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NR599:MIDTERMSTUDYSET_2024,NR599:FINALEXAM STUDYSET_JUNE2024WITHCORRECTANSWERS Nursinginformatics-Correct Answer -specialty thatintegratesnursingscience, computer science, and informationscience tomanage and communicate data, information, andknowledgeinnursingpractice Levels of NursingInformatics Practice -Correct Answer-Generalistand Informatics Nurse Specialist Informatics Nurse Specialist -Correct Answer-Completed graduate level educationininformaticsorrelated field Knowledge -Correct Answer-Theawarenessandunderstandingofaset ofinformationandthe waysthat informationcanbemadeusefultosupportaspecifictask orreachadecision. Knowledge Workers-Correct Answer-Those who workwithinformation andgenerate knowledgeasa product. Nursesareanexampleofsuch. Wisdom-Correct Answer-the ability to applyvaluable andviableknowledge, experience, understandingand insightwhile being prudentandsensible. Sometimesconsideredthehighest form of "CommonSense" Scientific Underpinning-Correct Answer-Providethe basis ofknowledgetoadvance nursing practice;include sciences suchasbiology, physiology, psychology, ethics, andnursing. -DIKW Paradigm (Data, Information, Knowledge, Wisdom) Foundationof Knowledge model-Correct Answer-Model that proposesthathumansare organicinformation systemsconstantlyacquiring, processing, andgeneratinginformationorknowledgeinboththeir professionaland personallives. ComputerScience-Correct Answer -Study ofstorage, conversionandtransformation, transferor transmission ofinformationincomputersthroughalgorithmsand practical implementation problems. Cognitive Science- Correct Answer-Studieshow themindworksfromaninformation processing perspective. InformationScience-Correct Answer -The study ofthe retrieval, application, useandmanagementof informationas wellasthehuman-computerinteraction. Standard Terminologies -Correct Answer -Structured, controlled languagesdevelopedtorepresent concepts inagivendomaininaclear, unambiguousfashionthatconveysthe exactsame meaningfordata, information, andknowledgeacrosssettings, regions, andevendifferent countries. Nomenclature -Correct Answer-Referstoasystem ofrulesand proceduresfor addingnamesusedinan artor science, suchasnursing. Classification-Correct Answer-Systemsthatcapture categories, whichare thenusedtodeterminecostsor outcomesbutareinsufficientin detail forclinicaldocumentation purposes Taxonomy-Correct Answer- Usesclassificationaccordingtoapredeterminedsystem, withtheresulting catalog usedtoprovide aconceptualframeworkfordiscussion, analysis, orinformation retrieval. DataSet-Correct Answer-Referstoanamedcollectionofdataconsisting of individual informationorganized inaprescribedfashion Analytics- Correct Answer-Aterm describingtheextensive use of data, statistical and quantitative analysis, explanatory and predictivemodels, and fact-based managementtodrivedecisionsandactions. Canimprove marketingorin healthcare, services for thedemographicsserved. Nursing|Informatics Competencies- Correct Answer-The integration ofknowledge, skills, andattitudesinthe performance ofvariousnursinginformaticsactivities within prescribed |evelsofnursing practice ICD- Correct Answer- International Statistical Classification of Diseasesand Related Health Problems; Maintained bythe WHOandprovidesadescription andclassification ofknown diseasesandinjuries. CPT-Correct Answer- Current ProceduralTerminology; Uniquebilling codesforservices rendered; MaintainedbytheAmerican Medical Association. Nursing|nformatics Roles -Correct Answer- Project Manager, Consultant, Educator, Researcher, Product Developer, Decision Support/Outcomes Manager, Advocate/PolicyDeveloper, Clinical Analyst/System Specialist, Entrepreneur TIGER Initiative- Correct Answer--The work ofthe Technology Informatics Guiding Education ReformTeam. Thisteam ofnursingleadersdevelopedavisionforutilizinginformationtechnologytotransformnursing practice. -Key purpose wastocreate a vision ofnursingthat bridgesthe qualitychasmw/informationtechnology, enablingnurses touseinformaticsin practice andeducationtoprovidesafer, higher quality ofcare. TIGER Based Nursing InformaticsCompetencyModel- Correct Answer-Includes(3) pillars: Information Literacy, Computer Literacy, Clinical Information Management (3)Pillarsof TIGERBased Nursing Informatics Competency Model-Correct Answer-InformationLiteracy, Computer Literacy, Clinical Information Management Informationliteracy- Correct Answer- Abilitytoidentify wheninformation isneededas wellastheskillsto find, evaluate, andeffectively usethesame Information Literacy Competency Standardsfor Nurses -Correct Answer--Determinethe extentof informationneeded -Accessthe neededinformation effectivelyandefficiently -Critically evaluate the information andsources -Utilize information effectivelytoaccomplishaspecificpurpose -Understandimplicationsfromthe economic, legal,andsocialperspectivessurrounding theaccessand use of information Ethical Decision Making-Correct Answer--Process thatrequires strikinga balancebetweenscienceand morality. -Makinginformedchoicesaboutethical dilemmasbasedonasetofstandardsdifferentiatingrightfrom wrong. AmericanNursesAssociation- Code of Ethics for Nurses with Interpretive Statements. -Correct Answer- providesspecificguidance forethical decisionmaking andprovidesavaluableframeworkthatcanbeused when workingwith HIT Bioethical Standards -Correct Answer -Autonomy, freedom, veracity, privacy, beneficence, andfidelityare maximallyappropriate to thehealth caresetting. Autonomy-Correct Answer-Therighttochooseforhimself orherself;respectingthe clientsopinions, perspectives, valuesandbeliefs. Freedom -Correct Answer- The ability ofan individualtoactindependently, without coercionorconstraintin oneschoiceandaction Veracity- Correct Answer-Beingcompletelytruthful with patients; apatientsrightto truth. Privacy-Correct Answer-Therighttobeleft alone whenyouwantto be, tohavecontroloveryourown personal possessions, andnotto be observed withoutyour consent. Beneficence -Correct Answer -Actionsperformedthat contribute tothe welfare of others; Action of doing goodorrightbyandforthepatient. Fidelity -Correct Answer-Righttowhat hasbeen promised; keepingto one'spromise. Telehealth-Correct Answer-Use ofelectronicinformationandtelecommunicationstechnologies tosupport long-distance clinical healthcare, patientand professional health-related education, publichealthandhealth administration. Technologies include videoconferencing, the internet, store-and-forward imaging, streaming media, andterrestrialandwirelesscommunications. Telemedicine-Correct Answer-Remoteclinicalhealth services mHealth (Mobile Health)-Correct Answer--Thepracticeofmedicine and publichealth supported by mobile devicessuchasmobilephones, tablets, personaldigitalassistants andthe wireless infrastructure. -Theuse of wireless communicationtosupportefficiencyin publichealthandclinicalpractice. Mobile Medical Applications(Apps)-Correct Answer--Accessoriestoaregulatedmedical device orarea softwarethattransforms amobile platformintoaregulated medical device. -FacilitatesmHealth Medical Devices-Correct Answer-Anyequipment, instrument, implant, material, orapparatususedforthe diagnosis, treatment, ormonitoringofpatients. Non-Medical Devices- Correct Answer--Applicationswithin adevice notintendedforuseinthe diagnosisof diseaseorother conditions, orinthe cure, mitigation, treatment, orpreventionofdisease. -DoesnotrequireFDA oversight FoodandDrugAdministration (FDA) -Correct Answer--Regulatory body thatoverseesmobileappsthatare medicaldevicesandwhosefunctionalitycouldposearisktoapatient's safety ifthe mobile appweretonot functionasintended. -Alsooverseethecybersecurity management ofthesedevicesaswellasthe hospital networksecurity. (POC) Point ofCare -Correct Answer-Testinganddiagnosisatthepatient's sideandcanbeconducted anywherethe patientis, suchasthe home, physician office, ambulance, orhospitalbedside Confidentiality -Correct Answer-Theact ofholdinginformationinconfidence, nottobereleasedto unauthorizedindividuals. Cybersecurity -Correct Answer--Measurestaken toprotecta computer or computersystem against unauthorizedaccessorattack. -FDAismainregulatoryagency Computer-aided Translators -Correct Answer-Apersonwho usescomputersoftware to convertsourcecode totargettext; Aconversionof computerlanguagefrom oneto another Workflow-Correct Answer--Termusedto describe theactionorexecutionofaseriesoftasksinaprescribed sequence. -The progression of steps(tasks, events, interactions)that constitutea work process, involve two or more persons, andcreate or addvaluetothe organization's activities. -Usedinterchangeably w/processorprocessflows; WorkflowAnalysis-Correct Answer--Study ofthe way work(inputs, activities, and outputs) movesthroughan organization. -Observationanddocumentationofworkflowtobetterunderstandwhatishappeningin thecurrent environmentandhowitcanbealtered Sequential Workflow- Correct Answer-eachstepdepends on theoccurrence ofthe previousstep Parallelworkflow-Correct Answer -two ormorestepsinaprocess canoccurconcurrently. Workflowdesign- Correct Answer-Acritical aspect ofthe informatics nurse inaworkflow analysis AmericanRecoveryandReinvestment Act of 2009 (ARRA)-Correct Answer--Providedfundstogovernment agenciesforimprovinginformation-technologysystems; -provisionsinclude therightfor every person to receive anelectroniccopyoftheirEHRand tohave acopy of theirEHRtransmittedto apartythatthey designate -Legislationincludedthe HITECH Act Patient Protection and Affordable Care Act (ACA) -Correct Answer-Guaranteeshealthcare forallAmericans, expands Medicaid, providesincentivesintendedtoimprove carecoordinationand quality, restructures healthcare payment, andprovidesadditional informationtopatientssothattheycanmakevalue-based decisions. Administrative Data-Correct Answer-Includebillinginformation derivedfrominsuranceclaims, inpatient discharges(orhospital bills),andoutpatientvisits. National Prevention Strategy:America'sPlan for Better Healthand Wellness- Correct Answer- comprehensive planthatsetsforth evidence-based andachievable meansforimprovinghealthfor all Americansateverystageoflife. These efforts aredesignedtostop disease beforeitstarts andtocreate strategiesfor ahealthy andfit nation, recognizingthat prevention must be part ofdaily life. Fee-for-Service Model- Correct Answer--a providerisgivenasetamountofmonetaryreimbursementfora specificvisit or procedure performedthatisadjustedforgeographicallocation -givesanincentivefor physicians to provide moretreatmentsbecausepaymentisdependentonthe quantity of care, ratherthan quality of care. MedicalCoding-Correct Answer- Assignment of codestocommunicate topayers(insurance companies) in relationto servicesperformed by ahealthcareprovider andforwhat reasonthey wereperformed; MedicalBilling- Correct Answer-Processofsubmittingandfollowinguponclaimsmadetoapayerinorderto receive paymentformedical servicesrendered byahealthcare provider