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Q:
Which of the following is a true statement about protecting the confidentiality of client-related e-mail?
1. Encryption keys prevent viruses or Trojan horses from being attached to e-mail messages.
2. Digital credentials utilize biometric means, such as thumbprint, to verify the identity of the sender.
3. Public key infrastructure (PKI) uses unique codes to confirm the identity of those sending e-mails.
4. Viruses may be transmitted by e-mail messages, so each e-mail should be separately scanned prior to being read.
Q:
Which of the following is not considered a search engine?
1. Google
2. Altavista
3. Webinar
4. Bing
Q:
Which is the most effective way to reduce SPAM (unsolicited e-messages) in the workplace?
1. Use "challenge response software" to request confirmation that the e-mail was sent by a person.
2. Allow the e-mail application program to filter all mail and send unwanted messages to the trash.
3. Send and receive all company e-mail from a single e-mail account.
4. Reply to each message and request to be taken off the mailing list.
Q:
Mrs. Jones is admitted to the medical-surgical unit with acute shortness of breath and substernal chest pain that she has experienced for several days. The nurse asks her why she did not contact her primary care provider sooner and she responded, "The website that I checked said that I had an allergy." What is the best response to Mrs. Jones?
1. "You are right. The information on the Internet is fairly accurate."
2. "Mrs. Jones, not all websites are accurate and you should check to make sure they were created by a reputable source."
3. "The Internet has a great deal of accurate information."
4. "Why would you check the Internet first?"
Q:
A physician wishes to send a very large file to a consulting physician, including a patient's chart and diagnostic images with reports. Which is the most appropriate method of sending the data?
1. Utilize a file transfer protocol (FTP) program to upload the information to the physician
2. Remove all graphics from the file, send the file via e-mail, and fax the diagnostic images
3. Attach the file to an e-mail and send it, ensuring encryption is utilized
4. Connect to the physician's computer via dialup and transfer the information
Q:
Which is the most important legal statement about creating personal Web pages?
1. A Web page developer does not have to abide by copyright laws before posting information.
2. A Web page developer must review copyright laws before posting information.
3. Nonprofit organizations are the only entities that must abide by copyright laws.
4. For profit agencies are the only entities that must abide by copyright laws.
Q:
Security is an important issue for all websites. Which measure best protects the overall security of a health-based website?
1. Connect the Web server directly to the agency computer.
2. Install an antivirus program and update annually.
3. Allow only registered users to access the website.
4. Construct separate firewalls for each Web server.
Q:
Which agency has a comprehensive website dedicated to improving the quality, safety, efficiency, and effectiveness of health care for all Americans?
1. Joint Commission
2. Agency for Healthcare Research and Quality (AHRQ)
3. American Nurses Credentialing Center
4. Pathway to Excellence Program
Q:
Which of the following statements is true regarding intranets?
1. An intranet is immune to viruses and hacker attacks, because accessibility is restricted to employees.
2. An intranet is restricted to employees and allows them to review their personal information at any time.
3. An intranet is open to registered vendors and may be used to price and purchase health care products.
4. An intranet is used to facilitate collaborative data sharing among the employees within the institution.
Q:
The_____________________ focuses on making available to individual registered nurses and organizations where nurses practice resources for pursing excellence in practice.
Standard Text:
Q:
Which of the following is recommended when considering World Wide Web home page content and design?
1. To improve readability always use dark backgrounds with light colored text.
2. Do not include a counter; visitors do not need to know how many people visited a site.
3. Include as much information on the introductory page as possible so the user will not need to link to other pages.
4. Do not place a copyright notice on the introductory page; the U.S. Copyright Office does not register Web pages.
Q:
A nurse practitioner wishes to send e-mail to all clients on a distribution list without displaying the e-mail addresses of those on the list to the recipients. Which of the following will appropriately accomplish this task?
1. Include the nurse practitioner's e-mail address as primary recipient and the client addresses as carbon copies (CC).
2. The nurse practitioner must send a separate message to each individual client as primary recipient.
3. Include the nurse practitioner's e-mail address as primary recipient and the client addresses as blind copies (BCC).
4. Include the recipient e-mail addresses as primary recipients and the nurse practitioner's address as a blind copy (BCC).
Q:
While visiting the American Heart Association website, a client plays the animation of the heart at work. Which of the following was used to play the animation?
1. Browser
2. Search engine
3. Helper program
4. Plug-in
Q:
SPIM is defined as which of the following?
1. Unsolicited messages
2. Personal instant messaging
3. Solicited messages
4. Wiki responses
Q:
Which of the following statements is true about search indexes?
1. Search indexes are appropriate when specific information is requested.
2. Search indexes are appropriate when general information is requested.
3. Search indexes are necessary for access to certain databases.
4. Search indexes can only be found in libraries.
Q:
Java is a widely used programming language that enables the display of moving text, animation, and musical excerpts on Web pages. Which of the following are true about Java?
Standard Text: Select all that apply.
1. Helper programs and plug-in programs are often written in Java.
2. Considered an alternative to Microsoft's ActiveX
3. Resides on the server until it is needed by client computer
4. Runs on any Java-enabled browser
5. Reduces the need to purchase, install, and maintain on-site software
Q:
A hospital plans to share data with all physician offices that utilize their facilities. Which of the following approaches would best meet the need?
1. Internet
2. Intranet
3. Web portal
4. Extranet
Q:
Which of the following is not an e-mail organizational domain?
1. .edu
2. .ca
3. .govn
4. .org
Q:
A relational database is a type of database that is specifically designed for which of the following?
1. Accessing data stored in multiple databases
2. Exclusive use of a database administrator (DBA)
3. Answering complex analytical questions
4. Using data that are represented as tables
Q:
The nurse refers the client to a website on smoking cessation after evaluating its contents. Which factor increases the probability that the website is appropriate for the client?
1. The site is written in technical language and has comprehensive chemical diagrams for credibility.
2. The site has a current revision date and a URAC accreditation seal that the site meets quality standards.
3. The site is sponsored by a pharmaceutical company that manufactures a smoking cessation medication.
4. The site has a list of broadly generalized indications for smoking cessation.
Q:
The rate of suspected adverse drug reaction (ADR) among clients in the maternity unit is climbing. The nurse manager is aware that a World Health Organization (WHO) ADR database analyzes millions of suspected ADR reports in order to uncover new adverse effects. This WHO tracking is an example of which of the following?
1. Data scrubbing
2. Data mining
3. Knowledge discovery
4. Electronic data interchange
Q:
The hospital health care library plans to switch some journals from paper format to online subscription. Physicians, nurses, and other health care professionals would be able to access online articles from anywhere by using a valid ID. Which of these is a disadvantage for totally online publications?
1. Current information may require more time to be approved for posting.
2. Libraries must pay higher fees to acquire and store the materials.
3. Those persons without online access may not be able to access the materials.
4. Drawings and photographs are difficult to reproduce in electronic format.
Q:
Which of the following will have the greatest impact on data integrity?
1. The computer system goes down but is completely restored within one minute.
2. A nurse collects data related to allergies but fails to document all reported allergies.
3. A clinic manager uses secondary storage for storing clinical records offline.
4. A number of printed media clinical records are discarded in the regular trash dumpster.
Q:
There are many Internet websites available for searching health care related questions. Web portals are specialized websites that personalize features for individual users. Which best describes how a Web portal can individualize user information?
1. A website that requests the user to register and then sign in each time upon entering
2. A website that provides a home page with general information about the organization
3. A website that uses the HyperText Markup Language (HTML) to display its pages
4. A website that offers specialized search engines for searching out information
Q:
Which of the following statements is not part of the data storage process?
1. Environmental control and conditions maximize the shelf life for media
2. Data storage on magnetic tape is a long-term solution to data storage
3. A contingency plan is developed to prevent the loss of data
4. The state dictates the length of time client records are stored
Q:
All members of the nurse manager's staff have attended classes that emphasized appropriate system access, input device use, potential harmful effects associated with incorrect data, data verification techniques, and error correction. They received a certificate indicating proficiency in the use of the input device and computer systems. These staff members will not require additional training unless the technology changes significantly. Which of the following suggests that this statement is false?
1. Continuing education is only necessary with significant changes.
2. Continuing education should be consistent.
3. Continuing education should be performed when time permits.
4. Continuing education is essential for point-of-care staff only.
Q:
The night shift charge nurse is being promoted to the position of mental health unit nurse manager. The supervisor would contact the database administrator (DBA) to allow the nurse manager access to needed data required for this new position. Which of the following suggests this is a correct statement?
1. The DBA is responsible for overseeing all activities related to maintaining the database.
2. The database administrator has no authority over the management of data input.
3. The mental health manager should not have access to the database.
4. The mental health manager does not have to communicate with the database manager and ask for permission for access.
Q:
No agreement exists among health care groups in the United States regarding a common electronic data interchange (EDI) standard. This statement is true because of which of the following?
1. Experts have not yet finished the discussion phase leading to an agreement.
2. There is an agreement among health care groups because there is no need for a common EDI.
3. Agreements are part of the national health care reform initiative.
4. Health groups have isolated databases while working toward unification.
Q:
Data integrity is crucial to the success of professional nursing practice. Which of the following phrases identifies its relevance to quality care?
1. Data integrity provides a systematic approach to the care of the patient.
2. The use of authentic data ensures mistakes are avoided.
3. All data entered into the system are accurate.
4. Data integrity is a driving force in treatment decision making.
Q:
The best teaching method to assure nurses are competent with laptops and handheld devices is which of the following?
1. A class based on relevant learning objectives with student demonstration of competence.
2. Point-of-care orientation
3. Online orientation
4. Written directions found in a central location
Q:
_______________________________ is the process of controlling the collection, storage, retrieval, and use of data to optimize accuracy and utility while safeguarding integrity.
Standard Text:
Q:
Technology committee members debate the merits of online versus offline storage. Which response is the most accurate when describing data storage?
1. Online storage is a slower retrieval system.
2. Offline storage provides access to current data.
3. Offline storage is used for data that are needed less frequently.
4. Online storage provides limited access to current data.
Q:
Data retrieval most commonly occurs as a function of a ________________________ in conjunction with secondary storage media
Standard Text:
Q:
Which of the following terms is a knowledge management tool that engages software to uncover inter-relationships within large data-sets?
1. Data mining
2. Knowledge discovery
3. Data destruction
4. Data cleansing
Q:
Data verification techniques are important to ensure data accuracy. For which of the following clients is data verification most difficult?
1. A client who is visually impaired can verbalize which data are correct and incorrect.
2. A client who is hard of hearing can read and confirm printouts of entered data.
3. A client who does not speak English can point to the screen to verify correct data.
4. A client who is unable to read can affirm verbally that the information is correct.
Q:
Knowledge discovery in databases offers the health care team trended patterns that can be transformed into useful data. Which nursing role can best benefit from knowledge discovery as it pertains to evidence-based practice?
1. The nurse as administrator
2. The nurse as educator
3. The nurse as researcher
4. The nurse at point of care
Q:
Which type of storage document is most accurate and improves access to records?
1. Immediate entry of data into automated systems
2. Films of old records converted from old client paper records
3. Document imaging and scanning of old client paper records
4. Original paper records from old client charts
Q:
Which of the following statements is true about knowledge discovery and the role of the nurse?
1. Point-of-care nurses do not have the education to translate knowledge into best practice models.
2. Nurses have the ability to translate knowledge into improved practice patterns.
3. Nurses cannot act upon data unless in collaboration with other health care professionals.
4. Attending physicians rather than nurses are in the best position to deliver high-quality and cost-effective care that is dependent upon their ability to translate knowledge (evidence) into practice.
Q:
Which of the following is a result of the shift toward evidence-based practice in health care?
1. Quality of clinical data collected is not as important as the quantity of the data because AI can extract needed information.
2. Data mining has reduced the need for special analysis and statistics.
3. Dependence on information derived from examining patterns and relationships in data has increased.
4. The need for primary data storage has increased while the need for secondary data storage has decreased.
Q:
The nurse wishes to compile information on congestive heart failure by tomorrow morning. When a comprehensive search is necessary and there is a limited time frame, which search tool is preferred?
1. A search index such as AltaVista
2. A search engine such as Lycos
3. A search engine such as Google
4. A search engine unifier such as OmniMedicalSearch
Q:
A __________________________ is a combination of hardware and software that allows communication and electronic transfer of information between computers.
Standard Text:
Q:
Selecting a computer system depends primarily on the needs and expectations of the organization. Which of the following choices are not relevant in the decision making process?
1. Applications needed to accomplish goals
2. Back up options
3. Cost
4. The computer literacy of the nursing staff
Q:
A set of instructions that communicates with the computer and tells it what to do is called which of the following?
1. Software
2. Manual
3. Hardware
4. Input devices
Q:
The primary disadvantage to client/server technology is which of the following?
1. Cost
2. Vulnerability
3. Computer education
4. Staff resistance to change
Q:
______________________________ is the science and technology of engineering devices at the molecular level.
Standard Text:
Q:
Which of the following terms serves as a set of programs designed to accomplish a particular task such as word processing, financial management, or drawing?
1. Application software
2. Vista
3. XP
4. Windows
Q:
Which statement best describes the role of the chief privacy officer (CPO)?
1. Duties include protection of the personal health information of patients, both electronic and paper
2. Duties include strategic planning, information security, and overall management of the information system
3. Duties include assigning and monitoring system access identification codes and passwords
4. Duties include design, maintenance, and security of materials placed on the Internet, intranet, and extranet
Q:
Equipment and hardware selection are based on personal and institutional needs. Which of the following answers are considered when selecting a system?
Standard Text: Select all that apply.
1. Program execution time
2. Number of workers needed to access computer at one time.
3. Storage capacity
4. Backup options
5. Budget constraints
Q:
What is the one byte binary code representation for the Arabic number 8?
1. 1000
2. 00001000
3. 2222
4. 11111111
Q:
Which of the following is considered a threat to information quality?
1. An unauthorized user hacks into the system to review the clients' records
2. Not verifying information as correct prior to entry
3. An earthquake interrupts the power supply and causes data loss
4. A wireless transmission is intercepted to review a new client's records.
Q:
________________________________ is defined as an electronic circuitry that executes computer instructions.
Standard Text:
Q:
In which instance is using the technique of data mining most appropriate?
1. To document quality improvement when problems are identified and targeted on a medical-surgical unit
2. To find the appropriate treatment for a client with advanced lung cancer
3. To identify an appropriate diagnosis for a client with undetermined signs and symptoms
4. To assist in the determination of the correct dose of medication to give a client in congestive heart failure
Q:
Which of the following is not a common input device?
1. Network
2. Keyboard
3. Webcamera
4. Joystick
Q:
Which of the following is an example of data cleansing or scrubbing?
1. Abbreviations are compared using software to ensure standard language is used.
2. When the name of the admitting physician is blank, the primary physician is used by default.
3. Users may sort and compare data to determine relationships.
4. Data are used to identify standardized treatments for specific diseases.
Q:
Which of the following best describes RAID technology?
1. The computer shuts down when a single disk fails.
2. Community clinics use a primary data storage drive.
3. RAID costs more than using one large disk drive.
4. Duplicate disks mirror copies of data.
Q:
Which of the following is a key motivation to outsource data storage?
1. To allow company personnel to maintain their positions in the company
2. To contract with company employees to maintain their loyalty
3. To reduce costs required for data storage and maintenance
4. To maintain data storage on site with the least amount of effort
Q:
Which of the following best describes an intranet?
1. The largest and best known electronic network in the world
2. Limited to systems affiliated with education and government agencies
3. A network outside of the hospital system for use by customers or suppliers
4. A private hospital system that is protected from outside access
Q:
When is it more appropriate to use online storage as compared to offline storage?
1. Safety of backup materials is a must
2. Long-term data storage is required for old records
3. Old client records should be kept more safely
4. Immediate access to data may be needed
Q:
What are the two types of memory categories?
1. Control and central processing units
2. Read-only memory (ROM) and Random access memory (RAM)
3. Flash drives and user ports
4. CDROMs and DVDs
Q:
Data integrity may be affected by how data is stored. Which of the following storage methods is the most reliable?
1. Portable hard drive with removable disk
2. Optical media and disks
3. Magnetic tape or cartridges
4. Redundant Array of Disks (RAID)
Q:
Which of the following statements is correct about Blu-ray?
1. Blu-ray is a system that has replaced the optical scanner.
2. Blu-ray is a high density optical disc format; rival to HD-DVD.
3. Blu-ray functions are yet to be incorporated in health care systems.
4. Blu-ray has been designed to store data collected at the bedside.
Q:
Which of the following is an example of a system check?
1. When a duplicate entry is entered into the system, that entry is immediately deleted.
2. The nurse asks clients to verify their names when prompted by the computer system.
3. After turning on the bedside computer, the system performs a self-check before data will input.
4. Software in the system automatically corrects misspelled words and abbreviations.
Q:
Which of the following statements is true about portable or laptop computers?
1. Portable or laptop computers are unnecessary at the bedside.
2. Portable or laptop computers can be connected to networks or peripheral devices through the use of a Personal Computer Memory Card International Association (PCMCIA) card.
3. Portable or laptop computers have been replaced by smaller handheld devices.
4. Portable or laptop computers do not have enough memory to effectively store clinical data.
Q:
Which of the following responses is most accurate in describing "thin client" or "fat client"?
1. The "thin client" is primarily a display, keyboard, and mouse or other pointing device.
2. "Fat" client technology is also known as server-based computing.
3. "Fat" client technology represents networking model that relies on highly efficient servers.
4. "Thin" client technology used in traditional client/server networks has local drives or storage devices.
Q:
Handheld or personal digital assistants (PDAs) are more visible in the health care system. Which of the following answers best describes an advantage of using a PDA?
1. A PDA is easily transported to the point of care.
2. The probability of theft is high; therefore, nurses can keep the device in their pockets.
3. The PDA has a small screen size.
4. PDAs can hold up to rough use.
Q:
The TIGER initiative is an acronym for which of the following?
1. Technology Information Grants Electronic Records
2. Technological Initiative Given Electronic Reform
3. Technology Informatics Guiding Education Reform
4. Technology Information Guiding Electronic Reports
Q:
Which of these is the most flexible and reliable secondary storage device?
1. DVD drive
2. Magnetic tape drive
3. CD-ROM drive
4. Zip drive
Q:
The Quality and Safety Education for Nursing (QSEN) project sets an agenda to improve the quality and safety of the health care delivery system. To achieve the goals set by QSEN, the Institute of Medicine (IOM) suggested the following competencies for nurses except for which of the following?
1. Patient centered care
2. Team work and collaboration
3. Informatics and evidence-based practice
4. Professional code of conduct
Q:
Which of these is an advantage in the use of personal digital assistants (PDAs) in the health care setting?
1. PDAs may be synchronized with any network without the use of special equipment or software.
2. PDAs minimize the chance of interception of data transmission.
3. Current medication information may be easily stored and compared to actual client data.
4. Data loss is minimized due to long battery life and ease of backups.
Q:
Technology has been useful in reducing errors by assisting the health care team to identify the patient before rendering care. The most common way for nurses to identify patients using technology is through which of the following?
1. Handheld devices
2. Use of barcodes
3. Use of computers on wheels
4. Reviewing patient monitors
Q:
Research best supports the use of which ergonomic device?
1. Ergonomic mouse to reduce wrist and hand pain
2. Support brace used while typing to prevent carpal tunnel syndrome
3. Lumbar back support to maintain natural curves of the back
4. Wrist rests to support the wrists while inputting data and typing
Q:
CPOE is an acronym for_____________.Standard Text:
Q:
Many workstations house clinical information systems and provide Internet access in the acute care setting. Which type of software program is most likely to be used by the health care staff providing direct patient care?
1. A programming language such as Java to access the Internet
2. A virus checker to increase security for Internet connections
3. A programming language such as COBOL to create databases
4. A programming language such as Visual Basic to enter data
Q:
Access to patient care data and utilization of nursing research are essential components of evidence-based practice designed to increase patient safety and provide quality care. Which of the following can technology cannot be employed to remove barriers to information and evidence-based practice?
1. Online report cards
2. Handheld devices
3. Electronic spreadsheet software to manage data
4. World Wide Web
Q:
The ________________ has advanced, graduate education in nursing informatics or a related field and may hold ANCC certification.
Standard Text:
Q:
The reason that nursing lags behind in the education of nursing informatics specialists is because of which of the following?
1. The surplus of nursing informatics professionals in the hospital setting
2. The lack of qualified faculty in graduate programs
3. Too few nurses are interested in the specialty area
4. Nursing informatics is an expensive specialty with little government funding
Q:
___________________________ fills in the educational gap between undergraduate and graduate nursing education programs in informatics.
Standard Text:
Q:
Which of the following groups have been selected to help drive the changes necessary to transform the health care delivery system, improve quality of services delivery, and improve safety?
1. Software engineers
2. Members of TIGER initiative
3. Members of the Institute of Medicine
4. Informatics nurse specialists
Q:
The Informatics Nurse Specialist is an integral member of the health care team with the expertise to:
1. Create a vision of what is possible in the specialty of informatics.
2. Create standardized nursing languages.
3. Create interactive web sites .
4. Create strategic plans for hardware improvement
Q:
Which of the following answers is the best definition of data?
1. Data are a collection of numbers, characters, or facts that are gathered according to some perceived need for analysis and possibly action at a later point in time.
2. Data are the synthesis of information derived from several sources to produce a single concept or idea.
3. The definition of data is knowledge used appropriately to manage and solve problems.
4. The general term data is used to refer to the management and processing of information with the assistance of computers.