Download D220 – Informatics questions and 100%verified answers 2025/2026 and more Exams Information Technology in PDF only on Docsity!
D220 – Informatics questions and 100%verified
answers 2025/
· A patients glucose blood sugar is 400. What is a one-time kind of report? - answ✔✔Ad Hoc · Identify 3 benefits & 3 detriments of EHRS. Discuss a potential interoperability issue as well as a potential solution? - answ✔✔Benefits: increased data integrity & quality, increased productivity, decreased redundant data collection Detriments: cost, limitations in resources, access speeds, content lag or technical malfunctions. The main issue for healthcare providers was how to use health information exchange. A solution would be to provide training for all staff w/ an informatics innovator. · Relationship between standardized terminologies, quality improvement, & financial rewards related to Meaningful Use? - answ✔✔Use of health information technology legislative by ARRA of 2009 to collect specific data w/ the intent to improve pt care, engage pts in their own care, & to ensure privacy & security w/ financial incentives for Medicaid & Medicare to providers. If providers are all using the same standard of terminology this will in turn give pts a better understanding & they will engage more in their own care. This will help meet meaningful use requirements, thus
providing financial rewards to providers. · What is the primary concern driving Nursing informatic initiative? - answ✔✔Patient safety · What should providers have on their personal mobile devices to protect it from sharing information when stolen? - answ✔✔Authentication & encryption. · Which act in 2009 did MU originate? - answ✔✔ARRA act in 2009 American Recovery and Reinvestment Act ·A nurse is entering a verbal medication order & encounters a warning the entry is a duplicate. Which action does the nurse take? - answ✔✔Call MD & verify order & MD enter order remotely ·A physician's group would like to change the current EBP protocol for treating asthma. How should the IN determine validity of the new EBP protocol? - answ✔✔Solid clinical trials. ·An informatics nurse & an ER nurse are conducting an analysis of a patient admission form the ER. Which tool should these nurses use for a process analysis?
- answ✔✔SWOT (Strengths, weaknesses, opportunities, and threats) ·What are three common reasons for HIPPA violation citations? - answ✔✔1. Lost or stolen unencrypted devices, 2. Social media postings, 3. Taking a patient photo
changes in workflow. GAP Analysis - A list of features & functions desired, but not immediately available in the new system as identified.
- Implementation - Training the staff/end-users in this phase. W/ change, different behaviors can develop (ex: resignation, resistance, feelings of loss, etc.) Lewin's Change Theory - One of several foundational theories for leading others through planned change. Identifies 3 steps: Unfreezing, changing, refreezing. INVOLVES EMPLOYEES IN THE DECISION-MAKING PROCESS Big Bang Conversion - "All-atonce" implementation Rollout - Gradual/staggered implementation Pilot - Small grou - answ✔✔Project Management Lifestyle Cycle (PLMC) A blood pressure cuff or peripheral device linked to the computer or health system is what kind of technology? - answ✔✔Biomedical device integration A component of ARRA (American Recovery and Reinvestment Act) This Act, provided economic stimuli and incentives for the adoption of EHRs, in alignment with the goal that each person in the United States would have a certified digital health record by
- answ✔✔HITECH - Health Information Technology for Economic and Clinical Health
A covered entity that limits physical access to facilities while ensuring authorized access is allowed. What is this? - answ✔✔physical safeguardsA database created by the American Nurses Association. Hospitals can then compare their fall rates against other hospitals of similar type and size (Mennella & Holle, 2016). - answ✔✔NDNQI - the national database of nursing quality indicators A healthcare facility is changing to a new health information system. Information from the old system needs to be input into the new system. What will the IT department do to complete this task? - answ✔✔Migrate the data A healthcare provider had a hospital laptop stolen from its vehicle. What should be on the laptop to protect it from a data breach? - answ✔✔Two-factor authentication A Heath on the Net Foundation Icon seen on some healthcare websites by this organizations certification - answ✔✔HONcode A laboratory manager requested a report of all patients that had a blood glucose greater than 400 mg/dL for the month of July to provide to the corporate office. Which type of report should the nurse informaticists create using information stored in the electronic health record for this one-time request? - answ✔✔Short time report
administered? - answ✔✔Scan the patient's armband & the medication A nursing clinical analyst is being interviewed by a nursing student who is requesting a detailed explanation of the role of a nursing informaticist. Which nursing informaticistgoals would this clinical analyst offer in response? - answ✔✔The goals facilitate an environment where technology, information, & understanding directs nurses' judgment A Nursing Innovator & medsurg nurse want to capture how many patients were seen in a day of 24 hours, how would they best see this? - answ✔✔Flowsheet A patient goes to a clinic's office complaining of a cough. The physician orders a chest X-ray & sends the patient to the radiology department. The clinic's admitting department & the radiology office use different information systems. What is used to locate the record in each of these different systems? - answ✔✔Master patient index A patient is being transferred to another hospital, however the hospital he is being transferred to does not have access to the EHR since they use EPIC. How will they receive his EHR? - answ✔✔Continuity care record from AMR A process by which data from different sources are integrated to improve the optimization of understanding. - answ✔✔BI - Business Intelligence
A process that improves data quality to improve analysis. - answ✔✔Data Scrubbing A provider at the hospital had his laptop stolen from his vehicle. What should be on his laptop to protect it from data breach? - answ✔✔Encryption A pt employer calls asking for information on pt that got hurt at work? - answ✔✔Ask employer to submit a signed agreement to protect the pt info A restraint committee has been assembled to oversee the need & proper usage of restraints. It has asked a report to be constructed to allow better tracking of restraint usage & documentation compliance throughout the organization. Which data element would this committee find least useful in this report? - answ✔✔Patient allergy history A RN with advanced computer technology skills with expertise in system development life cycles. The RN needs to: play an active role in the adoption of standard technologies, be aware of legislation, educate users, assist users on troubleshooting, provide advice & recommendations, act as a liaison between nurses & technology, serve as a resource, manage data & information, develop tools & methods, & monitor data security, accuracy, & integrity by monitoring for patterns &
communication via email. - answ✔✔Computer Literacy A tool for analyzing the organizational processes & its effectiveness. Helps team members visually diagram a problem or condition's root causes, allowing them to truly diagnose the problem rather than focusing on symptoms. - answ✔✔Fishbone A type of CDS/DSS but does NOT need human intervention, uses artificial intelligence (ex. Insulin pump). - answ✔✔Expert System Ability to collect, store, retrieve correct, complete, & current data so that the data are available to authorized users when needed. Can be compromised by incorrect entry of information, data tampering, & system failure. Prevention by implementing security measures, audit trails, & having detailed policies & procedures. This is the state wherein data are uncorrupted, accurate, & valid. - answ✔✔Data Integrity Ability to recognize when information is needed as well as the skills to find, evaluate, & use needed information effectively. This is the knowledge & ability to locate, organize, use, communicate, & interpret print & electronic sources of information. - answ✔✔Information Literacy
Access control. Audit controls. Authentication. - answ✔✔Technical safeguard ePHI Act that recognizes pts need more power in their healthcare, & access to information is key to making that happen? - answ✔✔21st Century Cures Act Action that demonstrates this to improve pt outcomes such as a looking up a patient's HbA1c? - answ✔✔Data Mining Action that verifies the authority of users to receive specified data. - answ✔✔AuthenticationAfter data has been collected, its quality may be improved via the process by this means, so that it will be accurate enough to support analysis. T - answ✔✔Data Cleansing / Data Scrubbing Age, Education, Social interaction, Culture/Religion Values, Relativism, and Tolerance, Cognition, Life Experiences Openness to Learning Assertiveness Confidence. - answ✔✔Personal Factors - Wisdom Antecedent AHIMA - answ✔✔American Health Information Management Association - is the leading voice and authority in health information, wherever it is found. Our people work at the intersection of healthcare, technology, and business. Aim to describe the broadest scope of nursing phenomena and relationships between them and do not lend themselves to empirical testing. Mostly emerged
common ethical and legal framework exists that will connect health- care providers and data in EHRs with research findings, regulators, collaboratives, and various other databases. - answ✔✔Data Sharing An informatics nurse & an emergency nurse are conducting an analysis of a patient admission from the ER? Which tool should these nurses use for a process analysis? - answ✔✔SWOT template (Strengths, weaknesses, opportunities, and threats)An informatics nurse is developing a web-based application for patient care. Which statement accurately describes the internet? - answ✔✔An unregulated network of networks An informatics nurse is developing a web-based application for patient care. Which statement accurately describes the internet? - answ✔✔Network An informatics nurse is on a task force planning committee to ensure data storage measures are safe & accessible. Besides the provider & the client, which group's needs are important to consider? - answ✔✔The Joint Commission An instrument for assessing advanced nursing informatics competencies The tool is using three domains to assess competencies: Computer Skills; Informatics Knowledge ; and Informatics Skills. Used in close association with TANIC -
answ✔✔NICA - Nursing Informatics Competency Assessment ANI - answ✔✔Alliance for Nursing Informatics Another agency that is a division of the US Health and Human Services is this organization. While it does not focus on technology to the same extent as AHRQ, it does provide funding for research to improve health. Was established in 2012 to improve strategies of developing and disseminating research for translations science - answ✔✔NIH - National Institutes of Health Answers 2 basic questions: What do I have? How much of it do I have? Environment, pharmacy, safety & security, fraud detection, & healthcare diagnostics.
- answ✔✔Analytical Science Application of informatics to all the healthcare disciplines as well as to the practice of medicine. - answ✔✔Medical Informatics Are more limited in scope, focus on a specific phenomenon, and reflect practice (teaching, clinical, or administrative). These theories cross different nursing fields and reflect a wide variety of nursing-care situations. Are a good fit for empirical testing, because they are more specific and can be readily
adopting & using interoperable Health Information Technology & EHR's. Provides economic stimuli & incentives for the adoption of EHRs. - answ✔✔American Recover & Reinvestment Act (ARRA) Barcoding scanning. How it affects inventory with pharmacy? - answ✔✔alters ordering & information data Barriers to using health informatics to improve health literacy? - answ✔✔Informatics utilizes technology as a foundation, but technology isn't always available to people with lower health literacy Being a RN while using technology. - answ✔✔Telenursing Best method of EMR charting for nursing? - answ✔✔Cascading Best method of EMR charting for nursing? - answ✔✔Cascading Best practices for HIPAA - answ✔✔require password Best way to analyze a single piece of data in multiple ways? - answ✔✔Predictive Analysis Can be analyzed to discover trends and, subsequently, to inform and educate. HITECH also ensured the collection of this that could be used to improve policy decisions relative to the allocation of services and population health. - answ✔✔Aggregate Data
Can be defined as a process of an iterative sequence that entails the following steps: understanding the domain; understanding the data used in the domain; data preparation that handles missing values or removes redundant or irrelevant data; applying methods to extract data (namely data mining); and finally, data presentation (Afshar, Ahmadi, Roudbari, & Sadoughi, 2015) - answ✔✔KDD - Knowledge Discovery in DatabasesCan be fostered through the use of computer-system checks that remind users to complete a task, verify information, or that prohibit entry of inappropriate information. - answ✔✔Data quality Capacity of an individual to express their needs & preferences & to respond to the need for info about services provided for them. This in a low capacity which is highly impacted by culture, ethnicity, race, environment, & social class. This concept involves teaching patients enough info about their illnesses & about how the health system works so they can appropriately management their health. Most common challenge in advancing this concept is assuming patients understand the medical terminology that healthcare pros are comfortable with. This is not restricted to knowing how to interact with the internet for their health information. - answ✔✔Health Literacy
Clinical information systems that can provide administrative support (e.g., reduce errors) and healthcare decision support (e.g., alerts and reminders to support clinical decision making); - answ✔✔Information-oriented systems - The 'I' in the DIKW - The Data, Information, Knowledge, and Wisdom Theory Collection of #s, characters, or facts that are gathered according to some perceived need for analysis. - answ✔✔Data Combines applications of health informatics, bioinformatics, and structural informatics to identify genomic and cellular mechanisms to explain and predict clinical phenomena. Develops innovative techniques for the integration of biological and clinical data to create a more personalized healthcare. - answ✔✔Translational bioinformatics Competencies within the level 2 aspect in the Delphi study, included domains of desktop software (e.g., using desktop publishing), evaluation (e.g., evaluating theaccuracy of health information on the Internet), and systems maintenance (e.g., performing basic trouble-shooting in applications), etc. - answ✔✔The 35 Identified Skills Computer program that tells 2 different systems how to exchange data.
Computerized provider order entry, a pharmacy system, & eMAR is best used by this means? - answ✔✔barcode administration system Confirming data accuracy? - answ✔✔Triangulation Connected health applications that facilitate real-time, video & voice interaction & bidirectional communication between patients & healthcare providers (videoconferencing). - answ✔✔Synchronous Applications Consumer health informatics is considered a subspecialty area of healthcare informatics. It involves insight into consumer preferences and healthcare data information that allows consumers to actively plan, track, and participate in their healthcare strategies while also communicating with their healthcare providers for guidance and monitoring. What are three barriers to using this subspecialty type of healthcare informatics? - answ✔✔Privacy issues, cognitive disabilities, low health literacy - Many consumers remain wary of privacy issues around their personal health records. Individuals over the age of 65 may find the use of technology. Individuals with low health literacy may be intimidated by unfamiliar terminology and prefer interacting directly with their clinicians.
