Test Bank - The Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence 7th Edition
TEST BANK
Informatics and Nursing
Opportunities and Challenges
Jeanne Sewell
5th Edition
, Test Bank - The Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence 7th Edition
Table of Contents
UNIT I: Informatics Basics
CHAPTER 1 Introduction to Nursing Informatics: Managing Healthcare Information
CHAPTER 2 Essential Computer and Software Concepts
CHAPTER 3 Basic Computer Networking Concepts
CHAPTER 4 Social and Professional Networking
UNIT II: Computers Applications for Your Professional Career
CHAPTER 5 Authoring Scholarly Word Documents
CHAPTER 6 Authoring Scholarly Slide Presentations
CHAPTER 7 Mastering Spreadsheet Software to Assess Quality Outcomes Using Numbers
CHAPTER 8 Databases: Creating Information From Data
UNIT III: Information Competency
CHAPTER 9 Information Literacy: A Road to Evidence-Based Practice
CHAPTER 10 Finding Knowledge in the Digital Library Haystack
CHAPTER 11 Mobile Computing
UNIT IV: The Evolving Healthcare Paradigm
CHAPTER 12 Informatics Benefits for the Consumer
CHAPTER 13 The Empowered Consumer
CHAPTER 14 Interoperability at the National and the International Levels
CHAPTER 15 Nursing Documentation in the Age of the Electronic Health Record
UNIT V: Healthcare Informatics
CHAPTER 16 Nursing Informatics: Theoretical Basis, Education Program, and Profession
CHAPTER 17 Electronic Healthcare Information Systems, Electronic Health Records, and Meaningful
Use
CHAPTER 18 Design Considerations for Healthcare Information Systems
CHAPTER 19 Quality Measures and Specialized Electronic Healthcare Information Systems
CHAPTER 20 Electronic Healthcare System Issues
CHAPTER 21 Evolving Trends in Telehealth
UNIT VI: Computer Uses in Healthcare Beyond Clinical Informatics
CHAPTER 22 Educational Informatics: e-Learning
CHAPTER 23 Informatics in Management and Quality Improvement
CHAPTER 24 Informatics and Research
CHAPTER 25 Legal and Ethical Issues
, Test Bank - Informatics and Nursing: Opportunities and Challenges 5th Edition
1. The nurse is developing a plan of care for a client, integrating information from the
client's history and physical examination, laboratory and diagnostic test results, and
medications using the new informatics system adopted by the facility. The nurse
understands that informatics facilitates the task because it focuses on:
A) using computers.
B) using information technology.
C) managing information.
D) accessing the Internet.
2. An nursing informatics specialist is working as part of group tasked with evaluating the
current health information technology system in the facility. As part of the evaluation
process, the nurse is reviewing the initial strategic plan developed for the nationwide
implementation of health information technology. Which result would lead the nurse to
determine that the system has met the initial goals?
A) The use of personal electronic health records was eliminated.
B) A collaborative governance was developed to support information use for
population health.
C) Statewide adoption of the electronic health record was fostered.
D) The use of telehealth systems became significantly limited.
3. Which action would a nurse identify as the current focus of today's practice informatics?
A) Capturing data at the point of care
B) Performing secondary data analysis
C) Using aggregated data
D) Making decisions based on data
4. A nurse interested in nursing informatics is reading a journal article about early
computerized clinical information systems. Which information would the nurse most
likely find as characteristic of these early systems?
A) Two or three functions could be performed at one time.
B) Information could be shared among several departments.
C) Different software systems were created for different areas.
D) Data entry needed to be done once.
5. A nursing informatics specialist is describing the benefits of informatics to a group of
agency staff. Which would the nurse identify as a primary benefit for healthcare in
general?
A) Increase in the usability of data
B) Promotion of cost saving
C) Promotion of time saving
D) Ability to identify patterns
Page 1
, Test Bank - Informatics and Nursing: Opportunities and Challenges 5th Edition
6. A nursing informatics specialist is speaking to a group of colleagues about the benefits
of informatics for the nursing profession. Which benefits would the specialist most
likely include? Select all that apply.
A) Improvement in documentation
B) Use of data for quality control
C) Building of evidence-based knowledge
D) Increase in time needed for documentation
E) Separation of nursing information from other healthcare information
7. A nurse is presenting an in-service program on nursing informatics competencies. When
describing the need for computer fluency for nursing informatics competencies, which
would the nurse include as characterizing this concept?
A) Temporary state
B) Lifelong learning
C) Task oriented
D) Competency
8. A nursing informatics specialist is characterized by colleagues as an informatics
innovator. This nurse would demonstrate the ability to:
A) use basic desktop software.
B) generate informatics theory.
C) make judgments based on trends.
D) communicate via a computer.
9. For which is information literacy considered essential?
A) Critical thinking
B) Problem solving
C) Data evaluation
D) Evidence-based practice
10. A nursing informatics specialist is preparing an in-service program for staff on
healthcare informatics and information technology. The nurse would emphasize which
component as the focus?
A) Information
B) Computer
C) Access
D) Data storage
Page 2
, Test Bank - Informatics and Nursing: Opportunities and Challenges 5th Edition
11. A client tells the nurse, “I'm not so sure that I like the computer as my chart. I've heard
so many horror stories of security problems on the computer.” Which response by the
nurse demonstrates understanding of the recent strategic planning goals aimed at
inspiring confidence and trust in health information technology?
A) “We are doing everything possible to protect the confidentiality of your health
information.”
B) “This technology will make it possible for everyone to have use of electronic
medical records.”
C) “It might sound strange, but we can exchange information with others so your care
will improve.”
D) “By using this technology, we can provide better care because we can actually
measure the care you receive.”
12. While reading a journal article on the evolution of nursing informatics, at which time
would the nurse expect to find a discussion about the shift in definition from a
technology orientation to more of an information orientation?
A) Early 1960s
B) Late 1970s
C) Mid-1980s
D) Early 1990s
13. When reviewing a client safety database, the nurse understands that which is used?
A) Aggregated data
B) Deidentified data
C) Genomics
D) Protocols
14. When describing how new systems for information are organized, which would the
nursing informatics specialist explain as being used?
A) Process
B) Data
C) Flow
D) Increments
15. A nurse asks the nursing informatics specialist, “What is the difference between
computer literacy and computer fluency?” Which information would the nursing
informatics specialist integrate into the response?
A) Computer fluency is a temporary state.
B) Computer literacy refers to the ability to perform tasks with a computer.
C) Computer fluency is static.
D) Computer literacy involves increasing one's ability to effectively use a computer.
Page 3
, Test Bank - Informatics and Nursing: Opportunities and Challenges 5th Edition
16. A nurse involved in informatics identifies the need for information and demonstrates
ability to locate, evaluate, and effectively use it. The nurse is demonstrating which
competency?
A) Information literacy
B) Computer literacy
C) Computer fluency
D) Information management
17. When describing the components needed to provide evidence-based care through
informatics, which components would be included? Select all that apply.
A) Information presented in a digital format
B) Standards for exchange of information
C) Limited ability to capture relevant data
D) Multiple language structures for documentation
E) Competency of practitioners using the information
18. A nursing informatics specialist is preparing an in-service program about forces driving
the increased use of informatics in healthcare. Which forces would the nurse include as
a national force? Select all that apply.
A) Creation of the Office of the National Coordinator for Health Information
Technology (ONC)
B) The Institute of Medicine (IOM) report on health professions education
C) National Advisory Council on Nurse Education and Practice recommendations
D) National League for Nursing (NLN) position paper on nurse preparation
E) Technology Informatics Guiding Educational Reform (TIGER) initiative
19. According to the National Center for Nursing Research, which are considered program
goals for nursing informatics research? Select all that apply.
A) Establishing a nursing language
B) Developing methods to build clinical information databases
C) Testing client care decision support systems
D) Eliminating the need for workstations for nurses
E) Determining how nurses give client care using data
Page 4
, Test Bank - Informatics and Nursing: Opportunities and Challenges 5th Edition
20. A nurse is reviewing various client safety databases for safety issues. Which databases
would the nurse identify as voluntary? Select all that apply.
A) National Healthcare Safety Network
B) National Database of Nursing Quality Indicators
C) Vaccine adverse event report system
D) FDA reporting system
E) Quality and Safety Education for Nurses (QSEN)
Page 5
, Test Bank - Informatics and Nursing: Opportunities and Challenges 5th Edition
Answer Key
1. B
2. B
3. A
4. C
5. A
6. A, B, C
7. B
8. B
9. D
10. A
11. A
12. C
13. A
14. B
15. B
16. A
17. A, B, E
18. A, B
19. A, B, C, E
20. A, B
Page 6
TEST BANK
Informatics and Nursing
Opportunities and Challenges
Jeanne Sewell
5th Edition
, Test Bank - The Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence 7th Edition
Table of Contents
UNIT I: Informatics Basics
CHAPTER 1 Introduction to Nursing Informatics: Managing Healthcare Information
CHAPTER 2 Essential Computer and Software Concepts
CHAPTER 3 Basic Computer Networking Concepts
CHAPTER 4 Social and Professional Networking
UNIT II: Computers Applications for Your Professional Career
CHAPTER 5 Authoring Scholarly Word Documents
CHAPTER 6 Authoring Scholarly Slide Presentations
CHAPTER 7 Mastering Spreadsheet Software to Assess Quality Outcomes Using Numbers
CHAPTER 8 Databases: Creating Information From Data
UNIT III: Information Competency
CHAPTER 9 Information Literacy: A Road to Evidence-Based Practice
CHAPTER 10 Finding Knowledge in the Digital Library Haystack
CHAPTER 11 Mobile Computing
UNIT IV: The Evolving Healthcare Paradigm
CHAPTER 12 Informatics Benefits for the Consumer
CHAPTER 13 The Empowered Consumer
CHAPTER 14 Interoperability at the National and the International Levels
CHAPTER 15 Nursing Documentation in the Age of the Electronic Health Record
UNIT V: Healthcare Informatics
CHAPTER 16 Nursing Informatics: Theoretical Basis, Education Program, and Profession
CHAPTER 17 Electronic Healthcare Information Systems, Electronic Health Records, and Meaningful
Use
CHAPTER 18 Design Considerations for Healthcare Information Systems
CHAPTER 19 Quality Measures and Specialized Electronic Healthcare Information Systems
CHAPTER 20 Electronic Healthcare System Issues
CHAPTER 21 Evolving Trends in Telehealth
UNIT VI: Computer Uses in Healthcare Beyond Clinical Informatics
CHAPTER 22 Educational Informatics: e-Learning
CHAPTER 23 Informatics in Management and Quality Improvement
CHAPTER 24 Informatics and Research
CHAPTER 25 Legal and Ethical Issues
, Test Bank - Informatics and Nursing: Opportunities and Challenges 5th Edition
1. The nurse is developing a plan of care for a client, integrating information from the
client's history and physical examination, laboratory and diagnostic test results, and
medications using the new informatics system adopted by the facility. The nurse
understands that informatics facilitates the task because it focuses on:
A) using computers.
B) using information technology.
C) managing information.
D) accessing the Internet.
2. An nursing informatics specialist is working as part of group tasked with evaluating the
current health information technology system in the facility. As part of the evaluation
process, the nurse is reviewing the initial strategic plan developed for the nationwide
implementation of health information technology. Which result would lead the nurse to
determine that the system has met the initial goals?
A) The use of personal electronic health records was eliminated.
B) A collaborative governance was developed to support information use for
population health.
C) Statewide adoption of the electronic health record was fostered.
D) The use of telehealth systems became significantly limited.
3. Which action would a nurse identify as the current focus of today's practice informatics?
A) Capturing data at the point of care
B) Performing secondary data analysis
C) Using aggregated data
D) Making decisions based on data
4. A nurse interested in nursing informatics is reading a journal article about early
computerized clinical information systems. Which information would the nurse most
likely find as characteristic of these early systems?
A) Two or three functions could be performed at one time.
B) Information could be shared among several departments.
C) Different software systems were created for different areas.
D) Data entry needed to be done once.
5. A nursing informatics specialist is describing the benefits of informatics to a group of
agency staff. Which would the nurse identify as a primary benefit for healthcare in
general?
A) Increase in the usability of data
B) Promotion of cost saving
C) Promotion of time saving
D) Ability to identify patterns
Page 1
, Test Bank - Informatics and Nursing: Opportunities and Challenges 5th Edition
6. A nursing informatics specialist is speaking to a group of colleagues about the benefits
of informatics for the nursing profession. Which benefits would the specialist most
likely include? Select all that apply.
A) Improvement in documentation
B) Use of data for quality control
C) Building of evidence-based knowledge
D) Increase in time needed for documentation
E) Separation of nursing information from other healthcare information
7. A nurse is presenting an in-service program on nursing informatics competencies. When
describing the need for computer fluency for nursing informatics competencies, which
would the nurse include as characterizing this concept?
A) Temporary state
B) Lifelong learning
C) Task oriented
D) Competency
8. A nursing informatics specialist is characterized by colleagues as an informatics
innovator. This nurse would demonstrate the ability to:
A) use basic desktop software.
B) generate informatics theory.
C) make judgments based on trends.
D) communicate via a computer.
9. For which is information literacy considered essential?
A) Critical thinking
B) Problem solving
C) Data evaluation
D) Evidence-based practice
10. A nursing informatics specialist is preparing an in-service program for staff on
healthcare informatics and information technology. The nurse would emphasize which
component as the focus?
A) Information
B) Computer
C) Access
D) Data storage
Page 2
, Test Bank - Informatics and Nursing: Opportunities and Challenges 5th Edition
11. A client tells the nurse, “I'm not so sure that I like the computer as my chart. I've heard
so many horror stories of security problems on the computer.” Which response by the
nurse demonstrates understanding of the recent strategic planning goals aimed at
inspiring confidence and trust in health information technology?
A) “We are doing everything possible to protect the confidentiality of your health
information.”
B) “This technology will make it possible for everyone to have use of electronic
medical records.”
C) “It might sound strange, but we can exchange information with others so your care
will improve.”
D) “By using this technology, we can provide better care because we can actually
measure the care you receive.”
12. While reading a journal article on the evolution of nursing informatics, at which time
would the nurse expect to find a discussion about the shift in definition from a
technology orientation to more of an information orientation?
A) Early 1960s
B) Late 1970s
C) Mid-1980s
D) Early 1990s
13. When reviewing a client safety database, the nurse understands that which is used?
A) Aggregated data
B) Deidentified data
C) Genomics
D) Protocols
14. When describing how new systems for information are organized, which would the
nursing informatics specialist explain as being used?
A) Process
B) Data
C) Flow
D) Increments
15. A nurse asks the nursing informatics specialist, “What is the difference between
computer literacy and computer fluency?” Which information would the nursing
informatics specialist integrate into the response?
A) Computer fluency is a temporary state.
B) Computer literacy refers to the ability to perform tasks with a computer.
C) Computer fluency is static.
D) Computer literacy involves increasing one's ability to effectively use a computer.
Page 3
, Test Bank - Informatics and Nursing: Opportunities and Challenges 5th Edition
16. A nurse involved in informatics identifies the need for information and demonstrates
ability to locate, evaluate, and effectively use it. The nurse is demonstrating which
competency?
A) Information literacy
B) Computer literacy
C) Computer fluency
D) Information management
17. When describing the components needed to provide evidence-based care through
informatics, which components would be included? Select all that apply.
A) Information presented in a digital format
B) Standards for exchange of information
C) Limited ability to capture relevant data
D) Multiple language structures for documentation
E) Competency of practitioners using the information
18. A nursing informatics specialist is preparing an in-service program about forces driving
the increased use of informatics in healthcare. Which forces would the nurse include as
a national force? Select all that apply.
A) Creation of the Office of the National Coordinator for Health Information
Technology (ONC)
B) The Institute of Medicine (IOM) report on health professions education
C) National Advisory Council on Nurse Education and Practice recommendations
D) National League for Nursing (NLN) position paper on nurse preparation
E) Technology Informatics Guiding Educational Reform (TIGER) initiative
19. According to the National Center for Nursing Research, which are considered program
goals for nursing informatics research? Select all that apply.
A) Establishing a nursing language
B) Developing methods to build clinical information databases
C) Testing client care decision support systems
D) Eliminating the need for workstations for nurses
E) Determining how nurses give client care using data
Page 4
, Test Bank - Informatics and Nursing: Opportunities and Challenges 5th Edition
20. A nurse is reviewing various client safety databases for safety issues. Which databases
would the nurse identify as voluntary? Select all that apply.
A) National Healthcare Safety Network
B) National Database of Nursing Quality Indicators
C) Vaccine adverse event report system
D) FDA reporting system
E) Quality and Safety Education for Nurses (QSEN)
Page 5
, Test Bank - Informatics and Nursing: Opportunities and Challenges 5th Edition
Answer Key
1. B
2. B
3. A
4. C
5. A
6. A, B, C
7. B
8. B
9. D
10. A
11. A
12. C
13. A
14. B
15. B
16. A
17. A, B, E
18. A, B
19. A, B, C, E
20. A, B
Page 6
