)a3ensuresa3carea3isa3provideda3ina3ana3effective,a3effi
cienta3manner.a3Sharinga3dataa3enablesa3learning.
Pagea3Ref:a31-8
Cognitivea3Level:a 3 a 3 Knowledge
QSENa3Grad.a3Competencies:a 3 A1-
4;a3B1,a35,a38,a312;a3c1,a32a3AACNa3Essen.a3Competencies:a
3 8.2i;a38.3g
8) Thea3informaticsa3nursea3isa3preparinga3aa3presentationa3fora3newa3nursinga3staff.a3Whicha3definiti
ona3shoulda3thea3nursea3usea3whena3explaininga3informaticsa3toa3thesea3colleagues?
A) Aa3subspecialtya3ofa3nursinga3thata3focusesa3ona3traininga3ina3thea3usea3ofa3computers
B) Aa3specifica3areaa3ofa3medicinea3thata3highlightsa3thea3importancea3ofa3technologya3ina3patienta3car
e
C) Aa3professiona3thata3isa3seekinga3ana3identitya3separatea3froma3medicine,a3nursing,a3ora3othera
3behaviorala3sciences
D) Ana3interdisciplinarya3fielda3thata3includesa3computer,a3decision,a3information,a3manageme
nt,a3anda3cognitivea3sciences
Answer:a 3 a 3 D
Explanation:a 3 A)a3Informaticsa3isa3aa3subspecialtya3ofa3nursinga3buta3itsa3focusesa3extendsa3wella
3beyonda3thea3usea3ofa3computers.
B) Informaticsa3isa3nota3aa3specifica3areaa3ofa3medicinea3thata3highlightsa3thea3importancea3ofa3te
chnologya3ina3patienta3care.
C) Informaticsa3isa3nota3aa3professiona3thata3isa3seekinga3ana3identitya3separatea3froma3medicine,a
3nursing,a3ora3othera3behaviorala3sciences.
D) Thea3Americana3Medicala3Informaticsa3Associationa3statesa3thata3informaticsa3isa3ana3interdis
ciplinarya3fielda3thata3drawsa3from,a3asa3wella3asa3contributesa3to,a3computera3science,a3decision
a3science,a3informationa3science,a3managementa3science,a3anda3cognitivea3science.
Pagea3Ref:a32-3
Cognitivea3Level:a 3 Knowledgea 3 Q
SENa3Grad.a3Competencies:a 3 B2,a3
C1a3AACNa3Essen.a3Competencies:
