Informatics Final Exam – Flashcards
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A nursing informatics specialist is characterized by colleagues as an informatics innovator. This nurse would demonstrate the ability to:
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generate informatics theory.
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When reviewing a client safety database, the nurse understands that which is used?
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Aggregated data
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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?
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Increase in the usability of data
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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?
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Information literacy
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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?
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Lifelong learning
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Which action would a nurse identify as the current focus of today's practice informatics?
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Capturing data at the point of care
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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?
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"We are doing everything possible to protect the confidentiality of your health information."
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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?
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Different software systems were created for different areas.
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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?
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A collaborative governance was developed to support information use for population health.
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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:
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using information technology.
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For which is information literacy considered essential?
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Evidence-based practice
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A nurse-manager is looking at ways to improve the admission process from the emergency department to the inpatient unit. Which tool would be most appropriate for the nurse-manager to use?
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Flowchart
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A nurse administrator is involved in process improvement and uses a chart to examine the relationships among complex processes. The chart resembles a fishbone. The administrator has used which type of chart?
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Cause-and-effect chart
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A nurse-manager is working on the schedule for unit staffing. To determine the needs accurately, the nurse manager would use:
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patient classification system.
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A nurse administrator is part of a committee working on evaluating information systems for the agency for future purchase. Which role would be most important for the nurse administrator to fulfill?
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Nursing services advocate
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A nurse administrator is evaluating the various steps involved with client care on a unit based on the staff's complaints that there is a fair amount of duplication of services and variation in care. Which tool would the nurse administrator most likely use?
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Flowcharting
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A nurse manager is using real-time information on key performance indicators to guide decision making. Which is the nurse using?
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Dashboards
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A nurse administrator is working as part of group that conducts surveys of clients about their healthcare experiences. Which aspect would be most important to address?
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Employing a core set of questions
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A nurse administrator is reviewing a report about the agency's nursing units and the care they provide. The results have been compared and benchmarked to similar units from other agencies. The administrator is reviewing a report from the:
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National Database of Nursing Quality Indicators (NDNQI).
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When describing the role of the nurse administrator in relation to information management systems, which would be expected as a basic skill?
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Using spreadsheets
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A nurse administrator is evaluating several human resource management systems to determine if one would be appropriate for the agency. To make the decision, the nurse administrator evaluates each system to see if it meets the minimum requirements. Which characteristic would lead the nurse to reject a system?
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Minimizing allowances for staff self-scheduling
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A nurse administrator who is using project management software wants to ensure that the project stays on time and on budget. The nurse administrator also identifies key tasks that must occur during the project to keep it on target. The administrator would most likely use which tool to track the project's status?
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Gantt chart
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A nurse administrator is using a spreadsheet for forecasting. Which action would the administrator do first?
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Obtain data spanning several years
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A nurse administrator is reviewing numerous client surveys returned from clients recently hospitalized on a specific nursing unit. The clients voiced dissatisfaction with care because of miscommunication among staff, poor scheduling of client procedures, and lack of adequate transport services. The nurse administrator is examining:
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throughput.
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A nurse using a clinical information system is required to document the same data in more than one area because the data do not "flow over" to the other areas and the data fields are not universally designed. Which component is lacking?
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Interoperability
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A nurse is creating a password for use in accessing the healthcare information system in the agency. Which action would be most appropriate for the nurse to do in creating this password?
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Select a combination of letters and numbers
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A nursing informatics specialist is describing the use of health information technology to meet national safety goals to a group of nurse managers. The nurse specialist determines that the group needs additional teaching by which statement?
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"Alarms should be used on all devices to ensure prompt response to safety issues."
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When adopting the electronic healthcare record (EHR), which aspect would be considered the ultimate goal?
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Client as the most important focus
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A nursing informatics specialist is describing the similarities and differences between the two types of radio frequency identification (RFID) to a group of agency administrators. Which type would a nursing informatics specialist include as being associated with the passive type?
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Readable from a distance of 1 to 10 feet
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A nursing informatics specialist is working as part of a group that is working with an agency that is transitioning from the paper record to the electronic record. The nurse identifies that the agency is currently at stage 3 of the adoption model because:
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flow sheets for clinical documentation are in place.
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The use of which method would be most effective in providing data protection from entry by outsiders?
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Firewall
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An administrative group at an agency involved in adopting healthcare information technology is developing a strategic plan. Which component would they include?
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Expenditures offset by client outcome benefits
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A nurse is working on a committee involved in adopting electronic healthcare systems for the agency. Currently, the agency has clinical documentation, a clinical decision support system (CDSS) with error checking, and a picture archive and communication system (PACS) in place. The committee determines that the agency is at which stage of adoption?
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Stage 3
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A nurse is working as part of a committee involved in creating passwords for the healthcare agency's network. Which password would be the strongest?
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NuRs1N9gY
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A nursing informatics specialist is conducting a seminar on the need for uniformity in user design for data entry screens based on the understanding that:
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most providers approach user design using a paper chart thinking process.
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A nurse is preparing to access a client's electronic record. The system verifies that the nurse is the person logging into the system and grants access to the information. This process is known as:
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authentication.
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When developing a plan for workflow redesign and the use of computerized documentation, which item would be the first thing to consider?
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The number of computers needed
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When describing the various biometric methods for authentication, which method would the nursing informatics specialist identify as most secure?
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Iris scan
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A nurse is reading a journal article about syndromic surveillance. The nurse would expect the article to describe this concept as:
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providing early detection of potential disease.
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A nursing informatics specialist is conducting a seminar for agency staff about the benefits of a fully integrated electronic health record. The nurse specialist determines the need for additional teaching when the group identifies which aspect as a benefit to the client?
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Capability of decision support
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Which statement best reflects information and health literacy?
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Expertise in information and health literacy is achieved with continuous practice.
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A nurse is searching the Internet for journal articles on asthma and comes across an article that is published in an online journal. The nurse is aware of the factors affecting online journals, keeping in mind that:
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there will be no print version available to access the article.
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A nurse is reviewing journal articles obtained from a database search and frequently notes that a specific work is being cited by authors. In addition, the nurse notices that this cited work is often the basis for the author's opinion. The nurse would identify this as:
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a seminal work.
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A nurse is searching the Internet for information related to clinical trials and grants. Which site would the nurse most likely use to obtain quality information?
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The National Institutes of Health
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A nurse is evaluating the information obtained from a search and notes that the majority of information is from reports of expert committees. The nurse interprets this research to be at which level of evidence?
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Level VII
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A nurse wants to search for information about legal and ethical issues involving nursing. Which database would be most helpful for the nurse to use first in this search?
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CINAHL
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A nurse is attempting to answer the following clinical question: How does the treatment of a myocardial infarction in women compare with that provided to men? When using the PICO process, which information would the nurse identify as "P"?
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Myocardial infarction
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After searching a database for information on pain control, a nurse is reviewing a research article on the topic. While reading the article, the nurse notes that much of the research is based on the author's point of view. The nurse interprets this as:
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selection bias.
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A nurse is conducting a database search. Which information would the nurse need to keep in mind?
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Each database has its own way for indexing search terms.
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When searching PubMed, the nurse understands that this database uses a search term structure based on a:
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hierarchy
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An nursing informatics specialist is developing an in-service presentation to stimulate interest in researching ways to solve clinical problems on the units. As part of the presentation, the specialist is planning to address seeking out information for nursing knowledge. How would the nurse specialist most likely describe the quest for knowledge?
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The process never stops.
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A group of nurses are using the Star Model of Knowledge Transformation to apply the results of a research study to client care. The nurses have completed the discovery step and will now go onto which step?
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Summary
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A nurse is using a library database to search for information related to cancer. The nurse includes the words "some" and "many" in the search. The search engine would identify these words as:
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stop words.
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A nurse is reviewing several research articles found on the web after completing a PICO search. One of the articles provides an expert opinion of a professional society. The nurse interprets this to mean that the information is at which level of evidence?
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Lowest
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Which statement best reflects the differences between a scholarly article and other forms of nonscholarly work such as a magazine, a newsletter, and a newspaper?
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An newspaper article can be written by anyone, including a nurse.
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A nurse is working to develop information technology skills. Which behavior would best demonstrate the acquisition of these skills?
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Ability to use technology to develop a plan of care based on client information
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A nurse is conducting a search of several databases simultaneously. The nurse is conducting which type of search?
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Federated
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A nurse is searching the Internet for information about the nursing licensure in another state. Which site would be most appropriate for the nurse to access?
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National Council of State Boards of Nursing
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A nurse is using the Cochrane Library to search for systematic reviews about treatment for hypertension. The nurse understands that systematic reviews help to reduce bias. When reading the review, the nurse notes that the review covers a wide range of databases and search terms. The nurse identifies this as reducing which bias?
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Indexing
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When evaluating a website for health information, which question would be important for the nurse to ask to determine the validity and quality of the information?
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Is the date of the site's last update clearly specified?
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A group of nurses who are working with the nurse manager are preparing to conduct a research study on the effects of 8-hour and 12-hour shifts on nurses working on a general medical-surgical unit. One of the nurses says, "I always have trouble finding relevant research articles." Which response by the nurse manager would be most appropriate to help this nurse?
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"Let's go together to ask the librarian for help in finding journals that specialize in research."
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A nursing informatics specialist is planning to use a free statistical program available on the Internet. Which fact would be most important for the nurse specialist to keep in mind?
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Command lines are used to input data.
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A nurse researcher is entering categorical data into a spreadsheet. Which action would be most important for the nurse to do?
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Code the data numerically
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A nurse is gathering data for a research study and is using DataFerrett to access the data. When accessing the data, the nurse would need to keep in mind that these data are:
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from various federal agencies.
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A nurse researcher accesses the Agency for Healthcare Research and Quality site for information related to:
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healthcare information technology.
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A nursing informatics specialist is working with the staff of an agency who is implementing electronic health records system. The nurse specialist would inform the staff to expect major changes in workflow:
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after the initial go-live period is over.
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A nursing informatics specialist is preparing a seminar for a group of staff nurses about the use of informatics and nursing research. Which event would the nurse specialist most likely include as occurring first?
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Use of case studies to describe intervention effectiveness
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Nurses on a unit are reviewing research to determine if a change in practice is necessary. Which activity would be most appropriate for the nurses to use as the best evidence for a change?
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Searching for a meta-analysis on the subject
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A nurse is collecting data about wait times for certain diagnoses across all emergency departments in hospitals in the United States. The nurse is most likely using which source for the data?
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DataFerrett
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A nurse is preparing to conduct a research study about a clinical topic and wants to obtain the most recent evidence on the topic. Which site would be most appropriate for the nurse to search?
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National Institute of Nursing Research
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When describing business intelligence to a group of nurse managers, which definition would the nursing informatics specialist include?
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Process of turning financial, client, and quality data into usable information
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A nurse is beginning to analyze data using descriptive data analysis in a spreadsheet. Which action would the nurse do first?
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Enter data on the row
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