1. The setting and its attributes (e.g., the physical structure of buildings,
staffing rations, the equipment available within an organization, and the bud-
get to support care provision) are all part of structure. The EHR with an
embedded CDS system is part of the structure of an organization.
The correct answer is: structure.: A hospital has an integrated clinical decision
support system embedded in the EHR. According to Donabedian's model, this would
be considered: a. effectiveness.
b. structure.
c. process.
d. outcome.
2. Doing the wrong thing would be considered an error of commission. For-
getting to do something that is required for a patient would be considered an
error of omission. Condition and remission are not considered error types.
The correct answer is: commission.: A nurse gives a patient the wrong drug. This
is an example of an error of:
a. condition.
b. commission.
c. remission.
d. omission.
3. Forgetting to do something that is required for a patient would be consid-
ered an error of omission. Doing the wrong thing would be considered an error
of commission. Condition and remission are not considered error types.
The correct answer is: omission.: A nurse forgets to walk a patient during the
nurse's shift. This is an example of an error of: a. commission.
b. omission.
c. condition.
d. remission
4. The managerial and clinical processes in place to support the provision of
care are all included under the process component. The use of a CDS system
is considered process.
The correct answer is: process.: A nurse uses a CDS system to make an informed
clinical decision regarding a drug dosage ordered for a patient. According to Don-
abedian's model, this would be considered:
a. process.
b. outcome.
c. effectiveness.
d. structure.
5. Feedback
The end results of the structures and processes are considered outcomes.
1/5
, Nursing Informatics week 2 quiz
These may include clinical outcomes. The measurement of patient falls is
considered an outcome.
The correct answer is: outcome.: A unit has been experiencing a high rate of
patient falls for the past three months. According to Donabedian's model, patient
falls would be considered:
Select one:
a. process.
b. outcome.
c. effectiveness.
d. structure.
6. Establishment and adoption of standards at multiple levels are important
components of the informatics infrastructure. The standard quality metrics
must define standard value sets, taxonomies, concept codes, attributes, and
data structures. Organizations must adopt the same standards for quality
measurements and reporting. Standard clinical content needs to be adopted
and used in the electronic systems, and the content should be represented by
standard data terminologies.
The correct answer is: establishment and adoption of standards to support
semantic interoperability.: An important component of the informatics infrastruc-
ture is:
Select one:
a. organizations enabled to set individual standards for quality measurement and
reporting.
b. variation in the types of data used to populate the quality metrics.
c. defined standard value sets, groupings, aligners, and attributes.
d. establishment and adoption of standards to support semantic interoperability.
7. ICD-9 and ICD-10 are examples of billing codes.
The correct answer is: Billing code: ICD-9 and ICD-10 are examples of which
category of terminology?
Select one:
a. Multidiscipline terminology used for clinical coding within an EHR
b. Billing code
c. Nursing terminology
d. Clinical classification
8. Feedback
The ICNP is a unified nursing language system into which nursing terminolo-
gies can be cross-mapped.
The correct answer is: unified nursing language system into which nursing ter-
minologies can be cross-mapped.: International Classification of Nursing Practice
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