Quiz 44: Technology and Informatics

Concepts For Nursing Practice

Nursing
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Questions

Q1
Free

The staff nurse who uses informatics in promoting quality patient care is most likely to access data in the domain of

Multiple Choice
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A) certified clinical information systems (CIS).
B) clinical health care informatics.
C) public health/population informatics.
D) translational bioinformatics.
Answer:
B) clinical health care informatics.

Explanation:
Clinical health care informatics and the subset, nursing informatics, provides for the development of direct approaches to patients and their families which can be used by the staff nurse to promote quality patient care.Certified CIS refers to the tools for achieving quality outcomes, including electronic health records, clinical data repositories, decision support programs, and handheld devicesnot the data. Public health/population informatics is the domain which relates information, computer science, and technology to public health science to improve the health of populations; this domain would provide data for the nurse working with communities.Translational bioinformatics refers to the research science domain where biomedical and genomic data are combined; its a new term that describes the domain of where bioinformatics meets clinical medicine, generally for health care research rather than direct patient care.
Q2
Free

When discussing the purposes of health care informatics with a nurse during orientation, the nurse educator would be concerned if the nurse orientee said that one purpose would be to

Multiple Choice
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A) develop a cognitive science.
B) improve disease tracking.
C) improve the health providers work flow.
D) increase administrative efficiencies.
Answer:
A) develop a cognitive science.

Explanation:
Cognitive science is one of the theories that play a role in the implementation of informatics. Its development is not a purpose, and the nurse educator would use this incorrect response of the orientee to plan additional teaching about the purposes of health care informatics. Purposes of information health technology include to improve health provider work flow, improve health care quality, prevent medical errors, reduce health care costs, increase administrative efficiencies, decrease paperwork, and improve disease tracking.
Q3
Free

To design and implement a decubitus ulcer risk management protocol in the electronic health record, the informatics nurse would first

Multiple Choice
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A) build the screens in the electronic health record.
B) determine evidence supporting decubitus ulcer risk management.
C) develop the training program for staff.
D) select the appropriate standardized language.
Answer:
B) determine evidence supporting decubitus ulcer risk management.

Explanation:
Collecting the evidence related to the issue is the first step in addressing a problem (remember the nursing process, the foundation of nursing practice). Based on the evidence, an assessment tool or tools and data needed from a patient perspective would be identified. The screens in the electronic record would be based on the workflow surrounding the patient assessment. A training program could not be developed until the protocol is adopted. The appropriate standardized language is selected based on what needs to be documented and what has been approved for use by the agency (e.g., ANA recognized terminologies).
Q4

The application of information processing that deals with the storage, retrieval sharing, and use of health care data, information, and knowledge for communication and decision making is the definition of

Multiple Choice
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A) computer science.
B) health informatics.
C) health information technology.
D) nursing informatics.
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Q5

The nurse manager of a medical/surgical unit wants to increase the use of health care technology on the unit and is working with an ANA-certified informatics nurse to reduce barriers to health information exchange, including

Multiple Choice
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A) basic informatics knowledge and skills.
B) offering the best set of tools.
C) privacy and security policies.
D) unit-specific terminology.
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Q6

Florence Nightingale, the first nurse informatician, sought hospital data for comparison purposes to

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A) allow faster and accurate diagnosis.
B) better coordinate care.
C) improve the efficiency of care.
D) show people how their money was spent.
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Q7

Exemplars of the health informatics concept include

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A) clinical research informatics.
B) hardware and software.
C) privacy and security.
D) standard terminology.
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