question

swimlane flowchart

answer

How can the nurse manager illustrate the workflow among team members on a unit?

question

alert fatigue, medication errors, patient safety issues

answer

What may result from workarounds?

question

patient throughput

answer

movement of patient from one unit to another

question

gap analysis

answer

After instituting a new health IT nurses have noticed several inefficiencies. In order to find a solution to this what could the team perform?

question

When planning for health IT

answer

When is workflow analysis appropriate?

question

workflow

answer

Refers to processes such as the delivery of meds and supplies, and patient movement through health care system

question

Tonsilitis

answer

The school nurse is most likely to utilize telehealth when managing care of a student with what condition?

question

they may reside in an area with few health care providers

answer

Patients living in rural communities may benefit from telehealth services because?

question

Telemonitoring

answer

The nurse is caring for a patient suffering from diabetes. The nurse suggest that which type of telehealth service would be most appropriate for this patient?

question

True

answer

The term "telehealth" is defined as the use of electronic information and telecommunications technologies to support long-distance clinical health care, patient and professional health-related education, and health administration.

question

Airstrip patient monitoring

answer

Healthcare providers can access real-time and historical patient data using this app

question

Electromyography (EMG) sensor

answer

A client is wearing a tier 1 wearable monitor to assess muscle activity. The client recognizes that this is called?

question

Photoplethysmography (PPG)

answer

This sensor is used in tier 1 to monitor a patient's pulse and blood oxygen saturation?

question

BrainAttack

answer

This app facilitates determining tissue plasminigen activator (tPA) eligibility

question

can legally provide care to patients in any other participating states

answer

Under the national council of state boards of nursing interstate compact agreement, a licensed nurse in a participating state

question

Initiate teletrauma services immediately with the level 1 trauma center

answer

A patient is brought to a rural ER following a motor vehicle accident. The patient has suffered massive trauma to the chest and abdominal regions. The nurse expects to receive which of the following provider orders in caring for this patient?

question

Predict future disease occurrence, have significant implications for family members, uniquely identify people

answer

Some argue that genetic information is different from other health information because it can:

question

1st generation cephalosporins

answer

(Dropped from quiz) Nigel has an increasingly painful wound in his leg. The healthcare team determines by genetic testing the wound is infected with MRSA. The nurse knows that the healthcare provider will avoid prescribing

question

Malignant hypothermia

answer

Don is being prepared for coronary bypass surgery for clogged arteries. His mother had a near-fatal reaction to anesthesia during a routine hysterectomy that included rapid heart rate and rigid muscles. Testing shows that Don has an RYR1 gene mutation. This genetic mutation is associated with what disease?

question

Native Americans

answer

Which people are excluded from genetic information nondiscrimination act (GINA) protection?

question

Exome

answer

Which term refers to the approximately 1% of the genome that primarily encodes proteins?

question

Karyotype

answer

The G-banded ______________ was the first DNA based diagnostic test.

question

Genomics

answer

What term encompasses the study of all the genes in the human genome, including the interactions between genes and the environment?

question

Hudson Alpha

answer

The team of researchers that first identified the XIAP mutation in a young child with a life threatening GI disorder work at?

question

sequence once, read often

answer

Based in current genome sequencing technology and costs, it is recommended that physicians take a _____________ approach with their patients.

question

2

answer

A reasoning engine requires at least ____ data point(s) to construct a rule and generate alerts for safe care.

question

reference information, order sets, alerts, condition-specific information

answer

What is included in a clinical decision support system (CDSS) that is available to healthcare providers in order to make critical decisions?

question

clinical decision

answer

To meet the requirement for implementation of ______ rules, an electronic health record (EHR) must have a functioning clinical decision support system

question

when research evidence shows new findings important for patient care

answer

The nurse informaticist knows that the knowledge base in a clinical decision support system should be updated

question

artificial intelligence

answer

A clinical decision support system contained in an electronic health record uses principles of ______ and information science to provide active knowledge systems combined with patient data to generate clinical, patient specific advice

question

CDSS alerts only occur when a patient is experiencing a true medical emergency

answer

A new nurse is being oriented to the health IT system. What statement by the nurse about clinical decision support systems indicates that the nurse needs more education?

question

Alert fatigue

answer

A nurse is documenting at the point of patient care. An alert appears on the screen and the nurse dismisses it without reading it. This is an example of?

question

artificial intelligence

answer

The ability of a computer to perform human like behavior and/or analysis.

question

natural language processing

answer

The term _____ refers to a method of taking free text and analyzing it for patterns and added meaning to create added rules and generate more patient specific alerts

question

alert fatigue

answer

While working on a pediatric unit, the tech hears an alarm beeping down the hall. Without checking on the patient, the nurse states "Don't worry about that, it's the pulse oximeter in room 352. The patient is so active that the pulse oximeter doesn't pick up." This statement is an example of:

question

Getting research articles in advance, discussing the application of findings to nursing practice, having well informed, knowledgeable moderators

answer

Sortedahl developed an online journal club for school nurses and assessed nurses' satisfaction with the method after three months and found that nurses valued which key elements?

question

It allows you to identify other papers that have cited a specific article

answer

What is the benefit of using google scholar for research?

question

cultivate a spirit of inquiry

answer

What is the first step in the EBP process?

question

quality, economics

answer

Evidenced based practice is a process that has developed from a need to improve the ______ and manage the _____ of healthcare delivery

question

Their articles are provided for free.

answer

What statement about open access journals is true?

question

Plan-Do-Study-Acy

answer

What does the abbreviation PDSA stand for?

question

Select key term using the PICOT question

answer

What is the first step when the nurse begins a search of the evidence in PubMed, CINAHL, or other search engine regarding a research question?

question

cite while you write

answer

When references are cited in the narrative and added to a reference list in the word-processing document in real time using software it is called?

question

The nurses value's and preferences

answer

The components of EBP do not include:

question

Rich site summary (RSS) feeds

answer

Simplified, aggregated summaries of the information provided on whole websites is called?

question

data sources

answer

There are different components to a data warehouse. Which layer would the informaticist expect to include various databases in which users and applications interact?

question

query

answer

The nurse needs to retrieve information from a database concerning pressure wounds. The nurse would complete which operation to find the appropriate information.

question

Proprietary, open source and embedded

answer

What are the three primary types of relational database systems?

question

Proprietary

answer

Typically, large healthcare facilities need to customize their databases. Because of this, they tend to use which type of relational databases.

question

Learning management system (LMS)

answer

It is time for the hospital to verify competencies of their clinical staff. Which type of relational database would the facility use to complete this task?

question

Integrity

answer

When using a relational database, the nurse knows that these rules protect the validity of the data.

question

"Databases can store large amounts of data efficiently."

answer

After teaching a class on databases in the hospital setting, the nurse informaticist overhears participants discussing the information. Which statement made by a participant, shows that the information was correctly understood?

question

Embedded relational database

answer

A nurse practitioner group is looking for the best database for their practice. They would like the data to be linked together and would also like to be able to utilize mobile applications. Which type of database would be best for this practice?

question

decision support systems, data sources

answer

A data warehouse consists of which of the following components

question

virtual dashboards

answer

The reporting capacity of the Collaborative Alliance for Nursing Outcomes (CALNOC) system allows those hospitals who are members to create their own _________________, which contains selected performance measures to meet their needs for projects such as performance initiatives.

question

modeling, simulation

answer

The Wii game "Hysteria Hospital Emergency Ward" is an example of the possibilities of both __________ and _____________ applied to health care.

question

diagnostic

answer

Bayes' theorem is used for ______________ reasoning.

question

dashboards

answer

Visualization components to effectively communicate and display analysis results, usually to end users.

question

k-means

answer

A partitional clustering algorithm where the desired number of clusters to partition the data is specified.

question

FAERS

answer

database of adverse drug events

question

model

answer

A ______________ is a set of mathematical terms used to create a computer application capable of anticipating a response to a situation

question

identifying diagnoses

answer

What are ICD-10-CM codes used for?

question

neurons

answer

An artificial neural network is constructed upon the assumptions that information processing involves many simple elements called:

question

adverse drug events

answer

Pharmacovigilance is a process that requires early detection of:

question

Lag time exist between the time data are reported and released to the public, data are duplicated in files or reports

answer

Drawbacks of the FAERS database

question

The members of the health IT implementation team should continue the adaptation process.

answer

A nurse informaticist and health IT implementation team are working with a small group of nurses testing a health IT system prior to full implementation. The team discovers that the health IT system does not perform as expected during the test. What should the implementation team do next?

question

a workaround

answer

A nurse is using a bar code medication administration system to deliver medications to patients. The system requires a series of specific steps in order to safely administer medications. The nurse has discovered a way to override the system and eliminate some of the required steps. This override is known as

question

increase the potential for errors in care processes, decrease the efficiency of healthcare providers

answer

Failures in health IT design and implementation to support workflow and practice patterns of providers will

question

"This is a type of technology called RFID sensors that can help prevent infant abductions."

answer

While working in the newborn nursery, a new father asks the nurse about the bracelet placed on the infant with a small box attached. The nurse is correct in telling the father

question

Data entry must be done in standardized formats. data components should ideally include contextual information. Data elements must have definitions assigned to them.

answer

Data entry in the electronic health record can be a matter of patient safety. Which of the following statements are true regarding data entry?

question

slip

answer

The nurse in the neonatal ICU is about to feed a baby expressed breastmilk. The nurse makes an error and gives the baby breastmilk which is labeled for another patient. This type of error is called a

question

a system fault alarm

answer

The nurse is caring for a patient that is on telemetry. When one of the leads becomes displaced, the system alerts the nurse. This type of alert is known as

question

All medical devices should be designed for use by particular health care providers or patients and their families

answer

The Food and Drug Administration (FDA) has the responsibility for regulating the approval and recall of medical devices. Which of the following are a part of their guidelines?

question

level 1 alert

answer

The nurse caring for Mr. Jones has not given his ordered dosage of ampicillin. An alert is received through the barcode medication administration system. The nurse recognizes that this is a

question

errors

answer

According to Reason's Swiss Cheese Model, __________ are risks that pass through the gaps in protective barriers that normally defend patients from harm

question

dismissed alerts without taking the information into account

answer

Alert fatigue commonly results in:

question

rule based error

answer

Penicillin is the medication of choice when treating syphilis, but if it is given to a patient that is allergic to penicillin simply because it is known as the best choice which type of error is made?

question

taking a family health history

answer

What is the first step in a genetic risk assessment?

question

Florence Nightingale

answer

This famous person said, "In attempting to arrive at the truth, I have applied everywhere for information, but in scarcely an instance have been able to obtain hospital records fit for any purposes of comparison." Who is this person?

question

Performance

answer

Any system designed to assess and improve quality of care must begin with a thorough breakdown and understanding of the aims of the organization. The institute of medicine describe several goals for improving quality of care. What is NOT a goal set by the IOM?

question

Fragmentation of healthcare

answer

Disconnected healthcare delivery which places patients at greater risk for poor outcomes is called

question

Wisdom

answer

The proper used of knowledge to solve real-world problems is called

question

Opportunities for children to receive necessary immunizations

answer

Fragmentation of care can lead to a decrease in

question

Nursing informatics

answer

Defined as the science and practice that intergrates nursing, it's information and knowledge, with management of information and communication technologies to promote the health of people, families and communities worldwide

question

Expert systems

answer

Systems that apply knowledge through wisdom are known as

question

size

answer

The utility of any knowledge is directly dependent on its perceived accuracy and validity. In the past, validity was based on the opinions of a few well-respected experts. However, with the advent of the computing and information age, validity is largely based on the _______ and representativeness of the data set upon which the knowledge is based.

question

information literacy

answer

TIGER defines ______ as "the ability to identify information needed for a specific purpose, locate pertinent information, evaluate the information, and apply it correctly."

question

Personalized, participatory, preventive, predictive

answer

The Ted talk youtube video described the future of healthcare as P4 medicine. P4 medicine includes:

question

Standing order sets

answer

EHR systems that utilize _______ can allow nurses to carry out specific protocols of patient care prior to examination or approval by HCP

question

Interface

answer

The point at which the separate components of an EHR system meet and communicate is called the?

question

interoperability

answer

Nurses working in a hospital using an EHR have the ability to access patient records from any area of the facility. This IT system and software app can communicate, exchange data, and used the information exchanged. This is known as what?

question

Need for a common clinical vocabulary

answer

SNOMED CT addresses which barrier to adoption of EHR systems?

question

Personal identification number

answer

What is an example of an access control tool?

question

Have automated remote back up systems located off campus,have battery powered back up systems that plug directly into the server

answer

What are ways in which a healthcare organization can maintain normal operating procedures to prevent the loss of data during unplanned system downtime?

question

encryption

answer

The process of converting data into an unreadable format is known as?

question

confusing presentation of order options, juxtaposition errors, system design issues

answer

The use of computerized provider order entry has been linked to a potential cause of patient care mistakes. What could be a potential cause of patient care mistakes related to CPOE?

question

identify gaps in an EHR system's security

answer

Penetration testing is used to:

question

superusers

answer

It is important that healthcare facilities identify nurses who emerge as _______ who are willing to serve as leaders and as a resource for other staff and HCPs in the implementation and ongoing use of the EHR systems.

question

An individual's right to protection and confidentiality of health information

answer

What definition most accurately defines privacy?

question

The patient's insurance information, the date of a patient's upcoming appointment, the patient's address

answer

What is considered protected health information

question

Release the information with or without the patient's express authorization

answer

The nurse is caring for a patient who has been admitted to the hospital with TB. The local health department has called to obtain medical information about the patient. What must the nurse do about releasing medical information?

question

Notify the hospital's privacy security officer

answer

A nurse overhears another nurse sharing a patient's PHI with someone on the telephone. It is clear that the person on the phone is not involved with the patient's care. What is the nurse's most appropriate response?

question

sharing a password and log in information with a co-worker, allowing a nursing student to observe a medical procedure without prior consent, disposing of medical records in the garbage can

answer

What practice could violate a patient's right to privacy and confidentiality?

question

biometric markers

answer

What is the most secure means of authenticating users attempting to access PHI?

question

patient safety organizations analyze reports of patients' events and safety concerns

answer

What statement about Patient safety organizations is correct?

question

an ethical issue

answer

The nurse overhears a provider intentionally giving false information over the phone to a patient. The nurse recognizes this is:

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