Test Bank for Nursing Informatics and the Foundation of Knowledge 6th Edition
Test Bank for Nursing Informatics and the Foundation of Knowledge 6th Edition
Test Bank for Nursing Informatics and the Foundation of Knowledge 6th Edition
Nursing Informatics and the Foundation of Knowledge 6e Dee McGonigle (Test Bank All Chapters, 100% Original Verified, A+ Grade) Answers At The End Of Each Chapter (CH 1-25) Indicate the answer choice that best completes the statement or answers the question. 1.
is an assessment of the risk of the hazardous material causing illness in the population. a. Hazard identification b. Exposure assessment c. Dose–response assessment d. Risk characterization 2.
is the term for when a student actually assumes a role or performs an activity during a simulation. a. Prebrief b. Enactment c. Debrief d. Assessment 3.
A dedicated clinician is required on the receiving end of the transmissions from patients at home. This requirement has limited the application of telehealth because of: a. the availability of equipment. b. the user's knowledge of and skill with the equipment. c. cost and scheduling difficulties. d. the clinician's ability to apply the information. 4.
A healthcare organization creates a blame-free environment in which staff members can report errors and commit additional resources to address safety concerns. This organization is said to have a: a. culture of safety. b. culture of accountability. c. safety promotion culture. d. failure-tolerant culture. 5.
A nurse is performing a physical exam on a patient and sees that the patient is crying. Which of the following demonstrates that the nurse is practicing transcendent practice? a. The nurse pauses the physical examination, calls the patient by name, and gently touches the patient's hand. b. The nurse continues the physical exam and does not acknowledge that the patient is crying. c. The nurse stops the exam and asks a family member to sit with the patient. d. The nurse finishes the physical exam and documents that the patient was tearful. 6.
A nurse is reviewing a randomized controlled trial that was published in a medical journal. Which of the following must the nurse apply in order to use this evidence in nursing care? a. Nursing theory Powered by Cognero
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Test Bank for Nursing Informatics and the Foundation of Knowledge 6th Edition b. Medical knowledge c. Esthetic criticism
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d. Personal opinion 7.
A nurse researcher is searching open access journals and understands that funding for these articles may come from which of the following? a. Charges to universities b. Charges to the readers c. Charges to the authors d. Charges to the health organizations 8.
A nurse researcher is using a data mining model that uses the steps of sample, explore, modify, model, and assess. Which model is the nurse researcher using? a. SEMMA model b. Six Sigma model c. KDD model d. Informatics model 9.
A nurse researcher starts to assimilate data. Once the nurse starts to understand the data, which of the following occurs? a. Data quality issues are identified. b. Data are processed into a model. c. Study conclusions are made. d. A new data mining project is started. 10.
A nurse's responses to a patient during interactions are based in which of the following? a. The nurse's education and experiences b. The patient's subjective experience c. The healthcare organization's mission and values d. The nurse's personal knowledge of nursing theories 11.
A nursing student tells you that he wrote his entire paper using an AI tool. What is your best advice to him? a. “You should consult with your instructor and discuss the use of AI tools in this course.” b. “You should proofread the paper you generated since AI tools can include erroneous information.” c. “You should cite the AI tool that you used, state how much of the paper was generated by the AI tool, and state how much you contributed other than accessing the AI tool.” d. All of these are correct. 12.
A patient has undergone a knee replacement and lives in a rural location. Which of the following will the nurse recommend for a home exercise program? a. Teletherapy with motion-tracking webcam technology b. Inpatient physical therapy Powered by Cognero
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c. Outpatient physical therapy at the closest healthcare facility d. Use of written patient handouts on exercise after a joint replacement 13.
A patient with congestive heart failure is homebound. Why would the nurse recommend telenursing for this patient? a. Ongoing monitoring reduces the occurrence of acute exacerbations of disease. b. Telehealth reduces inpatient length of stays. c. Telehealth uses healthcare resources more appropriately than inpatient centers do. d. The use of standards and guidelines in telehealth occurs more often than in inpatient centers. 14.
A physician is entering a medication order for aspirin and an alert is generated, reminding the physician that the patient is allergic to salicylic acid and listing alternative medications. This alert is known as which of the following? a. Clinical decision support trigger b. Pharmaceutical support alert c. Health information trigger d. Physician order entry alert 15.
According to The Joint Commission, a patient safety issue that results in death, serious harm, or temporary harm is termed a: a. clinical lapse. b. sentinel event. c. rare occurrence. d. safety culture issue. 16.
Communications supported by social media can be invaluable during a crisis. Which of the following is not a form of social media–supported communication? a. Citizen to citizen b. Citizens to authorities c. Podcasts and videos d. Authorities to authorities 17.
Context of care evidence may be gathered from: a. audit and performance data. b. the culture of the organization. c. local or national policy. d. All of these are correct. 18.
Different web address (domain) suffixes indicate who is responsible for creating a website. A web address sponsored by the government would have which suffix? Powered by Cognero
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a. .com b. .edu c. .org d. .gov 19.
Electronic health records may help to promote public health initiatives by: a. promoting early detection of potential pandemic occurrences. b. automating syndromic surveillance of emergency department records. c. generating population-level alerts to be sent to clinicians. d. All of these are correct. 20.
Hybrid or blended delivery of courses means that: a. courses are team taught by educators and clinical practitioners. b. courses have both face-to face and online learning episodes. c. instruction includes both audio and video podcasts. d. wikis and blogs are central to the course delivery. 21.
In 2019, the Office of the National Coordinator for Health Information Technology (ONC) amended the EHR benefits that it had listed in 2014. The ONC reminded us that the EHR provides: a. information whenever and wherever it is needed to improve patient care. b. data and information for the sole use of healthcare providers. c. specific information that each individual provider should apply only to their profession. d. None of these is correct. 22.
Linda is a home care nurse who works for a home health agency based in Pennsylvania, very near the Ohio border. She is assigned to monitor the home telehealth patients for 1 week to cover for another nurse who is on vacation. Which of the following is true? a. Linda must be licensed to practice nursing in both Pennsylvania and Ohio if telehealth patients are located in both states. b. Linda must be licensed to practice nursing in Pennsylvania because that is where the agency is located. c. Linda must be licensed to practice nursing and be certified as a home telecare nurse in order to provide vacation coverage. d. Linda must be licensed to practice nursing in Pennsylvania because that is where the agency is located, and she must be certified as a home telecare nurse in order to provide vacation coverage. 23.
One of the ways that healthcare organizations can utilize informatics for patient education is via: a. brochures. b. group education classes. c. videotapes. d. kiosks. Powered by Cognero
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24.
Organizations with the authority to accredit EHRs: a. test EHRs. b. compare EHRs against NIST standards. c. develop and test EHRs. d. compare EHRs against NIST standards and test EHRs. 25.
Portfolio evidence should demonstrate: a. what a person knows. b. what a person can do. c. the values that a person holds as important. d. All of these are correct. 26.
Simulation is used to allow students to: a. actively use informatics in an authentic and realistic learning context. b. increase their team participation in learning activities. c. reflect on their clinical experience with live patients. d. None of these is correct. 27.
Smart pumps are designed for safe administration of high-hazard drugs and to reduce adverse drug events during intravenous medication administration. What happens when a hard alarm is generated by a smart pump? a. A licensed clinician or a pharmacist can override a hard alarm and administer the drug as programmed. b. The pump must be reprogrammed so that the rate and dose for administration of the high-hazard intravenous drug falls within the facility's safe infusion parameters. c. The nurse must call the physician for a verbal order to turn off the smart pump technology and administer the drug as ordered. d. Members of the biomedical engineering department can reprogram the pump to avoid these nuisance alarms. 28.
The EHR function that allows a clinician to enter medication and other care orders directly into a computer, including laboratory, microbiology, pathology, radiology, nursing, supply orders, ancillary services, and consults, is known as: a. the core care function. b. the physician interface. c. order entry management. d. None of these is correct. 29.
The four facets of the metaverse are: a. hardware, software, content, and IoE. b. information, people, virtual settings, and IoT. c. data, information, knowledge, and wisdom. d. AR, VR, MR, and XR. Powered by Cognero
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30.
Transmission of pathologic images to specialists is: a. telemedicine. b. teleradiology. c. telepathology. d. telenursing. 31.
What is computational biology? a. Acquiring, processing, generating, and disseminating knowledge in ways that help those managing the knowledge reevaluate and rethink the way they are understanding and utilizing what they know and have learned b. An interdisciplinary science with a focus on data management and interpretation for complex biological phenomena that are analyzed and visualized using mathematical modeling and numerical methodologies with predictive algorithms c. The interdisciplinary science of acquiring, structuring, analyzing, and providing access to biomedical data, information, and knowledge. It is grounded in the principles of computer science, information science, cognitive science, social science, and engineering, as well as the clinical and basic biological sciences. d. The actual process of analyzing and interpreting data 32.
Which of the following is a potential outcome of patient-centered care? a. Patients can provide their subjective experience as an input to improve healthcare delivery. b. Care providers may develop their capacity for reflexivity, which may improve their understanding of the implications of their actions. c. Patients and practitioners can provide insights into the overall organization on how to innovate processes and facilities to respond to local needs. d. All of these are correct. 33.
Which of the following is not a part of tele-ICU nursing? a. The tele-ICU nurse must live within 30 miles of the ICU for which they provide services. b. The tele-ICU nurse uses clinical decision support tools and monitors for adherence to clinical guidelines. c. Real-time patient data are transmitted via high-tech audio and video to the tele-ICU nurse for assessment. d. Computer programs and algorithms are used to assist with clinical decision-making. 34.
Which of the following is the term for how a learner interacts with a game? a. Game mechanics b. Virtual world c. Simulation d. Gameplay 35.
Which of the following statements is true of multimedia learning tools? a. Multimedia tools increase student engagement in the learning process. Powered by Cognero
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b. Multimedia tools facilitate learning retention. c. Multimedia tools will soon replace clinical instruction. d. Multimedia tools increase student engagement in the learning process and facilitate learning retention. 36.
Which of the following terms could describe patients partnering with healthcare professionals to manage their health? a. Empowerment b. Patient engagement c. Connected health d. All of these are correct.
Indicate whether the statement is true or false. 37.
A 3D virtual world often mimics a real-world environment, although it may also include impossible abilities, such as flying unaided. a. True b. False 38.
A basic knowledge of EHRs and nursing informatics is now considered to be an advanced informatics competency. a. True b. False 39.
A haplotype map identifies a set of closely linked alleles on a chromosome that tend to be inherited together. a. True b. False 40.
An accountability assessment tool may help readers to distinguish between human error and reckless behavior. a. True b. False 41.
An advantage of an EHR is not having to interpret poor handwriting. a. True b. False 42.
An important issue associated with Internet-based data collection is whether participants actually are who they say they are, and whether they actually have the variable of interest or are just pretending to be someone or something they are not. a. True Powered by Cognero
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b. False 43.
Artificial intelligence tools have been used to screen lung scans for evidence of COVID-19–specific lung lesions. a. True b. False 44.
Augmented reality (AR) provides stimulation or input for multiple senses, including olfactory, visual, auditory, haptic, and somatosensory such as pressure, pain, or warmth; it is composed of apps, wearable technologies such as glasses, and software that not only interact with you, but also enhance your senses with data, information, audio, and images. a. True b. False 45.
Bioinformatics (BI) is a less mature scientific discipline that aims to research and develop algorithms, computational and statistical techniques that solve biological problems. a. True b. False 46.
Caring consciousness is energy within the human–environmental field of a caring moment. a. True b. False 47.
Computers can aid greatly in the storage, tabulation, and retrieval of qualitative data by acting as the equivalent of an electronic filing cabinet. Data analysis can also be aided by simple data management programs, such as Excel, Access, or NVivo, in which a user can categorize data and link categories with key words. a. True b. False 48.
Exploratory data analysis is an approach or philosophy that uses mainly graphical techniques to gain insight into a dataset. a. True b. False 49.
For evidence-based practice to be adopted into a workplace culture, leaders of the organization must support its use. a. True b. False 50. Powered by Cognero
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Homegrown or locally developed EHR systems are common. a. True b. False 51.
If a nurse is fully present to the patient, the nurse will be able to notice subtle changes in the patient. a. True b. False 52.
In a “just culture,” system or process issues that lead to unsafe behaviors and errors are addressed by changing practices or workflow processes, and a clear message is communicated that reckless behaviors will not be tolerated. a. True b. False 53.
Information prescriptions direct patients and families to credible websites, including government and HCO websites, as well as wikis and blogs, that may help them understand their health issues. a. True b. False 54.
Making full use of available library resources serves to strengthen information literacy skills, enabling learners to master content and extend their investigations, become more self-directed, and assume greater control over their own learning. a. True b. False 55.
Repetition of research studies is needed to advance knowledge. a. True b. False 56.
Risk factor assessments do not complement the vital statistics data systems, but do complement the morbidity data systems by providing information on factors earlier in the causal chain that lead to illness. a. True b. False 57.
Role-playing games are an excellent way for nursing educators to guide students through any situation where a sequenced step-by-step introduction to the parts of the job or skill is required. a. True b. False 58. Powered by Cognero
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Some technologies, such as telehealth encounters, may present barriers to active listening. a. True b. False 59.
Telehealth can refer to clinical and nonclinical uses of health-related contacts. a. True b. False 60.
Telehospice or telepalliative care can use real-time or remote monitoring to provide psychological support to patients and caregivers. Telehealth devices can also play a role in symptom management, in effect helping endof-life patients achieve an optimal quality of life. a. True b. False 61.
The eHealth Initiative is largely successful because of interoperability among healthcare systems and the adoption of national data standards. a. True b. False 62.
The nurse informaticist works with and often leads a team that typically consists of statisticians and computer scientists. Their ability to track and extract data and information in meaningful ways advances nursing knowledge, and, when coupled with innovative, evolving technologies, such as artificial intelligence and machine learning, will have significant impact on our practice and the nursing profession. a. True b. False 63.
The term knowledge deployment refers to taking the pattern and model identified in the pattern discovery phase and applying them to new data to test whether they can achieve the desired outcome. a. True b. False 64.
The use of social media data during public emergencies has been variously termed crisis informatics or disaster informatics. a. True b. False 65.
Two examples of publicly available databases are the Gene Expression Omnibus, which is maintained by the National Center for Biotechnology Information at the National Library of Medicine, and Array-Express, which is maintained by the European Bioinformatics Institute. a. True Powered by Cognero
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b. False 66.
Virtual and latex-based simulations are valuable educational assets in all levels of nursing education. They provide a safe, authentic environment to develop knowledge, skills, and attitudes prior to interacting with actual patients. There is no risk to patients, and students can practice and receive assessment and feedback in controlled episodes, including unusual events. It relates well to adaptive learning methods such as branching logic that allow the learner to guide the learning. The learner can learn, relearn, and hone skills while practicing dynamic and complex situations with the ability to decrease and eliminate mistakes. a. True b. False
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Answer Key 1. d 2. b 3. c 4. a 5. a 6. a 7. c 8. a 9. a 10. a 11. d 12. a 13. a 14. a 15. b 16. c 17. d 18. d 19. d 20. b 21. a 22. a 23. d 24. d 25. d Powered by Cognero
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26. a 27. b 28. c 29. b 30. c 31. d 32. d 33. a 34. d 35. d 36. d 37. True 38. False 39. True 40. True 41. True 42. True 43. True 44. True 45. True 46. True 47. True 48. True 49. True 50. False 51. True Powered by Cognero
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52. True 53. True 54. True 55. True 56. False 57. True 58. True 59. True 60. True 61. False 62. True 63. True 64. True 65. True 66. True
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Indicate the answer choice that best completes the statement or answers the question. 1.
A nurse is documenting nursing care in the electronic health record. Which of the following is the most important reason for this action? a. Communicating patient information to help coordinate care b. Following the healthcare facility's policy c. Contributing to public health information d. Advancing information technology 2.
A nurse is educating a patient on privacy of health information. The nurse explains that privacy is part of which federal law? a. Health Insurance Portability and Accountability Act b. Health Information Technology for Economic and Clinical Health Act c. U.S. Department of Health and Human Services Act d. American Recovery and Reaffirmation Act 3.
A nurse is explaining the impact of a nationwide electronic health record on nursing to a nursing student. Which statement by the nurse is correct? a. “The electronic health record will likely provide the ability to make more efficient and timely nursing care decisions for patients.” b. “The electronic health record will increase errors but will increase the access to patient data.” c. “The electronic health record will not impact the quality of care but will make patient care more efficient.” d. “The electronic health record will not impact nursing or nursing care delivery in any meaningful way.” 4.
A patient is admitted to a healthcare facility and has questions about the facility's privacy practices. To which of the following does the patient have a right? a. A paper copy of the notice of privacy practices of the facility b. An electronic copy of privacy disclosures for the facility c. An individual safeguard policy for the patient's protected health information d. A copy of staff training records on patient privacy 5.
A patient's electronic health record in a health system has been breached by an outside source. Which of the following is the priority action by the health system? a. The patient must be notified of the breach. b. The patient's family members must be notified of the breach. c. The patient's primary care provider should be notified first. d. The patient's insurance company should be notified immediately. 6.
CMS meaningful use guidelines were replaced by which of the following laws? a. Sarbanes Oxley Act Powered by Cognero
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b. FDA Electronic Records Act c. Medicare Access and CHIP Reauthorization Act d. 21st Century Cures Act 7.
The HITECH Act had which of the following goals? a. Improve healthcare quality b. Reduce healthcare costs c. Improve and protect public health d. All of these are correct. 8.
The HITECH Act has had a significant impact on HIPAA's Privacy and Security Rules in which of the following ways? a. Weakened the enforcement of HIPAA b. Removed the annual guidance from the Department of Health and Human Services regarding how to secure health information c. Enhanced notification requirements in the event of a breach in the security of health information d. All of these are correct. 9.
Which of the following is not part of the 21st Century Cures Act? a. Regulating the development and release of medical apps b. Promoting research into preventing and curing serious illnesses c. Supporting community mental health efforts d. Improving interoperability and health information exchange by providing seamless access to improved EHRs 10.
Which of the following terms is defined as any physical or mental health information created, received, or stored by a “covered entity” that can be used to identify an individual patient, regardless of the form of the health information? a. Protected health information b. Patient health information c. Provider health information d. All of these are correct.
Indicate whether the statement is true or false. 11.
True or False? All nurses need to be engaged in the development and integration of a nationwide electronic health record. a. True b. False 12.
True or False? Existing accounting rules are enhanced under the HITECH Act, giving patients the right to access their EHR and receive an accounting of all disclosures. Before the HITECH Act, HIPAA regulations Powered by Cognero
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provided an exception to the accounting requirements. a. True b. False 13.
True or False? HIPAA was signed into law by President Bill Clinton in 1996 to monitor physicians and hospitals and enhance information exchange without consequences. a. True b. False 14.
True or False? The federal Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH Act) is part of the American Recovery and Reinvestment Act (ARRA). The ARRA was enacted to stimulate various sectors of the United States. The health information technology (HIT) industry was one area where lawmakers saw an opportunity to stimulate the economy and improve the delivery of health care at the same time. a. True b. False 15.
True or False? The Policy Committee established by the HITECH Act is responsible for making recommendations to the coordinator about how to implement the requirements of the HITECH Act, such as the technologies to use in the infrastructure. a. True b. False
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