Practice Test # 2 & ANCC Website ?s. Flashcards
Helps keep all end users of a new system appraised of developments and questions answered. One technology tool to use is a list serve which is :
An Email subscription list
An Email subscription list
List Serv
The branch of informatics that studies the impact of electronic communication on individual health outcomes is:
Consumer Informatics
NI creates webinar for education allowing others to communicate verbally over the Internet. This is using a:
Voice over internet protocol (VoIP)
• the emergence of ______ informatics is a response to the need for population management tools and early disease detection.
Public Health Informatics
• is the field in which computer and statistical techniques are applied to derive biological information from ? sequences. ______ informatics includes methods to analyse DNA sequence information and to predict protein sequence and structure.
Genomic Informatics
. ________ is the application of informatics and information technology to deliver healthcare services.
Clinical Informatics
The ____ must support the mission, vision, goals, and objectives of the organization.
Technologic Strategic Plan (merging with other organizations)
The creation of a ____ results in a database that lists all identifiers assigned to one patient across the systems.
Master Patient Index
The NI knows that encryption and decryption are methods used to safeguard data and this process requires an:
Encryption algorithm & key
The process of encryption and decryption requires an: _____to transform the data.
algorithm & key
The use of asymmetric key encryption increases security in that this process:
uses a public key to encrypt and private key to decrypt.
_______ uses one key to encrypt and another to decrypt.
Asymmetric Key Encryption
Running old & new system simultaneously during go live
Parallel installation
. ______ implementation of a new system may involve phasing by module, unit, or geography.
This has the advantage of allowing for evaluation and revision on a small scale.
Phased Installation
Bluetooth uses:
radio waves to communicate btwn devices.
Data warehouse is
collection of several databases that can be manipulated.
First major test site in which software will be installed:
Beta site.
A site that agrees to use software that is stable enough to be used and tested by end users:
Beta Site
HL7 refers to both an organization and :
A standard for clinical data exchange.
___is a set of standards for clinical data exchange.
HL7
It’s important to control physical access to servers, as these are computers that control access to :
Software, hardware, and data
______ are computers that control access to software, hardware, and data located on the network.
Servers
______ remove the challenges imposed by lack of interoperability.
Data warehouses
______is a repository for storing data from several different databases so that it can be combined and manipulated to provide answers to various questions.
A Data warehouse
System interfaces can process inputs, interact w other systems in real time, & distribute outputs with:
???
Healthcare providers of a clinic need access to secure work files from home computers. NI may implement _____.
VPN
___allows individuals to use their computers to access directories & databases housed on distant computers.
VPN
STandard, computational nursing terminology is important to defining the contribution of nursing in that:
this permits the building of evidence and allows for evaluation.
Critical task the multidisciplinary steering committee (includes members from clinical , administrative, and information systems departments) will perform in support of change management?
Identify critical business processes, thereby reducing potential problems.
Redesigning PCA pump. As part of the FDA certification process, usability testing on the device must be conducted & results submitted to FDA? Why would the FDA require this type of testing?
Detect user related errors that could result in patient harm.
Redesigning PCA pump. As part of the FDA certification process, usability testing on the device must be conducted & results submitted to FDA? Why would the FDA require this type of testing?
Detect user related errors that could result in patient harm.
_____ examine the way people, software applications, & computer technologies influence each other.
Human-computer interaction.
1._____ examine the way people, software applications, & computer technologies influence each other. 2._________ can be used to discover user-induced errors. These data serve as the basis for improving device design.
Human-computer interaction.
Usability techniques
A Data warehouse is ________
A collection of several databases that can be manipulated to provide complex analysis.
Informatics nursing is distinguished from other nursing specialties by its focus on:
data and information content and representation.
Applications that are designed to run on a common platform, operate in a common environment, and communicate through direct data transfer are known as:
integrated
Adult learners most effectively learn about a new clinical information system when the instructor:
encourages the learner to use previous experience to interpret new learning..
Knowledge that is patterned for use in reasoning is known as
Knowledge representation
process produces a blueprint that details how hardware and software meet the needs of the organization
System design
. ______ will help to define the problem(s) that the new information system is expected to address.
Feasibility study
. Request for information (RFI) is used early in ______ phase to gather information from vendors, often in conjunction with requests for proposal and requests for quote.
System analysis
. ____________ is an ongoing process of measuring practice, service, or product results against competitors or industry standards.
Benchmarking
Ease of navigation, appropriate language, efficiency of use, ease of learning, and intuitiveness are all examples of:
system usability.
The problems of an existing system have been identified, along with possible solutions. What is the next step in the systems analysis stage?
A feasibility study
type of testing is performed on functionally grouped components to ensure that the subset works with the entire system
Integration
In project management, the critical path is best described as a series of activities that:
indicates the earliest possible time a project can be completed
initial layer of protection to prevent unauthorized, external access to a facility’s information network
Firewall
most common risk to patient privacy and confidentiality?
An organization’s employees.
document articulates the primary factors that guide professional nursing judgment, regarding confidential patient information
Code of Ethics for Nurses with Interpretive Statements.
Integrating clinical practice guidelines with an electronic health record facilitates quality improvement measurement by:
comparing guideline parameters to clinical outcomes..
An online course discussion board is a form of:
asynchronous learning..
Using an office computer system to identify a patient whom the linked hospital information system identifies as having positive cultures for pneumonia, a primary care provider orders the patient’s antibiotic. This scenario exemplifies:
health information exchange..
In Table A, the primary key field is PatientNumber. When the informatics nurse sees PatientNumber in Table B, the nurse recognizes that the field is functioning as what type of key?
Foreign.
Because several disciplines support the foundation of informatics nursing, it is important for the informatics nurse to understand that:
informatics nursing uses the concepts, tools, and methods of various disciplines to facilitate nursing process
A downtime of the electronic health record (EHR) system is planned for three months from today. The informatics nurse is formulating a communication plan for the clinical staff about the downtime. The nurse plans to:
present the information at the “super user” meetings, department and unit meetings, and at other specialty clinician meetings, in addition to having a message posted on the message-of-the-day screen in the EHR..
When writing and reviewing the downtime policy and procedure for the new electronic health record, it is imperative to clearly define for the end-user the:
policy for how or when to “back-enter” data..
Adherence to a standardized nursing language will lead to:
improved evaluation of nursing outcomes
The informatics nurse violates a patient’s legal right to privacy and confidentiality, by:
looking up a colleague’s diagnosis and laboratory results while he or she is hospitalized..
Although social media sites like Facebook and WebMD may provide healthcare consumers with many benefits, using these sites presents risks to patient privacy and misuse of personal health information, because:
personal health information is shared by the patient and not protected under the Health Insurance Portability
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:
pie chart..
. Type of learning:_________ involving lecture and textbook instruction rather than demonstration and laboratory study.
didactic learning.
The informatics nurse is collaborating with the pharmacy in installing automated dispensing cabinets on the nursing units. These dispensing cabinets will:
make medications immediately available to nurses..
Which stage of meaningful use introduces the electronic capture and sharing of health information in a coded format?
Stage 1.
A NI is developing a learning forum for nurses across the country. The NI wants them to chat with one another and exchange info in real time. This form of exchange is considered ______.
synchronous learning
. _____ graphs are used to compare the relationship between two or more groups. The graphs can show quantifiable data as bars that extend horizontally, vertically, or stacked.
- can show comparison data of different populations or data from one time period to another.
bar
were designed by individuals working in the field of artificial intelligence.
. Expert system
. ____ systems may include general information as well as guidelines regarding treatment and medications based on symptoms or diagnosis.
ex: ALerts
.Clinical decision support systems
• Type of Informatics-????
Advances in mapping the human genome and understanding individual DNA will have a dramatic impact on what we know about patient.
This will lead to advances in customized patient care and customized medications targeted to individual responses to medications.
Care and medication can be precisely customized to patients based on their unique DNA profile and how they have responded to medications and other interventions in the past.
Genomic informatics
Standalone and not connected to a particular system or EHR. Information may be carried on a smart card, flash card, CD, or DVD. These pose more security risks than tethered PHRs and require more input from the individual to maintain accurate records.
Untethered
Data tied to a particular system and EHR and often web-based. A secure patient portal is provided so the individual can access all or parts of the records.
Tethered
_______- Data derived from multiple sources in a network rather than one system. This allows for more flexibility.
Networked
Patient-maintained paper records.
Paper/Personal files
Pharmacy transactions, required reports, demographic information, financial information, hazard and safety practices, and most things not included in the clinical record.
Aggregate
Patient-specific information regarding the patient, diagnosis, treatment, laboratory findings, consultations, care plans, physician orders, and information related to informed consent and advance directives. The medical record should include records of all procedures, discharge summary, and emergency care records.
Medical/Clinical
Methods to ensure that staff is provided training, support, research, library services, or other access to information, and good practice guidelines.
Knowledge based
Internal comparisons or external comparisons to benchmarks or bestpractice guidelines.
Comparison
The primary purpose of sending an RFI to a variety of vendors is to help in the _____.
elimination and selection process.
Bloom’s taxonomy outlines behaviors necessary for learning. Which 3 kinds of learning does the theory describe?
Cognitive: Affective: Psychomotor:
. Type of learning:
Learning and gaining intellectual skills and mastering categories of effective learning (knowledge, comprehension, application, analysis, synthesis, and evaluation).
Cognitive: (Bloom’s taxonomy)
. Type of learning:
Recognizing categories of feelings and values from simple to complex (receiving and responding to phenomena, valuing, organizing and internalizing values).
Affective: (Bloom’s taxonomy)
. Type of learning:
Mastering motor skills necessary for independence, following a progression from simple to complex (perception, set, guided response, mechanism, complex overt response, adaptation, origination).
Psychomotor (Bloom’s taxonomy)
. A type of bar chart with a horizontal time scale that presents a visual representation of the beginning and end points of time when different steps in a process should be completed.
Gantt chart
. A ______ chart is used for developing improvement projects to manage schedules and estimate time needed to complete tasks.
Gantt chart
_______- is often used to improve cash flow as health care becomes more competitive or to compare infection rates.
Benchmarking
. _____ Charts are used to show the percentage of an item as compared to the whole.
-can show the distribution on infection-control resources.
Pie
. A _______ system is a group of computers linked together to increase efficiency or distribute computing power. One key reason to use this system in a healthcare facility is so all the data can be accessed by different functional areas within the same facility.
Network
. __________are intended for the end user and comprise interactive software applications that provide information to physicians or other health care providers to help with health care decisions.
Clinical decision support systems (CDSSs)
Why does the office of National Coordinator on Health IT emphasize the use of interoperability standards such as Health Language Seven (HL7) and Logical Observation Identifiers Names and Codes (LOINC)?
Consistent use to standards is a first step to creating interoperable health information technology infrastructures.
SNOMED & UMLS ease locating, manipulating, and exchanging data both within and btwn systems. What is an additional goal for using a nursing terminology such as the Nursing Outcomes Classification?
To standardize capture of nurses’ contribution to patient outcomes.
In analyzing a workflow process, the NI observes nurses documenting pt complaints on paper, summarizing the findings of the exchange on a spreadsheet, and communicating findings to leadership so that policy and procedures can be addressed. This is an example of an:
_________.
Assessment System
In analyzing a workflow process, the NI observes nurses documenting pt complaints on paper, summarizing the findings of the exchange on a spreadsheet, and communicating findings to leadership so that policy and procedures can be addressed. This is an example of an:
_________.
Information System
Why would the NI recommend conducting a needs assessment as an initial planning step?
It Identifies the gap btwn the current and future state.
A ______ is a hierarchical arrangement of tasks to be accomplished.
Work breakdown structure
In order to manage the risks encountered when implementing a system into a new unit, one must participate in ____ to manage any new features required by the unit.
Change Control Processes
The NI is working with users who want mobile devices. NI knows major difference btwn PDA and smart device is:
The smartphone is a convergence device with cellphone capability.
A webpage that can be viewed and modified by anyone who has access to a browser and internet connection for interdisciplinary collaborative work is known as a:
Web-based product with simplified markup language.
The NI is developing a test scenario to determine if the Admissions, Discharge, and Transfer module will work with Clinical Documentation and Lab Results Reporting Modules of a larger healthcare information system. This is known as:
Integration testing.
The NI is testing the admission & discharge function. This is ________.
Unit testing
The NI understands that system maintenance encompasses modiciations to correct faults, improve performance, and:
Adapt to the changing environment in which the system is used.
Sitting at computer facing a screen, user will interact with the operating system through the:
GUI
NI are engaged in educating consumers on the evaluation of online info sources. Important critera to include are:
Any potential bias or sponsorship programs.
As Kronos Health System implements a health system-wide electronic health record, it is retiring many stand alone info systems. As a part of this process Kronos is transferring select patient data from the retiring systems into a newly developed data repository. What is a likely metadata issue Kronos will have to deal with during the process?
Designers must account for the unique way systems store metadata.
As Kronos Health System implements a health system-wide electronic health record, it is retiring many stand alone info systems. As a part of this process Kronos is transferring select patient data from the retiring systems into a newly developed data repository. What is a likely metadata issue Kronos will have to deal with during the process?
Designers must account for the unique way systems store metadata.
(fyi: The metadata describes the meaning, relationships, ori-gins, and formats. A data dictionary is necessary for the database management system to access the data.)
One method to encourage the active verification of data to ensure the quality and accuracy of information by:
Engaging pts in review and confirmation.
.. ____________ is also known as healthcare informatics, is the study and use of data and information technology to deliver health care services and to improve patients’ ability to monitor and maintain their own health. The data and clinical decision support involved in this field are developed for and used by clinicians, patients, and caregivers.
Clinical informatics
. _____ graphs have an x and y axis; they are used to show how an independent variable affects a dependent variable.
- can show the number of infections that occur each week, month, or year.
line
_____ electronic version of EHR that is owned and managed by the patient.
Personal Health Record
