WGU C468 OA QUESTION AND CORRECT ANSWERS 2023

WGU C468 OA QUESTION AND CORRECT ANSWERS 2023 Informatics correct answer - The science and art of turning data into information. Nursing Informatics *correct answer - -The use of information and technology to support all aspects of nursing practice -Including direct delivery of care, administration, education, and research. Information Literacy correct answer - -The ability to recognize when info is needed as well as the skills to find, evaluate and use effectively. Information correct answer - -Data that has been interpreted Information Science correct answer - -Focus on how to gather, process and transform info into knowledge. -Includes 5 Sciences; Communication, Computer, Social, Library and Cognitive Using the EHR to document care of a patient with a fractured femur is an example of using the EHR in which way? correct answer - Information System How can using simulation technology with your patients improve overall outcomes? correct answer - Allowing hands on practice and immediate feedback of the skill being learned. Knowledge Worker correct answer - -Continuous learner -Uses technology to support and inform nursing practice -Generate knowledge as a product * Experienced Nurse correct answer - -Fully intergrade informatics throughout the course of her practice, not just for basic data entry and retrieval. -Knows how to pull trends out of data. Beginner Nurses correct answer - -Uses information systems to manage patients. Nursing Informatics correct answer - -National Certification Exam Clinical Practice Guidelines correct answer - -Can allow for the creation of nursing policies (example of clinical decision support) Information Technologies correct answer - -CPOE -Barcode Medication Administration -Clinical Decision Support Computerized Physician Order Entry (CPOE)correct answer - -The process by which the physician or provider enters orders electronically into the EHR Radio Frequency Identifier (RFID)correct answer - -Type of technology that is used to identify and track supplies and medications -Also can track medical equipment and patients Examples of How Informatics can Affect Nursing Practice correct answer - -Clinical pathways -Computer generated care plans Foundation of Knowledge Model correct answer - -Knowledge is used to meet the needs of the healthcare delivery system -3 Elements (acquisition, process and dissemination) Data correct answer - -Patients HT, WT, Code status and DOB Emerging Trends in Healthcare correct answer - -Patient safety -Error reduction -Additional regulatory requirements The Mission correct answer - -Purpose or reason for an organizations existence Strategic Planning correct answer - -Comprehensive long range plan for guiding the activities and operations of an organization Reasons why the Selection Committee Board Members need to understand software and electronic processes correct answer - -Impact business goals -Affect success or failure -Determine budget allocations Strategic Planning is Driven By correct answer - -Organization mission and values -Long term goals * -Service offered National Trends related to Nursing Informatics correct answer - -CPOE -Barcode Medication Administration -Clinical decision support tools Needs Assessment Phase correct answer - -Organization performs a gap analysis determining the "needs and wants" System Selection Phase correct answer - -Organization seeks out a vendor company that offers them a system that best fits their needs -RFI (request for info), RFP (request for proposal), RFQ (request for quote) System Implementation Phase correct answer - -Go live planning -Training of end users -Execute system changes Maintenance Phase correct answer - -Problem solving, debugging -Back up files -Installing system upgrades Project Scope correct answer - -The size and detail of a collaborative effort Why is the nurses active participation in electronic information important? correct answer - -To ensure the info is current and accessible to the healthcare team Responsibility of the Project Implement Team correct answer - -Execution of system changes -Active involvement in user participation -Knowledge of current workflows A common request contained in a Request for Info) RFI documentation includes correct answer - -Company history Computerized Physician Order Entry (CPOE)correct answer - -Process by which the physician or provider enters orders electronically into the EHR Example of Essential Component of HER correct answer - -Evidence based decision support Component of HER correct answer - -Assessment findings -Demographics -Vital Signs Function of HER correct answer - -Barcode Medication Administration Benefits of HER correct answer - -Reduce medication errors -Improved provider documentation What is the primary goal of EHR functionality in contrast to that of the health information system? correct answer - -To promote patient safety Health Informatics System correct answer - -Group of systems used within a hospital that support and enhance healthcare Administrative Info Systems correct answer - -Registration -Financial -Scheduling Clinical Info Systems correct answer - -Lab -Pharmacy -EHR Local Area Network (LAN)correct answer - -Type of connection needed to access EHR when an internet connection is lost How does the EHR helps patients receive quality care when going from one facility to another? correct answer - -Provides continuity of care -Review previous care and provide appropriate treatment Order Entry System correct answer - -Ensures accuracy of physicians orders Perioperative Nursing Data Set (PNDS)correct answer - -Nursing terminology contains a nursing diagnosis, interventions and outcomes specific to the perioperative experience Standardized Terminologies correct answer - -Accessibility, ubiquity, longevity and reusability HL7 (Health Level 7)correct answer - -Standard of interoperability and clinical data exchange Clinical Decision Support correct answer - -Looks at your patient specific data and compares it or analyzes it and provides further recommendations -Pop up reminders 3 Principles that make up an organization culture of safety correct answer - -Commitment of resources -Cross collaboration -Blame free environment Cross Monitoring correct answer - Process of monitoring the actions of other team members for the purpose of sharing the workload and reducing or avoiding errors Information Security correct answer - The protection of information from accidental or intentional misuse by persons inside or outside an organization 2 Governing Authorities to protect Information correct answer - -HIPPA -ANA code of ethics HIPPA Privacy Act correct answer - -Patients have ownership rights to their records -Patients can amend own records if information is incorrect LOGICAL examples of protecting info correct answer - -Firewall -Biometrics -Authentication -Automatic sign off PHYSICAL examples of protecting info correct answer - -Surveillance camera -Restricted areas -Shred important documents Telehealth correct answer - Use of technology to deliver health-related services and information, including telemedicine Store-and-Forward Technology correct answer - -A form of transferring data or an image from one location to another -Pathology/ Radiology Socio Economic Factors that are helping support the need for telehealth correct answer - -Access to care -Continuity of care -Patient to Dr. ratio Increase in chronic disease conditions correct answer - Telehealth correct answer - -extensive documentation -licensed in every state - Clinical Applications of Tele correct answer - -Transmitting chest x ray read -Mobile device to monitor -Live video Non Clinical Application of Tele correct answer - -Not being used for patient services C468 Information Management Informatics correct answer - "The big oak tree" combination of the nursing science, computer science and information science. It includes information technologies that can help support nursing practice. Information technology correct answer - "The branch" electronic healthcare record, your clinical decisions support tools, bar code medication administration, and so on. information System correct answer - "Another branch" : used to collect, create and distribute useful data. This term describes the development, use and management of an organization's overall IT infrastructure. On that branch you would see the subcategories, such as your clinical information systems, your core business systems, case management systems, and communication systems. Information Science correct answer - "the roots of informatics " -incorporates features from communication science, computer science, social science, library science, and cognitive science. It's primary focus on the input, processing, output and feedback through technology integration. Information science applies technology to make information usable, and it supports the overall collection and management of information. Technology has also helped to impact this culture of safety correct answer - 1) CPOE 2) Cross monitoring: 2 nurses to witness a med/electronic alert Examples of Clinical Decision support tools correct answer - 1. Electronic alerts and reminders 2. Clinical practice guidelines 3. Computer-generated care plan 4. Smart pumps 5. EHR: drug reference guide 6. Clinical pathways Information Security correct answer - greatest potential threats are right now: 1. unauthorized personnel getting access to the equipment. 2. the use of removable storage devices (flash drive to dl info) 2 governing authorities that obligate nurses to protect patient information? correct answer - HIPPA (pt's can have a copy of their record/make corrections) ANA Code of Ethics Examples of Logically Protecting pt's information correct answer - installing **Firewall protection Biometrics (scanning fingerprint) Authentication (user specific password) Automatic sign offs Examples of physically protecting pt's info correct answer - Surveillance Cameras Restricted Areas Shredding hard copies three principles that help to make up an organization culture as *safety* correct answer - 1) Commitment of resources 2) Cross-collaboration 3) Blame-free environment store and forward technology. correct answer - a form of transferring data or images from one location to another (radiology images, pathology reports) Reasoning of Growth of telehealth correct answer - 1. access to care 2. continuity of care 3. ratio of patients to providers 4. increase in chronic disease EHR Takes patient-specific info: 1. Recommends something (example: recheck BP) **2. Compares it against set of rules or knowledge base correct answer - Legal and ethical of telehealth nursing correct answer - - Extensive documentation (prevent malpractice) - Licensed in every state that they practice telehealth Identify Clinical vs. non-clinical telehealth correct answer - Clinical: to directly affect care of pt -(ex: chest x-ray) -type of mobile device -live video conferencing (check proper injection administration) Non-clinical: - Team meeting - Research - Video-conferencing (not used for pt) -professional development online There are two main approaches to the development of these information systems: correct answer - 1) Nursing Process Approach (admission/dc, progress notes, data collection, safe med admin..) 2) Critical Pathway/Protocols: allows nurses and multidisciplinary team members to access the relevant information in the system Nursing Process Approach correct answer - -Streamlines documentation of assessments and patient-related data. -Provides discharge information and pertinent patient education materials and resources. -Provides medication information to help prevent medication errors or interactions. Critical Pathways/Protocols Approach correct answer - -Physician's orders are present for the multidisciplinary care team to observe and follow. -Allows the multidisciplinary care team to update the plan of care when variances in the patient's condition are noted. -Multidisciplinary team members can contribute to care plans along the care continuum. What are three types of clinical information systems? (in critical pathways approach) correct answer - Monitoring system Order entry system Laboratory system Definition of Nursing informatics correct answer - The integration of nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom into nursing practice Informatics Nurse Specialist (INS) correct answer - 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. How does computer literacy differ from information literacy? correct answer - Computer literacy: familiarity with the use of personal computers information literacy: ability to recognize when info is needed as well as the skills to find, evaluate, and use needed information effectively distance learning correct answer - The delivery of content and stimulation of learning primarily through the use of telecommunication technologies and often used for corporate training virtual reality correct answer - 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 the learner or the client Computer resistance by nurses is often the result of which of the following? correct answer - computer anxiety, limited computer skills, and poor communication on the part of administration to consult nurses during the change process An order entry system can do all of the following except correct answer - Integrate results of data collected at the bedside Clinical information systems (CIS) correct answer - are used to access client data that are used to plan, implement, and evaluate care. meaningful use correct answer - This is an initiative geared to spur the adoption and use of electronic health records for the purpose of gathering and reporting data that can then be used to improve population health. Which of the following statements best reflects acceptance of the International Classification for Nursing Practice (ICNP®) as a standard for nursing terminology? correct answer - Present nursing classification systems map it to a very high degree. electronic medical record (EMR) correct answer - An electronic version of the client data found in the traditional paper medical record One criterion for eligibility for meaningful use requires the adoption and use of EHRs that have been certified. Certification process: correct answer - Certification provides the assurance that the EHR system has the technical capacity, functionality, and security to meet the meaningful use criteria. Which of the following most closely approximates the current version of the personal health record (PHR)? correct answer - 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. Predictors of Personal Health Records (PHRs) use include which of the following? correct answer - Awareness of PHRs, ease of access, personal motivation, higher levels of education and health literacy Potential barriers to Personal Health Record (PHR) use that must be considered include the following: correct answer - No or poor Internet access, poorly designed applications, limited clinical integration Which of the following statements most accurately describes evidence-based practice (EBP)? correct answer - EBP requires that decisions about healthcare be based on the best available, current, valid and relevant evidence providing quality essential to transform healthcare. Which of the following represents the most effective strategy for fostering evidence-based practice among staff nurses? correct answer - provide a series of educational programs on how to search databases, critique research articles and incorporate research findings into interventions SNOMED-CT: Systematized Nomenclature of Human and Veterinary Medicine Clinical Terms correct answer - a globally recognized vocabulary that provides a common language for EHRs, that supports interoperable data collection. What is the role of the Informatics Nurse Specialist (INS) in the adoption and use of standard terminologies? correct answer - The INS needs to play an active role on a local, national, and international level in the adoption and use of standard terminologies. Standardized healthcare terminology is important to nursing for which of the following reasons? correct answer - 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. The American Recovery and Reinvestment Act and Health Information Technology for Economic and Clinical Health Act were important to U.S. HIT policy for which of the following reasons? correct answer - 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). 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? correct answer - the integration and expansion of nursing informatics competencies throughout nursing programs, and nurse leadership programs in particular The Health Insurance Portability and Accountability Act (HIPAA) is best known for which of the following? correct answer - created legal protection for PHI strategic planning correct answer - The development of a comprehensive long-range plan for guiding the activities and operations of an organization is _______. All of the following are examples of goals of information systems strategic planning except _______. correct answer - to limit the need for other technologies Usability is important to informatics nurse specialists for which of the following reasons? correct answer - Poor usability can lead to errors, jeopardize patient safety, and impact acceptance and use of technology In addition to ease of use and potential for unintended error, usability also considers which of the following? correct answer - efficiency, user satisfaction, and training issues Well-designed systems can lead to which of the following outcomes? correct answer - improved information availability, displays, and interpretation Integration correct answer - the process by which different information systems are able to exchange data in a fashion that is seamless to the end user. interface correct answer - A computer program that tells two different systems how to exchange data Data analysis correct answer - the processing of data collected during the course of a study to identify trends and patterns of relationships. What is the role of nursing in the adoption and use of standard terminologies? correct answer - Nursing 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 Patient Protection and Affordable Care Act correct answer - guarantees access to healthcare for all Americans and incentives to change clinical practice to foster better coordination and quality of care System security involves protection against correct answer - deliberate attacks, errors, omissions, disasters and viruses automatic sign-off correct answer - a mechanism that logs a user off the system after a specified period of inactivity on his terminal or computer? confidentiality correct answer - 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 ________. Firewall correct answer - 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. remote access correct answer - The ability to use a health enterprise's information system from outside locations such as a physician's office What are the driving forces behind the Health Information Exchange (HIE) movement? correct answer - federal legislation, and demands for safer, more efficient healthcare How do Health Information Exchanges (HIEs) impact healthcare delivery? correct answer - HIEs increase the efficiency and potentially the quality of the healthcare delivery system. What is the relationship between Health Information Exchanges (HIEs) and the EHR? correct answer - HIEs help to provide the framework needed to provide widespread data exchange and subsequently support the EHR. The Health Information Technology for Economic and Clinical Health Act (HITECH) is best known for which of the following? correct answer - The funds and incentives it provided to increase the use of EHRs by physicians. Changes in federal privacy and security provisions with major impacts for medical practices, hospitals, health plans, and their business associates include which of the following? correct answer - the requirement to notify individuals whose PHI has been breached within 60 days of the breach Training class content should address the following area(s): correct answer - 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? correct answer - 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? correct answer - Client control, individualized care based upon client needs and values, and shared knowledge with easy flow of information Alleged benefits associated with PHRs include the following: correct answer - Improved client satisfaction, outcomes and communication with fewer telephone calls and outpatient visits What is the basic premise underlying pay-for-performance? correct answer - Evidence-based care alone is sufficient to qualify for financial rewards. 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? correct answer - Can the current system, or the system under consideration, support reimbursement requirements? Compliance deadlines? Automatic capture of charges? actions on the part of the informatics nurse best exemplifies strengthening the Meaningful Use of EHR systems correct answer - review of information system screens to ensure that Meaningful Use fields cannot be bypassed and educating end users on the need 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 correct answer - Improved access to information Order entry system correct answer - 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 Expert Systems correct answer - use artificial intelligence to model a decision that experts in the field would make. In what way can clinical decision support systems save healthcare dollars? correct answer - They aid in diagnosis and provide access to practice guidelines which subsequently decrease the length of hospital stays and costs for treatment At which point during the strategic planning process should the data be collected? correct answer - when scanning the external and internal environments Which of the following statements best summarizes the accreditation process in healthcare? correct answer - It provides assurance to the public that the facility or program meets nationally accepted standards. Telehealth vs telemedicine correct answer - 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 telehealth services? correct answer - Tele- or videoconferencing issues with telehealth and telenursing? correct answer - Lack of reimbursement privacy and confidentiality concerns licensure and liability issues example of a low-tech telehealth application? correct answer - a home glucose-monitoring program that uses a touch-tone phone to report glucose results advantages for consumers associated with the delivery of healthcare services via telehealth? correct answer - increased access to otherwise underserved populations decreased travel time and costs access to services for consumers who are "on the road" Telenursing correct answer - the use of telecommunications and computer technology for the delivery of nursing care Information literacy correct answer - the ability to recognize when info is needed as well as the skills to find, evaluate, and use needed info effectively Information correct answer - data that has been interpreted Information Science correct answer - focus on how to gather process and transform info into knowledge. It also incorporates features from those 5 other sciences: 1. communication science 2. computer science 3. social science 4. library science 5. cognitive science Example of using the EHR to document care of a pt with a fractured femur correct answer - Information System how can using simulation technology with your pts improve overall outcomes? correct answer - using assimilation technology allows hands on practice Knowledge Workers correct answer - -continuous learners & specialist in their field -use technology to support and inform nursing practice **generate knowledge as a practice -has advanced formal education -generates knowledge as a product -can apply theoretical & analytical knowledge Experienced Nurse correct answer - -know how to pull trends out of data -fully integrates informatics throughout the course of her practice Nursing Informatics as a specialty has its own certification exam correct answer - Clinical practice guidelines can allow for the creations of nursing policies correct answer - Examples of Information Technologies correct answer - CPOE, Barcode Medication Administration, and clinical decision What is the name used to describe the process by which the MD enters orders electronically into the EHR correct answer - CPOE Computerized Physician Order Entry A Radio Frequency Indentifier (RFID) correct answer - is a type of technology that is used to id and track supplies & meds within a healthcare environment. (even track pt location) Clinical pathways and computer generated care plans are examples of how informatics can affect nursing practice correct answer - Nursing Informatics correct answer - the use of technology and info to help support all aspects of nursing practice The Foundation of knowledge Model correct answer - the basis for which knowledge is used to meet the needs of the healthcare delivery system. It is derived from its 3 key elements of knowledge acquisition, knowledge processing, and knowledge dissemination examples of DATA correct answer - the pt's height, weight, code status, date of birth Emerging trends in healthcare correct answer - -Push for pt safety - error reduction -additional regulatory requirements The Mission correct answer - The purpose or reason for an organization's existence Strategic Planning correct answer - the development of a comprehensive long range plan for guiding the activities and operations of an organization Strategic planning is driven by correct answer - -organization's mission and values -services offered -long term goals Why it's important that selection committee Board Members understand software & electronic processes. correct answer - -it can affect success or failure of the project -they often determine budget allocations -it can impact business goals A National Trend r/t nursing informatics correct answer - -Computerized Physican Order Entry -Barcode Medication Administration -Clinical decision support tools 4 Phases of Information System Life Cycle correct answer - 1) Needs Assessment : gap analysis (needs & wants) 2) System Selection Phase: seeks out a vender company that provides them a system Three documents used: 1. REQUEST FOR INFORMATION (RFI): Get info about the company history 2. REQUEST FOR PROPOSAL (RFP): prioritize their needs. Do you have this? 3. REQUEST FOR QUOTE (RFQ): Pricing 3) System Implementation Phase : Training staff Go Live Planning End user training Applying system changes as needed 4) Maintenance Phase: Problem Solving, debugging, files are backed up, system upgrade installation Description of Information System Life Cycle correct answer - Continuous FOR FULL COURSE DOWNLOAD