ANCC Nursing Informatics Flashcards
From AWJ QL
Which of the following lists the steps of the planning structure in the correct order, starting with the first step?
A. Identify a planning need, determine preliminary resource list, establish goals and timeline
B. Establish goals and timeline, identify a planning need, determine preliminary resource list
C. Establish goals and timeline, identify a planning need, identify stakeholders
D. Identify a planning need, identify stakeholders, establish goals and timeline
A. Identify a planning need, determine preliminary resource list, establish goals and timeline. ???
Quality Monitoring:
A. Focuses on audit trails to see who is accessing which patient data
B. Is one single methodology
C. Does not include integration and interfaces
D. Is part of system performance maintenance strategies
D. Is part of system performance maintenance strategies.
Rationale: Quality monitoring may include audit trails, but it is more than one methodology. It is a component of a system performance maintenance strategy.
Human factors can be defined as :
A. the study of making more effective user interfaces to computer-based systems
B. the field that examines human elements of systems
C. the group of methods that can be used to make systems more usable
D. the study of technology induced errors.
A. Usability testing can be conducted only by human engineers
If the informatics nurse is concerned that a computer system may not function well during peak times of access, the type of testing needed is:
A. functional testing
B. load/volume testing
C. black box testing
D. system integration testing
B. load/volume testing
“Bugs” in computer language are not really insects, but
A. A testing methodology
B. Commentary within the code indicated with an asterisk (*)
C. Aberrancies and failures in the system
D. The nickname of the coder who designed the first EHR
C. Abberancies
Rationale: “Bugs” in computer language are defined as aberrancies and failures in the system or a coding error.
Hippa only applies to organizations that have electronic health records.
True or False
False
An audit trail is:
A. a log of which project meetings and events have been completed
B. an electronic tool that can track system access by individual user who viewed a specific client record
C. a proactive tool to monitor who will be using a system and modifying data
D. usd primarily as a data integrity tool
D. an electronic tool that can track system access by individual user who viewed a specific client record
An advantage of an identity and access management (IAM) system is that the IAM system:
A. provides HIPAA-required encryption for PHI
B. satisfies the Code of Federal Regulations Title 21, Part 11
C. meets HIPAA’s Security Rule requirements regarding access to PHI
D. meets HIPAA’s Privacy Rule requirements regarding identification
An advantage of an identity and access management (IAM) system is that the IAM system meets HIPAA’s Security Rule requirements regarding access to PHI through identity management. An IAM system provides, captures, updates, and records user IDs and provides appropriate access privileges, preventing “privilege creep,” which increases risks to security. The IAM system should provide authentication (single sign-in and session management), authorization (based on roles, rules, and attributes), user management (provisioning and password management), and a central directory.
Benchmarking is:
A. drawing a line in a doorway at the organization to monitor organizational growth
B. a way of finding best practices
C. comparing one organization to another
D. both B & C
D. Both B & C. Benchmarking is defined as a way of finding best practices and then comparing ones organization against another.
Information science is the:
A. Study of the application and use of knowledge in organizations
B. Infrastructure that supports the management of data
C. Exploration of the transition of data to wisdom
D. Combination of information and science
A. Study of the application and use of knowledge in organizations
What is clinical decision support?
A. None of the answer choices are correct.
B. It is a measure that flags the entry of abnormal values during documentation or order processing, and also provides healthcare team members with resources such as current medication information and best practice skills.
C. It is a problem-solving approach that utilizes current research and clinical guidelines to provide the best possible care for a patient.
D. It is the way hospitals gather, store, and share data, and describes the communication that occurs between providers and their patients.
B. It is a measure that flags the entry of abnormal values during documentation or order processing, and also provides healthcare team members with resources such as current medication information and best practice skills.
One of the steps in creating a clinical practice guideline is to:
A. Identify what has always been done in the facility
B. Review evidence-based studies
C. Discuss what is the easiest process to meet the goal
D. Send out a survey about what is currently being practiced
B. Review evidence-based studies
Which of the following is a computer in a network with the ability to access shared resources and files through a server?
A. Client
B. Peripheral device
C. Bus
D. Modem
A. client
System selection involves all of these except:
A. the choice of the Project Manager and requires no further input
B. determining which system, procedure or product best answers the need.
C. aligning strategic goals with selection
D. considering all vendor benefits based on observation, site visits, and/or RFP/RFI documentation. (request for proposal) (request for information)
A. the choice of the Project Manager and requires no further input
Which is NOT a type of maintenance?
A. Corrective
B. Preventative
C. Flexible
D. Emergent
C. Flexible
Rationale: According to the chart in the Module, three types of maintenance are corrective, preventative, and emergent.
Controls to protect data privacy and integrity are both logical and:
A. physical
B. analytical
C. theoretical
D. psychological
B. analytical
Processes and system improvements:
A. do not need to consider outside departments or stakeholders
B. are more possible when the process is inefficient and outdated
C. are best achieved when everyone is the organization is a potential advocate
D. involve transitioning existing processes to electronic tools
C. are best achieved when everyone is the organization is a potential advocate
Which is NOT true about backup and recovery?
A. use multiple backup devices
B. perform backups on Wednesdays during peak use
C. use full backups to minimize the time to restore databases
D. test the backups periodically to make sure data can be restored
B. perform backups on Wednesdays during peak use
The process of system analysis includes all of these except:
A. needs assessment
B. requirements definition
C. stakeholder education
D. evaluation
C. stakeholder education
An informatics nurse could best illustrate the frequency of different types of error encountered with a new application by using a :
A. distribution curve
B. Gantt chart
C. histogram
D. control chart
C. histogram - shows distribution of numerical data with only one variable.
Gantt chart is a PM schedule bar chart.
Bar graphs show the relationship for more than 1 variable.
Because several disciplines support the foundation of informatics nursing, it is important for the informatics nurse to understand that:
A. informatics nursing differs from other disciplines, as it focuses on supporting the process of obtaining data.
B. informatics nursing uses the concepts, tools, and methods of various disciplines to facilitate nursing process.
C. information technology and nursing technology are synonymous, as they have the same goal.
D. the boundaries between the various disciplines are clearly defined.
B. informatics nursing uses the concepts, tools, and methods of various disciplines to facilitate nursing process.
What are the methods used in gathering information for a needs assessment?
A. observation
B. interviews
C. historical data
D. all of the above
D. all of the above
A chief nursing officer (CNO) would like to purchase a new nurse scheduling system. Before creating the request for proposal, the CNO should first speak to the:
A. supply chain
B. legal dept
C. information systems
D. finance department
C. information systems
The analysis of vendor, product and market is always and only accomplished by the executive level of the organization.
True or False
False
There is no examples of wisdom in nursing practice, as it is merely a theoretical concept.
True or False
False.
Rationale: wisdom is defined as understanding, applying and applying with compassion. An example is selecting a protocol to caring for a patient based on patient preferences.
The human-technology interface (HTI):
A. allows user interaction with technology
B. allows access to the technology only to authorized people
C. connects a user device to the Internet
D. standardizes applications utilized in all devices
A. allows user interaction with technology
Which of the following may be a legal issue involved in telehealth?
A. Ethical issues regarding the effectiveness of treatment in remote locations
B. Practitioner licenses may not allow for care when the patient is in another state
C. Differing cultural values regarding healthcare
D. Inability to effectively diagnose and treat patients located in another geographic area
B. Practitioner licenses may not allow for care when the patient is in another state
A topic that can be associated with ergonomics is:
A. optimal productivity
B. safety and efficiency
C. Work-related risks and injuries
D. All of the above
D. All of the above.
- In preparation for the workflow redesign necessitated for implementation of an EHR, the first step should be to:
A. assess compatibility with EHR
B. assess the EHR requirements
C. map the current workflow
D. conduct surveys about workflow
C. map the current workflow
What is the outcome of system design? The outcome is:
A. The architecture, framework and structure that supports the process in progressing to system implementation and testing.
B. A roadmap that allows the testers to determine whether the system can withstand peak volume transactions.
C. An assurance that the users will be totally satisfied with the system being designed.
D. An accounting of all the costs involved with the selection, implementation, and maintenance of a system.
A. The architecture, framework and structure that supports the process in progressing to system implementation and testing.
Which is NOT a type of maintenance?
A. corrective
B. preventative
C. flexible
D. emergent
C. flexible
The three types of maintenance are: Corrective, Preventative and Emergent
In an EHR with CPOE and CDS, allergy alerts should be triggered:
A. after orders are written
B. in response to contraindicated drug orders
C. before orders are written
D. on physician request by accessing a link
A. after orders are written
Which of the following standardized nursing terminologies is comprised of (1) a problem classification scheme, (2) an intervention scheme, and (3) a problem rating scale for outcomes?
A. ICNP
B. PNDS
C. NANDA-I
D. OMAHA
D. OMAHA
The informatics nurse is working on a chart to demonstrate the increasing incidence of obesity in the patient population at a health clinic. The data will represent patients who are of normal weight, overweight, obese, and morbidly obese, and it will include the percentage of the total population for each group. This type of data is most effectively represented by a:
A. bar chart.
B. column chart.
C. line chart.
D. pie chart.
A. pie chart
System and Functional Testing:
A. Does not include security testing of databases
B. Is done in an ad hoc fashion as staff are available
C. Addresses cultural impacts of new processes
D. Includes multiple subsystems and phases of testing
D. includes multiple subsystems and phases of testing.
Rationale: Systems are usually made up of subsystems and all must be tested. System and Functional Testing must include security testing and must be structured and controlled. Cultural impacts of new processes is not an aspect of testing.
Controls to protect data privacy and integrity are both logical and:
A. physical
B. analytical
C. theoretical
D. psychological
B. analytical
Which resource for evidence-based research is provided by the National Library of Medicine?
A. BMJ Publishing
B. CINAHL
C. PubMed
D. World View on Evidence based- nursing
C. PubMed
Rationale: PubMed is a resource for evidence-based research that is provided by the National Library of Medicine, which was developed by the National Center for Biotechnology Information (NCBI). PubMed provides access to numerous databases with 24 million citations from MEDLINE (the National Library of Medicine’s bibliographic database with references to life sciences and biomedical sciences), life science journals, and electronic books with links to full text when it is available.
Which is NOT a type of maintenance?
A. Corrective
B. Preventative
C. Flexible
D. Emergent
C. Flexible
Rationale: According to the chart in the Module, three types of maintenance are corrective, preventative, and emergent.
There is no examples of wisdom in nursing practice, as it is merely a theoretical concept.
True OR False
FALSE.
Rationale: wisdom is defined as understanding, applying and applying with compassion. An example is selecting a protocol to caring for a patient based on patient preferences.
What is the difference between a data warehouse and a data mart?
A. Data warehouses are large collections of data from several different sources and data marts are where the data is purchased.
B. Data warehouses are large collections of data from several different sources and data marts are smaller collections that could be from a single department.
C. Data warehouses are where hospitals find how well they are doing and data marts are where the information is inputted.
D. Data warehouses are large collections of data from one source which are then sent out to data marts.
B. Data warehouses are large collections of data from several different sources and data marts are smaller collections that could be from a single department.
Metastructures are:
A. Large buildings used in health care
B. Illnesses that impact an entire population
C. Overarching concepts used in theory and science
D. Theorems used to solve nursing problems
C. Overarching concepts used in theory and science
Nursing terminology is:
A. A body of the terms used in nursing
B. The words used that are common to nursing
C. Terminology not used by other disciplines
D. The foundation of nursing care plans
A. A body of the terms used in nursing
Decision making involves:
A. Understanding the data that is presented
B. Using decision support tools
C. Cognitive processing that results in selecting a choice
D. Using wisdom gained from data to make the correct choice
C. Cognitive processing that results in selecting a choice
Which of the following may be a legal issue involved in telehealth?
A. Ethical issues regarding the effectiveness of treatment in remote locations
B. Practitioner licenses may not allow for care when the patient is in another state
C. Differing cultural values regarding healthcare
D. Inability to effectively diagnose and treat patients located in another geographic area
B. Practitioner licenses may not allow for care when the patient is in another state
Which of the following is a computer in a network with the ability to access shared resources and files through a server?
A. Client
B. Peripheral device
C. Bus
D. Modem
A. Client
- In preparation for the workflow redesign necessitated for implementation of an EHR, the first step should be to:
A. assess compatibility with EHR
B. assess the EHR requirements
C. map the current workflow
D. conduct surveys about workflow
C. map the current workflow
- In an EHR with CPOE and CDS, allergy alerts should be triggered:
A. in response to contraindicated drug orders
B. before orders are written
C. on physician request by accessing a link
after orders are written
D. after orders are written
B. before orders are written
Rationale: In an EHR with CPOE and CDS, allergy alerts should be triggered before orders are written and they should be automated. Alerts that occur after orders are written are more likely to be ignored or overridden. Additional alerts, including hard stops, should occur if orders for contraindicated drugs or drugs to which the patient is allergic are ordered despite the original alert. The alerts should be carefully evaluated because excessive alerts may result in “alert fatigue” to the point that clinicians begin to ignore them.
- The human-technology interface (HTI):
A. allows user interaction with technology
B. allows access to the technology only to authorized people
C. connects a user device to the Internet
D. standardizes applications utilized in all devices
A. allows user interaction with technology
Process and system improvements:
A. Do not need to consider outside departments or stakeholders.
B. Are more possible when the process is inefficient and outdated.
C. Are best achieved when everyone in the organization is a potential advocate.
D. Involve transitioning existing processes to electronic tools.
C. Are best achieved when everyone in the organization is a potential advocate.
What is the outcome of system design? The outcome is:
A. The architecture, framework and structure that supports the process in progressing to system implementation and testing.
B. A roadmap that allows the testers to determine whether the system can withstand peak volume transactions.
C. An assurance that the users will be totally satisfied with the system being designed.
D. An accounting of all the costs involved with the selection, implementation, and maintenance of a system.
A. The architecture, framework and structure that supports the process in progressing to system implementation and testing.
Team establishment includes choosing team members from a single department or discipline.
True OR False
FALSE
Because several disciplines support the foundation of informatics nursing, it is important for the informatics nurse to understand that:
A. informatics nursing differs from other disciplines, as it focuses on supporting the process of obtaining data.
B. informatics nursing uses the concepts, tools, and methods of various disciplines to facilitate nursing process.
C. information technology and nursing technology are synonymous, as they have the same goal.
D. the boundaries between the various disciplines are clearly defined.
B. informatics nursing uses the concepts, tools, and methods of various disciplines to facilitate nursing process.
The informatics nurse is working on a chart to demonstrate the increasing incidence of obesity in the patient population at a health clinic. The data will represent patients who are of normal weight, overweight, obese, and morbidly obese, and it will include the percentage of the total population for each group. This type of data is most effectively represented by a:
A. bar chart.
B. column chart.
C. line chart.
D. pie chart.
D. pie chart.
A topic that can be associated with ergonomics is:
A. optimal productivity
B. safety and efficiency
C. Work-related risks and injuries
D. All of the above
D. All of the above
Optimal productivity
safety and efficiency
Work-related risks and injuries
An informatics nurse could best illustrate the frequency of different types of error encountered with a new application by using a :
A. distribution curve
B. Gantt chart
C. histogram
D. control chart
C. histogram - shows distribution of numerical data with only one variable.
Gantt chart is a PM schedule bar chart.
Bar graphs show the relationship for more than 1 variable.
Some examples of physical security for healthcare data are fences, wall, locks, safes, vaults, armed guards, sensors, alarms.
True or False.
False
which of the following is a function of systems analysis?
A. vendor, product or market analysis
B. feasibility study
C. team establishment
D. needs assessment
D. needs assessment
System selection involves all of these except:
A. the choice of the Project Manager and requires no further input
B. determining which system, procedure or product best answers the need.
C. aligning strategic goals with selection
D. considering all vendor benefits based on observation, site visits, and/or RFP/RFI documentation. (request for proposal) (request for information)
A. the choice of the Project Manager and requires no further input
A chief nursing officer (CNO) would like to purchase a new nurse scheduling system. Before creating the request for proposal, the CNO should first speak to the:
A. supply chain
B. legal dept
C. information systems
D. finance department
C. information systems
The implementation team has determined that the conversion to the new system will occur department by department, with two weeks in between each installation. This is known as:
A. phased installation
B. parallel installation
C. big bang installation
D. risky installation
A. phased installation
Parallel installation occurs when old and new system are implemented simultaneously, and the 2 systems run simultaneously (paper and electronic charting. Boig bang installation switches all user from original system to a new system at once.
Which is NOT true about backup and recovery?
A. use multiple backup devices
B. perform backups on Wednesdays during peak use
C. use full backups to minimize the time to restore databases
D. test the backups periodically to make sure data can be restored
B. perform backups on Wednesdays during peak use
Which is NOT a type of maintenance?
A. corrective
B. preventative
C. flexible
D. emergent
C. flexible
The three types of maintenance are: Corrective, Preventative and Emergent
Processes and system improvements:
A. do not need to consider outside departments or stakeholders
B. are more possible when the process is inefficient and outdated
C. are best achieved when everyone is the organization is a potential advocate
D. involve transitioning existing processes to electronic tools.
C. are best achieved when everyone is the organization is a potential advocate
The analysis of vendor, product and market is always and only accomplished by the executive level of the organization.
True or False
False
A CNO would like to purchase a new nurse scheduling system. Before creating the request for proposal, the CNO should first speak to the:
A. supply chain
B. legal dept.
C. information systems
D. Finance dept.
C. information systems
Which of the following standardized nursing terminologies is comprised of (1) a problem classification scheme, (2) an intervention scheme, and (3) a problem rating scale for outcomes?
A. ICNP
B. PNDS
C. NANDA-I
D. OMAHA
D. OMAHA
In an EHR with CPOE and CDS, allergy alerts should be triggered:
A. after orders are written
B. in response to contraindicated drug orders
C. before orders are written
D. on physician request by accessing a link
C. before orders are written
What is clinical decision support?
A. None of the answer choices are correct.
B. It is a measure that flags the entry of abnormal values during documentation or order processing, and also provides healthcare team members with resources such as current medication information and best practice skills.
C. It is a problem-solving approach that utilizes current research and clinical guidelines to provide the best possible care for a patient.
D. It is the way hospitals gather, store, and share data, and describes the communication that occurs between providers and their patients.
B. It is a measure that flags the entry of abnormal values during documentation or order processing, and also provides healthcare team members with resources such as current medication information and best practice skills.
Which of the following websites is mainly geared toward patient education and allows individuals to access information divided by age or gender?
A. www.medlineplus.gov
B. www.cdc.gov
C. www.healthfinder.gov
D. www.ahrq.gov
C. www.healthfinder.gov
HIPPA only applies to organizations that have electronic health records.
True OR False
False
Which of the following is not a mechanism for protecting the security of health data:
A. Automatic sign-offs
B. A Strong Password
C. Having one password per nursing unit
D. Firewalls
C. Having one password per nursing unit
An audit trail is :
A. a log of which project meetings and events have been completed
B. an electronic tool that can track system access by individual user who viewed a specific client record.
C. a proactive tool to monitor who will be using a system and modifying data.
D. used primarily as a data integrity tool
B. an electronic tool that can track system access by individual user who viewed a specific client record.
Data can be represented by all EXCEPT:
A. text
B. audio
C. transmission waves
D. video
A. text
Things to consider related to disaster planning include:
A. should have only 1 database to make it easier to recover
B. all data should be stored onsite so it is accessible
C. must have a solid communication plan during disaster and recovery.
D. an association or group that shows uniformity
C. must have a solid communication plan during disaster and recovery.
Some examples of physical security for healthcare data are fences, walls, locks, safes, vaults, armed guards, sensors, alarms.
True OR False
TRUE
One way to track the activity that is occurring in a system is:
A. a GANTT chart
B. an audit trail
C. a data backup
D. biometrics
B. an audit trail
PHI stands for :
A. physician hospital interchange
B. password hint indicator
C. potential hardware incursion
D. protected health information
D. protected health information
If the informatics nurse is concerned that a computer system may not function well during peak times of access the type of testing needed is:
A. Functional Testing
B. System Integrated testing
C. Black box testing
D. Load volume testing
D. Load volume testing
What is Load Volume Testing?
Load/volume testing is a non-functional testing for reliability that assesses the ability of the system to function under various loads, such as at peak times when multiple users in multiple departments are accessing the system. The purpose of load/volume testing is to determine the maximum load capacity and to identify the load at which problems begin to occur. Testing is done at both the safe working load (SWL) and above the SWL.
An advantage of an identity and access management (IAM) system is that the IAM system:
A. provides HIPAA-required encryption for PHI
B. satisfies the Code of Federal Regulations Title 21, Part 11
C. meets HIPAA’s Security Rule requirements regarding access to PHI
D. meets HIPAA’s Privacy Rule requirements regarding identification
An advantage of an identity and access management (IAM) system is that the IAM system meets HIPAA’s Security Rule requirements regarding access to PHI through identity management. An IAM system provides, captures, updates, and records user IDs and provides appropriate access privileges, preventing “privilege creep,” which increases risks to security. The IAM system should provide authentication (single sign-in and session management), authorization (based on roles, rules, and attributes), user management (provisioning and password management), and a central directory.
Communication software is most commonly used for:
A. video files
B. e-mail and IM
C. audio files
D. documents
B. e-mail and IM
The network that connects the departments in an organization is likely a(n):
A. WAN
B. VSN
C. MAN
D. LAN
D. LAN
In a formal plan for implementation and testing it is not necessary to include:
A. Team members
B. Vendor representatives
C. Executive Staff
D. Crisis Coaches
D. Crisis Coaches
Formal Plan must include: - Staff - Team members - Vendors - Executive staff - External resources
System and Functional Testing:
A. Does not include security testing of databases
B. Is done in an ad hoc fashion as staff are available
C. Addresses cultural impacts of new processes
D. Includes multiple subsystems and phases of testing
D. includes multiple subsystems and phases of testing.
Rationale: Systems are usually made up of subsystems and all must be tested. System and Functional Testing must include security testing and must be structured and controlled. Cultural impacts of new processes is not an aspect of testing.
Quality Monitoring:
A. Focuses on audit trails to see who is accessing which patient data
B. Is one single methodology
C. Does not include integration and interfaces
D. Is part of system performance maintenance strategies
D. Is part of system performance maintenance strategies.
Rationale: Quality monitoring may include audit trails, but it is more than one methodology. It is a component of a system performance maintenance strategy.
Evaluation and support:
A. Should be outlined in the original project plan as an ongoing process.
B. Are unnecessary once the implementation is complete.
C. Does not require dedicated resources.
D. Can be done by assigned super users
A. Should be outlined in the original project plan as an ongoing process.
Rationale: Evaluation is a major component of the system design life cycle and planning for evaluation should be included in the original project plan.
What are the techniques that apply algorithms for extracting patterns from data stored in data warehouses that are typically not apparent to human decision makers are known as:
A. Data mining or knowledge discovery in databases.
B. Statistical generation from warehoused data
c. Evidence generation from warehoused data
d. Data retrieval and cleansing
A. Data mining or knowledge discovery in databases
Benchmarking is:
A. drawing a line in a doorway at the organization to monitor organizational growth
B. a way of finding best practices
C. comparing one organization to another
D. both B & C
D. Both B & C. Benchmarking is defined as a way of finding best practices and then comparing ones organization against another.
One of the steps in creating a clinical practice guideline is to:
A. Identify what has always been done in the facility
B. Review evidence-based studies
C. Discuss what is the easiest process to meet the goal
D. Send out a survey about what is currently being practiced
B. It must be organized so that patterns and relationships are apparent
What is information?
A. The building blocks of wisdom
B. Organized alphanumeric characters
C. Data that are interpreted, organized or structured
D. Data that is used to support decision-making
C. data that are interpreted, organized and structured.
Information science is the:
A. Study of the application and use of knowledge in organizations
B. Infrastructure that supports the management of data
C. Exploration of the transition of data to wisdom
D. Combination of information and science
A. Study of the application and use of knowledge in organizations
