Ensuring Data Accuracy in Healthcare: Data Cleansing & Information Systems, Exams of Nursing

Download Ensuring Data Accuracy in Healthcare: Data Cleansing & Information Systems and more Exams Nursing in PDF only on Docsity! NR 599 NURSING INFORMATICS AND THE FOUNDATION OF KNOWLEDGE 4TH EDITION MCGONIGLE TEST BANK Exam (elaborations) NR599 TEST BANK (CHAPTER 1-26)/NR (LATEST 2024)333QUESTION BANK NURSING INFORMATICS AND THE FOUNDATION OF KNOWLEDGE 4TH EDITION MCGONIGLE TEST BANK CCHhAapPteTrE1RN1urNsinUgRSScIiNenDceSaCndIEthNeCFEouAndNaDtioTnHofE FOUNDATION OF KNOWLEDGE The nurse understands that nursing informatics is recognized as a specialty area of practice by which statement? 1. Research priorities for nursing informatics include the development of a standard nursing language and the development of databases for clinical information. 2. A formal educational program at the master's level must be completed before a nurse is eligible to sit for the credentialing examination. 3. As a differentiated practice, nursing informatics is focused upon the client, the environment, health, and the nurse. 4. There is a need for nursing informatics interests to gain representation by work groups and organizations within the United States. Correct Answer: 1 Rationale 1: The development of research priorities is a key point in a specialty practice. Although degrees at the master's level are available, the degree required for credentialing is typically at the bachelor's level and includes experience in the field. Current demands for safer, cost-effective, quality care require evidence of the best practices supported by research. Rationale 2: Such a formal educational program does not necessarily mean a specialty area of practice. Although degrees at the master's level are available, the degree required for credentialing is typically at the bachelor's level and includes experience in the field. The development of research priorities is a key point in a specialty practice. Rationale 3: Your chosen response refers to the entire discipline of nursing. The specialty of nursing informatics integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom into nursing practice. The development of research priorities is a key point in a specialty practice. Rationale 4: There are many work groups in the United States related to informatics that focus on the specialty of informatics practice. One example is the Nursing Informatics Special Interest Group of the International Medical Informatics Association. The development of research priorities is a key point in a specialty practice. Global Rationale: www.testbanktank .co Which statement best distinguishes the difference between information literacy and computer literacy? 1. Information literacy is unnecessary in health care whereas computer literacy provides the basis for computer order entry. 2. Information literacy is the foundation of the EHR whereas computer literacy helps the nurse to access data. 3. A nurse can extrapolate data with computer literacy and not information skills. 4. Information literacy forms the basis for ongoing learning whereas computer literacy refers to a familiarity with the use of personal computers. Correct Answer: 4 mRationale 1: Computer literacy is a popular term used to refer to a familiarity with the use of personal computers, including the use of software tools such as word processing, spreadsheets, databases, presentation graphics, and e-mail. The majority of students admitted to nursing schools now enter with some level of computer literacy. Rationale 2: Computer literacy is a popular term used to refer to a familiarity with the use of personal computers, including the use of software tools such as word processing, spreadsheets, databases, presentation graphics, and e-mail. The majority of students admitted to nursing schools now enter with some level of computer literacy. Rationale 3: Computer literacy is a popular term used to refer to a familiarity with the use of personal computers, including the use of software tools such as word processing, spreadsheets, databases, presentation graphics, and e-mail. The majority of students admitted to nursing schools now enter with some level of computer literacy. Rationale 4: Computer literacy is a popular term used to refer to a familiarity with the use of personal computers, including the use of software tools such as word processing, spreadsheets, databases, presentation graphics, and e-mail. The majority of students admitted to nursing schools now enter with some level of computer literacy. Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: Question 5 www.testbanktank .co Type: MCSA Which statement indicates the appropriate level of informatics competencies to the correct nurse? 1. A nurse informatics specialist extrapolates data to develop best practice model for indwelling catheter care. 2. The novice nurse using a spreadsheet to document medication reactions. 3. An experienced staff nurse creates databases employing SNOMED. 4. A beginning nurse utilizes the Internet to integrate multidisciplinary languages. Correct Answer: 1 mRationale 1: The nurse informatics specialist has the ability and education to access data and create a model of excellence based on the findings. Rationale 2: According to research, nurses are graduating from programs without experience with databases, spreadsheets, and statistical packages. There is a learning curve from graduation to comfort with the information system and its capabilities. Rationale 3: An experienced staff nurse does not have the skills to create a database using a standardized language. Rationale 4: Beginning nurses are comfortable with basic skills and should be able to retrieve information from the system, as well as interpret data. Your chosen response is not an example of the competencies required for the informatics specialist; its level is too high. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: Question 6 Type: MCSA Which statement regarding pressures that drive the health care delivery system today is not accurate? 1. The current and projected nursing shortage may be eliminated by instituting technology enhancements in the acute care setting. Correct Answer: 1 m 2. Evidence-based practice is supported with technology that enables the health care provider to utilize up-to-date research findings. 3. Medication errors and adverse events may be reduced with the implementation of computerized physician order entry (CPOE). 4. Managed care may utilize disease management to identify clients with chronic conditions, and treat them effectively to minimize complications and cost.w w.testbanktank.co Rationale 1: Although the nursing shortage may not be eliminated with information technology, the probability that errors may be reduced with the implementation of technology that enables the health care provider to double check medication administration may help with client safety. Rationale 2: Although the nursing shortage may not be eliminated with information technology, the probability that errors may be reduced with the implementation of technology that enables the health care provider to double check medication administration may help with client safety. Rationale 3: Your chosen response is an example of a statement that is indeed accurate. The one statement that is not accurate is the one about eliminating the current and projected nursing shortage by instituting technology enhancements. Although the nursing shortage may not be eliminated with information technology, the probability that errors may be reduced with the implementation of technology that enables the health care provider to double check medication administration may help with client safety. Rationale 4: Your chosen response is an example of a statement that is indeed accurate. The one statement that is not accurate is the one about eliminating the current and projected nursing shortage by instituting technology enhancements. Although the nursing shortage may not be eliminated with information technology, the probability that errors may be reduced with the implementation of technology that enables the health care provider to double check medication administration may help with client safety. Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: Question 7 Type: MCSA www.testbanktank .co m Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Diagnosis Learning Outcome: Question 9 Type: MCSA A disadvantage to the utilization of the electronic medical record (EMR) includes which of the following? 1. Accessibility from several different locations simultaneously and by different levels of providers 2. The intensive training in the beginning needed to prepare staff members to use the EMR 3. Less time available for client care because more time is required for documentation activity 4. Inability to incorporate diagnostic images into the EMR because of space limitations Correct Answer: 2 Rationale 1: It is actually an advantage that the EMR can be accessed from several different locations simultaneously, as well as by different levels of providers. The disadvantage is the amount of time needed in the beginning for training on the computer records. However, once staff members are trained, more time is available for client care because less time is needed for documentation activity. Rationale 2: There is a considerable amount of time needed in the beginning for the training on usage of computerized records. However, once staff members are trained, more time is available for client care because less time is needed for documentation activity. The EMR improves things such as: access to information, number of errors, communication, and redundancy of data entry. Rationale 3: Actually, once staff members are trained, more time is available for client care because less time is required for documentation activity, though. The amount of time needed in the beginning for the training on usage of computerized records is a disadvantage. Rationale 4: Diagnostic images are actually a part of the record and can be viewed from various locations. A disadvantage is the amount of time needed in the beginning for training on the computer records. However, once staff members are trained, more time is available for client care because less time is needed for documentation activity. www.testbanktank .co 1. Attain informatics nurse certification within six months of beginning Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Learning Outcome: Question 10 Type: MCSA 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? m2. Input vital signs and intake and output data in the electronic medical record. 3. Utilize the Internet to review trends in health care information technology. 4. Use an electronic spreadsheet to create staffing rotations. Correct Answer: 2 Rationale 1: Your chosen response is not a beginning level competency for nurses entering the profession. Inputting data into the electronic medical record is a beginning level competency for nurses entering the profession; the other choices are at higher levels. Rationale 2: Inputting data into the electronic medical record is a beginning level competency for nurses entering the profession; the other choices are at higher levels. Rationale 3: Your chosen response is not a beginning level competency for nurses entering the profession. Inputting data into the electronic medical record is a beginning level competency for nurses entering the profession; the other choices are at higher levels. Rationale 4: Novice nurses do not have the computer literacy skills to employ a spreadsheet to create schedules. This is a more advanced competency. The novice nurse is beginning to learn to use the system to input data. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care www.testbanktank .co m Nursing/Integrated Concepts: Learning Outcome: Question 11 Type: MCSA In which way does medical informatics overlap with nursing informatics? 1. Medical and nursing informatics focus on the areas of information retrieval. 2. Medical and nursing informatics focus on patients' families. 3. Medical and nursing informatics focus on hospital complications. 4. Medical and nursing informatics focus on hospital complications. Correct Answer: 1 Rationale 1: Informatics has subsequently emerged as an area of specialization within the various health care disciplines and is one of the fastest growing career fields in health care. Overlap occurs among medical, dental, and nursing informatics primarily in the areas of information retrieval, ethics, patient care, decision support, human to computer interactions, information systems, imaging, computer security, and computerized health records (Guenther & Caruth, 2006). Rationale 2: Informatics has subsequently emerged as an area of specialization within the various health care disciplines and is one of the fastest growing career fields in health care. Overlap occurs among medical, dental, and nursing informatics primarily in the areas of information retrieval, ethics, patient care, decision support, human to computer interactions, information systems, imaging, computer security, and computerized health records (Guenther & Caruth, 2006). Rationale 3: Informatics has subsequently emerged as an area of specialization within the various health care disciplines and is one of the fastest growing career fields in health care. Overlap occurs among medical, dental, and nursing informatics primarily in the areas of information retrieval, ethics, patient care, decision support, human-to computer interactions, information systems, imaging, computer security, and computerized health records (Guenther & Caruth, 2006). Rationale 4: Informatics has subsequently emerged as an area of specialization within the various health care disciplines and is one of the fastest growing career fields in health care. Overlap occurs among medical, dental, and nursing informatics primarily in the areas of information retrieval, ethics, patient care, decision support, human-to computer interactions, information systems, imaging, computer security, and computerized health records (Guenther & Caruth, 2006). www.testbanktank .co m 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? 1. Nurse informatics specialists will work collaboratively with other disciplines to develop user- friendly systems. 2. Nurse informatics specialists will work with other disciplines in an attempt to gain control over the use of the health care technology. 3. Nurse informatics specialists understand all of the disciplines and are able to effect changes in technology. 4. Nurse informatics specialists are knowledgeable about the needs of the typical consumer of technology. Correct Answer: 1 Rationale 1: Nursing informatics will change rapidly over the next few years. There will be a continued blur between nursing informatics and other health informatics specialties, including more interdisciplinary projects. Rationale 2: Nursing informatics will change rapidly over the next few years. There will be a continued blur between nursing informatics and other health informatics specialties, including more interdisciplinary projects. Rationale 3: Nursing informatics will change rapidly over the next few years. There will be a continued blur between nursing informatics and other health informatics specialties, including more interdisciplinary projects. Rationale 4: Nurse informatics will change rapidly over the next few years. There will be a continued blur between nursing informatics and other health informatics, including more interdisciplinary projects. Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Learning Outcome: Question 15 Type: MCSA 4. 15,000 to 25,000 The best estimate of the number of informatics nurses needed over the next few years is which of the following? 1. 500 to 1500 2. 6000 to 12,000 3. 2000 to 5000www.testbanktank.co Correct Answer: 2 m Rationale 1: Your chosen response is too low. Projections for the number of informatics nurses needed over the next few years range from 6000 to 12,000. Nursing, health care, clinical informatics graduate programs, and biomedical informatics programs collectively lag behind projected needs. Rationale 2: Projections for the number of informatics nurses needed over the next few years range from 6000 to 12,000. Nursing, health care, clinical informatics graduate programs, and biomedical informatics programs collectively lag behind projected needs. Rationale 3: Your chosen response is too low. Projections for the number of informatics nurses needed over the next few years range from 6000 to 12,000. Nursing, health care, clinical informatics graduate programs, and biomedical informatics programs collectively lag behind projected needs. Rationale 4: Your chosen response is too high. Projections for the number of informatics nurses needed over the next few years range from 6000 to 12,000. Nursing, health care, clinical informatics graduate programs, and biomedical informatics programs collectively lag behind projected needs. Global Rationale: Cognitive Level: Remembering Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Learning Outcome: Question 16 Type: MCSA www.testbanktank .co 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? 1. There are a number of accredited advanced nursing education programs in informatics in the United States. 2. Advanced degrees in nursing informatics are available only online in the United States. 3. There is limited interest in advanced education in nursing informatics. 4. There are advanced degrees available in nursing informatics, however, with technology experience there is no need for advanced theoretical education. Correct Answer: 1 mRationale 1: Doctoral degree programs are now available in nursing informatics. Also available are master's degree and certificate programs. Rationale 2: Doctoral degree programs are available on ground and online in nursing informatics. Also available are master's degree and certificate programs. Rationale 3: Doctoral degree programs are available in nursing informatics. Also available are master's degree and certificate programs. There is more interest in advanced education in nursing as health care and technology become more sophisticated. Rationale 4: Doctoral degree programs are indeed now available in nursing informatics. Also available are master's degree and certificate programs. There is more interest in advanced education in nursing as health care and technology become more sophisticated. Global Rationale: Cognitive Level: Remembering Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Learning Outcome: Question 17 Type: MCMA 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. www.testbanktank .co Rationale 4: The certified informatics nurse (IN) is an RN who works in the area of informatics. This person has experience or interest in the area but no formal informatics preparation and has the credential RN-BC (Registered Nurse, Board Certified). Therefore, advanced graduate education in nursing informatics (or related field) is not required. The informatics nurse specialist (INS) has this education and may also hold ANCC certification. Both the IN and INS may work under a variety of different titles and in various settings. Rationale 5: The certified informatics nurse (IN) holds a current, active license as a professional nurse and works in the area of informatics. This person has experience or interest in the area but no formal informatics preparation and has the credential RN-BC (Registered Nurse, Board Certified). Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Learning Outcome: Question 19 Type: MCSA Nursing informatics employs information and computer technology to support all aspects of nursing practice, including research. Which is an example of supporting research? 1. Development of a standardized nursing language 2. Identifying evidence of best clinical nursing practices 3. Familiarity with spreadsheets and statistics software and analysis 4. Housing collected client data within automated record systems Correct Answer: 1 Rationale 1: Development of a standard language for use within nursing would allow nurses, from different regions of a country or the world, to establish that they were describing the same phenomenon as well as conduct studies that could be replicated. Rationale 2: Your chosen response is an example of identifying clinical evidence; however, that does not mean supporting research. Current demands for safer, cost-effective, quality care do require evidence, supported by research, of the best practices. Development of a standard language for use within nursing would allow nurses, from different regions of a country or the m www.testbanktank .co m world, to establish that they were describing the same phenomenon as well as conduct studies that could be replicated. Rationale 3: Your chosen response is an example of utilizing informatics tools that may or may not support research. Nurses do need familiarity with spreadsheets and statistics software and analysis for use in quality improvement activities, the creation and monitoring of budgets, and to better understand research findings. Development of a standard language for use within nursing would allow nurses, from different regions of a country or the world, to establish that they were describing the same phenomenon as well as conduct studies that could be replicated. Rationale 4: Your chosen response is an example of data collection that may or may not support research. However, data collected and housed within automated record systems would make available information that could be used by health care professionals at the bedside. Development of a standard language for use within nursing would allow nurses, from different regions of a country or the world, to establish that they were describing the same phenomenon as well as conduct studies that could be replicated. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Learning Outcome: Question 20 Type: MCSA Which of the following is not associated with information literacy? 1. Recognizing when information is needed 2. Ability to find, evaluate, and effectively use information 3. Familiarity with the use of personal computers and software 4. Understanding ethical issues surrounding the use of information Correct Answer: 3 Rationale 1: Your chosen response is an example of information literacy. Information literacy is defined as the ability to recognize when information is needed as well as the skills to find, evaluate, and use needed information effectively. It includes a fundamental understanding of ethical issues surrounding the access and use of information. The information literate nurse can weigh the quality and significance of research findings for clinical practice. m www.testbanktank .co Rationale 2: Your chosen response is an example of information literacy. Information literacy is defined as the ability to recognize when information is needed as well as the skills to find, evaluate, and use needed information effectively. It includes a fundamental understanding of ethical issues surrounding the access and use of information. The information literate nurse can weigh the quality and significance of research findings for clinical practice. Rationale 3: Familiarity with the use of personal computers and software is an example of computer literacy. Information literacy is defined as the ability to recognize when information is needed as well as the skills to find, evaluate, and use needed information effectively. It includes a fundamental understanding of ethical issues surrounding the access and use of information. All other responses are associated with information literacy. The information literate nurse can weigh the quality and significance of r search findings for clinical practice. Rationale 4: Your chosen response is an example of information literacy. Information literacy is defined as the ability to recognize when information is needed as well as the skills to find, evaluate, and use needed information effectively. It includes a fundamental understanding of ethical issues surrounding the access and use of information. The information literate nurse can weigh the quality and significance of research findings for clinical practice. Chapter 2 Introduction to Information, Information Science, and Information Systems Question 1 Type: MCSA Which statement concerning "thin client technology" is correct? 1. System processing occurs on both the server and on the local PC. 2. A thin client consists of a display with keyboard and requires its own storage device. 3. Software exists on the server, therefore upgrades are done in one step for all clients. 4. When implemented, older PCs formerly used in networking must be replaced. Correct Answer: 3 Rationale 1: All system processing occurs on the server, rather than on the thin client or local PC, as seen in traditional client/server technology. When using thin client technology, software resides on the server requiring only one upgrade on the server rather than a physical visit to each PC or client. Security is also enhanced because users cannot locally run foreign disks/memory sticks that may contain a virus. Rationale 2: A thin client is primarily a display, keyboard, and mouse or other pointing device and does not require local drives or storage devices. When using thin client technology, software www.testbanktank .co mWhich example best fits the description of a local area network (LAN)? Rationale 4: The clinical nurse specialist for three departments who has been employed at the institution for six years would not know the clinical area well enough or be able to answer questions from users about the hospital. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Teaching and Learning Learning Outcome: Question 4 Type: MCSA 1. One server communicates with multiple PCs and printers 2. Office computers are connected through the use of the Internet 3. Client computers are interconnected with multiple servers 4. Internet technology is used to communicate with hospital suppliers Correct Answer: 1 Rationale 1: A local area network connects multiple PCs and printers to create a shared system. Rationale 2: The Internet actually consists of thousands of interconnected networks. A LAN is confined to a single building or campus and has only one server. Rationale 3: Networks with multiple servers are known as wide area networks (WANs). A LAN has only one server. Rationale 4: The Internet actually consists of thousands of interconnected networks. A LAN is confined to a single building or campus and has only one server. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: www.testbanktank .co m Question 5 Type: MCSA In which instance is using a wireless device an advantage for health care provider staff? 1. More memory is needed to input data for glucose monitoring and insulin coverage. 2. Error reduction is needed to input data, such as vital signs from a client's isolation room. 3. A larger screen is needed to track data, such as medication administration times with vital signs. 4. An increase in security is needed to prevent physician orders from being intercepted on the Intranet. Correct Answer: 2 Rationale 1: A wireless device is an advantage for a client's isolation room. Wireless technology may be used at the bedside to facilitate data entry at the point-of-care. However, disadvantages of wireless devices include the potential for data interception, less available memory, and smaller screens. Rationale 2: Correct. A wireless device is an advantage for a client's isolation room. Wireless technology may be used at the bedside to facilitate data entry at the point-of-care. However, disadvantages of wireless devices include the potential for data interception, less available memory, and smaller screens. Rationale 3: A wireless device is an advantage for a client's isolation room. Wireless technology may be used at the bedside to facilitate data entry at the point-of-care. However, disadvantages of wireless devices include the potential for data interception, less available memory, and smaller screens. Rationale 4: A wireless device is an advantage for a client's isolation room. Wireless technology may be used at the bedside to facilitate data entry at the point-of-care. However, disadvantages of wireless devices include the potential for data interception, less available memory, and smaller screens. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: www.testbanktank .co m Question 6 Type: MCSA Which of these is the most flexible and reliable secondary storage device? 1. DVD drive 2. Magnetic tape drive 3. CD-ROM drive 4. Zip drive Correct Answer: 1 Rationale 1: Correct. The most flexible and reliable secondary storage device is DVD drives; they can read CD disks as well. Zip drives are used to store and transfer data but storage is limited. Magnetic tape drives store data and can be used to back up or transfer data. Rationale 2: The most flexible and reliable secondary storage device is DVD drives; they can read CD disks as well. Zip drives are used to store and transfer data but storage is limited. Magnetic tape drives store data and can be used to back up or transfer data. Rationale 3: The most flexible and reliable secondary storage device is DVD drives; they can read CD disks as well. Zip drives are used to store and transfer data but storage is limited. Magnetic tape drives store data and can be used to back up or transfer data. Rationale 4: The most flexible and reliable secondary storage device is DVD drives; they can read CD disks as well. Zip drives are used to store and transfer data but storage is limited. Magnetic tape drives store data and can be used to back up or transfer data. Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 7 Type: MCSA Which of these is an advantage in the use of personal digital assistants (PDAs) in the health care setting? www.testbanktank .co m security and prevent data from falling into the wrong hands. Programming languages such as Visual Basic, COBOL, or Java are used in specialty applications. (Reference: textbook Table 2-2 Examples of Ergonomic Devices.) Rationale 2: Correct. A virus checker to increase security for Internet connections is the most likely to be used by health care staff providing direct patient care. Utility programs may be used to increase security and prevent data from falling into the wrong hands. Programming languages such as Visual Basic, COBOL, or Java are used in specialty applications. (Reference: textbook Table 2-2 Examples of Ergonomic Devices.) Rationale 3: A virus checker to increase security for Internet connections is the most likely to be used by health care staff providing dir ct patient care. Utility programs may be used to increase security and prevent data from falling into the wrong hands. Programming languages such as Visual Basic, COBOL, or Java are used in specialty applications. (Reference: textbook Table 2-2 Examples of Ergonomic Devices.) Rationale 4: A virus checker to increase security for Internet connections is the most likely to be used by health care staff providing direct patient care. Utility programs may be used to increase security and prevent data from falling into the wrong hands. Programming languages such as Visual Basic, COBOL, or Java are used in specialty applications. (Reference: textbook Table 2-2 Examples of Ergonomic Devices.) Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 10 Type: FIB is the science and technology of engineering devices at the molecular level. Standard Text: Correct Answer: Nanotechnology Rationale : Nanotechnology is the science and technology of engineering devices at the molecular level. Global Rationale: www.testbanktank .co m Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 11 Type: MCSA Which statement best describes the role of the chief privacy officer (CPO)? 1. Duties include protection of the personal health information of patients, both electronic and paper 2. Duties include strategic planning, information security, and overall management of the information system 3. Duties include assigning and monitoring system access identification codes and passwords 4. Duties include design, maintenance, and security of materials placed on the Internet, intranet, and extranet Correct Answer: 1 Rationale 1: Correct. A CPO is mandated by federal legislation to protect personal health information of patients; this includes both paper and electronic information. CPO duties include strategic planning, information security, and overall management of the information system. A webmaster is responsible for the design, maintenance, and security of materials placed on the Internet. The security officer's duties include assigning and monitoring system access identification codes and passwords. Rationale 2: A CPO is mandated by federal legislation to protect personal health information of patients; this includes both paper and electronic information. CPO duties include strategic planning, information security, and overall management of the information system. A webmaster is responsible for the design, maintenance, and security of materials placed on the Internet. The security officer's duties include assigning and monitoring system access identification codes and passwords. Rationale 3: A CPO is mandated by federal legislation to protect personal health information of patients; this includes both paper and electronic information. CPO duties include strategic planning, information security, and overall management of the information system. A webmaster is responsible for the design, maintenance, and security of materials placed on the Internet. The security officer's duties include assigning and monitoring system access identification codes and passwords. www.testbanktank .co m Rationale 4: A CPO is mandated by federal legislation to protect personal health information of patients; this includes both paper and electronic information. CPO duties include strategic planning, information security, and overall management of the information system. A webmaster is responsible for the design, maintenance, and security of materials placed on the Internet. The security officer's duties include assigning and monitoring system access identification codes and passwords. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Teaching and Learning Learning Outcome: Question 12 Type: MCSA What is the one byte binary code representation for the Arabic number 8? 1. 1000 2. 00001000 3. 2222 4. 11111111 Correct Answer: 2 Rationale 1: Binary code is a series of 1s and 0s called bits, and one byte contains 8 bits. The binary system is positional with each position's value increasing by the power of 2. The right most position value is 20 or 1 and continuing to the left the values would be 21 = 2, 22 = 4, 23 = 8 and so on. The Arabic number represented is the sum of the powers of 2 represented by the 0s and 1s. The sum of the powers of binary 00001000 is 0 + 0 + 0 + 0 + 8 + 0 + 0 + 0 = 8, so the correct choice for representing the Arabic number 8 is the binary code 00001000. The binary code 1000 represents the Arabic number 8 but is not a byte. (Reference: textbook Figure 2-3 [Internal view of a PC] will show some items that may be inside a computer cabinet.) Rationale 2: Binary code is a series of 1s and 0s called bits, and one byte contains 8 bits. The binary system is positional with each position's value increasing by the power of 2.The right most position value is 20 or 1 and continuing to the left the values would be 21 = 2, 22 = 4, 23 = 8 and so on. The Arabic number represented is the sum of the powers of 2 represented by the 0s and 1s. The sum of the powers of binary 00001000 is 0 + 0 + 0 + 0 + 8 + 0 + 0 + 0 = 8, so the www.testbanktank .co m Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Teaching and Learning Learning Outcome: Question 15 Type: MCSA Which of the following best describes RAID technology? 1. The computer shuts down when a single disk fails. 2. Community clinics use a primary data storage drive. 3. RAID costs more than using one large disk drive. 4. Duplicate disks mirror copies of data. Correct Answer: 4 Rationale 1: RAID is a secondary storage technology that uses duplicate disks to mirror copies of data. Using RAID may be less costly than using one large disk drive. In the event that an individual disk fails, the remaining RAID would permit the computer to continue working uninterrupted. Rationale 2: RAID is secondary storage technology that uses duplicate disks to mirror copies of data. Using RAID may be less costly than using one large disk drive. In the event that an individual disk fails, the remaining RAID would permit the computer to continue working uninterrupted. Rationale 3: RAID is a secondary storage technology that uses duplicate disks to mirror copies of data. Using RAID may be less costly than using one large disk drive. In the event that an individual disk fails, the remaining RAID would permit the computer to continue working uninterrupted. Rationale 4: RAID is secondary storage technology that uses duplicate disks to mirror copies of data. Using RAID may be less costly than using one large disk drive. In the event that an individual disk fails, the remaining RAID would permit the computer to continue working uninterrupted. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment www.testbanktank .co m Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 16 Type: MCSA Which of the following best describes an intranet? 1. The largest and best known electronic network in the world 2. Limited to systems affiliated with education and government agencies 3. A network outside of the hospital system for use by customers or suppliers 4. A private hospital system that is protected from outside access Correct Answer: 4 Rationale 1: Intranets are private company networks that are protected from outside access. A network outside of the company system for use by customers or suppliers would be an extranet. The largest and best known network in the world is the Internet. The Internet was once limited to individuals affiliated with educational institutions and government agencies, but access is now available to the public. Rationale 2: Intranets are private company networks that are protected from outside access. A network outside of the company system for use by customers or suppliers would be an extranet. The largest and best known network in the world is the Internet. The Internet was once limited to individuals affiliated with educational institutions and government agencies, but access is now available to the public. Rationale 3: Intranets are private company networks that are protected from outside access. A network outside of the company system for use by customers or suppliers would be an extranet. The largest and best known network in the world is the Internet. The Internet was once limited to individuals affiliated with educational institutions and government agencies, but access is now available to the public. Rationale 4: Intranets are private company networks that are protected from outside access. A network outside of the company system for use by customers or suppliers would be an extranet. The largest and best known network in the world is the Internet. The Internet was once limited to individuals affiliated with educational institutions and government agencies, but access is now available to the public. Global Rationale: Cognitive Level: Analyzing www.testbanktank .co m Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 17 Type: MCSA What are the two types of memory categories? 1. Control and central processing units 2. Read-only memory (ROM) and Random access memory (RAM) 3. Flash drives and user ports 4. CDROMs and DVDs Correct Answer: 2 Rationale 1: Random access memory (RAM) is a temporary storage area that is active only while the computer is turned on. It provides storage for the program that is running, as well as for the data that are being processed. Read-only memory (ROM) is permanent; it remains when the power is off. It typically cannot be changed by the user unless additional memory is installed. ROM contains start-up instructions that are executed each time the computer is turned on. Rationale 2: RAM is a temporary storage area that is active only while the computer is turned on. It provides storage for the program that is running, as well as for the data that are being processed. ROM is permanent; it remains when the power is off. It typically cannot be changed by the user unless additional memory is installed. ROM contains start-up instructions that are executed each time the computer is turned on. Rationale 3: Random access memory (RAM) is a temporary storage area that is active only while the computer is turned on. It provides storage for the program that is running, as well as for the data that are being processed. Read-only memory (ROM) is permanent; it remains when the power is off. It typically cannot be changed by the user unless additional memory is installed. ROM contains start-up instructions that are executed each time the computer is turned on. Rationale 4: Random access memory (RAM) is a temporary storage area that is active only while the computer is turned on. It provides storage for the program that is running, as well as for the data that are being processed. Read-only memory (ROM) is permanent; it remains when the power is off. It typically cannot be changed by the user unless additional memory is installed. ROM contains start-up instructions that are executed each time the computer is turned on. Global Rationale: www.testbanktank .co m 4. "Thin" client technology used in traditional client/server networks has local drives or storage devices. Correct Answer: 1 Rationale 1: The thin client is primarily a display, keyboard, and mouse or other pointing device. The minimal hardware requirements for this model give rise to the name "thin client" as opposed to "fat client," as seen in traditional client/server technology. PCs used in traditional client/server networks had local drives or storage devices so they are referred to as fat clients. Rationale 2: The thin client is primarily a display, keyboard, and mouse or other pointing device. The minimal hardware requirements for this model give rise to the name "thin client" as opposed to "fat client," as seen in traditional client/server technology. PCs used in traditional client/server networks had local drives or storage devices so they are referred to as fat clients. Rationale 3: The thin client is primarily a display, keyboard, and mouse or other pointing device. The minimal hardware requirements for this model give rise to the name "thin client" as opposed to "fat client," as seen in traditional client/server technology. PCs used in traditional client/server networks had local drives or storage devices so they are referred to as fat clients. Rationale 4: The thin client is primarily a display, keyboard, and mouse or other pointing device. The minimal hardware requirements for this model give rise to the name "thin client" as opposed to "fat client," as seen in traditional client/server technology. PCs used in traditional client/server networks had local drives or storage devices so they are referred to as fat clients. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Teaching and Learning Learning Outcome: Question 21 Type: MCSA Handheld or personal digital assistants (PDAs) are more visible in the health care system. Which of the following answers best describes an advantage of using a PDA? 1. A PDA is easily transported to the point of care. 2. The probability of theft is high; therefore, nurses can keep the device in their pockets. 3. The PDA has a small screen size. www.testbanktank .co 4. PDAs can hold up to rough use. Correct Answer: 1 Rationale 1: A PDA is lightweight and portable and can be transported with ease to the bedside. Rationale 2: Being concerned about theft is not an advantage of the PDA. Rationale 3: A PDA with a small screen size is not an advantage and could limit the nurse's ability to read the screen. Rationale 4: PDAs are to be treated with care and cannot tolerate rough use. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 22 Type: FIB A is a combination of hardware and software that allows communication and electronic transfer of information between computers. Standard Text: Correct Answer: network Rationale : A network is a combination of hardware and software that allows communication and electronic transfer of information between computers. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 23 Type: MCSA m www.testbanktank .coRationale 1: Decision makers are called to identify the needs of the organization before selecting a computer system. The system is then tailored to the organizational goals. Selecting a computer system depends primarily on the needs and expectations of the organization. Which of the following choices are not relevant in the decision making process? 1. Applications needed to accomplish goals 2. Back up options 3. Cost 4. The computer literacy of the nursing staff Correct Answer: 4 m Rationale 2: When selecting a computer system, the back up of files and documents are placed on the agenda and examined for relevance. In health care settings, it is essential to have a mechanism to back up all generated files. Rationale 3: The cost of computer systems can rise to millions of dollars depending on the needs and size of the institution. Therefore, cost and its impact on the budget are important considerations when choosing a system. Rationale 4: The computer literacy of the nursing staff is not an essential component when selecting a network or computer system for a health care setting. Nurses can be trained to use the hardware and software through a series of continuing education or staff development programs. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Teaching and Learning Learning Outcome: Question 24 Type: MCSA A set of instructions that communicates with the computer and tells it what to do is called which of the following? 1. Software 2. Manual m Rationale 4: Application software that includes word processing, presentation graphics, spreadsheets, databases, and desktop publishing is considered software. Chapter 3 Computer Science and the Foundation of Knowledge Model Question 1 Type: MCSA Whiwch of thwe follow ing is c.onstideered a sthreatttobinformaationnqualitky? tank.c o 1. An unauthorized user hacks into the system to review the clients' records 2. Not verifying information as correct prior to entry 3. An earthquake interrupts the power supply and causes data loss 4. A wireless transmission is intercepted to review a new client's records. Correct Answer: 2 Rationale 1: Hackers are a threat to confidentiality. The correct response is a failure to enter data correctly which is a very serious threat to the quality of information. Rationale 2: Failing to enter data correctly is a very serious threat to the quality of information and "garbage in" equals "garbage out". Interruption of a power supply is a threat to information availability; and hackers and wireless interceptions are threats to confidentiality. Rationale 3: Interruption of a power supply is a threat to information availability. The correct response is a failure to enter data correctly which is a very serious threat to the quality of information. Rationale 4: Wireless interception is a threat to confidentiality. The correct response is a failure to enter data correctly which is a very serious threat to the quality of information. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 2 www.testbanktank .co Type: MCSA In which instance is using the technique of data mining most appropriate? 1. To document quality improvement when problems are identified and targeted on a medical- surgical unit 2. To find the appropriate treatment for a client with advanced lung cancer 3. To identify an appropriate diagnosis for a client with undetermined signs and symptoms 4. To assist in the determination of the correct dose of medication to give a client in congestive heart failure Correct Answer: 1 mRationale 1: Data mining is a technique that is used to look for hidden patterns and relationships in large groups of data, not specific cases. Rationale 2: Data mining is a technique that is used to look for hidden patterns and relationships in large groups of data, not specific cases. Rationale 3: Data mining is a technique that is used to look for hidden patterns and relationships in large groups of data, not specific cases. Rationale 4: Data mining is a technique that is used to look for hidden patterns and relationships in large groups of data, not specific cases. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 3 Type: MCSA Which of the following is an example of data cleansing or scrubbing? 1. Abbreviations are compared using software to ensure standard language is used. 2. When the name of the admitting physician is blank, the primary physician is used by default. www.testbanktank .co m Correct Answer: 4 Rationale 1: Online storage provides immediate access to current data. Offline storage is useful to archive data for long-term storage, maintain old records, and keep backups safely. Rationale 2: Online storage provides immediate access to current data. Offline storage is useful to archive data for long-term storage, maintain old records, and keep backups safely. Rationale 3: Online storage provides immediate access to current data. Offline storage is useful to archive data for long-term storage, maintain old records, and keep backups safely. Rationale 4: Online storage provides immediate access to current data. Offline storage is useful to archive data for long-term storage, maintain old records, and keep backups safely. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 6 Type: MCSA Data integrity may be affected by how data is stored. Which of the following storage methods is the most reliable? 1. Portable hard drive with removable disk 2. Optical media and disks 3. Magnetic tape or cartridges 4. Redundant Array of Disks (RAID) Correct Answer: 4 Rationale 1: RAID technology uses two or more hard drives that are interconnected to duplicate data. Magnetic tapes, optical media, and portable hard drives do not automatically store duplicate copies of data. Rationale 2: RAID technology uses two or more hard drives that are interconnected to duplicate data. Magnetic tapes, optical media, and portable hard drives do not automatically store duplicate copies of data. www.testbanktank .co Rationale 3: RAID technology uses two or more hard drives that are interconnected to duplicate data. Magnetic tapes, optical media, and portable hard drives do not automatically store duplicate copies of data. Rationale 4: RAID technology uses two or more hard drives that are interconnected to duplicate data. Magnetic tapes, optical media, and portable hard drives do not automatically store duplicate copies of data. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Learning Outcome: Question 7 Type: MCSA Which of the following is an example of a system check? 1. When a duplicate entry is entered into the system, that entry is immediately deleted. 2. The nurse asks clients to verify their names when prompted by the computer system. 3. After turning on the bedside computer, the system performs a self-check before data will input. 4. Software in the system automatically corrects misspelled words and abbreviations. Correct Answer: 2 Rationale 1: System checks are programmed into the computer to assist in data collection and verification at the point of entry. The health care worker will be prompted to verify or confirm information that seems inappropriate. Rationale 2: System checks are programmed into the computer to assist in data collection and verification at the point of entry. The health care worker will be prompted to verify or confirm information that seems inappropriate. Rationale 3: System checks are programmed into the computer to assist in data collection and verification at the point of entry. The health care worker will be prompted to verify or confirm information that seems inappropriate. m www.testbanktank .co m Rationale 4: System checks are programmed into the computer to assist in data collection and verification at the point of entry. The health care worker will be prompted to verify or confirm information that seems inappropriate. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 8 Type: MCSA Data verification techniques are important to ensure data accuracy. For which of the following clients is data verification most difficult? 1. A client who is visually impaired can verbalize which data are correct and incorrect. 2. A client who is hard of hearing can read and confirm printouts of entered data. 3. A client who does not speak English can point to the screen to verify correct data. 4. A client who is unable to read can affirm verbally that the information is correct. Correct Answer: 3 Rationale 1: For non-English speaking persons, all data verification techniques are at highest risk for improper verification. Proof of identification or a translator may be needed to ensure accuracy. Rationale 2: For non-English speaking persons, all data verification techniques are at highest risk for improper verification. Proof of identification or a translator may be needed to ensure accuracy. Rationale 3: For non-English speaking persons, all data verification techniques are at highest risk for improper verification. Proof of identification or a translator may be needed to ensure accuracy. Rationale 4: For non-English speaking persons, all data verification techniques are at highest risk for improper verification. Proof of identification or a translator may be needed to ensure accuracy. Global Rationale: www.testbanktank .co2. Exclusive use of a database administrator (DBA) Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Learning Outcome: Question 11 Type: MCSA A relational database is a type of database that is specifically designed for which of the following? 1. Accessing data stored in multiple databases m 4. Using data that are represented as tables Correct Answer: 4 Rationale 1: A relational database is designed for using data that are represented as tables. A data warehouse is a repository for storing data from several different databases so that it can be combined and manipulated to provide answers to complex analytic questions. Several levels of personnel are involved in data management and the database administrator (DBA) is specifically responsible for overseeing all activities related to maintaining the database. Rationale 2: A relational database is designed for using data that are represented as tables. A data warehouse is a repository for storing data from several different databases so that it can be combined and manipulated to provide answers to complex analytic questions. Several levels of personnel are involved in data management and the DBA is specifically responsible for overseeing all activities related to maintaining the database. Rationale 3: A relational database is designed for using data that are represented as tables. A data warehouse is a repository for storing data from several different databases so that it can be combined and manipulated to provide answers to complex analytic questions. Several levels of personnel are involved in data management and the database administrator (DBA) is specifically responsible for overseeing all activities related to maintaining the database. Rationale 4: A relational database is designed for using data that are represented as tables. A data warehouse is a repository for storing data from several different databases so that it can be combined and manipulated to provide answers to complex analytic questions. Several levels of personnel are involved in data management and the database administrator (DBA) is specifically responsible for overseeing all activities related to maintaining the database. Global Rationale: 3. Answering complex analytical questions Type: MCSA m Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 12www.testbanktank.co The rate of suspected adverse drug reaction (ADR) among clients in the maternity unit is climbing. The nurse manager is aware that a World Health Organization (WHO) ADR database analyzes millions of suspected ADR reports in order to uncover new adverse effects. This WHO tracking is an example of which of the following? 1. Data scrubbing 2. Data mining 3. Knowledge discovery 4. Electronic data interchange Correct Answer: 3 Rationale 1: Knowledge discovery is defined as "the non-trivial extraction of implicit, unknown, and potentially useful information from data." Data mining is a technique that uses software to look for hidden patterns and relationships in large groups of data. Data cleansing or scrubbing is a procedure that uses software to improve the quality of data to ensure that it is accurate enough for use in data mining and warehousing. Electronic data interchange streamlines the flow of clinical and financial data from one location to another. Rationale 2: Knowledge discovery is defined as "the non-trivial extraction of implicit, unknown, and potentially useful information from data." Data mining is a technique that uses software to look for hidden patterns and relationships in large groups of data. Data cleansing or scrubbing is a procedure that uses software to improve the quality of data to ensure that it is accurate enough for use in data mining and warehousing. Electronic data interchange streamlines the flow of clinical and financial data from one location to another. Rationale 3: Knowledge discovery is defined as "the non-trivial extraction of implicit, unknown, and potentially useful information from data." Data mining is a technique that uses software to look for hidden patterns and relationships in large groups of data. Data cleansing or scrubbing is a procedure that uses software to improve the quality of data to ensure that it is accurate enough for use in data mining and warehousing. Electronic data interchange streamlines the flow of clinical and financial data from one location to another. www.testbanktank .co m Rationale 4: Knowledge discovery is defined as "the non-trivial extraction of implicit, unknown, and potentially useful information from data." Data mining is a technique that uses software to look for hidden patterns and relationships in large groups of data. Data cleansing or scrubbing is a procedure that uses software to improve the quality of data to ensure that it is accurate enough for use in data mining and warehousing. Electronic data interchange streamlines the flow of clinical and financial data from one location to another. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 13 Type: MCSA Which of the following will have the greatest impact on data integrity? 1. The computer system goes down but is completely restored within one minute. 2. A nurse collects data related to allergies but fails to document all reported allergies. 3. A clinic manager uses secondary storage for storing clinical records offline. 4. A number of printed media clinical records are discarded in the regular trash dumpster. Correct Answer: 2 Rationale 1: Data integrity refers to the ability to collect, store, and retrieve correct, complete, and current data so that it will be available to authorized users when needed. If the data are faulty or incomplete, the quality of derived information may be poor, resulting in decisions that may be inappropriate and possibly harmful to clients. A one minute computer outage would disrupt operations but would not necessarily impact data integrity. Rationale 2: Data integrity refers to the ability to collect, store, and retrieve correct, complete, and current data so that it will be available to authorized users when needed. If the data are faulty or incomplete, the quality of derived information may be poor, resulting in decisions that may be inappropriate and possibly harmful to clients. Rationale 3: Data integrity refers to the ability to collect, store, and retrieve correct, complete, and current data so that it will be available to authorized users when needed. If the data are faulty or incomplete, the quality of derived information may be poor, resulting in decisions that may be inappropriate and possibly harmful to clients. Offline storage is used for data that are needed less www.testbanktank .co m Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 16 Type: MCSA The night shift charge nurse is being promoted to the position of mental health unit nurse manager. The supervisor would contact the database administrator (DBA) to allow the nurse manager access to needed data required for this new position. Which of the following suggests this is a correct statement? 1. The DBA is responsible for overseeing all activities related to maintaining the database. 2. The database administrator has no authority over the management of data input. 3. The mental health manager should not have access to the database. 4. The mental health manager does not have to communicate with the database manager and ask for permission for access. Correct Answer: 1 Rationale 1: The DBA is responsible for overseeing all activities related to maintaining the database and optimizing its use. Rationale 2: The DBA is responsible for overseeing all activities related to maintaining the database and optimizing its use. Rationale 3: The DBA is responsible for overseeing all activities related to maintaining the database and optimizing its use. Rationale 4: The DBA is responsible for overseeing all activities related to maintaining the database and optimizing its use. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 17 Type: MCSA www.testbanktank .co m No agreement exists among health care groups in the United States regarding a common electronic data interchange (EDI) standard. This statement is true because of which of the following? 1. Experts have not yet finished the discussion phase leading to an agreement. 2. There is an agreement among health care groups because there is no need for a common EDI. 3. Agreements are part of the national health care reform initiative. 4. Health groups have isolated databases while working toward unification. Correct Answer: 1 Rationale 1: EDI streamlines the flow of clinical and financial data from one location to another. EDI is the communication of data in binary code from one computer to another. As the number of automated client record systems increases, so does the need to establish standard record structure and identifiers for individual data items to facilitate data exchange. Presently, no agreement exists among health care groups in the United States regarding a common EDI standard. Rationale 2: EDI streamlines the flow of clinical and financial data from one location to another. EDI is the communication of data in binary code from one computer to another. As the number of automated client record systems increases, so does the need to establish standard record structure and identifiers for individual data items to facilitate data exchange. Presently, no agreement exists among health care groups in the United States regarding a common EDI standard. Rationale 3: EDI streamlines the flow of clinical and financial data from one location to another. EDI is the communication of data in binary code from one computer to another. As the number of automated client record systems increases, so does the need to establish standard record structure and identifiers for individual data items to facilitate data exchange. Presently, no agreement exists among health care groups in the United States regarding a common EDI standard. Rationale 4: EDI streamlines the flow of clinical and financial data from one location to another. EDI is the communication of data in binary code from one computer to another. As the number of automated client record systems increases, so does the need to establish standard record structure and identifiers for individual data items to facilitate data exchange. Presently, no agreement exists among health care groups in the United States regarding a common EDI standard. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment www.testbanktank .co Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 18 Type: MCSA Data integrity is crucial to the success of professional nursing practice. Which of the following phrases identifies its relevance to quality care? 1. Data integrity provides a systematic approach to the care of the patient. 2. The use of authentic data ensures mistakes are avoided. 3. All data entered into the system are accurate. m 4. Data integrity is a driving force in treatment decision making. Correct Answer: 4 Rationale 1: Data, itself, does not provide an approach to patient care, but guides the nurse and health care team in decision making. Rationale 2: Data can assist in the prevention of medical errors, but it is the role of the nurse to analyze the accuracy and integrity of the data. Rationale 3: The person inputting the data can make a mistake. The health care team needs to analyze presented data and use critical thinking skills to ascertain its relevance and accuracy. Rationale 4: Authentic data are essential in ensuring successful patient care outcomes. Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: Question 19 Type: MCSA The best teaching method to assure nurses are competent with laptops and handheld devices is which of the following? www.testbanktank .co Question 22 Type: FIB Data retrieval most commonly occurs as a function of a in conjunction with secondary storage media Standard Text: Correct Answer: Software application. Rationale : Data retrieval most commonly occurs as a function of a software application in conjunction with secondary storage media Global Rationale: mCognitive Level: Remembering Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 23 Type: MCSA Which of the following terms is a knowledge management tool that engages software to uncover inter-relationships within large data-sets? 1. Data mining 2. Knowledge discovery 3. Data destruction 4. Data cleansing Correct Answer: 1 Rationale 1: Data mining is a knowledge management tool that engages software to uncover inter-relationships within large data-sets and naturally leads to the knowledge discovery in databases paradigm. Rationale 2: Knowledge discovery can be defined as the development of skills, understandings, and integrative abilities derived from data. Data mining provides trended patterns that can then be transformed into useful data (Bonchi & Ferrari, 2010). www.testbanktank .co m Rationale 3: Data destruction may be achieved through physical and software destruction. Rationale 4: Data cleansing or scrubbing is a procedure that uses software to improve the quality of data to ensure that it is accurate enough for use in data mining and warehousing. Global Rationale: Cognitive Level: Remembering Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Communication and Documentation Learning Outcome: Question 24 Type: MCSA 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? 1. The nurse as administrator 2. The nurse as educator 3. The nurse as researcher 4. The nurse at point of care Correct Answer: 3 Rationale 1: The nurse as administrator can utilize the data retrieved from data mining and knowledge discovery to define trends. Rationale 2: The nurse as educator has a role in the staff development and providing guidance in the use of technology. Rationale 3: The nurse as researcher can extrapolate data from the source and link relationships and patterns. Data can further be used to identify trends associated with evidence-based practice and best practice models. Rationale 4: The nurse at point of care has the ability to incorporate evidence-based models to improve the quality of care. Global Rationale: www.testbanktank .co m Cognitive Level: Evaluating Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Teaching and Learning Learning Outcome: Question 25 Type: MCSA Which of the following statements is true about knowledge discovery and the role of the nurse? 1. Point-of-care nurses do not have the education to translate knowledge into best practice models. 2. Nurses have the ability to translate knowledge into improved practice patterns. 3. Nurses cannot act upon data unless in collaboration with other health care professionals. 4. Attending physicians rather than nurses are in the best position to deliver high-quality and cost-effective care that is dependent upon their ability to translate knowledge (evidence) into practice. Correct Answer: 2 Rationale 1: Clinical repositories are now available for research and utilization purposes. Point- of-care nurses are excellent candidates to analyze data in repositories and create best practice models to improve care. Rationale 2: The potential to discern patterns and relationships within those databases that would contribute to new knowledge was recognized some time ago but efforts were hampered by the paucity of methods to discover useful information until recently. Currently there are new tools to assist with the discovery and analysis of data. Rationale 3: Clinical databases hold huge amounts of information about patients and their medical conditions. The amount of data housed in contemporary hospital systems offer the health care team a plethora of information for decision making and the trending of patterns. Nurses have the ability to create models based on collected data. Collaboration with other disciplines can enhance the process but is not necessary when focusing on nursing care. Rationale 4: Nurses are in the best position to deliver high-quality and cost-effective care that is dependent upon their ability to translate knowledge (evidence) into practice. Chapter 4 Introduction to Cognitive Science and Cognitive Informatics Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Teaching and Learning www.testbanktank .co m Learning Outcome: Question 3 Type: MCSA A proficiency examination is planned to ensure that employees have the requisite knowledge to use a new wireless system. Which statement indicates the best use of testing? 1. Testing is criterion-referenced to evaluate predetermined system competencies. 2. Computer testing is done using a multiple-choice question format. 3. Predetermined competencies are determined by comparing class averages. 4. Norm-referenced testing is used to ensure the most successful employees keep their position. Correct Answer: 1 Rationale 1: The most effective testing is criterion-referenced with predetermined competencies, not comparing results among employees. Rationale 2: The correct answer is “testing is criterion-referenced to evaluate predetermined system competencies.” The most effective testing is criterion-referenced with predetermined competencies, not comparing results among employees. Rationale 3: The correct answer is “testing is criterion-referenced to evaluate predetermined system competencies.” The most effective testing is criterion-referenced with predetermined competencies, not comparing results among employees. Rationale 4: The correct answer is “testing is criterion-referenced to evaluate predetermined system competencies.” The most effective testing is criterion-referenced with predetermined competencies, not comparing results among employees. Norm-referenced testing is useful in competitive hiring situations where there are more applicants than positions available. However, this type of testing is not typically used for information system training. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Evaluation Learning Outcome: Question 4 Type: MCSA www.testban ktan How should health care student training most efficiently be handled by an institution? 1. Each nursing student receives the same amount of training as the staff nurse on the unit. 2. Practical or vocational nursing students are placed in the user class with LPNs or LVNs to access information and document client care. 3. Students must be trained to provide appropriate clinical information to an assigned staff nurse, who will document client care in the system. 4. Students assess and document client care and medication administration by giving their information to the clinical instructor to input into the system. k.c o Correct Answer: 2 mRationale 1: The correct answer is “practical or vocational nursing students are placed in the user class with LPNs or LVNs to access information and document client care.” It is most cost- effective to use preexisting user classes for students at a similar end-user level. Rationale 2: It is most cost-effective to use preexisting user classes for students at a similar end- user level. Rationale 3: The correct answer is “practical or vocational nursing students are placed in the user class with LPNs or LVNs to access information and document client care.” It is most cost- effective to use preexisting user classes for students at a similar end-user level. Rationale 4: The correct answer is “practical or vocational nursing students are placed in the user class with LPNs or LVNs to access information and document client care.” It is most cost- effective to use preexisting user classes for students at a similar end-user level. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Teaching and Learning Learning Outcome: Question 5 Type: MCMA The training of students often takes the same amount of time and resources as employee training. Which of the following are the most appropriate uses of the computer system for a nursing student assigned to a cardiac unit? m www.testbanktank .co Which form of training would best fit the needs of a night shift worker (11 p.m. to 7 a.m.)? 1. An online tutorial that can be accessed when it fits worker's time off 2. A Listserv set up for e-mail comments and questions 3. A three-hour video that can be run during the worker's shift 4. A full-day workshop that starts shortly after the end of the shift Correct Answer: 1 Rationale 1: Online tutorials are available 24/7 and allow immediate application of learning. The correct answer is an online tutorial that can be accessed when it fits the worker's schedule. Listservs via e-mail are too slow for training; videos are not interactive; and workshops should be scheduled for times when the employee is off duty and rested, ready to learn, not just as a shift ends. Rationale 2: The correct answer is an online tutorial that can be accessed when it fits the worker's schedule. Online tutorials are available 24/7 and allow immediate application of learning. Listservs via e-mail are too slow for training; videos are not interactive; and workshops should be scheduled for times when the employee is off duty and rested, ready to learn, not just as a shift ends. Rationale 3: The correct answer is an online tutorial that can be accessed when it fits the worker's schedule. Online tutorials are available 24/7 and allow immediate application of learning. Listservs via e-mail are too slow for training; videos are not interactive; and workshops should be scheduled for times when the employee is off duty and rested, ready to learn, not just as a shift ends. Rationale 4: The correct answer is an online tutorial that can be accessed when it fits the worker's schedule. Online tutorials are available 24/7 and allow immediate application of learning. Listserv via e-mail are too slow for training; videos are not interactive; and workshops should be scheduled for times when the employee is off duty and rested, ready to learn, not just as a shift ends. Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Teaching and Learning Learning Outcome: Question 8 Type: MCSA m www.testbanktank .co Which statement regarding the training approach is true? 1. Users may choose online multimedia or online tutorials to enhance retention. 2. Computer-based training should be used whenever data entry is required. 3. Blended learning is popular because it is appropriate for almost any content need. 4. Instructor-led training is still the best approach even though it is now less prevalent. Correct Answer: 1 Rationale 1: Users may choose online multimedia or online tutorials to enhance retention. Computers can be used to input data without the instruction being computer-based. Instructor-led training is actually the most popular but not necessarily the best. Blended learning is not appropriate f r all types of content and the organization's network must be able to support electronic training delivery. Rationale 2: The correct answer is “users may choose online multimedia or online tutorials to enhance retention.” Computers can be used to input data without the instruction being computer- based. Instructor-led training is actually the most popular but not necessarily the best. Blended learning is not appropriate for all types of content and the organization's network must be able to support electronic training delivery. Rationale 3: The correct answer is “users may choose online multimedia or online tutorials to enhance retention.” Computers can be used to input data without the instruction being computer- based. Instructor-led training is actually the most popular but not necessarily the best. Blended learning is not appropriate for all types of content and the organization's network must be able to support electronic training delivery. Rationale 4: The correct answer is “users may choose online multimedia or online tutorials to enhance retention.” Computers can be used to input data without the instruction being computer- based. Instructor-led training is actually the most popular but not necessarily the best. Blended learning is not appropriate for all types of content and the organization's network must be able to support electronic training delivery. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Teaching and Learning Learning Outcome: Question 9 Type: MCMA www.testbanktank .co The most essential knowledge for a staff nurse end-user are which of the following? Standard Text: Select all that apply. 1. Basic equipment troubleshooting procedures 2. Backing up the computer system at the end of each shift 3. Error message content recognition 4. Protocol for dealing with system "freezes" and "crashes" 5. Data entry error log review Correct Answer: 1,3,4 mRationale 1: The correct answers are: “basic equip ent troubleshooting procedures”; “error message content recognition”; “and protocol for dealing with system ‘freezes’ and ‘crashes.’” The system administrator, not the staff, should back up the system; data entry error logs are reviewed by the systems analyst. Rationale 2: The correct answers are: “basic equipment troubleshooting procedures”; “error message content recognition”; and “protocol for dealing with system ‘freezes’ and ‘crashes.’” The system administrator, not the staff, should back up the system; data entry error logs are reviewed by the systems analyst. Rationale 3: The correct answers are: “basic equipment troubleshooting procedures”; “error message content recognition”; and “protocol for dealing with system ‘freezes’ and ‘crashes.’” The system administrator, not the staff, should back up the system; data entry error logs are reviewed by the systems analyst. Rationale 4: The correct answers are: “basic equipment troubleshooting procedures”; “error message content recognition”; and “protocol for dealing with system ‘freezes’ and ‘crashes.’” The system administrator, not the staff, should back up the system; data entry error logs are reviewed by the systems analyst. Rationale 5: The correct answers are: “basic equipment troubleshooting procedures”; “error message content recognition”; and “protocol for dealing with system ‘freezes’ and ‘crashes.’” The system administrator, not the staff, should back up the system; data entry error logs are reviewed by the systems analyst. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care www.testbanktank .co m Type: MCMA Among the following, which defines the process for determining health care worker information systems training needs? Standard Text: Select all that apply. 1. User classes are used to refine the types of training courses needed for system implementation. 2. End-users are identified and grouped by job class responsibilities. 3. Training needs of each job class are determined according to what functions each end- user will perform. 4. Training is delivered based upon what administrators decide to automate first. 5. User class is defined and categorized as the personnel who perform similar functions. Correct Answer: 1,2,3,4,5 Rationale 1: End-users are identified and grouped by job class responsibilities. The training needs of each job class are determined according to what functions each will perform. Professional skill level does not determine training needs. Administrators decide what applications or modules will be automated first and end-user training is delivered based upon these decisions. User classes are defined as the personnel who perform similar functions. User classes refine the types of training classes needed for implementation. Rationale 2: End-users are identified and grouped by job class responsibilities. The training needs of each job class are determined according to what functions each will perform. Professional skill level does not determine training needs. Administrators decide what applications or modules will be automated first and end-user training is delivered based upon these decisions. User classes are defined as the personnel who perform similar functions. User classes refine the types of training classes needed for implementation. Rationale 3: End-users are identified and grouped by job class responsibilities. The training needs of each job class are determined according to what functions each will perform. Professional skill level does not determine training needs. Administrators decide what applications or modules will be automated first and end-user training is delivered based upon these decisions. User classes are defined as the personnel who perform similar functions. User classes refine the types of training classes needed for implementation. Rationale 4: End-users are identified and grouped by job class responsibilities. The training needs of each job class are determined according to what functions each will perform. Professional skill level does not determine training needs. Administrators decide what applications or modules will be automated first and end-user training is delivered based upon www.testbanktank .co m these decisions. User classes are defined as the personnel who perform similar functions. User classes refine the types of training classes needed for implementation. Rationale 5: End-users are identified and grouped by job class responsibilities. The training needs of each job class are determined according to what functions each will perform. Professional skill level does not determine training needs. Administrators decide what applications or modules will be automated first and end-user training is delivered based upon these decisions. User classes are defined as the personnel who perform similar functions. User classes refine the types of training classes needed for implementation. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Teaching and Learning Learning Outcome: Question 12 Type: MCMA Which of the following are considered steps for identifying training needs? Standard Text: Select all that apply. 1. Identify user needs 2. Determine content 3. Establishing learning objectives 4. Deciding teaching approach 5. Create evaluation strategy Correct Answer: 1,2,3,4,5 Rationale 1: The training preparation process begins by identifying user needs, determining content, establishing learning objectives, and deciding upon the approach and evaluation strategy. Rationale 2: The training preparation process begins by identifying user needs, determining content, establishing learning objectives, and deciding upon the approach and evaluation strategy. www.testbanktank .co Rationale 3: The training preparation process begins by identifying user needs, determining content, establishing learning objectives, and deciding upon the approach and evaluation strategy. Rationale 4: The training preparation process begins by identifying user needs, determining content, establishing learning objectives, and deciding upon the approach and evaluation strategy. Rationale 5: The training preparation process begins by identifying user needs, determining content, establishing learning objectives, and deciding upon the approach and evaluation strategy. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Teaching and Learning Learning Outcome: Question 13 Type: MCMA Among the following, which indicate that an organization has identified and is managing human factors in the work environment? Standard Text: Select all that apply. 1. Classroom question and answer periods are regularly kept to a strict limit of five minutes. 2. Tent cards with name and unit of trainees are placed in the classroom at each meeting. 3. Administrators meet with unit supervisors and not staff for fear of intimidating them during the critical implementation phase. 4. A series of noon meetings (lunch provided) called "LunchBytes" are offered for demonstrations and discussion sessions. 5. An article announcing the implementation of the new system and recognizing the staff appears in the local paper. Correct Answer: 2,4,5 m Type: MCMA Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Teaching and Learning Learning Outcome: Question 16www.testbanktank.co Which of the following are specific factors to consider when selecting a training method? Standard Text: Select all that apply. 1. Time required to develop program 2. Cost of development and training 3. Application training strategies 4. Learning styles of trainees 5. Learning retention strategies Correct Answer: 1,2,3,4,5 Rationale 1: -Time: The time required to develop and present using each instructional approach varies. -Cost: Initial content development time and subsequent revisions can be lengthy for computer based training, running up the expense. -Learning styles: Blended delivery includes a combination of approaches that target learning styles and allow learners to actively participate in training activities. -Learning retention: Active participation through scenarios, case studies, practice exercises, and repetition provide opportunities for learning, applying job skills, and retaining knowledge. Rationale 2: -Time: The time required to develop and present using each instructional approach varies. -Cost: Initial content development time and subsequent revisions can be lengthy for computer based training, running up the expense. -Learning styles: Blended delivery includes a combination of approaches that target learning styles and allow learners to actively participate in training activities. -Learning retention: Active participation through scenarios, case studies, practice exercises, and repetition provide opportunities for learning, applying job skills, and retaining knowledge. Rationale 3: -Time: The time required to develop and present using each instructional approach varies. m www.testbanktank .co m -Cost: Initial content development time and subsequent revisions can be lengthy for computer based training, running up the expense. -Learning styles: Blended delivery includes a combination of approaches that target learning styles and allow learners to actively participate in training activities. -Learning retention: Active participation through scenarios, case studies, practice exercises, and repetition provide opportunities for learning, applying job skills, and retaining knowledge. Rationale 4: -Time: The time required to develop and present using each instructional approach varies. -Cost: Initial content development time and subsequent revisions can be lengthy for computer based training, running up the expense. -Learning styles: Blended delivery includes a combination of pproaches that target le rning styles and allow learners to actively participate in training activities. -Learning retention: Active participation through scenarios, case studies, practice exercises, and repetition provide opportunities for learning, applying job skills, and retaining knowledge. Rationale 5: -Time: The time required to develop and present using each instructional approach varies. -Cost: Initial content development time and subsequent revisions can be lengthy for computer based training, running up the expense. -Learning styles: Blended delivery includes a combination of approaches that target learning styles and allow learners to actively participate in training activities. -Learning retention: Active participation through scenarios, case studies, practice exercises, and repetition provide opportunities for learning, applying job skills, and retaining knowledge. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Teaching and Learning Learning Outcome: Question 17 Type: MCMA Which of the following topics should be included in training class content? Standard Text: Select all that apply. 1. Computer-related policies 2. Access privileges 3. Computer literacy www.testbanktank .co 4. Error correction 5. System idiosyncrasies Correct Answer: 1,2,3,4,5 Rationale 1: -Computer-related policies -Access privileges -Human factors -Computer literacy -Workflow -Scenario and step-by-step design of instruction -Electronic help -Error messages -Error correction -Screen and system "freezes" -System idiosyncrasies -Downtime procedures -Ability to retrieve and view clinical information Rationale 2: -Computer-related policies -Access privileges -Human factors -Computer literacy -Workflow -Scenario and step-by-step design of instruction -Electronic help -Error messages -Error correction -Screen and system "freezes" -System idiosyncrasies -Downtime procedures -Ability to retrieve and view clinical information Rationale 3: -Computer-related policies -Access privileges -Human factors -Computer literacy -Workflow -Scenario and step-by-step design of instruction -Electronic help -Error messages -Error correction -Screen and system "freezes" -System idiosyncrasies m www.testbanktank .co m 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 informatio 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 www.testbanktank .co 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 m www.testbanktank .co Answer Key 1. C 2. A 3. B 4. D 5. B, C 6. A 7. A 8. A 9. B 10. D 11. A, B, D, E 12. B 13. A, B, C, D 14. A 15. D Chapter 6 History and Evolution of Nursing Informatics 1. After teaching a class about informatics, the instructor determines that the teaching was successful when the students define informatics as which of the following? A) Use of computers B) Use of information technology C) Management of information D) Access to the Internet 2. A strategic plan for the nationwide implementation of health information technology includes which of the following? A) Discouraging the use of personal electronic health records B) Developing a collaborative governance to support information use for population health C) Advocating for statewide adoption of electronic health record D) Limiting the use of telehealth systems 3. Which of the following would a nurse identify as the current focus of today's practice informatics? A) Capturing data at the point of care B) Performing secondary data analysis C) Using aggregated data D) Making decisions based on data m www.testbanktank .co 14. A nurse working in informatics is analyzing information gathered about rates of infection of patients on a specific hospital unit. The nurse is using this information to determine appropriate interventions for overall infection control. The nurse is involved with which of the following? A) Point of care informatics B) Secondary data analysis C) Listserv D) Computerized provider order entry 15. A nurse involved in informatics identifies the need for information and demonstrates ability to locate, evaluate, and effectively use it. The nurse is demonstrating which of the following? A) Information literacy B) Computer literacy C) Computer fluency D) Information management m www.testbanktank .co Answer Key 1. B 2. B 3. A 4. C 5. A 6. D 7. B 8. B 9. D 10. A 11. A, B, E 12. A, C, D, E 13. A, B 14. B 15. A Chapter 7 Nursing Informatics as a Specialty 1. After teaching a group of students about the electronic medical record (EMR), the students demonstrate understanding by stating which of the following? A) The EMR is transportable. B) The data in the EMR are owned by the patient. C) It describes the care rendered during an agency visit. D) The EMR lacks standardized vocabulary. 2. An electronic documentation system will be implemented in an agency. As part of the process, the staff is receiving education about the system and the overall benefits. Which of the following would the audience expect to hear as the most important benefit? A) Availability of an audit trail for information B) Decreased decentralization of the healthcare delivery system C) Enhanced ability to extract information D) Improvement in patient care outcomes m www.testbanktank .co 3. Which of the following would be most important to do first when implementing a workflow redesign for an electronic documentation system? A) Focusing the design on the care provider B) Determining what the system is expected to accomplish C) Addressing the primary discipline's needs D) Discussing how reports will be created 4. An instructor is describing the systems life cycle and compares it to the nursing process. Which of the following would the instructor include as a similarity about the life cycle? Select all that apply. A) Begins ith assessment B) Has a definite end point C) Uses different terminology D) Has a variable number of steps E) Has little opportunities for iteration 5. A nurse is part of a committee that is working to develop and implement an electronic documentation system. Which of the following would the committee do first during the initiating phase? A) Identify the risks B) Complete a needs assessment C) Identify the project goal D) Prepare for scope creep 6. An agency committee conducts a needs assessment for a health information system and identifies a list of potential vendors to be considered for the project. Which of the following would the committee do next? A) Send out a request for proposal B) Identify the cost-benefit C) Submit a request for information D) Determine the return on investment 7. A nurse on a committee is conducting a workflow analysis. Which of the following would be most helpful when completing this task? A) Evaluating the pros and cons B) Diagramming the activity C) Identifying the steps of the workflow D) Applying a structure m