Deck 26: Data Management and Clinical Informatics

Question 1

Management information systems describe a broad scope of activities that includes but is not limited to the management of:

A) decision support systems.
B) merchandise.
C) products.
D) nursing services.

Answer 1

decision support systems.

Question 2

_____ was recognized by the American Nurses Association (ANA) as a nursing specialty in 1992 and is one of the fastest growing practice areas in health care.

A) Nurse anesthesia
B) Nursing informatics
C) Nurse-midwifery
D) Clinical nurse specialist

Answer 2

Nursing informatics

Question 3

Nursing informatics includes the:

A) coding and billing of hospital and physician services.
B) management and communication of data, information, knowledge, and wisdom in nursing practice
C) organization and selection of quality medical information.
D) support and troubleshooting of computer software issues.

Answer 3

management and communication of data, information, knowledge, and wisdom in nursing practice

Question 4

Nurses utilize _____ through critical thinking and clinical reasoning skills to determine when and how to apply evidence-based knowledge.

A) orders
B) data
C) information
D) wisdom

Question 5

What are some of the expected outcomes in the client domain of nursing data? (Select all that apply.)

A) Patient satisfaction
B) Achieved care outcomes
C) Continuity of care
D) Level of dependency
E) Intensity of nursing care

Question 6

The formal process of using patient data for providing evidence for the design of care protocols is termed:

A) evidence-based practice.
B) practice-based evidence.
C) data analysis.
D) effectiveness research.

Question 7

Which of the following statements are true regarding health information technology (HIT) applications in nursing services? (Select all that apply.)

A) HIT involves nursing administration, clinical informatics, and effectiveness research.
B) Health information data allow nursing leaders to make informed decisions regarding patient care.
C) HIT is used primarily for financial decision making.
D) Clinical decision support utilizes tools for downloading, collecting, organizing, and analyzing data.
E) HIT is used by senior leaders only.

Question 8

Nursing data need to include which of the following domains?

A) Fiduciary data
B) Outcome data
C) Client data
D) Tertiary data

Question 9

Nursing outcome databases are critical because nurses must be able to:

A) assess the differences between an associate degree in nursing and a bachelor's of science degree in nursing.
B) compare interventional care strategies between physicians.
C) evaluate nurse's aide- and licensed practical/vocational nurse-sensitive outcomes.
D) measure how nurses influence patient outcomes.

Question 10

Nursing's data needs fall into four domains. Which of the following statements accurately describe the sources for data in each of the domains? (Select all that apply.)

A) Client data is located in the client's health care record.
B) Provider data refers to physicians and is located within the medical board.
C) Administrative data is located in registry and regulatory performance data.
D) Research data is only available with informed consent.
E) Existing and newly gathered data can be a source of obtaining research information.

Question 11

It is estimated that nurses spend approximately _____ of their time documenting information in the EHR.

A) 7%
B) 17%
C) 20%
D) 35%

Question 12

The first person to analyze patient outcomes associated with nursing care delivery was:

A) Clara Barton.
B) Dorothea Dix.
C) Florence Nightingale.
D) Luther Christman.

Question 13

The implementation of an electronic health record (EHR) could enhance patient care by facilitating:

A) communication across the health care continuum.
B) diabetes mellitus education and ongoing care delivery.
C) one-on-one counseling between the provider and the client.
D) physical and occupational therapy dispensing errors.

Question 14

Effectiveness research:

A) is the study of relationships among health care problems.
B) provides solutions to serious global health care issues.
C) reflects sound, reliable, and valid data that can be examined closely.
D) supplies data that are critical and worthy of gathering.

Question 15

The collection of data to measure performance is required by:

A) the Health Insurance Portability and Accountability Act (HIPAA).
B) the Centers for Medicare & Medicaid Services.
C) The Joint Commission (TJC).
D) Health Information Technology.

Question 16

The Office of National Coordinator for Health Information Technology (HIT) was created by:

A) President Barack Obama.
B) President George W. Bush.
C) Hillary Clinton.
D) President Bill Clinton.

Question 17

The data analysts within a health care organization pull core measure data from patient records on a quarterly basis. This data is then analyzed and collated into a report that is uploaded to TJC for analysis of adherence to core measure requirements. This is an example of:

A) health information exchange (HIE).
B) effectiveness research.
C) health information management.
D) management information systems.

Question 18

Which of the following statements best describes a desirable characteristic of a good management information system?

A) Data should be sorted and labeled within 2 weeks.
B) For accurate interpretation, data should reflect a health bias.
C) Information gathering should be comprehensive and cost-effective.
D) The management information system operating system should be Windows-based.

Question 19

The Nursing Minimum Data Set (NMDS) was designed to:

A) determine differences in care delivery between the holder of an associate degree in nursing and a bachelor's of science in nursing.
B) evaluate the nursing language of NANDA, Nursing Interventions Classification, and Nursing Outcomes Classification.
C) provide data for leaders to make decisions about staffing patterns.
D) standardize the collection of nursing data across populations.

Question 20

In the provider domain, what are some of the variables that are used to measure variability in nursing? (Select all that apply.)

A) Certification
B) Hours of work
C) Education level
D) Years of experience
E) Attitudes and beliefs

Question 21

What are the roles of nursing informatics specialists? (Select all that apply.)

A) Data analysis and reporting to governmental agencies
B) Participation in education of nursing staff
C) Providing direct patient care
D) Providing information and evidence-based knowledge
E) Supporting clinical decision making

Question 22

Nurse managers utilize outcomes data to make decisions about nursing care effectiveness. Which NMMDS data elements would be most effective in evaluating nursing care? (Select all that apply.)

A) Nursing diagnosis
B) Turnover
C) Population served
D) Client accessibility
E) Intensity of nursing care

Question 23

According to the ANA, what elements are viewed as a relationship continuum as nurses apply them in decision making? (Select all that apply.)

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

Question 24

The goals of meaningful use include: (Select all that apply.)

A) improve quality of care and safety.
B) engage patients and their families in care.
C) improve population health.
D) reduce costs associated with health care.
E) improve care coordination.

Question 25

What are the primary purposes and benefits of EHRs? (Select all that apply.)

A) Single source of clinical, financial, and legal record
B) Electronic format supports the storage and exchange of continuity of care
C) Available within the health care facility to ensure confidentiality
D) Originate from a single place
E) Virtual record of retrospective, concurrent, and prospective information

Question 26

Successful implementation of a health information system requires a great deal of time, education, and support. The process will require which of the following expertise within the organization? (Select all that apply.)

A) Quality experts
B) Marketing specialists
C) Clinical nurse leaders
D) Nurse informaticians
E) Nurse managers