NR 599 Final quest complete solution, Exams of Nursing

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NR 599 Final quest download for an A
Case Western Reserve University Frances
Payne Bolton School of Nursing
NURS 120: Introduction to Nursing Informatics Final
Examination
Directions: This is a comprehensive final examination covering material from lectures, readings, web
sites handouts and class notes. It is open-book, open-note. You may work in groups if you wish. The only
rule, everyone's name must be on the exam.
Answer all questions directly on the examination. There are no trick questions. Every multiple-choice
question has ONLY one correct answer.
This examination is worth 250 points. Each multiple choice/true-false question is worth 3.5 points. The
single essay question is worth 5 points.
Part I: Multiple Choice Questions
1. Why is it difficult to integrate information from all hospital departments into a single
hospital information system?
a. Individual departments want to obtain & maintain specialized systems
b. Hospital departments are organized along vertical lines while the continuum of care
for patients flows along horizontal lines
c. Patient care systems & financial management systems are incompatible with each other
d. Each department is required by law & the Joint Commission on Accreditation of
Hospitals & Health Care Organizations to maintain specific information for billing &
accreditation purposes
e. Individual departments do not see the value in comprehensive patient records
2. Which of the following groups of activities represent challenges to the technologist
when building an integrated hospital information system?
a. Synthesizing different types of information into a cohesive whole, getting all
departments to agree to a single billing procedure, realigning traditional departments
into a case management model
b. Synthesizing different types of information into a cohesive whole, getting all departments
to agree to a single care model, realigning traditional departments into a case
management model
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NR 599 Final quest download for an A

Case Western Reserve University Frances Payne Bolton School of Nursing NURS 120: Introduction to Nursing Informatics Final Examination Directions: This is a comprehensive final examination covering material from lectures, readings, web sites handouts and class notes. It is open-book, open-note. You may work in groups if you wish. The only rule, everyone's name must be on the exam. Answer all questions directly on the examination. There are no trick questions. Every multiple-choice question has ONLY one correct answer. This examination is worth 250 points. Each multiple choice/true-false question is worth 3.5 points. The single essay question is worth 5 points. Part I: Multiple Choice Questions

  1. Why is it difficult to integrate information from all hospital departments into a single hospital information system? a. Individual departments want to obtain & maintain specialized systems b. Hospital departments are organized along vertical lines while the continuum of care for patients flows along horizontal lines c. Patient care systems & financial management systems are incompatible with each other d. Each department is required by law & the Joint Commission on Accreditation of Hospitals & Health Care Organizations to maintain specific information for billing & accreditation purposes e. Individual departments do not see the value in comprehensive patient records
  2. Which of the following groups of activities represent challenges to the technologist when building an integrated hospital information system? a. Synthesizing different types of information into a cohesive whole, getting all departments to agree to a single billing procedure, realigning traditional departments into a case management model b. Synthesizing different types of information into a cohesive whole, getting all departments to agree to a single care model, realigning traditional departments into a case management model

c. Allowing specific departments to retain their individualized information systems, getting all departments to agree to a single billing procedure, realigning traditional departments into a case management model d. Synthesizing different types of information into a cohesive whole, getting all departments to agree to a single billing procedure, keeping all hospital departments within the traditional vertical structure

e. When you want the abstract of the citations to be included in the literature search

  1. What is a refereed journal? a. Any scholarly journal b. Any journal with a title that begins with “The Journal of…” c. A journal that uses a blind review process to determine the suitability and worth of articles received for publication d. Any journal that can be found on Ohio Link or through Kelvin Smith Library e. Any journal edited by someone with a Ph.D.
  1. Several indexes to scholarly literature can be found in the library. Which one of these indexes has the most applicability to the profession of Nursing? a. MEDLARS b. MEDLINE c. ERIC d. CINAHL e. Social SciSearch
  2. Why are informatics nurse specialists and nurse scholars so interested in nursing nomenclatures, taxonomies, and classification? a. It gives them something to do b. The information is used to capture, store, and manipulate data in electronic health records c. It enhances the credibility of the profession d. It allows nurses to clearly define the profession for physicians e. All of the above
  3. How many classification systems are recognized by the American Nurses Association? a. Six b. Four c. Thirteen d. Seven e. None
  4. Which three data sets must be used together to complete the nursing process? a. NANDA, Clinical Care Classification (CCC), International Classification of Nursing Practice (ICNP) b. NANDA, Nursing Intervention Classification, Patient Care Data Set c. NANDA, Nursing Outcome Classification, SNOMED RT d. NANDA, Nursing Intervention Classification, Nursing Outcome Classification e. NANDA, Omaha System, SNOMED RT
  1. Which of the following statements is a definition of Nursing Informatics? a. Collected information technologies concerned with medical patient care & decision making b. Use of information technology management concepts & methods to support the delivery of patient care c. Complex processing of data by a computer to produce new kinds of information d. Any use of information technology by nurses in relation to the care of patients, administration of health care facilities, & educational preparation of individuals to practice nursing e. Combination of computer science, information science, & nursing science designed to assist in the management & processing of nursing data
  2. The functional components of informatics are: a. Data, information, & knowledge b. Management, processing, & transformation c. Management, processing, & information d. Processing, transformation & knowledge e. None of the above
  3. The role of the Informatics Nurse Specialist (INS) encompasses multiple activities ranging from the development of Informatics theory to the ongoing maintenance & provision of enhancements to information systems. Which of the following statements describes the education, experience, & user groups that concern an INS? a. Formal education & practical experience in using computers; supports the automation needs of critical care nurses b. Formal education & practical experience in using computers; supports the automation needs of maternal-child nurses c. Formal education & practical experience in using computers; supports the automation needs of community health nurses d. Formal education & practical experience in using computers; supports the automation needs of all e. Formal education & practical experience in using computers; supports the automation needs of psychiatric nurses
  4. Security can be defined as:

a. The right of individuals to determine at what time, in what way, & to what extent information about them is communicated to others b. Physical protection of information from unauthorized access, modification, & destruction c. An expectation that information collected will be used for the purpose for which it was gathered d. Organizational beliefs about who generates, stores, retrieves & uses information e. The belief that the existence, purpose, & type of records in system shall be public knowledge

  1. Beliefs about who generates, stores, retrieves, & uses information within an organization are
  1. Why are nurses’ natural advocates of consumer health applications? a. With the nursing shortage, it lightens the workload b. Nurses are more computer literate than physicians c. Nurses have always taken a leadership role in patient education d. Only nurses are exposed to consumer informatics in school e. It’s easier to get patients to teach themselves than it is to spend the time and teach them
  1. A consumer health care application can be described as: a. An intervention providing health care information through technology b. An outcome resulting in patient education c. A care plan detailing the steps in teaching the patient d. A patient’s application to be accepted into an insurance plan e. All of the above
  2. The four areas in which Informatics Nurse Specialists practice are: a. Critical care units, neonatal intensive care units, medical-surgical units, pediatric units b. Administration, education, research, clinical practice c. Nursing science, information science, research, computer science d. Hospitals, nursing homes, outpatient clinics, mobile radiology units e. Long term care facilities, nursing homes, nursing administration offices, pediatric intensive care units
  3. Which of the following are impediments to the successful implementation of a computerized medical record? a. Oversimplification of user needs b. Oversimplification of the requirements for a new system c. Little understanding of the manual system that the computerized system will be replacing d. Clinicians are not aware of what computerized medical records can and cannot do e. All of the above
  4. Which of the following statements represent conditions recommended by the Institute of Medicine for the future electronic health record? a. Users must be confident that the information they have entered will integrate data from all sources reliably b. Clinicians must actively use the record in the clinical process c. Clinicians must understand that the record is a resource for use beyond patient care d. Users must be proficient in the use of information systems in health service organizations e. All of the above

a. A computer mapping & analysis system that allows large quantities of information to be viewed & analyzed within a geographic context b. A system which allows researchers to study the distribution of disease in a neighborhood c. System which allows the community health nurse to locate a patient’s home without using a map (a Global Positioning System) d. A system which allows research about infant mortality in a particular census tract e. All of the above

  1. Which of the following are limitations of Geographic Information Systems? a. Costs are often prohibitive b. Software packages are difficult to learn c. Data from government databases may not be compatible with the GIS being used for research d. None of the above e. All of the above
  2. Which of the following statements justifies the need for and use of standardized nursing languages? a. They provide a legal record of patient care b. They support clinical decision making c. They help accumulate information to expand nursing science d. They help exchange data with internal and external systems for research e. All of the above
  3. Which of the following are characteristics of a POC (point-of-care) information system? a. Supports care delivery processes b. Device for input & output of information is at the point of care c. POC system is interfaced or integrated with other hospital systems d. All of the above e. None of the above
  4. Which of the following statements reflect goals that health care facilities might consider when moving to a POC system? a. Collect data at the source & present it where & when it is needed b. Minimize documentation time & eliminate redundancies & inaccuracies in charting

c. Improve timeliness of documentation d. Optimize information access e. All of the above

  1. Which of the following pairs of items are examples of quantitative benefits of point of care (POC) systems? a. Cost avoidance & revenue increases b. Improved process & improved patient outcomes c. Improved patient data & direct savings
  1. Which of the following situations represent drawbacks to implementing a POC system? a. Expensive to buy, customize, & install b. Status quo of organization is disturbed c. Change in organization is required for implementation to proceed smoothly d. Software may not be clinician friendly e. All of the above
  2. A nursing diagnosis is best described by which of the following statements?

a. A measurable patient condition or perception resulting from one or more nursing interventions b. A taxonomy of nurse-sensitive patient outcomes c. Any direct care treatment that a nurse performs on behalf of a client d. A clinical judgment about an individual, family or community’s responses to actual or potential health problems and life processes e. Assessment activities to identify nursing diagnosis & gather data for physician identification of a medical diagnosis

  1. In which stage of the five level patient record would information from alternative forms of health care be included? a. Electronic patient record b. Automated medical record c. Provider base electronic medical record d. Computerized medical record e. Electronic health record
  2. Why is there an absence of nursing data in national and regional databases? a. The profession cannot agree upon & offer a set of clearly defined, reliable & standardized data elements b. The profession’s diversity does not require standardization of data c. The data collected by Nursing is not useful to Third Party Payers & does not need to be collected d. The existence of a standardized Nursing language makes this unnecessary
  3. Which of the following statements best describes why the Nursing intervention classification (NIC) is important to Nursing Informatics? a. Each NIC intervention has a unique number which allows computerization of the information b. Each NIC intervention has been linked with a nursing diagnosis & with an Omaha system problem c. Each NIC intervention has been linked with a specific NOC d. Each NIC intervention is part of a comprehensive, standardized language specific to the practice of nursing
  4. Heuristics can be defined as the study of: a. Holographic images b. Rules of thumb based on a person’s past experiences

b. Omaha System, NIC, NOC, International Classification for Nursing Practice, Common Procedural Terminology (CPT Codes) c. Perioperative Data Set, Nursing Management Minimum Data Set, NIC, NOC, Omaha System d. SNOMED RT, International Classification of Disease-10 (ICD-10), Common Procedural Terminology (CPT Codes), International Classification for Nursing Practice, ABC Code by Alternative Link Practice

  1. Knowledge can be defined as: a. Discrete entities described objectively b. Discrete entities described without interpretation c. Information that has been synthesized d. Data that are interpreted e. Data that are organized
  2. Knowledge can be transformed into which of the following a. New knowledge b. Decisions c. Discoveries d. Wisdom e. All of the above
  3. The information resources of a hospital are: a. Hardware & software b. Data c. Models to organize the data d. Methods to interpret the data e. All of the above
  4. Healthcare computing in hospitals began in the 1980’s and continues to the present. Which of the following activities represents the first efforts (in the 1980’s) toward computerization of healthcare? a. Knowledge creation b. Automation c. Info-mation d. Communication & Integration
  1. The older terminologies of health care computing have been replaced with more meaningful, descriptive terminologies that reflect the movement toward information as a resource. To this end, data entry is now known as : : a. Decision support b. Data extraction c. Safety & Outcomes Measurement d. Knowledge acquisition e. Data mining