1
Copyright © 2024 Pearson Education, Inc.
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,TEST BANK FOR cn cn
Handbook of Informatics for Nurses & Healthcare Professionals, 7th Edition by Toni L. Hebda Melod
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
y Rose Kathleen Hunter Patricia Czar
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Chapter 1-20 cn
Chapter 1 cn An Overview of Informatics in Healthcare
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1) Healthcare today should address the Quintuple Aim. What of the following best demonstrates
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how healthcare information technology might be used to help address disparities in care?
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A) Collect data elements that could be used to identify vulnerable individuals
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B) Use collected data to identify vulnerable individuals
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C) Incorporate GPS locators into predictions cn cn cn cn
D) A and B cn cn cn
Answer: c n c n
D
Explanation: A) Many demographic and other relevant data elements are/or could easily be colle
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ct that could be used to identify vulnerable individuals.
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B) Collected data can be used and leveraged to identify vulnerable individuals.
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C) Location may be an indicator of risk but zip code alone does not indicate vulnerability. Other f
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actors that include familial predisposition, occupational risks, economic level, personal health h
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abits, living conditions, and community support all factor into determination of vulnerability.
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D) Both A and B together comprise the best response.
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Page Ref: 1-2
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Cognitive Level: Applying cn c n c n
QSEN Grad. Competencies: A3, B1
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AACN Essen. Competencies: 8.1g,h; 8.2i; 8.3g
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2) Which of the following best reflects benefits realized from the use of health information t
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echnology?
A) Improved safety, improved efficiencies, decreased clinician documentation times
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B) Improved safety, improved efficiencies, improved charge capture, improved communication
cn cn cn cn cn cn cn cn
C) Improved safety, improved efficiencies, improved protection of personal health information
cn cn cn cn cn cn cn cn cn
D) Improved safety, improved efficiencies, significant reduction in costs for care, improved
cn cn cn cn cn cn cn cn cn cn cn
protection of patient information cn cn cn
Answer: B c n c n
Explanation: A) HIT can result in improved safety through measures such as positive patient id
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entification and may improve efficiencies but clinician documentation burden is an issue seen with
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poorly designed and poorly used systems.
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B) HIT can result in improved safety through positive patient identification, alerts, and similar
cn cn cn cn cn cn cn cn cn cn cn cn cn
measures. HIT may improve some efficiencies such as improved charge capture and shortened
cn cn cn cn cn cn cn cn cn cn cn cn cn
revenue cycle and theoretically improves communication.
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C) HIT can result in improved safety and improved efficiencies in some respects but despite safe
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guards to protect patient health information it also increases vulnerabilities in some respects.
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D) Despite its promise to significantly reduce costs for care costs associated with the purchase and
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maintenance of HIT, among other U.S. issues have not resulted in significant reduction in costs for c
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
are.
Page Ref: 1-2
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2
Copyright © 2024 Pearson Education, Inc. cn cn cn cn cn
,Cognitive Level: Applying cn c n c n
QSEN Grad. Competencies: A1,4; C1,5 cn cn c n c n cn
AACN Essen. Competencies: 8.1j,k; 8.2 I; 8.3i; 8.4g
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3) In which ways can health information technology support the learning health system?
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A) Incorporation of evidence- cn cn
based practice and big data findings to provide care interventions that are proven to be effective
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B) Real-time analysis of data cn cn cn
C) Integration of devices and the data that they collect to inform care decisions cn cn cn cn cn cn cn cn cn cn cn cn
D) All of the above cn cn cn cn
Answer: D c n
Explanation: A) Big data findings supplement EBP often providing information and knowledge
c n cn cn cn cn cn cn cn cn cn cn cn
in a more timely fashion.
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B) Real-
time analysis of data can be particularly useful when healthcare delivery systems and providers ar
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e facing challenges that are new to them as was seen with the emergence of a body of knowledge r
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elative to the impact of COVID and most successful treatment modalities.
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C) Data streams from all relevant sources provide a more complete picture.
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D) A combination of research and big data findings from a myriad of sources that is analyzed in r
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eal time provides a quick turnaround to support, and further improve, care delivered.
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Page Ref: 3-4 cn cn
Cognitive Level: Applying cn c n c n
QSEN Grad. Competencies: A5; B8, 9, 11; C1, 2 A
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ACN Essen. Competencies: 8.1g; 8.2f; 8.3j; 8.4f
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4) Which of the following are considered necessary components to create a learning or informatics c
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ulture? Select all that apply. cn cn cn cn
A) Standardized languages and terminologies cn cn cn
B) Data in digital format cn cn cn
C) Interoperability and data sharing cn cn cn
D) Prerequisite information knowledge and skills cn cn cn cn cn
Answer: A, B, C, D c n cn cn cn
Explanation: A) Standardized languages and terminologies ensure that concepts maintain a unifo
c n cn cn cn cn cn cn cn cn cn cn
rm meaning across settings and the ability to generalize results.
cn cn cn cn cn cn cn cn cn
B) Data in digital format is conducive to electronic capture, storage, analysis, transmission, and
cn cn cn cn cn cn cn cn cn cn cn cn cn
re-use.
C) In order to have value data must be shareable which is best attained when systems are i
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
nteroperable.
D) Computer, information, and (for the consumer), health literacy are foundational skills in the le
cn cn cn cn cn cn cn cn cn cn cn cn cn
arning health system where data, information, and knowledge are constantly generated as a result of c
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
are processes as well as the integration of research findings to support best practices for patient care.
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
Page Ref: 9-13 cn cn
Cognitive Level: Knowledge cn c n c n
QSEN Grad. Competencies: A5; B2, 11; C1, 4 AA
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CN Essen. Competencies: 8.1g; 8.2i; 8.4g
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3
Copyright © 2024 Pearson Education, Inc. cn cn cn cn cn
, 5) When asked to explain what the SAFER Guides are and their relevance for HIT what should the in
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
formatics nurse first know? cn cn cn
A) SAFER Guides are a resource provided by the Centers for Medicare and Medicaid to guide r
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
eimbursement.
B) SAFER Guides are a resource provided by the Consortium of Vendors for selection of HIT.
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
C) SAFER Guides are a resource provided by the ONCHIT to ensure best practices for HIT i
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
mplementation and use. cn cn
D) SAFER Guides are the result of a report by the Commonwealth Fund to improve U.S. health
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
outcomes.
Answer: C c n c n
Explanation: A) SAFER Guides have nothing to do with reimbursement although the Centers for
c n cn cn cn cn cn cn cn cn cn cn cn cn cn
Medicare and Medicaid added them to ensure an ongoing focus on improving interoperability and p
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
atient access to health information.
cn cn cn cn
B) SAFER Guides complement tools and research developed by the Agency for Healthcare
cn cn cn cn cn cn cn cn cn cn cn cn
Research and Quality and the ONCHIT, not from vendors.
cn cn cn cn cn cn cn cn
C) The SAFER acronym stands for Safety Assurance Factors for EHR Resilience and are therefore in
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
tended to guide implementation practices and use for HIT, and EHRs in particular.
cn cn cn cn cn cn cn cn cn cn cn cn
D) SAFER Guides having nothing to do with the Commonwealth Fund reports.
cn cn cn cn cn cn cn cn cn cn cn
Page Ref: 6
cn cn
Cognitive Level: Applying cn c n c n
QSEN Grad. Competencies: B1, 12
cn cn c n c n cn
AACN Essen. Competencies: 8.1g,h; 8.4f,k
cn cn c n c n cn
6) A large healthcare organization is planning to implement a new electronic health record. What
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should be considered when selecting this system?
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A) Whether training is required cn cn cn
B) Nursing staff documentation requirements are the top priority
cn cn cn cn cn cn cn
C) The organization needs to meet multiple competing demands
cn cn cn cn cn cn cn
D) Integration with laboratory and pharmacy would be nice cn cn cn cn cn cn cn cn
Answer: C c n
Explanation: A) No evidence supports limiting training on the system.
c n c n cn cn cn cn cn cn cn cn
B) Every department in a large healthcare organization has an essential role in patient care.
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C) The healthcare organization today is a complex system faced with multiple, competing
cn cn cn cn cn cn cn cn cn cn cn cn
demands.
D) Every department in a large healthcare organization has an essential role in patient care.
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
Page Ref: 1-2
cn cn
Cognitive Level: Applying cn c n c n
QSEN Grad. Competencies: GA1, GA3 AA
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CN Essen. Competencies: 8.1k. 8.3e, 8.3g
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4
Copyright © 2024 Pearson Education, Inc. cn cn cn cn cn
Copyright © 2024 Pearson Education, Inc.
cn cn cn cn cn
,TEST BANK FOR cn cn
Handbook of Informatics for Nurses & Healthcare Professionals, 7th Edition by Toni L. Hebda Melod
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
y Rose Kathleen Hunter Patricia Czar
cn cn cn cn cn
Chapter 1-20 cn
Chapter 1 cn An Overview of Informatics in Healthcare
cn cn cn cn cn
1) Healthcare today should address the Quintuple Aim. What of the following best demonstrates
cn cn cn cn cn cn cn cn cn cn cn cn cn
how healthcare information technology might be used to help address disparities in care?
cn cn cn cn cn cn cn cn cn cn cn cn
A) Collect data elements that could be used to identify vulnerable individuals
cn cn cn cn cn cn cn cn cn cn
B) Use collected data to identify vulnerable individuals
cn cn cn cn cn cn
C) Incorporate GPS locators into predictions cn cn cn cn
D) A and B cn cn cn
Answer: c n c n
D
Explanation: A) Many demographic and other relevant data elements are/or could easily be colle
c n cn cn cn cn cn cn cn cn cn cn cn cn
ct that could be used to identify vulnerable individuals.
cn cn cn cn cn cn cn cn
B) Collected data can be used and leveraged to identify vulnerable individuals.
cn cn cn cn cn cn cn cn cn cn
C) Location may be an indicator of risk but zip code alone does not indicate vulnerability. Other f
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
actors that include familial predisposition, occupational risks, economic level, personal health h
cn cn cn cn cn cn cn cn cn cn cn
abits, living conditions, and community support all factor into determination of vulnerability.
cn cn cn cn cn cn cn cn cn cn cn
D) Both A and B together comprise the best response.
cn cn cn cn cn cn cn cn cn
Page Ref: 1-2
cn cn
Cognitive Level: Applying cn c n c n
QSEN Grad. Competencies: A3, B1
cn cn c n c n cn
AACN Essen. Competencies: 8.1g,h; 8.2i; 8.3g
cn cn c n c n cn cn
2) Which of the following best reflects benefits realized from the use of health information t
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
echnology?
A) Improved safety, improved efficiencies, decreased clinician documentation times
cn cn cn cn cn cn cn
B) Improved safety, improved efficiencies, improved charge capture, improved communication
cn cn cn cn cn cn cn cn
C) Improved safety, improved efficiencies, improved protection of personal health information
cn cn cn cn cn cn cn cn cn
D) Improved safety, improved efficiencies, significant reduction in costs for care, improved
cn cn cn cn cn cn cn cn cn cn cn
protection of patient information cn cn cn
Answer: B c n c n
Explanation: A) HIT can result in improved safety through measures such as positive patient id
c n cn cn cn cn cn cn cn cn cn cn cn cn cn
entification and may improve efficiencies but clinician documentation burden is an issue seen with
cn cn cn cn cn cn cn cn cn cn cn cn cn
poorly designed and poorly used systems.
cn cn cn cn cn cn
B) HIT can result in improved safety through positive patient identification, alerts, and similar
cn cn cn cn cn cn cn cn cn cn cn cn cn
measures. HIT may improve some efficiencies such as improved charge capture and shortened
cn cn cn cn cn cn cn cn cn cn cn cn cn
revenue cycle and theoretically improves communication.
cn cn cn cn cn
C) HIT can result in improved safety and improved efficiencies in some respects but despite safe
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
guards to protect patient health information it also increases vulnerabilities in some respects.
cn cn cn cn cn cn cn cn cn cn cn cn
D) Despite its promise to significantly reduce costs for care costs associated with the purchase and
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
maintenance of HIT, among other U.S. issues have not resulted in significant reduction in costs for c
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
are.
Page Ref: 1-2
cn cn
2
Copyright © 2024 Pearson Education, Inc. cn cn cn cn cn
,Cognitive Level: Applying cn c n c n
QSEN Grad. Competencies: A1,4; C1,5 cn cn c n c n cn
AACN Essen. Competencies: 8.1j,k; 8.2 I; 8.3i; 8.4g
cn cn c n c n cn cn cn cn
3) In which ways can health information technology support the learning health system?
cn cn cn cn cn cn cn cn cn cn cn
A) Incorporation of evidence- cn cn
based practice and big data findings to provide care interventions that are proven to be effective
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
B) Real-time analysis of data cn cn cn
C) Integration of devices and the data that they collect to inform care decisions cn cn cn cn cn cn cn cn cn cn cn cn
D) All of the above cn cn cn cn
Answer: D c n
Explanation: A) Big data findings supplement EBP often providing information and knowledge
c n cn cn cn cn cn cn cn cn cn cn cn
in a more timely fashion.
cn cn cn cn
B) Real-
time analysis of data can be particularly useful when healthcare delivery systems and providers ar
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
e facing challenges that are new to them as was seen with the emergence of a body of knowledge r
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
elative to the impact of COVID and most successful treatment modalities.
cn cn cn cn cn cn cn cn cn cn
C) Data streams from all relevant sources provide a more complete picture.
cn cn cn cn cn cn cn cn cn cn
D) A combination of research and big data findings from a myriad of sources that is analyzed in r
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
eal time provides a quick turnaround to support, and further improve, care delivered.
cn cn cn cn cn cn cn cn cn cn cn cn
Page Ref: 3-4 cn cn
Cognitive Level: Applying cn c n c n
QSEN Grad. Competencies: A5; B8, 9, 11; C1, 2 A
cn cn c n cn cn cn cn cn cn
ACN Essen. Competencies: 8.1g; 8.2f; 8.3j; 8.4f
cn cn c n c n cn cn cn
4) Which of the following are considered necessary components to create a learning or informatics c
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ulture? Select all that apply. cn cn cn cn
A) Standardized languages and terminologies cn cn cn
B) Data in digital format cn cn cn
C) Interoperability and data sharing cn cn cn
D) Prerequisite information knowledge and skills cn cn cn cn cn
Answer: A, B, C, D c n cn cn cn
Explanation: A) Standardized languages and terminologies ensure that concepts maintain a unifo
c n cn cn cn cn cn cn cn cn cn cn
rm meaning across settings and the ability to generalize results.
cn cn cn cn cn cn cn cn cn
B) Data in digital format is conducive to electronic capture, storage, analysis, transmission, and
cn cn cn cn cn cn cn cn cn cn cn cn cn
re-use.
C) In order to have value data must be shareable which is best attained when systems are i
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
nteroperable.
D) Computer, information, and (for the consumer), health literacy are foundational skills in the le
cn cn cn cn cn cn cn cn cn cn cn cn cn
arning health system where data, information, and knowledge are constantly generated as a result of c
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
are processes as well as the integration of research findings to support best practices for patient care.
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
Page Ref: 9-13 cn cn
Cognitive Level: Knowledge cn c n c n
QSEN Grad. Competencies: A5; B2, 11; C1, 4 AA
cn cn c n cn cn cn cn cn
CN Essen. Competencies: 8.1g; 8.2i; 8.4g
cn cn c n cn cn
3
Copyright © 2024 Pearson Education, Inc. cn cn cn cn cn
, 5) When asked to explain what the SAFER Guides are and their relevance for HIT what should the in
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
formatics nurse first know? cn cn cn
A) SAFER Guides are a resource provided by the Centers for Medicare and Medicaid to guide r
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
eimbursement.
B) SAFER Guides are a resource provided by the Consortium of Vendors for selection of HIT.
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
C) SAFER Guides are a resource provided by the ONCHIT to ensure best practices for HIT i
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
mplementation and use. cn cn
D) SAFER Guides are the result of a report by the Commonwealth Fund to improve U.S. health
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
outcomes.
Answer: C c n c n
Explanation: A) SAFER Guides have nothing to do with reimbursement although the Centers for
c n cn cn cn cn cn cn cn cn cn cn cn cn cn
Medicare and Medicaid added them to ensure an ongoing focus on improving interoperability and p
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
atient access to health information.
cn cn cn cn
B) SAFER Guides complement tools and research developed by the Agency for Healthcare
cn cn cn cn cn cn cn cn cn cn cn cn
Research and Quality and the ONCHIT, not from vendors.
cn cn cn cn cn cn cn cn
C) The SAFER acronym stands for Safety Assurance Factors for EHR Resilience and are therefore in
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
tended to guide implementation practices and use for HIT, and EHRs in particular.
cn cn cn cn cn cn cn cn cn cn cn cn
D) SAFER Guides having nothing to do with the Commonwealth Fund reports.
cn cn cn cn cn cn cn cn cn cn cn
Page Ref: 6
cn cn
Cognitive Level: Applying cn c n c n
QSEN Grad. Competencies: B1, 12
cn cn c n c n cn
AACN Essen. Competencies: 8.1g,h; 8.4f,k
cn cn c n c n cn
6) A large healthcare organization is planning to implement a new electronic health record. What
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
should be considered when selecting this system?
cn cn cn cn cn cn
A) Whether training is required cn cn cn
B) Nursing staff documentation requirements are the top priority
cn cn cn cn cn cn cn
C) The organization needs to meet multiple competing demands
cn cn cn cn cn cn cn
D) Integration with laboratory and pharmacy would be nice cn cn cn cn cn cn cn cn
Answer: C c n
Explanation: A) No evidence supports limiting training on the system.
c n c n cn cn cn cn cn cn cn cn
B) Every department in a large healthcare organization has an essential role in patient care.
cn cn cn cn cn cn cn cn cn cn cn cn cn
C) The healthcare organization today is a complex system faced with multiple, competing
cn cn cn cn cn cn cn cn cn cn cn cn
demands.
D) Every department in a large healthcare organization has an essential role in patient care.
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
Page Ref: 1-2
cn cn
Cognitive Level: Applying cn c n c n
QSEN Grad. Competencies: GA1, GA3 AA
cn cn c n cn cn
CN Essen. Competencies: 8.1k. 8.3e, 8.3g
cn cn c n cn cn
4
Copyright © 2024 Pearson Education, Inc. cn cn cn cn cn