Question 1

A large portion of ongoing maintenance is related to technical and ____________________ issues.

Accepted Answer

equipment 
Rationale : A large portion of ongoing maintenance is related to technical and equipment issues. During the planning phase, committee members should consider the role of technical support personnel.

Question 2

Once the go-live date of the system has been established, the production environment is in effect. Which planning is most necessary at this time?

Accepted Answer

A) A newly released software upgrade will be performed so the new system provides users with the latest technology. 
B) A website is constructed so employees may answer questionnaires relating to system satisfaction and ask questions as needed. 
C) A 24/7 support schedule is initiated to answer questions when necessary. 
D) Information back loading is scheduled the day that the system is to go live. 
E) The implementation of the system will begin in the emergency department and will move to other units when they signal that they are ready. 
A) A newly released software upgrade will be performed so the new system provides users with the latest technology. 
B) A website is constructed so employees may answer questionnaires relating to system satisfaction and ask questions as needed. 
C) A 24/7 support schedule is initiated to answer questions when necessary. 
D) Information back loading is scheduled the day that the system is to go live. 
E) The implementation of the system will begin in the emergency department and will move to other units when they signal that they are ready. B,C,D,E

Question 3

A _________________________ is an excellent and low-tech method to solicit feedback after a system has been implemented.

Accepted Answer

suggestion box 
Rationale : A suggestion box is an excellent method to solicit feedback from users of a new system. The suggestions should be reviewed in a timely manner.

Question 4

Which of the following are recommended for developing system procedures and documentation?

Accepted Answer

A) Create backup procedures to be used in the event that the system is not running either for reasons of scheduled maintenance or unforeseen circumstances. 
B) If major modifications were made to the base system, use the vendor's system user guides. 
C) Develop a data dictionary containing system terms and terms for mapping from one system to another. 
D) During the training process, develop procedures for how the system will be used to support client care and associated administrative activities. 
E) Create separate documentation that includes the downtime procedures and manual requisition forms and locate in an easily identifiable and accessible location. 
A) Create backup procedures to be used in the event that the system is not running either for reasons of scheduled maintenance or unforeseen circumstances. 
B) If major modifications were made to the base system, use the vendor's system user guides. 
C) Develop a data dictionary containing system terms and terms for mapping from one system to another. 
D) During the training process, develop procedures for how the system will be used to support client care and associated administrative activities. 
E) Create separate documentation that includes the downtime procedures and manual requisition forms and locate in an easily identifiable and accessible location.

Question 5

Communication during the maintenance phase of the system's life cycle is crucial. Which of the following is most beneficial to the organization during the maintenance phase?

Accepted Answer

A) A newsletter for users is posted yearly in accessible sites for new information 
B) A help desk provides 24/7 telephone user support for employees 
C) Users given internet access and procedure manual to troubleshoot problems 
D) A list of frequently asked questions (FAQs) posted on a password protected site 
A) A newsletter for users is posted yearly in accessible sites for new information 
B) A help desk provides 24/7 telephone user support for employees 
C) Users given internet access and procedure manual to troubleshoot problems 
D) A list of frequently asked questions (FAQs) posted on a password protected site

Question 6

There are often unforeseen issues that emerge during the implementation phase of the life cycle. Which of the following may be considered a barrier?

Accepted Answer

A) Staff training 
B) Poor communication 
C) Employ a qualified nurse informatics specialist to lead the change. 
D) Incorporate the suggestions of point-of-care staff 
A) Staff training 
B) Poor communication 
C) Employ a qualified nurse informatics specialist to lead the change. 
D) Incorporate the suggestions of point-of-care staff

Question 7

A group of tasks related to the analysis of hardware requirements must be addressed during the implementation phase. Which of the following are considered specific tasks?

Accepted Answer

A) Network infrastructure analysis 
B) Review of workstation types 
C) Input applications review 
D) Printer decisions 
E) Cabling capacity analysis 
A) Network infrastructure analysis 
B) Review of workstation types 
C) Input applications review 
D) Printer decisions 
E) Cabling capacity analysis

Question 8

A group of staff nurses working on the hospice unit have notoriously been opposed to technology use. They assert technology is not essential for the care of people who are actively dying and have decided not to participate in the training process. What can be done by committee members to decrease resistance in this setting?

Accepted Answer

A) Data can be collected and stored electronically to develop evidence-based practice models which would be useful in alleviating the suffering of the dying. 
B) Have the head nurse document the resistance in each person's file. 
C) Have the director of human resources attend the next staff meeting to review position descriptions. 
D) Terminate staff that refuse to participate in training. 
A) Data can be collected and stored electronically to develop evidence-based practice models which would be useful in alleviating the suffering of the dying. 
B) Have the head nurse document the resistance in each person's file. 
C) Have the director of human resources attend the next staff meeting to review position descriptions. 
D) Terminate staff that refuse to participate in training.

Question 9

Which of the following statements is true about the test environment?

Accepted Answer

A) The findings of the system test always indicate how well the system will perform in the live environment. 
B) The test environment is not exactly the same as the live environment, because the live environment is much larger and more complex. 
C) The test environment is unnecessary with the progress made in technology. 
D) The test environment is done for training purposes. 
A) The findings of the system test always indicate how well the system will perform in the live environment. 
B) The test environment is not exactly the same as the live environment, because the live environment is much larger and more complex. 
C) The test environment is unnecessary with the progress made in technology. 
D) The test environment is done for training purposes.

Question 10

Which of the following makes training is most effective?

Accepted Answer

A) It occurs during the nurse's scheduled shift 
B) When measurable objectives are employed 
C) Training is conducted on the staff's day off 
D) Another staff member conducts the session 
A) It occurs during the nurse's scheduled shift 
B) When measurable objectives are employed 
C) Training is conducted on the staff's day off 
D) Another staff member conducts the session

Question 11

Which of the following statements is true about the life cycle?

Accepted Answer

A) The life cycle has a beginning and an end. 
B) The life cycle is ongoing. 
C) The life cycle is not relevant to system purchase or upgrades. 
D) The life cycle has six distinctive steps. 
A) The life cycle has a beginning and an end. 
B) The life cycle is ongoing. 
C) The life cycle is not relevant to system purchase or upgrades. 
D) The life cycle has six distinctive steps.

Question 12

Considerable planning must be done before the go-live event. Which of the following are specific examples of planning elements?

Accepted Answer

A) Implementation strategy is determined 
B) Decisions must be made regarding what information will be back loaded or preloaded 
C) Support schedule is developed 
D) Evaluation procedures are addressed 
E) Procedure developed to request changes after the go-live event
F)None of the above. 
A) Implementation strategy is determined 
B) Decisions must be made regarding what information will be back loaded or preloaded 
C) Support schedule is developed 
D) Evaluation procedures are addressed 
E) Procedure developed to request changes after the go-live event
F)None of the above.

Question 13

Implementation of any system can be facilitated by the committee's understanding of the amount of time that is needed to successfully complete the project. To that end, what is an important staffing concept for administration to consider when appointing members to a technology committee?

Accepted Answer

A) Committee member must equally divide duties to complete tasks. 
B) Committee members should meet more than once a week to complete tasks. 
C) All member of the committee need a comprehensive technology background. 
D) Relevant committee members can be given alternate work assignments to accommodate the increase in committee work. 
A) Committee member must equally divide duties to complete tasks. 
B) Committee members should meet more than once a week to complete tasks. 
C) All member of the committee need a comprehensive technology background. 
D) Relevant committee members can be given alternate work assignments to accommodate the increase in committee work.

Question 14

A timeline is defined as which of the following?

Accepted Answer

A) A visual plan that helps keep everyone on track and understand where others are in the project. 
B) Part of the evaluation phase of the life cycle 
C) A tool that measures outcomes 
D) A best practice model 
A) A visual plan that helps keep everyone on track and understand where others are in the project. 
B) Part of the evaluation phase of the life cycle 
C) A tool that measures outcomes 
D) A best practice model

Question 15

What should be the end result of implementation of a new wireless information system in a 712-bed acute-care facility?

Accepted Answer

A) Retention of staff is enhanced 
B) Staff can utilize the new technology effectively 
C) Client satisfaction with care is enhanced 
D) Client care outcomes are improved 
A) Retention of staff is enhanced 
B) Staff can utilize the new technology effectively 
C) Client satisfaction with care is enhanced 
D) Client care outcomes are improved

Question 16

Which of the following is the best example of "feature creep"?

Accepted Answer

A) When an additional feature must be added to the system, the implementation committee approves the change after investigating its cost. 
B) The system is totally customized for an individual organization to reflect the current workflow. 
C) Staff nurses expect the new system will cut their workload relating to documentation in half. 
D) The emergency department and intensive care unit supervisors meet and come up with a list of new features to be added to the system. 
A) When an additional feature must be added to the system, the implementation committee approves the change after investigating its cost. 
B) The system is totally customized for an individual organization to reflect the current workflow. 
C) Staff nurses expect the new system will cut their workload relating to documentation in half. 
D) The emergency department and intensive care unit supervisors meet and come up with a list of new features to be added to the system.

Question 17

Which of the following considerations point to the need for a new system?

Accepted Answer

A) Poor performance 
B) Frequent down times 
C) Up to date programming language 
D) No vendor support 
E) Outmoded technology 
A) Poor performance 
B) Frequent down times 
C) Up to date programming language 
D) No vendor support 
E) Outmoded technology

Question 18

Successful implementation of a system can be facilitated by addressing significant barriers presented by staff. Which aspect of resistance should be addressed by committee members during the planning phase?

Accepted Answer

A) Staff members need to control the workflow and do not want changes imposed on them. 
B) The impact of the change on off shift personnel 
C) The nurse to patient ratio 
D) Emotions of staff 
A) Staff members need to control the workflow and do not want changes imposed on them. 
B) The impact of the change on off shift personnel 
C) The nurse to patient ratio 
D) Emotions of staff

Question 19

A hospital is implementing a new electronic nurse charting system. When selecting members for the implementation committee, if all are available, which one of these should be given priority?

Accepted Answer

A) Informatics nurse specialist 
B) Experienced consultant 
C) Steering committee chairperson 
D) Chief information officer 
A) Informatics nurse specialist 
B) Experienced consultant 
C) Steering committee chairperson 
D) Chief information officer

Question 20

To change the culture of any work environment, the nurse as a leader can promote innovation and minimize resistance through which of the following?

Accepted Answer

A) Demanding staff listen to rationale behind the changes 
B) Planning a strategy to support people and process changes 
C) Asking staff to trust their colleagues 
D) Understanding that the change is for their benefit 
A) Demanding staff listen to rationale behind the changes 
B) Planning a strategy to support people and process changes 
C) Asking staff to trust their colleagues 
D) Understanding that the change is for their benefit

Exam 10: System Implementation and Maintenance

A large portion of ongoing maintenance is related to technical and ____________________ issues.

Once the go-live date of the system has been established, the production environment is in effect. Which planning is most necessary at this time?

A _________________________ is an excellent and low-tech method to solicit feedback after a system has been implemented.

Which of the following are recommended for developing system procedures and documentation?

Communication during the maintenance phase of the system's life cycle is crucial. Which of the following is most beneficial to the organization during the maintenance phase?

There are often unforeseen issues that emerge during the implementation phase of the life cycle. Which of the following may be considered a barrier?

A group of tasks related to the analysis of hardware requirements must be addressed during the implementation phase. Which of the following are considered specific tasks?

Which of the following statements is true about the test environment?

Which of the following makes training is most effective?

Which of the following statements is true about the life cycle?

Considerable planning must be done before the go-live event. Which of the following are specific examples of planning elements?

Implementation of any system can be facilitated by the committee's understanding of the amount of time that is needed to successfully complete the project. To that end, what is an important staffing concept for administration to consider when appointing members to a technology committee?

A timeline is defined as which of the following?

What should be the end result of implementation of a new wireless information system in a 712-bed acute-care facility?

Which of the following is the best example of "feature creep"?

Which of the following considerations point to the need for a new system?

Successful implementation of a system can be facilitated by addressing significant barriers presented by staff. Which aspect of resistance should be addressed by committee members during the planning phase?

A hospital is implementing a new electronic nurse charting system. When selecting members for the implementation committee, if all are available, which one of these should be given priority?

To change the culture of any work environment, the nurse as a leader can promote innovation and minimize resistance through which of the following?

Informatics in Healthcare Professions

Hardware, Software

Ensuring Quality and Best Use of Information

The Internet and the World Wide Web: an Overview

Professional Use of Electronic Devices

Healthcare Information Systems

Strategic Planning for Information Technology Projects

Selecting a Healthcare Information System

Improving the Usability of Health Informatics Applications

Information Systems Training

Information Security and Confidentiality

System Integration and Interoperability

The Electronic Health Record

The Role of Standardized Terminology and Languages in Informatics

The Personal Health Record Phr

Health Information Exchanges Hies

Health Information Technology and Policy

Legislation

Regulatory and Reimbursement Issues

Accreditation Issues for Information System Design and Use

Continuity Planning and Management Disaster Recovery

Technology, Informatics, and the Internet Into Nursing Education

Consumer Education and Informatics

Telehealth

Public Health Informatics

Evidence Based Practice and Research

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