NURSINGbINFORMATICSbANDbTHEbFOUNDATIONbOFbKNOWLED
GEb4THbEDITIONbMCGONIGLEbTESTbBANK
Chapterb1bNursingbSciencebandbthebFoundationbofbKnowledge
Thebnursebunderstandsbthatbnursingbinformaticsbisbrecognizedbasbabspecialtybareabofbpracticebbybwhic
hbstatement?
1. Researchbprioritiesbforbnursingbinformaticsbincludebthebdevelopmentbofbabstandardbnursingbl
anguagebandbthebdevelopmentbofbdatabasesbforbclinicalbinformation.
2. Abformalbeducationalbprogrambatbthebmaster'sblevelbmustbbebcompletedbbeforebabnursebisbe
ligiblebtobsitbforbthebcredentialingbexamination.
3. Asbabdifferentiatedbpractice,bnursingbinformaticsbisbfocusedbuponbthebclient,bthebenvironment,b
health,bandbthebnurse.
4. Therebisbabneedbforbnursingbinformaticsbinterestsbtobgainbrepresentationbbybworkbgroupsbandbo
rganizationsbwithinbthebUnitedbStates.
CorrectbAnswer:b1
Rationaleb1:bThebdevelopmentbofbresearchbprioritiesbisbabkeybpointbinbabspecialtybpractice.bAltho
ughbdegreesbatbthebmaster'sblevelbarebavailable,bthebdegreebrequiredbforbcredentialingbisbtypicallyb
atbthebbachelor'sblevelbandbincludesbexperiencebinbthebfield.bCurrentbdemandsbforbsafer,bcost-
effective,bqualitybcarebrequirebevidencebofbthebbestbpracticesbsupportedbbybresearch.
Rationaleb2:bSuchbabformalbeducationalbprogrambdoesbnotbnecessarilybmeanbabspecialtybareabofbp
ractice.bAlthoughbdegreesbatbthebmaster'sblevelbarebavailable,bthebdegreebrequiredbforbcredentialin
gbisbtypicallybatbthebbachelor'sblevelbandbincludesbexperiencebinbthebfield.bThebdevelopmentbofbres
earchbprioritiesbisbabkeybpointbinbabspecialtybpractice.
Rationaleb3:bYourbchosenbresponsebrefersbtobthebentirebdisciplinebofbnursing.bThebspecialtybofbnursin
gbinformaticsbintegratesbnursingbscience,bcomputerbscience,bandbinformationbsciencebtobmanagebandb
communicatebdata,binformation,bknowledge,bandbwisdombintobnursingbpractice.bThebdevelopmentbofb
researchbprioritiesbisbabkeybpointbinbabspecialtybpractice.
Rationaleb4:bTherebarebmanybworkbgroupsbinbthebUnitedbStatesbrelatedbtobinformaticsbthatbfocusbonb
thebspecialtybofbinformaticsbpractice.bOnebexamplebisbthebNursingbInformaticsbSpecialbInterestbGrou
pbofbthebInternationalbMedicalbInformaticsbAssociation.bThebdevelopmentbofbresearchbprioritiesbisba
bkeybpointbinbabspecialtybpractice.
GlobalbRationale:
,CognitivebLevel:bUnderstanding
ClientbNeed:bSafebEffectivebCarebEnvironment
ClientbNeedbSub:bManagementbofbCare
Nursing/IntegratedbConcepts:bNursingbProcess:bAssessment
LearningbOutcome:
Questionb2bT
ype:bMCSA
Whichbstatementbbybthebnursebverifiesbthatbthebnursebisb"informationbliterate"?
1. "Ibunderstandbhowbtobsearchbforbabwebsitebandbevaluatebitsbusefulnessbforbhealthbcarebneeds."
2. "Ibutilizebdatabasesbinbthebhealthbcarebsettingbtobinputbclientbinformationbsuchbasbskinbc
ondition."
3. "IbusebemailboverbthebInternetbtobcorrespondbwithbclientsbandbprovidebinformation."
4. "Ibcanbusebsoftwarebapplicationsbsuchbasbwordbprocessing,bspreadsheets,bandbpresentations."
CorrectbAnswer:b1
Rationaleb1:bInformationbliteracybnecessitatesbthatbnursesbhavebthebabilitybtobfind,bevaluate,bandbeff
ectivelybusebinformation.bThebotherbanswersbarebexamplesbofbcomputerbliteracybbutbdobnotbhavebtheb
higherbfunctionsbofbinformationbliteracy.
Rationaleb2:bYourbchosenbresponsebisbanbexamplebofbcomputerbliteracy,bbutbitbdoesbnotbhavebthebhigh
erbfunctionsbofbinformationbliteracy.bInformationbliteracybnecessitatesbthatbnursesbhavebthebabilitybtob
find,bevaluate,bandbeffectivelybusebinformation.
Rationaleb3:bYourbchosenbresponsebisbanbexamplebofbcomputerbliteracybbut,bitbdoesbnotbhavebthebhigh
erbfunctionsbofbinformationbliteracy.bInformationbliteracybnecessitatesbthatbnursesbhavebthebabilitybtob
find,bevaluate,bandbeffectivelybusebinformation.
Rationaleb4:bThisbanswerbisbanbexamplebofbcomputerbliteracybbut,bitbdoesbnotbhavebthebhigherbfunctio
nsbofbinformationbliteracy.bInformationbliteracybnecessitatesbthatbnursesbhavebthebabilitybtobfind,bevalu
ate,bandbeffectivelybusebinformation.
GlobalbRationale:
CognitivebLevel:bUnderstanding
ClientbNeed:bSafebEffectivebCarebEnvironment
ClientbNeedbSub:bManagementbofbCarebNursing/Integrate
dbConcepts:bNursingbProcess:bPlanningbLearningbOutcome
:
,Questionb3bT
ype:bMCSA
Thebnursebgathersbmuchbdatabwhenbcaringbforbclients.bWhichbisbanbexamplebofbthebhigher-
levelb"information"busefulbinbcaringbforbclients?
1. ThebvitalbsignsbarebBPbofb130/70,bHRbofb88,bRRbofb24,btemperaturebofb98.8bdegreesbF.,bandbo
xygenbsaturationbofb98%.
2. Labbworkbresultsbincludebanbelectrolytebpanelbandbcompletebbloodbcountbwithbdifferential.
3. Thebclientbisbabwidowedb64-year-oldbblackbmalebadmittedbwithbprostatitis.
4. AfterbreceivingbRocephinb(ceftriaxonebsodium)b1.0bgrambIVbyesterday,bthebclientbreportedbf
eelingbbetterbtoday.
CorrectbAnswer:b4
Rationaleb1:bYourbchosenbresponsebisbanbexamplebofbhavingbpiecesbofbdatabwithoutbinterpretation.b"
Information"bnecessitatesbthatbthebnursebinterpretbandbstructurebthebresultsbofbclinicalbdatabintobinfor
mation.
Rationaleb2:bYourbchosenbresponsebisbanbexamplebofbhavingbpiecesbofbdatabwithoutbinterpretation.b"
Information"bnecessitatesbthatbthebnursebinterpretbandbstructurebthebresultsbofbclinicalbdatabintobinfor
mation.
Rationaleb3:bYourbchosenbresponsebisbanbexamplebofbhavingbpiecesbofbdatabwithoutbinterpretation.b"
Information"bnecessitatesbthatbthebnursebinterpretbandbstructurebthebresultsbofbclinicalbdatabintobinfor
mation.
Rationaleb4:b"Information"bnecessitatesbthatbthebnursebinterpretbandbstructurebclinicalbdatabintobinfor
mation.bItbcanbthenbbebusedbtobaidbclinicalbdecisionbmakingbandbclientbmonitoring.bAllbotherbresponse
sbincludedbpiecesbofbdatabwithoutbinterpretation.
GlobalbRationale:
CognitivebLevel:bUnderstanding
ClientbNeed:bSafebEffectivebCarebEnvironment
ClientbNeedbSub:bManagementbofbCare
Nursing/IntegratedbConcepts:bNursingbProcess:bAssessment
LearningbOutcome:
Questionb4bT
ype:bMCSA
, Whichbstatementbbestbdistinguishesbthebdifferencebbetweenbinformationbliteracybandbcomputerbliterac
y?
1. Informationbliteracybisbunnecessarybinbhealthbcarebwhereasbcomputerbliteracybprovidesbthebbasisbf
orbcomputerborderbentry.
2. InformationbliteracybisbthebfoundationbofbthebEHRbwhereasbcomputerbliteracybhelpsbthebnursebtoba
ccessbdata.
3. Abnursebcanbextrapolatebdatabwithbcomputerbliteracybandbnotbinformationbskills.
4. Informationbliteracybformsbthebbasisbforbongoingblearningbwhereasbcomputerbliteracybrefersbtobabf
amiliaritybwithbthebusebofbpersonalbcomputers.
CorrectbAnswer:b4
Rationaleb1:bComputerbliteracybisbabpopularbtermbusedbtobreferbtobabfamiliaritybwithbthebusebofbpers
onalbcomputers,bincludingbthebusebofbsoftwarebtoolsbsuchbasbwordbprocessing,bspreadsheets,bdataba
ses,bpresentationbgraphics,bandbe-
mail.bThebmajoritybofbstudentsbadmittedbtobnursingbschoolsbnowbenterbwithbsomeblevelbofbcompute
rbliteracy.
Rationaleb2:bComputerbliteracybisbabpopularbtermbusedbtobreferbtobabfamiliaritybwithbthebusebofbpe
rsonalbcomputers,bincludingbthebusebofbsoftwarebtoolsbsuchbasbwordbprocessing,bspreadsheets,bdat
abases,bpresentationbgraphics,bandbe-
mail.bThebmajoritybofbstudentsbadmittedbtobnursingbschoolsbnowbenterbwithbsomeblevelbofbcomput
erbliteracy.
Rationaleb3:bComputerbliteracybisbabpopularbtermbusedbtobreferbtobabfamiliaritybwithbthebusebofbpers
onalbcomputers,bincludingbthebusebofbsoftwarebtoolsbsuchbasbwordbprocessing,bspreadsheets,bdataba
ses,bpresentationbgraphics,bandbe-
mail.bThebmajoritybofbstudentsbadmittedbtobnursingbschoolsbnowbenterbwithbsomeblevelbofbcompute
rbliteracy.
Rationaleb4:bComputerbliteracybisbabpopularbtermbusedbtobreferbtobabfamiliaritybwithbthebusebofbpers
onalbcomputers,bincludingbthebusebofbsoftwarebtoolsbsuchbasbwordbprocessing,bspreadsheets,bdataba
ses,bpresentationbgraphics,bandbe-
mail.bThebmajoritybofbstudentsbadmittedbtobnursingbschoolsbnowbenterbwithbsomeblevelbofbcompute
rbliteracy.
GlobalbRationale:
CognitivebLevel:bAnalyzing
ClientbNeed:bSafebEffectivebCarebEnvironment
ClientbNeedbSub:bManagementbofbCare
Nursing/IntegratedbConcepts:bNursingbProcess:bAssessment
LearningbOutcome:
Questionb5
b