The chapters in this document are displayed in reversed order, with the last chapter
appearing first. This change ensures all chapters are included in the test bank. Ch 1 to 20
✅
Handbook of Informatics, 7e (Hebda)
Chapter 20 A Glimpse into the Future of Nursing Informatics
1) Technology developments with implications for healthcare and nursing informatics practice
include
A) Widespread broadband connectivity
B) Developments in artificial intelligence that could correct provider treatment errors
C) A proliferation of Internet-of-Things (IoT) devices for monitoring and treatment
D) All of the above
Answer: D
Explanation: A) Widespread broadband connectivity supports wellness apps, disease tracking,
and various telehealth services.
B) Artificial intelligence is already used for diagnostic purposes and clinical decision support
and it is projected that it could override of provider-ordered treatments that might be contra-
indicated.
C) Continued miniaturization and dropping costs for technology have led to a proliferation of
Internet-of-Things (IoT) devices for monitoring and treatment.
D) Widespread connectivity.
Page Ref: 437-439
Cognitive Level: Analyzing
QSEN Grad. Competencies: GC1
AACN Essen. Competencies: 8.5k
2) Pill cameras for virtual endoscopies/colonoscopies might exemplify which of the following
technologies:
A) IoT technology
B) Nanotechology
C) Robotics
D) None of the above
Answer: B
Explanation: A) IoT technology or "Internet of Things" technology is seen commonly in
healthcare via a variety of small devices that support patient monitoring through continuous
transmission of data via the internet. Pill cameras instead transmit to receiver that is in close
proximity for download and interpretation.
B) Nanotechology deals with the understanding and control of materials at the atomic or
molecular scale. While pill cameras are not yet at the molecular level they may still be
considered as an example of nanotechnology.
C) Robotic devices are subject to control of movement while the pill camera is swallowed and
passes through the gastrointestinal track via peristalsis.
D) None of the above. This distractor is not appropriate.
Page Ref: 438-439
Cognitive Level: Applying
QSEN Grad. Competencies: GA2
AACN Essen. Competencies: 8.3j
1
Copyright © 2024
,3) What single greatest implication does the informatics nurse specialist (INS) need to consider
with the use of technology as the location of care continues to shift away from traditional acute
care models?
A) How key information associated with care rendered in the home, the community, by
nontraditional providers can be seamlessly integrated into a single patient health record for each
individual.
B) Criteria that will determine which patients will be treated remotely.
C) Criteria that will determine which nurses can participate in telehealth services.
D) Baseline command center criteria for delivery of hospital at home care.
Answer: A
Explanation: A) Fragmented records can lead to fragmented care so the informatics nurse at the
very least should advocate for regional health exchanges or a similar strategy to facilitate a
means to work toward seamlessly integration of treatment data from different settings into a
single patient health record for each individual.
B) The INS supports telehealth and can make recommendations for technical requirements for
remote services and offer generalizations that might be helpful to decide which patients will
receive telehealth but decisions related to telehealth treatment need to be jointly made by patient
and provider.
C) The INS can design and offer training for staff involved in telehealth services and even
suggest competencies that they should demonstrate however equipment and needs change
quickly and the INS is not in a position to deny a client services.
D) Baseline command center criteria for delivery of hospital at home care. The INS should be
able to offer recommendations for command center support with the hospital at home model
although not every hospital at home situation uses this model.
Page Ref: 439-441
Cognitive Level: Applying
QSEN Grad. Competencies: GB5, GC2
AACN Essen. Competencies: 8.3g, 8.4e
2
Copyright © 2024
,4) The INS is best situated to facilitate improved patient flow through medical practices via
which of the following most impactful interventions?
A) Conduct a workflow analysis from the time the patient arrives at the office until they exit.
B) Conduct a usability study of the practice EMR.
C) Optimize an unwieldy practice EMR.
D) Help providers learn to use the current practice EMR more efficiently.
Answer: D
Explanation: A) A workflow analysis from the time the patient arrives at the office until they
exit may be helpful but in and of itself it is unlikely to help the provider see and document on
more patients each day to increase appointment availability.
B) A usability study could provide useful information but without the ability to directly access
and modify the EMR it is unlikely to help providers to see more patients per day unless the
vendor would use the information to make changes which would require time.
C) Optimizing an unwieldy EMR sounds great but unless the INS has direct access to modify the
EMR it is not a timely option.
D) Helping providers to learn to use the current practice EMR more efficiently is most likely to
impact the number of patients that can be seen each day when providers can navigate the EMR
more quickly, achieve required documentation in a more timely fashion, and improve the patient
experience.
Page Ref: 441
Cognitive Level: Applying
QSEN Grad. Competencies: GB3. GB8, GC6
AACN Essen. Competencies: 8.3g, 8.3i, 8.4f
5) Informatics can facilitate equity in which of the following ways:
A) Collection and use of data associated with social determinants of health to enable more
comprehensive care.
B) Inclusion of assessment fields and screening tools that represent the needs of all populations
that are triggered when key data is entered.
C) Defining key concepts related to equity to enable the design of better systems.
D) Informatics and informatics nurse specialists can incorporate all of the above to facility equity
in care.
Answer: D
Explanation: A) Better data collection and use and provide more comprehensive care for
populations that are impacted by where they live, their occupation, their neighborhood and
support structure, and their health practices.
B) Inclusion of assessment fields and screening tools that represent the needs of all populations
that are triggered when key data is entered would facilitate more appropriate and comprehensive
care. As an example the male patient who self-identifies as female should still have a prostate
exam.
C) Definition of key concepts related to equity remains a work in process but looking at ways
that structural racism can be "disassembled" is a start.
D) All of above
Page Ref: 441
Cognitive Level: Applying
QSEN Grad. Competencies: GC1, GC6, GB8,
AACN Essen. Competencies: 8.1g, 8.1h, 8.2i, 8.3g, 8.5h
3
Copyright © 2024
, 6) Which of the following interventions represent the best way that informaticians can promote a
positive patient experience?
A) The provision of technology and information systems that are easy to use, expedite the
delivery of care, and/or support informed decision making
B) The implementation of cost-cutting technologies
C) The provision of a laptop or iPad in every room
D) A text-message call bell system
Answer: A
Explanation: A) Technology and information systems that are easy to use, expedite the delivery
of care, and/or support informed decision making offer the advantage of staff that can do their
jobs quickly and efficiently for staff and digital technologies such as a well-designed portal and
quality online patient information serve to support shared decision making and patient
engagement.
B) The option is unclear. If the technologies help to cut the cost to the patient for care that is
good but if cost-cutting only benefits the bottom line to increase profits that may not positively
impact the patient experience.
C) A laptop or iPad in every room does not state whether it is for patient use or staff use. If it is
available for patients it may improve the patient experience.
D) A text-message call bell system does not state whether texts are sent or received by patients
and may not improve the patient experience for patients unable to use such a system.
Page Ref: 441-442
Cognitive Level: Applying
QSEN Grad. Competencies: GA4, GB8, GC6
AACN Essen. Competencies: 8.1k,8.4e, 8.4g
7) Technology workforce support may be exemplified by which of the following exemplars?
Select all that apply.
A) Clinical decision support at the bedside
B) Early warning tools with embedded artificial intelligence
C) Service robots
D) Transfer technologies
Answer: A, B, C, D
Explanation: A) Clinical decision support at the bedside helps to extend cognitive abilities and
facilitate the development of wisdom by less-experienced staff.
B) Early warning tools with embedded artificial intelligence use trending data to indicate the
possible development of problematic states such as sepsis for early treatment and improved
outcomes.
C) Service robots can be used to delivery meals, supplies, and medications saving staff time and
physical wear.
D) Transfer technologies can help move patients unable to move in bed or move from bed to
chair or even turn without subjecting staff to possible injury during the process.
Page Ref: 442-443
Cognitive Level: Knowledge
QSEN Grad. Competencies: GA1
AACN Essen. Competencies: 8.3h
4
Copyright © 2024
appearing first. This change ensures all chapters are included in the test bank. Ch 1 to 20
✅
Handbook of Informatics, 7e (Hebda)
Chapter 20 A Glimpse into the Future of Nursing Informatics
1) Technology developments with implications for healthcare and nursing informatics practice
include
A) Widespread broadband connectivity
B) Developments in artificial intelligence that could correct provider treatment errors
C) A proliferation of Internet-of-Things (IoT) devices for monitoring and treatment
D) All of the above
Answer: D
Explanation: A) Widespread broadband connectivity supports wellness apps, disease tracking,
and various telehealth services.
B) Artificial intelligence is already used for diagnostic purposes and clinical decision support
and it is projected that it could override of provider-ordered treatments that might be contra-
indicated.
C) Continued miniaturization and dropping costs for technology have led to a proliferation of
Internet-of-Things (IoT) devices for monitoring and treatment.
D) Widespread connectivity.
Page Ref: 437-439
Cognitive Level: Analyzing
QSEN Grad. Competencies: GC1
AACN Essen. Competencies: 8.5k
2) Pill cameras for virtual endoscopies/colonoscopies might exemplify which of the following
technologies:
A) IoT technology
B) Nanotechology
C) Robotics
D) None of the above
Answer: B
Explanation: A) IoT technology or "Internet of Things" technology is seen commonly in
healthcare via a variety of small devices that support patient monitoring through continuous
transmission of data via the internet. Pill cameras instead transmit to receiver that is in close
proximity for download and interpretation.
B) Nanotechology deals with the understanding and control of materials at the atomic or
molecular scale. While pill cameras are not yet at the molecular level they may still be
considered as an example of nanotechnology.
C) Robotic devices are subject to control of movement while the pill camera is swallowed and
passes through the gastrointestinal track via peristalsis.
D) None of the above. This distractor is not appropriate.
Page Ref: 438-439
Cognitive Level: Applying
QSEN Grad. Competencies: GA2
AACN Essen. Competencies: 8.3j
1
Copyright © 2024
,3) What single greatest implication does the informatics nurse specialist (INS) need to consider
with the use of technology as the location of care continues to shift away from traditional acute
care models?
A) How key information associated with care rendered in the home, the community, by
nontraditional providers can be seamlessly integrated into a single patient health record for each
individual.
B) Criteria that will determine which patients will be treated remotely.
C) Criteria that will determine which nurses can participate in telehealth services.
D) Baseline command center criteria for delivery of hospital at home care.
Answer: A
Explanation: A) Fragmented records can lead to fragmented care so the informatics nurse at the
very least should advocate for regional health exchanges or a similar strategy to facilitate a
means to work toward seamlessly integration of treatment data from different settings into a
single patient health record for each individual.
B) The INS supports telehealth and can make recommendations for technical requirements for
remote services and offer generalizations that might be helpful to decide which patients will
receive telehealth but decisions related to telehealth treatment need to be jointly made by patient
and provider.
C) The INS can design and offer training for staff involved in telehealth services and even
suggest competencies that they should demonstrate however equipment and needs change
quickly and the INS is not in a position to deny a client services.
D) Baseline command center criteria for delivery of hospital at home care. The INS should be
able to offer recommendations for command center support with the hospital at home model
although not every hospital at home situation uses this model.
Page Ref: 439-441
Cognitive Level: Applying
QSEN Grad. Competencies: GB5, GC2
AACN Essen. Competencies: 8.3g, 8.4e
2
Copyright © 2024
,4) The INS is best situated to facilitate improved patient flow through medical practices via
which of the following most impactful interventions?
A) Conduct a workflow analysis from the time the patient arrives at the office until they exit.
B) Conduct a usability study of the practice EMR.
C) Optimize an unwieldy practice EMR.
D) Help providers learn to use the current practice EMR more efficiently.
Answer: D
Explanation: A) A workflow analysis from the time the patient arrives at the office until they
exit may be helpful but in and of itself it is unlikely to help the provider see and document on
more patients each day to increase appointment availability.
B) A usability study could provide useful information but without the ability to directly access
and modify the EMR it is unlikely to help providers to see more patients per day unless the
vendor would use the information to make changes which would require time.
C) Optimizing an unwieldy EMR sounds great but unless the INS has direct access to modify the
EMR it is not a timely option.
D) Helping providers to learn to use the current practice EMR more efficiently is most likely to
impact the number of patients that can be seen each day when providers can navigate the EMR
more quickly, achieve required documentation in a more timely fashion, and improve the patient
experience.
Page Ref: 441
Cognitive Level: Applying
QSEN Grad. Competencies: GB3. GB8, GC6
AACN Essen. Competencies: 8.3g, 8.3i, 8.4f
5) Informatics can facilitate equity in which of the following ways:
A) Collection and use of data associated with social determinants of health to enable more
comprehensive care.
B) Inclusion of assessment fields and screening tools that represent the needs of all populations
that are triggered when key data is entered.
C) Defining key concepts related to equity to enable the design of better systems.
D) Informatics and informatics nurse specialists can incorporate all of the above to facility equity
in care.
Answer: D
Explanation: A) Better data collection and use and provide more comprehensive care for
populations that are impacted by where they live, their occupation, their neighborhood and
support structure, and their health practices.
B) Inclusion of assessment fields and screening tools that represent the needs of all populations
that are triggered when key data is entered would facilitate more appropriate and comprehensive
care. As an example the male patient who self-identifies as female should still have a prostate
exam.
C) Definition of key concepts related to equity remains a work in process but looking at ways
that structural racism can be "disassembled" is a start.
D) All of above
Page Ref: 441
Cognitive Level: Applying
QSEN Grad. Competencies: GC1, GC6, GB8,
AACN Essen. Competencies: 8.1g, 8.1h, 8.2i, 8.3g, 8.5h
3
Copyright © 2024
, 6) Which of the following interventions represent the best way that informaticians can promote a
positive patient experience?
A) The provision of technology and information systems that are easy to use, expedite the
delivery of care, and/or support informed decision making
B) The implementation of cost-cutting technologies
C) The provision of a laptop or iPad in every room
D) A text-message call bell system
Answer: A
Explanation: A) Technology and information systems that are easy to use, expedite the delivery
of care, and/or support informed decision making offer the advantage of staff that can do their
jobs quickly and efficiently for staff and digital technologies such as a well-designed portal and
quality online patient information serve to support shared decision making and patient
engagement.
B) The option is unclear. If the technologies help to cut the cost to the patient for care that is
good but if cost-cutting only benefits the bottom line to increase profits that may not positively
impact the patient experience.
C) A laptop or iPad in every room does not state whether it is for patient use or staff use. If it is
available for patients it may improve the patient experience.
D) A text-message call bell system does not state whether texts are sent or received by patients
and may not improve the patient experience for patients unable to use such a system.
Page Ref: 441-442
Cognitive Level: Applying
QSEN Grad. Competencies: GA4, GB8, GC6
AACN Essen. Competencies: 8.1k,8.4e, 8.4g
7) Technology workforce support may be exemplified by which of the following exemplars?
Select all that apply.
A) Clinical decision support at the bedside
B) Early warning tools with embedded artificial intelligence
C) Service robots
D) Transfer technologies
Answer: A, B, C, D
Explanation: A) Clinical decision support at the bedside helps to extend cognitive abilities and
facilitate the development of wisdom by less-experienced staff.
B) Early warning tools with embedded artificial intelligence use trending data to indicate the
possible development of problematic states such as sepsis for early treatment and improved
outcomes.
C) Service robots can be used to delivery meals, supplies, and medications saving staff time and
physical wear.
D) Transfer technologies can help move patients unable to move in bed or move from bed to
chair or even turn without subjecting staff to possible injury during the process.
Page Ref: 442-443
Cognitive Level: Knowledge
QSEN Grad. Competencies: GA1
AACN Essen. Competencies: 8.3h
4
Copyright © 2024
