Fundamentals of Nursing Theory Concepts and
Applications 4th Edition Wilkinson Test Bank
Chapter 41: Nursing Informatics
1. In informatics, raw, unprocessed numbers, symbols, or words that have no
meaning by themselves are called which of the following?
1) Information
2) Data
3) Knowledge
4) Wisdom
2. Which informatics concept concerns the appropriate use of knowledge in
managing or solving human problems?
1) Wisdom
2) Data
3) Knowledge
4) Information
3. Computers are important for evidence-based practice because:
1) They are available in all healthcare institutions.
2) Extra training is not required for information retrieval.
3) Information can be processed and managed more efficiently.
4) All of the best evidence is located on a computer.
4. You are a preceptor for a new nursing employee at the local hospital. She needs
to access a patients electronic health record (EHR) to retrieve laboratory results;
however, the newly hired nurse has not yet received a computer password. What
action should you take?
1) Give her your password to use until she obtains her own password.
2) Log on and remain with her while she views the record.
3) Notify your supervisor that the new employee needs a password.
4) Inform her that she will not receive a password until her orientation is
complete.
5. Review the following: 38 years old; growth in height to 52; female gender;
weight gain of 15 pounds. This list can be referred to as which of the following?
1) Information
2) Knowledge
3) Data
4) Patient record
6. CINAHL is a(n):
1) Popular periodical.
2) Internet site.
3) Scholarly journal.
4) Literature database
,7. A nurse is entering a pharmacy request for patient medication in the patients
electronic health record (EHR) while seated at a computer in the nursing station.
A physician approaches her and asks her to access another patients EHR so that
he can look at the patients laboratory report. Which of the following is the best
action for the nurse to take?
1) Access the lab report for the physician.
2) Log off the computer before proceeding.
3) Quickly finish the pharmacy requisition before the physician logs on.
4) Allow the physician to access the laboratory report without logging out.
8. What is(are) the primary benefit(s) of computer physician order entry (CPOE)?
1) Increased privacy
2) Improved access to patient data
3) Cost savings
4) Reduced medication errors
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
1. Which of the following are main functions of a computer? Choose all that apply.
1) Process
2) Storage
3) Memory
4) Output
2. Which of the following aspects of a computer determine its power? Choose all
that apply.
1) User-friendliness
2) Speed of operations
3) Accessibility for the user
4) Data storage capacity
3. Which of the following health information is protected in the electronic health
record? Choose all that apply.
1) Social Security number
2) Insurance information
3) Physicians name
4) Laboratory results
4. The nurse is preparing to pass the 0900 medications prescribed for her patients.
She removes the medications from the automated dispensing unit. When
scanning the medication, an alert notifies the nurse that the patient is allergic to
this medication. What action should the nurse take? Choose all that apply.
1) Override the alert and administer the medication.
2) Confirm the patients allergies and type of reaction.
3) Notify the prescriber of the patient medication allergy.
4) Be sure an antidote is available at the patients bedside.
, Completion
Complete each statement.
1. ____________________ is the managing and processing of information
necessary to makedecisions.
2. ____________________ is the use of telecommunication to send healthcare
informationbetween patients and professionals at different locations.
3. Facebook, MySpace, and LinkedIn are examples of ____________________
tools.
4. ____________________ such as NIC, NOC, NANDA, and PNDS can be used
to describe theunique nursing contributions to patient care.
Answer Section
MULTIPLE CHOICE
1. ANS: 2
Data are raw, unprocessed numbers, symbols, or words that have no meaning by
themselves.
Information consists of groupings of data processed into a meaningful, structured form.
Knowledge is formed when data are grouped, creating meaningful information and
relationships, which are then added to other structured information. Wisdom is the
appropriate use of knowledge in managing or solving human problems.
PTS: 1 DIF: Easy REF: V1, dm. 1003 KEY: Client need: SECE |
Cognitive level: Recall
2. ANS: 1
Wisdom is the appropriate use of knowledge in managing or solving human problems.
Data are raw, unprocessed numbers, symbols, or words that have no meaning by
themselves. Information consists of groupings of data processed into a meaningful,
structured form. Knowledge is formed when data are grouped, creating meaningful
information and relationships, which are then added to other structured information.
PTS: 1 DIF: Easy REF: V1, dm. 1004 KEY: Client need: SECE |
Cognitive level: Recall
3. ANS: 3
To incorporate the current, best evidence in your nursing practice, you must be able to
locate the evidence, evaluate its quality and relevance to the problem, and apply the
solution to clinical care. Computers are useful for data management, storage, and retrieval
when conducting research or reviewing research findings. Specialized software aids in
statistical analysis of research data. Computers are not available to all personnel in all
healthcare institutions nor can the entirety of best evidence be found electronically.
Training and experience is required to learn how to use a computer as well as how to
conduct a literature search.
PTS: 1 DIF: Moderate REF: V1, dm. 1014 KEY: Client need:
SECE | Cognitive level: Comprehension
4. ANS: 3
Never share your password with another person or log on to a computer to allow another
access to information. Instead, notify your supervisor that the new employee needs a
password. In most hospitals, nurses are given a password during their orientation.
PTS: 1 DIF: Moderate REF: V1, dm. 1013 KEY: Client need:
SECE | Cognitive level: Application
5. ANS: 1
, The segments are grouped into a meaningful, structured form and are considered together
as information. However, 38, 52, female, 15 standing along would be examples of raw,
unprocessed numbers, symbols, or words that have no meaning by themselves and
therefore would be data.
PTS: 1 DIF: Moderate REF: V1, dm. 1003 KEY: Client need:
SECE | Cognitive level: Analysis
6. ANS: 4
CINAHL, The Cumulative Index of Nursing and Allied Health Literature, is a literature
database covering nursing, allied health, biomedical, and consumer health journal articles.
CINAHL may be accessed by the Internet or in hard copy in most libraries.
PTS: 1 DIF: Easy REF: V1, dm. 1015 | V2, dm. 1003 KEY: Client need:
SECE | Cognitive level: Comprehension
7. ANS: 2
The nurse should log off the computer and then allow the physician to log on under his
own password. Accessing information that is not relevant to the care that the nurse is
providing is a HIPAA violation. Rushing to complete a pharmacy request for patient
medication is a situation of risk for medication error. The nurse should never hurriedly
order or administer medication because that is when errors are more likely to occur. The
nurse should never allow anyone to use her password to access information.
PTS: 1 DIF: Difficult REF: V1, dm. 1013; critical thinking
item requiring synthesis of knowledge acquired from text
KEY: Client need: SECE | Cognitive level: Application
8. ANS: 4
Computer physician order entry (CPOE) is technology that allows healthcare providers to
enter orders into a computerized prescribing system instead of handwriting them. Orders
are integrated with patient information, including allergy history and laboratory and other
prescription data. The new order is then automatically checked for potential errors or
problems. This reduces prescription errors resulting from illegible penmanship. It can
detect dosing errors by flagging medication dilution or dosages that fall outside normal
dosing standards. The system warns about the possibility of a drug interaction, allergy, or
incorrect dose. As some drug names sound like other drugs, CPOE can alert prescribers
and potentially avoid a drug error that could be serious or fatal. Although the efficiencies
of the CPOE reduce costs, it is not the primary benefit of the system. Likewise, orders
entered into the computer are more conveniently accessed by nurses and pharmacist, but
the most important benefit of CPOE is to reduce errors.
PTS: 1 DIF: Difficult REF: V1, dm. 1010 KEY: Client need: SECE |
Cognitive level: Application
MULTIPLE RESPONSE
1. ANS: 1, 2, 4
Memory refers to the amount of space available for storage of digital information on a
computer. The four main functions of a computer are input, process, output, and storage.
PTS: 1 DIF: Moderate REF: V1, dm. 1004 | V2, dm. 1003
KEY: Client need: SECE | Cognitive level: Recall
2. ANS: 2, 4
The power of a computer is determined by its speed, accuracy, reliability, and data
storage and processing capabilities. Although ease of use and accessibility are important
features for users, these factors do not determine the power of a computer.
PTS: 1 DIF: Difficult REF: V1, dm. 1004 KEY: Client need:
SECE | Cognitive level: Recall
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