Question

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 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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.

9. 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

10. 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

11. 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

12. 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

13. 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

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

15. 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

16. 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

17. 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

18. 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.

19. 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

20. 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

21. 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.

22. 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

23. 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?

    1. A group of interworking networks to support health information exchange

    2. An organization that recommends the use of ICD-10 for mortality and morbidity

       statistics

    3. An agency whose purpose is to expedite standardization for international commerce

    4. An organization that sets standards for functional and semantic interoperability for electronic healthcare data

24. 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

25. 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

26. E. Diagnosis-related groups (DRGs)

Answer 1

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?

D) Use of case studies to describe intervention effectiveness

2. 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?

B) healthcare information technology

3. 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?

B) DataFerrett

4. 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?

5. 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.

C) Reading source documents for new guidelines
A) Subscribing to clinical practice journals
B) Attending professional meetings

6. 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

7. 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?

C) National Institute of Nursing Research

8. An electronic medical record is best described as a:

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

9. 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 C) Computer technology

10. 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

11. 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 D) Greater effectiveness in treating a client's disease

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?

D) Confidentiality

13. 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

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

C) Desire by consumers for increased responsibility

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

C) Variable sponsorship

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

B) Accessibility

17. 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.

18. 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?

D) 67

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

D) Information transmission and reception for use

20. A nurse reviewing statistics on global morbidity and mortality rates understands that this information is based on:

B) ICD-10 codes.
C) ICD-11 codes.

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

(C) Health Level Seven

22. 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

23. 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?

C) Workflow management

24. 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) E) Diagnosis-related groups (DRGs)