1
Q
When designing clinical Systems, the nurse informaticist must consider the availability and reliability because:
- Most systems crash for no reason
- Stakeholders demand 24 hour access
- Most systems are in use 24 hours a day but need some planned down time
- There are legal penalties for downtime
A
Most systems are in use 24 hours a day but need some planned down time
2
Q
The nurse realizes that client server architecture has four benefits: scalability, can support many types of clients, can use Internet standards to separate the logical components, and:
- Creates a more reliable network
- Provides cloud computing opportunities
- Is easier to secure
- Allows more techniques to support the system
A
Creates a more reliable network
3
Q
While conducting a requirement analysis, the nurse informaticist (NI) will follow a process of understanding the existing situation identifying improvements, and:
- Defining requirements for a new system
- Developing a consensus agreement
- Conducting a needs assessment
- Determining alternate approaches
A
Defining requirements for a new system
4
Q
In developing the requirements list, the nurse informatician interacts with the network administrator and the hardware manager to determine:
- The risk list
- The functional requirements
- The technical requirements
- The usability requirements
A
The technical requirements
5
Q
Some of the most common techniques used by the nurse informatician to gather requirements include interview, survey, and;
- Focus group
- Discussion
- Filming
- Observation
A
Observation
6
Q
As information technology becomes more pervasive in healthcare settings and the need for access increases, the Informatics Nurse Specialist must advocate for:
- System optimization
- Generic user ID’s at all times
- Reliability and availability
- Paper-intensive systems
A
Reliability and availability
7
Q
The Informatics Nurse is evaluating the usability of a new system. This nurse will evaluate:
- The speed of the processor
- The size of the screen
- The ease of learning the system
- The coverage of the data elements
A
The ease of learning the system
8
Q
Lee County Public Health Clinic is implementing an electronic health record (EHR). During the implementation process, clinic managers are also streamlining several care processes. How do the changes in process impact training?
- Training staff should direct staff member complaints about EHR procedures to clinic managers.
- Trainers should gather staff feedback about the proposed changes in care processes.
- The training should promote how to use the EHR in support of care tasks.
- Including process change into the training plan will distract students from mastering the EHR.
A
The training should promote how to use the EHR in support of care tasks.
9
Q
The computerized provider order entry (CPOE) system that the nurse informatician (NI) is designing will be used by the majority Of end users between 10 a.m. and 2 p.m. every workday. It is necessary that the NI conduct:
- Simulation modeling
- Capacity requirements testing
- End user training
- Speed requirements testing
A
Capacity requirements testing
10
Q
During the planning phase of the Systems Development Life Cycle, the nurse informaticist may contribute to the development Of the project charter, which helps to establish:
- The norms and ground rules
- The results of feasibility studies
- The staffing levels
- The reason the project is occurring
A
The norms and ground rules
11
Q
As a part of implementing an electronic health record system, the implementation team is setting up user accounts. How does knowing a user’s role (e.g., nurse, physician, coder) help the hospital remain HIPAA compliant?
- The role prevents a staff member from documenting in the wrong area Of the chart.
- Access to electronic health information can be limited based on a user’s role.
- The role allows managers to ensure staff members work within their scope of practice.
- User roles can be tracked through the audit log.
A
Access to electronic health information can be limited based on a user’s role.
12
Q
The Informatics Nurse is evaluating the human-computer interaction (HCI) factors related to a new system. This nurse will evaluate:
- The accuracy of the data entered
- The implementation involvement Of the user
- The speed of the processor
- The cognitive processing of the user
A
The cognitive processing of the user
13
Q
Human Resources would like to hire an Informatics Nurse Specialist (INS). They will look for a nurse who:
- Has worked in informatics for 5 years and has a BSN
- Has a certificate and has worked for six months
- Has worked as an analyst for one year and has a MSN
- Has an aptitude for technology and many years of clinical management experience
A
Has worked as an analyst for one year and has a MSN
14
Q
A research coordinator requests access to the electronic health record to look for potential candidates for a study. The nurse informaticist must assess the:
- Ethical use of data and application of security standards
- Beneficence of the research
- Patient waivers allowing universal access
- Validity of the study to the population
A
Ethical use of data and application of security standards
15
Q
Periodically, a hospital should examine existing vulnerabilities in regard to how patient health information is stored, accessed, and transmitted within and Outside the Organization. What is this process called?
- Risk assessment
- Security screening
- Personal health information concurrence
- Audit trail validation
A
Risk assessment
16
Q
After reviewing all information available on a patient within an electronic health record and performing an assessment, the nurse chooses an intervention based on:
- Preference
- Education
- Knowledge
- Wisdom “
A
Wisdom
17
Q
The nurse informatician (NI) is working on the beginning tasks of Implementation. The NI should be engaged in:
- Supporting
- Building
- Testing
- Training
A
Training
18
Q
The nurse informaticist is aware that the analysis phase answers the question of what the System will do, while the design phase addresses:
- When will this happen?
- How will it work?
- What changes will it bring?
- What will it look like?
A
How will it work?
19
Q
Server-based architecture has an advantage in that:
- It is easy to monitor
- It is easier to develop
- It provides a single location for all data
- It costs less
A
It provides a single location for all data
20
Q
In an effort to execute a project management plan with a lengthy time frame more efficiently, the nurse informatician may use this method:
- The Waterfall Method
- The V Method
- The Parallel Development Method
- The Case Method
A
The Parallel Development Method
21
Q
The Informatics Nurse is concerned with ergonomics as part of Human Factors. One assessment made will be:
- That the placement of a keyboard can be raised to the correct height for each user
- That the cart can be used for 12 hours without charging
- That the design follows the flow of thought
- That the vital signs graph aligns all measurements in a row
A
That the placement of a keyboard can be raised to the correct height for each user
22
Q
The nurse informatician is engaged in security testing, which affects how all the modules work together because it impacts what a user is permitted to do. This would be a/an:
- Unit test
- Systems test
- Integration test
- Acceptance test
A
Systems test
23
Q
Madison Health System is implementing an electronic health record (EHR) across its inpatient areas. All healthcare professions (physician, nurse, nutritionist, physical therapist, etc.) are expected to use the EHR. As an implementation team prepares to customize the EHR, how
would a model such as the Fit between Individuals, Tasks, and Technology (FITT) aid in its design effort?
- Models direct attention to the many factors that impact the user experience.
- Models show the implementation team how to arrange the data input fields.
- Models help the implementation team capture its experiences for a future publication.
- Models provide a guide with which to develop interfaces to peripheral devices.
A
Models direct attention to the many factors that impact the user experience.
24
Q
Physicians at Clarion Hospital note that vital signs data collected during morning rounds may not be present in the electronic health record until late in the afternoon. The hospital undertakes a project to improve nurses’ point-of-care documentation and is considering various mobile computing devices including computers on wheels, laptops, and tablets. What will the hospital learn from an ergonomic assessment?
- How many electrical outlets will need to be added to patient care its.
- The maximum distance at which the hospital can distribute wireless access points.
- Where mobile equipment will need to be stored.
- The safety risk imposed by pushing or carrying mobile devices.
A
The safety risk imposed by pushing or carrying mobile devices.
25
Due to competing demands for new system requests, the nurse informatician is aware that it will be very important to demonstrate:
- How the system can be supported
- How the System will meet the strategic planning needs of the organization
- How the system will benefit the community
- How the system will be easy to use for the end users
How the System will meet the strategic planning needs of the organization
26
The nurse reviews all information related to a specific patient and formulates a plan to address the issues. However, because of patient-specific circumstances, the nurse must make adjustments to the plan. This nurse is utilizing:
- Knowledge
- Information
- Data
- Wisdom
Wisdom
27
A requirement is a key component of the System Development Life Cycle in that it describes:
- How the database is to be managed
- The sections of the use case
- What the system must do
- The Human Resource needs of the project
What the system must do
28
One of the primary tasks of the nurse informaticist in the planning phase, which contributes to control Of the project, is to develop a:
- Tight PERT chart
- Detailed business case
- Team-development diagram
- Clear scope statement
Clear scope statement
29
During implementation of an electronic health record, Tanger Hospital will need to identify the types of patient information needed for oncology care. Why does the nursing informaticist ask for oncology staff nurse participation for this implementation task?
- Nurses will identify the ideal placement of computers.
- Nurses will know how best to improve adoption among their colleagues.
- Nurses gather, use, and make decisions based on patient data.
- Nurses will identify which doctors will have difficulty with the system.
Nurses gather, use, and make decisions based on patient data.
30
The chief nursing officer is considering an upgrade to the electronic health record system used within the hospital. She asks the nursing informaticist to give an opinion about this proposal. What is one of the first things the informaticist should consider?
- How will the upgrade support the hospital's strategic plan?
- How will the training team manage the increased demand for user training?
- Who will manage contract negotiations to ensure the hospital received the best pricing?
- Will the upgrade fit within the organization's other technology implementation plans?
How will the upgrade support the hospital's strategic plan?
31
The analogous focus of the Informatics Nurse Specialist compared to the nurse when considering the nurse, patient, health, and environment continuum is:
- Information source, information goal, and information store
- Information user, information recipient, and information exchange
- Information user, information goal, and information exchange
- Information source, information label, and information store
Information user, information recipient, and information exchange
32
The nurse informaticist in an executive or chief information officer role may be:
- Building coalitions of users
- Communicating with end users
- Managing phases of the lifecycle
- Developing national strategic policy
Developing national strategic policy
33
The nurse informatician has gathered a group of end users who will test scenarios in a clear test region of the system. In the Systems Development Life Cycle process, this is known as:
- Alpha testing
- Gamma testing
- Delta testing
- Beta testing
Alpha testing
34
The scope of a project has been developed and the feasibility has been approved. One of the first activities that the nurse informaticist will do is to conduct a:
- Walkthrough of the system
- A risk mitigation plan
- An ""as is"" workflow
- An analysis of needs
An "as is" workflow
35
Hope Hospital purchased and installed a new software application designed to provide best practice evidence to nurses. Following implementation and an aggressive marketing campaign, fewer than 6% of nurses who have access to the system have logged in to use the system. In this situation, the nurse informaticist suggests a short, intensive training program. What is the primary objective of the training program?
- Trainers can assess nurses' attitudes about the software.
- Training is an opportunity for nurses to point out system deficiencies.
- Training sessions give the hospital an opportunity to discuss why the system was implemented.
- Training may improve nurses' software skills and positively impact system use.
Training may improve nurses' software skills and positively impact System use.
36
One of the key attributes of an Informatics Nurse Specialist in the role of project manager is:
- Management experience
- Technical skill
- Budgetary oversight
- Effective communication
Effective communication
37
The nurse informatician (NI) realizes that the end users need a system that is ""fast"". This will require the NI to carry Out:
- Capacity requirements testing
- Vendor examinations for response time
- Speed requirements testing that meets or exceeds the limit
- Surveys of Other companies using the software
Speed requirements testing that meets or exceeds the limit
38
The nurse informatician (NI) is managing a project that is considered high risk. The NI is advocating a conversion of only one unit and a time period of observation before moving forward. This is known as a:
- Rollout approach
- Pilot conversion approach
- Delayed go-live approach
- Phased-in approach
Pilot conversion approach
39
The nurse informaticist in a midlevel leadership position may be:
- Wiring a network and testing for breaches of security
- Repairing hardware and networks
- Supervising and gathering end user requirements
- Caring for patients using technology
Supervising and gathering end user requirements
40
The nurse informatician (NI) is responsible for managing the tasks of a direct conversion and must prepare support tactics. The NI realizes that this means a:
- Quick, abrupt change for the end users
- Gradual change for the end use rs
- Phased-in change for the end users
- Rolled-out change for the end users
Quick, abrupt change for the end users
41
Nursing Administration is concerned with patient intensity and nurse staffing levels. The Informatics Nurse Specialist becomes aware of this concern and approaches administration first with:
- The workflow diagrams
- Identification of a technology opportunity
- The technology solution
- A budget for a team
Identification Of a technology opportunity
42
An economic feasibility analysis should answer the question:
- Can we build it?
- Do we need it?
- Should we build it?
- Will they use it?
Should we build it?
43
The Informatics Nurse Specialist involved in helping end users to optimally interact with a new system must use the principles of:
- Group formation
- Adult education
- Computer training
- Group leadership
Adult education
44
The adult intensive care unit is working to decrease the incidence of catheter-acquired urinary tract infection. The quality improvement (Q) team has identified electronic health record data it will use to measure the outcome of its quality improvement project. However, the team is
concerned about the negative impact of inconsistent nurse documentation. In terms of organizational and unit goals, what is an effective strategy a nurse manager could use to improve the quality and completeness of nurses' documentation?
- The QI team should conduct a documentation training session.
- Notices in the staff break room can remind nurses about the quality improvement project.
- The Q project should be discussed at every staff meeting.
- Performance appraisals could include electronic health record documentation standards.
Performance appraisals could include electronic health record documentation standards.
45
A nurse informaticist developing a uniform graphical display of vital signs, medications administered, and pain levels is applying the concept of:
- Formation of knowledge
- Provision Of information
- Development of legal documentation
- Management of care maps
Formation of knowledge
46
When engaged in system integration, the NI must be aware of:
- The concerns of the end users
- The concerns of the stakeholders
- The concerns about data integration
- The concerns about time management
The concerns about data integration
47
The nurse informaticist will participate in feasibility studies during the planning phase of the Systems Development Life Cycle. The NI will explore:
- Technical, economic, and operational feasibility
- Theoretical, economic, and organizational feasibility
- Technical, economic, and organizational feasibility
- Technical, logical, and organizational feasibility
Technical, economic, and operational feasibility
48
Southwind Hospital is implementing an electronic health record (EHR) in all its patient care units. It is one week post go-live in the cardiac intensive care unit and its two associated stepdown units. How will data from the help desk affect the training and support planned for
the next units in the implementation schedule?
- Analyzing help desk calls may indicate where new users had trouble working with the EHR.
- As help desk calls decline, user interface developers will have less work and could be assigned to new projects.
- Examining help desk call volume will indicate which work shifts may require additional manpower.
- The implementation team will know users have accepted the EHR when the number of help desk calls dedines.
Analyzing help desk calls may indicate where new users had trouble working with the EHR.
49
A nurse informaticist developing a graphical display of vital signs over time for individual patients is applying the concept of:
- Formation of evidence
- Depiction of accurate data
- Representation of outcomes
- Construction of information
Construction of information
50
As a part of improving medication safety at Central Hospital, physicians and nurses complete medication reconciliation within the electronic health record (EHR). An audit of EHR documentation indicates that the reconciliation process is inconsistently completed by both types of care providers. How would using an improvement method, such as failure modes and effects analysis (FMEA), improve the implementation of medication reconciliation?
- Improvement methods help the implementation team identify processes that do not support care tasks.
- Improvement methods guide how quality improvement data should be displayed during meetings.
- When implemented properly, improvement methods coordinate necessary financial support for long-term quality projects.
- Improvement methods guarantee better patient outcomes.
Improvement methods help the implementation team identify processes that do not support care tasks.
51
The Informatics Nurse (IN) is working to bring in a computational nursing terminology. The operating room nurses need to use the Perioperative Nursing Data Set (P NDS) and the medical surgical nurses must use the Nursing Intervention Classification (NIC) and the Nursing Outcomes Classification (NOC). The IN can unify this by mapping to:
- ICD 10
- HL7
- CPT
- SNOMED CT
SNOMED CT
52
The Department of Nursing wants to decrease the occurrence of patient falls at Clark Hospital. Based on nurses' documentation in the electronic health record, the system will calculate each patient's daily falls risk score, display a warning, and recommend strategies to prevent falls based on the patient's score. Why would the nurse informaticist on the project examine nurses' current documentation practices?
- An assessment will determine nurses' attitudes about the process improvement plan.
- The informaticist can report nurses who have incomplete documentation.
- An assessment will identify gaps in current completeness and the timing of the documentation process.
- The informaticist will obtain Risk Management's approval to use patient data.
An assessment will identify gaps in current completeness and the timing of the documentation process.
53
The nurse informatician is preparing for the testing cycle. One of the first tasks to complete is development of the plan. This will require building:
- Test cases
- Screens
- Servers
- Directions
Test cases
54
The Informatics Nurse Specialist is interested in promoting the use of a developing health information exchange in the community. A core activity that contributes to this process is:
- Contracting
- Technical writing
- Advocacy
- Fiscal accounting
Advocacy
55
In the planning phase, after the time frame and tasks have been established, the nurse informaticist (NI) project manager will begin to:
- Develop a consultant list
- Develop job descriptions
- Develop a staffing plan aligned with roles that need to be filled
- Determine who will be on teams
Develop a staffing plan aligned with roles that need to be filled
56
The emergency department is adding additional treatment rooms. They document care in an electronic medical record system. What is a first step the nurse informaticist should take to plan for data entry in these treatment rooms?
- Ask the nurse manager to list the number Of computers he or she wants for the new space
- Observe the current pattern of data entry in existing treatment rooms
- Check hospital inventory levels to see what computers are already available
- Check the project budget to determine funding available to buy computers
Observe the current pattern of data entry in existing treatment rooms
57
The nurse informaticist participating in a system selection gathers data to form information. The nurse informaticist then develops knowledge about the vendors by:
- Reading the Web site information
- Making a site visit to multiple users Of equal size
- Interviewing all users on the phone and asking questions
- Gathering all scores together from all evaluations and demonstrations and creating a scale
Gathering all scores together from all evaluations and demonstrations and creating a scale
58
During the design phase, the nurse informatician may be involved in systems integration development because:
- Often you need a backup system in case the system does not work
- Often you need to integrate a legacy system with new systems
- Often the stakeholders choose one system and then do not use it
- Often you cannot determine which system to use
Often you need to integrate a legacy system with new systems
59
Mercy hospital is transitioning from a paper-based patient record system to an electronic health record system. The nursing informaticist on the project will draft a policy that describes Mercy's administrative, physical, and technical measures to protect electronic personal health information. Which law should be the primary source for this document?
- Health Insurance Portability and Accountability Act
- Patient Protection and Affordable Care Act
- Medicare and Medicaid Extenders Act of 2010
- Gramm-Leach-Bliley Financial Modernization Act
Health Insurance Portability and Accountability Act
60
Not only did the Health Information Technology for Economic and Clinical Health (HITECH) Act provide expectations for the implementation and use of electronic health records, it also added requirements for the protection of personal health information (PHI). Based on these requirements, why would the nurse informaticist evaluate the audit trail for each system containing PHI?
- To create an accounting of who had access to health information
- To validate interoperability for Health Level Seven (HL7) interfaces
- To facilitate tracking of adverse reactions to medications
- To allow the billing department to track source documentation
To create an accounting of who had access to health information
61
During the analysis phase of the Systems Development Life Cycle, the nurse informatician (NI) will often develop use case diagrams. The NI understands that a key element of the diagram is the:
- Detail of each data element
- External trigger for an event
- Stakeholder approval
- Resource detail needed in the process
External trigger for an event
62
The Informatics Nurse Specialist involved in the process of developing a software solution will be involved in the requirements of development, design, iterative development, and then:
- Dissemination
- Testing
- Implementation
- Support
Testing
63
John, a nurse informaticist (N') at Highland Hospital, is working with his state's public health department to facilitate electronic delivery of communicable disease information. John's tasks include evaluating data quality, examining documentation workflow, developing queries, and
coordinating interoperability. How does this project align with the American Nurses Association's scope and standards of practice for nursing informatics?
- Supports the health of the community
- Demonstrates the NI's mastery of technical knowledge
- Underscores the need to work across organizational boundaries
- Highlights the NI's role in workflow alignment
Supports the health of the community
64
"The analysis phase of the Systems Development Life Cycle allows the nurse informatician to work with end users and champions on business process improvements that are:
- Moderate changes to the organization's operations
- Cost-saving measures
- Situational analysi s opportunities
- Radical business transformations "
Moderate changes to the organization's operations
65
The intensive care units (ICUs) of Hickory Hospital will replace their central monitoring system within the next year. ICU nurses expect that data collected by the system will automatically be available in the electronic health record. What benefit does interoperability bring to this project?
- Nurses will be alerted to changes in the patient's condition because data is trended.
- Doctors do not need to call nurses because they can log into the system remotely.
- Interoperability decreases cost to store patient data because the data will be in one location.
- Interoperability improves clinician productivity and quality of documentation.
Interoperability improves clinician productivity and quality of documentation.
66
The nurse informaticist working in the planning phase must analyze the feasibility of the project. The first study the nurse informaticist will conduct is to determine the:
- End user feasibility
- Use case feasibility
- Task identification feasibility
- Technical feasibility
Technical feasibility
67
The Informatics Nurse understands that in endeavoring to arrive at nursing knowledge, one must deal with data and information that is organized using:
- Screen builds
- Database structures
- Data entry fields
- Taxonomies and nomenclatures
Taxonomies and nomenclatures
68
The nurse informatician is engaged in testing the effect of transfers in an admission discharge transfer (ADT) module on activity of the patients listed in a census in the clinical assessment module. This would be a/an:
- Systems test
- Acceptance test
- Unit test
- Integration test
Integration test
69
The training team is preparing for the implementation of electronic health records at Four Corners Sports Medicine. The practice has a variety of care providers, including physicians, physician assistants, nurse practitioners, physical therapists, nurses, and radiology technicians. What is an important principle for the training team to keep in mind as it develops a training plan?
- The training team must inspect the training room to ensure each trainee has hers or his own computer.
- Each healthcare provider group will have different training needs based on care responsibilities.
- Training materials will need to be legible, regardless of the age Of the trainees.
- The training calendar will need to accommodate when the practice is open for patient care.
Each healthcare provider group will have different training needs based on care responsibilities.
70
The analysis phase of the System Development Life Cycle leads directly into the:
- Implementation phase
- Programming phase
- Go-live phase
- Design phase
Design phase
71
The healthcare enterprise has a large data warehouse. Nursing Administration requests a review of staffing versus length of stay for certain diagnoses. The Informatics Nurse Specialist will use:
- Data extraction and chart review
- Machine learning and statistical mining
- Data mining and machine learning methods to extract data
- Data mining and visual review techniques
Data mining and machine learning methods to extract data
72
To make the most informed healthcare decisions, nurse informaticists implement strategies to ensure the integrity (completeness, correctness, and consistency) of healthcare data. From the following list of system functions, which is designed to protect data integrity?
- A warning informs users that they have not documented vital signs in the past 4 hours.
- A pop-up window informs users when new provider orders are entered.
- High or low laboratory results display with a red asterisk.
- The system displays a confirmation message after the user saves the record.
A warning informs users that they have not documented vital signs in the past 4 hours.
73
Hansen Primary Care refers patients to Central Radiology when patients need X-rays. Rather than fax radiology results to surrounding practices, Central wants to email results and images. What role would encryption play in this process?
- Improves Central's ability to detect privacy breaches
- Allows Central to track email traffic
- Helps Central identify if referring practices open emailed results
- Allows Central to comply with privacy regulations
Allows Central to comply with privacy regulations
74
After the requirements have been gathered, the nurse informatician will work with end users and stakeholders to determine:
- The best vendors that meet the identified need
- The number of consultants and contract staff that need to be hired
- The ranking based on need for each requirement
- The differences in cost among several vendor products
The ranking based on need for each requirement
75
A first critical success factor for a project management process is:
- To develop a realistic assessment of the work to be done
- To place the champion as the project manager
- To develop training for all the staff
- To have a certified project manager
To develop a realistic assessment of the work to be done
76
Most of the processes in the beginning of the System Development Life Cycle fall into which step of the Lewin three-step change theory?
- Change
- Transition
- Unfreeze
- Refreeze "
Unfreeze
77
The end user must be able to check his or her current available vacation time while preparing his or her self-scheduling availability"" is an example of a:
- Technical mandate
- End user need
- Database requirement
- Functional requirement
Functional requirement
78
The nurse informatician working on tasks in the design phase of the Systems Development Life Cycle uses the findings of the:
- Consultant who has completed the process before
- Contract as a guide for success
- Vendor investigation and user interviews
- Analysis phase as a blueprint
Analysis phase as a blueprint
79
The NI understands that a risk to a project is scope creep. This occurs when:
- End users are allowed to be involved in the process
- Additional requirements are added to the system as users become familiar with the potential
- Vendors determine that the organization needs more functionality
- The Stakeholders decide to add another project inQ the organizational strategic plan
Additional requirements are added to the system as users become familiar with the potential
80
Mercy Health System has implemented an electronic health record (EHR) in its tertiary care hospital and in all the ambulatory care practices. What is one of the first steps Mercy should take as it plans to extend the use of the EHR into its rehabilitation hospital?
- Assess the computer literacy of all rehabilitation hospital staff
- Complete an analysis of the strengths, weaknesses, opportunities, and threats
- Budget for additional help desk staff
- Survey the facility to determine the number of computers the staff will need
Complete an analysis of the strengths, weaknesses, opportunities, and threats
81
The nurse informatician (NI) is working with unit managers to schedule meeting times with end users. This is important because the NI knows research indicates that:
- End users need to sign off on the system
- End user involvement is a key variable in IT success
- End users understand exactly what they need
- End users need to like the system
End user involvement is a key variable in IT success
82
During the organizational feasibility analysis, the NI knows that the project must also align with the strategic plan of the organization because:
- The new system goals must align with business goals
- The new system goals must align with organizational structures
- The new system goals must align with end-user needs
- The new system goals must align with the reimbursement structure
the new system goals must align with business goals
83
Once the feasibility is determined acceptable and the Steering Committee provides an approval, it will be necessary for the nurse informaticist to develop a:
- Requirements list
- Data plan
- Staff pattern
- High-level work plan
High-level work plan
84
As a part of Jones Memorial Hospital's social media policy, administrators routinely assess staff member posts in services such as Facebook and Twitter. What risk do staff posts about workday details pose to the hospital?
- Staff complaints could trigger a Labor Board inquiry.
- Staff might unwittingly expose patient personal health information.
- Negative staff attitudes may impact the ability to recruit employees.
- Staff may reveal personal information about other staff members
Staff might unwittingly expose patient personal health information.
85
"During the planning phase of the Systems Development Life Cycle, the nurse informaticist will work to understand and support a system request that primarily contains not only a description of the business need but:
- How the federal government may mandate such a system
- The potential risks of not meeting the need
- The total cost of the system and the ROI
- A clear description of how a system can support the need and provide value
A clear description of how a system can support the need and provide value
86
The nurse informatician may be involved in analyzing the business process models of the ""to be"" system and producing a graphic depiction such as:
- A data flow diagram
- A joint application design (JAD) diagram
- A request for concept
- A graphical user interface image
A data flow diagram
87
Because you are the nurse informaticist supporting the Emergency Department information system, the triage nurses tell you that documentation is taking a long time and is delaying patient care. What is one strategy you should consider to improve the situation?
- Recommend increasing the number of nurses in triage to increase patient throughput
- Remind nurses Of the reasons for electronic documentation in the Emergency Department
- Encourage nurses to confine to work in the system since the system represents a significant financial investment
- Conduct a workflow analysis to identify ways to streamline documentation
Conduct a workflow analysis to identify ways to streamline documentation
88
In preparing for implementation, the nurse informatician will write documentation guides. The best way to structure these guides is by using:
- Alphabetic names of functions
- Descriptions of all drop-down menus
- A complete list of commands
- Natural documentation topics
Natural documentation topics
89
The nurse informatician is engaged in testing the admission and discharge function. This would be a/an:
- Unit test
- Integration test
- Systems test
- Acceptance test
Unit test
90
The nurse informaticist (NI) is involved in project management during the planning phase. The NI determines that there is no internal employee with a skill set to manage a particular database. It is necessary to develop:
- A risk-assessment and a risk-mitigation plan
- A new position statement
- A recruitment plan
- A contract for a vendor
A risk-assessment and a risk-mitigation plan
91
The nurse informatician (NI) is engaged in requirements gathering. The NI realizes that this is a very important process, as it promotes:
- Building trust and rapport between the end users and IT teams
- Easy access to stakeholders
- Developing context for end user training
- Placing end users into key roles
Building trust and rapport between the end users and IT teams
92
In conducting a technical feasibility analysis, the nurse informatician must not only determine support structures available to manage the technology but also the:
- End user familiarity with the technology
- Ease Of management of deployment
- Compatibility of the new technology with that of the existing technology
- Development phase of the proposed technology
compatibility of the new technology with that of the existing technology
93
Prior to starting a project, the nurse informaticist may be asked to develop a system request that will be presented for approval to:
- The government
- The Steering Committee
- The accountants
- The consultants
The Steering Committee
94
In mass casualty events, Central Hospital's Emergency Department (ED) will stage patients in the ambulance bay for triage. During an exercise, the ED nurse manager notices that clerks are struggling to enter triage data, collected on paper, into the electronic health record. The nurse manager discusses this observation with the nurse informaticist. Why would the hospital's nurse informaticist suggest exploring mobile computing options?
- Data collected during triage can be shared with other hospitals.
- The team members can enter data as they move from patient to patient.
- Improved data capture will improve the billing process.
- Entering data directly into the computer will result in more accurate triage assessments.
The team members can enter data as they move from patient to patient.
95
The Informatics Nurse Specialist understands that a main tenet of Nursing Informatics is to:
- Serve as a fiscal manager in the project management process
- Provide the latest technology to improve efficiencies
- Respond to the regulatory mandates of secu rity
- Support clinical efforts and improve quality of care through improved information management
Support clinical efforts and improve quality of care through improved information management
96
Nursing Informatics is classified as a specialty because it has the following characteristics: Differentiated practice, professional organizations, education programs, credentialing, and:
- Leadership in policy development
- Meta structures and models
- Licensing requirements
- A clear research program
A clear research program
97
Architecture design refers to:
- What parts Of the application software will reside on what hardware
- How the system looks
- How the hardware will fit in the environment
- What facilities changes must be made
What parts Of the application software will reside on what hardware
98
The nurse informaticist (NI) is working with end users to develop a requirements list. The NI will use the systems request to:
- Determine the budget constraints
- Serve as the project scope
- Serve as a starting point that outlines the business case
- Determine the list of end users
Serve as a starting point that outlines the business case
99
When exploring the organizational feasibility, the nursing informaticist knows that one must first determine the:
- Project management team
- Project oversight group
- Project champions
- Project development Ieadership
Project champions
100
Nursing informatics is typically defined as the combination of three sciences: nursing, information, and computer. How does information science influence the design of nurses' documentation in an electronic health record?
- Evaluates the fit between data input devices and nurses' care environments
- Aligns documentation and care delivery workflow
- Determines barriers to data entry
- Examines what and how data is used by nurses
Examines what and how data is used by nurses
NI Sample Questions
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