NR 599 Week 4 Midterm Exam Guide Questions and Answers

1. The nurse understands that nursing informatics is recognized as a specialty area of practice by which statement? a. Research priorities for nursing informatics include the development of a standard nursing language and the development of databases for clinical information. b. A formal educational program at the master's level must be completed before a nurse is eligible to sit for the credentialing examination. c. As a differentiated practice, nursing informatics is focused upon the client, the environment, health, and the nurse. d. There is a need for nursing informatics interests to gain representation by work groups and organizations within the United States. 2. Which statement by the nurse verifies that the nurse is "information literate"? a. "I understand how to search for a website and evaluate its usefulness for health care needs." b. "I utilize databases in the health care setting to input client information such as skin condition." c. "I use email over the Internet to correspond with clients and provide information." d. "I can use software applications such as word processing, spreadsheets, and presentations." 3. Which statement best distinguishes the difference between information literacy and computer literacy? a. Information literacy is unnecessary in health care whereas computer literacy provides the basis for computer order entry. b. Information literacy is the foundation of the EHR whereas computer literacy helps the nurse to access data. c. A nurse can extrapolate data with computer literacy and not information skills. d. Information literacy forms the basis for ongoing learning whereas computer literacy refers to a familiarity with the use of personal computers. 4. Which statement indicates the appropriate level of informatics competencies to the correct nurse? a. A nurse informatics specialist extrapolates data to develop best practice model for indwelling catheter care. b. The novice nurse using a spreadsheet to document medication reactions. c. An experienced staff nurse creates databases employing SNOMED. d. A beginning nurse utilizes the Internet to integrate multidisciplinary languages. 5. Describe at least three factors in the current healthcare delivery system that drive the implementation of information technology in the acute care setting. a. Patient safety b. Nursing shortage c. Evidence-based practice d. Increased numbers of digital natives in nursing practice 6. Which action indicates the nurse is functioning as a knowledge worker? a. The nurse auscultates hypoactive bowel sounds while doing a client assessment eight hours postoperatively after abdominal surgery and documents the assessment in the electronic medical record. b. The nurse administers four units of regular insulin to the client whose blood glucose is 240 at 11:30 a.m. per physician's sliding scale orders and documents it on the electronic medical administration record. c. The nurse auscultates diminished breath sounds in a postoperative client the morning after abdominal surgery and encourages the client to turn, cough, and deep breathe every hour instead of every two hours. d. The nurse obtains the client's vital signs of BP-120/82, P-112, and R-32, totals up the intake of 1040 ml and the output of 1100 ml, and records these data in the electronic medical record. 7. A disadvantage to the utilization of the electronic medical record (EMR) includes which of the following? a. Accessibility from several different locations simultaneously and by different levels of providers b. The intensive training in the beginning needed to prepare staff members to use the EMR c. Less time available for client care because more time is required for documentation activity d. Inability to incorporate diagnostic images into the EMR because of space limitations 8. Over the next few years, nursing informatics and other health informatics disciplines will crisscross, resulting in more interdisciplinary projects. This statement is true because of which of the following reasons? a. Nurse informatics specialists will work collaboratively with other disciplines to develop user-friendly systems. b. Nurse informatics specialists will work with other disciplines in an attempt to gain control over the use of the health care technology. c. Nurse informatics specialists understand all of the disciplines and are able to effect changes in technology. d. Nurse informatics specialists are knowledgeable about the needs of the typical consumer of technology. 9. Information is defined as which of the following? a. The management and processing of facts b. Interpreted data c. A collection of numbers, characters, or facts that are needed for analysis and possible action d. A synthesis of data derived from several sources to produce a single concept or idea 10. The Informatics Nurse Specialist is an integral member of the health care team with the expertise to: a. Create a vision of what is possible in the specialty of informatics. b. Create standardized nursing languages. c. Create interactive web sites . d. Create strategic plans for hardware improvement 11. Which of the following answers is the best definition of data? a. Data are a collection of numbers, characters, or facts that are gathered according to some perceived need for analysis and possibly action at a later point in time. b. Data are the synthesis of information derived from several sources to produce a single concept or idea. c. The definition of data is knowledge used appropriately to manage and solve problems. d. The general term data is used to refer to the management and processing of information with the assistance of computers. 12. Which health risk related to computer use has been best documented? a. Miscarriage or sterility b. Ulnar nerve syndrome c. Carpal tunnel syndrome d. Cataracts 13. Health care information plans include adding super users to the hospital staff. Which person is most appropriate for this role? a. An experienced staff nurse who has been employed at the institution for three years b. An informatics nurse specialist with a master's degree and informatics certification c. A newly hired charge nurse who has practiced for ten years in an intensive care unit d. A clinical nurse specialist for three departments, employed at the institution for six years