Exam (elaborations) NURS 120 Introduction to Nursing Informatics Final Exam

Case Western Reserve University Frances Payne Bolton School of Nursing NURS 120: Introduction to Nursing Informatics Final Examination Fall 2010 Directions: This is a comprehensive final examination covering material from lectures, readings, web sites handouts and class notes. It is open-book, open-note. You may work in groups if you wish. The only rule, everyone's name must be on the exam. Answer all questions directly on the examination. There are no trick questions. Every multiple-choice question has ONLY one correct answer. This examination is worth 250 points. Each multiple choice/true-false question is worth 3.5 points. The single essay question is worth 5 points. Part I: Multiple Choice Questions 1. Why is it difficult to integrate information from all hospital departments into a single hospital information system? a. Individual departments want to obtain & maintain specialized systems b. Hospital departments are organized along vertical lines while the continuum of care for patients flows along horizontal lines c. Patient care systems & financial management systems are incompatible with each other d. Each department is required by law & the Joint Commission on Accreditation of Hospitals & Health Care Organizations to maintain specific information for billing & accreditation purposes e. Individual departments do not see the value in comprehensive patient records 2. Which of the following groups of activities represent challenges to the technologist when building an integrated hospital information system? a. Synthesizing different types of information into a cohesive whole, getting all departments to agree to a single billing procedure, realigning traditional departments into a case management model b. Synthesizing different types of information into a cohesive whole, getting all departments to agree to a single care model, realigning traditional departments into a case management model c. Allowing specific departments to retain their individualized information systems, getting all departments to agree to a single billing procedure, realigning traditional departments into a case management model d. Synthesizing different types of information into a cohesive whole, getting all departments to agree to a single billing procedure, keeping all hospital departments within the traditional vertical structure