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Nursing
Q:
Which of the following supports the automation of nursing documentation?
Standard Text: Select all that apply.
1. The use of standardized nursing languages (SNLs) accepted by the American Nurses Association
2. The use of a SOAP note in narrative form to support assessment of client cardiopulmonary system
3. The use of interventions such as "turn, cough, and deep breathe" as determined by the Nursing Interventions Classifications (NIC)
4. The use of client-specific charting by exception, addressing only exceptions to normal
5. The use of nursing diagnoses such as "Alteration of Comfort" as defined by the North American Nursing Diagnosis Association (NANDA)
Q:
____________________________ can be used to fine tune and improve critical pathways thereby contributing to improved client outcomes.
Standard Text:
Q:
Which of these is an example of a decision support system (DSS)?
1. A system used to schedule client visits for follow up care after extensive abdominal surgery
2. A system used to register clients who are admitted to an acute health care facility for surgery
3. A system used by emergency room administration to bill clients once their diagnoses are verified
4. A system used by physicians to provide suggestions for diagnostic tests according to selected admitting diagnoses
Q:
Which of the following statements suggests that the use of mobile devices in the health care setting can enhance patient care?
1. Personal access to patient's home address
2. Portable devices have a finite amount of space to receive instantaneous lab results.
3. The elimination of paper copies of lab reports
4. The elimination of a unit secretary position since all data is housed on the mobile device
Q:
Which statement indicates the nurse is correctly documenting according to a critical pathway?
1. Nursing documentation is entered separately from that of other health care team members
2. Nursing documentation is entered in nursing diagnoses and outcome statements framework
3. Variances are identified if client outcomes are not as anticipated
4. Only one critical pathway is selected at a given time for a given client
Q:
Clinical information systems (CISs) can have a positive impact on which of the following?
Standard Text: Select all that apply.
1. Pharmacy
2. Radiology
3. Order entry
4. Laboratory department
5. Nursing department
Q:
Which of these is an advantage of implementing a computerized order entry system?
1. Physicians argue for the option to continue traditional methods for ordering
2. Each department is notified simultaneously as orders are processed through the system
3. Increased system access or response time is available to the health care provider
4. Clinicians readily accept the new system, related to work process changes
Q:
Which of the following 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?
1. Mobile and wireless technology
2. Computerized order entry
3. Bar coding systems
4. Monitoring systems
Q:
Which of the following is characteristic of an automated radiology information system (RIS)?
1. Once a test is completed, the film is scanned to an optical imaging disc.
2. As each test is ordered, the user is prompted to answer questions such as the purpose of the test.
3. Images may be faxed to other institutions for timely consultations.
4. As soon as the test is performed, the system interprets the results and sends an electronic report.
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 statements are true about virtual worlds?
Standard Text: Select all that apply.
1. The simulated environment may reflect contemporary life, a setting found in works of fiction, or a setting unique to a world-developer's imagination.
2. Other terms for virtual world include: digital worlds, simulated worlds, multi-user virtual environments (MUVE), and massively multiplayer online games (MMOGs).
3. Gaming cannot be part of a virtual world.
4. Commercial virtual worlds focus on community building and socializing.
5. A virtual world is not an appropriate learning tool.
Q:
Which of the following depicts the best use of virtual worlds in the education of nurses?
1. The virtual world can simulate hospital life.
2. Virtual worlds offer students answers to NCLEX-RN style questions.
3. Virtual worlds offer synchronous interaction with patients.
4. Virtual worlds are too expensive for classroom use.
Q:
Which is the most accurate statement about Second Life?
1. Second Life has a single spot on the Internet and is easy to find.
2. Second Life is a gathering place where residents have housing built for them.
3. The focus of Second Life is not to build a community but to define an individual's place in the virtual world.
4. Second Life is an immersive world that fosters creativity.
Q:
A ________________________ journal is one that is not printed on paper.
Standard Text:
Q:
Registered nurses can use the Internet for a number of key functions pertaining to licensure. Which of the following answers reflects the usefulness of the Internet and licensure?
1. Nurses can renew their professional licenses online.
2. Nurses no longer have the option of renewing their licenses by mail.
3. Professional licensing agencies mandate license renewal online.
4. Professional licensing agencies do not have the technology to renew licenses online.
Q:
Launched in June 1996, the _________________________________ is the first totally electronic journal in nursing.
Standard Text:
Q:
Which of the following describes Questia?
1. Online library that provides 24/7 access to the world's largest online collection of books and journal articles
2. Comprehensive online nursing database
3. Interactive resource that answers complex patient care questions
4. Web-based tool with a complete listing of nursing diagnoses
Q:
Marketing services have become one of the important organizational uses of the Internet, therefore, multiple companies and organizations use websites as an opportunity to accomplish their goals. What are some of the reasons to use the Internet for marketing?
1. To offer virtual tours and job opportunity information
2. To share statistics regarding best practice models
3. To illustrate the usefulness of the intranet within the organization
4. To define the goals of the HIT
Q:
Which of the following statements is most accurate about social media and hospitals?
1. Social media has relevance to health care.
2. Health care and social media are unrelated.
3. Hospital marketing departments refuse to incorporate social media into their practice.
4. Social media is not relevant to hospital marketing or nursing practice.
Q:
Which of the following statements is the best response when a health care provider is asked by a patient to be their "friend" on Facebook?
1. "Great idea. I would love to keep in touch with you."
2. "I am flattered that you want to be my friend, but it is not appropriate for me to "friend" you on Facebook."
3. "Absolutely, I 'friend' all of my former patients."
4. "Why would you want to be my friend? Are you lonely?"
Q:
Organizations and credentialing agencies often use the Internet to share educational information. Which of the following makes this possible?
1. Podcasts and webinars
2. DVDs
3. E-mail
4. List-servs
Q:
______________________ feeds allow the individual to subscribe to content eliminating the need to manually search for new information.
Standard Text:
Q:
Which of the following terms denote learning that uses the Internet?
Standard Text: Select all that apply.
1. E-learning
2. Web-based learning
3. Internet training
4. Online learning
5. Computer-assisted learning
Q:
The Internet has become the source of locating current research and literature for practicing nurses and students. Which of the following websites provide beneficial information for health care professionals to access in an attempt to improve practice?
Standard Text: Select all that apply.
1. The Agency for Healthcare Research and Quality (AHRQ)
2. The American Nurses Credentialing Center (ANCC)
3. The Center for Disease Control (CDC)
4. National Institutes of Health (NIH)
5. Food and Drug Administration (FDA)
Q:
A three credit baccalaureate course meets four hours a week in the classroom and three hours per week through Blackboard. This is considered what type of learning environment?
1. On site
2. Mixed methods
3. Multimodality
4. Hybrid
Q:
Most professional organizations have a Web presence. What types of information should a professional organization's website offer to the reader?
Standard Text: Select all that apply.
1. Educational opportunities
2. Career opportunities
3. Certification opportunities
4. Policy work and initiatives
5. News feed
Q:
Which of the following describes a wiki?
1. A shared online resource
2. Social media site
3. A pop-up
4. SPAM
Q:
Social media is currently used to update subscribers on current events and updated content. Which of the following avenues can be used by health care professionals to share information?
Standard Text: Select all that apply.
1. Twitter
2. Textbook companion websites
3. Facebook
4. Linked In
5. YouTube
Q:
A______________________ is another name for a web log.
Standard Text:
Q:
Which of the following are advantages to asynchronous learning?
Standard Text: Select all that apply.
1. Teachers and learners can connect in the classroom at different times
2. Teachers and learners can connect in the classroom at the same time
3. Asynchronous learning is more flexible than on-ground learning
4. Asynchronous learners must commute to the classroom
5. Asynchronous learners can access online library databases
Q:
Which of the following statements best defines a learning object?
Standard Text: Select all that apply.
1. A learning object is an entity or learning event.
2. A learning object teaches an online lesson.
3. A learning object describes the usefulness of the Internet.
4. A learning object is embedded in HTML mark ups.
Q:
Wikis can be used as a tool in the classroom. Which of the following are advantages of using a wiki in education?
Standard Text: Select all that apply.
1. Wikis can foster collaboration.
2. Wikis can connect learners in different time zones.
3. Wikis can provide links to online resources.
4. Wikis can be used for asynchronous learning.
5. Wikis can serve as an online content-management system.
Q:
How can educators employ the use of a reusable learning object (RLO)?
1. An RLO is believed to enhance learning by offering complex material.
2. An RLO is believed to enhance learning by creating a virtual experience for the learner.
3. An RLO is believed to enhance learning by providing a virtual workspace for the learner.
4. An RLO is believed to enhance learning by chunking down complex material into smaller packets.
Q:
Which of the following Web-based learning objects can educators use to support the learning experience?
Standard Text: Select all that apply.
1. Video
2. Cryptic usernames and passwords
3. Audio clips
4. Applications
5. Animations
Q:
Which of the following is not an e-mail organizational domain?
1. .edu
2. .ca
3. .govn
4. .org
Q:
Which nonprofit professional organization provides direction when issues arise on the Internet?
1. The Web Regulation Agency
2. The Internet Society
3. The Web Society
4. Java
Q:
URL is an acronym for_____________________.
Standard Text:
Q:
One of the greatest concerns articulated by Internet users is security breaches. Which of the following is the best method to protect the integrity of the computer and its data?
1. Construct a separate firewall for the Web server.
2. Ignore security warnings.
3. Keep antivirus systems up-to-date and do not install intrusion detection systems to hail attacks.
4. Do not install security patches.
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 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 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.