WGU C468 INFORMATION MANAGEMENT AND APPLICATION OF TECHNOLOGY 2024/2025 WITH COMPLETE SOLUTION. GRADED A+

WGU C468 INFORMATION MANAGEMENT AND APPLICATION OF TECHNOLOGY 2024/2025 LATEST 100% GRADED A+WGU C468 Information Management and Application of Technology System security involves protection against A) poor system design B) noncompliant users C) deliberate attacks, errors, omissions, disasters, and viruses D) vendor breech of support contract Correct answer- C) deliberate attacks, errors, omissions, disasters, and viruses Which of the following is a mechanism that logs a user off the system after a specified period of inactivity on the terminal or computer? A) automatic sign-off B) remote access C) automatic access D) automatic password protection Correct answer- A) automatic sign-off The sharing of private information in a situation in which a relationship has been established for the purpose of treatment, or delivery of services, with the understanding that this information will remain protected is ? A) information privacy B) privacy C) confidentiality D) information system security Correct answer- C) confidentiality is a combination of hardware and software that forms a barrier between systems, or different parts of a single system to protect those systems from unauthorized access. A) Antivirus software B) Firewall C) Physical security D) Application security Correct answer- B) Firewall The ability to use a health enterprise's information system from outside locations such as a physician's office is known as . A) remote access B) automatic access C) system connectivity D) auto connectivity Correct answer- A) remote access What are the driving forces behind the Health Information Exchange (HIE) movement?A) provider demands for cost containment B) international demands C) healthcare insurance reform D) federal legislation, and demands for safer, more efficient healthcare Correct answerD) federal legislation, and demands for safer, more efficient healthcare How do Health Information Exchanges (HIEs) impact healthcare delivery? A) HIEs have the capacity to improve the quality of care delivered by decreasing access to records B) HIEs have limited impact at this time C) HIEs increase the efficiency and potentially the quality of the healthcare delivery system D) HIEs have not been shown to impact the safety of care delivered Correct answer- C) HIEs increase the efficiency and potentially the quality of the healthcare delivery system Information and data privacy A) provide protection for healthcare information only B) includes the right to choose the conditions and extent to which information is shared C) are best maintained through paper backups D) only applies when a HIPAA release form is signed Correct answer- B) includes the right to choose the conditions and extent to which information is shared The Health Information Technology for Economic and Clinical Health Act (HITECH) is known for all of the following except: A) Including a privacy rule establishing national standards for protecting health information B) Funded workforce training, and new technology research and development in HIT C) Ensured the collection of aggregate data that could be used to improve policy decisions relative to allocation of services and population health D) Provided funds and incentives to increase the adoption of EHRs by providers Correct answer- A) Including a privacy rule establishing national standards for protecting health information The SWOT analysis is conducted in what phase of information system life cycle? A) evaluation phase B) monitoring and control phase C) implementation phase D) strategic planning phase Correct answer- D) strategic planning phase Training documents are developed and user training occurs in which phase of the project management life cycle (PMLC)? A) evaluation phase B) design/plan phase C) implementation phase D) monitoring and control phase Correct answer- C) implementation phaseMaintenance of an information system includes all of the following except . A) problem solving and debugging B) training end users C) performing file-backup procedures D) updating security protections Correct answer- B) training end users Who determines the project implementation strategy? A) the system analyst B) the vendor C) the implementation committee D) the board of directors and CEO Correct answer- C) the implementation committee The first task of the project implementation committee is to . A) gather data B) develop a timeline C) recruit key stakeholders D) establish subcommittees Correct answer- B) develop a timeline An advantage to using super users for system training is that . A) super users leave after the initial training is complete B) super users have extensive preparation in learning theory C) super users have a specialized knowledge of both the system and clinical areas D) super users have in-depth knowledge of system code Correct answer- C) super users have a specialized knowledge of both the system and clinical areas What is the most important factor in maintaining the proper use of an information system? A) revenue and resources B) planning C) education D) implementation Correct answer- C) education Training class content should address the following area(s): A) how class trainers were selected B) basic computer literacy, workflow, policies, and human factors C) computer-related positions in the facility D) how to lodge complaints on the information system that was selected Correct answer- B) basic computer literacy, workflow, policies, and human factors Personal Health Record (PHR) use for management of chronic conditions is felt to hold great promise for which of the following reasons? A) PHRs reduce physician case loads B) PHRs have conclusively been shown to decrease the number of face-to-face visits and phone callsC) PHRs may serve to heighten client disparities D) PHRs may help health systems achieve greater efficiency through facilitating prescription refills, communication, and improved coordination of chronic conditions as well as quality of care Correct answer- D) PHRs may help health systems achieve greater efficiency through facilitating prescription refills, communication, and improved coordination of chronic conditions as well as quality of care Client engagement is considered to be critical to achieving healthcare reform. Fully functional PHRs support which of the following principles that engage clients in their own care? A) Client control, individualized care based upon client needs and values, and shared knowledge with easy flow of information B) Informed provider choice for out-of-network participants C) Provider option to participate with email access only D) To decrease the number of face-to-face visits and phone calls Correct answer- A) Client control, individualized care based upon client needs and values, and shared knowledge with easy flow of information Benefits associated with PHRs include the following: A) Improved client satisfaction, outcomes and communication with fewer telephone calls and outpatient visits B) Improved payer satisfaction and data collection C) Reduced revenue cycle D) Reduced coordination of care Correct answer- A) Improved client satisfaction, outcomes and communication with fewer telephone calls and outpatient visits What is the basic premise underlying value-based reimbursement? A) Physician payment is based on volume of services B) Client will play a less active role in this payment method C) Providers are rewarded financially for good results D) Payment is based on the value of tests and treatments to patient and organizational outcomes Correct answer- D) Payment is based on the value of tests and treatments to patient and organizational outcomes Which of the following statements most accurately reflects what the Informatics Nurse Specialist (INS) needs to know when working with end users to purchase or design an information system relative to reimbursement of services? A) Can the current system, or the system under consideration, support reimbursement requirements? Compliance deadlines? Automatic capture of charges? B) The INS must be able to manually update the system to ensure compliance with changes in regulation and reimbursement C) Hardware preferences drive software selection D) How much do they want to spend? Correct answer- A) Can the current system, or the system under consideration, support reimbursement requirements? Compliance deadlines? Automatic capture of charges?Which of the following actions on the part of the informatics nurse best exemplifies strengthening the Meaningful Use of EHR systems? A) ensuring that the information system staff understand Meaningful Use requirements B) educating administrators on the information system fields that they must complete in order to collect Meaningful Use required data C) educating medical records personnel on their role in collecting and submitting data for Meaningful Use D) review of information system screens to ensure that Meaningful Use fields cannot be bypassed and educating end users on the needs to collect data needed for Meaningful Use even though they may not view it as relevant to the client's presenting symptoms Correct answer- D) review of information system screens to ensure that Meaningful Use fields cannot be bypassed and educating end users on the needs to collect data needed for Meaningful Use even though they may not view it as relevant to the client's presenting symptoms A benefit of the electronic medical record is . A) An increase in data entry B) Improved access to information C) Redundancy of data entry D) A reduction in errors and quality of communication Correct answer- B) Improved access to information What type of system supports the nurse by automatically notifying the dietary department to hold a client's breakfast, the pharmacy to send the appropriate medications, and the radiology department to schedule the test for a barium enema? A) Nurisng information system B) Laboratory system C) Administrative information system D) Order entry system Correct answer- D) Order entry system systems use artificial intelligence to model a decision that experts in the field would make. A) AI B) Expert C) Physician practice management D) Decision support Correct answer- B) Expert In what way can clinical decision support systems save healthcare dollars? A) They aid in diagnosis and provide access to practice guidelines which subsequently decrease the length of hospital stays and costs for treatment B) Clinical decision support systems do not save healthcare dollars but are an element in the computerized patient record C) They reduce redundant documentation between care providersD) They allow physicians to write prescription orders electronically Correct answer- A) They aid in diagnosis and provide access to practice guidelines which subsequently decrease the length of hospital stays and costs for treatment Which of the following statements best summarizes the accreditation process in healthcare? A) It provides assurance to the public that the facility or program meets nationally accepted standards B) It is a mandatory process required by law C) It requires a fee paid to an accrediting agency but membership is not typically part of the process D) It is based solely on self-ranking Correct answer- A) It provides assurance to the public that the facility or program meets nationally accepted standards The mission of which of the following accrediting bodies focuses on the improvement of the quality of care delivered to the public, the development standards of quality in conjunction with health professionals, and encourages organizations to meet or exceed these standards through the accreditation process? A) The Joint Commission B) CCNE Accreditation C) Commission on Accreditation of Rehabilitation Facilities (CARF) D) Health on the Net Accreditation Correct answer- A) The Joint Commission Which of the following reflect Joint Commission key standards for information management? A) Standards address measures to protect data, uniform definitions, the ability to aggregate data B) Standards address measures to incorporate information management principles into training C) Standards address disaster-preparedness and recovery planning D) All of the above Correct answer- D) All of the above What role, if any, does information technology have in the Magnet Journey? A) The Magnet journey consistently initiates the introduction of information technology B) Information systems support the process by providing aggregate data related to quality improvement C) The Magnet journey was a driving factor behind the TIGER Initiative D) Information Technology is not a consideration unless it introduces new errors into the nursing process Correct answer- B) Information systems support the process by providing aggregate data related to quality improvement Telehealth differs from telemedicine in that . A) telemedicine is a broader term that telehealth and emphasizes the provision of information to healthcare providers and consumers B) telehealth is a narrow term referring only to wellness behaviorsC) telemedicine uses the Internet to provide professionals with information while telehealth does not D) telehealth encompasses telemedicine, but is a broader term that emphasizes the provision of information to health care providers and consumers Correct answer- D) telehealth encompasses telemedicine, but is a broader term that emphasizes the provision of information to health care providers and consumers Which of the following can be used as a tool to facilitate the delivery of synchronous connected health? A) Store and forward applications B) Webcasting C) Remote patient monitoring D) Videoconferencing Correct answer- D) Videoconferencing Which of the following are legal and ethical issues related to telehealth and telemedicine? A) Difficulties with technical support B) Lack of reimbursement, privacy and confidentiality concerns, licensure and liability issues C) Lack of Health Information Exchange (HIE) standards D) Cost of equipment Correct answer- B) Lack of reimbursement, privacy and confidentiality concerns, licensure and liability issues All of the following are benefits associated with remote patient monitoring (RPM) except: A) enhanced communication between providers and patients B) increased office visits C) identification of knowledge gaps D) early detection of symptoms Correct answer- B) increased office visits The informatics nurse reviews how Medicare and Medicaid offer financial incentives to healthcare providers to promote adoption and meaningful use of interoperable health information systems and a qualified health record. Which statement should be used to describe the goal of meaningful use? A) Input data in a manner that creates evidence-based practice models B) Provide a warehouse of data that supports medication renewal and patient teaching plans C) Offer the clinician patient-care tools for improved outcomes D) Exchange clinical structured data in a manner that is accurate and complete to improve patient care in a cost-efficient way. Correct answer- D) Exchange clinical structured data in a manner that is accurate and complete to improve patient care in a cost-efficient way. Which of the following might be considered to be advantages for consumers associated with the delivery of healthcare services via telehealth? A) small facilities and private practices can shorten their revenue cyclesB) providers can increase their revenue C) providers can provide care from the comfort of their own homes D) increased access to otherwise underserved populations, decreased travel time and costs, and access to services for consumers who are "on the road" Correct answer- D) increased access to otherwise underserved populations, decreased travel time and costs, and access to services for consumers who are "on the road" is the use of telecommunications and computer technology for the delivery of nursing care. A) Telenursing B) Teleconferencing C) Telehealth D) Telemedicine Correct answer- A) Telenursing A certified nursing assistant (CNA) at a local nursing home logs on to the facility's clinical information system and can only see information about assigned clients except for financial data. Which type of security is applied to this system? A) User authentication B) Computer forensics C) Password protection D) Access levels Correct answer- D) Access levels The informatics nurse is reviewing the Health Insurance Portability and Accountability Act (HIPAA) security rule and determines all of the following personal health information to be protected by the act except: A) Address B) Name C) Age D) Social Security Number Correct answer- C) Age The Health Insurance Portability and Accountability Act (HIPAA) is best known for which of the following? A) stipulated the use of specific code sets for all Medicare-related transactions B) created legal protection for Patient Health Information (PHI) C) mandated the adoption of selected standards transactions for electronic data interchange (EDI) of healthcare data D) established legal acceptance of the electronic signature Correct answer- B) created legal protection for Patient Health Information (PHI) Standardized healthcare terminology is important to nursing for which of the following reasons? A) standardized terminology is required by HIPAA B) standardized terminology provides the ability to share accurate, up-to-date information among different providers and settings while ensuring uniform meaning and supporting the development of nursing knowledge C) standardized terminology provides financial support for researchD) standardized terminology mandated the adoption of selected standards of transactions for electronic data interchange (EDI) of healthcare data Correct answer- B) standardized terminology provides the ability to share accurate, up-to-date information among different providers and settings while ensuring uniform meaning and supporting the development of nursing knowledge Which of the following statements about virtual reality are true? A) It has not been approved for use among health care professionals for the practice of procedural skills B) It is a widely used form of multimedia that fully envelops learners in an environment providing the next best option to performing the skill on a real person but without any risks to learner or the client C) It offers an option to performing skills on a real person with only slight risks to the learner D) Its use is strictly limited to the aviation industry Correct answer- B) It is a widely used form of multimedia that fully envelops learners in an environment providing the next best option to performing the skill on a real person but without any risks to learner or the client How does computer literacy differ from information literacy? A) The terms do not differ; computer literacy is synonymous with information literacy B) Computer literacy refers to basic computer skills, while information literacy refers to accessing information from various sources C) Computer literacy refers to a familiarity with the use of personal computers, while information literacy is the ability to recognize when information is needed as well as the skills to find, evaluate, and use needed information effectively D) Computer literacy includes skills to find, evaluate, and use needed information effectively, while information literacy is the ability to recognize when information is needed Correct answer- C) Computer literacy refers to a familiarity with the use of personal computers, while information literacy is the ability to recognize when information is needed as well as the skills to find, evaluate, and use needed information effectively The delivery of content and stimulation of learning primarily through the use of telecommunication technologies and often used for corporate training is : A) teleconferencing B) computer-assisted instruction C) e-learning D) distance learning Correct answer- C) e-learning uses nursing knowledge, along with information and communication technology to promote the health of individuals, families, and entire populations. A) Bioinformatics B) Nursing informatics C) Information science D) Telehealth Correct answer- B) Nursing informaticsThe American Recovery and Reinvestment Act (ARRA) of 2009 A) provided the same legal status for electronic signatures as that enjoyed by handwritten signatures B) created the position of the Office of the National Coordinator for Health Information Technology C) established a legal definition for information privacy D) provided funds for health information technology Correct answer- D) provided funds for health information technology What is the role of nursing in the adoption and use of standard terminologies? A) Nurisng needs to educate the medical profession on the advantages of standard terminologies for nursing B) Nurisng needs to communicate their needs to medical represents on the selection of standard terminologies C) Nurisng needs to be patient as the determination of standard terminologies is finalized D) Nurisng needs to adopt standard terminologies as a means to collect data that has a uniform meaning across settings as a way to increase the body of nursing knowledge Correct answer- D) Nurisng needs to adopt standard terminologies as a means to collect data that has a uniform meaning across settings as a way to increase the body of nursing knowledge The American Recovery and Reinvestment Act (ARRA) and Health Information Technology for Economic and Clinical Health Act (HITECH) were important to U.S. Health Information Technology (HIT) policy for which of the following reasons? A) The Office of the National Coordinator was awarded temporary status B) The Department of Health and Human Services was authorized to establish programs to improve healthcare quality, safety, and efficiency through HIT inclusive of the call for health information exchange (HIE) C) These acts called for reformation in the education of healthcare providers to include informatics competencies D) This was the first national call for every American to have an EHR by 2009 Correct answer- B) The Department of Health and Human Services was authorized to establish programs to improve healthcare quality, safety, and efficiency through HIT inclusive of the call for health information exchange (HIE) A computer program that tells two different systems how to exchange data is called . A) Integration B) Interface C) Interface engine D) system integration Correct answer- B) Interface Which of the following statements best describes Meaningful Use?A) Consumers will ultimately determine what they consider to be meaningful use of the electronic health record (EHR) B) Each healthcare discipline is working to define what they consider to be meaningful use of the electronic health record (EHR) C) The Medicare Improvements Act authorized CMS to reimburse providers who succeed at becoming meaningful users of electronic health record (EHR) technology via financial incentives D) This is an initiative geared to spur the adoption and use of electronic health records (EHR) for the purpose of gathering and reporting data that can be used to improve population health Correct answer- D) This is an initiative geared to spur the adoption and use of electronic health records (EHR) for the purpose of gathering and reporting data that can be used to improve population health In addition to ease of use and potential for unintended error, usability also considers which of the following? A) economic models for design B) efficiency, user satisfaction, and training issues C) Genomics D) GIS design Correct answer- B) efficiency, user satisfaction, and training issues Predictors of Personal Health Records (PHRs) use include which of the following? A) Increased correlation of use with multiple health problems B) Awareness of PHRs, ease of access, personal motivation, higher levels of education and health literacy C) Lower levels of education, income, and health literacy D) Age greater than 85, multiple health problems, and care-giver for spouse Correct answer- B) Awareness of PHRs, ease of access, personal motivation, higher levels of education and health literacy A standard for the exchange of clinical data between information systems by means of an extensive set of rules that apply to all data sent is the . A) data dictionary B) clinical data repository C) Health Level 7 (HL7) D) master patient index (MPI) Correct answer- C) Health Level 7 (HL7) The is a nurse who has received educational preparation to conduct informatics research and generate informatics theory and who has a broad vision of what can be attained using information technology A) Informatics Nurse B) Nurisng Microcomputer Specialist C) Informatics Innovator D) Director of Nurisng Informatics Services Correct answer- C) Informatics Innovator Which of the following statements best reflects acceptance of the International Classification for Nurisng Practice (ICNP) as a standard for nursing terminology?A) It is the oldest nursing classification system B) It encompasses diagnosis and interventions but not outcomes C) It is the preferred standard by European Union countries D) Present nursing classification systems map it to a very high degree Correct answerD) Present nursing classification systems map it to a very high degree is the continual process of measuring services and practices against the toughest competitors in the healthcare industry. A) Benchmarking B) Mission planning C) Needs assessment D) Strategic planning Correct answer- A) Benchmarking Which of the following best typifies the role of the Informatics Nurse Specialist (INS) in relationship to legislation? A) The INS is not adequately prepared to advocate for any legislation B) The INS needs to be aware of the implications of legislation for Health Information Technology (HIT) design and use and to appropriately educate users C) The INS needs only to be aware of pending legislation D) The INS has no role when it comes to legislative requirements Correct answer- B) The INS needs to be aware of the implications of legislation for Health Information Technology (HIT) design and use and to appropriately educate users The development of a comprehensive long-range plan for guiding the activities and operations of an organization is . A) strategic planning B) needs assessment C) mission planning D) mission assessment Correct answer- A) strategic planning Which of the following most closely approximates the current version of the personal health record (PHR)? A) Electronic record maintained solely by clients B) Secure application through which an individual may access, manage and share health information he or she has entered or was supplied by providers, pharmacies, and labs. C) The PHR exists only as a theoretical concept at present D) Paper or digital record that clients maintain and present to health providers Correct answer- B) Secure application through which an individual may access, manage and share health information he or she has entered or was supplied by providers, pharmacies, and labs. is the process by which different information systems are able to exchange data in a fashion that is seamless to the end user. A) Integration B) InterfaceC) Phishing D) Data mining Correct answer- A) Integration Computer resistance by nurses is often the result of which of the following? A) excessive cyberphobia and information overload B) computer anxiety, limited computer skills, and poor communication on part of administration to consult nurses during the change process C) overly complex system design D) lack of knowledge among administrators of change theory and technophobia Correct answer- B) computer anxiety, limited computer skills, and poor communication on part of administration to consult nurses during the change process Which of the following statements most accurately describes evidence-based practice (EBP)? A) EBP does not factor in consumer preference B) EBP is primarily a nursing phenomenon C) EBP requires that decisions about healthcare be based on the best available, current, valid and relevant evidence providing quality essential transform healthcare D) EBP is built solely on a consensus of research findings Correct answer- C) EBP requires that decisions about healthcare be based on the best available, current, valid and relevant evidence providing quality essential transform healthcare What is the role of the Informatics Nurse Specialist (INS) in the adoption and use of standard terminologies? A) The INS needs to research standard terminologies used in ancillary areas B) The INS needs to play an active role on a local, national, and international level in the adoption and use of standard terminologies C) The INS is uniquely positioned to understand the issues involved with EHRs D) The INS needs to understand the views of other nurses, members of the healthcare profession, and the public Correct answer- B) The INS needs to play an active role on a local, national, and international level in the adoption and use of standard terminologies One criterion for eligibility for Meaningful Use requires the adoption and use of EHRs that have been certified. Which of the following statements best describes the certification process? A) Certification provides the assurance that the EHR system ranks highly in user satisfaction B) Certification provides the assurance that the EHR system has the technical capacity, functionality, and security to meet the meaningful use criteria C) Certification provides the assurance that the EHR system will meet Health Information Exchange (HIE) standards D) Certification guarantees eligibility for meaningful use monies Correct answer- B) Certification provides the assurance that the EHR system has the technical capacity, functionality, and security to meet the meaningful use criteria The primary database used for searching nursing literature is .A) CINAHL B) PsychINFO C) Health & Psychosocial Instruments (HaPI) D) MEDLINE Correct answer- A) CINAHL An electronic version of the client data found in the traditional paper record is the . A) computer-based patient record system (CPRS) B) master patient index (MPI) C) computer-based patient record (CPR) D) electronic medical record (EMR) Correct answer- D) electronic medical record (EMR) All of the following are examples of goals of information systems strategic planning except . A) to support business and clinical decisions B) to limit the need for other technologies C) to enhance the organization's image D) to make effective use of emerging technologies Correct answer- B) to limit the need for other technologies Well-designed systems can lead to which of the following outcomes? A) decreased user satisfaction B) decreased data collection C) negative impact on patient safety D) improved information availability, displays, and interpretation Correct answer- D) improved information availability, displays, and interpretation Usability is important to informatics nurse specialists for which of the following reasons? A) Usability issues are not important to informatics nurse specialists B) Poor usability can lead to errors, jeopardize patient safety, and impact acceptance and use of technology C) Poor usability is solely a vendor issue D) Usability studies consistently increase costs Correct answer- B) Poor usability can lead to errors, jeopardize patient safety, and impact acceptance and use of technology is the processing of data collected during the course of study to identify trends and patterns of relationships. A) Data collection B) Data processing C) Data analysis D) Data gathering Correct answer- C) Data analysis The Patient Protection and Affordability Care Act (PPACA): A) guarantees access to healthcare for all Americans and incentives to change clinical practice to foster better coordination of quality of care B) establishes protection for the privacy of patient recordsC) requires electronic prescribing D) provides funding for physicians to adopt electronic health records Correct answer- A) guarantees access to healthcare for all Americans and incentives to change clinical practice to foster better coordination of quality of care An order entry system can do all of the following except . A) Alert all departments to carry out physician orders B) Check for duplicate orders C) Integrate results of data collected at the bedside D) Provide the current status of each order Correct answer- C) Integrate results of data collected at the bedside Which of the following represents the most effective strategy for fostering evidencebased practice (EBP) among staff nurses? A) have the health system librarian conduct searches for staff B) encourage the formation of journal clubs where staff nurses discuss recent articles from journals such as AJN, RN, and Nursing C) provide a series of educational programs on how to search databases, critique research articles and incorporate research findings into interventions D) provide internet access from all clinical areas Correct answer- C) provide a series of educational programs on how to search databases, critique research articles and incorporate research findings into interventions Which of the following is NOT an advantage for using a health information system? A) Better access to information B) Reduction of medication errors C) Better communication D) Reduction in time spent with clients Correct answer- D) Reduction in time spent with clients The TIGER initiative states that transformation of the healthcare delivery system through the development of a national health information infrastructure requires nursing leaders who understand and promote good use of HIT. Which of the following represents a way that might help to create this type of leadership? A) the integration and expansion of nursing informatics competencies throughout nursing programs, and nurse leadership programs in particular B) the requirement that all nurse executives be personally schooled in the use of the clinical information systems that their subordinates use C) An increased focus upon combined MBA/MSN programs so that nurse leaders can develop a better appreciation of the financial implications D) separation of informatics competencies from the Magnet journey Correct answer- A) the integration and expansion of nursing informatics competencies throughout nursing programs, and nurse leadership programs in particularPotential barriers to Personal Health Record (PHR) use that must be considered include the following: A) No or poor Internet access, poorly designed applications, limited clinical integration B) Provider demands C) High levels of health literacy, limited use of mobile computing D) Lack of computer access Correct answer- A) No or poor Internet access, poorly designed applications, limited clinical integration What is SNOMED-CT and what relevance, if any, does it have to adoption and meaningful use of EHRs? A) SNOMED-CT is frequently adopted by MDs, but has no relevance to the meaningful use of EGRs B) SNOMED-CT refers to a globally recognized vocabulary that provides a common language for EHRs, that supports interoperable data collection C) SNOMED-CT is an obscure vocabulary used in veterinary medicine D) SNOMED-CT does not provide for interoperable data collection or exchange Correct answer- B) SNOMED-CT refers to a globally recognized vocabulary that provides a common language for EHRs, that supports interoperable data collection Based upon your reading, what do you see as the future areas for health information technology policy development? A) Large datasets resulting from Meaningful Use and other incentives will provide increased bodies of evidence to support HIT policy decisions that weigh national as well as global implications B) A move away from a global to a local view C) No significant changes are expected in the near future D) Increased emphasis upon regional health issues Correct answer- A) Large datasets resulting from Meaningful Use and other incentives will provide increased bodies of evidence to support HIT policy decisions that weigh national as well as global implications are used to access client data that are used to plan, implement, and evaluate care. A) Clinical information systems (CIS) B) Hospital Information Systems C) Administrative Information Systems (AIS) D) Information Systems (IS) Correct answer- A) Clinical information systems (CIS) Which statement describes a successful electronic health record (EHR)? A) The project was completed on time B) A feasibility study was conducted during the planning stage C) The customer's needs were met D) A project management application was used for development Correct answer- C) The customer's needs were met What is a goal of the health information exchange (HIE)?A) To enable the coordination of services for providers and patients B) To allow insurance companies and providers to be able to share data C) To eliminate service duplication at all levels of care D) To grant patients access to downloading a portal for providers Correct answer- B) To allow insurance companies and providers to be able to share data What is used to evaluate a health information system (HIS)? A) The inpatient quality reporting program B) The electronic medical record adoption model C) The use of syndromic surveillance D) The technology informatics guiding education reform Correct answer- B) The electronic medical record adoption model What are the expected outcomes of interoperable systems? A) Error reduction, revenue improvement, and increased communication B) Documentation of patient safety, improved staffing, and automated admissions C) Surgical suite automated and improved reports D) Strategic planning consolidation and evidenced-based care Correct answer- A) Error reduction, revenue improvement, and increased communication Which competency supports the adoption of a medication administration system? A) Ability to develop a spreadsheet of controlled drugs B) Leading a systems integration team C) Change management D) Knowledge of pharmacy vendors Correct answer- C) Change management What do informatics and computational sciences have in common? A) Both fields care combined in the healthcare environment B) Both fields involve working with people and technology C) Both fields involve data retrieval from standardized health systems D) Both fields are interdisciplinary Correct answer- D) Both fields are interdisciplinary Which 2 care settings would benefit the most from employing a nurse informaticist? A) A freestanding laboratory B) A correctional facility with a clinic C) A healthcare organization planning a physical expansion D) A homeless shelter Correct answer- B) A correctional facility with a clinic C) A healthcare organization planning a physical expansion Which 2 practice environments employ informatics nurses? A) A clinical systems vendor B) A medical device manufacturer C) A stem cell laboratory D) A certified human milk bank Correct answer- A) A clinical systems vendor B) A medical device manufacturerInformatics nurses support the quality reporting. What are 2 quality reporting characteristics informatics nurses practice? A) Maintaining organizational databases B) Providing patient support C) Developing tools and methods D) Managing data, information, and knowledge Correct answer- C) Developing tools and methods D) Managing data, information, and knowledge Duplicate orders cause quality issues in patient care. What helps to resolve this problem? A) System overrides B) Providing training and reminders C) Alerts to patients D) Chart review Correct answer- B) Providing training and reminders Which 2 tools are used to change a clinical workflow? A) Spreadsheets B) Scorecards C) Observation D) Swim lane charts Correct answer- C) Observation D) Swim lane charts The emergency room (ER) staff is hesitant to use the discharge planning module in the new electronic health record (EHR). What is a method the nurse informaticist should use to encourage staff to utilize the new application in the EHR? A) Perform system maintenance B) Review steering committee recommendations C) Require staff to review policies and procedures D) Enlist feedback from staff or users Correct answer- D) Enlist feedback from staff or users Evidence-based guidelines are used in the clinical field. What is one area of the electronic medical record (EMR) in which evidence-based guidelines are found? A) In the intake and output record B) In the note field under the physician's assessment C) In the home medication list D) In the standing physician's orders for a sepsis diagnosis Correct answer- D) In the standing physician's orders for a sepsis diagnosis What is an output of systems analysis? A) Iterative code B) Project charter C) Usability testing scripts D) Technical requirements Correct answer- D) Technical requirementsMeaningful Use (MU) was signed into law in 2009 to provide a means for eligible providers, hospitals, and critical access hospitals to use and communicate data to improve patient outcomes. What is the purpose of stage 1? A) To gain the trust of the patients B) To allow end users to access advanced clinical processes to analyze data and make care improvements C) To improve clinical outcomes D) To allow the electronic health records (EHR) to capture and share data Correct answer- D) To allow the electronic health records (EHR) to capture and share data Meaningful Use (MU) of electronic health records (EHRs) is part of the Medicare and Medicaid incentive program. Which 2 statements best describe MU? A) Certified information technologies provide the necessary functions to enable eligible providers to be compensated. B) MU is used by inpatient and outpatient facilities. C) Minimum standards for population health are described in MU. D) Ten stages are described for MU. Correct answer- A) Certified information technologies provide the necessary functions to enable eligible providers to be compensated. B) MU is used by inpatient and outpatient facilities. What is a goal of meaningful use (MU)? A) To engage nurses to do more narrative charting B) To engage patients and families in their healthcare C) To increase healthcare costs D) To increase healthcare disparities Correct answer- B) To engage patients and families in their healthcare Which codes support outpatient billing? A) Codes for clinical diagnosis and care B) Current procedural terminology (CPT) C) Systematized nomenclature of medicine clinical terms (SNOMED-CT) D) Disease classification scheme Correct answer- B) Current procedural terminology (CPT) Nurses use electronic automation to communicate, document, and make decisions about improving the quality of patient care. Which system, organization, or regulation seeks to improve patient care through investments in electronic automation? A) Healthcare computerized provider order entry (CPOE) B) Health Information Technology for Economic and Clinical Health Act (HITECH) C) The Centers for Medicare and Medicaid Services (CMS)D) Healthcare merit-based incentive payment system (MIPS) Correct answer- B) Health Information Technology for Economic and Clinical Health Act (HITECH) What are 3 roles of a nurse informatics specialist? A) Approves the budget presented by the project manager when transferring data from the old system B) Assists users with functionality, procedural issues, and basic troubleshooting C) Acts as a liaison between nursing and information services and is both a nursing resource and representative D) Acts as the sole decision maker for the organization and the vendor when acquiring a new system E) Provides expert advice, opinions, and recommendations from a consultant's area of expertise F) Develops and trains all user groups on clinical computer applications and online documentation processes Correct answer- B) Assists users with functionality, procedural issues, and basic troubleshooting C) Acts as a liaison between nursing and information services and is both a nursing resource and representative E) Provides expert advice, opinions, and recommendations from a consultant's area of expertise What is the responsibility of a superuser? A) To develop and train all users on clinical computer applications B) To provide expert advice, opinions, and recommendations from a consultant's area of expertise C) To support the system in a given unit and assist users with functionality and procedural issues D) To document information in an electronic health record (EHR) and extract and analyze data Correct answer- C) To support the system in a given unit and assist users with functionality and procedural issues What is a major benefit of nursing informatics? A) It eliminates excess documentation and increases productivity B) It helps nurses to be efficient, improve workflow, and finish tasks on time. C) It improves communication among healthcare providers to improve patient care D) It adds new tasks and changes workflow to improve patient care and utilization of resources Correct answer- C) It improves communication among healthcare providers to improve patient care What is the focus of cognitive science in nursing informatics? A) To capture data at the point of care and present it in a manner that facilitates the care of an individual patientB) To eliminate the effects of computerized systems on nursing care delivery C) To assist in the management and processing of nursing data, information, and knowledge D) To explore the nature of knowledge and its components, development, and use Correct answer- D) To explore the nature of knowledge and its components, development, and use What us the main purpose of standardized nursing terminologies? A) They are a requirement for billing B) They allow uniformity and easier retrieval of nursing-related data C) They make documentation easier and take less time D) They support the retrieval of common patient issues Correct answer- B) They allow uniformity and easier retrieval of nursing-related data What reduces and organizes terms for easier searches? A) Taxonomic vocabularies B) Monoaxial taxonomies C) Multiaxial taxonomies D) Harmonic series Correct answer- A) Taxonomic vocabularies What describes message format standards? A) To map proprietary layouts to one another to more easily accomplish the exchange of data B) To ensure data is structured the same way for the two applications exchanging data C) To ensure the communication of part or all of the electronic health record (EHR) D) To describe markup languages used in exchanging documents Correct answer- B) To ensure data is structured the same way for the two applications exchanging data A provider electronically orders blood work at a laboratory. The provider must ensure the local lab system can properly communicate with the provider's system for the results to be usable. Which is the correct term that would be found in these systems? A) Logical observation identifiers names and codes (LOINC) B) Current procedural terminology (CPT) C) Systematized nomenclature of medicine-clinical terms (SNOMED-CT) D) Advanced encryption standards (AES) Correct answer- A) Logical observation identifiers names and codes (LOINC) What is the mission of the Health Level Seven (HL7) organization? A) To enable the federal government to issue provisions and to regulate developed standardsB) To set the standards for the equipment used in hospitals and in all areas including medical, pharmacy, and nursing C) To allow to efficiently meet the goals of a global market, assessing and improving the quality of products covered by its standards D) To provide a comprehensive framework and related standards for the exchange, integration, sharing, and retrieval of electronic healthcare information Correct answerD) To provide a comprehensive framework and related standards for the exchange, integration, sharing, and retrieval of electronic healthcare information Technical interoperability Correct answer- The ability to exchange the data from one point to another Semantic interoperability Correct answer- The exchange of data in which the meaning remains the dame on both ends of the transaction Process interoperability Correct answer- Coordinates systems enabling business processes at the organization(s), and allowing the systems to work together Interoperability Correct answer- The ability of two or more systems to pass information between them and use the exchanged information A patient is being admitted to the hospital, and the nurse is obtaining a medical history from the patient. When asking the patient for a list of her medication, the patient replies, "I already gave the ER information on my medications. Can you not look it up?" Which action should this nurse take? A) The nurse should call the ER and ask the patient's previous nurse for a list of the patient's medications B) The nurse should call the patient's emergency contact on the chart to acquire the patient's home medications C) The nurse should review the home medications section in the hospital's electronic health record (EHR) to see if the information has been added and reviewed D) The nurse should ask the patient for her preferred pharmacy to obtain the list Correct answer- C) The nurse should review the home medications section in the hospital's electronic health record (EHR) to see if the information has been added and reviewed A patient is being transferred to a trauma hospital in the area. The current hospital uses a different electronic health record (EHR) than the receiving hospital. Which process allows interoperability of the health information exchange (HIE) between the two hospital systems? A) The patient's family will be present at the trauma hospital to provide the medical information needed. B) The staff at the trauma hospital will obtain the patient's Consolidated-Clinical Document Architecture (C-CDA) via the EHR by the transferring hospitalC) The transferring hospital should copy the patient's chart and send it with the patient via USB drive D) The staff at the trauma hospital will need to request the patient's records be faxed to them from the transferring hospital Correct answer- B) The staff at the trauma hospital will obtain the patient's Consolidated-Clinical Document Architecture (C-CDA) via the EHR by the transferring hospital When printing discharge instructions for a patient, the nurse notices the physician electronically entered the prescriptions for discharge medications. Which other form of information is needed along with this patient's discharge instructions for these medications prescribed? A) The patient's bill for the visit to reference B) The nurse's information card for the patient to contact him with any further questions C) A printed document with detailed, supplement information D) A printed chart for the patient to take with her Correct answer- C) A printed document with detailed, supplement information A nurse is to administer insulin coverage, and the electronic health record (EHR) is preventing the nurse from completing the administration documentation. Why has this occurred? A) The nurse is unsure of where to document the medication administration within the EHR B) The EHR is malfunctioning C) The nurse's EHR access has been denied D) The EHR requires the dose verification and sign-off of another nurse Correct answerD) The EHR requires the dose verification and sign-off of another nurse What is clinical decision support? Choose 2 answers: A) It reminds busy clinicians of items easy to forget or overlooked B) It reminds clinicians to check the patients and call the provider C) It reminds clinicians to call desk support for help D) It provides clinicians with suggested care information Correct answer- A) It reminds busy clinicians of items easy to forget or overlooked D) It provides clinicians with suggested care information What are examples of information stored in an electronic health record (EHR)? A) Patient histories, medical tests, medications, and images B) Past surgeries, genealogy, medications, and images C) Medications, images, heuristics, and exercise regime D) Metadata, heuristics, travel history, and medical tests Correct answer- A) Patient histories, medical tests, medications, and imagesA patient is receiving an IV anticoagulant infusion. The nurse needs to know when the next partial thromboplastin time (PTT) should be drawn to determine dosing. How should this nurse find this information? A) By asking the charge nurse B) By reviewing the orders and results C) By reviewing the eMAR for infusion start time D) By calling the pharmacy Correct answer- B) By reviewing the orders and results An end-of-shift report is given at the nurse's station desk, but it is not completed right away due to competing priorities of answering the telephone, limited access to desktop workstations, addressing patient situations, etc. Which action can a nurse suggest to initiate change? A) Complain to colleagues and do nothing B) Research how other hospitals provide shift reports, and report findings to unit manager C) Complete a time study report comparing logging data at a stationary desk versus using a workstation on wheels (WOW) D) Lodge a formal complaint with the hospital's administration Correct answer- C) Complete a time study report comparing logging data at a stationary desk versus using a workstation on wheels (WOW) What is a gap analysis in the electronic health record (EHR) process? A) It is a list of features and functions desired but not immediately available in the new system as identified B) It is information the vendor reveals that is missing elements of the system after the contract is signed C) It is a bridge between research and clinical practice that is established D) It allows the information systems department to lead the team to automate the current workflow Correct answer- A) It is a list of features and functions desired but not immediately available in the new system as identified A nurse is creating a patient list and notes that there are "<>" symbols surrounding the patient's name. Which action should this nurse complete to determine what the symbols indicate? A) Contact the help desk B) Select the legend C) Ignore the brackets D) Ask the unit manager Correct answer- B) Select the legend How can a nurse informatacist increase interoperability? A) Promote the use of standard vocabulary for documentation and codingB) Create different passwords for multiple systems that are used daily C) Allow each clinical area to develop its own workflows D) Ensure there is not interface between the lab and the hospital charting system Correct answer- A) Promote the use of standard vocabulary for documentation and coding What is one disadvantage of nurses frequently documenting in the free-text note section of the electronic health record (EHR) rather than within designated flow sheets? A) The practice of completing free-text notes is time consuming B) Few clinicians will take the time to read free-text notes C) Free-text notes are too long D) Running a report will not yield the free-text note data Correct answer- D) Running a report will not yield the free-text note data A physician is looking for a current patient's vital signs. Which measure is included in the vital signs section, in addition to temperature, blood pressure, respiration, and heart rate? A) Oxygen delivery B) Pain scale C) Oral intake D) Mean arterial pressure Correct answer- B) Pain scale Which law or regulation pertains to the privacy and security of healthcare-related information? A) Health Insurance Portability and Accountability Act (HIPAA) B) Health Information Technology for Economic and Clinical Health (HITECH) Act C) National Institutes of Health (NIH) guidelines D) Hospital Readmissions Reduction Program (HRRP) Correct answer- A) Health Insurance Portability and Accountability Act (HIPAA) Which term is used to describe information that is always accessible for use by the authorized users? A) Security B) Privacy C) Availability D) Integrity Correct answer- C) Availability What is the meaning of confidentiality of patient records? A) The patient's private information can be shared, only in paper form. B) The provider's policies delegate which health information an individual can share C) A policy requires health information to be stored in a secure area within the hospitalD) A healthcare provider can disclose health information with specific permission. Correct answer- D) A healthcare provider can disclose health information with specific permission. Which term is used to describe someone who gains access to computers belonging to another person or organization? A) A hacker B) An expert programmer C) A ransomware attacker D) A phisher Correct answer- A) A hacker What is the intent of the 2003 Health Insurance Portability and Accountability Act (HIPAA) security rule? A) It is a certification by the Office of the National Coordinator for health information technology B) It sets the national standards to protect individual's electronic personal health information C) It covers electronic security of United States citizens D) It is the enforcement of protected health information (PHI) Correct answer- B) It sets the national standards to protect individual's electronic personal health information Which statement describes patient-generated health data (PGHD)? A) PGHD is health-related data generated in clinical settings through encounters with providers primarily responsible for capturing or recording data B) PGHD is health-related data created, recorded, or gathered by patients (or family members/cgs) to help address a health concern C) PGHD is too expensive to store in the cloud or on local servers; therefore, most healthcare organizations avoid collecting it D) PGHD collection has ceased at most healthcare organizations because clinicians lack the time to read, analyze, and validate the data Correct answer- B) PGHD is health-related data created, recorded, or gathered by patients (or family members/cgs) to help address a health concern A nursing unit uses a medication administration system with locked cabinets to access patient medications. What is needed for secure access? A) A unit-wide password that changes every month B) A biometric device with a touch screen that scans the index finger C) A key carried by the medication nurse on each shift D) A four-digit code shared by the entire staff changed each month Correct answer- B) A biometric device with a touch screen that scans the index finger What are types of networks or information exchanges?A) Local area network (LAN), internet, and wide area network (WAN) B) Scrum, internet, and general packet radio services (GPRS) C) Wide area network (WAN), central processing unit (CPU), and cellular D) Internet, controller area network (CAN), and local area network (LAN) Correct answer- A) Local area network (LAN), internet, and wide area network (WAN) What describes an administrative safeguard of electronic protected health information (ePHI)? A) Established procedures that give all who work for an organization access to ePHI B) Creating a security awareness program as an option for healthcare professionals who access ePHI C) Keeping a list of security incidents if needed by regulating bodies D) Restricting access of all authorized users of the EHR according to their position within the healthcare system Correct answer- D) Restricting access of all authorized users of the EHR according to their position within the healthcare system Data security, accuracy, and integrity management are vital aspects of the informatics nurse role. How does an informatics nurse institute manual and automated procedures to manage data security, accuracy, and integrity? A) Monitors patterns and exceptions B) Maintains a stable system C) Implements security controls D) Separates duties among the information technology employees Correct answer- A) Monitors patterns and exceptions Why would the results of a patient report containing wait time data in the hospital emergency room be of interest to the hospital's CEO? A) The information would be helpful to the CEO in determining if a bigger cafeteria is needed B) The CEO can use the information when budgeting for a new surgery wing for the hospital C) The information is a piece of the puzzle needed when the CEO is determining patient satisfaction D) The information can be presented to the hospital board when the CEO asks for a raise Correct answer- C) The information is a piece of the puzzle needed when the CEO is determining patient satisfaction Which statement accurately represents the National Quality Forum (NQF)? A) NQF is a not-for-profit, membership-based organization that works to improve healthcare through meaningful measurementsB) NQF assesses fines for infractions of privacy and security via the Health Insurance Portability and Accountability Act (HIPAA) C) NQF has provided over 19 million dollars in funding for meaningful use legislation D) NQF is an organization being discontinued due to the promoting interoperability (PI) initiative Correct answer- A) NQF is a not-for-profit, membership-based organization that works to improve healthcare through meaningful measurements Which information would be useful in planning quality care for the next shift? A) Available critical care beds B) Satisfaction rates C) Hospital acquired infection rates D) Core measures Correct answer- A) Available critical care beds What is an advantage of using the bar code medication administration (BCMA) within a healthcare setting? A) It helps the nurse assess the patient better. B) It decreases the amount of charting the nurse needs to do. C) It gives the patient more time to communicate with his nurse. D) It allows for real-time, automated documentation of the administration of the patient's medication. Correct answer- D) It allows for real-time, automated documentation of the administration of the patient's medication. What is an effective use of the bar code medication administration system? A) Combining it with a computerized provider order entry, a pharmacy system, and an eMAR system B) Implementing it with computerized provider order entry, a multidose medication system, and the admissions and discharge system C) Deploying it with a pharmacy system and providing policies regarding access to information and data collection D) Combining it with an eMAR, multidose medication system, and an automated dispensing cabinet Correct answer- A) Combining it with a computerized provider order entry, a pharmacy system, and an eMAR system Which merit-based incentive payment system (MIPS) category replaces the reporting program that assesses care provided to Medicare patients, to ensure patients get the right care at the right time? A) Quality B) Cost C) Improved activities D) Advancing care information Correct answer- A) QualityWhat are two items that exempt eligible clinicians from a merit-based incentive payment system (MIPS)? Choose 2 answers. A) Small, rural, underserved practices of fewer than 15 clinicians B) Low-threshold provider who bills Medicare less than $90,000 yearly C) Virtual group of practitioners with different specialties and locations D) Two hundred or fewer Medicare patients seen annually Correct answer- B) Lowthreshold provider who bills Medicare less than $90,000 yearly D) Two hundred or fewer Medicare patients seen annually What is a benefit of meaningful use (MU)? A) Data is secure. B) Participation is mandatory. C) Patient outcomes are improved. D) Patient interaction is minimized. Correct answer- C) Patient outcomes are improved. What is included in meaningful use stage 3? A) Direct patient billing for care provided B) Improvement in healthcare outcomes C) The use of electronic prescribing D) The use of patient engagement and coordination of care Correct answer- C) The use of electronic prescribing What are two of the five rights of clinical decision support? Choose 2 answers. A) The right time in the workflow B) The right place in the software C