TEST BANK for Understanding Biology 3rd Edition by Kenneth A. Mason

CHAPTER 1

1. The nurse is developing a plan of care for a client, integrating information from the client's history and physical examination, laboratory and diagnostic test results, and medications using the new informatics system adopted by the facility. The nurse understands that informatics facilitates the task because it focuses on: A) Using computers.

B) Using information technology.

C) Managing nursing care.

D) Accessing the Internet.

2. A nursing informatics specialist is working as part of group tasked with evaluating the current health information technology system in the facility. As part of the evaluation process, the nurse is reviewing the initial strategic plan developed for the nationwide implementation of health information technology. Which result would lead the nurse to determine that the system has met the initial goals?

A) The use of personal electronic health records was eliminated.

B) A collaborative governance was developed to support information use for population health.

C) Statewide adoption of the electronic health record was fostered.

D) The use of telehealth systems became significantly limited.

3. Which action would a nurse identify as the current focus of today's practice informatics?

A) Capturing data at the point of care B) Performing secondary data analysis C) Using aggregated data D) Making decisions based on data

4. A nurse interested in nursing informatics is reading a journal article about early computerized clinical information systems. Which information would the nurse most likely find as characteristic of these early systems?

A) Two or three functions could be performed at one time.

B) Information could be shared among several departments.

C) Different software systems were created for different areas.

D) Data entry needed to be done once.

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5. A nursing informatics specialist is describing the benefits of informatics to a group of agency staff. Which would the nurse identify as a primary benefit for healthcare in general?

A) Increase in the usability of data B) Promotion of cost saving C) Promotion of time saving D) Ability to identify patterns

6. A nursing informatics specialist is speaking to a group of colleagues about the benefits of informatics for the nursing profession. Which benefits would the specialist most likely include? Select all that apply.

A) Improvement in documentation B) Use of data for quality control C) Building of evidence-based knowledge D) Increase in time needed for documentation E) Separation of nursing information from other healthcare information

7. A nurse is presenting an in-service program on nursing informatics competencies. When describing the need for computer fluency for nursing informatics competencies, which would the nurse include as characterizing this concept?

A) Temporary state B) Lifelong learning C) Task oriented D) Competency

8. A nursing informatics specialist is explaining the difference between computer literacy and computer fluency. Which statement correctly defines computer fluency?

A) “Computer fluency is the ability of the nurse to perform various tasks with a computer.”

B) “Computer literacy is the skill to be able to troubleshoot parts of the computer access information from the computer data.”

C) “Computer fluency is the understanding of how to use a computer when needed.”

D) “Computer literacy is knowing how to locate and evaluate information.”

9. A nursing informatics specialist is characterized by colleagues as an informatics innovator. This nurse would demonstrate the ability to: A) Use basic desktop software.

B) Generate informatics theory.

C) Make judgments based on trends.

D) Communicate via a computer.

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10. For which is information literacy considered essential?

A) Critical thinking B) Problem solving C) Data evaluation D) Evidence-based practice

11. A nursing informatics specialist is preparing an in-service program for staff on healthcare informatics and information technology. The nurse would emphasize which component as the focus?

A) Information B) Computer C) Access D) Data storage 12. A client tells the nurse, “I'm not so sure that I like the computer as my chart. I've heard so many horror stories of security problems on the computer.” Which response by the nurse demonstrates understanding of the recent strategic planning goals aimed at inspiring confidence and trust in health information technology?

A) “We are doing everything possible to protect the confidentiality of your health information.”

B) “This technology will make it possible for everyone to have use of electronic medical records.”

C) “It might sound strange, but we can exchange information with others so your care will improve.”

D) “By using this technology, we can provide better care because we can actually measure the care you receive.”

13. A nurse is reading a journal article about the evolution of nursing informatics. The nurse demonstrates understanding of the article by identifying which time frame as being associated with the shift in definition from a technology orientation to more of an information orientation?

A) Early 1960s B) Late 1970s C) Mid-1980s D) Early 1990s

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14. When reviewing a client safety database, the nurse understands that which information is being used?

A) Aggregated data B) Deidentified data C) Genomics D) Protocols

15. When describing how new systems for information are organized, which would the nursing informatics specialist explain as being used?

A) Process B) Data C) Flow D) Increments 16. A nurse asks the nursing informatics specialist, “What is the difference between computer literacy and computer fluency?” Which information would the nursing informatics specialist integrate into the response?

A) Computer fluency is a temporary state.

B) Computer literacy refers to the ability to perform tasks with a computer.

C) Computer fluency is static.

D) Computer literacy involves increasing one's ability to effectively use a computer.

17. A nurse involved in informatics identifies the need for information and demonstrates ability to locate, evaluate, and effectively use it. The nurse is demonstrating which competency?

A) Information literacy B) Computer literacy C) Computer fluency D) Information management

18. When describing the components needed to provide evidence-based care through informatics, which components would be included? Select all that apply.

A) Information presented in a digital format B) Standards for exchange of information C) Limited ability to capture relevant data D) Multiple language structures for documentation E) Competency of practitioners using the information

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19. A nursing informatics specialist is preparing an in-service program about forces driving the increased use of informatics in healthcare. Which forces would the nurse include as being specifically a national force? Select all that apply.

A) Creation of the Office of the National Coordinator for Health Information Technology (ONC) B) The Institute of Medicine (IOM) report on health professions education C) National Advisory Council on Nurse Education and Practice recommendations D) National League for Nursing (NLN) position paper on nurse preparation E) Technology Informatics Guiding Educational Reform (TIGER) initiative

20. According to the National Center for Nursing Research, which are considered program goals for nursing informatics research? Select all that apply.

A) Establishing a nursing language B) Developing methods to build clinical information databases C) Testing client care decision support systems D) Eliminating the need for workstations for nurses E) Determining how nurses give client care using data

21. A nurse is reviewing various client safety databases for safety issues. Which databases would the nurse identify as voluntary? Select all that apply.

A) National Healthcare Safety Network B) National Database of Nursing Quality Indicators C) Vaccine adverse event report system D) FDA reporting system E) Quality and Safety Education for Nurses (QSEN)

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Answer Key 1. B 2. B 3. A 4. C 5. A 6. A, B, C 7. B 8. C 9. B 10. D 11. A 12. A 13. C 14. A 15. B 16. B 17. A 18. A, B, E 19. A, B 20. A, B, C, E 21. A, B

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CHAPTER 2

1. A nurse is reviewing the components of a computer system that he or she has just purchased. Which operating system would he or she expect to find as the most common?

A) Microsoft Windows B) Mac OSX C) Linux D) Google Chrome

2. When using a computer program, a nurse enters a command by pointing and clicking.

The nurse student understands that this action is the result of: A) Disk operating system.

B) Graphical user interfaces.

C) Freeware.

D) Cloud computing.

3. While using a program, a user gets a message saying that the program is not responding.

The user decides to shut down the program, but it does not happen. Which action would the user do next?

A) Continue to click on the X at the right hand corner B) Hold down the Ctrl, Alt, and Delete keys simultaneously C) Turn off the computer manually D) Open the program in another window

4. A nurse has purchased proprietary software for the computer. Which step is essential when installing proprietary software?

A) Checking the serial number B) Registering the product C) Purchasing the license to use D) Calling the vendor to initiate service

5. When comparing and contrasting DOS with current operating systems, which information would be appropriate to include?

A) DOS allows multiple programs to be used at the same time.

B) Transferring information between programs in DOS was tedious.

C) Creating nontext documents was easier than creating text documents.

D) Only a small number of point and click options were available with DOS.

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6. A nurse is working on the computer using a trial copy of a software program. The nurse is using: A) Freeware.

B) Cloud computing.

C) Shareware.

D) Open source software.

7. Which term describes what happens to a computer after a specific period of inactivity?

A) Crashing B) Copyrighting C) Encrypting D) Sleeping

8. A nurse writing a presentation using a computer that uses a Windows Operating System deletes a portion of text and then realizes that he or she deleted the wrong thing. Which action should he or she do next?

A) Tap the Ctrl + Y key B) Hit the Ctrl + X key C) Hit the Ctrl + Z key D) Use the Ctrl + S key

9. A nurse manager is reading a journal article about the different operating systems (OSs) used with computers in preparation for a project with several colleagues. The team will be preparing a clinical role-playing scenario for a group of newly hired nurses as part of the unit orientation. Each of the colleagues is working on a personal computer. Based on what the nurse manager learned in the journal article, the nurse manager would anticipate which OS as being most commonly used?

A) Linux B) Microsoft Windows OS C) Mac OSX D) Google Chrome OSX

10. A nurse is working on a Mac computer and wants to open a new web browser window.

Which universal keyboard shortcut would the nurse use?

A) Command + A B) Ctrl + A C) Command + N D) Ctrl + C

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11. A nurse is reading a journal article about the evolution of computers and operating systems. The nurse would expect to read about which operating system as the first released?

A) Windows B) Mac C) Linux D) Chrome

12. A nurse has just purchased a new Mac computer for graduate school classes. The nurse previously used a Windows computer. When making the transition to the new computer, the nurse would identify that the Command key on the Mac is the same as which key on the Windows computer?

A) Ctrl B) Esc C) Alt D) Windows logo

13. A nurse is working with software that has no copyright restriction. The nurse is using which type of software?

A) Open source B) Shareware C) Freeware D) Public domain

14. Client information files are to be stored on a cloud computing website. Which step would be most important to do?

A) Encrypting the files B) Checking the software copyright C) Accepting the terms of use D) Checking the site for viruses

15. A nursing informatics specialist is participating as a member of panel that is conducting a presentation about computers for a community group. When describing graphical user interfaces (GUIs), which advantage would the nurse include? Select all that apply.

A) Ability to have multiple programs open at the same time B) Increased ease in moving data between open programs C) Enhanced use of statistical information for analysis D) Decreased need to remember specific command words E) Decreased length of time needed for booting up the computer

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16. While working on creating a document on a laptop computer, a nurse finds that the program and computer have stopped responding. The nurse has tried several methods to address the problem without success. What would the nurse most likely do next?

A) Turn off the computer's power.

B) Wait for the program and computer to respond.

C) Disconnect any devices attached to the computer.

D) Press the escape button three times.

17. A nurse has purchased Microsoft cloud software for a Mac computer for the year.

Which software would the nurse be able to use? Select all that apply.

A) Word B) OneNote C) Access D) PowerPoint E) Excel

18. A nurse is reviewing the different cloud office applications available. When comparing the iCloud to other cloud office applications, which feature would the nurse identify as being different? Select all that apply.

A) Web browser is needed to access the app.

B) The app is not a downloadable app.

C) It cannot sync files with other devices.

D) The app does not include office apps.

E) File sharing is significantly limited.

19. Which advantages are associated with the use of cloud computing? Select all that apply.

A) Provides a backup of files in a location different from where the original document is stored B) Allows for sharing files with other users C) Permits the users to have full control over the site D) Reduces the risk for access by cyber criminals E) Eliminates the need to ever have to purchase any software

20. When describing commercial software to a group of students, which information would be most appropriate to include? Select all that apply.

A) The software is proprietary.

B) Individuals must purchase it.

C) It lacks copyright protection.

D) Users must accept the terms of use to install it.

E) The software can be used without restrictions.

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Answer Key 1. A 2. B 3. B 4. B 5. B 6. C 7. D 8. C 9. B 10. C 11. B 12. A 13. D 14. A 15. A, B, D 16. A 17. A, D, E 18. A, B 19. A, B 20. A, B, D

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CHAPTER 3

1. The nurse recently completed a computer training course about the different types of networks available. Which statement would the nurse identify as correctly describing a local area network (LAN)?

A) The connection includes a large geographical area.

B) A connection of computers that are physically close to one another.

C) Exchanges files with other computers on a standalone network.

D) A network that encompasses a city or town.

2. A nurse is working with a client recently diagnosed with heart failure. He or she asks the nurse about good websites that he or she could use to learn more about his or her condition. The client tells the nurse that his or her computer uses a wireless connection.

The nurse understands that this type of connection: A) Is more secure than hard-wired connections.

B) Does not require nodes.

C) Is limited in distance.

D) Has a router that determines the transmission speed.

3. While working on a personal computer, a nurse searches for updated practice guidelines on the Internet. The nurse's computer connects to the Internet via a telephone line. This is an example of which type of connection?

A) Broadband B) Cable C) Dial-up D) Digital subscriber lines 4. A nurse is talking with a client who says, “I've used the World Wide Web (WWW) many times to look up my medications.” Which statement best describes the World Wide Web? A) “The WWW is a network within the Internet.”

B) “It is a tool that allows files to be retrieved.”

C) “The WWW is maintained by the local consortiums.”

D) “The WWW permits access to text-free documents.”

5. A nurse is accessing the World Wide Web using a web browser for information about the incidence of stroke. The nurse would likely be using which browser? Select all that apply.

A) Internet Explorer B) Firefox C) Chrome D) Microsoft Office E) Opera Page 1

6. A nurse wants to create interactive web pages. Which product would the nurse expect to use?

A) Java B) JavaScript C) Active X D) Active server pages

7. A nurse receives an e-mail containing a web address hyperlink on his or her personal computer. The e-mail instructs the nurse to go to the website to confirm his or her bank account number. When the nurse clicks on the link, it would take him or her to a phony website. This is an example of: A) Pharming.

B) Worm.

C) Trojan horse.

D) Phishing.

8. A nursing informatics specialist is preparing a presentation about online security. When describing different types of computer malware, which would the specialist include?

Select all that apply.

A) Botnets B) Pharming C) Trojan horse D) Web cookies E) Bookmarks

9. A client contacts his or her healthcare provider through a web-based portal software program to ask for a medication refill. The client is using: A) Intranet.

B) Virtual private network.

C) Extranet.

D) Plug-in.

10. A nursing informatics specialist is presenting a class to a local community group about computer security and protection against malware. The specialist determines that the teaching was successful when the group states: Select all that apply.

A) “Reusing a password is probably the best thing to do.”

B) “Downloading the latest software updates is important.”

C) “Most regular computer users don't get computer viruses.”

D) “We should scan downloaded files with antivirus software before installing.”

E) “People need to avoid social networking sites entirely.”

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11. The nurse is explaining to a client how he or she can access his or her electronic medical record. Which type of connection would the nurse include as being used?

A) Broadband connection B) Botnet C) Client–server architecture D) Metropolitan area network

12. A client at home is setting up his or her computer so that he or she can access his or her healthcare team. The client will be connected to a Wi-Fi network. Which item would the client need to set up the connection? Select all that apply.

A) Modem B) Router C) Mouse D) Second keyboard E) Web browser

13. A client is attempting to access a secure Wi-Fi network. To be successful, which action would the client need to do?

A) Enter the authentication code.

B) Create a new password.

C) Run a virus scan first.

D) Connect to the Internet.

14. After reviewing the various types of network connections available, a client chooses a network connection that is considered to have excellent signal reliability. Which connection did the client choose?

A) Television cable B) Fiber-optic cable C) Satellite D) Digital subscriber lines

15. A nurse is accessing the Internet using the following URL— http://www.ahrq.gov/research/findings/evidence-based-reports/index.html. Thenurse identifies the “.gov” as: A) Top-level domain name.

B) Folder.

C) Descriptor.

D) File name.

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16. A nurse is using a web browser and wants to save links to some of the favorite nursing information websites. Which feature would be helpful to use?

A) Streaming B) Plug-in C) Bookmark D) Web cookie

17. A nurse is about to install antivirus software on his or her home computer. Which action would the nurse need to do first to protect his or her data?

A) Install a firewall.

B) Backup important files in another location.

C) Perform a quick scan of the files.

D) Update the software program.

18. A nurse is reading a journal article about computer viruses. Which examples of computer viruses would the nurse most likely read about? Select all that apply.

A) Botnet B) Worm C) Pharming D) Trojan horse E) Phishing

19. Which characteristics would be associated with spyware?

A) Random pop-up advertisements that occur when using a program B) Ability to monitor keystrokes to send to a third party C) Maintenance of default home pages on web browsers D) Inability to scan the hard drive 20. A nurse is checking the nurse's e-mail and finds the following: “If you have a file named 'workline' on your computer, delete it immediately. The file contains a virus that will be released in 5 days and destroy your hard drive.” The e-mail goes on to describe how to delete the file. The nurse interprets this as: A) A damaging hoax.

B) An urban legend.

C) A Trojan horse.

D) Spyware.

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Answer Key 1. B 2. C 3. C 4. A 5. A, B, C, E 6. B 7. D 8. A, B, C 9. B 10. B, D 11. C 12. A, B 13. A 14. B 15. A 16. C 17. B 18. B, D 19. B 20. A

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CHAPTER 4

1. Which descriptor would be used for Web 2.0?

A) Isolation B) Individualistic C) Collaboration D) Static

2. A nurse is reading numerous comments made online by various individuals on the topic of scoliosis. The information ranges from personal views about living with the condition to technical information about bracing and medical treatment. The nurse adds a comment about his or her experiences in caring for clients with this disorder. The nurse is engaged in which type of networking?

A) Wiki B) Folksonomies C) Blog D) Listservs

3. A nurse executive is composing an e-mail to a professional organization. In addition to the name, which information would the nurse include when signing an e-mail?

A) Street address B) Home phone number C) Sender's title D) Date

4. A nurse has attended a conference sponsored by a professional nursing organization.

During the conference, the nurse met several other professionals and wants to send each of them an e-mail thanking them for their insight and suggestions. When writing the e-mail, which step would be most important for the nurse to keep in mind?

A) Use correct spelling and grammar before sending.

B) Use emoticons when appropriate.

C) Include a signature without the organization's name and address.

D) Write an extensive subject line.

5. During a group discussion about social networking, a member asks, “What's the purpose of two-factor authentication?” Which information would be the most appropriate to include in the response?

A) “It's just another way to access your account when you need to.”

B) “It makes you more vulnerable to hacking.”

C) “It's a way to connect with others with similar interests.”

D) “It helps prevent unauthorized users from getting into your account.”

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6. A nurse is contacting several colleagues using the Internet for a conference call. Which one is the nurse using?

A) Web conferencing B) Instant messaging C) Telephony D) Webcast 7. During a presentation about networking, a nurse asks, “I've heard all about 'Twitter', but how is it different from text messaging?” Which response by the presenter would be most appropriate?

A) “You can send larger messages than with texting.”

B) “The message is shared with others.”

C) “It is the preferred social networking site.”

D) “You use your real names for 'tweeting'.”

8. A nurse practitioner wants to join a professional networking site with other nurse practitioners. Which site would the nurse practitioner most likely choose?

A) Facebook B) LinkedIn C) MySpace D) Plaxo

9. A nurse participates in a blog with other nurses about caring for terminally ill clients.

The nurse receives an alert when new information is added through which mechanism?

A) Wiki B) Microblogging C) RSS feed D) Tumblr 10. A nurse writing an e-mail to another nurse writes, “IMO, the nurse manager did the right thing.” The nurse is using: A) Acronym.

B) Emoticon.

C) Hashtag.

D) Tumblr.

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11. A nurse is writing an e-mail to a colleague that includes the following statement: “IT SHOULD NOT TAKE SOMEONE OVER AN HOUR TO ASSIST WITH A BEDBATH.” How might the colleague interpret this statement?

A) Shouting B) Swearing C) An emoticon D) An acronym

12. An nursing informatics specialist is planning to record his or her lecture for an in-service program and then upload it to a secure website. Participants in the in-service program are instructed to view the presentation before attending the in-person part of the program. The specialist hopes that viewing the presentation beforehand will stimulate a more involved question-and-answer discussion. Which software would the participants most likely use to view the presentation?

A) Diigo B) iTunes C) Reddit D) Google drive

13. A group of nurses are preparing to deliver a live presentation on client education over the Internet. The audience can ask questions, and the group can ask for feedback. The group will be conducting which type of event?

A) Webcast B) Webinar C) Podcast D) Cloud computing

14. Which option is considered a classification of social media? Select all that apply.

A) Networking sites B) Blogging C) Microblogging D) Content sharing E) Web 2.0

15. A practicing nurse is looking for other employment opportunities and wanting to connect with other nurses about the different career paths available. Which site would be most appropriate for the nurse to use?

A) Facebook B) LinkedIn C) Plaxo D) ResearchGate

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16. A nurse is planning to engage in microblogging. Which application would the nurse be most likely to use? Select all that apply.

A) Text messaging B) Twitter C) Chat D) Tumblr E) LinkedIn

17. A nurse is preparing to upload photos and videos to social media. Which product would the nurse most likely use? Select all that apply.

A) Snapfish B) Shutterfly C) Picasa D) Pinterest E) Instagram

18. A nurse is reviewing the ANA toolkit for social media that is available online. Which items would the nurse identify as being included? Select all that apply.

A) Webinar B) Social networking principles C) Textbook resource on social networking D) Fact sheet E) Fee-based continuing education credit

19. A nurse belongs to a pediatric nursing e-mail discussion group. The nurse is participating in: A) A listserv.

B) A wiki.

C) Skype.

D) FaceTime.

20. Several nurses are working together to create a presentation at a conference. The nurses live in different parts of the country but are working together, creating and editing a document to use as a handout in the presentation. Which would the nurses be most likely to use?

A) Podcast B) Social bookmarking C) Cloud computing D) Webinar

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Answer Key 1. C 2. C 3. C 4. A 5. D 6. C 7. B 8. B 9. C 10. A 11. A 12. B 13. B 14. A, B, C, D 15. B 16. A, B, C 17. B, C, D, E 18. A, B, D, E 19. A 20. C

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CHAPTER 5

1. A nurse is writing a scholarly paper. Which information would the nurse need to keep in mind about page breaks?

A) Forced page breaks are not needed before the reference list.

B) Tapping the Ctrl + Enter key creates a hard page break.

C) Page breaks occur when tapping the enter key.

D) A forced page is different from a hard page return.

2. A nurse is preparing to review a document created by a colleague. Upon opening it, the nurse notices a recurring line of print at the top of each page. The nurse identifies this as a: A) Header.

B) Footer.

C) Page number.

D) Forced page break.

3. Which actions indicate the achievement of intermediate-level word processing skills?

Select all that apply.

A) Use search and replace.

B) Insert a hyperlink.

C) Add readability statistics.

D) Obtain word count information.

E) Design a personal custom template.

4. A nurse is creating an outline using Microsoft Word. Which action would the nurse most likely do?

A) Find the feature in the references tab.

B) Use the Shift + Tab key to create the next numbered item.

C) Use the Enter key to create the next lower level.

D) Manually insert each numbered level.

5. A nurse is writing a paper for a class and wants to include a direct quotation to support the viewpoint. The quotation is 30 words in length. Which action should the nurse do?

A) Identify the author of the quote and list the source at the bottom of the page.

B) Include the quote in the paragraph using double quotation marks citing the author.

C) Include the quote as indented block text with no quotation marks.

D) List the source of the quote and page number.

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6. When creating a paper using the APA style, which section would the nurse include last?

A) Title page B) Abstract C) Introduction D) Reference list

7. A nurse is reviewing a draft version of a scholarly paper being written by a colleague and friend using Writer. The nurse determines that the colleague is using the default font based on which font?

A) Calibri, Italics B) Times New Roman, Regular C) Arial, Bold D) Tahoma, Regular

8. When setting up the body of a professional paper, margins are set for the page layout.

Which margin setting would be most appropriate to use?

A) 1-inch top and bottom margins, 1/2-inch side margins B) 1-inch top margin, 1/2-inch bottom and side margins C) 1-inch top and bottom margins, 1-inch side margins D) 2-inch top margin, 1-inch bottom and side margins

9. A nurse is writing a paper for a journal article based on an outline previously developed using Roman numerals. The topic in the outline is “A. Major causes.” Using APA formatting, which outline convention would the nurse use for this topic?

A) Title style, centered, and boldface B) Title style, flush left, and boldface C) Sentence style, indented with a period D) Sentence style, indented, italicized, no period

10. A nurse is preparing the body of a scholarly paper. On which page would the nurse start the text?

A) Page 1 B) Page 2 C) Page 3 D) Page 4

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11. A nurse is preparing to write the abstract for a paper. Which actions would the nurse do?

Select all that apply.

A) Include a description of the findings.

B) Write it before writing the actual paper.

C) Use boldface type for the word, abstract.

D) Capitalize the first letter of the word, Abstract.

E) Identify keywords before the text of the abstract.

12. A nurse is writing an article for a nursing journal and is planning to insert a table into the document. Which action would be most appropriate for the nurse to do?

A) Insert the table into the document where it will appear.

B) Use a callout between the paragraphs where the table will be inserted.

C) Place the table at the end of the document before the reference list.

D) Use parentheses to identify where the table is to appear.

13. A nurse who is attending graduate school must write a paper about the effects of a chronic disease on the client and family. Which style would the nurse most likely use to write the paper?

A) AMA B) MLA C) Chicago D) APA

14. A nurse has decided to write a paper for a presentation at a local healthcare facility.

Which step would be most important for the nurse to do first?

A) Choose a word processing tool B) Identify the audience C) Conduct a broad literature review D) Identify the topic

15. Which word processor is considered a commercial word processor?

A) Microsoft Word B) Apache OpenOffice Writer C) Google Docs D) Microsoft PowerPoint

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16. A nurse is reading a colleague's paper on caring for a client with coronary artery disease.

The colleague has used APA style. Which formatting would indicate that the colleague has correctly followed the style for line spacing?

A) The entire document is double spaced.

B) There are extra spaces between paragraphs.

C) The body of the text is double spaced, but references are single spaced.

D) Single spacing is used between paragraph headings and text that follows.

17. After writing a paper, a nurse wants to generate a table of contents automatically using the word processor. The nurse understands that this table of contents will be created using which feature?

A) Abstract B) Paragraph headings C) Header D) Citations

18. A nurse is familiar with word processing. The nurse exhibits advanced level knowledge by demonstrating which skills? Select all that apply.

A) Creating templates B) Using mail merge C) Using three or more applications involving word processing skills D) Creating an index E) Editing tab settings

19. A nurse is reviewing a paper and notes a squiggly red line appearing under a word in a sentence. The nurse identifies this as: A) Subject/verb disagreement.

B) Run-on sentence.

C) Misspelled word.

D) Split infinitive.

20. When inserting a one-page table into a scholarly paper, which action would the nurse do?

A) Maintain visible borders for the entire table.

B) Repeat header rows across the table.

C) Remove any side borders from the table.

D) Use italics for the text information.

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Answer Key 1. B 2. A 3. A, C, E 4. C 5. B 6. D 7. B 8. C 9. B 10. C 11. A, D 12. B 13. D 14. B 15. A 16. A 17. B 18. A, C 19. C 20. C

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CHAPTER 6

1. A nurse educator is developing a presentation on renal failure. As the educator adds media and images to the presentation, the nurse educator is considering that the images correctly convey the content and are appropriate for the audience. What principles of presentation is the nurse educator using?

A) Extraneous cognitive load B) Visual literacy C) Culture literacy D) Intrinsic cognitive load

2. Which presentation mode will allow the audience to participate in the lecture in real-time?

A) Prezi B) Embedded polling C) Lessig style D) PechaKucha style

3. When inserting a video clip in a slide presentation, a clip of which duration would be most effective?

A) 15 to 30 seconds B) 30 to 45 seconds C) 45 to 60 seconds D) 60 to 75 seconds

4. A nurse manager is creating a slide presentation for a staff meeting. The nurse manager wishes to look at several of the slides at once, checking the organization and order of presentation. Which view would be best for the nurse manager to use?

A) Normal view mode B) Slide sorter C) Notes view D) Slide show view

5. A nurse is developing a slide presentation and is in the process of choosing a background for the slides. When selecting a background, which principle would be best to follow?

A) Select a dark background if the room will be light B) Choose a light background for a dark room C) Have the background match the lighting in the room D) Opt for a background that matches the tone of the presentation

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6. When creating a slide show, which font size would be best to use?

A) 12 point B) 16 point C) 20 point D) 24 point

7. A group of nursing students are working on a slide presentation. Which text formatting will maximize readability of the slides for the audience? Select all that apply.

A) Arial B) Font 24 C) Font 12 D) Garamond E) Verdana

8. A nurse is creating a slide presentation to support a discussion planned for a local community health promotion fair. When preparing the slides, which formatting would be most appropriate?

A) Using no more than three font styles in the presentation B) Avoiding using the color red for any of the text C) Using similar colors for the text and background D) Selecting at least seven different colors for the presentation

9. A nurse manager is preparing a slide presentation for a skills refresher course and plans to insert several video clips into the presentation. The clips will be spaced intermittently throughout the presentation. When selecting appropriate clips, a clip of which duration would be most appropriate for the nurse manager to choose? Select all that apply.

A) 15 seconds in length B) 30 seconds in length C) 45 seconds in length D) 60 seconds in length E) 75 seconds in length

10. During an in-service slide show, each slide fades into view. This is called: A) Transition.

B) Animation.

C) Storyboarding.

D) Progressive disclosure.

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11. When planning a slide show presentation for a group of fellow nurses about a disease condition, the nurse also plans to supply the audience with handouts. Which style of handout would be best?

A) A copy of the slides in the presentation B) Copies of slides with room for note taking C) Word-processed outline of the presentation D) A notes-based outline with illustrations

12. The end of a slide presentation includes a slide containing summary points. To ensure retention by the audience, a maximum of how many points would be included?

A) 8 B) 7 C) 6 D) 5

13. When creating a slide show, which step would be completed first?

A) Select a layout B) Choose a background C) Enter text D) Insert graphics

14. When selecting colors for slide presentation, which action will enhance readability?

A) Using smooth contrast in colors to assist color blind viewers B) Choosing the color purple will create a sense of passion C) Applying black on red makes an object appear closer D) Selecting colors on opposite side of the color wheel improves visualization

15. While planning a slide presentation for a local health fair, the nurse is putting the ideas and visuals into an organized framework. The nurse is performing which step?

A) Creating handouts B) Storyboarding C) Developing animations D) Determining transitions

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16. A nurse demonstrates intermediate-level skills by doing which actions? Select all that apply.

A) Applying a template B) Adding shapes to a slide C) Moving and resizing objects D) Editing photos for fit and resolution E) Designing on-screen navigation

17. Which consideration would be most effective in ensuring that a slide presentation is effective? Select all that apply.

A) Using similar colors for text and background B) Using the slideshow view to show the presentation to the audience C) Allowing more time for reading if text is italicized D) Using a sans serif font E) Never using any commercial clip art or web image that is copyrighted

18. A nurse is presenting a slide presentation on diabetes to a group of newly diagnosed clients with diabetes. When starting the presentation, the nurse uses which view?

A) Normal B) Slide sorter C) Slideshow D) Outline

19. A nurse is creating a slide presentation and is using a predesigned combination of colors, font style, size, and position of place keepers. The nurse is using a: A) Lecture support model.

B) Content layer.

C) Layout layer.

D) Theme.

20. A nurse is creating a slide presentation using a newer presentation style and slide design instead of the standard slide title and bullet design. The nurse understands that this type of design primarily: A) Reduces cognitive load.

B) Improves learning.

C) Limits availability on mobile devices.

D) Minimizes visual stimulation.

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21. A nurse is creating a slide presentation that uses only images that are visible for 20 seconds. The nurse is using which presentation slide design?

A) TED-style B) Evidence assertion order C) PechaKucha D) Lessig

22. A group of nurses are creating a slide presentation for a group of clients about heart failure. The nurses ask the nursing informatics specialist for assistance in developing the presentation using the free version of the software, Prezi. After describing this type of presentation, the specialist determines that the nurses have a firm grasp of this style when they state: A) “We need to limit the information on the slides to just graphics.”

B) “The presentation will be able to be shared privately with others.”

C) “The navigation through the presentation is not linear.”

D) “We should plan to spend 15 seconds on each slide.”

23. A nurse is creating a slide presentation using the lecture replacement model. The nurse would need to integrate which knowledge when developing the presentation? Select all that apply.

A) The slideshow must be able to stand alone.

B) Learning objectives need not be explicit.

C) Information must be highly detailed.

D) The presentation will provide for self-learning.

E) Voice-over narration may be needed for more explanation.

24. A nurse is creating a slide presentation and wants to include sound in the presentation.

Which sound file formats would the nurse use as uncompressed? Select all that apply.

A) MP3 B) WMA C) WAV D) AIFF E) Ogg

25. A nurse is creating a slide presentation for a group of newly hired nurses. After creating the title slide, the nurse moves onto the next slide. Which placeholder in the layout would the nurse expect to find?

A) Title and subtitle B) Bulleted text C) Images D) Animations

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Answer Key 1. B 2. B 3. C 4. B 5. C 6. D 7. A, B, E 8. A 9. C, D 10. A 11. D 12. D 13. B 14. D 15. B 16. C, D 17. B, C, D 18. C 19. D 20. A 21. C 22. C 23. A, C, D, E 24. C, D 25. B

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CHAPTER 7

1. A new nurse is learning how to use a spreadsheet and how it differs from word processing. Which action would the nurse most likely identify as specific to spreadsheets?

A) Features used in spreadsheets are different.

B) Programs are bundled with other office software.

C) Formula functions are built into the menu options.

D) Windows are used but icons are not.

2. A nurse working on his personal computer is preparing a spreadsheet for his professional expenses. He plans to put data into the rectangles in the table. The nurse identifies these rectangles as: A) Rows.

B) Columns.

C) Slots.

D) Cells.

3. A nurse has prepared a spreadsheet with times spent on various nursing activities. The data fill three columns and four rows. The nurse names a cell range that encompasses the first cell of the second column through the last cell of the third column. The nurse would express this cell range as: A) 2.1 to 3.4.

B) B1/C4.

C) 2B:4C. D) B1:C4.

4. A nurse is deciding about whether to create a spreadsheet or a table to present information. The nurse would most likely use a table for which information?

A) Listing benefits and limitations of breast-feeding B) Monitoring for medication errors C) Calculating length of stays of surgical clients D) Documenting quality improvement of client care

5. A nurse is reviewing a spreadsheet and identifies a cell containing an absolute formula.

Which symbol would the nurse interpret as indicating this?

A) * B) $ C) = D) /

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6. When creating a spreadsheet that involves formulas, the user understands that the computer follows a specific order of operations. The following appears on the spreadsheet: 2 + 16 – 3(8 – 3)2 ÷ 5. Place the operations listed below in the order that they would occur from first to last for this example.

A. Addition B. Exponentiation C. Parentheses D. Division E. Multiplication F. Subtraction A) A, F, E, D, C, B B) C, D, F, E, A, B C) B, D, F, A, C, E D) C, B, E, D, A, F

7. When creating a spreadsheet, a nurse locks the cells of a spreadsheet to prevent the nurse from changing the cell value. The nurse is engaged in: A) Data protection.

B) Security.

C) Linking.

D) Freezing.

8. To ensure that a spreadsheet effectively communicates what is intended, which action would be most important to include?

A) Entering two or three values into the cell if the data are to be sorted for analysis B) Naming each spreadsheet to clearly identify its purpose or topic C) Including a table of contents when designing a simple spreadsheet D) Combining three or four tables in one worksheet for each workbook

9. After entering information about groups of clients attending follow-up client education sessions into a spreadsheet, a nurse decides to create a chart to represent the information. Which type of chart would be most appropriate to use to depict the percentages of the groups of clients?

A) Pie chart B) Column chart C) Bar chart D) Line charts

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10. When creating a chart from a spreadsheet using commercial software, which step would be done first?

A) Click on the chart tool menu B) Select the type of chart for the data C) Select the cells of data for the chart D) Preview the chart on the screen

11. Which actions demonstrate achievement of intermediate spreadsheet skills? Select all that apply.

A) Name a worksheet tab B) Freeze rows C) Import data in text format D) Modify a pivot table E) Create a dashboard

12. A diabetic nurse educator is using a spreadsheet to perform an item analysis for a quiz given to several different groups of clients with diabetes over the past 6 months. The nurse educator has beginning-level spreadsheet skills. Which actions would the nurse educator most likely do? Select all that apply.

A) Use a separate worksheet for each of the tests in the workbook B) Draft out the design using a pencil and paper first C) Enter several values into each of the cells D) Create a name for each spreadsheet developed E) Customize the spreadsheet menu

13. A nurse is enrolled in a class to learn how to use spreadsheet software. During one of the classes, the nurse asks, “What is the difference between a worksheet and a workbook?” Which response best answers this question?

A) “A workbook uses many more mathematical calculations than a worksheet.”

B) “A worksheet is a spreadsheet but a workbook has one or more worksheets.”

C) “The workbook is the starting point and the worksheet is the final result.”

D) “The terms are used interchangeably in any spreadsheet program.”

14. A nurse manager has created a spreadsheet with data about the number of nurses enrolled in continuing education programs over the past 6 months. The nurse manager now wants to use this information to create a chart to compare the amounts over each quarter. Which type of chart would be most appropriate for the nurse manager to use?

A) Pie chart B) Clustered bar chart C) Stacked bar chart D) Line chart

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15. A nurse is entering data into a spreadsheet and formats the cell as text. Which data would be appropriate for the nurse to enter into this type of cell? Select all that apply.

A) Medical record number B) Zip code C) Date D) Time E) Social security number

16. A nurse working with a spreadsheet identifies that a logic error is occurring. The nurse understands that this type of error reflects: A) Incorrect data entry.

B) Incorrect cell formula.

C) Bug in the program.

D) Omission of data.

17. A nurse wants to reference a cell range in another workbook to the current spreadsheet.

Which process would the nurse use?

A) Linking B) Freezing C) Data validation D) Automatic data entry

18. Dashboards would compare to which part on a car?

A) Engine B) Tires C) Instrument control panel D) Steering wheel

19. A nurse researcher is reviewing the line graph created from data on a spreadsheet. The researcher identifies the data point as: A) Vertical axis of the chart B) Label for the actual data value C) Intersection of value on the x- and y-axes D) The time values of the data

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20. A nurse is preparing to insert a date for the current year into a spreadsheet to be used for calculation. Which format would be most appropriate for the nurse to use?

A) April 3 B) 4:3 C) { 4-3} D) 4/3

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Answer Key 1. C 2. D 3. D 4. A 5. B 6. D 7. A 8. B 9. A 10. C 11. C, D 12. A, B, D 13. B 14. B 15. A, B, E 16. C 17. A 18. C 19. C 20. D

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CHAPTER 8

1. A group of nurses are creating a database. Which step would the nurses need to do first?

A) Determine the data to be collected.

B) Identify the question needing an answer.

C) Develop a purpose for the database.

D) Identify the pieces of data to enter.

2. When working with a database, a nurse selects data from a set of items that was created to avoid having to type in the entry. The nurse is using a: A) Field.

B) Relational database.

C) Look-up table.

D) Query.

3. A nurse wants to find information about databases specifically used in nursing. Which query would the nurse use to obtain the narrowest search?

A) Databases or nursing B) Nursing not databases C) Nursing and/or databases D) Nursing and databases

4. A nurse has created a database in which data are contained in one table. The nurse has created which model of database?

A) Flat B) Network C) Hierarchical D) Relational

5. When designing a relational database, which field setup best reflects the user's use of atomic-level data?

A) Age and sex are listed in one field.

B) First and last names are in separate fields.

C) Systolic and diastolic blood pressures are key fields.

D) First and last names are in one field with first name also in a separate field.

6. When preparing to use healthcare information databases for secondary data use, which step would be most important?

A) Restricting the database search to one aspect of care B) Removing any client-identifying information C) Ensuring databases reflect empirical evidence D) Being knowledgeable about the questions to be answered Page 1

7. Which statement best reflects data mining?

A) “Data mining is best to use on relational databases.”

B) “Data mining provides known information to predict the unknown.”

C) “A data warehouse is more effective for the use of data mining.”

D) “Data mining involves the use of simple statistical techniques.”

8. A nurse has attended a class on databases and searching. Which database analysis method would the nurse identify as fastest?

A) Ad hoc querying B) Data mining C) Online analytical processing D) Structured query language

9. In a relational database, data can be viewed as: A) Field.

B) Table.

C) Report.

D) Form.

10. A nurse is preparing to create a database. Which aspect would the nurse identify as being the foundation for the database?

A) Table B) Query C) Form D) Report

11. When describing the steps associated with the design of a clinical database, which steps would most likely be included? Select all that apply.

A) Identify the purpose of the database.

B) Identify the questions the data will answer.

C) List the requirements for the data.

D) Replicate the client record data.

E) Duplicate the paper form of the table.

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12. A nurse is comparing a spreadsheet and database. Which information best reflects a database? Select all that apply.

A) Data connected with records B) List with column headings C) Ability to crunch numbers D) Unrelated objects E) Analysis of data

13. A nurse is creating a database that involves tables organized in the shape of an inverted tree with the branches of the tree being shared. The nurse is creating which type of database model?

A) Hierarchical model B) Flat model C) Network model D) Relational database model

14. A nurse is working on creating a database. Which action would be most important to ensure that data in the database are searchable?

A) Data must be structured.

B) Data categories need to be generalized.

C) Different terms can be used to refer to the same data.

D) Criteria need not be matched to data in a given field.

15. A nurse is reading an article about databases and their use. Which tool would the nurse expect to find as the most powerful in a database?

A) Querying B) Sorting C) Downloadable data D) Mathematical capabilities

16. A nurse is reviewing a database and identifies which object as containing all of the data?

A) Tables B) Queries C) Forms D) Reports

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17. When describing a flat database, which information would be included? Select all that apply.

A) Simple to construct B) Complex and inflexible C) Only one view of data provided D) Two of more tables connected by identical information E) Records linked to a base or root

18. A nurse is searching a database for information about hypertension and is using Boolean logic querying. Which term could the nurse use as a concept in the query? Select all that apply.

A) And B) Or C) Not D) But E) So

19. A nurse is reviewing information about obtaining data from large databases. Which name identifies the coding used for querying?

A) Online analytical processing B) Data mining C) Structured query language D) Data warehousing

20. A nurse is working with a database and identifies the attributes of each field. The nurse understands that an attribute refers to: A) Facts without meaning.

B) The smallest structure in the database.

C) All information about a single table member.

D) A collection of related information.

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Answer Key 1. B 2. C 3. D 4. A 5. B 6. B 7. C 8. C 9. A 10. A 11. A, B, C 12. A, B, E 13. C 14. A 15. A 16. A 17. A, C 18. A, B, C 19. C 20. B

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CHAPTER 9

1. Which statement best reflects information and health literacy?

A) Achieving health literacy is required before achieving information literacy.

B) Expertise in information and health literacy is achieved with continuous practice.

C) Information literacy involves making appropriate decisions about health.

D) Information literacy is required for using and generating nursing research.

2. A nurse is reading a journal article about information literacy and health literacy and how it connects with critical thinking. Which strategy would the nurse most likely find as a key aspect of critical thinking?

A) Focusing on a single approach for problem solving B) Using a set of skills for processing and generating information C) Providing specific answers to questions D) Setting boundaries for seeking information

3. A nurse is working to develop information technology skills. Which behavior would best demonstrate the acquisition of these skills?

A) Ability to use up-to-date computer applications B) Understanding of how to network computers within a system C) Ability to use technology to develop a plan of care based on client information D) Problem solving by applying information technology

4. A nurse is searching the Internet for information about the nursing licensure in another state. Which site would be most appropriate for the nurse to access?

A) The Joint Commission B) Centers for Medicare and Medicaid C) National Council of State Boards of Nursing D) National Institutes of Health

5. A nurse is searching the Internet for journal articles on asthma and comes across an article that is published in an online journal. The nurse is aware of the factors affecting online journals, keeping in mind that: A) Content quality is typically perceived as being higher than in print journals.

B) There will be no print version available to access the article.

C) Most nurses are acutely aware of the existence of online journals.

D) Online journals typically are well funded, with long-term ability for success.

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6. Which statement best reflects the differences between a scholarly article and other forms of nonscholarly work such as a magazine, a newsletter, and a newspaper?

A) Magazine articles undergo a general peer review process.

B) A scholarly article in nursing can be written by anyone.

C) An newspaper article can be written by anyone, including a nurse.

D) Experts review the quality of newsletter articles for validity.

7. A nurse is conducting a search for obtaining information about evidence-based practice research? Which sources would be appropriate to use as a primary source in this information? Select all that apply.

A) Internet B) Sigma Theta Tau C) Institute of Medicine D) Cochrane Collaboration E) MEDLINE/PubMed

8. When evaluating a website for health information, which question would be important for the nurse to ask to determine the validity of the information?

A) Is the site a for-profit or not-for-profit site?

B) Is the date of the site's last update clearly specified?

C) Who is the author and what are his or her credentials?

D) Are there any potential conflicts of interest?

9. A group of nurses are using the Star Model of Knowledge Transformation to apply the results of a research study to client care. The nurses have completed the discovery step and will now go onto which step?

A) Evaluation B) Integration C) Summary D) Translation

10. A nurse is involved with knowledge generation as part of the process of integrating evidence-based practice. From the research perspective, the nurse would be involved with which steps? Select all that apply.

A) Converting nursing data into information B) Using decision support systems C) Identifying information in nursing literature D) Synthesizing nursing information to solve nursing problems E) Applying the steps of information literacy

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11. As part of a nursing conference on evidence-based practice, a nurse is discussing the importance and impact of knowledge sharing. Which impacts would the nurse identify as resulting from this sharing? Select all that apply.

A) Enhanced professional nursing practice B) Improved computer-based communication skills C) Health policy changes D) Changes in interdisciplinary practices E) Reinterpretation of data

12. A nurse is working to develop information technology skills. The nurse demonstrates current skills when he or she is able to: A) Use searching tools.

B) Understand computer networks.

C) Think abstractly.

D) Manipulate information into something new.

13. A nurse is searching the Internet for information related to clinical trials and grants.

Which site would the nurse most likely use to obtain quality information?

A) The Joint Commission B) The National Institutes of Health C) The Centers for Disease Control and Prevention D) The Centers for Medicare and Medicaid Services

14. A nurse is attempting to answer the following clinical question: How does the treatment of a myocardial infarction in women compare with that provided to men? When using the PICO process, which information would the nurse identify as “P”?

A) Symptoms B) Myocardial infarction C) Gender comparison D) Treatment

15. A nursing student is creating a clinical research question: Does telemonitoring blood pressure to improve blood pressure control over 2 months improve compliance with medication? What element of the PICOT format is missing?

A) Population B) Intervention C) Outcome D) Time

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16. A nurse is a student in a doctoral program in nursing practice. The major focus of this program for a nurse being prepared at this level would be to: A) Conduct nursing research.

B) Evaluate research findings.

C) Use findings to develop evidence-based practice guidelines.

D) Use research findings in clinical practice.

17. A nurse caring for clients demonstrates information literacy. Which skills would this nurse demonstrate as indicating information literacy? Select all that apply.

A) Identify a gap in information that is needed B) Access electronic information efficiently C) Use appropriate computer software D) Analyze the validity of information E) Interpret information to be used

18. Which is the result when evidence-based information from the literature is integrated with clinical information?

A) Information literacy B) Information technology C) Knowledge generation D) Knowledge dissemination

19. A client tells the nurse that he or she has gotten some information about hypertension from the Internet. The client gives the nurse the web address to evaluate. When evaluating the site, which information should the nurse evaluate first?

A) Source or sponsor B) Author C) Funding D) Quality

20. A nurse is reviewing several research articles found on the web after completing a PICO search. One of the articles provides an expert opinion of a professional society. The nurse interprets this to mean that the information is at which level of evidence?

A) Highest B) Lowest C) Second highest D) Second lowest

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21. Several nurses approach the seasoned nurse practitioner who has published numerous journal articles about writing an article for a nursing journal about their experiences in caring for pregnant women with substance abuse. The nurses also want to include research findings and other key information. The nurses are looking to the nurse practitioner for help and guidance in writing in the article because none of them have ever done this before. What information would be important for the nurse practitioner to share with the nurses? Select all that apply.

A) Need to include references and an abstract B) Importance of using a conversational tone in their writing C) Use of peer review process after article submission D) Inability to make changes once the article is approved E) Possibility that the article may be deemed inappropriate for the journal

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Answer Key 1. B 2. B 3. C 4. C 5. B 6. C 7. B, C, D, E 8. B 9. C 10. C, D, E 11. A, C, D 12. A 13. B 14. B 15. A 16. A 17. A, D, E 18. C 19. A 20. B 21. A, C, E

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CHAPTER 10

1. A nurse is using a knowledge-based digital database. Which information would the nurse expect to find?

A) Journal article on diabetes B) Medication reference C) A new lab procedure D) Change in a nursing skill

2. When searching PubMed, the nurse understands that this database uses a search term structure: A) Based on linear relationship.

B) Using a feedback loop.

C) Employing a hierarchy.

D) Involving a specific to general search.

3. A nurse wants to search for information about legal and ethical issues involving nursing.

Which database would be most helpful for the nurse to use first in this search?

A) CINAHL B) MEDLINE/PubMed C) Cochrane Library D) PsycINFO

4. A nurse is looking for systematic reviews and meta-analyses to support evidence-based practice. Which database would be most appropriate to search?

A) MEDLINE B) CINAHL C) Cochrane Library D) PubMed

5. When seeking knowledge, which step would a nurse typically do first?

A) Search for appropriate evidence B) Critically analyze the literature C) Question a practice D) Apply the search findings

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6. A group of staff nurses working with a nursing informatics specialist are engaged in searching databases for information on evidence-based practice and diabetes care. One of the nurses in the group asks the specialist what the “advanced search” tab means.

Which response would be most appropriate?

A) “It is something that typically nurses don't use because it is too complex.”

B) “This is quite helpful in letting you narrow your search a bit better.”

C) “This tab is used by librarians to search specific vocabulary search terms.”

D) “It's not relevant to what you are doing here; just stick to the basics.”

7. A nurse is evaluating the information obtained from a search and notes that the majority of information is from reports of expert committees. The nurse interprets this research to be at which level of evidence?

A) Level VII B) Level VI C) Level V D) Level IV

8. Various barriers to the adoption of evidence-based practice have been identified. Which would be considered a personal barrier? Select all that apply.

A) Inadequate numbers of staff to participate B) Difficulty in understanding research statistics C) Lack of information literacy skills D) Inaccessibility of resources for searching E) Perception of unrealistic use of research

9. When developing a presentation for the unit staff, a nurse manager uses a free personal reference manager. Which actions would the nurse manager be able to take? Select all that apply.

A) Save citations B) Take notes C) Create reference lists D) Hyperlink to files E) Store information on the Cloud

10. A nurse is reading an article about evidence-based practice and treatment of major depression. The nurse determines that the article provides the highest level of evidence.

The evidence in the article would be based on: A) Systematic review or meta-analysis of all relevant RCTs. B) At least one well-designed RCT. C) One well-designed nonrandom controlled trial.

D) Well-designed case–control and cohort studies.

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11. A nurse is using a library database to search for information related to cancer. The nurse includes the words “some” and “many” in the search. The search engine would identify these words as: A) Truncation.

B) Wildcard.

C) Stop words.

D) MeSH terms.

12. A nurse is using the Cochrane Library to search for systematic reviews about treatment for hypertension. The nurse understands that systematic reviews help to reduce bias.

When reading the review, the nurse notes that the review covers a wide range of databases and search terms. The nurse identifies this as reducing which bias?

A) Selection B) Indexing C) Publishing D) Sampling

13. A nursing informatics specialist at a large health sciences teaching facility is working with the school of nursing's librarian to obtain vendors of health science databases.

Which vendor would the instructor be least likely to recommend? Select all that apply.

A) Zotero B) EBSCO C) Ovid D) ProQuest E) Citavi

14. A nurse is reviewing journal articles obtained from a database search and frequently notes that a specific work is being cited by authors. In addition, the nurse notices that this cited work is often the basis for the author's opinion. The nurse would identify this as: A) An expert committee report.

B) A seminal work.

C) A clinical practice guideline.

D) A randomized controlled trial.

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15. A group of nurses are working on a committee to develop a program that promotes the adoption of evidence-based nursing at the facility. Which barriers would the committee need to address? Select all that apply.

A) Improved access to resources for the staff B) Greater use of valued nurses' opinions for answers C) Emphasis on the value of information seeking D) Greater focus on high-priority organizational goals E) Enhanced familiarity of staff to evidence-based practice

16. A nurse is conducting a search of several databases simultaneously. The nurse is conducting which type of search?

A) Ovid B) Federated C) MeSH D) Boolean

17. A nurse is searching a database for information about cancer care. As part of the search, the nurse uses stop words. Which words might the nurse be using? Select all that apply.

A) Like B) Said C) Tumor D) Cancer E) Through

18. A nurse is conducting a database search. Which information would the nurse need to keep in mind?

A) It is unnecessary to review the guide for the database.

B) The majority of databases are the same in terms of use.

C) Each database has its own way for indexing search terms.

D) Tutorials for using the database are rarely helpful.

19. After searching a database for information on pain control, a nurse is reviewing a research article on the topic. While reading the article, the nurse notes that much of the research is based on the author's point of view. The nurse interprets this as: A) Publishing bias.

B) Selection bias.

C) Indexing bias.

D) Systematic review.

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20. An nursing informatics specialist is developing an in-service presentation to stimulate interest in researching ways to solve clinical problems on the units. As part of the presentation, the specialist is planning to address seeking out information for nursing knowledge. How would the nurse specialist most likely describe the quest for knowledge?

A) It is a fairly linear process.

B) The process never stops.

C) Searching for evidence is the first step.

D) New knowledge is discovered on questioning usual practices.

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Answer Key 1. A 2. C 3. A 4. C 5. C 6. B 7. A 8. B, C, D 9. A, C, D, E 10. A 11. C 12. C 13. B, C, D 14. B 15. A, C, E 16. B 17. A, B, E 18. C 19. B 20. B

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CHAPTER 11

1. A nurse is looking at the different types of mobile computers before purchasing one.

Which devices would the nurse identify as a small computer? Select all that apply.

A) Cell phone B) Smartphone C) Laptop D) Tablet E) iPad

2. A nurse is reviewing the development of PDAs and smartphones. Which device would the nurse identify as being the most popular before being replaced by the iPhone and Android smartphones?

A) Psion Organiser B) PalmPilot C) Pocket PC D) Newton MessagePad

3. A nurse is using a mobile device and stores his calendar, contacts, and notes. The nurse understands that this information is stored at which location?

A) ROM B) RAM C) Flash memory D) Compact flash card

4. A nurse wants to share the address of the clinical facility with another nurse colleague in the group via beaming. The nurses must: A) Be within 10 feet of each other.

B) Have IR, Bluetooth, or NFC on both devices.

C) Be near a hotspot.

D) Have different operating systems on the devices.

5. A nurse manager is preparing a presentation for the organization about the need for nurses to use handheld devices. Which potential benefits would a nurse manager use to promote the use of portable handheld devices in the clinical area? Select all that apply.

A) Improved time management B) Fewer client errors C) Ability to be technologically up to date D) Increased confidence in clinical skills E) Change in client perception of the nurse

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6. A nurse working in the clinical setting would most likely use a handheld computer for which activity?

A) Bar code medication administration B) Library search for citations C) Client progress evaluation D) Reimbursement coding

7. A nurse is using a PDA when caring for clients. The PDA contains clinical data. Which feature would be most important for use of this PDA? A) Compatibility with the agency's system B) Password encryption C) Wireless accessibility D) Personal identification

8. A nurse is preparing to do research about heart disease and women using a handheld device. Which uses would be appropriate? Select all that apply.

A) Participating in web-based research surveys B) Storing data for aggregation and analysis C) Recording comments from a focus group D) Taking photos of changes in status with a treatment E) Searching for evidence-based resources

9. A nurse is using a handheld computer to conduct a client teaching session using an online course developed for the facility. The course requires Adobe flash for streaming audio and video. The nurse understands that which operating system would be the most commonly used on the handheld computer?

A) Windows OS B) Android OS C) Blackberry RIM OS D) Apple iOS

10. A nurse is considering purchasing a mobile device to view videos that demonstrate physical assessment skills as part of continuing education course that the nurse is taking.

The nurse wants to ensure that she has the clearest image possible. Which screen resolution would the nurse select as the best choice?

A) 960 × 640 B) 480 × 360 C) 600 × 800 D) 240 × 500

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11. A nurse is reading an article about mobile devices in anticipation of purchasing one for personal use. Which types of memory would the nurse most likely find described in the article? Select all that apply.

A) RAM B) ROM C) Hard drive D) Removable memory E) Flash memory

12. A nurse is using a mobile device that is Bluetooth enabled. Which action would be most appropriate for the nurse to do when using the Bluetooth?

A) Keeping the distance between each device to within 32 feet B) Finding a hotspot for a connection C) Remembering that a local area network is formed D) Keeping the feature turned on continuously

13. An nursing informatics specialist is conducting a presentation to the facility staff about using handheld computers on the units. Which disadvantages would the specialist most likely describe? Select all that apply.

A) Time management B) Cost C) Technological changes D) Battery life E) Time necessary for device selection

14. A group of nurses are attending an in-service program about ensuring the security of handheld devices and the use of passwords. The group demonstrates understanding of the information when they identify the importance of which steps when creating secure passwords? Select all that apply.

A) Choosing a family member's name B) Selecting one with three to five characters C) Using a misspelled name of a fruit D) Replacing a word letter with a number E) Including various keyboard symbols

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15. A nurse is using a mobile device while caring for clients and notices that the battery requires charging frequently. Which factors might be shortening the device's battery life? Select all that apply.

A) Using Bluetooth connections B) Performing one task at a time C) Accessing location services D) Sending and receiving e-mails E) Decreasing screen brightness

16. A nurse is reading a journal article on obesity using an eBook reader that uses E Ink. Which information would the nurse need to keep in mind about this mobile device?

Select all that apply.

A) The display may be difficult to read in low-light settings.

B) Reading the text on screen will be similar to reading the printed text.

C) The nurse will most likely experience an increase in eye strain with reading.

D) More battery power will be consumed with its use.

E) The display will be well back-lit for easy reading.

17. A nurse has purchased a copy of a nursing review eBook. The nurse understands that the information is copyrighted by: A) Digital Rights Management.

B) Project Gutenberg.

C) Bluefire Reader.

D) Kindle.

18. The design of mobile computing software is focused on which feature?

A) Synchronization B) Connectivity C) Interoperability D) Data entry

19. A nurse is reading an article about mobile computers and the different operating systems in use. The nurse would likely find that which operating system is most often used?

A) Windows OS B) Apple iOS C) Android OS D) BlackBerry RIM OS

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20. An nursing informatics specialist is preparing a presentation for the nursing administration addressing the use of mobile devices in the institution. Which reason would the specialist most likely address as a major point of emphasis?

A) The benefits of the devices outweighs the cost.

B) Nurses are expected to be proficient with technology.

C) Time is not an issue when it comes to selecting a device.

D) The odds of losing manufacturer support is minimal.

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Answer Key 1. B, C, D, E 2. C 3. A 4. B 5. A, B, D 6. A 7. B 8. A, C, D, E 9. B 10. A 11. A, B, D, E 12. A 13. B, C, D, E 14. C, D, E 15. A, C, D 16. A, B 17. A 18. C 19. C 20. B

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CHAPTER 12

1. A nursing informatics specialist is preparing a seminar for a group of staff nurses about the history of the use of informatics and nursing research. Which event would the nurse specialist most likely include as occurring first?

A) The development of evidence-based practice B) Publication of the journal Nursing Research C) Creation of the National Institute for Nursing Research D) Use of case studies to describe intervention effectiveness

2. A nursing informatics specialist is creating a spreadsheet to complete a simple descriptive data analysis. At which location would the specialist enter the variable labels?

A) On a row B) In the column C) On the tab at the bottom of the page D) Within the cell

3. A nurse is planning to use BrightStat for data analysis for a research project the nurse is involved with that addresses compliance with medication therapy in clients with heart failure. Which action would the nurse need to do?

A) Copy and paste the data into the program.

B) Download the user's manual.

C) Upload data from a spreadsheet.

D) Purchase the program off the Internet.

4. A nurse researcher is accessing the Agency for Healthcare Research and Quality site for information. The nurse would most likely find information about which area?

A) Public microdata B) Information technology C) Client satisfaction D) Clinical nursing topics

5. Nurses on a unit are reviewing research to determine if a change in practice is necessary.

Which activity would be most appropriate for the nurses to use as the best evidence for a change?

A) Reading about a research study on one topic B) Comparing results from several studies C) Searching for a meta-analysis on the subject D) Reviewing articles in a nursing newsletter

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6. A nurse is collecting data about wait times for certain diagnoses across all emergency departments in hospitals in the United States. The nurse is most likely using which source for the data?

A) Agency for Healthcare Research and Quality B) DataFerrett C) Centers for Medicare and Medicaid Services D) World Health Organization Data

7. An institutional committee is studying the possibility of implementing a Clinical Decision Support System (CDSS) for the institution. As part of this process, the committee is reviewing research. Which information would the committee most likely expect to find?

A) Research demonstrating consistent replicated results B) Methodology that is highly experimental in design C) Numerous valid studies identifying the effect on nursing processes D) Some evidence about the positive changes from use of these systems

8. While reviewing information about implementation of the electronic health record and technology, a nurse reads about self-service kiosks. The nurse demonstrates understanding of the technology comparing it with which other technology?

A) Client portal B) Clinical decision support system C) Business intelligence D) Information governance

9. When describing business intelligence to a group of nurse managers, which definition would the nursing informatics specialist include?

A) A method used since early history to analyze data statistically B) Process of turning financial, client, and quality data into usable information C) The use of statistical methods to determine mortality and morbidity rates D) Application of specialized programs for data collection, management, and analysis

10. A nurse researcher is entering categorical data into a spreadsheet. Which action would be most important for the nurse to do?

A) Create a formula.

B) Code the data numerically.

C) Define the arguments.

D) Display the statistical procedure result.

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11. A nurse is engaged in a group discussion about using research findings to improve clinical nursing practice. Which suggestion would be most appropriate to foster the use of research findings? Select all that apply.

A) Subscribing to clinical practice journals B) Attending professional meetings C) Reading source documents for new guidelines D) Purchasing statistical software E) Knowing how to use a spreadsheet 12. A nurse tells the nursing informatics specialist, “I'm intimidated by research.” Which suggestion from the nurse specialist would be appropriate? Select all that apply.

A) Ask other nurse researchers for feedback.

B) Listen to explanations about research.

C) Ask the librarian for help.

D) Practice search skills.

E) Practice data analysis skills.

13. A nursing informatics specialist is conducting a seminar on research in informatics for other nursing informatics specialists. Which area would the nurse specialist include when describing the focus of current research? Select all that apply.

A) Ensuring data security B) Redesigning nursing practice C) Empowering clients and their families D) Developing appropriate standards E) Supporting evaluation methodologies

14. A nurse is reading a journal article presenting a summary of several research studies conducted about clients and behaviors related to the use of technology to access health information. Which information would the nurse most likely find? Select all that apply.

A) Less than one half of Americans use the Internet to obtain health information.

B) People use the Internet to get support from peers.

C) Most healthcare executives think that telemedicine is important.

D) The majority of American clients do not use mobile health apps.

E) Few people self-diagnose from the Internet.

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15. A group of nurses are conducting a research study about the effects of nutrition on wound healing. Which action would the group do first when summarizing the data with descriptive statistics using the BrightStat program?

A) Select the variables B) Code the data C) Insert the formula D) Download the spreadsheet

16. A nurse is beginning to analyze data using descriptive data analysis in a spreadsheet.

Which action would the nurse do first?

A) Code categorical data.

B) Use the columns to identify variable labels.

C) Enter data in the appropriate row.

D) Create a codebook.

17. A nurse is gathering data for a research study and is using DataFerrett to access the data.

When accessing the data, the nurse would need to keep in mind which information about these data?

A) Available to those with a password B) From various federal agencies C) Reflective of aggregated responses D) Limited to a few surveys

18. A nurse is preparing to conduct a research study about a clinical topic and wants to obtain the most recent evidence on the topic. Which site would be most appropriate for the nurse to search?

A) Centers for Medicare and Medicaid Services B) Agency for Healthcare Research and Quality C) National Institute of Nursing Research D) National Health Interview Survey

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19. A group of nurses who are working with the nurse manager are preparing to conduct a research study on the effects of 8-hour and 12-hour shifts on nurses working on a general medical–surgical unit. One of the nurses says, "I always have trouble finding relevant research articles." Which response by the nurse manager would be most appropriate to help this nurse?

A) "Just practice reviewing research studies, and then you'll understand what you need to look for."

B) "Maybe it's best if you check out a research textbook to give you some pointers in what to do."

C) "Let's go together to ask the librarian for help in finding journals that specialize in research."

D) "Look at a research article for the sections and see what each contains to help focus the search.”

20. A nursing informatics specialist is describing the use of clinical decision support systems to a group of staff members and how they can be used in the facility. Which example would the informatics specialist most likely include? Select all that apply.

A) Reminder alerts for drug–drug interactions B) Sets of orders for specific disease conditions C) Clinical practice guidelines D) Vital sign ranges E) Fees for ordered services

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Answer Key 1. D 2. B 3. C 4. B 5. C 6. B 7. D 8. A 9. B 10. B 11. A, B, C 12. A, B 13. A, B, C 14. B, C 15. A 16. C 17. B 18. C 19. C 20. A, B, C

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CHAPTER 13

1. An electronic medical record is best described as a: A) Complete record of a client's healthcare information.

B) Record of a client's stay in an agency such as a hospital.

C) Record that is accessible by outside agencies.

D) Record that allows clients to enter data.

2. An nursing informatics specialist is conducting a group discussion on the implementation of personal health records. Which aspect would the specialist include as being currently available for promoting interoperability?

A) Protocols for use B) Standardized data C) Computer technology D) Procedures for use

3. An agency is implementing the use of smart cards for healthcare. Which statement best describes this personal health record?

A) Clients create their own card to be given to their providers.

B) The card is contained in a device that plugs into a USB port.

C) The card contains a microcontroller for managing data.

D) The card contains an encrypted microchip that can only be read.

4. A client asks the nurse about possible resources for personal health records. After teaching the client about possible resources, the nurse determines that the client needs additional teaching when the client identifies which resource as an example?

A) My Family Health Portrait B) Microsoft HealthVault C) MyPHR D) MyMedicare.gov

5. A nurse is reading an article about electronic health records in use by most healthcare agencies in the current healthcare climate. Based on this information, the nurse would expect to read about which type of record?

A) Electronic medical record B) Electronic health record C) Personal health record D) Patient health portal

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6. When describing an electronic health record, which characteristic makes the software a true electronic health record?

A) Information included in the record B) Ability to interface with outside agencies C) Access to information by clients D) Healthcare information owned by the agency

7. An nursing informatics specialist is preparing a presentation for staff at a local agency about implementing personal health records. When discussing the barriers to implementation, which would the specialist most likely include?

A) Inability to allow collaboration B) Less effective disease management C) Lack of personalization of care D) Reluctance of some providers to relinquish autonomy

8. A nurse is caring for a client who has a smart card. The nurse understands that this card includes which components? Select all that apply.

A) Encrypted microchip B) Contact interface C) Microcontroller D) Embedded battery E) Contactless RF interface

9. Which software is considered to be the highest level of integration of healthcare information records?

A) Electronic medical record B) Electronic health record C) Personal health record D) Smart card

10. A nurse is reading a journal article about implementing personal health records. Which benefit would the nurse expect to find? Select all that apply.

A) Improved collaboration between provider and client B) Enhanced privacy due to use of unique client identifiers C) Greater standardization of data D) Greater effectiveness in treating a client's disease E) More useful methods of data presentation

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11. A nurse is preparing a presentation for a group of clinic clients about personal health records. Which information would the nurse most likely integrate into the presentation?

Select all that apply.

A) Encourages traditional medical model practice B) Promotes collaborative care C) Improves management of disease condition D) Uses a consistent, unique means of identifying clients E) Has a defined core set of data elements

12. When describing privacy and security associated with personal health information, which issue would the nursing informatics specialist identify as most important for their maintenance?

A) Standards B) Policies C) Consumerism D) Confidentiality

13. A nurse is reading a journal article about the evolution of consumer empowerment. The nurse would expect to read that this movement began around which time?

A) 1850s B) Early 1900s C) Late 1930s D) Mid-1960s

14. A nurse is speaking with a client who has just seen his healthcare provider for a routine follow-up appointment. The nurse is explaining to the client about the new client portal that is now available. When describing the portal, which functions would the nurse most likely include? Select all that apply.

A) Notifying about appointments B) Scheduling appointments C) Renewing prescriptions D) Alerting about immunizations E) Testing blood glucose levels

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15. An nursing informatics specialist is preparing an in-service program for the nursing staff at a local health center about personal health records. As part of the program, the specialist discusses a system of rules for the exchange of data by computers. The specialist is describing: A) Protocols.

B) An identifier.

C) Security.

D) Privacy.

16. Which serves as the foundation for secure information exchange over the Internet?

A) Office of the National Coordinator (ONC) B) Nationwide Health Information Network (NwHIN) C) Health Insurance Portability and Accountability Act (HIPAA) D) Health Information Technology for Economic and Clinical Health ACT (HITECH Act)

17. After participating in an informational program about electronic health records, an agency nurse asks the nursing informatics specialist, “What does it mean when they say that the records must be interoperable?” Which response by the specialist would be most appropriate?

A) “The records need to have standardized language.”

B) “The information in the records needs to be presented logically.”

C) “The data contained in the records must be able to be shared electronically.”

D) “Information contained in the record must be kept confidential.”

18. A group of nurses are researching information about smart cards for healthcare information. The nurses are preparing a presentation for a staff meeting that will be introducing the implementation of this technology. The nurses demonstrate a need for additional research when they identify which data as being included on a smart card?

A) Data for privacy protection B) Unique consumer data C) Clinical data D) Financial data

19. A nurse is working as part of a group in the facility to investigate the use of smart cards for healthcare data. Which advantages would the group recognize? Select all that apply.

A) Provide immediate access to lifesaving information B) Allow for data to be portable C) Ensure privacy regardless of client condition via biometrics D) Allow for unlimited life span of the card due to use of embedded battery E) Provide protection against healthcare fraud and abuse

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20. A nurse is preparing to recommend a personal health record resource to a client. Which step would be most appropriate for the nurse to do first?

A) Look for reputable advertisements on the site B) Evaluate the complete site C) Read the privacy statement D) Access one of the links shown on the site

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Answer Key 1. B 2. C 3. C 4. C 5. A 6. B 7. D 8. A, B, C, E 9. B 10. A, D 11. B, C 12. D 13. B 14. A, B, C, D 15. A 16. B 17. C 18. D 19. A, B, E 20. B

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CHAPTER 14

1. When describing consumer informatics to a group of nurses, which factor would the nursing informatics specialist identify as contributing to its development?

A) The declining costs of healthcare B) The complexity of navigating the Internet C) Desire by consumers for increased responsibility D) The continued pervasive culture of paternalism

2. A client presents to the clinic for a visit and brings information about his or her condition that he or she got off the Internet. Which response by the nurse would be most appropriate?

A) “What, don't you believe that we're doing what's best for you?”

B) “Let's go over this information and see what it says.”

C) “I really need to check out this site before we talk about it.”

D) “You need to be really careful about what you get off the Internet.”

3. Which characteristic is associated with health literacy? Select all that apply.

A) Related to years of education B) Variable with the context and setting C) Greater predictor of health than age D) Primarily the ability to use basic reading skills E) Decision-making ability based on interpreting numerical information

4. A client receives his or her cholesterol test results and decides to make lifestyle changes to improve his or her numbers. The nurse would interpret this as: A) Health literacy.

B) Health numeracy.

C) Consumer informatics.

D) Information literacy.

5. When discussing online support groups with clients, which precaution would the nurse include?

A) Limited range of areas covered B) Consistent quality of information C) Variable sponsorship D) Mostly nonmoderated

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6. A nurse is reading an article about the advantages of online support groups. Which information would the nurse expect to find? Select all that apply.

A) The groups are highly diverse in their perspectives.

B) Anonymity allows for the discussion of sensitive issues.

C) Messages can be carefully thought out before they are posted.

D) Most interactions occur synchronously.

E) Membership is not restricted by time or geography.

7. A nurse is evaluating a web page that was designed for use with clients. Which feature would be most important to assess?

A) Design B) Accessibility C) Usability D) Artistic approach

8. A client is searching the web for health information. The search engine being used is a crawler search engine. Which engines might the client be using? Select all that apply.

A) Google B) Yahoo! Directory C) Bing D) Ask Jeeves E) Open Directory

9. During a healthcare visit, a client shows the nurse information that he or she has obtained from the Internet about his or her current condition. When discussing this information with the client, the nurse should keep in mind that: A) The information may be correct.

B) The source needs to be verified.

C) References must always be listed.

D) The information is likely to be out of date.

10. A nurse is developing client education materials on type 2 diabetes. To promote health literacy, which client skills would the nurse need to keep in mind when creating the materials? Select all that apply.

A) Understand visual information B) Locate health information C) Make decisions D) Read at a college level E) Apply relevant information

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11. A nurse is reviewing a client education handout and checking its readability using the Flesch Reading Ease. Which score indicates that the handout is easy to read?

A) 32 B) 46 C) 53 D) 67

12. A nurse is creating a client education sheet for a client diagnosed with heart failure. The nurse understands that this information should be written at which Flesch–Kincaid Grade Level?

A) 3rd B) 6th C) 8th D) 12th

13. To address health literacy when conducting oral client teaching, which actions should the nurse take? Select all that apply.

A) Use eye contact.

B) Use medical terminology often.

C) Focus on about three essential areas.

D) Have the client explain what was said in his or her own words.

E) Limit the use of pictures and drawings.

14. Which statements best reflect the concept of consumer informatics? Select all that apply.

A) The focus is on the healthcare providers.

B) It is a subspecialty of healthcare informatics.

C) The goal is a balance between self-reliance and professional help.

D) Full utilization rests on the features of the information systems.

E) The goal is to improve decision-making by the healthcare provider.

15. A nurse researcher is conducting a study on health literacy. Which tool would be most appropriate for the specialist to use? Select all that apply.

A) Rapid Estimate of Adult Literacy of Medicine B) Single Item Literacy Screener C) Newest Vital Sign D) Flesch Reading Ease E) SMOG Index

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16. A nurse is creating a written client education handout for several clients about diabetes.

Which actions can the nurse take to improve the readability for the clients? Select all that apply.

A) Use multisyllable words.

B) Avoid using medical jargon.

C) Keep sentences short.

D) Limit the amount of white space on the page.

E) Use bullets to highlight key points.

17. Which specialized tool can be used to access the invisible web? Select all that apply.

A) Internet Archive B) USA.gov C) Firefox D) WWW Virtual Library E) Google search page

18. A client presents to the clinic for a routine evaluation for his or her hypertension. During the visit, the client tells the nurse that he or she has been searching the web to learn more about his or her condition. Which advice is appropriate for the nurse to provide this client regarding web searches?

A) Use caution; most of the information is not reliable.

B) “Beware” even though the information may be credible.

C) Avoid clicking on a website e-mail listed because it is usually a link to an advertisement.

D) Look for information that is not specifically authored by an individual.

19.

Which statement best describes cyberchondria?

A) It is characterized as a personality disorder.

B) It reflects individuals who search online for health information.

C) It involves anxiety related to repeated and excessive online searches.

D) It is typical of most consumers who search for health information.

20. A nurse is reviewing the records of several clients who have received client teaching.

Which activity would indicate a client's understanding of health numeracy? Select all that apply.

A) Describing the events associated with heart failure B) Calculating a medication schedule C) Identifying a sudden weight gain of 3 lb as significant D) Understanding the directions for a prescribed medication E) Interpreting the amount of salt on a food label

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21. A group of nurses is creating a website for the facility to provide client teaching. To ensure usability, who should the group have evaluate the site?

A) Other nurses in the facility B) The primary care providers C) Intended audience D) An outside agency

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Answer Key 1. C 2. B 3. B, C 4. B 5. C 6. A, B, C, E 7. B 8. A, C, D 9. A 10. A, B, C, E 11. D 12. B 13. A, C, D 14. B, C 15. A, B, C 16. B, C, E 17. A, B, D 18. B 19. C 20. B, C, E 21. C

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CHAPTER 15

1. When describing foundational interoperability to a group of nurses, what information would the nursing informatics specialist include?

A) Automatic interpretation of messages exchanged B) Action by computer without human intervention C) Coordination of workflow management D) Information transmission and reception for use

2. When describing interoperability, which organization would being responsible for setting interoperability standards in health?

A) International Organization for Standardization (ISO) B) International Electrotechnical Commission (IEC) C) American National Standards Institute (ANSI) D) American Society for Testing and Materials (ASTM)

3. The Health Level Seven International (HL7) maintains the framework and standards for which aspect of health information? Select all that apply A) Exchange B) Transfer C) Integration D) Management E) Sharing

4. A nurse reviewing statistics on global morbidity and mortality rates understands that this information is based on: A) ICD-9 codes.

B) ICD-10 codes.

C) ICD-11 codes.

D) ICD-12 codes.

5. A nurse is reading a journal article about the International Classification of Functioning, Disability, and Health. Which aspect would the nurse expect to find as the primary emphasis?

A) Disease B) Body structure C) Activities D) Function

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6. Which organization would be most involved with setting standards for interoperability of the electronic health record?

A) Digital Imaging and Communications in Medicine B) Comité Européen de Normalisation C) Health Level Seven D) International Health Terminology Standards Development Organization

7. A nurse is working at a facility as part of a group involved with billing. Which data would the group most likely use to categorize clients for a system of prospective payment?

A) ICD codes with clinical modifications (ICD-CM) B) Diagnosis-related groups (DRGs) C) Healthcare Common Procedure Coding System D) Alternative Billing Code Set

8. Which organization is working to facilitate the adoption of health information technology?

A) Nationwide Health Information Network B) State Health Policy Consortium C) Office of the National Coordinator for Health Information Technology D) American Society for Testing and Materials

9. A nursing informatics specialist is conducting a seminar about electronic health records and the importance of interoperability. As part of the seminar, the nurse is describing the mission of the Nationwide Health Information Network. Which description would the nurse specialist include?

A) A group of interworking networks to support health information exchange B) An organization that recommends the use of ICD-10 for mortality and morbidity statistics C) An agency whose purpose is to expedite standardization for international commerce D) An organization that sets standards for functional and semantic interoperability for electronic healthcare data

10. A client had a magnetic resonance imaging test completed while vacationing in Europe.

The client's physician in Chicago is able to view the test results through standards developed by which organization?

A) Comité Européen de Normalisation B) Digital Imaging and Communications in Medicine C) International Health Terminology Standards Development Organisation D) Outcome and Assessment Information Set

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11. A nurse is reading an online article about the unified medical language system (UMLS).

After reading the article, the nurse would identify this system as: A) A method for standardizing data entry.

B) Data standards on disease classifications.

C) A method designed to match concepts from different terminologies.

D) Support for integrated surveillance systems for information transfer.

12. An informatics nurse specialist is describing the different types of interoperability to a group of staff nurses whose agency has just adopted health information technology.

Which term would the nurse specialist use to explain structural interoperability?

A) Automatic interpretation B) Information transmission C) Workflow management D) Algorithm interaction

13. After an in-service program conducted by an informatics nurse specialist about electronic health records, interoperability, and standards, a participant asks, “Why is all this important to us as nurses?” Which response by the nurse specialist would be most appropriate?

A) “You need an understanding of the history behind what is happening now.”

B) “Nursing is affected by the decisions made for recording healthcare data.”

C) “You will most likely be involved with one of the agencies at some time in your career.”

D) “This information is likely to impact the view of nursing as a profession.”

14. A nurse is reviewing the information used with International Classification of Functioning, Disability, and Health (ICF). Which method would be used to organize the codes? Select all that apply.

A) Diagnosis B) Body structure C) Activities of daily living D) Injuries E) Participation in life situations

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15. A nurse working in a primary care setting is involved with the billing of healthcare services. With which would the nurse most likely be involved? Select all that apply.

A) ICD codes with clinical modifications (ICD-CM) B) Digital Imaging and Communications in Medicine C) Outcome and Assessment Information Set (OASIS) D) Health Level Seven E) Diagnosis-related groups (DRGs)

16. When standards are developed by organizations and agencies, which step would they perform first?

A) Operationally state what the standard will achieve B) Identify the need for a standard C) Define the specifications to be tested D) Submit a proposal for public comment

17. A nurse is using an electronic health record in which the pharmacy is able to exchange data with the laboratory and several healthcare providers. The nurse identifies this as: A) Semantic interoperability.

B) Standard.

C) Algorithm.

D) Structural interoperability.

18. A nurse working in a physician's office is participating in the Health IT Adoption Survey. The nurse understands which information about this survey? Select all that apply.

A) The survey is conducted quarterly.

B) It is designed to monitor electronic health record (her) use.

C) It helps evaluate outcomes of health information exchange (HIE) efforts.

D) It creates standards for securing HIE. E) It provides a basis for creating curricula for healthcare workers.

19. A nurse is involved with developing standards. As part of the process, the standard is open for public comment. Results indicate a problem. Which step would be performed next?

A) Refine the standard.

B) Subject the standard to testing.

C) Identify the need.

D) Review what the standard is to accomplish.

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20. A nurse is involved with the billing process for the primary care setting where he or she works. The nurse identifies which data set as the one commonly referred to as the daily rate guide?

A) Healthcare Common Procedure Coding Systems B) International Classification of Disease—Clinical Modification (ICD-CM) C) Medicare Severity Diagnosis-Related Groups D) Outcome and Assessment Information Set (OASIS)

21. A nurse is working with the billing department of the office. The office uses the healthcare common procedure coding system. Based on the nurses understanding of this system, which service would be coded as Level II? Select all that apply.

A) Walker B) Lower leg prosthesis C) Surgery D) Orthotics E) Oxygen therapy

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Answer Key 1. D 2. A 3. A, C, E 4. B 5. D 6. C 7. B 8. C 9. A 10. B 11. C 12. C 13. B 14. B, C, E 15. A, C, E 16. B 17. A 18. B, C 19. A 20. C 21. A, B, D, E

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CHAPTER 16

1. While researching information for a paper, a nurse comes across two versions of a nursing minimum data set: one that is international and one from the United States.

Which data would the nurse identify as included in international set but not included in the U.S. set? Select all that apply.

A) Training/education B) Intensity of nursing care C) Reason for admission D) Nursing diagnoses E) Nursing outcomes

2. A nurse writes a nursing diagnosis and includes information about the etiology along with manifestations associated with that etiology. The nurse is demonstrating an understanding of: A) Granularity.

B) Taxonomy.

C) Interface terminology.

D) Mapping.

3. A nurse is reading a journal article about the different standardized terminologies used in nursing. The nurse demonstrates understanding of the information when the nurse identifies which example of an interface terminology?

A) Nursing Interventions Classification B) USA Nursing Minimum Data Set C) SNOMED Clinical Terms D) Logical Observations: Identifiers, Names, Codes (LOINC)

4. When working with the USA-Nursing Minimum Data Set (NMDS), which information would the nurse expect to see as part of data collected for nursing care?

A) Registered nurse provider B) Admission date C) Client disposition D) Nursing diagnosis

5. Which catalogue involving standardized terminologies for nursing was developed from a home care focus?

A) North American Nursing Diagnosis Association (NANDA) taxonomy B) Clinical Care Classification C) Nursing Interventions Classification D) Nursing Outcomes Classification

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6. A nurse is reviewing information about the International Classification for Nursing Practice. The nurse demonstrates a need for additional review when the nurse identifies terminology related to which category as being included?

A) Nursing diagnoses B) Nursing interventions C) Nursing patient-sensitive outcomes D) Outcome problem rating scale

7. Based on the evolution of the development of standardized terminology adopted by the American Nurses Association (ANA), which terminology was adopted last?

A) Logical Observation Identifiers Names and Codes (LOINC) B) The Omaha System C) Nursing Interventions Classification System D) Nursing Outcomes Classification System

8. A nurse is reviewing information about standardized terminology. The nurse demonstrates the need for additional reading when identifying which as an interface terminology?

A) NIC B) NOC C) NANDA-1 D) USA-NMDS

9. A nursing informatics specialist is preparing a class on electronic documentation for a group of staff nurses. As part of the class, the nurse specialist is planning to describe nursing documentation of the past. Which characteristic would the nurse specialist most likely include?

A) It focused on the multiple clients.

B) It used simplistic language.

C) It was highly sophisticated.

D) It was often archived with client records.

10. An informatics nurse specialist is presenting a program about the importance of standardized terminology to provide data. The nurse specialist is describing the concept of outcomes potentially sensitive to nursing (OPSN). Which example would the nurse specialist most likely include when describing this concept? Select all that apply.

A) Pneumonia B) Pressure ulcer C) Normal blood glucose level ranges D) Shock E) Intact surgical incision

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11. A nurse is reading an online journal article about the development of standardized healthcare terminologies. Which statement best reflects these terminologies?

A) Efforts for standardization began in the late 20th century.

B) Client mortality and morbidity were used as the basis for early terminologies.

C) Medical, surgical, and diagnostic services are excluded from the terminologies.

D) Acute inpatient care is the focus of standardized terminology.

12. A nursing informatics specialist is preparing a presentation about standardized terminologies recognized by the ANA. Which system would the nurse specialist most likely describe as the standard reference terminology for nursing documentation?

A) Clinical Care Classification B) SNOMED CT C) North American Nursing Diagnosis Association International D) Perioperative Nursing Data Set

13. An electronic health record uses the Logical Observations: Identifiers, Names, Codes (LOINC). The nurse understands that this terminology integrates elements from which catalogues?

A) Systematized Nomenclature of Medicine Clinical Terminology B) Omaha System C) North American Nursing Diagnosis Association—International D) Alternative Billing Codes

14. A nursing informatics specialist is preparing an in-service program for a group of staff nurses about standardized terminologies. As part of this program, the nurse specialist describes the detail about a term or phrase. The nurse specialist is describing which concept?

A) Granularity B) Nomenclature C) Mapping D) Organization

15. A nurse is reading a journal article about nursing, documentation, and nursing data. The nurse demonstrates understanding of the information when the nurse identifies which person as being the first individual for emphasizing research and data collection?

A) Florence Nightingale B) Bertha Harmer C) Karen Martin D) Gloria Bulechek

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16. A nursing informatics specialist is preparing a presentation for a group of nursing administrators who have just begun to use electronic documentation in their facilities.

The nurse specialist identifies the need to address standardized terminologies in nursing.

Which information would the nurse specialist most likely include about this topic?

Select all that apply.

A) Will give nursing a voice in healthcare planning B) Will relieve nurses of the need for developing care plans C) Will provide limited support for decision-making D) Will help justify reimbursement E) Will aid in improving client care policies

17. A nurse manager is working on a committee that will be instituting standardized terminologies into the current electronic documentation system. When preparing to adopt and implement the new system, the nurse manager would need to be alert for which issues? Select all that apply.

A) Resistance to change B) Temporary increase in productivity C) Adjustment to a new way of thinking D) Increased time for learning E) Decreased level of accountability

18. An informatics nurse specialist is discussing the use of standardized terminologies used in healthcare. As part of the discussion, the nurse specialist is describing the concept of organization. Which information would the nurse include about this concept?

A) “It refers to how one concept in one terminology matches to another concept in another terminology.”

B) “Organization refers to how the terms in the terminology are structured so that they can be used.”

C) “It is a grouping of related ideas into a taxonomy that is based on an underlying perspective.”

D) “Organization refers to the detail or specificity of a term or a phrase being used.”

19. Which term would an informatics nurse specialist use to describe the matching of a term or concept in one standardized terminology to another?

A) Granularity B) Mapping C) Harmonization D) Integration

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20. A nurse is documenting in a patient's electronic health record and enters the common phrases such as blood pressure, intact skin incision, and active bowel sounds. The system translates these common phrases into data that the computer can use. This activity reflects use of a: A) Minimum data set.

B) Reference terminology.

C) Interface terminology.

D) Classification.

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Answer Key 1. A, C 2. A 3. A 4. D 5. B 6. C 7. A 8. D 9. B 10. B, C, D 11. B 12. B 13. B 14. A 15. A 16. A, D, E 17. A, C, D 18. B 19. B 20. C

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CHAPTER 17

1. A nurse has become certified in nursing informatics. The nurse would need to renew this certification after how long?

A) 2 years B) 3 years C) 4 years D) 5 years

2. A nursing informatics specialist is conducting an informational session with a group of nurses interested in becoming nursing informatics specialists. The nurse specialist is describing nursing informatics theory. Which key component would the nurse specialist most likely include in the discussion? Select all that apply.

A) Data B) Information C) Terminology D) Knowledge E) Wisdom

3. When describing the various theories underlying informatics, which theory addresses change in society and an individual?

A) Rogers' Diffusion of Innovation Theory B) Lewin's Field Theory C) Chaos Theory D) General Systems Theory

4. A nursing informatics specialist applies Lewin Field Theory to implementing a new documentation system. Which action would be most important for the nurse specialist to do first?

A) Enlist members to be involved in the process.

B) Ignore members' reluctance to change systems.

C) Engage the administration in supporting the change.

D) Provide positive feedback about new skill acquisition.

5. In Rogers' Diffusion of Innovation Theory, there are five stages of individual change.

Which stage is first?

A) Implementation B) Knowledge C) Decision D) Persuasion

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6. A nursing informatics specialist is working on evaluating a system that has been implemented in an agency. Which statement reflects the goals of usability?

A) A user has some difficulty performing the tasks when the system is used for the first time.

B) A user can perform the needed tasks quickly once he or she has learned the system.

C) A user needs some time to become proficient again after not using the system for a while.

D) A user is prone to making errors, but these errors can be rectified rather easily.

7. Which position would a nursing informatics specialist most likely assume?

A) Information technology nurse advocate B) Systems educator C) Project manager D) Clinical systems coordinator

8. A nursing informatics specialist is presenting a seminar on nursing informatics. After the seminar, a group of nurses are talking with the presenter and one of the nurses states, “I'm pretty good with computers, so I should become an informatics nurse.” Which response would be most appropriate?

A) “Computer competency is absolutely essential to this practice.”

B) “It sounds like you have a good idea about what's involved.”

C) “The computer is just a tool for the real focus, information management.”

D) “I can recommend some very good educational programs if you're interested.”

9. A nursing informatics specialist is searching the Web for professional informatics groups. After reviewing the information, the nurse specialist decides to join the group with the largest number of members. Which group would the nurse specialist be joining?

A) International Medical Informatics Association B) American Medical Informatics Association C) European Federation for Medical Informatics D) Nursing Informatics Working Group

10. A certified nursing informatics specialist is preparing a presentation for prospective candidates for certification. Which prerequisites would the nurse specialist include as being necessary to write the examination for certification? Select all that apply.

A) Active RN licensure B) Bachelor's degree in nursing C) 5 years of full-time practice as an RN D) 30 hours of continuing education in the last year E) 2,000 hours in informatics nursing within the past 3 years

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11. Which aspect would a nursing informatics specialist identify as a key component of nursing informatics theory?

A) Discrete objective facts B) Data with context C) Synthesis with relationships D) Visualizing patterns

12. A nurse is reading a journal article about the different theories associated with nursing informatics. The nurse demonstrates understanding of the information by identifying which set of terms as related to the General System Theory?

A) Innovators, early adopters, early majority, late majority, and laggards B) Unfreezing, moving, and refreezing C) Input, throughput, output, and feedback D) Information management tools, knowledge, skills, rewards, and authority structures

13. A nurse is working as a clinical systems analyst. For which tasks would the nurse be most likely responsible? Select all that apply.

A) Assessing the needs for nurses with technology B) Coordinating the planning of information systems C) Supporting a clinical system D) Implementing an informatics project E) Analyzing what a client wants and needs

14. A nurse practicing in nursing informatics is a guest speaker for a nursing class. One of the students in the class asks the nurse how she gained her knowledge. Which response by the nurse would be most likely?

A) “I went to graduate school to obtain a Master's degree.”

B) “I basically learned on the job and with continuing education.”

C) “I got my RN after going to business school first to learn about computers.”

D) “I have a doctorate degree in nursing and computer science.”

15. Which component of nursing informatics theory is considered the building blocks of meaning?

A) Information B) Data C) Knowledge D) Wisdom

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16. When obtaining vital signs on a postoperative client, the nurse notes that the client is significantly tachycardic, and the systolic blood pressure is 72 mm Hg. The nurse suspects that the client is experiencing hypovolemic shock and notifies the primary care provider of these findings. According to nursing informatics theory, which key component is the nurse demonstrating?

A) Data B) Information C) Knowledge D) Wisdom

17. A nursing informatics specialist is working as part of a group developing a system for documentation. When applying the concepts of cognitive science, which components would the group need to address? Select all that apply.

A) Screen location for data entry B) Color and fonts on the display C) Support for decision-making D) Use of an open or closed system E) User confidence and control

18. A nursing informatics specialist is conducting a seminar about informatics, presenting information that all nurses should know about this concept. Which information would the nurse specialist include? Select all that apply.

A) Data should be entered only once.

B) One piece of data is restricted to one context.

C) Organizational problems can be solved using an information system.

D) Calculation with numbers is the one way to transform data.

E) Decision support can be a component of an information system.

19. A nursing informatics specialist is considering membership in a nursing informatics profession association and is researching information about associations. Which nursing informatics professional association would the nurse learn is the largest in the United States?

A) Nursing Informatics Working Group (NIWG) B) American Nursing Informatics Association (ANIA) C) International Medical Informatics Association (IMIA) D) Healthcare Information and Management Systems Society (HIMSS)

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20. Which theory contributing to informatics addresses improving the interaction between an information system and the organizational culture?

A) Nursing informatics B) Sociotechnical theory C) Change theory D) Cognitive science

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Answer Key 1. D 2. A, B, D, E 3. A 4. A 5. B 6. B 7. C 8. C 9. A 10. A, B, E 11. B 12. C 13. B, C 14. B 15. B 16. D 17. A, B, C 18. A, E 19. B 20. B

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CHAPTER 18

1. A nursing informatics specialist is conducting a presentation about the electronic medical record (EMR) to a group of facility staff. Which statement would the nurse specialist most likely include when describing the EMR? A) The EMR is transportable.

B) The data in the EMR are owned by the client.

C) It describes the care rendered during an agency visit.

D) The EMR lacks standardized vocabulary.

2. An electronic documentation system will be implemented in an agency. As part of the process, the staff is receiving education about the system and the overall benefits.

Which benefit would be mentioned as the most important?

A) Availability of an audit trail for information B) Decreased decentralization of the healthcare delivery system C) Enhanced ability to extract information D) Improvement in client care outcomes

3. A group of nurses are reviewing information related to the Health Information Technology for Economic and Clinical Health (HITECH) Act. The group demonstrates understanding of this act when they identify which examples as core objectives for supporting healthcare during stage 1? Select all that apply.

A) Performing medication reconciliation B) Including clinical lab test results in the EHR C) Using computerized provider order entry D) Using a clinical decision support rule E) Sending secure client reminders for follow-up care

4. A nurse is preparing a presentation to a group of staff members comparing paper and electronic documentation. Which weaknesses of paper records would the nurse include?

Select all that apply.

A) Legibility B) Lack of a backup system C) Difficult to transport D) Slowness in charting E) Easily damaged

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5. A nurse is reviewing a client's electronic health record. Based on the nurse's understanding of data standards, which would the nurse identify as defining what data are shared?

A) Clinical Document Architecture B) Continuity of Care Document C) Health information system D) Electronic medical record

6. A nurse is reading a journal article about electronic health records and how they can fill in the gaps between evidence and practice. Which benefits would the nurse most likely read about? Select all that apply.

A) Monitoring quality improvement outcomes B) Encouraging client partnering with the healthcare provider C) Providing information about controlled clinical trials D) Identifying information that can affect clinical outcomes E) Allowing implementation after extensive long-term knowledge discovery

7. A group of nurses are involved in a lively debate about the strengths and weakness of paper documentation. Which statements would the group use to defend the position for using paper documentation? Select all that apply.

A) "Paper records are easily transported."

B) "Paper records are much more complete."

C) "Paper records are quick to retrieve."

D) "Paper records are permanent."

E) "Paper records from past stays are easy to obtain."

8. A nursing informatics specialist has been asked to prepare a presentation for a group of staff nurses about an electronic documentation system that is being implemented in the facility. Which features would the nurse specialist include as promoting continuity of care? Select all that apply.

A) Ability to have real-time documentation B) Inclusion of an audit trail about detailed record access C) Use of decision support systems and alerts D) Ability to obtain trends about practice E) Ability for instant communication among providers

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9. When describing meaningful use, which statement would be most appropriate to include?

A) Use of information from EHRs to improve healthcare delivery B) A way to provide a picture of a client's health information C) A means for providing a common structure for clinical documents D) Use of an audit trail to identify information about record access

10. Which component is associated with HIPAA law? Select all that apply.

A) Outcomes B) Privacy C) Client engagement D) Security E) Care coordination

11. A new graduate nurse is working at a facility that uses electronic documentation. The nurse has questions about the policies and procedures related to data security. The nurse would identify which person as being responsible for the policies and procedures related to data security?

A) Nurse manager B) Nursing informatics specialist C) Client's primary care provider D) HIPAA security officer

12. A nurse is working on a committee that is involved with electronic documentation. The committee is currently working on stage 1. On which action would the committee be focusing?

A) Advanced clinical processes B) Data analysis for improved care C) Data capturing and sharing D) Improve outcomes

13. While working as a member of a group tasked with addressing meaningful use with electronic data, the group has met the criteria for stage 1 and is now moving onto stage 2. Which action would now become a focus for the group?

A) Recording smoking status for those 13 years of age and older B) Submitting electronic data to immunization registries C) Transmitting prescriptions electronically D) Maintaining an up-to-date diagnosis list

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14. As part of the facility orientation, a nursing informatics specialist is describing the different types of client records to a group of newly hired nurses. Which facts would the nurse specialist include when describing electronic medical records (EMRs)? Select all that apply.

A) The client owns the data.

B) It is an electronic version of the traditional record.

C) The EMR is transportable.

D) It provides a connection between the EHR and ePHR. E) A client can have many EMRs.

15. After reviewing information about the benefits of electronic health records, a nurse demonstrates understanding of the information by identifying which as one of the most important benefits?

A) Continuity of care B) Privacy C) Analyzable information D) Improved quality

16. A nursing informatics specialist is describing meaningful use of electronic health records to a group of newly hired nurses at the facility. Which requirement would the nurse specialist include?

A) An interoperable healthcare information system B) Computer literacy C) Incentives to foster adoption D) Public trust about information security

17. A nursing informatics specialist is describing the benefits of electronic records to a group of facility administrators. The nurse specialist would address which aspect as resulting from searchable and analyzable information?

A) Creation of knowledge for informed practice B) Immediate communication with other providers C) Improvement in scheduling of diagnostic tests D) Reduction in transcription errors

18. Which statement best reflects the status of the adoption of electronic records in the United States?

A) A majority of hospitals have at least a basic EHR system.

B) Security for sharing electronic health information is still low.

C) Adoption of electronic health records has plateaued over the past 5 years.

D) Data standards are the focus of all EHR efforts of interoperability.

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19. A nursing informatics specialist is working as part of a group that is tasked with addressing the core objectives for meaningful use. The group is addressing stage 2 objectives. Which objectives would be addressed? Select all that apply.

A) Using secure electronic messaging to communicate with clients B) Providing clinical summaries for each office visit C) Protecting electronic health information D) Including clinical lab test results in the EHR E) Performing medication reconciliation

20. A committee is working on stage 1 core objectives for meaningful use. Which would the committee be most likely to address as menu objectives at this stage? Select all that apply.

A) Implementing drug formulary checks B) Creating client lists by condition for quality improvement C) Recording client notes electronically D) Reporting cancer cases to public health cancer registry E) Being able to submit electronic syndrome surveillance data

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Answer Key 1. C 2. D 3. C, D 4. A, B, E 5. B 6. A, B, D 7. A, C 8. A, C, E 9. A 10. B, D 11. D 12. C 13. B 14. B, E 15. D 16. A 17. A 18. A 19. A, D, E 20. A, B, E

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CHAPTER 19

1. Which step should be done first when implementing a workflow redesign for an electronic documentation system?

A) Focusing the design on the care provider B) Determining what the system is expected to accomplish C) Addressing the primary discipline's needs D) Discussing how reports will be created

2. When comparing the systems life cycle with the nursing process, which aspect would the nurse identify as part of the systems life cycle? Select all that apply.

A) Begins with assessment B) Has a definite end point C) Uses different terminology D) Has a variable number of steps E) Has little opportunities for iteration

3. A nurse is part of a committee that is working to develop and implement an electronic documentation system. Which step would the committee do first during the initiating phase?

A) Identify the risks.

B) Complete a needs assessment.

C) Identify the project goal.

D) Prepare for scope creep.

4. The project committee has moved to the planning phase of implementing the new electronic system. Which steps would the committee include during the planning phase?

Select all that apply.

A) Customize the system design.

B) Complete a workflow analysis.

C) Identify the project goal.

D) Prepare the budget.

E) Create a timeline.

5. An agency committee conducts a needs assessment for a health information system and identifies a list of potential vendors to be considered for the project. Which step would the committee do next?

A) Send out a request for proposal.

B) Identify the cost–benefit.

C) Submit a request for information.

D) Determine the return on investment.

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6. A nurse on a committee is conducting a workflow analysis. Which action would be most helpful when completing this task?

A) Evaluating the pros and cons B) Diagramming the activity C) Identifying the steps of the workflow D) Applying a structure

7. A committee is evaluating several vendors for a health information system, and the members notice that one of the vendors describes some new and amazing features that are in development, along with an upcoming release of a new product that is designed to increase the user friendliness of the system. Unfortunately, the vendor fails to deliver on these features. The committee interprets this as: A) Vaporware.

B) Vanilla product.

C) Bugs.

D) Rollout.

8. An agency involved in testing a new electronic documentation system is evaluating the systems communication and network functioning. The agency is involved with which action?

A) Test scripting B) Regression testing C) Integration testing D) Debugging

9. Which conversion is occurring when an agency plans to implement a new system throughout the entire agency at the same time?

A) Pilot conversion B) Big-bang conversion C) Parallel conversion D) Phased conversion

10. A nurse is a part of a committee working on a project for implementing an electronic documentation system in the agency. The committee conducts a thorough needs assessment to ensure the: A) Project scope is appropriate.

B) System implementation is a success.

C) Risks are clearly identified.

D) Cost savings are realized.

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11. When implementing a health information system, which approach would be used?

Select all that apply.

A) Pilot conversion B) Big-bang approach C) Rollback D) Phased conversion E) Parallel conversion

12. After implementing a health information system, the agency takes steps to prevent loss of data from a power failure by having the system use the backup power supply. This is an example of: A) Superuser.

B) Business continuity plan.

C) Contingency plan.

D) Debugging.

13. A nurse is participating as a superuser for a system being tested on the medical–surgical units. Which functions would the nurse complete as part of this role? Select all that apply.

A) Helping to encourage other nurses in using the system B) Identifying flaws in the system's design C) Assisting in training of the system later on D) Identifying the needs for training E) Correcting of any bugs found in the system

14. A nurse is working as part of a project management team. The team is currently involved in the planning phase. Which activities would occur during this step?

A) Completing a needs assessment B) Determining the return on investment C) Conducting a workflow analysis D) Identifying necessary improvements to the system

15. A nursing informatics specialist is part of a project management team that was responsible for implementing an agency-wide clinical information system. The system was implemented in January of this year. The team plans to conduct a planned evaluation of the system at which time after implementation?

A) February B) April C) July D) January

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16. A nurse superuser is part of a group testing a new clinical information system. The group is faced with several situations that involve something going wrong with the system. The nurse superuser identifies this as which testing?

A) Regression testing B) Debugging C) Integration testing D) Test scripts

17. A new clinical information system is being implemented. Project planners have decided to continue the old system for a time while specific units will be targeted for a specific date to switch over to the new system. Which approach is being used?

A) Big-bang conversion B) Pilot conversion C) Phased conversion D) Parallel conversion

18. An exact duplication of the data on a clinical information system is being stored on a server at a remote location as a precaution. This would be identified as: A) Rollout.

B) Business continuity plan.

C) Contingency plan.

D) Phased conversion.

19. A nursing informatics specialist is part of a project management team that is working with a new clinical information system. Currently, the team is working to customize the system to meet the needs of the organization. The team is in which stage of the systems life cycle?

A) Initiating B) Planning C) Executing D) Controlling

20. After determining what the project will entail and all the elements involved in the project, members of the project management team notice over time that the requirements are expanding. The team members identify this using which term?

A) Request for information B) Cost–benefit analysis C) Scope creep D) Vanilla project

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Answer Key 1. B 2. A, C, D 3. C 4. B, D, E 5. A 6. B 7. A 8. C 9. B 10. B 11. A, B, D, E 12. B 13. A, C, D 14. C 15. C 16. D 17. D 18. B 19. C 20. C

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CHAPTER 20

1. A nurse manager is reading a report that describes the Physician Quality Reporting System. The nurse manager would expect to find which concept associated with this system?

A) Provision of financial incentives to fee-for-service providers for cost-effective, high-quality care B) Payment for the quantity of clients served along with the number of resources that were consumed C) A focus on decreasing client care costs by decreasing the length of stay in an agency D) A mandatory program for all agencies billing third parties to obtain incentives for improved outcomes

2. An agency is selecting a healthcare information system that includes a collection of systems already interfaced. Which did the agency use?

A) Best-of-breed approach B) Integrated interface approach C) Integrated enterprise system D) Clinical decision support system

3. The hospital has installed a clinical information system. Which would a nurse identify as a core information system?

A) Electronic medication administration record B) Computerized provider order entry C) Ancillary system D) Positive client identification

4. When working with clinical information systems, which systems would be considered a core system? Select all that apply.

A) Laboratory system B) Electronic medication administration record C) Pharmacy system D) Radiology system E) Positive patient identifier system

5. A nurse is using an electronic clinical documentation system and notices that some of the information is highlighted in red. Which information is the nurse reviewing?

A) Abnormal lab value B) Overdue medications C) New nursing order D) Allergy information Page 1

6. A nurse is using an electronic clinical documentation system and enters the client's pulse rate. Which display would the nurse expect to see if the value is considered abnormal?

A) The value as a different color B) An asterisk placed before the value C) The block for the value shaded D) A pop-up box next to the value

7. A nurse manager is preparing a presentation for a group of new nurse managers about clinical documentation systems and using aggregated data. Which information would the nurse manager include about how the nurses could use this type of data?

A) Identify trends for an individual client.

B) Confirm decision-making as correct.

C) Determine best practices.

D) Evaluate clinical workflow.

8. A group of nurses are attending an in-service program on computerized documentation.

Which benefit would the group expect to hear as the major impact of using a computerized provider order entry (CPOE) system?

A) Time savings B) Cost-effectiveness C) Enhanced understanding D) Improved client safety

9. The clinical nurse leader is discussing the focus of the Leapfrog Group in regard to the recommendation for using Computerized Provider Order Entry (CPOE). Which quality did the Leapfrog Group identify? Select all that apply.

A) Prevent adverse medication errors.

B) Increase physician communication.

C) Improve patient safety.

D) Make orders less legible.

E) Enhance quality of care.

10. The nurse is using a computerized provider order entry (CPOE) for a medication. Which entries would trigger an alert in a clinical decision support system? Select all that apply.

A) Dose within normal range B) Drug incompatibilities C) Allergies D) Appropriate route E) Drug–drug interaction

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11. When describing the electronic medication record (eMar) to a group of new nurses, the nurse manager would include which aspect as a required necessity for implementation?

A) Computerized provider order entry B) Positive patient identifier C) Picture archiving and communication system D) Ancillary systems

12. When using an admission, discharge, and transfer (ADT) system, which information would a nurse be likely to find? Select all that apply.

A) Client demographics B) Insurance information C) Supplies used D) Next of kin E) Care providers

13. A nurse is working on a committee addressing problems associated with client flow in the agency and looking at tracking system solutions. When reviewing the various products, which attribute would the committee most likely identify as a common feature? Select all that apply.

A) Visual display of beds B) Bed availability C) Transport notification D) Equipment locators E) Passive radiofrequency identifier (RFID)

14. A nurse is reading a journal article about the use of healthcare information systems. The article is discussing financial systems and mentions that these systems are mission critical. The nurse interprets this to mean these are: A) Most important to implement.

B) Essential to the organization's existence.

C) Necessary for use of other information systems.

D) Required to prevent potential fraud.

15. A group of nurses are putting together a proposal for the use of active radiofrequency identifier (RFID) for medication administration. Which benefit would the nurses most likely cite as key?

A) Decrease in medication errors B) Improved client safety C) Decrease in disturbing clients D) Better use of nurse time

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16. Which program has replaced the Physicians Quality Report System?

A) Integrated Enterprise System B) KLAS C) HIMSS Analytics D) Merit-based Incentive Payment System

17. Which example demonstrates innovative reimbursement incentives being used to reward quality care?

A) Certification Commission for Healthcare Information Technology B) Physician Quality Report System C) HIMSS Analytics D) KLAS

18. Which characteristics would a nursing informatics specialist include when describing a best-of-breed system? Select all that apply.

A) Need for an integrated interface B) Integrated interface in place C) Different vendors for different systems D) Collection of varying levels of systems E) Systems meeting the organization's needs at large

19. A nurse is working on a committee that is considering adopting the use of smartphones for voice communication. Which characteristics would most likely influence the committee's decision for adoption? Select all that apply.

A) Increasing popularity of the devices B) Lack of need for disinfecting the device C) Ability to encrypt data D) Antitheft prevention capabilities E) Integration of EMR and EHR unnecessary

20. EHR certification is used for which purpose?

A) Identify quality measures.

B) Provide financial incentives.

C) Reinforce ethical basis for improved care.

D) Ensure interoperability.

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21. A group of nurses have been asked to provide input about what they would like to see in a clinical documentation system. Which features would the group most likely address as important? Select all that apply.

A) Flexibility in data entry B) No need for entry of free text C) Nursing process organization D) Data retrieval capabilities E) Easy access to reference information

22. A nurse is using passive radiofrequency identifier (RFID) to administer medication to a client. Which barcode would the nurse scan first?

A) Medication barcode B) Nurse's ID badge barcode C) Client's armband barcode D) eMAR barcode

23. A nursing informatics specialist is working as a member of a committee tasked with managing client flow. A review of the agency's data indicates that clients are spending too much time in various departments, especially the emergency department. To help address this issue, the committee suggests implementing a tracking system in the emergency department as recommended by The Joint Commission to ensure that the time a client spends in the emergency department is less than: A) 4 hours.

B) 5 hours.

C) 6 hours.

D) 7 hours.

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Answer Key 1. A 2. B 3. C 4. A, C, D 5. B 6. A 7. C 8. D 9. A, C, E 10. B, C, E 11. A 12. A, B, D, E 13. A, B, C, D 14. B 15. C 16. D 17. B 18. A, C 19. A, C, D 20. D 21. A, D, E 22. B 23. A

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CHAPTER 21

1. A nurse is working on a committee involved in adopting electronic healthcare systems for the agency. Currently, the agency has clinical documentation, a clinical decision support system (CDSS) with error checking, and a picture archive and communication system (PACS) in place. The committee determines that the agency is at which stage of adoption?

A) Stage 0 B) Stage 1 C) Stage 2 D) Stage 3

2. When adopting the electronic healthcare record (EHR), which aspect would be considered the ultimate goal?

A) Sharing of information B) Client as the most important focus C) Cost-effectiveness D) Improved time management

3. An administrative group at an agency involved in adopting healthcare information technology is developing a strategic plan. Which component would they include?

A) Plan that covers 2 to 3 years B) Structured guide that does not change C) Expenditures offset by client outcome benefits D) Demonstration of a slight return on investment

4. A nurse using a clinical information system is required to document the same data in more than one area because the data do not "flow over" to the other areas and the data fields are not universally designed. Which component is lacking?

A) Interoperability B) Intangibles C) Return on investment D) Biometrics

5. A nursing informatics specialist is conducting a seminar on the need for uniformity in user design for data entry screens based on the understanding that: A) Most healthcare providers involved in the design process have background knowledge.

B) Database design skills are common in those serving on EHR committees.

C) Most providers approach user design using a paper chart thinking process.

D) Screen design issues are limited, rarely affecting the time for documentation.

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6. When developing a plan for workflow redesign and the use of computerized documentation, which item would be the first thing to consider?

A) The number of computers needed B) Location of the computers C) Wheeled or bedside type of computer D) Theft prevention

7. A nursing informatics specialist is describing the use of health information technology to meet national safety goals to a group of nurse managers. The nurse specialist determines that the group needs additional teaching based on which statement?

A) "Barcodes aid in meeting the required two client identifiers for improved client safety."

B) "Agencies are using barcode identification for one-person identification and blood transfusion."

C) "Clinical decision support systems could alert providers of critical lab values."

D) "Alarms should be used on all devices to ensure prompt response to safety issues."

8. A nurse is creating a password for use in accessing the healthcare information system in the agency. Which action would be most appropriate for the nurse to do in creating this password?

A) Select mostly lowercase letters.

B) Select a combination of letters and numbers.

C) Use numbers sparingly.

D) Use a word familiar to the nurse.

9. When describing the various biometric methods for authentication, which method would the nursing informatics specialist identify as most secure?

A) Fingerprint B) Voiceprint C) Retinal scan D) Iris scan

10. A nursing informatics specialist is describing the similarities and differences between the two types of radio frequency identification (RFID) to a group of agency administrators. Which type would a nursing informatics specialist include as being associated with the passive type?

A) Increased cost B) Read–write capability C) Readable from a distance of 1 to 10 feet D) Implantable under the skin

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11. A nursing informatics specialist is conducting a seminar for agency staff about the benefits of a fully integrated electronic health record. The nurse specialist determines the need for additional teaching when the group identifies which aspect as a benefit to the client?

A) Individualized treatment B) Ability to check the record's accuracy C) Capability of decision support D) Knowledge of persons with access to the data

12. A nursing informatics specialist is working as part of a team developing a strategic plan for the adoption of healthcare information technology at the institution. Which information would the nurse specialist identify as being an important component of this plan? Select all that apply.

A) Overall design flexibility B) Short-term time frame focus C) Inclusion of resource acquisition D) Support for the use of information technology E) A brief overview of the agency's goals

13. A committee is reviewing the strategic plan for the agency's return on investment. The committee identifies the tangibles for the plan. Which items would the committee be addressing? Select all that apply.

A) Improved decision-making B) Decreased lengths of stay C) Reduced charges per admission D) Enhanced user satisfaction E) Improved communication

14. A nurse is reading a journal article about syndromic surveillance. The nurse would expect the article to provide which description of this concept?

A) Meeting the Joint Commission's client safety goals B) Identifying unintended consequences of healthcare technology C) A way to measure quality of care and client outcomes D) Providing early detection of potential disease

15. A nurse is working as part of a committee involved in creating passwords for the healthcare agency's network. Which password would be the strongest?

A) Nursing B) NuRs1N9gY C) 1234567 D) GniSrun

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16. A nursing informatics specialist is working as part of a group working with an agency transitioning from the paper record to the electronic record. The nurse identifies that the agency is currently at stage 3 of the adoption model based on which information?

A) Flow sheets for clinical documentation are in place.

B) Closed loop medication administration is integrated.

C) Computerized provider order entry is in use.

D) Data warehousing is available.

17. The use of which method would be most effective as the first line of defense in providing data protection from entry by outsiders?

A) Audit trail B) Firewall C) Spear phishing D) Data backup

18. A nursing informatics specialist is preparing a presentation for the staff about computerized provider order entry. Based on the nurse specialist's understanding of the unintended consequences of this system, which issue would the nurse specialist include in the presentation? Select all that apply.

A) Problematic communication between the nurses and physicians B) Changes in workflow C) Need for more personnel for maintenance D) Possible continuation of unnecessary daily orders E) Improved ease in how to enter orders

19. A nurse is preparing to access a client's electronic record. The system verifies that the nurse is the person logging into the system and grants access to the information. This process is known as: A) Phishing.

B) Biometrics.

C) Authentication.

D) Voice recognition.

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20. A nursing informatics specialist is conducting an in-service presentation for nurses at a local agency about the importance of maintaining confidentiality of electronic health information. The nurse specialist determines that the teaching was successful when the group identifies which method as a way to protect client confidentiality? Select all that apply.

A) Passwords B) Single sign-ons C) Voice recognition D) Palm vein technology E) Automatic logout

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Answer Key 1. D 2. B 3. C 4. A 5. C 6. A 7. D 8. B 9. D 10. C 11. C 12. A, C, D 13. B, C 14. D 15. B 16. A 17. B 18. A, B, C, D 19. C 20. A, B, C, E

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CHAPTER 22

1. While talking with a client, a nurse determines that the client is participating in real-time telehealth based on the understanding that this involves: A) Stored images sent for interpretation at a later time.

B) Asynchronous transmission of clinical data.

C) Affordable method for practice in rural communities.

D) Same-time interaction of the client and provider via video.

2. A nurse is describing telehomecare to a group of clients, incorporating the knowledge that this method of care is cost-effective because: A) It provides care in the comfort of the client's home.

B) It promotes self-management for clients with chronic illnesses.

C) It allows early detection, reducing the need for unnecessary emergency visits.

D) It minimizes the time spent with office appointments.

3. In which locations would a nurse expect to find telemental health? Select all that apply.

A) Prison facilities B) Rural areas C) Large cities D) War-torn areas E) Acute care facilities

4. A nurse is preparing a presentation about various telehealth practices for a group of nurses in the community. Which description would the nurse include about e-intensive care (e-ICU)?

A) They require minimal planning for execution.

B) Workflow typically requires redesign.

C) Enhanced communication results.

D) Involvement of other departments is limited.

5. A nurse is reading a journal article about teletrauma care. Which description would the nurse most likely find?

A) Use of trauma care experts for second opinions B) Trauma specialist guiding trauma care via video C) Emergency care provided via robotics D) Education of rural providers by trauma specialists

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6. Which information would a nurse use when describing telenursing? Select all that apply.

A) Promotes autonomous practice B) Is practiced primarily in rural areas C) Requires certification D) Increases healthcare costs E) Usually involves on-the-job learning F) Is a new specialty

7. A nursing informatics specialist is talking with a group of agency administrators about implementing telehealth services. When discussing the issue of reimbursement for such services, which aspect would be most important for the nurse specialist to include?

A) Most telehealth services are paid for by clients as out-of-pocket expenses.

B) Reimbursement is fairly consistent across the different insurers.

C) Little progress has been made in reimbursement policies.

D) Reimbursement is a large barrier to widespread adoption of telehealth.

8. Technical standards for telehealth and telemedicine would include: A) The HIPAA. B) Research protocols.

C) Systems for network connectivity.

D) Human resource management.

9. A nurse is reading an article about a surgeon who uses a combination of robotics and virtual reality along with special gloves and audio and video technology to perform surgery by manipulating surgical instruments at a remote site. The nurse is reading about: A) Store and Forward (S&F) technology.

B) Telepresence.

C) Real-time technology.

D) Telemedicine.

10. Which statement would best describe the use of portable monitoring devices used in telehealth?

A) Most require access to a wireless connection.

B) Many devices involve a touch screen for assessment.

C) E-mail is used to address client education needs.

D) There is a central device located in the client's home.

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11. A nurse is reading an article about the use of robotics and telehealth. Which outcome would the nurse expect research on this technology to reveal?

A) Increased response time B) Increased length of stay C) Improved client outcomes D) Increased costs

12. A nursing informatics specialist is conducting a program for agency staff about telehealth. Which aspect would the nurse specialist include as a benefit of this technology?

A) Increased travel time B) Increased productivity C) Increased face-to-face in-person client contact D) Increased healthcare costs

13. When reviewing the core standards for telemedicine operations, which example would a nurse identify as a clinical standard?

A) Nursing practice standards of care B) Health Insurance Portability and Accountability guidelines C) Network connectivity standards D) Fiscal management guidelines

14. Which device would most likely be used with Store and Forward (S&F) technology?

A) Telephone B) Digital camera C) Videoconferencing D) Satellite system

15. A nursing informatics specialist is conducting a presentation on using telehealth to educate clients. Applying best practices, the nurse specialist would include which action? Select all that apply.

A) Setting up impromptu meetings for users B) Providing immediate feedback for questions C) Combining face-to-face with other methods of interaction D) Keeping clients' health information secure E) Limiting client access to specific areas

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16. A nurse is reading a journal article about various telemonitoring devices being used by clients with chronic disease. Which outcome would the article most likely reveal?

Select all that apply.

A) Decreased costs for care over time B) Stabilized hospital readmission rates C) Consistent rates of emergency department visits D) Improved client care E) Improved accessibility to healthcare

17. A nurse is reviewing a meta-analysis by Blinkhorn (2012) on how telehealth improved disease management for chronic kidney disease (CKD). Which classification was identified in the research? Select all that apply.

A) Telecoordinating B) Teleconsultation C) Telemanagement D) Telemonitoring E) Teleconferences

18. A client asks the nursing informatics specialist about the various wellness apps that are available. Which response by the nurse specialist would be most appropriate?

A) “The apps are usually quite expensive.”

B) “Your healthcare provider should prescribe one for you.”

C) “Not all the apps have been approved by the FDA.” D) “Most are very reliable but limited in what they do.”

19. A client tells the nurse that he is having problems sleeping and wanted to know if there is a wearable device that he could use that would help him monitor the quality of his sleep. Which response by the nurse would be most appropriate?

A) “The AliveCor Kardia Mobile smartphone app will allow you to monitor your heart rate and sleeping pattern?”

B) “There is no wearable device that will allow you to monitor sleep quality, you will need a sleep study.”

C) “The is the HemMobile Striiv which will allow you to monitor sleep pattern and quality.”

D) “A Fitbit will allow you to monitor sleep quality and body activity.”

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20. A client is admitted to the facility and needs a mental health evaluation, but there is no physician on duty. Which telehealth service would be most beneficial for the client?

A) Telepsychiatry B) Teletrauma C) Telemental D) Tele-intensive care

21. A nursing informatics specialist is part of the committee working to start telehealth practice at a rural clinic. What are the main issues that can affect implementation of telehealth? Select all that apply.

A) Reduced travel time B) Technical issues C) Reimbursement D) Educational opportunities E) Medicolegal issues

22. A nursing informatics specialist is involved with a group in setting up telehealth nursing practice in a rural setting. Which area would be important for the group to address to ensure that the practice meets the standards of telehealth nursing practice? Select all that apply.

A) Ethical practice B) Client rights C) Competency D) Research protocols E) Fiscal management

23. Which Store and Forward (S&F) technology allows for asynchronous transmission of clinical data? Select all that apply.

A) Interactive video B) Magnetic resonance imaging (MRI) C) Blood glucose levels D) Chest x-ray E) Electrocardiogram

24. Which specialty would lend itself well to the Store and Forward (S&F) technology?

Select all that apply.

A) Dermatology B) Radiology C) Pathology D) Wound care E) Diabetic medicine

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25. A nursing informatics specialist is conducting a seminar for agency staff about telehealth. As part of the seminar, the nurse specialist is comparing Store and Forward (S&F) technology with real-time technology. Which statement would the nurse specialist most likely include? Select all that apply.

A) Real-time technology requires two-way communication.

B) Store and Forward (S&F) technology involves the use of robotics.

C) Store and Forward (S&F) technology involves the use of telepresence.

D) With Store and Forward (S&F) technology, interpretation occurs when the image is sent.

E) Real-time technology includes asynchronous transmission of clinical data.

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Answer Key 1. D 2. C 3. A, B, D 4. B 5. A 6. A, E 7. D 8. C 9. B 10. B 11. C 12. B 13. A 14. B 15. B, C, D 16. A, D, E 17. B, D, E 18. C 19. D 20. C 21. B, C, E 22. A, B, C 23. B, C, D, E 24. A, B, C, D 25. A, E

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CHAPTER 23

1. A clinical nurse specialist is developing a teaching plan for new mothers on a maternal– newborn nursing unit. The nurse is incorporating educational software with computerized video clips, slide presentations, illustrations, and quiz questions developed by nurse experts in the field. The information can be changed in many ways to address the clinical nurse specialist's needs. Which type of instruction is the clinical nurse specialist using?

A) Computer-aided instruction B) Computer-based learning C) Learning management system D) Learning content management system

2. A nurse is preparing an in-service program for staff nurses and is designing learning activities for the group. The nurse wants to focus on the highest level of learning. The nurse includes which activity to achieve this goal?

A) Tutorials B) Case studies C) Animations D) Flash cards

3. An educational software program has been developed to sharpen the skills of the nursing staff. The program incorporates a set of fill-in-the-blanks and true/false questions. These activities would promote development of: A) Synthesis.

B) Application.

C) Knowledge.

D) Analysis.

4. A nurse who is attending a graduate educational program is referred to a Multimedia Educational Resource for Learning and Online Teaching (MERLOT) site as an excellent source for learning resources. The nurse would expect to find: A) Hundreds of learning activities.

B) Access to other digital libraries.

C) No membership requirement.

D) User fee for activities.

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5. A group of nurse managers are discussing the possible use of a virtual reality for the unit staff to promote skill learning and training. The nurse managers would need to address which aspect of this type of learning before implementing the program with the staff?

A) Navigating the virtual world B) Creating an avatar C) Developing broad goals D) Accessing the program

6. A group of faculty from a local college of nursing are thinking about implementing an e-learning program involving fundamental skills for their students. A nursing informatics specialist is describing the advantages and disadvantages of e-learning programs to the group. The nurse specialist determines that the faculty members understand the information when they state: A) “The learners will need to sign up for a time to use the program.”

B) “The programs are usually free of technological glitches.”

C) “The learners can set our own pace for learning with the program.”

D) “The programs provide experiences that the learners would normally encounter.”

7. When developing learning outcomes, which action would be best to use to signify the highest level of learning?

A) Demonstrate B) List C) Create D) Analyze

8. A nurse is attending a seminar on distance learning. Which use would the nurse expect to hear as the most common for this method?

A) Degree programs B) Certification C) Continuing education D) Personal enrichment

9. A nurse is interested in e-learning opportunities and asks the nursing informatics specialist for advice. Which response by the nurse specialist would be most appropriate?

A) “Online learning activities are nice, but they are costly.”

B) “You need to be motivated and disciplined with this type of learning.”

C) “Unless you are really skilled in computer technology, it's not for you.”

D) “You need to be available at the time set by the course.”

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10. A group of nurse managers are working to develop an e-learning program for their staff.

When developing this program, which principle would the group address? Select all that apply.

A) Collaboration between students and faculty B) Opportunities for practice and rapid feedback C) Passive learning techniques D) Limited faculty–student contact E) Focus on one or two learning styles

11. A nurse is considering enrolling in an e-learning continuing education course and is trying to decide whether the course would be appropriate for him or her. The nurse completes a self-evaluation and identifies characteristics that would indicate that the course would be appropriate. Which characteristic has the nurse identified? Select all that apply.

A) Self-motivation B) Limited writing abilities C) Dependence on others for learning D) Open to share experiences E) Ability to ask for help

12. A nurse is participating in an e-learning program to achieve certification. Which action would be most important for the nurse to do to achieve success with the program?

A) Provide feedback about the electronic instruction.

B) Rely firmly on the instructor.

C) Keep appropriate records from the course.

D) Engage in simulation exercises.

13. A nurse is reading a journal article about the advantages and disadvantages of online learning as part of determining if an online course is right for him or her. When reading the article, which aspect would the nurse identify as a disadvantage? Select all that apply.

A) Software needed B) Backup plan for problems C) Missing of a class D) Technology skills E) Self-discipline

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14. A nurse is participating in an e-learning course about current care for diabetes. The content is geared to the application level of learning. Which type of activity would the nurse most likely find in the course? Select all that apply.

A) Memorization games B) Case studies C) Animations D) Interactive tutorials E) Flash cards

15. A nurse is using online surveys to gather information for a research project about individuals' emotional responses to the diagnosis of cancer. When using the surveys, the nurse would ensure that the survey has which certification? Select all that apply.

A) Health Insurance Portability and Accountability Act (HIPAA) B) National Institutes of Health (NIH) C) Centers for Disease Control and Prevention (CDC) D) American Cancer Society (ACS) E) Family Education and Rights Policy Act (FERPA)

16. A group of nurse managers are working to develop a refresher course for staff nurses in cardiopulmonary resuscitation and want to use a high-fidelity client simulator. The nurse managers decide this is the best method for teaching the staff for which reason?

A) Cost of the program is less than that for an online training program.

B) Minimal time is needed for instructor training.

C) Realistic learning helps to promote performance.

D) Manikins for use are widely available.

17. A nurse is participating in an online course and uses the course materials at various times that are convenient for him or her. The nurse is using which type of learning?

A) Streaming video B) Asynchronous C) Blended D) Synchronous

18. A nurse is participating in a blended learning course in which the instructor is using the concept of a flipped classroom. Which activity would the nurse expect to occur? Select all that apply.

A) Use class time for lecture content B) Complete some activities before class C) Participate in engaged learning activities in class D) Watch videos on a topic before class E) Practice a skill in class

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19. A nurse is participating in an online certification course and is preparing to take the exam. According to the program, the exam uses computerized adaptive testing. The nurse understands that this type of exam: A) Primarily focuses on true–false type questions.

B) Provides subsequent questions on previous responses.

C) Involves hands-on skill testing.

D) Uses a wireless device to answer questions.

20. A nurse is reading a journal article about e-learning and possibilities for the future.

Which development in technology would the nurse expect to find as impacting the future of teaching and learning? Select all that apply.

A) Learning analytics B) Two-dimensional printing C) Computerized adaptive testing D) Virtual assistants E) Gamification

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Answer Key 1. D 2. B 3. C 4. B 5. A 6. C 7. C 8. C 9. B 10. A, B 11. A, D, E 12. A 13. A, B, D 14. B, D 15. A, E 16. C 17. B 18. B, C, D, E 19. B 20. A, D, E

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CHAPTER 24

1. When describing the role of the nurse administrator in relation to information management systems, which would be expected as a basic skill?

A) Using spreadsheets B) Recording quality improvement data C) Interpreting benchmarking data D) Using agency database systems

2. A nurse administrator is using a spreadsheet for forecasting. Which action would the administrator do first?

A) Review the data for observable patterns.

B) Identify any data trends that are occurring.

C) Obtain data spanning several years.

D) Consider outside influences on the data.

3. A nurse administrator is involved in process improvement and uses a chart to examine the relationships among complex processes. The chart resembles a fishbone. The administrator has used which type of chart?

A) Cause-and-effect chart B) Flowchart C) Gantt chart D) Pie chart

4. A nurse administrator is evaluating several human resource management systems to determine if one would be appropriate for the agency. To make the decision, the nurse administrator evaluates each system to see if it meets the minimum requirements. Which characteristic would lead the nurse to reject a system?

A) Scheduling 24 hours/day, 7 days/week B) Minimizing allowances for staff self-scheduling C) Being able to connect to the payroll system D) Tracking time and attendance

5. A nurse manger is discussing with staff the type of data that is submitted to the National Database of Nursing Quality Indicators (NDNQI). Which data will the nurse manager include in the discussion? Select all that apply.

A) Pressure ulcer development B) Unit-based falls C) Blood glucose levels D) Nursing turnover rate E) Nosocomial infections

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6. A nurse administrator is reviewing a report about the agency's nursing units and the care they provide. The results have been compared and benchmarked to similar units from other agencies. The administrator is reviewing a report from the: A) Consumer Assessment of Health Providers and Systems, Hospital Survey (HCAHPS).

B) National Database of Nursing Quality Indicators (NDNQI).

C) Agency for Healthcare Research and Quality.

D) Joint Commission.

7. A nurse manager is using real-time information on key performance indicators to guide decision-making. Which is the nurse using?

A) Throughput B) Core measures C) Dashboards D) Benchmarking

8. A nurse manager is working on the schedule for unit staffing. To determine the needs accurately, the nurse manager would use: A) Business intelligence.

B) Forecasting.

C) Process improvement.

D) Patient classification system.

9. A nurse administrator who is using project management software wants to ensure that the project stays on time and on budget. The nurse administrator also identifies key tasks that must occur during the project to keep it on target. The administrator would most likely use which tool to track the project's status?

A) Gantt chart B) Spreadsheet C) Cause-and-effect chart D) Fishbone chart

10. A nurse administrator is working as part of a group that conducts surveys of clients about their healthcare experiences. Which aspect would be most important to address?

A) Using a variety of data collection methods B) Employing a core set of questions C) Conducting the survey primarily with clients D) Using the data internally for quality improvement

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11. A nurse administrator is reviewing data collected for core measurements. Which area would most likely be included? Select all that apply.

A) Myocardial infarction B) Immunizations C) Heart failure D) Gastric upset E) Pregnancy

12. A nurse administrator is conducting a seminar for new nurse administrators about business intelligence in healthcare and the use of dashboards to make operational decisions. The group demonstrates understanding of the information when they identify which as a characteristic of an effective dashboard? Select all that apply.

A) Components working together B) Evidence of valid and invalid data C) Delayed-time display D) Display of key performance indicators E) Flagging of below-targeted indicators

13. For which purposes would a nurse manager in an agency use a spreadsheet? Select all that apply.

A) Create a variance report.

B) Evaluate monthly budgets.

C) Determine relationships between length of stay and staffing.

D) Determine consumer satisfaction.

E) Manage a complex project.

14. A nurse manager is looking at ways to improve the admission process from the emergency department to the inpatient unit. Which tool would be most appropriate for the nurse manager to use?

A) Flowchart B) Spreadsheet C) Project management software D) Gantt chart

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15. A nurse administrator is conducting an in-service presentation to a group of nurse managers about human resource management systems (HRMS). The group demonstrates understanding of the topic when they identify which category as being contained within the HRMS? Select all that apply.

A) Personnel profiles B) Daily schedules C) Task ending dates D) Payroll data E) Milestones

16. The National Database of Nursing Quality Indicators (NDNQI) includes information about which topic? Select all that apply.

A) Process B) Outcomes C) Structure D) Clients' experiences E) Data analytics

17. A nurse administrator is part of a committee working on evaluating information systems for the agency for future purchase. Which role would be most important for the nurse administrator to fulfill?

A) Technology expert B) Nursing services advocate C) Workflow manager D) System manager

18. Competency in which area would be identified as critical for nursing education based on the Quality Safety Education for Nurses (QSEN)? Select all that apply.

A) Evidence-based practice B) Informatics C) Client-centered care D) Benchmarking E) Research

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19. A nurse is working as part of a group tasked with reviewing situations that have occurred on the unit involving near misses and errors. The group is working to find the underlying issue related to safety and propose solutions to the problems. When conducting the investigation, which method would be appropriate to use? Select all that apply.

A) Spreadsheet B) Workflow analysis C) Cause-and-effect chart D) Gantt chart E) Root cause analysis

20. A nurse administrator is reviewing numerous client surveys returned from clients recently hospitalized on a specific nursing unit. The clients voiced dissatisfaction with care because of miscommunication among staff, poor scheduling of client procedures, and lack of adequate transport services. The nurse administrator is examining: A) Dashboards.

B) Throughput.

C) Demand forecasting.

D) Human resource management system.

21. A nurse administrator is evaluating the various steps involved with client care on a unit based on the staff's complaints that there is a fair amount of duplication of services and variation in care. Which tool would the nurse administrator most likely use?

A) Flowcharting B) Forecasting C) Spreadsheet D) Gantt chart

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Answer Key 1. A 2. C 3. A 4. B 5. A, B, D, E 6. B 7. C 8. D 9. A 10. B 11. A, B, C, E 12. A, D, E 13. A, B, C 14. A 15. A, B, D 16. A, B, C 17. B 18. A, B, C 19. B, C, E 20. B 21. A

Page 6

CHAPTER 25

1. When describing ethical decision-making, which characteristic would most likely be included?

A) Values, although involved, are of minimal concern.

B) Scientific inquiry provides the answer.

C) Decisions are based on which value is most important.

D) Decisions have short-term consequences.

2. A nursing informatics specialist is presenting a class on ethics and informatics. Which concept would the nurse specialist identify as being central to informatics?

A) Conflicting values B) Autonomy C) Influencing variables D) Beneficence

3. A nurse is reading a journal article about ethics and laws. Which statement would the nurse most likely identify as pertaining to laws?

A) “Laws are subject to interpretation.”

B) “Penalties are used if laws are violated.”

C) “Laws involve value conflicts.”

D) “Laws address paternalism.”

4. A nursing informatics specialist is conducting an in-service program about the HIPAA. Which fact would the nurse specialist include when describing this rule?

A) The HIPAA protects all private health information.

B) Fee-for-service providers have limited HIPAA coverage.

C) Information with health plan providers is excluded.

D) Information of agencies electronically billing CMS is covered.

5. A nurse is researching information about the Enhanced Nurse Licensure Compact. The nurse would most likely find which fact? Select all that apply.

A) It limits the requirements for telehealth nursing by providing a restricted license.

B) Nurses licensed in one state could practice in another state.

C) The rules and regulations of the state of practice apply to the nurse.

D) Advanced practice nurses are exempt from the Compact.

E) Nurses are required to store personal licensure data online.

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6. A group of nurses are debating the pros and cons of implantable identification devices.

Which benefit would the proponents most likely address?

A) It allows quicker and safer emergency care.

B) It should be a requirement to enhance care.

C) It would ensure complete privacy.

D) It promotes an individual's civil liberties.

7. A nurse is blogging. Which example demonstrates that the nurse violated ethical and legal guidelines?

A) Including names of staff members in the blog B) Demonstrating respect for others when writing C) Using positive references about individuals D) Avoiding dark humor

8. A nurse is preparing to write an article for a peer-reviewed nursing journal about issues faced by older adults living at home. In preparation for writing the article, the nurse reviews copyright law. Which statement by the nurse indicates understanding of the law? Select all that apply.

A) “If the copyright symbol isn't there, then the information is not copyrighted.”

B) “Copyrighted material is material that is considered to be original.”

C) “If the information is not well defined, then it isn't subject to copyright.”

D) “The time a copyright is in effect varies based on the law at that time.”

E) “If the work is original, then it is not protected by copyright law.”

9. When writing a research paper, which action demonstrates plagiarism?

A) Including a citation at the end of a sentence about statistics from a research study B) Inserting a paragraph from a reference article directly into one's paper C) Using quotation marks around a statement with the name and page of the source D) Crediting an author for a statement by saying, “According to …”

10. A nurse advocates for a client to ensure that what is being done is best for him or her.

The nurse is demonstrating which ethical principle?

A) Paternalism B) Veracity C) Justice D) Beneficence

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11. A nurse is working as part of a committee addressing the security of healthcare information and data breaches. The committee is working on ways to reduce the risk of data breaches. Which actions would be helpful for the committee to include? Select all that apply.

A) Teaching employees about system logins B) Training for employees about data encryption C) Using secure e-mail servers D) Installing data loss prevention software E) Tracking of external threats

12. A nurse is reading an online journal article about the legal and ethical issues related to telehealth. Which milestone would the nurse identify as important for allowing nurses licensed in one state to practice in another state?

A) Coordinated Licensure Information System B) Enhanced Nurse Licensure Compact C) HIPAA D) HITECH

13. Which component would be an exception to copyright law? Select all that apply.

A) Height and weight chart B) Unrecorded speech C) Short phrases D) List of ingredients E) Quotation

14. A group of nurse managers are designing a web-based course to be used as a medication refresher course for registered nurses returning to the workforce. The group is concerned about copyright law related to the use of information in the course. Use of which component demonstrates that the group is adhering to fair use?

A) Text provided was 1,000 words.

B) Images are accounted for 20% of the course.

C) Music included was about 45 seconds.

D) Video spanned about 5 minutes.

15. Based on an understanding of copyright law, copyright protection extends for how many years after the life of the author?

A) 14 years B) 25 years C) 50 years D) 70 years

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16. A nursing informatics specialist is conducting an in-service program for staff nurses about data security breaches. The specialist determines that the program was successful when participants state: A) “Medical and healthcare information is low on the list in terms of numbers of breaches.”

B) “Data security breaches are primarily associated with the use of a computer.”

C) “The loss of laptop computers is a recurring theme associated with breaches.”

D) “The agency and no one else is liable for information breaches that occur.”

17. A nursing informatics specialist is working on a committee that is performing a risk assessment to minimize data security breaches at the agency. The specialist would be involved in which activities? Select all that apply.

A) Conducting employee privacy training B) Reviewing agency policies and procedures C) Inventorying personally identifiable information D) Using data encryption software E) Monitoring employee compliance

18. When developing an online nursing course for distance education, the use of copyrighted information would be addressed by which of the following?

A) Conference on Fair Use B) TEACH Act C) Enhanced Nurse Licensure Compact D) Coordinated Information System

19. A nurse is using an interactive web application, sharing pictures and videos. When using this media, the nurse understands that which ethical principle always applies?

A) Autonomy B) Respect for others C) Paternalism D) Fidelity

20. A nurse is preparing a journal article for submission on the care of a client with heart failure. When writing the article, for which components would the nurse need to include a citation or author credit?

A) Table of weight equivalents B) List of foods high in sodium C) Statistics on prevalence D) Client education points

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Answer Key 1. C 2. A 3. B 4. D 5. B, C 6. A 7. A 8. B, C, D 9. B 10. D 11. A, B, D, E 12. B 13. A, B, C, D 14. A 15. D 16. C 17. B, C, E 18. B 19. B 20. C

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