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solutions 1.Which of the following would a nursing instructor use to describe Web 2.0? A)Isolation B)Individualistic C)Collaboration D)Static 2.After teaching a group of students about collective intelligence, the teacher determines that the class needs more instruction when they identify which of the following as an example? A)
Wiki B)
Folksonomies C)
Blog D)
WetPaint 3.
A nurse
is reviewing a mashup that depicts a blueprint of the rooms on the unit along with an overlay of data about infections on the unit. The nurse identifies this type of mashup as which of the following? A)
Mapping B)
Video C)
News D)
Shopping 4.
Which of the following would a computer user be least likely to identify as an example of grassroots media? A)
Podcasts B)
Wikispaces C)
YouTube® D)
Online photo sharing 5.
A
student has created the following e-mail address: . Which of the following is considered the user name? A)
Yahoo B)
jane.doe C)
@ D)
.com 6.
A nurse executive is composing an e-mail to the professional organization. In addition to the name, which of the following would the nurse include when signing an e-mail? A)
Street address B)
Home phone number C)
Sender's title D)
Date 7.
After
teaching a group of students about writing professional e-mails, which of the following statements by one of the students indicates the need for additional teaching? A)
"You should always check the spelling and grammar before sending." B)
"Never send any type of confidential information in an e-mail." C)
"If an unexpected file is attached, don't open it." D)
"Use acronyms and emoticons freely to express the tone." 8.
A nurse is preparing to send an
e-mail with a file attached. Which of the following would be most important to do first? A)
Check that the recipient has the appropriate software to view it. B)
Expect to zip the file so that it will be transmitted much faster. C)
Transfer the file to a CD so that it will be ready for attachment. D)
Send the file to a file transfer Internet Web site. 9.
During a group discussion about using e-mails, a member asks, "What's the best way to avoid spam?"
Which of the following would be the most appropriate rationale? A)
"Spam is like junk mail; you just have to learn to live with it." B)
"Your e-mail provider should have some type of filter to avoid spam." C)
"Try using a different e-mail address every now and then." D)
"Never give out your e-mail address on the Web, such as online shopping sites." 10.
A nurse is contacting several colleagues using the Internet for a conference call. Which of the
following is the nurse using? A)
Web conferencing B)
Instant messaging C)
Telephony D)
Webcast 11.
During a presentation about networking, a nurse asks, "I've heard all about this 'Twitter', but how is it different from instant messaging?" Which response by the presenter would be most appropriate? A)
"You can send larger messages than with IM." B)
"The message is shared with others." C)
"It is the preferred social networking
site." D)
"You use your real names for 'tweeting'." 12.
A nurse practitioner wants to join a networking site with other nurse practitioners. Which of the following would the nurse practitioner most likely choose? A)
Facebook B)
LinkedIn C)
MySpace D)
Plaxo 13.
When working with Acrobat.com, a nurse would expect which of the following? Select all that apply. A)
Need to purchase an outside word processing program. B)
Ability
for animating and interactivity C)
Free Webinar software D)
Registration fee requirement E)
Private workspace 14.
A nurse participates in a blog with other nurses about caring for terminally ill patients. The nurse receives an alert via which of the following when new information is added? A)
Wiki B)
Mashup C)
RSS feed D)
Usenet 1.
After teaching a class about spreadsheets and the
difference between them and word processing, the instructor determines that the students have understood the information when they identify which of the following as specific to spreadsheets? A)
Features used in spreadsheets are different. B)
Programs are bundled with other office software. C)
Formula functions are built into the menu options. D)
Windows are used but icons are not. 2.
A student is preparing a spreadsheet. He plans to put data into the
rectangles in the table. The student identifies these rectangles as which of the following? A)
Rows B)
Columns C)
Slots D)
Cells 3.
A student has prepared a spreadsheet with data that fill three columns and four rows. The student names a cell range that encompasses the first cell of the second column through the last cell of the third column. The student would express this cell range as which of the following? A)
2.1 to 3.4 B)
B1/C4
C)
2B:4C D)
B1:C4 4.
A group of students is reviewing information for an examination on spreadsheets. The students demonstrate a need for additional studying when they state which of the following as a use of spreadsheets in nursing? A)
List benefits and limitations of breast-feeding B)
Monitor for medication errors C)
Calculate length of stays of surgical patients D)
Document quality improvement of patient care 5.
A nurse is
reviewing a spreadsheet and identifies a cell containing an absolute formula. Which symbol would the nurse interpret as indicating this? A)
* B)
$ C)
= D)
@ 6.
When creating a spreadsheet that involves formulas, the user understands that the computer follows a specific order of operations. Place the operations listed below in the order that they would occur from first to last.
A. Addition
B. Exponentiation
C. Parentheses
D. Division
E.
Multiplication
F. Subtraction A)
A, F, E, D, C, B B)
C, D, F, E, A, B C)
B, D, F, A, C, E D)
C, B, E, D, A, F 7.
When creating a spreadsheet, a user locks the cells of a spreadsheet to prevent the user from changing the cell value. The user is engaged in which of the following? A)
Data protection B)
Security C)
Linking D)
Freezing 8.
An instructor is preparing a class discussion that focuses on ensuring
that spreadsheets effectively communicate what the user intended. Which of the following would the instructor include? A)
Entering two or three values into the cell if the data are to be sorted for analysis B)
Naming each spreadsheet to clearly identify its purpose or topic C)
Including a table of contents when designing a simple spreadsheet D)
Combining three or four tables in one worksheet for each workbook 9.
After entering information about groups
of students in attending a nursing school into a spreadsheet, a nursing faculty member decides to create a chart to represent the information. Which type of chart would be most appropriate for the faculty member to use to depict the percentages of the groups of students? A)
Pie chart B)
Column chart C)
Bar chart D)
Line charts 10.
When creating a chart from a spreadsheet using commercial software, which of the following would the user do first? A)
Click
on the chart tool menu B)
Select the type of chart for the data C)
Select the cells of data for the chart D)
Preview the chart on the screen 11.
After teaching a class of students about how to use spreadsheets, the instructor determines that the class has achieved intermediate spreadsheet skills when they demonstrate which of the following? Select all that apply. A)
Name a worksheet tab B)
Freeze rows C)
Import data in text format
D)
Modify a pivot table E)
Create a dashboard 12.
A nursing instructor is using a spreadsheet to perform an item analysis for a group of tests used in the medical-surgical class over the past 5 years. The instructor has beginning-level spreadsheet skills. Which of the following would be least appropriate for the instructor to do to ensure the analysis is accurate? A)
Use a separate worksheet for each of the tests in the workbook B)
Draft out the design
using a pencil and paper first C)
Enter several values into each of the cells D)
Create a name for each spreadsheet developed 13.
A student is enrolled in a class to learn how to use spreadsheet software. During one of the classes, the student asks the instructor, "What is the difference between a worksheet and a workbook?" Which response by the instructor would be most appropriate? A)
"A workbook uses many more mathematical calculations than a worksheet."
B)
"A worksheet is a spreadsheet but a workbook has one or more worksheets." C)
"The workbook is the starting point and the worksheet is the final result." D)
"The terms are used interchangeably in any spreadsheet program." 14.
A nurse-manager has created a spreadsheet with data about the number of nurses enrolled in continuing education programs over the past 6 months. The nurse-manager now wants to use this information to create a chart to compare the amounts
over each quarter. Which type of chart would be most appropriate for the nurse-manager to use? A)
Pie chart B)
Clustered bar chart C)
Stacked bar chart D)
Line chart 15.
A nurse is entering data into a spreadsheet and formats the cell as text. Which of the following would be appropriate for the nurse to enter into this type of cell? Select all that apply. A)
Medical record number B)
Zip code C)
Date D)
Time E)
Social
security number 1.
After teaching a class about information literacy and health literacy, an instructor determines the teaching was successful when the students identify which of the following? A)
Achieving health literacy is required before achieving information literacy. B)
Expertise in information and health literacy is achieved with continuous practice. C)
Information literacy involves making appropriate decisions about
health. D)
Information literacy is derived from the broader perspective of health literacy. 2.
A nursing instructor is describing the connection between information and health literacy and critical thinking. Which of the following would the instructor most likely include as aspects of critical thinking? A)
A single-angle focused approach to a problem B)
A set of skills for processing information C)
Providing answers to questions D)
Setting
boundaries for information seeking 3.
To ensure that patient teaching is appropriate for a group of individuals, a nurse assesses the teaching information's readability using the Flesch Reading Ease. Which score would reflect that the information was easily readable? A)
35 B)
45 C)
55 D)
65 4.
After teaching a class about information technology skills, the instructor determines that the students need additional instruction when they identify
which of the following as important to these skills? A)
Ability to use up-to-date computer applications B)
Understanding of the principles for networks C)
Ability to cope with unintended problems when they arise D)
Problem solving by applying information technology 5.
A student is searching the Internet for information about the nursing licensure examination. Which site would be most appropriate for the student to access? A)
The Joint
Commission B)
Centers for Medicare and Medicaid C)
National Council of State Boards of Nursing D)
National Institutes of Health 6.
When describing online journals to a group of nursing students, which of the following would the instructor include as a factor affecting their use? A)
Content quality is viewed as typically higher than in print journals. B)
Publishing in an online journal may be risky for faculty who seek tenure. C)
Most
nurses and students are acutely aware of the existence of online journals. D)
Online journals typically are well funded, with long-term ability for success. 7.
After teaching a group of students about the differences between a scholarly article and an article in an e-zine, which of the following, if stated by the students, indicates effective teaching? A)
E-zines undergo a general peer-review process. B)
A nurse generalist typically writes a scholarly
article. C)
An e-zine article can be written by anyone, including a nurse. D)
Experts review the quality of e-zine articles for validity. 8.
Which of the following would be least appropriate to use as a primary source for obtaining evidence-based nursing research? A)
Internet B)
Sigma Theta Tau C)
Institute of Medicine D)
Cochrane Collaboration 9.
When evaluating a Web site for health information, which question would be
important for the nurse to ask when determining the validity and quality of the information? A)
Is the site a for-profit or not-for-profit site? B)
Is the date of the site's last update clearly specified? C)
Who is the author and what are his or her credentials? D)
Are there any potential conflicts of interest? 10.
When evaluating a student's information literacy, which of the following behaviors, if demonstrated by the student, would indicate that he
or she is beginning to achieve competency? Select all that apply. A)
Identifies extent of information needed B)
Experiences some difficulty accessing needed information C)
Evaluates information and its sources critically D)
Incorporates information into one's knowledge base E)
Uses information effectively to accomplish a specific purpose F)
Requires guidance in ethical and legal use of the information 11.
A group of nursing students
are reviewing information about evidence-based practice, specifically the Star Model of Knowledge Transformation©. The students demonstrate understanding of this model when they identify which of the following as occurring after discovery? A)
Evaluation B)
Implementation C)
Summary D)
Translation 12.
A nurse is involved with knowledge generation as part of the process of integrating evidence-based practice. Which of the following would the nurse be
involved with from the research perspective? Select all that apply. A)
Converting nursing data into information B)
Using decision support systems C)
Identifying information in nursing literature D)
Synthesizing nursing information to solve nursing problems E)
Applying the steps of information literacy 13.
As part of a nursing conference on evidence-based practice, a nurse is discussing the need for knowledge sharing. Which of the following
would the nurse identify as being an impact of this sharing? Select all that apply. A)
Enhanced professional nursing practice B)
Improved computer communication skills C)
Health policy changes D)
Changes in interdisciplinary practices E)
Reinterpretation of data 14.
When describing information technology skills to a class, an instructor describes the knowledge needed to develop these skills. Which of the following would the instructor
describe as current skills? A)
Ability to use searching tools B)
Ability to understand computer networks C)
Ability to think abstractly D)
Ability to manipulate information into something new 15.
A nurse is searching the Internet for information related to clinical trials and grants. Which site would the nurse most likely use to obtain quality information? A)
The Joint Commission B)
National Institutes of Health C)
The
Centers for Disease Control and Prevention D)
The Agency for Healthcare Research and Quality Answer Key 1.
A 2.
C 3.
A 4.
B 5.
A, B, D 6.
C 7. A 8.
B 9.
A, C, D, E 10.
B 11.
A 12.
C 13.
D 14.
B, C, D, E 15.
C, D, E 1.
After teaching a group of students about electronic
medical records, the instructor determines that the teaching was successful when students describe the records as which of the following? A)
Complete record of a patient's healthcare information B)
Record of a patient's stay in an agency such as a hospital C)
A record that is accessible by outside agencies D)
Record that allows patients to enter data 2.
When describing the implementation of personal health records to a group of students, which of the
following would the instructor include as being readily available? A)
Protocols for use B)
Standardized data C)
Computer technology D)
Procedures for use 3.
An agency is implementing the use of smart cards for healthcare. Which of the following best describes this personal health record? A)
Patients create their own card to be given to their providers. B)
The card is contained in a device that plugs into a USB port. C)
The
card contains readable data with an ability to have more data written to it. D)
The card contains an operating system and RAM. 4.
Which of the following would healthcare providers most likely identify as the primary concern associated with e-mails between patients and healthcare providers? A)
Lack of time to become involved B)
Lack of interest in electronic communication C)
Inadequate staff to handle the communication D)
Privacy of the
communication 5.
A healthcare provider is setting up e-mail communication between the practice and his patients. One of the nurses is teaching the patients how to use the system. The nurse determines that additional teaching is needed when one of the patients states which of the following? A)
"We need to put our names or identification numbers in the body of the message." B)
"We should be very specific in our message, making sure that it is detailed." C)
"We
should put the issue in the subject line of the message." D)
"When we get a response, we should use the auto-reply feature to acknowledge it." 6.
When preparing to develop a program for online communication between patients and healthcare providers, which of the following would the providers address as the priority? A)
Asking questions without a visit B)
Making appointments C)
Renewing prescriptions D)
Getting lab test results 7.
A
patient asks a nurse about creating a personal health record using a fee-based Web service. Which response by the nurse would be most appropriate? A)
"Most of these services are the same, so just pick one." B)
"Always check the fine print in the privacy policy." C)
"These services are easy and quick to use." D)
"Caregivers can access the record in an emergency." 8.
After teaching students about the various types of electronic health records, the
instructor determines that the students have understood the information when they state which of the following is the current focus of most healthcare agencies? A)
Electronic medical record B)
Electronic health record C)
Personal health record D)
Electronic medication administration record 9.
When describing an electronic health record, which of the following would characterize a true electronic health record? A)
Information included in the
record B)
Ability to interface with outside agencies C)
Access to information by patients D)
Healthcare information owned by the agency 10.
When teaching a class about the barriers to implementing personal health records, which of the following would an instructor include? A)
Fear of collaboration B)
Questionable management of disease C)
Lack of personalization of care D)
Manner of useful data presentation 11.
A
group of nurses working in an office are advocating for the use of e-encounters. When describing this process, which of the following would the nurses identify as a benefit? Select all that apply. A)
Improved retention of information B)
Avoidance of telephone tag C)
Need for transcription to be filed D)
Clear reimbursement guidelines E)
Increased staffing numbers 12.
After teaching a class about smart healthcare cards, the instructor
determines that additional teaching is needed when the class identifies which of the following as a component of a smart card? A)
CPU B)
ROM C)
RAM D)
Hard drive 13.
An instructor is describing the health information record integration. Which of the following would the instructor explain as being the highest level of integration? A)
Electronic medical record B)
Electronic health record C)
Personal health record D)
Smart
card 14.
A nurse is reviewing journal articles related to personal health records. Which of the following would the nurse expect to find while reading? Select all that apply. A)
Most records are being kept electronically. B)
Individuals are concerned about privacy. C)
Many people are uncomfortable using computers. D)
It is time-consuming to enter the data in the computer. E)
Many feel the record meets most of their needs. 15.
When
presenting a class discussion on personal health records and their implementation, the instructor reviews several barriers. Which of the following would the instructor be most likely to include? Select all that apply. A)
Reluctance by providers B)
Variations in patient identifiers C)
Issues involving data security D)
Patients viewing themselves as consumers E)
Liability issues 1.
When describing consumer
informatics to a group of students, the instructor includes which of the following as a contributing factor? A)
The rising costs of healthcare B)
The complexity of navigating the Internet C)
Desire by consumers for increased responsibility D)
The continued pervasive culture of paternalism 2.
Which of the following would a consumer use to compare the performance of health plans? A)
Healthcare Effectiveness Data and Information Set (HEDIS) B)
Hospital
Quality Alliance (HQA) C)
Centers for Medicare and Medicaid Services (CMS) D)
National Committee for Quality Assurance (NCQA) 3.
An instructor is teaching a group of students about the use of online pharmacies by patients. The instructor determines that the teaching was successful when the students identify which of the following as a problem? A)
The site offers to prescribe a prescription drug for the first time without a physical exam. B)
The site
offers convenient access to a licensed pharmacist able to answer patients' questions. C)
The site provides a U.S. address and phone number to contact if a patient has a problem. D)
The site requires a prescription for prescription drugs that are approved by the Food and Drug Administration 4.
A patient comes to the clinic for a visit and brings information about his condition that he got off the Internet. Which of the following responses by the nurse would be most
appropriate? A)
"What, don't you believe that we're doing what's best for you?" B)
"Let's go over this information and see what it says." C)
"I really need to check out this site before we talk about it." D)
"You need to be really careful about what you get off the Internet." 5.
A group of students is reviewing material in preparation for an examination on health literacy. Which of the following, if identified by the students as a characteristic,
indicates the need for additional studying? A)
Unrelated to years of education B)
Variable with the context and setting C)
Greater predictor of health than age D)
Primarily the ability to use basic reading skills 6.
A patient receives his cholesterol test results and decides to make lifestyle changes to improve his numbers. The nurse would interpret this as which of the following? A)
Health literacy B)
Health numeracy C)
Consumer
informatics D)
Information literacy 7.
When assisting a patient who will be participating in telemonitoring in his home, which of the following must the nurse do first? A)
Evaluate the technical skills of the user B)
Determine if the user has the necessary physical skill C)
Ask the patient to select a location for the device in the home D)
Use everyday terms when teaching how to use the device 8.
When discussing online support groups
with patients, which of the following would the nurse include? A)
Limited range of areas covered B)
Consistent quality of information C)
Variable sponsorship D)
Mostly nonmoderated 9.
After teaching a group of students about the advantages of online support groups, the instructor determines that students need additional teaching when they state which of the following? A)
Groups are highly diverse in their perspectives. B)
Anonymity
aids in discussing sensitive issues. C)
Messages can be carefully thought out before posting. D)
Most interactions are synchronous. 10.
A nurse is evaluating a Web page that was designed for use with patients. Which of the following would be most important to assess? A)
Design B)
Accessibility C)
Usability D)
Artistic approach 11.
A nurse is reviewing information about the quality of care for certain hospitals in the local
area. The nurse finds information specifically about ratings related to high-risk treatments. Which Web page would the nurse be viewing? A)
Healthcare Effectiveness Data and Information Set B)
National Committee for Quality Assurance C)
Hospital Quarterly Alliance D)
The Leapfrog Group 12.
A nurse who is working in the physician's office is explaining the newly created patient portal that the practice has developed to a group of clients. When
describing what the portal can be used for, which of the following would the nurse include? Select all that apply. A)
Making routine appointments for follow-up B)
Getting renewals for current prescriptions C)
Alerting clients about abnormal lab results D)
Allowing clients to verbally communicate with staff E)
Helping clients in decision making 13.
A client is searching the Web for health information. The search engine being used is a crawler
search engine. Which of the following might the client be using? Select all that apply. A)
Google B)
Yahoo! C)
Bing D)
Ask Jeeves E)
Open Directory 14.
During a healthcare visit, a client shows the nurse information that he has obtained from the Internet about his current condition. When discussing this information with the client, which of the following would be most important for the nurse to keep in mind? A)
The information may be
correct. B)
The source needs to be verified. C)
References must always be listed. D)
The information is likely to be out-of-date. 15.
After teaching a group of students about health literacy and the skills associated with it, the instructor determines that the teaching was successful when the students identify which ability as a necessary skill? Select all that apply. A)
Understand visual information B)
Locate health information C)
Make
decisions D)
Read at a college level E)
Apply relevant information Answer Key 1.
When describing technical interoperability to a group of students, which of the following would the instructor include? A)
Automatic interpretation of messages exchanged B)
Action by computer without human intervention C)
Coordination of workflow management D)
Information transmission and reception for use 2.
When
describing interoperability, which of the following organizations would an instructor describe as being responsible for setting interoperability standards in health? A)
International Organization for Standardization (ISO) B)
International Electrical Commission (IEC) C)
American National Standards Institute (ANSI) D)
American Society for Testing and Materials (ASTM) 3.
A nurse reviewing statistics on global morbidity and mortality rates understands
that this information is based on which of the following? A)
ICD-9 codes B)
ICD-10 codes C)
ICD-11 codes D)
ICD-12 codes 4.
After teaching a group of students about the International Classification of Functioning, Disability, and Health, the instructor determines that the teaching was successful when the students identify the primary emphasis as which of the following? A)
Disease B)
Body structure C)
Activities D)
Function
5.
When developing a teaching plan on the various organizations involved in setting standards, which of the following would an instructor include as being most involved with setting standards for the electronic health record? A)
Digital Imaging and Communications in Medicine B)
Comité Européan de Normalisation C)
Health Level Seven D)
International Health Terminology Standards Development Organisation 6.
A nurse is working at a facility as
part of a group involved with billing. Which of the following would the group most likely use to categorize patients for a system of prospective payment? A)
ICD codes with clinical modifications (ICD-CM) B)
Diagnosis-related groups C)
Healthcare Common Procedure Coding System D)
Alternative Billing Codes 7.
After teaching a group of students about efforts in the United States toward an electronic health record, the instructor determines that the
students have understood the teaching when they identify which of the following as responsible for coordinating health policies and programs for the U.S. Department of Health and Human Services for health information technology? A)
Nationwide Health Information Network B)
State Health Policy Consortium C)
Office of the National Coordinator for Health Information Technology D)
American Society for Testing and Materials 8.
A nursing informatics
specialist is conducting a seminar about electronic health records and the importance of interoperability. As part of the seminar, the nurse is describing the mission of the Nationwide Health Information Network. Which of the following would the nurse include? A)
A network of other interworking networks to support health information exchange B)
A governing organization that fosters collaboration for consensus on data standards C)
An agency responsible for coordinating
health IT for federal agencies providing healthcare to citizens D)
An executive body to assist state governments in identifying best practices and solutions 9.
A client had a magnetic resonance imaging test completed while vacationing in Europe. The client's physician in Chicago is able to view the test results through standards developed by which of the following? A)
Comité Européan de Normalisation B)
Digital Imaging and Communications in Medicine C)
International
Health Terminology Standards Development Organisation D)
Outcome and Assessment Information Set 10.
After teaching a group of students about unified medical language system (UMLS), the students demonstrate understanding when they state which of the following? A)
A method for standardizing data entry B)
Data standards on disease classifications C)
Method designed to match concepts from different terminologies D)
Support for integrated
surveillance systems for information transfer 11.
A nursing instructor is describing the different types of interoperability. Which of the following terms would the instructor use to explain process interoperability? A)
Automatic interpretation B)
Information transmission C)
Workflow management D)
Algorithm interaction 12.
After a class discussion about electronic health records, interoperability, and standards, a student asks the instructor,
"Why is all this important to us as nurses?" Which response by the instructor would be most appropriate? A)
"You need an understanding of the history behind what is happening now." B)
"Nursing is affected by the decisions made for recording healthcare data." C)
"You will most likely be involved with one of the agencies at some time in your career." D)
"This information is likely to impact the view of nursing as a profession." 13.
A nurse is reviewing
the information used with International Classification of Functioning, Disability, and Health. The nurse would identify codes being organized by which of the following? Select all that apply. A)
Diagnosis B)
Body structure C)
Activities of daily living D)
Injuries E)
Participation in life situations 14.
A nursing instructor is reviewing the process used by various organizations and agencies in developing standards. Which of the following
would the instructor include as the first step? A)
Operationally state what the standard will achieve B)
Identify the need for a standard C)
Define the specifications to be tested D)
Submit a proposal for public comment 15.
After teaching a group of students about standardizing terminology for billing of healthcare services, the instructor determines that additional teaching is needed when the students identify which of the following as being
involved? A)
ICD codes with clinical modifications (ICD-CM) B)
Diagnosis-related groups (DRGs) C)
Outcome and Assessment Information Set (OASIS) D)
Health Level Seven 1.
A nursing instructor describes the use of outcomes potentially sensitive to nursing as which of the following? A)
Standardized data reflecting nursing activities B)
Medical diagnosis thought to measure nursing C)
Inverse
relationship between nursing and outcomes D)
Adverse outcomes directly related to nursing care 2.
After teaching a group of students about the invisibility of nursing, the instructor determines that the students need additional teaching when they identify which of the following as a key influence? A)
Lack of a set format for documentation B)
Inconsistent use of terminology C)
Data relevant for nurse's contribution to patient care D)
Labor-intensive
information retrieval 3.
While researching information for a paper, a nurse comes across two versions of a nursing minimum data set, one that is international and one from the United States. Which data would the nurse identify as part of the international set but not included in the U.S. set? Select all that apply. A)
Clinical service type B)
Intensity of nursing care C)
Reason for admission D)
Nursing diagnoses E)
Patient outcomes 4.
A
nurse writes a nursing diagnosis and includes information about the etiology along with manifestations associated with that etiology. The nurse is demonstrating an understanding of which of the following? A)
Granularity B)
Taxonomy C)
Interface terminology D)
Mapping 5.
After teaching a group of students about the various efforts by the ANA for standardization, the instructor determines that the teaching was successful when the students identify which
of the following as being retired? A)
Alternative Billing Codes B)
Patient Care Data Set C)
Nursing Minimum Data Set D)
Logical Observations: Identifiers, Names, Codes 6.
When working with the USA-Nursing Minimum Data Set (NMDS), which of the following would you expect to see as part of data collected for nursing care? A)
Registered nurse provider B)
Admission date C)
Patient disposition D)
Nursing diagnosis 7.
A
nursing instructor is developing a teaching plan to address Nursing Minimal Data Sets. When describing the underlying purpose for its creation, which of the following would the instructor include? A)
Identify information useful for nurse-managers B)
Identify activities nurses do daily C)
Determine costs for home care patients D)
Provide a means for supporting nursing research 8.
After teaching a group of students about standardized terminologies for
nursing, the students demonstrate understanding of the material when they identify which of the following as developing from a home care focus? A)
North American Nursing Diagnosis Association (NANDA) taxonomy B)
Clinical Care Classification C)
Nursing Interventions Classification D)
Nursing Outcomes Classification 9.
When using the International Classification of Nursing Practice, which one of the following axes would the nurse expect to find? A)
Diagnostic
concept B)
Unit of care C)
Focus D)
Potentiality 10.
A nurse is presenting an in-service program to other nurses about electronic documentation and the role of standardized terminologies. Which of the following would the presenter identify as the most likely major barrier to implementing nursing terminologies? A)
Lack of granularity in nursing documentation B)
Need to provide a complete patient picture C)
Inconsistent demand for use
of terminologies D)
Lack of recognition in its role in nursing care 11.
After teaching a group of students about the development of standardized terminology that was adopted by the American Nurses Association (ANA), the instructor determines that the teaching was successful when the students identify which of the following as being adopted last? A)
International Classification for Nursing Practice B)
The Omaha System C)
Nursing Interventions
Classification System D)
Nursing Outcomes Classification System 12.
A nursing student is reviewing an article that describes the Perioperative Nursing Data Set. Which of the following would the student expect to be addressed? Select all that apply. A)
Patient safety B)
Nursing problems C)
Outcome problem rating scale D)
Health system E)
Behavioral responses 13.
A nurse is engaged in data analysis and comparisons. Which of
the following concepts related to standardized terminology would the nurse be most likely to use? Select all that apply. A)
Nomenclature B)
Listing C)
Ontology D)
Classifications E)
Interface terminology 14.
A group of students are reviewing information about standardized terminology. The students demonstrate a need for additional review when they identify which of the following as an interface terminology? A)
NIC B)
NOC
C)
NANDA-1 D)
USA-NMDS 15.
A nurse is reading an article about a computer process that identifies text words and phrases and then makes them available for use in a structured format. The nurse is most likely reading an article about which of the following? A)
Reference terminology B)
Natural language processing C)
Nomenclature D)
Mapping 1.
When applying the seven areas of nursing informatics
to the categories of medical informatics, which of the following corresponds to the decision-making category of medical informatics? A)
Defining data needed in patient care B)
Using data, information, and knowledge for patient care C)
Applying ergonomics to interfaces D)
Creating new tools for patient care 2.
A nurse has become certified in nursing informatics. The nurse would need to renew this certification after how long? A)
2 years B)
3
years C)
4 years D)
5 years 3.
When describing nursing informatics theory to a group of students, the instructor determines that the students need additional teaching when they state which of the following as a key component? A)
Data B)
Information C)
Terminology D)
Knowledge 4.
When describing the various theories underlying informatics, which of the following would an instructor identify as addressing change in society and
an individual? A)
Rogers' Diffusion of Innovation Theory B)
Lewin's Field Theory C)
Chaos Theory D)
General Systems Theory 5.
A nurse informatics specialist applies Lewin's Field Theory to implementing a new documentation system. Which of the following would be most important for the nurse to do first? A)
Enlist members to be involved in the process B)
Ignore members' reluctance to change systems C)
Engage the administration
in supporting the change D)
Provide positive feedback about new skill acquisition 6.
A group of students is reviewing Rogers' Diffusion of Innovation Theory for a test. The students demonstrate understanding of the stages of individual change when they put the following in the proper sequence from first to last.
A. Confirmation
B. Implementation
C. Knowledge of an innovation
D. Decision
E. Persuasion A)
C, E, D, B, A B)
A, D, B, C, E C)
C,
A, B, E, D D)
D, C, E, B, A 7.
An informatics nurse is working on evaluating a system that has been implemented in an agency. Which of the following would the nurse identify as reflecting the goals of usability? A)
A user has some difficulty performing the tasks when the system is used for the first time. B)
A user can perform the needed tasks quickly once he or she has learned the system. C)
A user needs some time to become proficient again after not
using the system for a while. D)
A user is prone to making errors, but these errors can be rectified rather easily. 8.
After teaching a group of students about informatics nurses and nurse informatics specialists, the students demonstrate understanding when they identify which of the following as a role for a nurse informatics specialist? A)
Information technology advocate B)
Systems educator C)
Project director D)
Clinical systems
coordinator 9.
An informatics nurse specialist is presenting a seminar on nursing informatics. After the seminar, a group of nurses are talking with the presenter and one of the nurses states, "I'm pretty good with computers, so I should become an informatics nurse." Which of the following responses would be most appropriate? A)
"Computer competency is absolutely essential to this practice." B)
"It sounds like you have a good idea about what's involved." C)
"The
computer is just a tool for the real focus, information management." D)
"I can recommend some very good educational programs if you're interested." 10.
An informatics nurse is searching the Web for professional informatics groups. Which of the following would the nurse find as the largest group? A)
International Medical Informatics Association B)
American Medical Informatics Association C)
European Federation for Medical Informatics D)
Healthcare
Information and Management Systems Society 11.
A nurse certified in nursing informatics is preparing a presentation for prospective candidates for certification. Which of the following would the nurse include as being necessary to write the examination for certification? Select all that apply. A)
Active RN licensure B)
Associate degree in nursing C)
5 years of practice as an RN D)
30 hours of continuing education in the last year E)
2,000
hours in informatics nursing within the past 3 years 12.
An instructor is describing nursing informatics theory. When explaining information, which of the following would the instructor include? A)
Discrete objective facts B)
Data with context C)
Synthesis of information D)
Visualizing patterns 13.
A group of nursing students are reviewing information about the different theories associated with nursing informatics. The students demonstrate
understanding of the information when they identify which of the following as related to the General System Theory? A)
Innovators, early adopters, early majority, late majority, and laggards. B)
Unfreezing, moving, and refreezing C)
Input, throughput, output, and feedback D)
Information management tools, knowledge, skills, rewards, and authority structures 14.
A nurse is working as a clinical systems analyst. For which of the following would the nurse
be most likely responsible? Select all that apply. A)
Assessing the needs for nurses with technology B)
Coordinating the planning of information systems C)
Supporting a clinical system D)
Implementing an informatics project E)
Analyzing what a client wants and needs 15.
A nurse practicing in nursing informatics is a guest speaker for a nursing class. One of the students in the class asks the nurse how she gained her knowledge. Which response
by the nurse would be most likely? A)
"I went to graduate school to obtain a master's degree." B)
"I basically learned on-the-job and with continuing education." C)
"I got my RN after going to business school first to learn about computers." D)
"I have a doctorate degree in nursing and computer science." 1.
A nurse is working on a committee involved in adopting electronic healthcare systems for the agency. Currently,
the agency has clinical documentation, a clinical decision support system (CDSS) with error checking, and a picture archive and communication system (PACS) in place. The committee determines that the agency is at which of the following stages of adoption? A)
Stage 0 B)
Stage 1 C)
Stage 2 D)
Stage 3 2.
When adopting the electronic healthcare record (EHR), which of the following would be considered the ultimate goal? A)
Sharing of information
B)
Patient as the most important focus C)
Cost-effectiveness D)
Improved time management 3.
A group involved in adopting healthcare information technology is developing a strategic plan. Which of the following would they include? A)
Plan that covers 2 to 3 years B)
Structured guide that does not change C)
Expenditures offset by patient outcomes benefits D)
Demonstration of a slight return on investment 4.
A nurse using
a clinical information system is required to document the same data in more than one area because the data do not "flow over" to the other areas and the data fields are not universally designed. Which of the following is lacking? A)
Interoperability B)
Intangibles C)
Return on investment D)
Biometrics 5.
A nursing informatics specialist is conducting a seminar on the need for uniformity in user design for data entry screens based on the understanding
of which of the following? A)
Most healthcare providers involved in the design process have background knowledge. B)
Database design skills are common in those serving on EHR committees. C)
Most providers approach user design using a paper chart thinking process. D)
Screen design issues are limited, rarely affecting the time for documentation. 6.
When developing a plan for workflow redesign and the use of computerized documentation, which of the
following would be the first thing to consider? A)
The number of computers needed B)
Location of the computers C)
Wheeled or bedside type of computer D)
Theft prevention 7.
An instructor is describing the use of health information technology to meet national safety goals. The instructor determines that the students need additional teaching when they state which of the following? A)
Barcodes and chips in armbands promote accurate patient
identification. B)
Agencies are providing electronic reports for transfer of patients to on-call staff. C)
Clinical decision support systems could alert providers to double-check their order. D)
Automated dispensing systems dramatically reduce the risk of stocking errors. 8.
A nurse is creating a password for use in accessing the healthcare information system in the agency. Which of the following would be most appropriate for the nurse to do in creating this
password? A)
Select mostly lowercase letters B)
Select a combination of letters and numbers C)
Use numbers sparingly D)
Use a word familiar to the nurse 9.
When describing the various biometric methods for authentication, which of the following would the nurse identify as most secure? A)
Fingerprint B)
Voiceprint C)
Retinal scan D)
Iris scan 10.
When describing the similarities and differences between the
two types of radio frequency identification (RFID), which of the following would an instructor include as being associated with the passive type? A)
Increased cost B)
Read-write capability C)
Readable from a distance of 1 to 10 feet D)
Implantable under the skin 11.
After teaching a group of students about the benefits of a fully integrated electronic health record, the instructor determines the need for additional teaching when the students identify
which of the following as a benefit to the patient? A)
Individualized treatment B)
Ability to check the record's accuracy C)
Capability of decision support D)
Knowledge of persons with access to the data 12.
A group of students are reviewing information about strategic planning and the adoption of healthcare information technology. The students demonstrate understanding of the material when they identify which of the following as reflective of the
strategic plan? Select all that apply. A)
Flexible in overall design B)
Focused on short-term time frames C)
Inclusion of resource acquisition D)
Support for the use of information technology E)
A brief overview of the agency's goals 13.
A committee is reviewing the strategic plan for the agency's return on investment. The committee identifies tangibles. Which of the following would the committee be addressing? Select all that apply. A)
Improved
decision making B)
Decreased lengths of stay C)
Reduced charges per admission D)
Enhanced user satisfaction E)
Improved communication 14.
A nursing instructor is preparing a class on syndromic surveillance. When describing this concept, the instructor defines as a means for which of the following? A)
Meeting the Joint Commission's patient safety goals B)
Identifying unintended consequences of healthcare technology C)
A way
to measure quality of care and patient outcomes D)
Providing early detection of potential disease or bioterrorist health problems 15.
A nurse is working as part of a committee involved in creating passwords for the healthcare agency's network. Which of the following would be the strongest password? A)
Nursing B)
NuRs1N9gY C)
1234567 D)
GniSrun 1.
When preparing a teaching plan for a unit on
maternal-newborn nursing, an instructor is incorporating educational software with computerized video clips, slide presentations, illustrations, and quiz questions developed by faculty and content experts. The information can be changed in many ways to address the instructor's needs. The instructor is using which of the following? A)
Computer-aided instruction B)
Computer-based learning C)
Learning management system D)
Learning content management system 2.
When
designing learning activities for a group of students, an instructor wants to focus on the highest level of learning. Which of the following activities would be most appropriate? A)
Tutorials B)
Case studies C)
Animations D)
Flash cards 3.
An instructor uses an educational software program that includes a set of fill-in-the-blanks and true/false questions. The instructor incorporates this program into the course to develop which of the following?
A)
Synthesis B)
Application C)
Knowledge D)
Analysis 4.
After describing the Multimedia Educational Resource for Learning and Online Teaching (MERLOT) site as an excellent source for learning resources, the instructor determines that the students have understood the information when they state which of the following? A)
It contains hundreds of learning activities. B)
Users can access other digital libraries. C)
No membership is
required. D)
Activities require a user fee. 5.
A group of instructors is discussing the possible use of a virtual reality learning program. Which of the following would be most important for the instructors to address before having the students use the program? A)
Navigating the virtual world B)
Creating an avatar C)
Developing broad goals D)
Accessing the program 6.
When describing the advantages and disadvantages of e-learning
programs to a group of students, the instructor determines that the students understand the information when they state which of the following? A)
"We need to sign up for a time to use the program." B)
"The programs are usually free of technological glitches." C)
"We can set our own pace for learning with the program." D)
"The programs provide experiences we'd normally encounter." 7.
The following is a list of actions to reflect learning outcomes.
Place them in the proper sequence from lowest to highest level of learning.
A. Describe
B. Demonstrate
C. List
D. Create
E. Analyze A)
A, B, C, D, E B)
C, A, B, E, D C)
A, E, B, C, D D)
D, A, C, B, E 8.
A nurse is attending a seminar on distance learning. Which of the following would the nurse expect to hear as the most common use for this method? A)
Degree programs B)
Certification C)
Continuing education
D)
Personal enrichment 9.
A student interested in e-learning opportunities asks an instructor for advice. Which response by the nurse would be most appropriate? A)
"Online learning activities are nice but they are costly." B)
"You need to be motivated and disciplined with this type of learning." C)
"Unless you are really skilled in computer technology, it's not for you." D)
"You need to be available at the time set by the course." 10.
A
nurse is participating in a face-to-face course involving a virtual presence. The nurse is involved in which of the following? A)
Clicker technology B)
Patient simulation C)
Hybrid course D)
Streaming video 11.
A group of nursing instructors is working to develop an e-learning program for their educational program. When developing this program, which of the following principles would the group address? Select all that apply. A)
Collaboration
between students and faculty B)
Opportunities for practice and rapid feedback C)
Passive learning techniques D)
Limited faculty-student contact E)
Focus on one or two learning styles 12.
A student is deciding whether or not an e-learning course would be appropriate for him. After completing a self-evaluation, the student decides that this course would be appropriate based on identification of which characteristics? Select all that apply. A)
Self-motivation
B)
Limited writing abilities C)
Dependence on others for learning D)
Open to share experiences E)
Ability to ask for help 13.
A student is participating in an e-learning program. Which of the following would be most important for the student to do to achieve success with the program? A)
Provide feedback about the electronic instruction B)
Use the instructor as the guide C)
Keep appropriate records from the course D)
Engage
in simulation exercises 14.
A nursing student is reviewing a journal article about the advantages and disadvantages of online learning. Which of the following would the student be least likely to find as a disadvantage? A)
Software needed B)
Backup plan for problems C)
Missing of a class D)
Technology skills 15.
A nursing student is engaged in an e-learning course. The content is geared to the comprehension level of learning. Which types of
activities would the student most likely see? Select all that apply. A)
Memorization games B)
Simulations C)
Animations D)
Interactive tutorials E)
Flash cards 1.
When describing ethical decision making to a group of students, which of the following would the instructor most likely include? A)
Values are involved, but they are of minimal concern. B)
Scientific inquiry provides the answer.
C)
Decisions are based on which value is most important. D)
Decisions have short-term consequences. 2.
An informatics nurse is presenting a class on ethics and informatics. Which of the following would the nurse identify as being central to informatics? A)
Conflicting values B)
Autonomy C)
Influencing variables D)
Beneficence 3.
After teaching a group of students about ethics and laws, the instructor determines that the
teaching was successful when a student states which of the following? A)
Laws are subject to interpretation. B)
Penalties are used if laws are violated. C)
Laws involve value conflicts. D)
Laws address paternalism. 4.
An informatics nurse specialist is conducting an in-service program about HIPAA. Which of the following would the nurse include when describing this rule? A)
HIPAA protects all private health information. B)
Fee-for-service
providers have limited HIPAA coverage. C)
Information with health plan providers is excluded. D)
Information of agencies electronically billing CMS is covered. 5.
When preparing a teaching plan for a group of students about the Nurse Licensure Compact, which of the following would the nursing instructor include? Select all that apply. A)
It limits the requirements for telehealth nursing by providing a restricted license. B)
Nurses licensed in one
state could practice in another state. C)
The rules and regulations of the state of practice apply to the nurse. D)
Advanced practice nurses are exempt from the Compact. E)
Nurses are required to store personal licensure data online. 6.
A group of students are debating the pros and cons of implantable identification devices. Which of the following would the proponents most likely address? A)
It allows quicker and safer emergency care. B)
It
should be a requirement to enhance care. C)
It would ensure complete privacy. D)
It promotes an individual's civil liberties. 7.
A nurse is blogging. Which of the following would demonstrate that the nurse violated ethical and legal guidelines? A)
Including names of staff members in the blog B)
Demonstrating respect for others when writing C)
Using positive references about individuals D)
Avoiding dark humor 8.
An instructor
is assigning a research paper to a group of students. In preparation for writing the paper, the instructor reviews copyright law. Which of the following statements by a student indicates the need for additional teaching? A)
"If the copyright symbol isn't there, then the information is not copyrighted." B)
"Copyrighted material is material that is considered to be original." C)
"If the information is not well defined, then it isn't subject to copyright." D)
"The
time a copyright is in effect varies based on the law at the time." 9.
While writing a research paper for a class, a student demonstrates plagiarism when doing which of the following? A)
Including a citation at the end of a sentence about statistics from a research study B)
Inserting a paragraph from a reference article directly into one's paper C)
Using quotation marks around a statement with the name and page of the source D)
Crediting an author for
a statement by saying, "According to ..." 10.
A nurse advocates for a patient to ensure that what is being done is best for him. The nurse is demonstrating which ethical principle? A)
Paternalism B)
Veracity C)
Justice D)
Beneficence 11.
A nurse is working as part of a committee addressing the security of healthcare information and data breaches. The committee is working on ways to reduce the risk of data breaches. Which of the following
would be helpful for the committee to include? Select all that apply. A)
Program to teach employees about system logins B)
Training for employees about data encryption C)
Use of secure e-mail servers D)
Instillation of data loss prevention software E)
Tracking of external threats 12.
After teaching a group of students about legal and ethical issues related to telehealth, the instructor determines that the teaching was successful when the
students identify which of the following as an important milestone in allowing nurses licensed in one state to practice in another state? A)
Coordinated Licensure Information System B)
Nurse Licensure Compact C)
HIPAA D)
HITECH 13.
A group of students are reviewing information about copyright law. The students demonstrate understanding when they identify which of the following as an exception? Select all that apply. A)
Height and weight
chart B)
Recorded speech C)
Short phrases D)
List of ingredients E)
Quotation 14.
A group of faculty are designing a Web-based course and are concerned about copyright law related to the use of information in the course. Which of the following would demonstrate that the faculty is adhering to fair use? A)
Text provided was 1,000 words. B)
Images are accounted for 20% of the course. C)
Music included was about 45 seconds.
D)
Video spanned about 5 minutes. 15.
A nursing instructor reviews the development of copyright law as an introduction for a class project that will involve the students in writing a scholarly essay to support an ethical issue. After teaching the class, the instructor determines that the teaching was successful when the students identify copyright protection as extending for how many years after the life of the author? A)
14 years B)
25 years C)
50
years
D)
70 years
Peer-reviewed journal articles based on research studies are your best sources of evidence-based information. However, there are some selected websites that feature practice guidelines written by experts in a particular field.
What is the greatest positive impact that communication among healthcare providers has on a patient care?
Effective communication reduces medical errors. Using tools such as a Hospital Intranet can provide staff with access to procedures and policies regarding specific patient care. This increases efficiency, because staff can spend less time looking for documentation and more time listening to their patients.
What is the foundational focus of nursing informatics? -the use of information technology/informatics is information management. Computers facilitate that focus while keeping in mind the importance of effective exchange between health care providers and maintaining patient confidentiality.
Which topics should you consider when determining whether a website can be trusted?
Five Criteria for Evaluating Web Pages: Accuracy, Authority, Objectivity, Currency and Coverage.
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