Certification (NI-BC™) – Verified
Questions & Correct Answers –A+ Graded –
2025
Metastructure of NI--Answer- The ability of the nurse to utilize data, information, and
knowledge to make wise clinical decisions.
Definition of Nursing Informatics--Answer- A 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--Answer- Using 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)--Answer- Used 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)--Answer- Goal 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
• Quality improvement
• Safety
• Informatics
Failure mode and Effects Analysis (FMEA)--Answer- A 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)--Answer- Used 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--Answer- Structured method to analyze serious adverse events.
Identifies underlying problems that increase the likelyhood of errors (retrospective
approach)
FOCUS Model and PDCA--Answer- An 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--Answer- Nursing Informatics is is the center of
computer, cognitive, and informations sciences under the umbrella of Nursing Science
Lewin's Theory of Change--Answer- Used 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--Answer- Focus on removing wasteful practices and making processes
smoother and more efficient
Six Sigma--Answer- Used for process improvement. Project increase quality and yield
while reducing defects and variations.
Define, Measure, Analyze, Improve, Control
Leapfrog Group--Answer- Triggers 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--Answer- Data: 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--Answer- The 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--Answer- Sender - Message -
Receiver
Obstacles to effective communication:
- Interference (noise)
- Facilitation
- Block (body language, assumptions)
Communication is a continuous loop
Maslow's Hierarchy of Needs--Answer- Depicted 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--Answer- Novice: 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--Answer- Foundation of NI; the study of the principles and the use of
computers.
Information Science--Answer- Foundation of NI; the study of processes for storing and
retrieving information, especially scientific or technical information.
Questions & Correct Answers –A+ Graded –
2025
Metastructure of NI--Answer- The ability of the nurse to utilize data, information, and
knowledge to make wise clinical decisions.
Definition of Nursing Informatics--Answer- A 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--Answer- Using 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)--Answer- Used 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)--Answer- Goal 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
• Quality improvement
• Safety
• Informatics
Failure mode and Effects Analysis (FMEA)--Answer- A 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)--Answer- Used 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--Answer- Structured method to analyze serious adverse events.
Identifies underlying problems that increase the likelyhood of errors (retrospective
approach)
FOCUS Model and PDCA--Answer- An 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--Answer- Nursing Informatics is is the center of
computer, cognitive, and informations sciences under the umbrella of Nursing Science
Lewin's Theory of Change--Answer- Used 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--Answer- Focus on removing wasteful practices and making processes
smoother and more efficient
Six Sigma--Answer- Used for process improvement. Project increase quality and yield
while reducing defects and variations.
Define, Measure, Analyze, Improve, Control
Leapfrog Group--Answer- Triggers 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--Answer- Data: 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--Answer- The 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--Answer- Sender - Message -
Receiver
Obstacles to effective communication:
- Interference (noise)
- Facilitation
- Block (body language, assumptions)
Communication is a continuous loop
Maslow's Hierarchy of Needs--Answer- Depicted 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--Answer- Novice: 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--Answer- Foundation of NI; the study of the principles and the use of
computers.
Information Science--Answer- Foundation of NI; the study of processes for storing and
retrieving information, especially scientific or technical information.
