Exam100+ QUESTIONS & ANSWERS /
ADVANCED FOR CARE OF FAMILY|AGRADE
Ishikawa Diagram (Fishbone) - ANSWER//Used for brainstorming and to help identify
root causes for performance improvement by visualizing causes and effects. The effect
is the "head" and the causes are the
"bones"
Root Cause Analysis - ANSWER//Structured method to analyze serious adverse
events.
Identifies underlying problems that increase the likelyhood of errors (retrospective
approach)
FOCUS Model and PDCA - ANSWER//An preformance improvement model
F- find a process to improve
0- organize an effort
C- clarify current knowledge
U- understand process variation/capability
S- select a strategy for continious improvement
PDCA: repetitive process during FOCUS stages
Plan - Do - Check - Act
Turley's Model of Nursing Informatics - ANSWER//Nursing Informatics is is the center of
computer, cognitive, and informations sciences under the umbrella of Nursing Science
Lewin's Theory of Change - ANSWER//Used infacilitating change, the concepts of this
theory include: Unfreezing - Movement - Refreezing
Driving and restraining forces
Deals with disconfirmation
Cogintive redefinition
Creation of psychological safety or overcoming learning anxiety
Lean Six Sigma - ANSWER//Focus on removing wasteful practices and making
processes smoother and more efficient
Six Sigma - ANSWER//Used for process improvement. Project increase quality and
yield while reducing defects and variations.
Define, Measure, Analyze, Improve, Control
Leapfrog Group - ANSWER//Triggers giant leaps in the safety, quality, and affordability
of healthcare by:
- supporting informed healthcare decisiona
- promoting high-value healthcare through
incentives and rewards
Good Leapfrog scores - more patients
Regulatory and Accreditation Requirements - ANSWER//-Joint Commission
,-Centers for Medicare and Medicaid Services
(CMS)
,-Meaningful Use
-HITECH (health information technology for
economic and clinical health)
-Affordable Care Act
-ADA regulations (Americans with Disabilities Act)
Models Supporting Practice - ANSWER//Data: 1st step of database design; conceptual
design
Workflow: Swimlane models, Lean Six Sigma, value
stream mapping
Predictive: (Analytics) used to predict future
outcomes
Ludwig Von Bertalanffy Systems theory - ANSWER//The Nursing Informatics specialist
must understand the fundamentals of systems and how systems affect the decision-
making process; closed versus open systems
Shannon-Weaver Model of Communication Theory - ANSWER//Sender - Message -
Receiver
Obstacles to effective communication:
- Interference (noise)
- Facilitation
- Block (body language, assumptions)
Communication is a continuous loop
Maslow's Hierarchy of Needs - ANSWER//Depicted as a pyramid, needs listed from the
base of the pyramid to the top. Based on importance to survival.
Physiological needs
Safety
Social
Self-Esteem
Self-actualization
Cognitive Theory - ANSWER//-Learning process may be unique to the student
-Learning involves mental associations that cannot
be observed
-Knowledge is organized
-Learning relates information to experience
Benner's Stage's of Clinical Competence
Novice to Expert Nurse - ANSWER//Novice: little experience, rule-governed
Advanced Beginner: some experience with new
situations
Competent: ability to master new situations, needs
extra planning time, lacks flexibility
Proficient: thinks holistically, relies on experience,
, adaptable
Expert: wealth of experience, acts intuitively
Computer Science - ANSWER//Foundation of NI; the study of the principles and the use
of computers.
Information Science - ANSWER//Foundation of NI; the study of processes for storing
and retrieving information, especially scientific or technical information.
Cognitive Science - ANSWER//Foundation of NI; much of learning cannot be observed
or predicted, in that, the individual is processing information based on experience,
associations, and subjective interpretation
Nursing Science - ANSWER//Foundation of NI; the ethical application of knowledge
aquired through education, research and practice to provide services and interventions
to patients in order to maintain, enhance, or restore their health; to advocate for health,
and to aquire, process, generate, and disseminate nursing knowledge to advance the
nursing profession
Data Standards - ANSWER//standards that provide a common language and set of
expectations that enable interoperability between systems and/or devices
Interoperability - ANSWER//The ability to exchange data in a meaningful and
comparable way
Metadata - ANSWER//Data about Data
- a set of data that describes and gives information
about other data
- describes content, quality, condition and other
characteristics of the data
Semantic Representation - ANSWER//Relating to meaning in language or logic
- the study of meaning in language
-pertains to the meaning or interpretation of a
word, sign or other representation
Taxonomies - ANSWER//The study of classification
Classification - ANSWER//Ordering of entities into groups or classes
Terminologies - ANSWER//A concept-based representation of a collection of domain-
specific terms
Nomenclature - ANSWER//Terms or labels for describing concepts in nursing;
synonymous with "vocabulary"