NSG 3850 EXAM 5 - ADVANCED
NURSING LEADERSHIP AND
INFORMATICS. GALEN COLLEGE OF
NURSING (U.S.) | COMPLETE VERIFIED
ANSWERS 2026/2027
1. A nurse manager is implementing a new electronic health record (EHR) system. According
to Lewin’s Change Theory, which action represents the ‘Unfreezing’ stage?
A. Conducting a survey to identify staff dissatisfaction with the current paper charting
B. Integrating the EHR into daily shift reports
C. Providing hands-on training for the new software
D. Creating a policy that mandates EHR use for all prescriptions
Answer: A
Conceptual Explanation: Unfreezing involves creating readiness for change by helping
others realize that the status quo is no longer acceptable.
2. Which component of the HIPAA Security Rule specifically addresses the protection of
electronic protected health information (ePHI) from unauthorized internal access by
employees?
A. Physical Safeguards
,B. Administrative Safeguards
C. Organizational Requirements
D. Technical Safeguards
Answer: D
Conceptual Explanation: Technical safeguards involve the technology and the policy and
procedures for its use that protect ePHI and control access to it, such as unique user IDs
and encryption.
3. The nurse informatics specialist is evaluating a Clinical Decision Support (CDS) system.
What is the primary goal of integrating CDS into the nursing workflow?
A. To replace the need for critical thinking by the nurse
B. To increase the speed of data entry for the clerical staff
C. To reduce the hospital’s liability in malpractice lawsuits
D. To enhance clinical performance and improve patient outcomes via evidence-based
alerts
Answer: D
Conceptual Explanation: CDS provides clinicians with knowledge and person-specific
information to enhance health and healthcare.
, 4. A hospital uses a Lean methodology to improve the discharge process. Which of the
following best describes the focus of Lean in this context?
A. Eliminating waste and non-value-added activities
B. Increasing the number of steps in the process to ensure safety
C. Reducing statistical variation to 3.4 defects per million
D. Focusing solely on staff satisfaction surveys
Answer: A
Conceptual Explanation: Lean methodology focuses on improving flow and eliminating
waste to provide value to the customer (patient).
5. In the HITECH Act, the term ‘Meaningful Use’ was designed to ensure that providers:
A. Purchased any electronic health record system regardless of capability
B. Shared all patient data with insurance companies for billing purposes
C. Avoided using paper completely within 24 hours of implementation
D. Used certified EHR technology to improve quality, safety, and efficiency
Answer: D
Conceptual Explanation: Meaningful Use established standards for using EHRs to improve
patient care and engage patients/families.
NURSING LEADERSHIP AND
INFORMATICS. GALEN COLLEGE OF
NURSING (U.S.) | COMPLETE VERIFIED
ANSWERS 2026/2027
1. A nurse manager is implementing a new electronic health record (EHR) system. According
to Lewin’s Change Theory, which action represents the ‘Unfreezing’ stage?
A. Conducting a survey to identify staff dissatisfaction with the current paper charting
B. Integrating the EHR into daily shift reports
C. Providing hands-on training for the new software
D. Creating a policy that mandates EHR use for all prescriptions
Answer: A
Conceptual Explanation: Unfreezing involves creating readiness for change by helping
others realize that the status quo is no longer acceptable.
2. Which component of the HIPAA Security Rule specifically addresses the protection of
electronic protected health information (ePHI) from unauthorized internal access by
employees?
A. Physical Safeguards
,B. Administrative Safeguards
C. Organizational Requirements
D. Technical Safeguards
Answer: D
Conceptual Explanation: Technical safeguards involve the technology and the policy and
procedures for its use that protect ePHI and control access to it, such as unique user IDs
and encryption.
3. The nurse informatics specialist is evaluating a Clinical Decision Support (CDS) system.
What is the primary goal of integrating CDS into the nursing workflow?
A. To replace the need for critical thinking by the nurse
B. To increase the speed of data entry for the clerical staff
C. To reduce the hospital’s liability in malpractice lawsuits
D. To enhance clinical performance and improve patient outcomes via evidence-based
alerts
Answer: D
Conceptual Explanation: CDS provides clinicians with knowledge and person-specific
information to enhance health and healthcare.
, 4. A hospital uses a Lean methodology to improve the discharge process. Which of the
following best describes the focus of Lean in this context?
A. Eliminating waste and non-value-added activities
B. Increasing the number of steps in the process to ensure safety
C. Reducing statistical variation to 3.4 defects per million
D. Focusing solely on staff satisfaction surveys
Answer: A
Conceptual Explanation: Lean methodology focuses on improving flow and eliminating
waste to provide value to the customer (patient).
5. In the HITECH Act, the term ‘Meaningful Use’ was designed to ensure that providers:
A. Purchased any electronic health record system regardless of capability
B. Shared all patient data with insurance companies for billing purposes
C. Avoided using paper completely within 24 hours of implementation
D. Used certified EHR technology to improve quality, safety, and efficiency
Answer: D
Conceptual Explanation: Meaningful Use established standards for using EHRs to improve
patient care and engage patients/families.
