CHAPTER 15: Fundamentals of Nursing, 2nd Edition – Active Learning for Collaborative Practice by Yoost & Crawford

Fundamentals of Nursing, 2nd Edition – Active Learning for Collaborative Practice by Yoost & Crawford Chapter 15: Nursing Informatics Multiple Choice Questions 1. The nurse knows the integration of nursing, computers, and information science for the management and communication of data, information, knowledge, and wisdom is identified by which term? A. Nursing informatics B. Computer science C. Medical informatics D. Informatics Answer: A Explanation: Nursing informatics is a specialty that integrates nursing with computer and information science to manage healthcare data, as defined by the American Nurses Association. Why Other Options Are Wrong: B refers to general computing. C focuses on medical applications. D is the broader academic field encompassing multiple disciplines. 2. The hospital has recently implemented computer charting. The nurse knows the computerization of nursing practice has what impact? A. It enhances and increases the time spent on documentation. B. It makes patient data immediately available to the health care team. C. It makes retrieval of data more difficult but safer. D. It is enhanced by limiting the use of point-of-care technology. Answer: B Explanation: Computerization enables real-time data access for the care team, streamlining communication and decision-making. Why Other Options Are Wrong: A is incorrect as it reduces documentation time. C is false because retrieval becomes easier. D contradicts the benefits of point-of-care technology. 3. Nurses working surrounded by computers and mobile IT must develop skills in the use of all available technology. At the same time, it is important for nurses to recognize what fact? A. The technology in use today will be the same tomorrow. B. Cell phones are not usually allowed in the acute care setting. C. Most forms of mobile technology are in violation of HIPAA guidelines. D. The technology supports bedside and remote charting. Answer: D Explanation: IT advancements facilitate flexible documentation while requiring adaptability to evolving tools and policies. Why Other Options Are Wrong: A is false due to rapid technological change. B and C are incorrect as facilities often allow HIPAA-compliant mobile devices. 4. The home health nurse provides care for a patient with congestive heart failure. Daily the patient weighs himself and takes his own vital signs, which are sent electronically to the physician and nurse for care adjustments. The nurse understands this is an example of which concept? A. Telehealth nursing B. Computerized decision support system (DSS) C. Computerized provider order entry (CPOE) D. Point-of-care technology Answer: A Explanation: Telehealth involves remote data transmission for care management, as demonstrated by the patient's self-monitoring and reporting. Why Other Options Are Wrong: B refers to clinical alerts. C involves order communication. D pertains to bedside documentation tools. 5. The nurse realizes that information technology (IT) can be used to increase patient safety in what way? A. By creating redundancy in orders making them safer. B. By removing the need for verification by the nurse. C. By analyzing errors to develop prevention strategies. D. By eliminating the need for bar codes in medication administration. Answer: C Explanation: IT enhances safety through error analysis, preventive strategies, and tools like BCMA to reduce mistakes. Why Other Options Are Wrong: A is incorrect as redundancy increases error risk. B and D disregard the nurse's critical verification role. 6. When using a bar-code medication administration (BCMA) system, the nurse knows that the proper procedure includes which action? A. Signing into the system using the patient's ID number. B. Typing in the patient's name and room number. C. Scanning the patient's ID, MAR, and medication. D. Discontinuing the medication if the system signals an error. Answer: C Explanation: BCMA requires scanning patient ID, medication record, and drug to verify the "five rights" of medication administration. Why Other Options Are Wrong: A and B bypass secure scanning. D is unsafe without further verification. 7. The nurse understands that computerized provider order entry (CPOE) is beneficial for what reason? A. CPOE decreases the number of transcribing errors. B. CPOE enhances provider acceptance because of new technology. C. CPOE decreases workflow issues in general. D. CPOE reduces dependence on technology and computers. Answer: A Explanation: CPOE reduces errors by eliminating handwritten orders and automating direct communication to departments. Why Other Options Are Wrong: B is false due to common provider resistance. C and D are incorrect as CPOE may disrupt workflows and increase tech reliance. 8. Which statement does the nurse recognize as accurate regarding the use of electronic medical records (EMR)? A. EMR holds the documentation of a single episode of care. B. EMR is a longitudinal record of care for each patient. C. EMR is widely used for individual health care encounters. D. EMR includes progress notes for all disciplines. Answer: A Explanation: EMRs document single care episodes (e.g., hospitalization), while EHRs compile longitudinal data. Why Other Options Are Wrong: B describes EHRs. C and D are more applicable to EHRs than EMRs. 9. The nurse knows that computerized provider order entry (CPOE) has which outcome? A. CPOE allows orders to be communicated to the appropriate department. B. CPOE creates an intermediary for order transcription. C. CPOE slows documentation and provider communication. D. CPOE may lead to increased ordering and transcription errors. Answer: A Explanation: CPOE streamlines order transmission to departments (e.g., pharmacy, lab) without intermediaries. Why Other Options Are Wrong: B contradicts CPOE's direct communication. C and D are incorrect as CPOE improves speed and reduces errors. 10. The nurse is providing care to a patient newly diagnosed with multiple sclerosis. When the patient expresses the desire to communicate with others living with the disorder, the nurse refers the patient to which source? A. An e-mail list with the patient's contacts. B. A social media blog. C. A listserv concerning multiple sclerosis. D. Facebook, Twitter, and LinkedIn. Answer: C Explanation: Listservs connect patients with specific conditions for targeted support and information sharing. Why Other Options Are Wrong: A lacks focus on the condition. B and D are too general for specialized communication. 11. The nurse can see data relationships, make judgments based on trends, and suggest IT improvements. The nurse's informatics competency level can be described by which term? A. Beginner B. Experienced C. Specialist D. Innovator Answer: B Explanation: Experienced nurses analyze data trends and propose system enhancements, per TIGER competency levels. Why Other Options Are Wrong: A involves basic skills. C and D require advanced research or leadership. 12. When the nurse manager meets education and experience requirements in nursing informatics, hospital administration may request the nurse to pursue what additional verification of competence? A. Technical competencies. B. Utility competencies. C. Certification from ANCC. D. Leadership competencies. Answer: C Explanation: ANCC certification validates specialized informatics expertise beyond foundational competencies. Why Other Options Are Wrong: A, B, and D are skill categories, not formal credentials. 13. To evaluate a health website's credibility, the nurse asks who sponsors the site and checks the author's credentials. The nurse is evaluating what concept? A. Purpose B. Coverage C. Currency D. Authority Answer: D Explanation: Authority assesses the source's credibility, including sponsors and authors' qualifications. Why Other Options Are Wrong: A evaluates the site's goals. B assesses content balance. C checks update frequency. 14. The patient asks how to evaluate health websites. The nurse appropriately refers the patient to which agency? A. The Computer Ethics Commission. B. The U.S. Food and Drug Administration. C. The Health on the Net Foundation. D. The U.S. Federal Trade Commission. Answer: C Explanation: The Health on the Net Foundation promotes standards for reliable online health information. Why Other Options Are Wrong: A focuses on ethics, not content. B and D regulate safety/fraud but don’t rate websites. 15. Leadership competencies in nursing informatics involve which concept? A. Maintaining privacy and confidentiality. B. Using computers and other technological equipment. C. Using a variety of software programs. D. Addressing critical thinking applications. Answer: A Explanation: Leadership competencies include ethical management of IT, such as privacy protection. Why Other Options Are Wrong: B and C are technical skills. D is a utility competency. 16. The nurse knows the Computer Ethics Institute's guidelines for ethical IT use are identified by which term? A. The Ten Commandments of Computer Ethics. B. The eHealth Code of Ethics. C. HIPAA guidelines. D. The Health on the Net Foundation. Answer: A Explanation: The Ten Commandments of Computer Ethics outline ethical IT practices. Why Other Options Are Wrong: B is for European informatics. C governs data security. D promotes reliable health sites. 17. The nurse understands that the focus of nursing informatics is which concept? A. Direct patient care. B. Increasing documentation time. C. The introduction of different EHRs. D. How patient care can be improved. Answer: D Explanation: Nursing informatics aims to enhance care processes and safety through technology. Why Other Options Are Wrong: A is incorrect as it focuses on systems, not direct care. B and C are inaccurate outcomes. 18. While adopting new technology, nurses can continue to provide what service? A. Compassionate care. B. Consumer empowerment. C. Self-management of wellness. D. Education about health care. Answer: A Explanation: Technology complements, but does not replace, the nurse's role in delivering empathetic care. Why Other Options Are Wrong: B, C, and D are patient benefits of IT but not core nursing services. MULTIPLE RESPONSE QUESTIONS 1. The nurse recognizes the use of telemonitoring offers the opportunity to complete which tasks? (Select all that apply.) A. Reduce cost of health care. B. Improve patient satisfaction. C. Increase duplicate orders. D. Improve patient outcomes. E. Improve organization. Answer: A, B, D, E Explanation: Telemonitoring cuts costs, boosts satisfaction and outcomes, and enhances organization by streamlining data flow. Why Other Options Are Wrong: C is incorrect as telemonitoring reduces, not increases, duplicate orders. 2. The TIGER initiative identified skills needed by 21st-century nurses. The nurse identifies the TIGER Vision Pillars include which concepts? (Select all that apply.) A. Management and leadership. B. Certification by HIMSS. C. Communication and Collaboration. D. Informatics design. E. IT policy and culture. Answer: A, C, D, E Explanation: TIGER pillars encompass leadership, communication, informatics design, and IT policy, excluding certification. Why Other Options Are Wrong: B is a credential, not a pillar. 3. The nurse knows what concepts are associated with standardizing nursing terminology? (Select all that apply.) A. The Nursing Minimum Data Set (NMDS) was the first attempt to do so. B. The focus was to provide a shared understanding of patient problem labels. C. The NMDS data was completed and is the definitive source of patient labels. D. The ICNP was developed to provide a standard for international nurses. E. Standardized terminology can lead to better utilization of resources. Answer: A, B, E Explanation: NMDS initiated standardization for consistent problem labeling and resource use, though it’s not exhaustive. Why Other Options Are Wrong: C is false as NMDS is ongoing. D misrepresents ICNP's broader purpose. 4. The nurse recognizes which statements to be accurate regarding HIPAA? (Select all that apply.) A. Requires the user to have verification codes. B. Ensures access to information without fear of audits. C. Sets the standards on how information is maintained. D. Sets the penalties for any breach in security of health data. E. Has no legal authority relative to security issues. Answer: A, C, D Explanation: HIPAA mandates secure access codes, data protection standards, and penalties for breaches. Why Other Options Are Wrong: B is false as audits ensure compliance. E is incorrect as HIPAA is legally binding.