Deck 4: Information Systemstechnology and Patient Care Technology for the Improvement and Transformation of Health Care

Question 1

Which option best describes informatics?

A)A science that drives innovation
B) A process of retrieving information
C)The use of computers in nursing practice
D)The development of electronic health records

Answer 1

A

Question 2

Which option best describes health informatics?

A)A broad term including the application of research and informatics in healthcare
B) A specific term to address the use of an electronic health record in practice settings
C)The use of information to help drive health practices and policies in the hospital
D)The development of databases to allow for information dissemination for nurses

Answer 2

A

Question 3

Which factor has contributed to the rapid implementation of EHRs over the last decade?

A)Individual demand for technology
B) Local preference for EHR systems
C)National initiatives and incentives
D)Practitioner support and preference

Answer 3

C

Question 4

Which model guides nursing informatics?

A)Nursing and Nursing Informatics Model
B) Healthcare and Computer Science Model
C)Computer, Knowledge, Information, and Patient Model
D)Data, Information, Wisdom, and Knowledge Model

Question 5

The current electronic health system is described as

A)data-rich-information-poor.
B) easy to use and convenient.
C)challenged and incomplete.
D)information-heavy.

Question 6

Why does nursing data need to be stored in a standard format?

A)To ensure similar assessment and treatment methods
B) To make it measurable and retrievable
C)To detail patient needs for research
D)To ensure all nurses utilize the same vocabulary

Question 7

Which foundational level of education is needed to sit for ANCC informatics nursing board certification?

A)Master's degree in a computer related field
B) DNP specialist in any nursing-related field
C)Master's degree in any nursing-related field
D)DNP degree in the nursing informatics field

Question 8

Which statement best describes the focus of consumer health informatics (CHI)?

A)A focus on patients and the health information technology
B) An initiative to educate patients on the use of computer systems
C)An initiative to replace all consumer interaction with technology
D)A focus on physicians entering consumer data in computer systems

Question 9

Which factor is the most significant issue preventing mobile health apps from allowing consumers to upload data directly to their electronic health records?

A)Privacy and security concerns
B) App and EHR communication
C)Lack of interest by consumers
D)Broadband access limitations

Question 10

Nursing Informatics is a special field recognized by the ANA and which other professional organization?

A)AACN
B) IOM
C)NONPF
D)AHRQ

Question 11

Outcomes management is the use of data to change healthcare practices.

Question 12

Well-designed technology allows nurses to focus on care-giving functions.

Question 13

A single data point is useless unless evaluated in the context of additional data.

Question 14

The Health Information Technology for Economic and Clinical Health (HITECH) mandated the use of EHRs in all metropolitan health systems.

Question 15

After the introduction of HITECH, 50 percent of hospitals and health systems implemented EHRs.

Question 16

Combining clinical expertise and informatics assists the nurse to improve quality care and patient outcomes.

Question 17

The ANA has recognized five different reference terminologies to assist with data interoperability.

Question 18

One foundational benefit to telemedicine is improved quality of care.

Question 19

Patient engagement has been referred to as the ___________ drug of the century.

Question 20

Match the characteristics of big data to their description:
-Volume

A)The size of data
B) The rate at which data is generated
C)The level of uncertainty of the data
D)The importance of the data
E)The different types of data

Question 21

Match the characteristics of big data to their description:
-Variety

A)The size of data
B) The rate at which data is generated
C)The level of uncertainty of the data
D)The importance of the data
E)The different types of data

Question 22

Match the characteristics of big data to their description:
-Velocity

A)The size of data
B) The rate at which data is generated
C)The level of uncertainty of the data
D)The importance of the data
E)The different types of data

Question 23

Match the characteristics of big data to their description:
-Veracity

A)The size of data
B) The rate at which data is generated
C)The level of uncertainty of the data
D)The importance of the data
E)The different types of data

Question 24

Match the characteristics of big data to their description:
-Value

A)The size of data
B) The rate at which data is generated
C)The level of uncertainty of the data
D)The importance of the data
E)The different types of data

Question 25

Discuss the emerging role of the DNP-prepared informaticist. What unique skills will the doctor of nursing practice bring to nursing informatics?

Question 26

Discuss how the use of mobile apps can improve the Big Data available to transform healthcare. What problems could be present in the data from the mobile apps?

Question 27

Discuss the technologies commonly identified as improving quality of care. Indicate the purpose of each and how each improves the quality of care.

Question 28

Rebecca Freeman stated, "Success is often less about the 'IT' itself and more about implementation, documentation, culture, analytics, training, workflows, and interdisciplinary engagement." Explain what you feel Freeman means by this statement.

Question 29

Describe the differences in nursing informatics and consumer health informatics.

Question 30

What is the purpose of nursing informatics?

A) To apply information technology to deliver healthcare services
B) To evaluate new biomedically motivated methods
C) To combine nursing science with analytical sciences to use, process, understand, and evaluate data to inform decision making
D) To enhance the use of technology within healthcare settings

Question 31

A nurse takes a fasting blood glucose level of a patient with Type 2 diabetes and finds that it is 142 mg/dL. Which step of the nursing informatics meta-model does this reflect?

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

Question 32

Which of the following steps in the nursing informatics meta-model would have the greatest complexity and would involve the greatest number of interactions and interrelationships?

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

Question 33

Which of the following would be an example of Big Data?

A) Data collected from a single hospital to assess the relationship between maternal age and birthweight
B) Data collected from surveys in a physician's office waiting room
C) Data collected from a mobile health application across patients in 10 hospitals
D) Data collected from a focus group to assess attitudes toward cancer treatments

Question 34

Which step or steps in the meta-model for nursing informatics involves interpreting data?

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

Question 35

HITECH contributed to the rapid implementation of electronic health records (EHRs) by doing which of the following?

A) Providing discounts for the implementation of EHRs
B) Proving training for the implementation of EHRs
C) Providing rewards for attesting to meaningful use of certified EHRs
D) Providing technical help to hospitals and eligible providers

Question 36

Which of the following is true regarding the use of nursing electronic health record (EHR) data?

A) EHR data is standardized across all medical facilities.
B) EHR data is frequently used for translational research.
C) EHR data can be described as data-rich-information-poor.
D) EHR data is commonly used in clinical data repositories.

Question 37

Which of the following is one of the terminologies of choice to support data interoperability across systems?

A) ANA
B) ONC
C) DRIP
D) SNOMED-CT

Question 38

Which type of informatics focuses on the patient and the interaction with health information technology?

A) Public health
B) Clinical
C) Nursing
D) Consumer health

Question 39

A patient has difficulty reading the comments written by the physician in their health record. Which of the following initiatives would be of most help to the patient?

A) My HealtheVet
B) Blue Button initiative
C) OpenNotes
D) HealthRead

Question 40

A rural community has limited access to health care. Which type of consumer health technology would be most helpful for the community?

A) Personal health records
B) Telehealth
C) Mobile health
D) Internet of Things

Question 41

Which of the following describes the extension of internet connectivity into physical devices and everyday objects?

A) Quantified Self movement
B) Internet of Things
C) mHealth
D) Consumer health informatics

Question 42

Which of the following is true about quality metrics?

A) They are real-time indicators of improvement.
B) They are the leading source of outcome metrics.
C) They result in the immediate adoption of new policies and procedures.
D) They can be lagging indicators of improvement.

Question 43

Which of the following dimensions contributes to the highest number of errors that decrease quality and safety of health information technology?

A) Human computer interface
B) Clinical content
C) People
D) Hardware and software

Question 44

A study uses mHealth applications to assess depressive symptomology at various time points throughout the day. The researcher realizes that the time points are not consistent among participants. Which category would be used to describe this type of error?

A) Clinical content
B) Human computer interface
C) People
D) External factors

Question 45

Which of the following represents the majority of the EHR/HIT change life cycle?

A) Building and testing
B) Clinical informatics
C) Process and people work
D) Application

Question 46

The data available from the current electronic health system is readily available and easily interpretable.

Question 47

Telehealth refers to using technology for a clinical diagnosis and monitoring.

Question 48

Metrics to evaluate pre- and post-implementation processes often come from electronic health records.

Question 49

Consumer health informatics was developed in response to consumer demand and an increased interest in Big Data.