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NUR 4870 Week 2 Final Informatics Questions and Answers (All 100% Correct) – Keiser University

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NUR4870 Week 2 Final Informatics Questions and Answers ● Question 1 2 out of 2 points __________ refers to a situation where the end-user is logged in to the information system but is unable to ente... r or process data. Answer Selected Answer: Freezing Correct Answer: Evaluation Method Correct Answer Case Sensitivity Exact Match Freezing Response Feedback: Rationale: Freezing refers to a situation where the end-user is logged in to the information system but is unable to enter or process data. Possible causes include: --workstation malfunction --computer network overload --order queue processing issue --system crash. Depending on the root cause, a freeze may be a momentary slowdown or a more serious problem resulting in downtime. Training content should include basic troubleshooting guidelines and information about how to report a problem to the information systems help desk. Cognitive Level: Understanding Integrated Process: Teaching and Learning Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 2 2 out of 2 points Which of the following describes the philosophical differences between the trainer's and educator's role? Answer Selected Answer: Trainers focus on behavior change through skill acquisition while concentrate on learning, thinking, and problem solving as a way to change behavior. Correct Answer: Trainers focus on behavior change through skill acquisition while concentrate on learning, thinking, and problem solving as a way to change behavior. Answer Feedback: Rationale: The philosophical differences between the trainer and educator are that trainers rely on behavioral psychology which focuses on behavior change through skill acquisition while educators rely on cognitive psychology which concentrates on learning, thinking, and problem solving as a way to change behavior. Cognitive Level: Understanding Integrated Process: Teaching and Learning Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 3 2 out of 2 points The information system life cycle can be divided into four phases that cover the life span of information systems. Which of the following answers best describes the end of the relationship? Answer Selected Answer: There is no end to the life cycle. Correct Answer: There is no end to the life cycle. Answer Feedback: Rationale: The system life cycle can be divided into four phases that cover the life span of information systems. The relationship between these phases is circular in nature, because needs assessment and evaluation are ongoing processes. Cognitive Level: Understanding Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 4 1 out of 2 points Which of the following should the needs assessment committee do as a first step in the process of determining the organization's information needs? Select all that apply. Answer Selected Answers: Examining the vision of the organization Examining the mission statement Establishing goals to guide the work of the committee Correct Answers: Examining the vision of the organization Examining the strategic plan Examining the mission statement Answer Feedback: Rationale: ● The needs assessment committee should start the process by examining the vision and mission statements of the organization as well as the strategic plan. This will guide the committee in looking to the future and determining the organization's information needs while continuing to support the mission. From this, goals or a charge should be developed to guide the work of the committee. The committee should consider using brainstorming techniques later when defining the expectations of an information system. ● The needs assessment committee should start the process by examining the vision and mission statements of the organization as well as the strategic plan. The committee should consider using brainstorming techniques later when defining the expectations of an information system. ● The needs assessment committee should start the process by examining the vision and mission statements of the organization as well as the strategic plan. This will guide the committee in looking to the future and determining the organization's information needs while continuing to support the mission. From this, goals or a charge should be developed to guide the work of the committee. Cognitive Level: Applying Integrated Process: Assessment Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: ● The needs assessment committee should start the process by examining the vision and mission statements of the organization as well as the strategic plan. This will guide the committee in looking to the future and determining the organization's information needs while continuing to support the mission. From this, goals or a charge should be developed to guide the work of the committee. The committee should consider using brainstorming techniques later when defining the expectations of an information system. ● The needs assessment committee should start the process by examining the vision and mission statements of the organization as well as the strategic plan. The committee should consider using brainstorming techniques later when defining the expectations of an information system. ● The needs assessment committee should start the process by examining the vision and mission statements of the organization as well as the strategic plan. This will guide the committee in looking to the future and determining the organization's information needs while continuing to support the mission. From this, goals or a charge should be developed to guide the work of the committee. Cognitive Level: Applying Integrated Process: Assessment Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: ● The needs assessment committee should start the process by examining the vision and mission statements of the organization as well as the strategic plan. This will guide the committee in looking to the future and determining the organization's information needs while continuing to support the mission. From this, goals or a charge should be developed to guide the work of the committee. The committee should consider using brainstorming techniques later when defining the expectations of an information system. ● The needs assessment committee should start the process by examining the vision and mission statements of the organization as well as the strategic plan. The committee should consider using brainstorming techniques later when defining the expectations of an information system. ● The needs assessment committee should start the process by examining the vision and mission statements of the organization as well as the strategic plan. This will guide the committee in looking to the future and determining the organization's information needs while continuing to support the mission. From this, goals or a charge should be developed to guide the work of the committee. Cognitive Level: Applying Integrated Process: Assessment Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Response Feedback: Rationale: ● The needs assessment committee should start the process by examining the vision and mission statements of the organization as well as the strategic plan. This will guide the committee in looking to the future and determining the organization's information needs while continuing to support the mission. From this, goals or a charge should be developed to guide the work of the committee. The committee should consider using brainstorming techniques later when defining the expectations of an information system. ● The needs assessment committee should start the process by examining the vision and mission statements of the organization as well as the strategic plan. The committee should consider using brainstorming techniques later when defining the expectations of an information system. ● The needs assessment committee should start the process by examining the vision and mission statements of the organization as well as the strategic plan. This will guide the committee in looking to the future and determining the organization's information needs while continuing to support the mission. From this, goals or a charge should be developed to guide the work of the committee. Cognitive Level: Applying Integrated Process: Assessment Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 5 0 out of 2 points A proficiency examination is planned to ensure that employees have the requisite knowledge to use a new wireless system. Which statement indicates the best use of testing? Answer Selected Answer: Norm-referenced testing is used to ensure the most successful employees keep their position. Correct Answer: Testing is criterion-referenced to evaluate predetermined system competencies. Answer Feedback: Rationale: The correct answer is "testing is criterion-referenced to evaluate predetermined system competencies." The most effective testing is criterion-referenced with predetermined competencies, not comparing results among employees. Norm-referenced testing is useful in competitive hiring situations where there are more applicants than positions available. However, this type of testing is not typically used for information system training. Cognitive Level: Applying Integrated Process: Evaluation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 6 2 out of 2 points Which of the following types of usability studies consists of a detailed review of a sequence of real or proposed actions to complete a task in a system? Answer Selected Answer: Cognitive walkthrough Correct Answer: Cognitive walkthrough Answer Feedback: Rationale: Cognitive walkthrough method is a type of usability inspection method or task analysis. It consists of a detailed review of a sequence of real or proposed actions to complete a task in a system. Cognitive Level: Understanding Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 7 2 out of 2 points Among the following computer-related policies, which of the following are appropriate? Select all that apply. Answer Selected Answers: A nursing student shared confidential lab results obtained from the system at the request of one of the student's relatives. The policy is to dismiss the student from the clinical site. Both students and employees sign documents that explain the consequence of termination for misuse of the system. Access codes are assigned to authenticate each individual user's identity and may not be shared with anyone. A radiology student makes a copy of a client's MRI report to prepare for the next days clinical. The copy is accidentally left in the waiting room and found by a staff member. The policy is to dismiss the student from the clinical site. Correct Answers: A nursing student shared confidential lab results obtained from the system at the request of one of the student's relatives. The policy is to dismiss the student from the clinical site. Both students and employees sign documents that explain the consequence of termination for misuse of the system. Access codes are assigned to authenticate each individual user's identity and may not be shared with anyone. A radiology student makes a copy of a client's MRI report to prepare for the next days clinical. The copy is accidentally left in the waiting room and found by a staff member. The policy is to dismiss the student from the clinical site. Answer Feedback: Rationale: Appropriate policies are: Access codes are assigned to authenticate each individual user's identity and may not be shared with anyone (not even staff members or administrators); both students and employees sign documents that explain the consequence of termination for misuse of the system; two students are dismissed from the site for breaches of confidentiality and the inappropriate use of data within the information/paper system. It is also possible that legal action may follow. Each student's faculty should be notified and each school will review its own penalties. Students should never share confidential PHI with any unauthorized person and documents such as the MRI report should be properly disposed of. An inappropriate policy is: Allowing employees to sign other users in under their access code; this is never acceptable for any reason. Cognitive Level: Analyzing Integrated Process: Teaching and Learning Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: Appropriate policies are: Access codes are assigned to authenticate each individual user's identity and may not be shared with anyone (not even staff members or administrators); both students and employees sign documents that explain the consequence of termination for misuse of the system; two students are dismissed from the site for breaches of confidentiality and the inappropriate use of data within the information/paper system. It is also possible that legal action may follow. Each student's faculty should be notified and each school will review its own penalties. Students should never share confidential PHI with any unauthorized person and documents such as the MRI report should be properly disposed of. An inappropriate policy is: Allowing employees to sign other users in under their access code; this is never acceptable for any reason. Cognitive Level: Analyzing Integrated Process: Teaching and Learning Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: Appropriate policies are: Access codes are assigned to authenticate each individual user's identity and may not be shared with anyone (not even staff members or administrators); both students and employees sign documents that explain the consequence of termination for misuse of the system; two students are dismissed from the site for breaches of confidentiality and the inappropriate use of data within the information/paper system. It is also possible that legal action may follow. Each student's faculty should be notified and each school will review its own penalties. Students should never share confidential PHI with any unauthorized person and documents such as the MRI report should be properly disposed of. An inappropriate policy is: Allowing employees to sign other users in under their access code; this is never acceptable for any reason. Cognitive Level: Analyzing Integrated Process: Teaching and Learning Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: Appropriate policies are: Access codes are assigned to authenticate each individual user's identity and may not be shared with anyone (not even staff members or administrators); both students and employees sign documents that explain the consequence of termination for misuse of the system; two students are dismissed from the site for breaches of confidentiality and the inappropriate use of data within the information/paper system. It is also possible that legal action may follow. Each student's faculty should be notified and each school will review its own penalties. Students should never share confidential PHI with any unauthorized person and documents such as the MRI report should be properly disposed of. An inappropriate policy is: Allowing employees to sign other users in under their access code; this is never acceptable for any reason. Cognitive Level: Analyzing Integrated Process: Teaching and Learning Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Response Feedback: Rationale: Appropriate policies are: Access codes are assigned to authenticate each individual user's identity and may not be shared with anyone (not even staff members or administrators); both students and employees sign documents that explain the consequence of termination for misuse of the system; two students are dismissed from the site for breaches of confidentiality and the inappropriate use of data within the information/paper system. It is also possible that legal action may follow. Each student's faculty should be notified and each school will review its own penalties. Students should never share confidential PHI with any unauthorized person and documents such as the MRI report should be properly disposed of. An inappropriate policy is: Allowing employees to sign other users in under their access code; this is never acceptable for any reason. Cognitive Level: Analyzing Integrated Process: Teaching and Learning Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 8 1 out of 2 points Which of the following are considered impediments to a fully functional electronic health record (EHR) system? Select all that apply. Answer Selected Answers: Development of an electronic infrastructure Cost Common vocabulary Caregiver compliance Privacy Correct Answers: Development of an electronic infrastructure Cost Privacy Answer Feedback: Rationale: The following are considered to be impediments to a fully functional EHR system: Development of an electronic infrastructure Cost Lack of a common vocabulary Privacy Security and confidentiality issues Resistance among caregivers Failure to adequately consider organizational change Determining a realistic timeline Lack of IT staff to create and support the necessary infrastructure Legal issues surrounding the discovery of medical information Cognitive Level: Analyzing Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: The following are considered to be impediments to a fully functional EHR system: Development of an electronic infrastructure Cost Lack of a common vocabulary Privacy Security and confidentiality issues Resistance among caregivers Failure to adequately consider organizational change Determining a realistic timeline Lack of IT staff to create and support the necessary infrastructure Legal issues surrounding the discovery of medical information Cognitive Level: Analyzing Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: The following are considered to be impediments to a fully functional EHR system: Development of an electronic infrastructure Cost Lack of a common vocabulary Privacy Security and confidentiality issues Resistance among caregivers Failure to adequately consider organizational change Determining a realistic timeline Lack of IT staff to create and support the necessary infrastructure Legal issues surrounding the discovery of medical information Cognitive Level: Analyzing Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: The following are considered to be impediments to a fully functional EHR system: Development of an electronic infrastructure Cost Lack of a common vocabulary Privacy Security and confidentiality issues Resistance among caregivers Failure to adequately consider organizational change Determining a realistic timeline Lack of IT staff to create and support the necessary infrastructure Legal issues surrounding the discovery of medical information Cognitive Level: Analyzing Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: The following are considered to be impediments to a fully functional EHR system: Development of an electronic infrastructure Cost Lack of a common vocabulary Privacy Security and confidentiality issues Resistance among caregivers Failure to adequately consider organizational change Determining a realistic timeline Lack of IT staff to create and support the necessary infrastructure Legal issues surrounding the discovery of medical information Cognitive Level: Analyzing Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Response Feedback: Rationale: The following are considered to be impediments to a fully functional EHR system: Development of an electronic infrastructure Cost Lack of a common vocabulary Privacy Security and confidentiality issues Resistance among caregivers Failure to adequately consider organizational change Determining a realistic timeline Lack of IT staff to create and support the necessary infrastructure Legal issues surrounding the discovery of medical information Cognitive Level: Analyzing Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 9 1 out of 2 points Survivability is the capability of a system as a whole to fulfill its mission, in a timely manner, in the presence of attacks, failures, or accidents. United States Hospitals (USH) is a large national hospital corporation with processing centralized at their headquarters. USH is reviewing their information security plan. Part of their mission is to provide emergency services to each regional area during catastrophic events. Which of the following indicate that survivability has been specifically considered in the plan? Select all that apply. Answer Selected Answers: One hospital in each regional area has multiple sources of communication with USH central processing. Emergency power generators for all associate hospitals are tested and serviced each week Each night the system at USH central processing is backed up and stored in a remote location. One hospital in each regional area is especially prepared to maintain information system functionality for the emergency, operating room, lab, and pharmacy units. Correct Answers: One hospital in each regional area has multiple sources of communication with USH central processing. One hospital in each regional area has an emergency protocol in place for communicating directly with the Department of Homeland Security. One hospital in each regional area is especially prepared to maintain information system functionality for the emergency, operating room, lab, and pharmacy units. Answer Feedback: Rationale: The following address USH's mission in terms of survivability: planning for one hospital in each regional area to maintain communications with USH headquarters; communicating directly with the Department of Homeland Security when needed; and maintaining information system functionality for the emergency, operating room, lab, and pharmacy units. System backup and emergency power generators are important general security issues but do not specifically address survivability during a catastrophic event. Cognitive Level: Analyzing Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: The following address USH's mission in terms of survivability: planning for one hospital in each regional area to maintain communications with USH headquarters; communicating directly with the Department of Homeland Security when needed; and maintaining information system functionality for the emergency, operating room, lab, and pharmacy units. System backup and emergency power generators are important general security issues but do not specifically address survivability during a catastrophic event. Cognitive Level: Analyzing Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: The following address USH's mission in terms of survivability: planning for one hospital in each regional area to maintain communications with USH headquarters; communicating directly with the Department of Homeland Security when needed; and maintaining information system functionality for the emergency, operating room, lab, and pharmacy units. System backup and emergency power generators are important general security issues but do not specifically address survivability during a catastrophic event. Cognitive Level: Analyzing Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: The following address USH's mission in terms of survivability: planning for one hospital in each regional area to maintain communications with USH headquarters; communicating directly with the Department of Homeland Security when needed; and maintaining information system functionality for the emergency, operating room, lab, and pharmacy units. System backup and emergency power generators are important general security issues but do not specifically address survivability during a catastrophic event. Cognitive Level: Analyzing Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Response Feedback: Rationale: The following address USH's mission in terms of survivability: planning for one hospital in each regional area to maintain communications with USH headquarters; communicating directly with the Department of Homeland Security when needed; and maintaining information system functionality for the emergency, operating room, lab, and pharmacy units. System backup and emergency power generators are important general security issues but do not specifically address survivability during a catastrophic event. Cognitive Level: Analyzing Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 10 2 out of 2 points The computer-based patient record (CPR) is a comprehensive lifetime record that includes all information from all specialties. Most of the data included in the CPR is which of the following? Answer Selected Answer: Structured data Correct Answer: Structured data Answer Feedback: Rationale: The computer-based patient record (CPR) is a comprehensive lifetime record that includes all information from all specialties. Most of the data included in the CPR are structured data. Other data formats may also be linked to the CPR, including dictation and transcription, images, video, and text. These data, and collective data from all systems, are stored and managed in the clinical data repository. Cognitive Level: Remembering Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 11 2 out of 2 points Which of the following is not a factor to consider when selecting a trainer? Answer Selected Answer: Experience with process outcomes Correct Answer: Experience with process outcomes Answer Feedback: Rationale: The following factors are important to consider when selecting a trainer: -Teaching skills and experience: Should have previous training, content development, and information system experience. -Ability to interact with groups and individuals: Need the ability to communicate clearly, and manage the training needs of the group. -Understanding end-users and their responsibilities: Need understanding of user classes, their job needs, and information system requirements. -Training approach: Must be knowledgeable and comfortable with the selected approach. -Centralized versus departmental training: Centralized training provides the general principles and overall functionality of the information system. Departmental training is workflow oriented, customized, and focused on individual user class responsibilities in a given area. -Focus areas of in-house instructors: Hospital-wide or staff development educators may know the basic principles of adult education but may lack familiarity with work-flows. Clinicians have expertise within their clinical practice areas. Department supervisors are knowledgeable about their clinical area and work-flow but may be unable to leave their supervisory responsibilities. Information system personnel may understand the software application and functionality, but lack a clinical perspective. Cognitive Level: Applying Integrated Process: Teaching and Learning Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 12 2 out of 2 points The needs assessment committee starts the process by examining which organization document? Answer Selected Answer: Mission statement Correct Answer: Mission statement Answer Feedback: Rationale: The needs assessment committee starts the process by examining the vision and mission statements of the organization as well as the strategic plan. This will guide the committee in looking to the future and determining the organization's information needs while continuing to support the mission. Cognitive Level: Applying Integrated Process: Planning Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 13 0 out of 2 points The cost of a new or upgraded system can be burdensome on an organization from a budgetary perspective. Which of the following statements can be considered a return on investment? Answer Selected Answer: Staff with IT skills is more marketable and have greater job flexibility. Correct Answer: Employees express satisfaction with their jobs and turnover rate is low. Answer Feedback: Rationale: Staff members who leave the organization post training add an additional cost burden to the budget, since their replacements must be trained. Cognitive Level: Evaluating Integrated Process: Evaluation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 14 0 out of 2 points The lack of which of the following has long been a barrier to effective data reporting and analysis? Answer Selected Answer: Resources Correct Answer: Interoperability Answer Feedback: Rationale: The lack of interoperability has long been a barrier to effective data reporting and analysis. Cognitive Level: Remembering Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 15 0 out of 2 points Implementation of any system can be facilitated by the committee's understanding of the amount of time that is needed to successfully complete the project. To that end, what is an important staffing concept for administration to consider when appointing members to a technology committee? Answer Selected Answer: Committee members should meet more than once a week to complete tasks. Correct Answer: Relevant committee members can be given alternate work assignments to accommodate the increase in committee work. Answer Feedback: Rationale: Meeting times are associated with an agenda and need to meet. If a vendor has information for review, members may meet more than once a week. If there is nothing to discuss, then there is no need to hold a meeting. Cognitive Level: Understanding Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 16 2 out of 2 points Which of the following statements best describes the term milestone? Answer Selected Answer: A milestone is essential in developing a timeline. Correct Answer: A milestone is essential in developing a timeline. Answer Feedback: Rationale: It is essential to develop a timeline that delineates the major events or milestones when working through the various phases of the information system's life cycle. Cognitive Level: Remembering Integrated Process: Assessment Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 17 0 out of 2 points __________ would permit the uniform capture of data required to build a longitudinal record comprised of integrated information systems from multiple vendors. Answer Selected Answer: Feature creep Correct Answer: Evaluation Method Correct Answer Case Sensitivity Exact Match Data exchange standards ● Question 18 1 out of 2 points Which of the following statements regarding computer-based training (CBT) are true? Select all that apply. Answer Selected Answers: Retention is enhanced because technology is used to teach technology. CBT facilitates mastery learning. Vendor-supplied materials require no specific customization. Correct Answers: Retention is enhanced because technology is used to teach technology. CBT facilitates mastery learning. Answer Feedback: Rationale: The correct answers are: retention of the material is enhanced because technology is used to teach technology, and mastery learning is facilitated. CBT is time and labor intensive to develop and revise; its materials require great trainer attention beforehand, and vendor-supplied materials are seldom useful unless they are customized. Cognitive Level: Applying Integrated Process: Teaching and Learning Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: The correct answers are: retention of the material is enhanced because technology is used to teach technology, and mastery learning is facilitated. CBT is time and labor intensive to develop and revise; its materials require great trainer attention beforehand, and vendor-supplied materials are seldom useful unless they are customized. Cognitive Level: Applying Integrated Process: Teaching and Learning Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: The correct answers are: retention of the material is enhanced because technology is used to teach technology, and mastery learning is facilitated. CBT is time and labor intensive to develop and revise; its materials require great trainer attention beforehand, and vendor-supplied materials are seldom useful unless they are customized. Cognitive Level: Applying Integrated Process: Teaching and Learning Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Response Feedback: Rationale: The correct answers are: retention of the material is enhanced because technology is used to teach technology, and mastery learning is facilitated. CBT is time and labor intensive to develop and revise; its materials require great trainer attention beforehand, and vendor-supplied materials are seldom useful unless they are customized. Cognitive Level: Applying Integrated Process: Teaching and Learning Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 19 2 out of 2 points The information system life cycle in the text is divided into phases. Which of the following are considered part of the life cycle process? Select all that apply. Answer Selected Answers: Needs assessment System selection Implementation Maintenance Correct Answers: Needs assessment System selection Implementation Maintenance Answer Feedback: Rationale: The process is initiated with Phase 1 which consists of the following: 1. Needs assessment determines the gap between an organization's current state and the overall needs of the organization with consideration to the strategic plan. 2. System selection is completed through the strategic planning process after a review of internal and external strengths and resources. 3. Implementation is actualized through a process. 4. Maintenance is the upkeep of the technology system. Cognitive Level: Applying Integrated Process: Planning Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: The process is initiated with Phase 1 which consists of the following: 5. Needs assessment determines the gap between an organization's current state and the overall needs of the organization with consideration to the strategic plan. 6. System selection is completed through the strategic planning process after a review of internal and external strengths and resources. 7. Implementation is actualized through a process. 8. Maintenance is the upkeep of the technology system. Cognitive Level: Applying Integrated Process: Planning Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: The process is initiated with Phase 1 which consists of the following: 9. Needs assessment determines the gap between an organization's current state and the overall needs of the organization with consideration to the strategic plan. 10. System selection is completed through the strategic planning process after a review of internal and external strengths and resources. 11. Implementation is actualized through a process. 12. Maintenance is the upkeep of the technology system. Cognitive Level: Applying Integrated Process: Planning Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: The process is initiated with Phase 1 which consists of the following: 13. Needs assessment determines the gap between an organization's current state and the overall needs of the organization with consideration to the strategic plan. 14. System selection is completed through the strategic planning process after a review of internal and external strengths and resources. 15. Implementation is actualized through a process. 16. Maintenance is the upkeep of the technology system. Cognitive Level: Applying Integrated Process: Planning Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Response Feedback: Rationale: The process is initiated with Phase 1 which consists of the following: 17. Needs assessment determines the gap between an organization's current state and the overall needs of the organization with consideration to the strategic plan. 18. System selection is completed through the strategic planning process after a review of internal and external strengths and resources. 19. Implementation is actualized through a process. 20. Maintenance is the upkeep of the technology system. Cognitive Level: Applying Integrated Process: Planning Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 20 2 out of 2 points The purpose of the __________ is to determine the gap between an organization's current state and the overall needs of the organization with consideration to the strategic plan. Answer Selected Answer: needs assessment Correct Answer: Evaluation Method Correct Answer Case Sensitivity Exact Match needs assessment Response Feedback: Rationale: The purpose of the needs assessment is to determine the gap between an organization's current state and the overall needs of the organization with consideration to the strategic plan. Cognitive Level: Understanding Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 21 0 out of 2 points The members of a steering committee should be carefully selected. Which committee would be most effective? Answer Selected Answer: A five-member committee consisting of one upper-level management representative from each department Correct Answer: A 15-member committee consisting of multidisciplinary representatives from each unit/department Answer Feedback: Rationale: The correct answer is a 15-member committee consisting of multidisciplinary representatives from each unit/department. To be effective, a steering committee should be large enough to make decisions, but small enough to be effective. All those affected should be represented with a multidisciplinary team membership. Cognitive Level: Applying Integrated Process: Planning Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 22 2 out of 2 points To change the culture of any work environment, the nurse as a leader can promote innovation and minimize resistance through which of the following? Answer Selected Answer: Planning a strategy to support people and process changes Correct Answer: Planning a strategy to support people and process changes Answer Feedback: Rationale: Implementation of information technology is a very political process, particularly in the cost-controlled health care delivery systems of today. The realization of a successful system for nursing requires a strong nurse leader who is politically savvy and technologically competent. To begin this process of change it is important to realize that there will be obstacles that may impede the forward progress of the strategies. Clinical operation disruption is minimized via the identification of the processes and their changes which are then included in user training and implemented by the management team. The implementation plan should include a strategy to support people and process changes (Wolf, Greenhouse, Diamond, Fera, & McCormick, 2006). Cognitive Level: Understanding Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 23 0 out of 2 points __________ are generated by an information system to warn of missing information or data entry errors. Answer Selected Answer: Audit trail procedures Correct Answer: Evaluation Method Correct Answer Case Sensitivity Exact Match Error messages Response Feedback: Rationale: Error messages are generated by an information system to warn of missing information or data entry errors. Error messages alert end-user that they need to correct or add information. Cognitive Level: Applying Integrated Process: Teaching and Learning Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 24 0 out of 2 points Analyzing appropriate hardware requirements is necessary when implementing a new information system. Which of the following solutions is most appropriate? Answer Selected Answer: Laser printers are connected to the system network for printing laboratory results. Correct Answer: Needs assessment information is compared to budget and hardware and software features. Answer Feedback: Rationale: The correct answer is compare information collected during the needs assessment against the equipment budget and available hardware and software features. The needs assessment provides information on workflow and desired features. Comparison against budget constraints and data security concerns help to identify the best options available for the scope of the project. All hardware must be accounted for so that efficient use is enhanced; these decisions must be made in advance. Unauthorized hardware may not connect properly, and should be discouraged. Cognitive Level: Evaluating Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 25 0 out of 2 points Personal health record (PHR) security issues relate to HIPAA and physical security of data. HIPAA only covers PHRs provided by covered entities such as health plans, health care clearinghouses, and providers. No governmental coverage exists for other sites unless it is at the state level. To avoid these types of breaches, the American Health Information Community's consumer empowerment working group made a recommendation. Which of the following was recommended for PHRs in order to avoid breaches? Answer Selected Answer: Educating the general consumer about PHRs Correct Answer: A PHR certification process Answer Feedback: Rationale: The consumer empowerment working group of the American Health Information Community recommends a certification process for PHRs to avoid security breaches. Cognitive Level: Remembering Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 26 2 out of 2 points Which form of training would best fit the needs of a night shift worker (11 p.m. to 7 a.m.)? Answer Selected Answer: An online tutorial that can be accessed when it fits worker's time off Correct Answer: An online tutorial that can be accessed when it fits worker's time off Answer Feedback: Rationale: Online tutorials are available 24/7 and allow immediate application of learning. The correct answer is an online tutorial that can be accessed when it fits the worker's schedule. Listservs via e-mail are too slow for training; videos are not interactive; and workshops should be scheduled for times when the employee is off duty and rested, ready to learn, not just as a shift ends. Cognitive Level: Analyzing Integrated Process: Teaching and Learning Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 27 2 out of 2 points The Health Insurance Portability and Accountability Act (HIPAA) requires organizations to determine threats and appropriate protective measures for information, not only in electronic formats, but in all formats. Which of the following measures cannot be incorporated by organizations to secure all data? Answer Selected Answer: Spyware Correct Answer: Spyware Answer Feedback: Rationale: Spyware is a data collection mechanism that installs itself without the user's permission. Cognitive Level: Applying Integrated Process: Planning Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 28 0 out of 2 points An overlay occurs when one individual is assigned in the master patient index to another individual's health record. A health care facility has discovered that an overlay has occurred resulting in invalid data being stored in key identifying fields. Which of the following information security areas does this breach affect? Answer Selected Answer: Survivability Correct Answer: Integrity Answer Feedback: Rationale: The correct answer is integrity. Integrity is concerned with the accuracy of information while disclosure is part of confidentiality, whereas availability and survivability address accessing information in a timely manner. Cognitive Level: Understanding Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 29 2 out of 2 points Communication during the maintenance phase of the system's life cycle is crucial. Which of the following is most beneficial to the organization during the maintenance phase? Answer Selected Answer: A help desk provides 24/7 telephone user support for employees Correct Answer: A help desk provides 24/7 telephone user support for employees Answer Feedback: Rationale: During maintenance, the help desk personnel should be available 24/7. Other ways of providing information and answering questions should also be implemented. Cognitive Level: Applying Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 30 2 out of 2 points The clinical data repository provides data definition consistency through which of the following? Answer Selected Answer: Mapping Correct Answer: Mapping Answer Feedback: Rationale: The clinical data repository provides data definition consistency through mapping. Mapping is the process in which terms defined in one system are associated with comparable terms in another system. The clinical data repository may also be referred to as the clinical data warehouse. Cognitive Level: Understanding Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 31 2 out of 2 points Which of the following are examples of ongoing systems technical maintenance? Select all that apply. Answer Selected Answers: Problem solving and debugging Performing a file backup Maintaining a backup supply of hardware Maintaining and updating the disaster recovery plan Configuring, testing, and installing system upgrades Correct Answers: Problem solving and debugging Performing a file backup Maintaining a backup supply of hardware Maintaining and updating the disaster recovery plan Configuring, testing, and installing system upgrades Answer Feedback: Rationale: Examples of systems technical maintenance are listed below: ● Problem solving and debugging ● Maintaining a backup supply of hardware ● Performing file backup ● Monitoring the system for adequate file space ● Building and maintaining interfaces with other systems ● Configuring, testing, and installing system upgrades ● Maintaining and updating the disaster recovery plan Cognitive Level: Applying Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: Examples of systems technical maintenance are listed below: ● Problem solving and debugging ● Maintaining a backup supply of hardware ● Performing file backup ● Monitoring the system for adequate file space ● Building and maintaining interfaces with other systems ● Configuring, testing, and installing system upgrades ● Maintaining and updating the disaster recovery plan Cognitive Level: Applying Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: Examples of systems technical maintenance are listed below: ● Problem solving and debugging ● Maintaining a backup supply of hardware ● Performing file backup ● Monitoring the system for adequate file space ● Building and maintaining interfaces with other systems ● Configuring, testing, and installing system upgrades ● Maintaining and updating the disaster recovery plan Cognitive Level: Applying Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: Examples of systems technical maintenance are listed below: ● Problem solving and debugging ● Maintaining a backup supply of hardware ● Performing file backup ● Monitoring the system for adequate file space ● Building and maintaining interfaces with other systems ● Configuring, testing, and installing system upgrades ● Maintaining and updating the disaster recovery plan Cognitive Level: Applying Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: Examples of systems technical maintenance are listed below: ● Problem solving and debugging ● Maintaining a backup supply of hardware ● Performing file backup ● Monitoring the system for adequate file space ● Building and maintaining interfaces with other systems ● Configuring, testing, and installing system upgrades ● Maintaining and updating the disaster recovery plan Cognitive Level: Applying Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Response Feedback: Rationale: Examples of systems technical maintenance are listed below: ● Problem solving and debugging ● Maintaining a backup supply of hardware ● Performing file backup ● Monitoring the system for adequate file space ● Building and maintaining interfaces with other systems ● Configuring, testing, and installing system upgrades ● Maintaining and updating the disaster recovery plan Cognitive Level: Applying Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 32 0 out of 2 points A female client goes to the clinic's office complaining of a cough and fever. She gives her name and date of birth at the admitting registration desk. The registration clerk verifies her current address and asks if she is still covered by IVY insurance. Client responds yes, is given a chart with the number 3948JAV04830 on it, and is directed to the physician's exam room. The physician orders a chest x-ray. The client is sent to the radiology department and checks in with the registration desk. The registration clerk verifies her current address and asks if she is still covered by IVY insurance. The client responds yes and is given an order sheet with the number 3948JAV04830 on it. The admitting office for the clinic and the radiology office use different information systems. The process depicted in this scenario illustrates the use of which of the following? Answer Selected Answer: Uniform language Correct Answer: Master patient index Answer Feedback: Rationale: This scenario is an example of the use of the MPI of patient identifiers. Both information systems, though different, used the same global identification number for the client and allowed for client identification at the point of care. The data dictionary defines terminology, the clinical data repository is a database where collective data from all information systems are stored, and many efforts to develop uniform languages are under way in the health care arena. Cognitive Level: Understanding Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 33 0 out of 2 points Web-based tools can provide benefits of an alternative method for obtaining patient information from diverse information systems. Which of the following is accurate regarding recent advances toward interoperability? Answer Selected Answer: Data exchange standards need to be developed. Correct Answer: Interoperability of electronic health data will be costly. Answer Feedback: Rationale: Interoperability of electronic health data will be costly and much work lies ahead. Recently though, data exchange standards have been refined, national priorities have been set, and work has started on building the framework needed to make interoperability of electronic health data a reality. This will not be easy or quick but the promised benefits will be immeasurable. Cognitive Level: Applying Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 34 2 out of 2 points Usability is a subset of HCI and one of its major components. Which of the following are usability topics? Select all that apply. Answer Selected Answers: Using an application Learning to use a system User satisfaction Efficiency Error-free/error-forgiving interactions Correct Answers: Using an application Learning to use a system User satisfaction Efficiency Error-free/error-forgiving interactions Answer Feedback: Rationale: Usability is a subset of HCI and is one of its major components. The following are usability topics: ● Using an application ● Learning to use a system ● Remembering interactions with technology after time has elapsed ● User satisfaction ● Efficiency ● Error-free/error-forgiving interactions ● Seamless fit of an information system to the task(s) at hand Cognitive Level: Analyzing Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: Usability is a subset of HCI and is one of its major components. The following are usability topics: ● Using an application ● Learning to use a system ● Remembering interactions with technology after time has elapsed ● User satisfaction ● Efficiency ● Error-free/error-forgiving interactions ● Seamless fit of an information system to the task(s) at hand Cognitive Level: Analyzing Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: Usability is a subset of HCI and is one of its major components. The following are usability topics: ● Using an application ● Learning to use a system ● Remembering interactions with technology after time has elapsed ● User satisfaction ● Efficiency ● Error-free/error-forgiving interactions ● Seamless fit of an information system to the task(s) at hand Cognitive Level: Analyzing Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: Usability is a subset of HCI and is one of its major components. The following are usability topics: ● Using an application ● Learning to use a system ● Remembering interactions with technology after time has elapsed ● User satisfaction ● Efficiency ● Error-free/error-forgiving interactions ● Seamless fit of an information system to the task(s) at hand Cognitive Level: Analyzing Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: Usability is a subset of HCI and is one of its major components. The following are usability topics: ● Using an application ● Learning to use a system ● Remembering interactions with technology after time has elapsed ● User satisfaction ● Efficiency ● Error-free/error-forgiving interactions ● Seamless fit of an information system to the task(s) at hand Cognitive Level: Analyzing Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Response Feedback: Rationale: Usability is a subset of HCI and is one of its major components. The following are usability topics: ● Using an application ● Learning to use a system ● Remembering interactions with technology after time has elapsed ● User satisfaction ● Efficiency ● Error-free/error-forgiving interactions ● Seamless fit of an information system to the task(s) at hand Cognitive Level: Analyzing Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 35 0 out of 2 points Which of the following is a major component of the computer-based patient record (CPR)? Answer Selected Answer: Legal record created in hospitals and ambulatory environments Correct Answer: Support for links to local or remote information resources Answer Feedback: Rationale: A major component of the CPR is support for links to local or remote information resources. The EMR is a legal record created in hospitals and ambulatory environments. Cognitive Level: Understanding Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 36 0 out of 2 points Usability tests are systematic and structured examinations of the effectiveness, efficiency or satisfaction of any component or interactions in the human-computer interaction framework(s). Which of the following is an example of a usability test? Answer Selected Answer: Exploring time management strategies in central supply Correct Answer: Describing the satisfaction with a new computerized provider order entry (CPOE) application. Answer Feedback: Rationale: Usability studies can be simple or complex. Usability studies can be done at any point in the expanded systems life cycle, 28 from clarifying users' requirements, to initial design or redesign using paper prototypes or simple computerized applications, to iterative prototype development, system selection, product customization or evaluating the impact of a system during and after installation. Cognitive Level: Analyzing Integrated Process: Communication and Documentation Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 37 2 out of 2 points This week, the attending physicians for a large urban primary care facility have set the goal for the implementation of the new technology system to coincide with the opening of the cardiology wing. The unit is scheduled to admit patients in six months; however, a needs assessment must first be completed. Which of the following statements accurately defines the purpose of the needs assessment? Answer Selected Answer: The needs assessment identifies the organization's information needs. Correct Answer: The needs assessment identifies the organization's information needs. Answer Feedback: Rationale: The purpose of the needs assessment is to determine the gap between an organization's current state and the overall needs of the organization with consideration to the strategic plan. The process is usually initiated by a person or group with a vision of the future. Cognitive Level: Analyzing Integrated Process: Planning Client Need: Safe Effective Care Environment Client Need Sub: Management of Care ● Question 38 1 out of 2 points Which of the following are specific factors to consider when selecting a training method? Select all that apply. Answer Selected Answers: Time required to develop program Application training strategies Learning styles of trainees Learning retention strategies Correct Answers: Time required to develop program Cost of development and training Application training strategies Learning styles of trainees Learning retention strategies Answer Feedback: Rationale: Specific factors to consider when selecting a training process include the following: ● Time: The time required to develop and present using each instructional approach varies. ● Cost: Initial content development time and subsequent revisions can be lengthy for computer based training, running up the expense. ● Learning styles: Blended delivery includes a combination of approaches that target learning styles and allow learners to actively participate in training activities. ● Learning retention: Active participation through scenarios, case studies, practice exercises, and repetition provide opportunities for learning, applying job skills, and retaining knowledge. Cognitive Level: Applying Integrated Process: Teaching and Learning Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Answer Feedback: Rationale: Specific factors to consider when selecting a training process include the following: ● Time: The time required to develop and present using each instructional approach varies. ● Cost: Initial content development [Show More]

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