1
Copyright © 2024 Pearson Education, Inc
pm pm pm pm pm
.
,Handbook of Informatics for Nurses & Healthcare Professionals, 7th Edition by Toni L. Hebda Me
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
lody Rose Kathleen Hunter Patricia Czar
pm pm pm pm pm
Chapter 1-20 pm
Chapter 1 pm An Overview of Informatics in Healthcare
pm pm pm pm pm
1) Healthcare today should address the Quintuple Aim. What of the following best demonstrat
pm pm pm pm pm pm pm pm pm pm pm pm
es how healthcare information technology might be used to help address disparities in care?
pm pm pm pm pm pm pm pm pm pm pm pm pm
A) Collect data elements that could be used to identify vulnerable individuals
pm pm pm pm pm pm pm pm pm pm
B) Use collected data to identify vulnerable individuals
pm pm pm pm pm pm
C) Incorporate GPS locators into predictions pm pm pm pm
D) A and B pm pm p
mAnswer: p m p m
D
Explanation: A) Many demographic and other relevant data elements are/or could easily be c
p m pm pm pm pm pm pm pm pm pm pm pm pm
ollect that could be used to identify vulnerable individuals.
pm pm pm pm pm pm pm pm
B) Collected data can be used and leveraged to identify vulnerable individuals.
pm pm pm pm pm pm pm pm pm pm
C) Location may be an indicator of risk but zip code alone does not indicate vulnerability. Oth
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
er factors that include familial predisposition, occupational risks, economic level, personal he
pm pm pm pm pm pm pm pm pm pm pm
alth habits, living conditions, and community support all factor into determination of vulnerab
pm pm pm pm pm pm pm pm pm pm pm pm
ility.
D) Both A and B together comprise the best response
pm pm pm pm pm pm pm pm
. Page Ref: 1-2
pm pm pm
Cognitive Level: Applying pm p m p m
QSEN Grad. Competencies: A3, B1
pm pm p m p m pm
AACN Essen. Competencies: 8.1g,h; 8.2i; 8.3g
pm pm p m p m pm pm
2) Which of the following best reflects benefits realized from the use of health informati
pm pm pm pm pm pm pm pm pm pm pm pm pm
on technology?
pm
A) Improved safety, improved efficiencies, decreased clinician documentation times
pm pm pm pm pm pm pm
B) Improved safety, improved efficiencies, improved charge capture, improved communication
pm pm pm pm pm pm pm pm
C) Improved safety, improved efficiencies, improved protection of personal health information
pm pm pm pm pm pm pm pm pm
D) Improved safety, improved efficiencies, significant reduction in costs for care, improve
pm pm pm pm pm pm pm pm pm pm
d protection of patient information
pm pm pm pm
Answer: B p m p m
Explanation: A) HIT can result in improved safety through measures such as positive patient
p m pm pm pm pm pm pm pm pm pm pm pm pm p
midentification and may improve efficiencies but clinician documentation burden is an issue seen
pm pm pm pm pm pm pm pm pm pm pm pm
pmwith poorly designed and poorly used systems.
pm pm pm pm pm pm
B) HIT can result in improved safety through positive patient identification, alerts, and simil
pm pm pm pm pm pm pm pm pm pm pm pm
ar measures. HIT may improve some efficiencies such as improved charge capture and short
pm pm pm pm pm pm pm pm pm pm pm pm pm
ened revenue cycle and theoretically improves communication.
pm pm pm pm pm pm
C) HIT can result in improved safety and improved efficiencies in some respects but despite s
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
afeguards to protect patient health information it also increases vulnerabilities in some respect
pm pm pm pm pm pm pm pm pm pm pm pm
s.
D) Despite its promise to significantly reduce costs for care costs associated with the purchase an
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
d maintenance of HIT, among other U.S. issues have not resulted in significant reduction in costs
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
for care. pm
Page Ref: 1-2 pm pm
2
Copyright © 2024 Pearson Education, Inc
pm pm pm pm pm
.
,Cognitive Level: Applying pm p m p m
QSEN Grad. Competencies: A1,4; C1,5
pm pm p m p m pm
AACN Essen. Competencies: 8.1j,k; 8.2 I; 8.3i; 8.4g
pm pm p m p m pm pm pm pm
3) In which ways can health information technology support the learning health system?
pm pm pm pm pm pm pm pm pm pm pm
A) Incorporation of evidence- pm pm
based practice and big data findings to provide care interventions that are proven to be effect
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
ive
B) Real-time analysis of data pm pm pm
C) Integration of devices and the data that they collect to inform care decisions
pm pm pm pm pm pm pm pm pm pm pm pm
D) All of the above pm pm pm
Answer: D
pm p m
Explanation: A) Big data findings supplement EBP often providing information and knowled
p m pm pm pm pm pm pm pm pm pm pm
ge in a more timely fashion.
pm pm pm pm pm
B) Real-
time analysis of data can be particularly useful when healthcare delivery systems and providers
pm pm pm pm pm pm pm pm pm pm pm pm pm
are facing challenges that are new to them as was seen with the emergence of a body of knowl
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
edge relative to the impact of COVID and most successful treatment modalities.
pm pm pm pm pm pm pm pm pm pm pm
C) Data streams from all relevant sources provide a more complete picture.
pm pm pm pm pm pm pm pm pm pm
D) A combination of research and big data findings from a myriad of sources that is analyzed
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
in real time provides a quick turnaround to support, and further improve, care delivered.
pm pm pm pm pm pm pm pm pm pm pm pm pm
Page Ref: 3-4 pm pm
Cognitive Level: Applying pm p m p m
QSEN Grad. Competencies: A5; B8, 9, 11; C1, 2
pm pm p m pm pm pm pm pm p
mAACN Essen. Competencies: 8.1g; 8.2f; 8.3j; 8.
pm pm p m p m pm pm pm
4f
4) Which of the following are considered necessary components to create a learning or informatic
pm pm pm pm pm pm pm pm pm pm pm pm pm
s culture? Select all that apply.
pm pm pm pm pm
A) Standardized languages and terminologies pm pm pm
B) Data in digital format pm pm pm
C) Interoperability and data sharing pm pm pm
D) Prerequisite information knowledge and skills pm pm pm pm
pmAnswer: A, B, C, D p m pm pm pm
Explanation: A) Standardized languages and terminologies ensure that concepts maintain a un
p m pm pm pm pm pm pm pm pm pm pm
iform meaning across settings and the ability to generalize results.
pm pm pm pm pm pm pm pm pm
B) Data in digital format is conducive to electronic capture, storage, analysis, transmission, an
pm pm pm pm pm pm pm pm pm pm pm pm
d re-use.
pm
C) In order to have value data must be shareable which is best attained when systems a
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
re interoperable.
pm
D) Computer, information, and (for the consumer), health literacy are foundational skills in the
pm pm pm pm pm pm pm pm pm pm pm pm p
mlearning health system where data, information, and knowledge are constantly generated as a resul
pm pm pm pm pm pm pm pm pm pm pm pm pm
t of care processes as well as the integration of research findings to support best practices for pati
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
ent care. pm
Page Ref: 9-13 pm pm
Cognitive Level: Knowledge pm p m p m
QSEN Grad. Competencies: A5; B2, 11; C1, 4 A
pm pm p m pm pm pm pm pm
ACN Essen. Competencies: 8.1g; 8.2i; 8.4g
pm pm p m pm pm
3
Copyright © 2024 Pearson Education, Inc
pm pm pm pm pm
.
, 5) When asked to explain what the SAFER Guides are and their relevance for HIT what should th
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
e informatics nurse first know?
pm pm pm pm
A) SAFER Guides are a resource provided by the Centers for Medicare and Medicaid to gui
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
de reimbursement.
pm
B) SAFER Guides are a resource provided by the Consortium of Vendors for selection of HIT.
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
C) SAFER Guides are a resource provided by the ONCHIT to ensure best practices for HI
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
T implementation and use.
pm pm pm
D) SAFER Guides are the result of a report by the Commonwealth Fund to improve U.S. heal
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
th outcomes.
pm
Answer: C p m p m
Explanation: A) SAFER Guides have nothing to do with reimbursement although the Centers f
p m pm pm pm pm pm pm pm pm pm pm pm pm
or Medicare and Medicaid added them to ensure an ongoing focus on improving interoperability
pm pm pm pm pm pm pm pm pm pm pm pm pm p
and patient access to health information.
m pm pm pm pm pm
B) SAFER Guides complement tools and research developed by the Agency for Healthcar
pm pm pm pm pm pm pm pm pm pm pm
e Research and Quality and the ONCHIT, not from vendors.
pm pm pm pm pm pm pm pm pm
C) The SAFER acronym stands for Safety Assurance Factors for EHR Resilience and are therefore
pm pm pm pm pm pm pm pm pm pm pm pm pm
intended to guide implementation practices and use for HIT, and EHRs in particular.
pm pm pm pm pm pm pm pm pm pm pm pm pm
D) SAFER Guides having nothing to do with the Commonwealth Fund report
pm pm pm pm pm pm pm pm pm pm
s. Page Ref: 6
pm pm pm
Cognitive Level: Applying pm p m p m
QSEN Grad. Competencies: B1, 12
pm pm p m p m pm
AACN Essen. Competencies: 8.1g,h; 8.4f,k
pm pm p m p m pm
6) A large healthcare organization is planning to implement a new electronic health record. Wh
pm pm pm pm pm pm pm pm pm pm pm pm pm
at should be considered when selecting this system?
pm pm pm pm pm pm pm
A) Whether training is required pm pm pm
B) Nursing staff documentation requirements are the top priority
pm pm pm pm pm pm pm
C) The organization needs to meet multiple competing demands
pm pm pm pm pm pm pm
D) Integration with laboratory and pharmacy would be nic pm pm pm pm pm pm pm
e Answer: C
pm p m
Explanation: A) No evidence supports limiting training on the system.
p m p m pm pm pm pm pm pm pm pm
B) Every department in a large healthcare organization has an essential role in patient care.
pm pm pm pm pm pm pm pm pm pm pm pm pm
C) The healthcare organization today is a complex system faced with multiple, competin
pm pm pm pm pm pm pm pm pm pm pm
g demands.
pm
D) Every department in a large healthcare organization has an essential role in patient car
pm pm pm pm pm pm pm pm pm pm pm pm pm
e. Page Ref: 1-2
pm pm pm
Cognitive Level: Applying pm p m p m
QSEN Grad. Competencies: GA1, GA3 AA
pm pm p m pm pm
CN Essen. Competencies: 8.1k. 8.3e, 8.3g
pm pm p m pm pm
4
Copyright © 2024 Pearson Education, Inc pm pm pm pm pm
.
Copyright © 2024 Pearson Education, Inc
pm pm pm pm pm
.
,Handbook of Informatics for Nurses & Healthcare Professionals, 7th Edition by Toni L. Hebda Me
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
lody Rose Kathleen Hunter Patricia Czar
pm pm pm pm pm
Chapter 1-20 pm
Chapter 1 pm An Overview of Informatics in Healthcare
pm pm pm pm pm
1) Healthcare today should address the Quintuple Aim. What of the following best demonstrat
pm pm pm pm pm pm pm pm pm pm pm pm
es how healthcare information technology might be used to help address disparities in care?
pm pm pm pm pm pm pm pm pm pm pm pm pm
A) Collect data elements that could be used to identify vulnerable individuals
pm pm pm pm pm pm pm pm pm pm
B) Use collected data to identify vulnerable individuals
pm pm pm pm pm pm
C) Incorporate GPS locators into predictions pm pm pm pm
D) A and B pm pm p
mAnswer: p m p m
D
Explanation: A) Many demographic and other relevant data elements are/or could easily be c
p m pm pm pm pm pm pm pm pm pm pm pm pm
ollect that could be used to identify vulnerable individuals.
pm pm pm pm pm pm pm pm
B) Collected data can be used and leveraged to identify vulnerable individuals.
pm pm pm pm pm pm pm pm pm pm
C) Location may be an indicator of risk but zip code alone does not indicate vulnerability. Oth
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
er factors that include familial predisposition, occupational risks, economic level, personal he
pm pm pm pm pm pm pm pm pm pm pm
alth habits, living conditions, and community support all factor into determination of vulnerab
pm pm pm pm pm pm pm pm pm pm pm pm
ility.
D) Both A and B together comprise the best response
pm pm pm pm pm pm pm pm
. Page Ref: 1-2
pm pm pm
Cognitive Level: Applying pm p m p m
QSEN Grad. Competencies: A3, B1
pm pm p m p m pm
AACN Essen. Competencies: 8.1g,h; 8.2i; 8.3g
pm pm p m p m pm pm
2) Which of the following best reflects benefits realized from the use of health informati
pm pm pm pm pm pm pm pm pm pm pm pm pm
on technology?
pm
A) Improved safety, improved efficiencies, decreased clinician documentation times
pm pm pm pm pm pm pm
B) Improved safety, improved efficiencies, improved charge capture, improved communication
pm pm pm pm pm pm pm pm
C) Improved safety, improved efficiencies, improved protection of personal health information
pm pm pm pm pm pm pm pm pm
D) Improved safety, improved efficiencies, significant reduction in costs for care, improve
pm pm pm pm pm pm pm pm pm pm
d protection of patient information
pm pm pm pm
Answer: B p m p m
Explanation: A) HIT can result in improved safety through measures such as positive patient
p m pm pm pm pm pm pm pm pm pm pm pm pm p
midentification and may improve efficiencies but clinician documentation burden is an issue seen
pm pm pm pm pm pm pm pm pm pm pm pm
pmwith poorly designed and poorly used systems.
pm pm pm pm pm pm
B) HIT can result in improved safety through positive patient identification, alerts, and simil
pm pm pm pm pm pm pm pm pm pm pm pm
ar measures. HIT may improve some efficiencies such as improved charge capture and short
pm pm pm pm pm pm pm pm pm pm pm pm pm
ened revenue cycle and theoretically improves communication.
pm pm pm pm pm pm
C) HIT can result in improved safety and improved efficiencies in some respects but despite s
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
afeguards to protect patient health information it also increases vulnerabilities in some respect
pm pm pm pm pm pm pm pm pm pm pm pm
s.
D) Despite its promise to significantly reduce costs for care costs associated with the purchase an
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
d maintenance of HIT, among other U.S. issues have not resulted in significant reduction in costs
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
for care. pm
Page Ref: 1-2 pm pm
2
Copyright © 2024 Pearson Education, Inc
pm pm pm pm pm
.
,Cognitive Level: Applying pm p m p m
QSEN Grad. Competencies: A1,4; C1,5
pm pm p m p m pm
AACN Essen. Competencies: 8.1j,k; 8.2 I; 8.3i; 8.4g
pm pm p m p m pm pm pm pm
3) In which ways can health information technology support the learning health system?
pm pm pm pm pm pm pm pm pm pm pm
A) Incorporation of evidence- pm pm
based practice and big data findings to provide care interventions that are proven to be effect
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
ive
B) Real-time analysis of data pm pm pm
C) Integration of devices and the data that they collect to inform care decisions
pm pm pm pm pm pm pm pm pm pm pm pm
D) All of the above pm pm pm
Answer: D
pm p m
Explanation: A) Big data findings supplement EBP often providing information and knowled
p m pm pm pm pm pm pm pm pm pm pm
ge in a more timely fashion.
pm pm pm pm pm
B) Real-
time analysis of data can be particularly useful when healthcare delivery systems and providers
pm pm pm pm pm pm pm pm pm pm pm pm pm
are facing challenges that are new to them as was seen with the emergence of a body of knowl
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
edge relative to the impact of COVID and most successful treatment modalities.
pm pm pm pm pm pm pm pm pm pm pm
C) Data streams from all relevant sources provide a more complete picture.
pm pm pm pm pm pm pm pm pm pm
D) A combination of research and big data findings from a myriad of sources that is analyzed
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
in real time provides a quick turnaround to support, and further improve, care delivered.
pm pm pm pm pm pm pm pm pm pm pm pm pm
Page Ref: 3-4 pm pm
Cognitive Level: Applying pm p m p m
QSEN Grad. Competencies: A5; B8, 9, 11; C1, 2
pm pm p m pm pm pm pm pm p
mAACN Essen. Competencies: 8.1g; 8.2f; 8.3j; 8.
pm pm p m p m pm pm pm
4f
4) Which of the following are considered necessary components to create a learning or informatic
pm pm pm pm pm pm pm pm pm pm pm pm pm
s culture? Select all that apply.
pm pm pm pm pm
A) Standardized languages and terminologies pm pm pm
B) Data in digital format pm pm pm
C) Interoperability and data sharing pm pm pm
D) Prerequisite information knowledge and skills pm pm pm pm
pmAnswer: A, B, C, D p m pm pm pm
Explanation: A) Standardized languages and terminologies ensure that concepts maintain a un
p m pm pm pm pm pm pm pm pm pm pm
iform meaning across settings and the ability to generalize results.
pm pm pm pm pm pm pm pm pm
B) Data in digital format is conducive to electronic capture, storage, analysis, transmission, an
pm pm pm pm pm pm pm pm pm pm pm pm
d re-use.
pm
C) In order to have value data must be shareable which is best attained when systems a
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
re interoperable.
pm
D) Computer, information, and (for the consumer), health literacy are foundational skills in the
pm pm pm pm pm pm pm pm pm pm pm pm p
mlearning health system where data, information, and knowledge are constantly generated as a resul
pm pm pm pm pm pm pm pm pm pm pm pm pm
t of care processes as well as the integration of research findings to support best practices for pati
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
ent care. pm
Page Ref: 9-13 pm pm
Cognitive Level: Knowledge pm p m p m
QSEN Grad. Competencies: A5; B2, 11; C1, 4 A
pm pm p m pm pm pm pm pm
ACN Essen. Competencies: 8.1g; 8.2i; 8.4g
pm pm p m pm pm
3
Copyright © 2024 Pearson Education, Inc
pm pm pm pm pm
.
, 5) When asked to explain what the SAFER Guides are and their relevance for HIT what should th
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
e informatics nurse first know?
pm pm pm pm
A) SAFER Guides are a resource provided by the Centers for Medicare and Medicaid to gui
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
de reimbursement.
pm
B) SAFER Guides are a resource provided by the Consortium of Vendors for selection of HIT.
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
C) SAFER Guides are a resource provided by the ONCHIT to ensure best practices for HI
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
T implementation and use.
pm pm pm
D) SAFER Guides are the result of a report by the Commonwealth Fund to improve U.S. heal
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
th outcomes.
pm
Answer: C p m p m
Explanation: A) SAFER Guides have nothing to do with reimbursement although the Centers f
p m pm pm pm pm pm pm pm pm pm pm pm pm
or Medicare and Medicaid added them to ensure an ongoing focus on improving interoperability
pm pm pm pm pm pm pm pm pm pm pm pm pm p
and patient access to health information.
m pm pm pm pm pm
B) SAFER Guides complement tools and research developed by the Agency for Healthcar
pm pm pm pm pm pm pm pm pm pm pm
e Research and Quality and the ONCHIT, not from vendors.
pm pm pm pm pm pm pm pm pm
C) The SAFER acronym stands for Safety Assurance Factors for EHR Resilience and are therefore
pm pm pm pm pm pm pm pm pm pm pm pm pm
intended to guide implementation practices and use for HIT, and EHRs in particular.
pm pm pm pm pm pm pm pm pm pm pm pm pm
D) SAFER Guides having nothing to do with the Commonwealth Fund report
pm pm pm pm pm pm pm pm pm pm
s. Page Ref: 6
pm pm pm
Cognitive Level: Applying pm p m p m
QSEN Grad. Competencies: B1, 12
pm pm p m p m pm
AACN Essen. Competencies: 8.1g,h; 8.4f,k
pm pm p m p m pm
6) A large healthcare organization is planning to implement a new electronic health record. Wh
pm pm pm pm pm pm pm pm pm pm pm pm pm
at should be considered when selecting this system?
pm pm pm pm pm pm pm
A) Whether training is required pm pm pm
B) Nursing staff documentation requirements are the top priority
pm pm pm pm pm pm pm
C) The organization needs to meet multiple competing demands
pm pm pm pm pm pm pm
D) Integration with laboratory and pharmacy would be nic pm pm pm pm pm pm pm
e Answer: C
pm p m
Explanation: A) No evidence supports limiting training on the system.
p m p m pm pm pm pm pm pm pm pm
B) Every department in a large healthcare organization has an essential role in patient care.
pm pm pm pm pm pm pm pm pm pm pm pm pm
C) The healthcare organization today is a complex system faced with multiple, competin
pm pm pm pm pm pm pm pm pm pm pm
g demands.
pm
D) Every department in a large healthcare organization has an essential role in patient car
pm pm pm pm pm pm pm pm pm pm pm pm pm
e. Page Ref: 1-2
pm pm pm
Cognitive Level: Applying pm p m p m
QSEN Grad. Competencies: GA1, GA3 AA
pm pm p m pm pm
CN Essen. Competencies: 8.1k. 8.3e, 8.3g
pm pm p m pm pm
4
Copyright © 2024 Pearson Education, Inc pm pm pm pm pm
.
