NR 599 Final question/nursing-informatics-final-exam- With Answers, Exams of Health sciences

Download NR 599 Final question/nursing-informatics-final-exam- With Answers and more Exams Health sciences in PDF only on Docsity! 1 NR 599 Final question/nursing- informatics-final-exam- With Answers Case Western Reserve University Frances Payne Bolton School of Nursing NURS 120: Introduction to Nursing Informatics Final Examination Fall Directions: This is a comprehensive final examination covering material from lectures, readings, web sites handouts and class notes. It is open-book, open-note. You may work in groups if you wish. The only rule, everyone's name must be on the exam. Answer all questions directly on the examination. There are no trick questions. Every multiple-choice question has ONLY one correct answer. This examination is worth 250 points. Each multiple choice/true-false question is worth 3.5 points. The single essay question is worth 5 points. Part I: Multiple Choice Questions 1. Why is it difficult to integrate information from all hospital departments into a single hospital information system? a. Individual departments want to obtain & maintain specialized systems b. Hospital departments are organized along vertical lines while the continuum of care for patients flows along horizontal lines c. Patient care systems & financial management systems are incompatible with each other d. Each department is required by law & the Joint Commission on Accreditation of Hospitals & Health Care Organizations to maintain specific information for billing & accreditation purposes e. Individual departments do not see the value in comprehensive patient records 2. Which of the following groups of activities represent challenges to the technologist when building an integrated hospital information system? 2 NR 599 Final question/nursing- informatics-final-exam- With Answers a. Synthesizing different types of information into a cohesive whole, getting all departments to agree to a single billing procedure, realigning traditional departments into a case management model b. Synthesizing different types of information into a cohesive whole, getting all departments to agree to a single care model, realigning traditional departments into a case management model c. Allowing specific departments to retain their individualized information systems, getting all departments to agree to a single billing procedure, realigning traditional departments into a case management model d. Synthesizing different types of information into a cohesive whole, getting all departments to agree to a single billing procedure, keeping all hospital departments within the traditional vertical structure 5 NR 599 Final question/nursing- informatics-final-exam- With Answers 7. Several indexes to scholarly literature can be found in the library. Which one of these indexes has the most applicability to the profession of Nursing? a. MEDLARS b. MEDLINE c. ERIC d. CINAHL e. Social SciSearch 8. Why are informatics nurse specialists and nurse scholars so interested in nursing nomenclatures, taxonomies, and classification? a. It gives them something to do b. The information is used to capture, store, and manipulate data in electronic health records c. It enhances the credibility of the profession d. It allows nurses to clearly define the profession for physicians e. All of the above 9. How many classification systems are recognized by the American Nurses Association? a. Six b. Four c. Thirteen d. Seven e. None 10. Which three data sets must be used together to complete the nursing process? a. NANDA, Clinical Care Classification (CCC), International Classification of Nursing Practice (ICNP) 6 NR 599 Final question/nursing- informatics-final-exam- With Answers b. NANDA, Nursing Intervention Classification, Patient Care Data Set c. NANDA, Nursing Outcome Classification, SNOMED RT d. NANDA, Nursing Intervention Classification, Nursing Outcome Classification e. NANDA, Omaha System, SNOMED RT 11. Which of the following are forces that impact the nursing profession and are causing a growing interest in information technology? a. Change from a retrospective to a prospective reimbursement system b. Changing standards of health care accreditation agencies c. Transformation of the health care system from a provider-driven monopoly to a customer-centered, market driven, health oriented marketplace d. Shifting emphasis on automation for its own sake to data collection for survival & improvement e. All of the above 7 NR 599 Final question/nursing- informatics-final-exam- With Answers 12. Which of the following statements is a definition of Nursing Informatics? a. Collected information technologies concerned with medical patient care & decision making b. Use of information technology management concepts & methods to support the delivery of patient care c. Complex processing of data by a computer to produce new kinds of information d. Any use of information technology by nurses in relation to the care of patients, administration of health care facilities, & educational preparation of individuals to practice nursing e. Combination of computer science, information science, & nursing science designed to assist in the management & processing of nursing data 13. The functional components of informatics are: a. Data, information, & knowledge b. Management, processing, & transformation c. Management, processing, & information d. Processing, transformation & knowledge e. None of the above 14. The role of the Informatics Nurse Specialist (INS) encompasses multiple activities ranging from the development of Informatics theory to the ongoing maintenance & provision of enhancements to information systems. Which of the following statements describes the education, experience, & user groups that concern an INS? a. Formal education & practical experience in using computers; supports the automation needs of critical care nurses b. Formal education & practical experience in using computers; supports the automation needs of maternal-child nurses c. Formal education & practical experience in using computers; supports 10 NR 599 Final question/nursing- informatics-final-exam- With Answers to make to your patient? a. “If the site showed up on your search engine- it must be good. Go ahead and use it!” b. “I don’t really know the site, but here are some things to look for. You can also go to the Health on the Net Foundation and check it out” c. “Have any of your friends used it? What did they think?” d. “No Internet sites have any useful information. Let me give you some written information instead.” e. “What does your doctor think about the site?” 20. Why are nurses’ natural advocates of consumer health applications? a. With the nursing shortage, it lightens the workload b. Nurses are more computer literate than physicians c. Nurses have always taken a leadership role in patient education d. Only nurses are exposed to consumer informatics in school e. It’s easier to get patients to teach themselves than it is to spend the time and teach them 11 NR 599 Final question/nursing- informatics-final-exam- With Answers 21. A consumer health care application can be described as: a. An intervention providing health care information through technology b. An outcome resulting in patient education c. A care plan detailing the steps in teaching the patient d. A patient’s application to be accepted into an insurance plan e. All of the above 22. The four areas in which Informatics Nurse Specialists practice are: a. Critical care units, neonatal intensive care units, medical-surgical units, pediatric units b. Administration, education, research, clinical practice c. Nursing science, information science, research, computer science d. Hospitals, nursing homes, outpatient clinics, mobile radiology units e. Long term care facilities, nursing homes, nursing administration offices, pediatric intensive care units 23. Which of the following are impediments to the successful implementation of a computerized medical record? a. Oversimplification of user needs b. Oversimplification of the requirements for a new system c. Little understanding of the manual system that the computerized system will be replacing d. Clinicians are not aware of what computerized medical records can and cannot do e. All of the above 24. Which of the following statements represent conditions recommended by the Institute of Medicine for the future electronic health record? 12 NR 599 Final question/nursing- informatics-final-exam- With Answers a. Users must be confident that the information they have entered will integrate data from all sources reliably b. Clinicians must actively use the record in the clinical process c. Clinicians must understand that the record is a resource for use beyond patient care d. Users must be proficient in the use of information systems in health service organizations e. All of the above 25. Inputs in geographic information systems are frequently derived from: a. Hard copy maps b. Aerial photographs c. Reports & survey documents d. Human input of information e. All of the above 26. Which of the following definitions best describes a Geographic Information System? 15 NR 599 Final question/nursing- informatics-final-exam- With Answers d. Improved patient outcomes & direct savings e. Potential savings & improved patient satisfaction 32. Which of the following pairs of items are examples of qualitative benefits of point of care (POC) systems? a. Improved process & improved patient outcomes b. Cost avoidance & potential savings c. Improved process & cost avoidance d. Improved patient outcomes & improved patient data e. Revenue increases & improved patient data 33. To be able to effectively implement a point-of care system, you need all of the following except: a. Clear goals & objectives b. A prototype system as a model c. Integration with other departments within the institution d. A team approach to system development 34. In moving a Hospital towards a POC system, multiple problems may emerge. Which of the statements listed below best describes a problem that may impact the entire institution? a. Software is not clinician friendly b. Some desired features may not be available in the chosen system c. Full sized terminals at the bedside may cause space and ergonomic (human factors) problems d. Existing computer system infrastructure may not be able to handle the additional workload of the new computers 35. Which of the following groups of items best represent the characteristics of a point of care system? a. Support of care delivery processes, terminals at the central nurse station, automated data entry & retrieval, integration with other information systems b. Support of care delivery processes, terminals at the central nurse station, manual 16 NR 599 Final question/nursing- informatics-final-exam- With Answers data entry & retrieval, integration with other information systems c. Support of care delivery processes, terminals at the bedside or point of care, automated data entry & retrieval, integration with other information systems d. Support of care delivery processes, terminals at the bedside or point of care, manual data entry & retrieval, integration with other information systems 36. Which of the following situations represent drawbacks to implementing a POC system? a. Expensive to buy, customize, & install b. Status quo of organization is disturbed c. Change in organization is required for implementation to proceed smoothly d. Software may not be clinician friendly e. All of the above 37. A nursing diagnosis is best described by which of the following statements? 17 NR 599 Final question/nursing- informatics-final-exam- With Answers a. A measurable patient condition or perception resulting from one or more nursing interventions b. A taxonomy of nurse-sensitive patient outcomes c. Any direct care treatment that a nurse performs on behalf of a client d. A clinical judgment about an individual, family or community’s responses to actual or potential health problems and life processes e. Assessment activities to identify nursing diagnosis & gather data for physician identification of a medical diagnosis 38. In which stage of the five level patient record would information from alternative forms of health care be included? a. Electronic patient record b. Automated medical record c. Provider base electronic medical record d. Computerized medical record e. Electronic health record 39. Why is there an absence of nursing data in national and regional databases? a. The profession cannot agree upon & offer a set of clearly defined, reliable & standardized data elements b. The profession’s diversity does not require standardization of data c. The data collected by Nursing is not useful to Third Party Payers & does not need to be collected d. The existence of a standardized Nursing language makes this unnecessary 40. Which of the following statements best describes why the Nursing intervention classification (NIC) is important to Nursing Informatics? a. Each NIC intervention has a unique number which allows computerization of the information b. Each NIC intervention has been linked with a nursing diagnosis & with an Omaha 20 NR 599 Final question/nursing- informatics-final-exam- With Answers a. Knowledge creation b. Automation c. Info-mation d. Communication & Integration 47. The older terminologies of health care computing have been replaced with more meaningful, descriptive terminologies that reflect the movement toward information as a resource. To this end, data entry is now known as:: a. Decision support b. Data extraction c. Safety & Outcomes Measurement d. Knowledge acquisition e. Data mining 21 NR 599 Final question/nursing- informatics-final-exam- With Answers 48. The information silos of old hospital systems are now called: a. Consumer resources b. Integrated networks c. Transdisciplinary outcomes d. Decision support systems e. Knowledge repositories Part II: True/False Questions 49. Access to patient-specific, agency-specific, & domain-specific data, information & knowledge, by nurses, has potential to improve ICU decision making a. True b. False 50. The management of information is the functional ability to collect, aggregate, organize, move & represent information in an economical, efficient way. a. True b. False 51. The traditional view of information in the health care environment has been focused on the patient. a. True b. False 52. About 100 people in the US die each day because current paper base health care system introduces errors or delays treatment or limits what health care professionals know a. True b. False 53. Geographic Information Systems have been used in some form since the 1960’s. a. True 22 NR 599 Final question/nursing- informatics-final-exam- With Answers b. False 54. Comprehensive patient care systems that effectively automate the medical record are not ready for implementation a. True b. False 55. The Continuity of Care Record (CCR) is intended to foster & improve continuity of patient care, to reduce medical errors, & to assure at least a minimum standard of health information transportability when a patient is referred or transferred to, or is otherwise seen by, another provider. a. True b. False 25 NR 599 Final question/nursing- informatics-final-exam- With Answers the institution's immediate needs. a. True b. False 65. The traditional view of information in the health care environment has been focused on the patient. a. True b. False 66. Clinical, empirical, & conceptual knowledge are essential components in the development of a discrete Nursing language. a. True b. False 67. The Health on the Net Foundation helps patients to evaluate health related web sites. a. True b. False 68. The professional and/or contractual duty to safeguard the secrecy of patient information regardless of how it is acquired, stored, processed, generated, retrieved, or transmitted is known as confidentiality. a. True b. False 69. Early hospital information systems were primarily used for non patient care procedures such as billing, payroll, & personnel. a. True b. False 70. Consumer health informatics can best be described as tools that empower the patient to make more informed choices about healthcare issues. 26 NR 599 Final question/nursing- informatics-final-exam- With Answers a. True b. False Part III: Essay Pick ONE of the following questions and answer it directly on the exam. (5 points) 1. Describe one of the VR simulations used in treating phobias. 2. It has been said that the promise of nanotechnology is to “allow doctors to execute curative & reconstructive procedures in the body at cellular & molecular levels. Discuss your concerns & opinions on the use of nanotechnology in medicine. What do you think are the ethical, legal, & moral dilemmas involved in developing & using this new technology? If you could extend life 27 NR 599 Final question/nursing- informatics-final-exam- With Answers through the use of this technology, would you? Why or why not? 3. We know that nursing unit activities represent the core of patient care in the hospital. Discuss why nurses have been reluctant to become involved in the development and implementation of information systems in health care. 4. Nursing and technology frequently clash in the clinical practice area. Nurses rightly (or wrongly) think that technology interferes with their care of patients and that “high tech” means “high touch” is absent from care. Do you think this is true? Do nurses who are able to use technology (and do) sacrifice their ability to care for patients? 5. Discuss the potential uses of Geographic Information Systems in community health, epidemiology, public health, and hospital administration. Consider such topics as the aging population, distribution of health care, distribution of care services, and development of nursing knowledge. . Arachnophobia is a phobia of spiders. Virtual reality is used to treat because it is more controlled and cost less than having an actual spider to treat patients. A patient puts on the VR helmet and glasses and wears a glove while a 3D spider movers across the screen. The spider gets closer and closer and can walk up the patient’s arm. Virtual reality is used to treat phobias such as acrophobia and arachnophobia, along with eating disorders. Virtual reality is good therapy for people with phobias because it safely elicits fear and the encounter can be controlled. It is also good because patients are more likely to want to be involved in VR therapy because it is not real and are interested in the technology.