Test Bank Handbook of Informatics for Nurses & Healthcare Professionals, 5th Edition, Toni Lee Hebda Hebda, Handbook of Informatics, 5/e Test Bank Chapter 1 Question 1 Type: MCSA 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: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: AssessmentHebda, Handbook of Informatics, 5/e Test Bank Copyright 2012 by Pearson Education, Inc. Learning Outcome: Question 2 Type: MCSA Which statement by the nurse verifies that the nurse is "information literate"? 1. "I understand how to search for a website and evaluate its usefulness for health care needs." 2. "I utilize databases in the health care setting to input client information such as skin condition." 3. "I use email over the Internet to correspond with clients and provide information." 4. "I can use software applications such as word processing, spreadsheets, and presentations." Correct Answer: 1 Rationale 1: Information literacy necessitates that nurses have the ability to find, evaluate, and effectively use information. The other answers are examples of computer literacy but do not have the higher functions of information literacy. Rationale 2: Your chosen response is an example of computer literacy, but it does not have the higher functions of information literacy. Information literacy necessitates that nurses have the ability to find, evaluate, and effectively use information. Rationale 3: Your chosen response is an example of computer literacy but, it does not have the higher functions of information literacy. Information literacy necessitates that nurses have the ability to find, evaluate, and effectively use information. Rationale 4: This answer is an example of computer literacy but, it does not have the higher functions of information literacy. Information literacy necessitates that nurses have the ability to find, evaluate, and effectively use information. Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: Question 3 Type: MCSA The nurse gathers much data when caring for clients. Which is an example of the higher-level "information" useful in caring for clients?Hebda, Handbook of Informatics, 5/e Test Bank Copyright 2012 by Pearson Education, Inc. 1. The vital signs are BP of 130/70, HR of 88, RR of 24, temperature of 98.8 degrees F., and oxygen saturation of 98%. 2. Lab work results include an electrolyte panel and complete blood count with differential. 3. The client is a widowed 64-year-old black male admitted with prostatitis. 4. After receiving Rocephin (ceftriaxone sodium) 1.0 gram IV yesterday, the client reported feeling better today. Correct Answer: 4 Rationale 1: Your chosen response is an example of having pieces of data without interpretation. "Information" necessitates that the nurse interpret and structure the results of clinical data into information. Rationale 2: Your chosen response is an example of having pieces of data without interpretation. "Information" necessitates that the nurse interpret and structure the results of clinical data into information. Rationale 3: Your chosen response is an example of having pieces of data without interpretation. "Information" necessitates that the nurse interpret and structure the results of clinical data into information. Rationale 4: "Information" necessitates that the nurse interpret and structure clinical data into information. It can then be used to aid clinical decision making and client monitoring. All other responses included pieces of data without interpretation. 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 4 Type: MCSA 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. CHAPTER 1 Informatics in the Healthcare Professions Data, Information, Knowledge, and Wisdom The Nurse as Knowledge Worker The Significance of Good Information and Knowledge Management The Definition and Evolution of Informatics Medical Informatics, Nursing Informatics, and Consumer Informatics Computer and Information Literacy Informatics Competencies for Healthcare Providers Healthcare Reform The Push for Patient Safety Other Major Issues in Healthcare with Informatics Implications Nursing Informatics as a Specialty Area of Practice The Roles of the Informatics Nurse and Informatics Nurse Specialist Applications of Nursing Informatics Benefits for Consumers and Other Healthcare Professionals Educational Opportunities for Nursing Informatics Future Directions CHAPTER 2 Hardware, Software, and the Roles of Support Personnel Hardware Computer Categories Peripheral Hardware Items Networks How Computers Work Selection Criteria Mobile and Wireless Computing Software Future Directions CHAPTER 3 Ensuring the Quality and Best Use of Information Data Integrity Data Management Data Mining Knowledge Discovery in Databases Future Directions CHAPTER 4 The Internet and the World Wide Web: An Overview Internet Services The World Wide Web Concerns Related to the Use of the Internet and World Wide Web Future Directions CHAPTER 5 Professional Use of Electronic Resources Healthcare Information and Services Professional Organizations E-Learning Online Services for Healthcare Professionals Web 2.0 Applications Using Technology to Organize and Use Information Effectively Future Directions SECTION TWO: Healthcare Information System CHAPTER 6 Healthcare Information Systems Clinical Information Systems Administrative Systems Knowledge Representation (Dashboard Display) Smart Technology Future Directions CHAPTER 7 Strategic Planning for Information Technology Projects What Is Strategic Planning? The Mission Developing Strategies for Success Stakeholders Strategic Planning for Information Systems The Strategic Planning Process The Role of the Chief Nursing Informatics Officer Future Directions CHAPTER 8 Selecting a Healthcare Information System Needs Assessment System Selection Future Directions CHAPTER 9 Improving the Usability of Health Informatics Applications Introduction to Usability Definitions of Terms and Interrelationships of Concepts Human–Computer Interaction Frameworks for Health Informatics Usability Studies Usability Methods Steps in Conducting Usability Assessments Future Directions CHAPTER 10 System Implementation and Maintenance System Implementation System Installation Maintenance Future Directions CHAPTER 11 Information Systems Training The Training Plan Identification of Training Needs Additional Training Considerations Future Directions CHAPTER 12 Information Security and Confidentiality Privacy, Confidentiality, and Security Information System Security Security Mechanisms Administrative and Personnel Issues Levels of Access Audit Trails Handling and Disposal of Confidential Information Special Considerations with Mobile Computing Future Directions CHAPTER 13 System Integration and Interoperability Interfaces Integration and Interoperability Issues National Healthcare Information Network The Need for Integration Standards The Benefits of Integration and Interoperability Implications for Nursing Emerging Interoperability Solutions Future Directions CHAPTER 14 The Electronic Health Record Definitions Historical Developments Meaningful Use Benefits of the EHR Current Status of the EHR Considerations When Implementing the EHR Future Directions CHAPTER 15 The Role of Standardized Terminology and Language in Informatics Introduction to Terminology Languages and Classification Benefits of Implementing Standardized Terminologies National Healthcare Reporting Requirements Issues and Concerns Future Directions CHAPTER 16 Personal Health Records Introduction Tethered, Nontethered, and Networked PHRs Current PHR Use PHR Functions Evidence of PHR Impact PHRs and Transformation of Care Toward a Future of Networked Care Future Directions CHAPTER 17 Health Information Exchanges Key Factors Driving Forces Health Information Exchange Models Current Status Obstacles National Health Information Network and State-Level HIE Future Directions CHAPTER 18 Health Policy and Health Information Technology Status of the U.S. Healthcare Delivery System Healthcare Reform National Health Information Technology Policy Issues Future Directions CHAPTER 19 Legislation Legislation Impact on Informatics Future Directions CHAPTER 20 Regulatory and Reimbursement Issues Regulatory Agencies Reimbursement Issues Impact on System Use and Design Financial Incentives for Implementing Technology Future Directions CHAPTER 21 Accreditation Issues for Information System Design and Use Accreditation Special Facility/Agency Issues Quality Initiatives Future Directions CHAPTER 22 Continuity Planning and Management (Disaster Recovery) Introduction and Background What Is Continuity Planning? Steps in the Business Continuity Planning Process Advantages of Continuity Planning Disasters versus System Failure Continuity and Recovery Options Planning Pitfalls Using Post-Disaster Feedback to Improve Planning Legal and Accreditation Requirements Future Directions SECTION THREE: Specialty Applications CHAPTER 23 Integrating Technology, Informatics, and the Internet Into Nursing Education Introduction Instructional Applications of Computer Technology Integration of Technology Throughout the Educational Experience Instructional Support Applications Educational Opportunities in Nursing Informatics Virtual Learning Environments, Distance Learning, and E-Learning Future Directions CHAPTER 24 Consumer Education and Informatics Evolution Issues Applications Informatics Specialist Roles The Future of CHI CHAPTER 25 Telehealth Terms Related to Telehealth Historical Background Driving Forces Applications Legal and Privacy Issues Other Telehealth Issues Establishing a Telehealth Link Telenursing Future Directions CHAPTER 26 Public Health Informatics Introduction Public Health Informatics Need and Support for Public Health Informatics Issues with Access and Adaptability for Information Technology and Public Health Implications of Public Health Informatics to Improve Patient and Population Outcomes Healthcare Surveillance Future Directions CHAPTER 27 Evidence-Based Practice and Research The Need for Evidence-Based Practice The Status of Evidence-Based Practice Strategies to Promote Evidence-Based Practice Using Computers to Support Evidence-Based Practice and Research Quantitative versus Qualitative Research History of Translational Research Multi-Institutional Research Comparative Effectiveness Research Research in Real Time Impediments to Healthcare Research Dissemination of Research Findings Implications of HIPAA and Other Legislation for Healthcare Research Students Using Computers to Support Evidence-Based Practice and Research