Case Western Reserve University

Frances Payne Bolton School of Nursing

NURS 120: Introduction to Nursing Informatics

Final Examination

Directions: This is a comprehensive final examination covering material from lectures, readings, web

sites handouts and class notes. It is open-book, open-note. You may work in groups if you wish. The only

rule, everyone's name must be on the exam.

Answer all questions directly on the examination. There are no trick questions. Every multiple-choice

question has ONLY one correct answer.

This examination is worth 250 points. Each multiple choice/true-false question is worth 3.5 points. The

single essay question is worth 5 points.

Part I: Multiple Choice Questions

1. Why is it difficult to integrate information from all hospital departments into a single hospital

information system?

a. Individual departments want to obtain & maintain specialized systems

b. Hospital departments are organized along vertical lines while the continuum of care for

patients flows along horizontal lines

c. Patient care systems & financial management systems are incompatible with each other

d. Each department is required by law & the Joint Commission on Accreditation of Hospitals

& Health Care Organizations to maintain specific information for billing & accreditation

purposes

e. Individual departments do not see the value in comprehensive patient records

2. Which of the following groups of activities represent challenges to the technologist when

building an integrated hospital information system?

a. Synthesizing different types of information into a cohesive whole, getting all departments

to agree to a single billing procedure, realigning traditional departments into a case

management model

b. Synthesizing different types of information into a cohesive whole, getting all departments

to agree to a single care model, realigning traditional departments into a case management

model

c. Allowing specific departments to retain their individualized information systems, getting

all departments to agree to a single billing procedure, realigning traditional departments

into a case management model

d. Synthesizing different types of information into a cohesive whole, getting all departments

to agree to a single billing procedure, keeping all hospital departments within the

traditional vertical structure

e. Allowing all departments to retain their individual information systems, allowing all

departments to have their own billing system, keeping all hospital departments separate

but equal

2

3. The conceptual components of informatics are:

a. Management, processing, & transformation

b. Data, information, & paradigms

c. Data, information, & knowledge

d. Management, processing, & data

e. Management, processing, & knowledge