Exam (elaborations) NR 599 Week 4 Midterm Exam Summer 2023/2024 Full exam 85 Q&A

1. The nurse understands that nursing informatics as a specialty area of practiced by which statement? Research priorities for nursing informatics includes the development of a standard nursing language and the development of databases for clinical information 2. Which statement by the nurse verifies that nurse is “information literate”? I understand how to research for a website and evaluate its usefulness for health care needs 3. What is information? Data that can be interpreted. EX: Pt’s temp. Grouping of data process into meaningful Structured form 4. The nurse gathers much data when caring for clients. Which is an example of the higher-level “information” useful in caring for clients? After receiving Rocephin 1.0g IV yesterday, the client reported feeling better 5. Which statement best distinguishes the difference between information literacy and computer Literacy? Information literacy forms the basis for ongoing learning whereas computer literacy refers to a familiarity with the use of personal computers 6. Which statement indicates the appropriate level of informatics competencies to the correct nurse? A nurse informatics specialist extrapolates data to develop best practice model for indwelling catheter care. 7. What is Quality Information? Information that is timeless, precision, accuracy, numerically quantifiable, easily available, unbiased, clear, and reliable 8. What is data? Collection of numbers, characters, or facts that are gathered for a need. EX: Pts VS. Raw unprocessed number symbols or words that have no meaning by themselves. without context data is meaningless. 9. What is data integrity? Ability to collect, store, and retrieve correct, complete, and current data. So data is available to authorize users. 10. What is necessary to determine of a website has quality information? Credited seal, good contact information, not selling things, creditable authors, unbiased (things discussed in class) has URAC or HON CODE 11. Why do we study nurse informatics? Information is power and technology facilitates a creative process in nurses, and improves patient education, teaching, and learning. 12. What is a common reality that occurs with nursing and technology? Nurses will be comfortable working with computers and advanced technology while providing care for clients 13. What are the functions of computers in nursing practice? Record information, provide access to other departments, manage schedules 14. What is telehealth? Uses technology to access, diagnosis, and treat at a distance 15. What is biometric technology? Using human characteristics to authenticate or grant access to data or information. 16. How do human resources use computers? Employee database, administration services 17. What is the definition of information technology? Use of hardware and software that facilitates storage, retrieval, communication, and management information 18. What is the definition of computer literacy? Knowledge and understanding of computers with effective use 19. How do you identify problems? Locate current literature and related concepts 20. What is the 3 things needed when looking for information online? Purpose, focus, and approach 21. Define purpose? Why are you doing research? Why do you need this information? 22. Define focus? Basic information for you, oriented for your patients, professionally orientated for your colleagues 23. Define Approach? Broad and general with information that can be quickly accessed 24. A disadvantage to the utilization of the electronic medical record (EMR) includes which of the following? The intensive training in the beginning needed to prepare staff members to use the EMR 25. Which action indicates the nurse is functioning as a knowledge worker? The nurse auscultates diminished breath sounds in a postoperative client the morning after ABD surgery and encourages the client to turn, cough, and deep breathe Qhour instead of Q2 hours. 26. A nurse manager wishes to hire a new nurse who has just graduated from nursing school. At the beginning level of informatics competencies, the nurse should be able to which of the following? Input VS and I’s/O’s data in the EMR 27. In which way does medical informatics overlap with nursing informatics? Medical and nursing informatics focus on the areas of information retrieval 28. Health care consumers have all the information and tools to make health care choices because they can easily compare quality and cost of care. Which of the following is correct? The statement is false because the tool has not been developed. 29. The role of informatics nurse does not include assessing the usability of devices for health care consumers. This statement is false because of which of the following statements? The development of policy regarding usability is an important part of the informatics role. 30. Over the next few years, nursing informatics and other health informatics disciplines will crisscross, resulting in more interdisciplinary projects. This statement is true because of which of the following statements? Nurse informatics specialists will work collaboratively with other disciplines to develop user-friendly systems 31. The best estimate of the number of informatics nurses needed over the next few years is which of the following? 6000-12,000 32. There are no available nursing informatics programs including doctoral degrees; therefore, nurses prepare for advanced practice through medical informatics curriculum. This answer is false because of which of the following reasons? There are a number of accredited advanced nursing education programs in informatics in the United States. 33. The American Nurses Credentialing Center (ANCC) incorporated the foundation provided by the American Nurse Association (ANA) in its definition of nursing informatics and scope and standards of practice. Applicants for the informatics nurse credentialing examination are required to meet which of the following minimum criteria? Equivalent of 2 years of full-time professional practice, Baccalaureate or higher degree in nursing ( or relevant field baccalaureate), current, active license as a professional nurse 34. Nursing informatics employs information and computer technology to support all aspects of nursing practice, including research. Which is an example of supporting research? Development of a standardized nursing language 35. Which role is only appropriate for the informatics nurse specialist (INS)? The design of nursing research protocols and databases 36. Which of the following examples demonstrate how nursing informatics helps to support nursing practice? Quick access to computer archived patient data from previous encounters Computer-generated client documentation including DC instructions Computer-generated nursing care plans and critical pathways Prompts that appear during documentation to ensure comprehensive charting 37. Information is defined as which of the following? Interpreted data 38. Nurses need to become skilled at using patient-centered IT tools to access information that can expand their knowledge in a just-in-time, evidence-based approach. Which one of these answers best indicates the nurse is functioning as a knowledge worker? The nurse shifts from primarily using critical thinking to also using critical synthesis 39. The TIGER initiative is an acronym for which of the following? Technology Informatics Guiding Education Reform 40. The quality and safety education for nursing (QSEN) project sets and agenda to improve the quality and safety of the health care delivery system. To achieve the goals set by QSEN, the institute of medicine (IOM) suggested the following competencies for nurses EXCEPT for which of the following? Professional code of conduct 41. Technology has been useful in reducing errors by assisting the health care team to identify the patient before rendering care. The most common way for nurses to identify patients using technology is through which of the following? Use of barcodes 42. Access to patient care data and utilization of nursing research are essential components of evidence-based practice designed to increase patient safety and provide quality care. Which of the following of technology cannot be employed to remove barriers of information and evidence-based practice? Online report cards 43. The reason that nursing lags behind in the education of nursing informatics specialist is because of which of the following? The lack of qualified faculty in graduate programs 44. Which of the following groups have been selected to help the changes necessary to transform the health care delivery system, improve quality of services delivery, and improve safety? Informatics nurse specialist 45. The informatics nurse specialist is an integral member of the health care team the expertise to: Create standardized nursing languages 46. Which of the following answers best define data? Data is a collection of numbers, characters, or facts that are gathered according to some perceived need for analysis and possibly action at a later point in time. 47. What is the key impediment of telehealth? Licensure 48. What are the benefits of nursing terminologies? Increased visibility, better communication, involved patient care, enhanced data collection, adherence to standards. 49. What are NANDA, NIC, NOC, CCC, PNDS, NMDS? Examples of nursing terminologies 50. Research that generates knowledge for nursing practice is called? Evidence based practice 51. What are the 3 sciences that nursing informatics utilize in the definition? Nursing science, computer science, and information science 52. Nursing informatics focuses in what 4 concepts? Data, information, knowledge and wisdom 53. What are raw facts that lack meaning? Data 54. What are the modules of CDSS? Reminders, alerts, drug/drug, drug/allergy checking, guidelines and protocols, image recognition, and interpretation 55. What filed attempts to capture the complex process of the human thought and intelligence? Artificial Intelligence 56. What is the electronic record of patient health information produced by encounters in one or more care setting? EHR 57. What are at least 2 economic benefits of telehealth? Decreased ER visits, decrease length of stay, decrease admission, decrease travel cost, increase in productivity of clinicians 58. What is the definition of nursing terminologies? A systematic standardized way of describing nursing practice and includes data sets, taxonomies, nomenclatures, and classification. 59. The number 1 focus of EHR as stated by IOM? Patient safety 60. What are the components of the metaparadigm of nursing? Nurse, patient, health, and environment 61. What are the consumers of telehealth technology? Chronically ill, isolated, concerned families, and assisted living patients 62. A DSS or CDSS should support, not replace what of a clinician or manager? Judgement and critical thinking 63. What are 3 peripheral devices used in telehealth? Scale, BP monitor, Pulse oximeter, thermometer, glucometer, EKG or heart monitor, PTT/INR meter, camera 64. What is a system designed to support health care providers in making decisions about the delivery and management of patient care? Clinical Decision Support System 65. What module is used to enter meds and other orders into the computer? Order entry management 66. What allows the clinician to be in be in contact with a patient without a face to face encounter? Telehealth 67. People who share a specialized knowledge? Professional 68. What is the ability to apply appropriate to use knowledge to manage and solve human problems? Wisdom 69. What is a RN with an advances education possess additional knowledge skills to computer and information technology? Nurse informatics specialist 70. What is the goal of nursing informatics? Improve health of populations, communities, families and individuals by optimizing information management and communication. 71. What is data that is interpreted, organized or structured? Information 72. What is information that is synthesized so that relationships are identified and formalized? Knowledge 73. The process of actively and skillfully using knowledge to apply analyze, synthesize and /or evaluate data and information? Critical thinking 74. What is informatics? The interdisciplinary study of the design, application, use and impact of information technology 75. What is nursing informatics? A combination of computer, information, and nursing science designed to assist in the management and processing of nursing data, information, and knowledge 76. What is healthcare informatics? AKA clinical informatics directed at the level of individuals an umbrella tern including medical, dental and nursing 77. Benefits of nursing informatics? Enhance practice and allows nursing science to develop Improve documentation (saves time) Uses data for quality control and research Builds evidence-based nursing knowledge 78. Informatics Pyramid ( Bottom to top): Data ~ information ~ knowledge~ Wisdom 79. What is structed data: Follows standards; easily shared; less flexible, reliable reporting 80. What is unstructured data? Easy to use; flexible; requires analytics; not as reliable; not as easily shared 81. What is evidence- based practice? Provides basis for clinical guidelines and clinical decision support 82. What is clinical decision-making? Choices are based on the idea that research-based care improves outcomes 83. What is knowledge transformation? The conversion of research findings through a series of stages to impact health outcomes 84. Meaningful use? Established to improve quality, safety, and efficiency, engage patients and families in care, improve coordination of care, improve public and population health, ensure privacy and security 85. HITECH act? Health information technology for economic and clinical health ~ 2009: promotes adoption and meaningful use of health IT. Powered by TCPDF ()