Q&A Hero

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: 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 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: 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: 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: 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: 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: 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: 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: 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: 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: _______________________ 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.

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: 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: 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: 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: 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: 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: 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: 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: 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 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: 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: 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 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: 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 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 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: 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: 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: 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 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 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 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 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: 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: 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 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 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: 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: 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 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: 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: 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 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: 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: 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 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 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: 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 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: ____________________________ can be used to fine tune and improve critical pathways thereby contributing to improved client outcomes.

Q: Which of the following can identify the client in all information systems across the organization? 1. Client identification code 2. Billing system 3. Nursing information system 4. Administrative information systems

Q: _________________________ systems use clinical information to generate charges for care.

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

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.

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: 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: 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: 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.

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.

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: 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: 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 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 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: 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 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: Which of the following is the best example of a monitoring system? 1. Manual blood pressure of 132/82 is entered into the vital sign section of the graphic sheet. 2. The automatic blood pressure machine takes one reading of 164/104 and is turned off. 3. Blood glucose readings of 162 for 7:30 a.m. and 198 for 11:30 a.m. are obtained and entered into the computer system. 4. A temperature probe is connected to the pulmonary artery catheter to continuously monitor core temperature.

Q: Medication errors have been on the rise over the past decade. A national initiative to minimize or eliminate the errors can be supported through which of the following responses? 1. Electronic medical administration records are generated weekly and compared to the clients' physician orders. 2. The client's medication administration record is compared to the client's identification bracelet before the medication is given. 3. The bar codes of the nurse, client's identification bracelet, and prescription medication are scanned and compared. 4. The client's medication administration record bar code is compared to the clients' prescription medications.

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 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: Launched in June 1996, the _________________________________ is the first totally electronic journal in nursing.

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: A ________________________ journal is one that is not printed on paper.

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: 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: 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 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: A______________________ is another name for a web log.