Q&A Hero

Q: The needs assessment committee starts the process by examining which organization document? 1. Critical pathways 2. Staffing schedules 3. Mission statement 4. Memos from chief financial officer

Q: 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. Standard Text:

Q: The selection and implementation of an information system occurs through a well-defined process known as which of the following? 1. Request for proposal 2. Decision making 3. Strategic planning 4. Life cycle

Q: Which statement accurately reflects the union of the mission statement with identification of the technology needs? 1. "The staff of St. Francis Hospital are dedicated to the provision of quality, individualized patient care from a Roman Catholic tradition through the incorporation of values, holistic care, and state of the art technology." 2. "The staff of Riverside Memorial Hospital are dedicated to providing comprehensive patient care." 3. "The mission of Unionville Hospice is to render quality end-of-life care and the commitment of blending holistic care with palliative therapies." 4. "Good Samaritan Hospital provides a high tech environment for all patients."

Q: Which of the following should the needs assessment committee do as a first step in the process of determining the organization's information needs? Standard Text: Select all that apply. 1. Examining the vision of the organization 2. Using brainstorming to defining the expectations of the information system 3. Examining the strategic plan 4. Examining the mission statement 5. Establishing goals to guide the work of the committee

Q: A _____________________ will facilitate the evaluation of complicated request for proposal responses from vendors and will improve the ability of the steering committee to make an informed decision. Standard Text:

Q: Which of the following accurately describes the process of determining system requirements? Standard Text: Select all that apply. 1. The list of "musts" and "wants" are compiled from information gathered during numerous interviews. 2. Include only those criteria that are necessary at the present time and not in the future. 3. During the interview process the interviewers use a rating scale to weight the list of "musts" and "wants" from one to ten. 4. After the interviews are completed, the selection committee members use a rating scale to weight the list of "musts" and "wants" from one to ten. 5. The criteria are grouped into functional categories to present a full picture of the system requirements.

Q: Once the decision has been made as to which vendor's system to purchase, which department of the organization completes the final negotiations? 1. Information technology 2. Chief operating officer 3. Selection committee 4. Legal department

Q: The methodology to assure the request for proposal (RFP) is structured to ensure successful system selection includes which of the following criteria? 1. Develop well constructed questions 2. Create a long list of elaborate questions 3. Request a quick review of the organization's needs 4. Selection of the final team to implement the system 5. Randomly ranked requirements

Q: How long did Melanson, Lindeman, and Jarolim (2007) note that it would take from the time that a committee is formed until a health care information system selection is finalized? 1. 14 months 2. Two years 3. Six months 4. Three years

Q: Which of the following answers best represents the use of a Gantt chart? 1. A Gantt chart is a horizontal bar chart used to illustrate the start and finish dates of the elements of a project. 2. A Gantt chart is useful in the creation of a RFP. 3. A Gantt chart controls the strategic planning process. 4. A Gantt chart is an essential document presented to all stakeholders.

Q: Which of the following statements best describes the term milestone? 1. A milestone is essential in developing a timeline. 2. A milestone delineates strategic planning goals. 3. A milestone is a major entity in the system's maintenance. 4. A milestone guides the selection of the system.

Q: Which of the following statements most accurately describes the difference between down time and response time? 1. Response time is the period of time when an information system is not operational and available for use whereas down time is the amount of time between a user action and the response from the information system. 2. Response time is the moment information is gleaned from the computer whereas down time is the period when the system is off. 3. Response time is the amount of time between a user action and the response from the information system whereas downtime refers to the period of time when an information system is not operational and available for use. 4. Response time occurs when the software is downloaded whereas down time refers to the period of time it takes for the software to activate.

Q: Which of the following answers describes the relationship between an open system architecture environment and the central processing unit? 1. Architecture refers to the goals of the central processing unit and its interrelated elements. 2. Architecture refers to the structure of the central processing unit and its interrelated elements. 3. Architecture refers to the maintenance of the central processing unit and its interrelated elements. 4. Architecture refers to the technology of the central processing unit and its interrelated elements.

Q: 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? 1. There is no end to the life cycle. 2. The life cycle ends with implementation. 3. The life cycle ends with evaluation. 4. The life cycle ends with assessment.

Q: Which of the following phases is the first step of the information system life cycle? 1. Implementation 2. Needs assessment 3. System selection 4. Maintenance

Q: The information system life cycle can be divided into main phases that cover the life span of information systems. Which of the following phases of the life cycle apply to the organization's information system? Standard Text: Select all that apply. 1. Needs assessment 2. Purchasing phase 3. System selection 4. Upgrading phase 5. Internal review

Q: Which of the following methods can be used to collect information in order to determine information system requirements? 1. Schedule a focus group of maintenance personnel. 2. Send questionnaires to corporate partners. 3. Interview point-of-care staff only. 4. Interview staff members from each department.

Q: Once the strategic plan has been developed which identifies the organization's technology goals and needs, the selection and implementation of an information system occurs through a well-defined process known as the ________________________. Standard Text:

Q: Which of the following is most beneficial when the organization decides to purchase a vendor built information system? 1. Weighted scoring tool 2. Internal resources 3. External resources 4. Supportive infrastructure

Q: When does the strategic planning process end? 1. The strategic planning process ends with system implementation. 2. The strategic planning process ends with the review of feedback. 3. The strategic planning process ends with the purchase of the equipment. 4. The strategic planning process ends with the hiring of the IT support staff.

Q: Benchmarking is considered an important component of the strategic planning process. Which of the following statements best represents its purpose? 1. Benchmarking is the continual process of measuring services and practices against the toughest competitors in the health care industry. 2. Benchmarking is the continual process of measuring services and practices against the goals set by the committee. 3. Benchmarking is the continual process of measuring services and practices against the mission of the organization. 4. Benchmarking is the continual process of measuring services and practices against scope of the organization.

Q: _______________________ has become widespread throughout the health care industry as a method of continual process of measuring services and practices against the toughest competitors in the health care industry. Standard Text:

Q: Which of the following suggests that a vendor is reliable? 1. The vendor is willing to provide customized services for the institution at a reasonable negotiable fee. 2. The vendor is knowledgeable about the system and provides additional information without prompting. 3. The vendor provides a contact list of previous customers, but none are willing to be interviewed. 4. The vendor addresses all requirements for the system and quickly provides answers for questions.

Q: The steering committee must consider much information in order to arrive at the best system. Which statements would be considered as favorable during the evaluation of systems for purchase consideration? Standard Text: Select all that apply. 1. Minimal downtime is required nightly for complete system checks and backup. 2. Connectivity between the application and inputting clinical information, such as vital signs, can be achieved through customization. 3. Open system architecture is utilized for system protocols. 4. Response time for all online transactions is five seconds or more. 5. A separate training environment is used, where new users can utilize the live system for training whenever it is needed.

Q: A 512-bed acute-care community hospital is planning to install a wireless system. The steering committee is planning a site visit to observe the wireless system in action. Which site would be the most suitable for the committee to visit? 1. A 36-bed state-of-the-art open-heart intensive care unit at a hospital that uses the same vendor's equipment and services 2. A 496-bed acute-care hospital utilizing another vendor with similar equipment and services 3. A 485-bed acute-care community hospital utilizing the same vendor's equipment and services 4. A 712-bed acute-tertiary care hospital utilizing the same vendor's equipment and services

Q: When evaluating a request for proposal (RFP) for the installation of a wireless system, the health care facility would be most impressed with which of the following? Standard Text: Select all that apply. 1. The proposal is a standard request sent to a number of institutions. 2. The proposal was received a week before the deadline date. 3. A proposal that includes precise answers to specific steering committee questions 4. A proposal that appears to meet most of the "must" requirements 5. A proposal that is written clearly, precisely, and professionally

Q: Which statement best fits a request for information (RFI) on a wireless cardiovascular (CV) monitoring system? 1. An Internet search is conducted to find likely wireless CV monitoring system vendors. 2. A brief document is sent to several CV monitoring vendors outlining plans for expansion to a wireless cardiovascular monitoring system. 3. A formal request is sent to one CV monitoring vendor following an initial contact at a trade show. 4. A representative of the wireless CV monitoring system search committee attends a trade show to appraise possible vendors.

Q: Which statement best fits a request for proposal (RFP) for a wireless system? 1. The vendor sends literature about its wireless system to several institutions to increase their business. 2. The search committee sends email requests to several vendors stating the needs of the institution for a new wireless system. 3. The steering committee sends a formal document to several vendors to ask for specific information about their wireless system. 4. A formal document is sent by a vendor who heard an institution is upgrading its monitoring system.

Q: During the request for proposal phase of the information system planning process, which of the following would enhance the decision making process? 1. Use of a lottery system 2. Hiring a consultant to make the decision 3. Time off to reflect on decisions 4. Weighted scoring tool

Q: Which of the following qualities should be considered desirable by the health care institution's steering committee when selecting an information systems consultant? Standard Text: Select all that apply. 1. Strong personality that is up to the task of bucking the corporate culture 2. Tendency to focus on results rather than trying to manage expectations 3. Highly organized and follows a clearly defined work plan 4. Considerable experience with hospital mainframe legacy systems 5. Excellent written communication skills, but difficulty with spoken communications

Q: After data have been collected during the internal and external environmental scans, the committee's next step is which of the following? 1. Review the budget for a technology line 2. Determine feasibility from technical, financial, time and resource perspectives 3. Write the pros and cons of the proposed upgrades 4. Contact the vendors for price comparisons

Q: When the steering committee of an acute care institution is appointed to select a new computer system, site visits are requested at a number of organizations to see the live systems. During these visits, which statement provided in staff interviews should alert the committee to potential bias? 1. "System backups occur daily at midnight but we rarely notice them. The downtime is minimal." 2. "What we would like to see added to the system is the ability to add wireless devices. The vendor is looking into the situation now." 3. "Vendor support is always wonderful. Here is one of the company representatives who can best explain that to you." 4. "System access is restricted per HIPAA guidelines. We use a thumbprint to verify entry into the system."

Q: The benefit of using a weighted scoring tool during the decision making phase of the strategic planning process is which of the following? 1. To employ a quantitative tool that assists in the selection process 2. To allow for a qualitative analysis of collected data 3. To convince committee members of the usability of the system 4. To have proof of the system's functions

Q: The members of a steering committee should be carefully selected. Which committee would be most effective? 1. A four-member committee consisting entirely of high-level executive board members 2. A five-member committee consisting of one upper-level management representative from each department 3. A 15-member committee consisting of multidisciplinary representatives from each unit/department 4. A 12-member committee consisting of staff nurse representatives from each unit

Q: During the implementation step, the timeline can be developed to facilitate which of the following? 1. Achievement of the mission 2. The completion of all tasks 3. Review of the scope and objectives 4. Define the length of the vendor's availability

Q: Which of these steering committee members should likely be replaced? 1. The coronary care nurse manager who attends half the regularly scheduled meetings 2. The chief nursing officer who attends more than half of the regularly scheduled meetings 3. The chief executive officer of the hospital who attends all meetings 4. The medical director of the organization who attends two-thirds of the regularly scheduled meetings

Q: The data analysis during strategic planning focuses on which of the following? 1. Compilation of resources 2. Comparing agency and benchmark information 3. Discussion of the timeline 4. Details of the new system

Q: A thorough understanding of how information is currently collected and processed is the starting point in performing a needs assessment. This is also known as which of the following? 1. Assessing internal environment 2. Assessing external environment 3. Planning for the change process 4. Implementing the new system

Q: After data have been collected during the internal and external environmental scans, the project implementation team must complete which process before identifying trends in the current operations? 1. Determine technical feasibility 2. Data analysis 3. Assess financial resources 4. Allocate resources

Q: Which of the following clinical system functions allows the nurse to provide more efficient patient care? 1. Electronic presentations 2. Order entry 3. Identification coding 4. Help desk

Q: A stakeholder is part of the strategic planning process. Which of the following are considered stakeholders? Standard Text: Select all that apply. 1. Internal customers 2. Unions 3. Government bodies 4. Community members 5. External customers

Q: Which of the following are considered benefits of electronic prescriptions? Standard Text: Select all that apply. 1. Eliminates phone calls for refills 2. Reviews clients drug histories before prescribing 3. Provides reminders for prescriptions 4. Alerts provider about drug reactions 5. Provides a longitudinal prescription record

Q: A project manager is assigned to each major project within the overall strategic plan. Which of the following specific practices that the project manager can engage in will raise the likelihood of success? Standard Text: Select all that apply. 1. Defines the scope and results of the project 2. Defines who is responsible for each task 3. Establishes timeline for task completion 4. Establishes how project decisions will be made 5. Partners with similar institutions to achieve project's goals

Q: Which of the following depicts the nationwide initiative to prevent medication errors? Standard Text: Select all that apply. 1. Adverse events are reported through MedWatch 2. Federal Drug Administration (FDA) rejects applications for new drug names that are similar to older drug names. 3. Advocating clinical decision support (CDS) systems 4. Denies reimbursement for extended hospital stays based as a result of a medication error. 5. The Institute for Safe Medication Practices publishes a consumer newsletter on medication errors.

Q: During the implementation phase in the strategic planning process, what is the initial task of the working committee? 1. Create a budget 2. Execute the plan 3. Develop procedures 4. Develop a timeline

Q: Information systems interact to provide checks and alerts throughout the medication ordering and administration process. Which of the following are steps in this process in which bar codes are utilized for medication ordering and administration? Standard Text: Select all that apply. 1. Bar code on patient's door is scanned 2. Bar code on the medication label is scanned 3. Bar code on patient's identification bracelet is scanned 4. Bar code on patient's chart is scanned 5. Bar code on nurse's identification badge is scanned

Q: Which of the following specific examples is an information technology need that hospital strategic planning must address in the coming years? 1. Creating standardized languages 2. Bar code medication administration 3. Identification of Microsoft's new product line 4. Hiring an appropriate chief executive officer

Q: Which type of software has been developed by the consumer to meet specific needs usually because no suitable commercial package is available? 1. Off-the-shelf 2. Home grown 3. Administrative spreadsheets 4. Critical pathway

Q: Which of the following goals would be useful in the strategic plan? Standard Text: Select all that apply. 1. To support business and clinical decisions 2. To make effective use of emerging technologies 3. To enhance the organization's image 4. To spend whatever is necessary to create a state of the art system 5. To provide a safer environment for clients

Q: Which is the best example of strategic planning in an acute care facility? 1. Team members of an organization take on a project to develop policies and procedures one year prior to the Joint Commission accreditation visit. 2. Upon acquiring a new facility, team members are selected to identify goals and strategies to develop policies fitting the newly revised mission statement. 3. A project team from a marketing firm is hired to develop an advertising campaign for the specialized health-promotion services of the acute-care facility. 4. Team members from administration meet as a group to rewrite their one-year-old acute care institution's mission statement.

Q: Scanning the environment is part of the planning process. Which of the following is considered part of the external environment? 1. Published reports 2. Interviews from managers 3. Questionnaires from managers and end users 4. Observations of current technology

Q: Which of the following is the best example of benchmarking? 1. The length of stay in a 712-bed acute-care facility with a 12-bed open-heart unit is three days, compared to a four-day length of stay at a 256-bed acute-care facility with a six-bed general surgical unit. 2. The cost of a cardiac catheterization procedure at an acute-care institution specializing in cardiovascular disorders is equal to that of a generalized acute-care institution. 3. A six-bed coronary care unit has 0.2% incidence of infection post cardiac catheterization as compared to a six-bed intensive care unit with a 1.5% infection rate post open-heart surgery. 4. The cost of one day's stay in a private room in a 42-bed medical telemetry unit in a 256-bed acute-care institution is equivalent to that of a 46-bed medical telemetry unit in a 248-bed acute-care institution.

Q: Which of the following has been most instrumental in mandating strategic planning to achieve organization and population health care goals? 1. Internal stakeholders 2. Community members 3. Health care reform 4. Nursing Informatics Specialist

Q: The management of a busy tertiary acute-care institution is weighing the decision to outsource information-management services. Which of the following factors is critical to that decision? 1. Data security will be enhanced because the agency specializes in information technology. 2. The agency will provide customization of services to fulfill the acute-care institution's needs. 3. Management can control the implementation of system updates, maintenance, and system downtimes. 4. Access to resource personnel available for assistance will be improved when technical problems arise.

Q: When considering strategic planning for information systems and planning for the overall organization which of the following are true? Standard Text: Select all that apply. 1. The IS strategic plan must support and enable the organization's goals. 2. The CIO prioritizes and merges the requirements from each department to develop a master strategic plan. 3. The CIO selects a project manager for each major project within the overall strategic plan. 4. The IS strategic plan must be revised much more frequently than the organization's strategic plan. 5. The CIO is ultimately responsible for IS strategic planning.

Q: Which of the following is an example of a goal for strategic planning? 1. Enhance the organization's website image within six months. 2. Clinical decision-making in the emergency department will be supported by additional funds for personnel training during the fall. 3. The scope of home care services will be maintained with the same budget for the next fiscal year, during which an audit will be conducted. 4. Expand services to include e-health capability for consumers.

Q: Which of the following statements is true about goals? 1. A goal is a closed-ended statement that describes in specific terms what is to be accomplished. 2. A goal is an open-ended statement that describes in general terms what is to be accomplished. 3. A goal defines the mission of the organization. 4. A goal states how and when an organization will meet its objectives.

Q: Which of the following is the most appropriate team leader for a strategic planning team for an acute-care institution? 1. Resident emergency department physician who was recently hired 2. Nurse manager of a 16-bed coronary-care unit who has been employed at the institution for one year 3. Vice president of Nursing and Patient Care Services, appointed two years ago 4. Nurse supervisor of the medical-surgical units, encompassing 130 beds

Q: Which of the following is the very first step in any strategic planning process? 1. Realization of the need for change 2. Review of the mission 3. Gather key stakeholders 4. Assess the budget

Q: An outpatient center is planning to implement wireless technology to enhance their computer system. The project planning committee plans to conduct a needs assessment. Which of the following sources would be most valuable? 1. Interviews with the director and unit managers of outpatient services and the chief executive officer 2. Guidelines provided by the Joint Commission 3. Health Insurance Portability and Accountability Act (HIPPA) regulations 4. Interviews with administrators and representative employees from all of the outpatient services

Q: Which of the following would most benefit from a complete computer system upgrade? 1. An institution using a mainframe legacy system 2. A small clinic that has an electronic record system in place 3. Two institutions that use similar mainframe systems merge 4. Three institutions that use similar Windows-based operating systems merge

Q: Which phrase best fits an organization's mission statement? 1. To develop wellness service clinics in an urban area in the Midwest 2. To promote educational activities related to caring for the sick and injured 3. To build a unit for clients with chronic obstructive pulmonary disease 4. To expand home care services in the rural area in the Southeast

Q: A neurology unit and an orthopedic unit will be combined into one unit. In which group would decisions best be made? 1. Admitting physicians and surgeons meet with the board of Directors and upper-level management team members 2. The head nurses of each unit meet with the vice president of nursing and house supervisor 3. Staff nurses and management from each unit meet with admitting physicians and upper-level management team members 4. Former clients are invited to sit with the board of directors and the medical director

Q: Which of the following is the best definition of strategic planning? 1. Strategic planning is defined as a chaotic approach to organizational change. 2. Strategic planning is defined as a series of sequential steps leading to individualized goals. 3. Strategic planning is defined as a plan devoid of a mission and goals. 4. Strategic planning is defined as the process of determining what an organization wants to be in the future and planning how it will get there.

Q: A nursing information system is considered to be effective if which of the following goals are accomplished? 1. Supports nursing and enhances practice 2. Collects data and creates new theories of nursing 3. Disseminates best practices and identifies variances 4. Finds medication errors and creates new protocols

Q: Which of the following individuals are important members of the strategic planning initiative? Standard Text: Select all that apply. 1. Chief executive officer 2. Project manager 3. Chief information officer 4. Chief strategy officer 5. Nurse informatics specialist

Q: Which of the following are true about using automated pharmacy systems? Standard Text: Select all that apply. 1. An automated system pulls in laboratory results and client information from the HIS more quickly to identify allergy and interaction problems. 2. Costs for operating automated pharmacy systems are not as important as the improved communication among departments. 3. Expenses used in starting up an automated pharmacy system are considerable, including personnel training. 4. The use of these systems is limited only to pharmacists. 5. Individual client data is integrated and provides the pharmacist with up-to-date information.

Q: ___________________________ aid in and strengthen the selection of viable options using the information of an organization or a field to facilitate decision making and overall efficiency. Standard Text:

Q: ____________________________ are large, computerized database management systems that support several types of activities that may include provider order entry, result retrieval, documentation, and decision support across distributed locations. Standard Text:

Q: A nursing information system should identify variances to the anticipated outcomes as they are charted and provide aggregate variance data for analysis by the providers. This information can be used to fine tune and improve _______________________________, thereby contributing to improved client outcomes. Standard Text:

Q: Which of the following describes home care information systems? 1. Supports the way that users function, and allows flexibility and improved access to information and tools 2. Uses monitoring technology which, when integrated into information systems, provides a way to care for the target population 3. Requires integration for the improvement of quality of care and business survival 4. Provides assistance to organizations to better manage their resources and improve efficiency

Q: Online resources are available for health care professionals to complete a number of important tasks. Which of the following are services offered by professional organizations? Standard Text: Select all that apply. 1. Cultural competence information is offered by Health Resources and Services Administration (HRSA) 2. HealthLink assists users to medical and health care information. 3. Healthcare Providers Service Organization (HPSO) offers licensure information. 4. State Boards of Nursing offer continuing education credits. 5. Second Life offers end-of-life content for bereavement counselors.

Q: Which of the following systems supports the use and documentation of nursing processes and activities, and provides tools for managing the delivery of nursing care? 1. Administrative information system 2. Nursing information system 3. Computerized provider order entry (CPOE) 4. Clinical information system

Q: There are a number of bibliographic online databases. Which of the following databases is dedicated to providing nurses with full-text articles? 1. Emerald Insight 2. Cumulative Index to Nursing and Allied Health Literature (CINAHL) 3. Google Books 4. ProQuest

Q: The following answers are standardized languages used across the discipline of nursing that allow nurses to describe nursing problems, treatments, and outcomes in a manner that is understood by all nurses except which? 1. HIS 2. NANDA 3. NOC 4. NIC

Q: The Internet offers a number of unique ways to market the organization. What are some of the ways companies use the Internet to create interest in their unique goods or services? Standard Text: Select all that apply. 1. Securing domain names for a business 2. Arranging for e-mail addresses 3. Hosting one or more websites 4. Designing a company website. 5. Creating application for smart phones

Q: _____________and wireless technology can be used with CISs to allow information entry and retrieval at the point of care or wherever it is needed by the health care professional. Standard Text:

Q: With the onslaught of electronic mail in professional boxes, nurses must be cognizant of the impact on which of the following? 1. Patient knowledge 2. Patient diagnosis 3. Patient outcomes 4. Patient privacy

Q: The client registration system is also known as which of the following? 1. Admission system 2. Admission/discharge/transfer system 3. Transfer system 4. Discharge system