NR 599 Week 4 Midterm Exam Chamberlain College of Nursing GRADED A

NR 599 Week 4 Midterm Exam Material Question 1 2 / 2 pts The nurse understands that nursing informatics is recognized as a specialty area of practice by which statement? (CO 7) There is a need for nursing informati ...

NR 599 Week 4 Midterm Exam Material Question 1 2 / 2 pts The nurse understands that nursing informatics is recognized as a specialty area of practice by which statement? (CO 7) There is a need for nursing informatics interests to gain representation by work groups and organizations within the United States. The use of information and computer technology as a tool to process information to support all areas of nursing, including practice, education, administration and research. A formal educational program at the master's level must be completed before a nurse is eligible to sit for the credentialing examination. As a differentiated practice, nursing informatics is focused upon the client, the environment, health, and the nurse. Question 2 2 / 2 pts Which statement by the nurse verifies that the nurse is "information literate"? (C0 1) "I can use software applications such as word processing, spreadsheets, and presentations." "I utilize databases in the health care setting to input client information such as skin condition." "I use email over the Internet to correspond with clients and provide information." "I understand how to search for a website and evaluate its usefulness for health care needs." Question 3 2 / 2 pts The nurse gathers much data when caring for clients. Which is an example of the higher-level "information" useful in caring for clients? (CO 1) Lab work results include an electrolyte panel and complete blood count with differential. After receiving Rocephin (ceftriaxone sodium) 1.0 gram IV yesterday, the client reported feeling better today. The client is a widowed 64-year-old black male admitted with prostatitis. The vital signs are BP of 130/70, HR of 88, RR of 24, temperature of 98.8 degrees F., and oxygen saturation of 98%. Question 4 2 / 2 pts Which statement best distinguishes the difference between information literacy and computer literacy? (CO 1) Information literacy is the foundation of the EHR whereas computer literacy helps the nurse to access data. A nurse can extrapolate data with computer literacy and not information skills. Information literacy forms the basis for ongoing learning whereas computer literacy refers to a familiarity with the use of personal computers. NR 599 Week 4 Midterm Exam Material Information literacy is unnecessary in health care whereas computer literacy provides the basis for computer order entry. Question 5 2 / 2 pts Which statement regarding pressures that drive the health care delivery system today is not accurate? (CO 7) Evidence-based practice is supported with technology that enables the health care provider to utilize up-to-date research findings. Managed care may utilize disease management to identify clients with chronic conditions, and treat them effectively to minimize complications and cost. The current and projected nursing shortage may be eliminated by instituting technology enhancements in the acute care setting. Medication errors and adverse events may be reduced with the implementation of computerized physician order entry (CPOE). Question 6 2 / 2 pts Which action indicates the nurse is functioning as a knowledge worker? (CO 1) The nurse obtains the client's vital signs of BP-120/82, P-112, and R-32, totals up the intake of 1040 ml and the output of 1100 ml, and records these data in the electronic medical record. The nurse auscultates hypoactive bowel sounds while doing a client assessment eight hours postoperatively after abdominal surgery and documents the assessment in the electronic medical record. The nurse auscultates diminished breath sounds in a postoperative client the morning after abdominal surgery and encourages the client to turn, cough, and deep breathe every hour instead of every two hours. The nurse administers four units of regular insulin to the client whose blood glucose is 240 at 11:30 a.m. per physician's sliding scale orders and documents it on the electronic medical administration record. Question 7 2 / 2 pts Which of these is an advantage in the use of Personal Digital Assistants (PDAs) in the health care setting? (CO7) Data loss is minimized due to long battery life and ease of backups. PDAs may be synchronized with any network without the use of special equipment or software. Current medication information may be easily stored and compared to actual client data. PDAs minimize the chance of interception of data transmission. Question 8 NR 599 Week 4 Midterm Exam Material 2 / 2 pts Equipment and hardware selection are based on personal and institutional needs. Which of the following answers are considered when selecting a system? (CO 7) Budget constraints All of the above Number of workers needed to access computer at one time. Backup options Storage capacity Program execution time Question 9 2 / 2 pts Knowledge discovery in databases offers the health care team trended patterns that can be transformed into useful data. Which nursing role can best benefit from knowledge discovery as it pertains to evidence-based practice? (CO7) The nurse as researcher The nurse as administrator The nurse at point of care The nurse as educator IncorrectQuestion 10 0 / 2 pts The nurse refers the client to a website on smoking cessation after evaluating its contents. Which factor increases the probability that the website is appropriate for the client? (CO7) The site has a current revision date and a URAC accreditation seal that the site meets quality standards. The site has a list of broadly generalized indications for smoking cessation. The site is sponsored by a pharmaceutical company that manufactures a smoking cessation medication. The site is written in technical language and has comprehensive chemical diagrams for credibility. Question 11 2 / 2 pts The hospital health care library plans to switch some journals from paper format to online subscription. Physicians, nurses, and other health care professionals would be able to access online articles from anywhere by using a valid ID. Which of these is a disadvantage for totally online publications? (CO7) Libraries must pay higher fees to acquire and store the materials. Drawings and photographs are difficult to reproduce in electronic format. Those persons without online access may not be able to access the materials. Current information may require more time to be approved for posting. NR 599 Week 4 Midterm Exam Material Question 12 2 / 2 pts There are many Internet websites available for searching health care related questions. Web portals are specialized websites that personalize features for individual users. Which best describes how a Web portal can individualize user information? (CO7) A website that uses the HyperText Markup Language (HTML) to display its pages. A website that provides a home page with general information about the organization. A website that offers specialized search engines for searching out information. A website that requests the user to register and then sign in each time upon entering. Question 13 2 / 2 pts Which of the following is a true statement about protecting the confidentiality of client-related e-mail? (CO1) Viruses may be transmitted by e-mail messages, so each e-mail should be separately scanned prior to being read. Public key infrastructure (PKI) uses unique codes to confirm the identity of those sending e- mails. Digital credentials utilize biometric means, such as thumbprint, to verify the identity of the sender. Encryption keys prevent viruses or Trojan horses from being attached to e-mail messages. Question 14 2 / 2 pts Which is the most effective way to reduce SPAM (unsolicited e-messages) in the workplace? (CO 1) Use "challenge response software" to request confirmation that the e-mail was sent by a person. Send and receive all company e-mail from a single e-mail account. Allow the e-mail application program to filter all mail and send unwanted messages to the trash. Reply to each message and request to be taken off the mailing list. Question 15 2 / 2 pts A physician wishes to send a very large file to a consulting physician, including a patient's chart and diagnostic images with reports. Which is the most appropriate method of sending the data? (CO 1) Connect to the physician's computer via dial-up and transfer the information. Attach the file to an e-mail and send it, ensuring encryption is utilized. Utilize a file transfer protocol (FTP) program to upload the information to the physician. NR 599 Week 4 Midterm Exam Material Remove all graphics from the file, send the file via e-mail, and fax the diagnostic images. Question 16 2 / 2 pts 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. The novice nurse using a spreadsheet to document medication reactions. An experienced staff nurse creates databases employing SNOMED. A beginning nurse utilizes the Internet to integrate multidisciplinary languages. Question 17 2 / 2 pts Describe at least three factors in the current healthcare delivery system that drive the implementation of information technology in the acute care setting. Patient safety Nursing shortage Evidence-based practice Increased numbers of digital natives in nursing practice Question 18 2 / 2 pts A disadvantage to the utilization of the electronic medical record (EMR) includes which of the following? Accessibility from several different locations simultaneously and by different levels of providers The intensive training in the beginning needed to prepare staff members to use the EMR Less time available for client care because more time is required for documentation activity Inability to incorporate diagnostic images into the EMR because of space limitations Question 19 2 / 2 pts 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 do which of the following? Attain informatics nurse certification within six months of beginning practice. Input vital signs and intake and output data in the electronic medical record. Utilize the Internet to review trends in health care information technology. Use an electronic spreadsheet to create staffing rotations. Question 20 2 / 2 pts NR 599 Week 4 Midterm Exam Material In which way does medical informatics overlap with nursing informatics? Medical and nursing informatics focus on the areas of information retrieval. Medical and nursing informatics focus on patients' families. Medical and nursing informatics focus on hospital complications. Medical and nursing informatics focus on hospital complications. Question 21 2 / 2 pts 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? This statement is true because the tool has been invented. The statement is false because the tool has not been developed. The statement is true because most consumers have Internet access. The statement is true because of the steep learning curve associated with searching the Internet. Question 22 2 / 2 pts The role of the informatics nurse does not include assessing the usability of devices for health care consumers. This statement is false because of which of the following reasons? The informatics nurse approves the usability of devices. The development of policy regarding usability is an important part of the informatics nurse's role. The informatics nurse is concerned more with the actual device than the usability. The informatics nurse's role is to work only with the nursing staff and not patients. Question 23 2 / 2 pts 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 reasons? Nurse informatics specialists will work collaboratively with other disciplines to develop user- friendly systems. Nurse informatics specialists will work with other disciplines in an attempt to gain control over the use of the health care technology. Nurse informatics specialists understand all of the disciplines and are able to effect changes in technology. Nurse informatics specialists are knowledgeable about the needs of the typical consumer of technology. Question 24 2 / 2 pts NR 599 Week 4 Midterm Exam Material The best estimate of the number of informatics nurses needed over the next few years is which of the following? 500 to 1500 6000 to 12,000 2000 to 5000 15,000 to 25,000 Question 25 2 / 2 pts 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. Advanced degrees in nursing informatics are available only online in the United States. There is limited interest in advanced education in nursing informatics. There are advanced degrees available in nursing informatics, however, with technology experience there is no need for advanced theoretical education. Question 26 2 / 2 pts Knowledge management is a structured process for the generation, storage, distribution, and application of what kind of knowledge in the organization? Standard Text: Select all that apply. Chronological knowledge Redundant knowledge Tacit knowledge (personal experience) Generational knowledge Explicit knowledge (evidence) Question 27 2 / 2 pts The American Nurses Credentialing Center (ANCC) incorporated the foundation provided by the American Nurses 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? Standard Text: Select all that apply. Advanced graduate education in nursing informatics (or related field) Equivalent of two years of full-time professional practice Professional clinical practice for at least 500 hours Baccalaureate or higher degree in nursing (or relevant field baccalaureate) Current, active license as a professional nurse NR 599 Week 4 Midterm Exam Material Question 28 2 / 2 pts 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 Identifying evidence of best clinical nursing practices Familiarity with spreadsheets and statistics software and analysis Housing collected client data within automated record systems Question 29 2 / 2 pts Which of the following is not associated with information literacy? Recognizing when information is needed Ability to find, evaluate, and effectively use information Familiarity with the use of personal computers and software Understanding ethical issues surrounding the use of information Question 30 2 / 2 pts Which role is only appropriate for the informatics nurse specialist (INS)? Disseminating information for appropriate health care uses Transforming data into information Transforming information into knowledge The design of nursing research protocols and databases Question 31 2 / 2 pts Which of the following examples demonstrate how nursing informatics helps to support nursing practice? Standard Text: Select all that apply. Quick access to computer-archived patient data from previous encounters Computer-generated client documentation including discharge instructions Computer-generated nursing care plans and critical pathways Tools to assist consumers in assuming greater responsibility for payment for services Prompts that appear during documentation to ensure comprehensive charting Question 32 2 / 2 pts Information is defined as which of the following? The management and processing of facts Interpreted data NR 599 Week 4 Midterm Exam Material A collection of numbers, characters, or facts that are needed for analysis and possible action A synthesis of data derived from several sources to produce a single concept or idea Question 33 2 / 2 pts 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 assumes the role of knowledge user. The nurse shifts from primarily using critical thinking to also using critical synthesis. The nurse assumes the roles of data gatherer and information user. The nurse utilizes computerized assessment and documentation forms, including prompts. Question 34 2 / 2 pts The TIGER initiative is an acronym for which of the following? Technology Information Grants Electronic Records Technological Initiative Given Electronic Reform Technology Informatics Guiding Education Reform Technology Information Guiding Electronic Reports Question 35 2 / 2 pts The Quality and Safety Education for Nursing (QSEN) project sets an 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? Patient centered care Team work and collaboration Informatics and evidence-based practice Professional code of conduct Question 36 2 / 2 pts 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? Handheld devices Use of barcodes Use of computers on wheels Reviewing patient monitors NR 599 Week 4 Midterm Exam Material Question 37 2 / 2 pts 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 can technology cannot be employed to remove barriers to information and evidence-based practice? Online report cards Handheld devices Electronic spreadsheet software to manage data World Wide Web Question 38 2 / 2 pts The reason that nursing lags behind in the education of nursing informatics specialists is because of which of the following? The surplus of nursing informatics professionals in the hospital setting The lack of qualified faculty in graduate programs Too few nurses are interested in the specialty area Nursing informatics is an expensive specialty with little government funding Question 39 2 / 2 pts Which of the following groups have been selected to help drive the changes necessary to transform the health care delivery system, improve quality of services delivery, and improve safety? Software engineers Members of TIGER initiative Members of the Institute of Medicine Informatics nurse specialists Question 40 2 / 2 pts The Informatics Nurse Specialist is an integral member of the health care team with the expertise to: Create a vision of what is possible in the specialty of informatics. Create standardized nursing languages. Create interactive web sites . Create strategic plans for hardware improvement Question 41 2 / 2 pts Which of the following answers is the best definition of data? NR 599 Week 4 Midterm Exam Material Data are 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. Data are the synthesis of information derived from several sources to produce a single concept or idea. The definition of data is knowledge used appropriately to manage and solve problems. The general term data is used to refer to the management and processing of information with the assistance of computers.