Handbook Of Informatics for Nurses & Healthcare Professionals 5th Edition by Toni Lee Hebda – Test Bank

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Handbook Of Informatics for Nurses & Healthcare Professionals 5th Edition by Toni Lee Hebda – Test Bank

 

Sample  Questions

 

Hebda, Handbook of Informatics, 5/e Test Bank
Chapter 5

Question 1

Type: MCSA

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

Correct Answer: 2

Rationale 1: The Agency for Healthcare Research and Quality (AHRQ) is the part of the Department of Health and Human Services (DHHS) and is responsible for improving the quality, safety, efficiency, and effectiveness of health care for all Americans (www.ahrq.gov). AHRQ supports health-services research in these areas and provides information for practitioners on areas such as disaster preparedness, quality and patient safety, data-sets, and related research findings. Of particular interest for nurses is a listing of AHRQ resources for nurses (www.ahrq.gov/about/nursing/nrslinks.htm).

Rationale 2: The Agency for Healthcare Research and Quality (AHRQ) is the part of the Department of Health and Human Services (DHHS) and is responsible for improving the quality, safety, efficiency, and effectiveness of health care for all Americans (www.ahrq.gov). AHRQ supports health-services research in these areas and provides information for practitioners on areas such as disaster preparedness, quality and patient safety, data-sets, and related research findings. Of particular interest for nurses is a listing of AHRQ resources for nurses (www.ahrq.gov/about/nursing/nrslinks.htm).

Rationale 3: The Agency for Healthcare Research and Quality (AHRQ) is the part of the Department of Health and Human Services (DHHS) and is responsible for improving the quality, safety, efficiency, and effectiveness of health care for all Americans (www.ahrq.gov). AHRQ supports health-services research in these areas and provides information for practitioners on areas such as disaster preparedness, quality and patient safety, data-sets, and related research findings. Of particular interest for nurses is a listing of AHRQ resources for nurses (www.ahrq.gov/about/nursing/nrslinks.htm).

Rationale 4: The Agency for Healthcare Research and Quality (AHRQ) is the part of the Department of Health and Human Services (DHHS) and is responsible for improving the quality, safety, efficiency, and effectiveness of health care for all Americans (www.ahrq.gov). AHRQ supports health-services research in these areas and provides information for practitioners on areas such as disaster preparedness, quality and patient safety, data-sets, and related research findings. Of particular interest for nurses is a listing of AHRQ resources for nurses (www.ahrq.gov/about/nursing/nrslinks.htm).

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Teaching and Learning

Learning Outcome:

 

Question 2

Type: FIB

The_____________________ focuses on making available to individual registered nurses and organizations where nurses practice resources for pursing excellence in practice.

Standard Text:

Correct Answer: American Nurses Credentialing Center

Rationale : American Nurses Credentialing Center (ANCC) focuses on making available to individual registered nurses and organizations where nurses practice resources for pursing excellence in practice.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Teaching and Learning

Learning Outcome:

 

Question 3

Type: MCSA

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

Correct Answer: 1

Rationale 1: Podcasts and webinars are educational resources used by many professional organizations. These online presentations are available initially as live broadcasts, then retained for later access. Members usually have free access, and others might have access after payment of a fee. Many organizations provide continuing education credits for viewing podcasts and webinars.

Rationale 2: Podcasts and webinars are educational resources used by many professional organizations. These online presentations are available initially as live broadcasts, then retained for later access. Members usually have free access, and others might have access after payment of a fee. Many organizations provide continuing education credits for viewing podcasts and webinars.

Rationale 3: Podcasts and webinars are educational resources used by many professional organizations. These online presentations are available initially as live broadcasts, then retained for later access. Members usually have free access, and others might have access after payment of a fee. Many organizations provide continuing education credits for viewing podcasts and webinars.

Rationale 4: Podcasts and webinars are educational resources used by many professional organizations. These online presentations are available initially as live broadcasts, then retained for later access. Members usually have free access, and others might have access after payment of a fee. Many organizations provide continuing education credits for viewing podcasts and webinars.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Teaching and Learning

Learning Outcome:

 

Question 4

Type: MCMA

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

Correct Answer: 1,2,3,4,5

Rationale 1: E-learning, Web-based learning, Internet-based training, advanced distributed learning, courseware and Web-based instruction, computer-based or computer-assisted learning, online learning, and open/ flexible learning are terms that denote Internet learning activities.

Rationale 2: E-learning, Web-based learning, Internet-based training, advanced distributed learning, courseware and Web-based instruction, computer-based or computer-assisted learning, online learning, and open/ flexible learning are terms that denote Internet learning activities.

Rationale 3: E-learning, Web-based learning, Internet-based training, advanced distributed learning, courseware and Web-based instruction, computer-based or computer-assisted learning, online learning, and open/ flexible learning are terms that denote Internet learning activities.

Rationale 4: E-learning, Web-based learning, Internet-based training, advanced distributed learning, courseware and Web-based instruction, computer-based or computer-assisted learning, online learning, and open/ flexible learning are terms that denote Internet learning activities.

Rationale 5: E-learning, Web-based learning, Internet-based training, advanced distributed learning, courseware and Web-based instruction, computer-based or computer-assisted learning, online learning, and open/ flexible learning are terms that denote Internet learning activities.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Teaching and Learning

Learning Outcome:

 

Question 5

Type: MCSA

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

Correct Answer: 4

Rationale 1: Distributed learning or hybrid learning usually means a course that combines elements of an online classroom with an in-person classroom (sometimes called ‘bricks-and-mortar’).

Rationale 2: Distributed learning or hybrid learning usually means a course that combines elements of an online classroom with an in-person classroom (sometimes called ‘bricks-and-mortar’).

Rationale 3: Distributed learning or hybrid learning usually means a course that combines elements of an online classroom with an in-person classroom (sometimes called ‘bricks-and-mortar’).

Rationale 4: Distributed learning or hybrid learning usually means a course that combines elements of an online classroom with an in-person classroom (sometimes called ‘bricks-and-mortar’).

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Teaching and Learning

Learning Outcome:

 

Question 6

Type: MCSA

Which of the following describes a wiki?

  1. A shared online resource
  2. Social media site
  3. A pop-up
  4. SPAM

Correct Answer: 1

Rationale 1: A wiki is a website where users not only read the content but can add to or edit the content.

Rationale 2: A wiki is a website where users not only read the content but can add to or edit the content.

Rationale 3: A wiki is a website where users not only read the content but can add to or edit the content.

Rationale 4: A wiki is a website where users not only read the content but can add to or edit the content.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 7

Type: FIB

A______________________ is another name for a web log.

Standard Text:

Correct Answer: blog

Rationale : A web log or blog is an online document that grows sequentially, in chronological order. A single individual or a group of bloggers contribute to the main content.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 8

Type: MCMA

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.

Correct Answer: 1

Rationale 1: A learning object is an entity or learning event that can stand alone without losing meaning, usually addressing only one or two learning objectives (Jesse, Taleff, Payne, Cox, & Steele, 2006). A teacher can select from a collection of learning objects, organize them into unique learning tools or lessons, and reuse them in the same or different constructions. Thus, a learning object also is known as a reusable learning object (RLO). An RLO is believed to enhance learning by chunking down complex material into smaller packets.

Rationale 2: A learning object is an entity or learning event that can stand alone without losing meaning, usually addressing only one or two learning objectives (Jesse, Taleff, Payne, Cox, & Steele, 2006). A teacher can select from a collection of learning objects, organize them into unique learning tools or lessons, and reuse them in the same or different constructions. Thus, a learning object also is known as a reusable learning object (RLO). An RLO is believed to enhance learning by chunking down complex material into smaller packets.

Rationale 3: A learning object is an entity or learning event that can stand alone without losing meaning, usually addressing only one or two learning objectives (Jesse, Taleff, Payne, Cox, & Steele, 2006). A teacher can select from a collection of learning objects, organize them into unique learning tools or lessons, and reuse them in the same or different constructions. Thus, a learning object also is known as a reusable learning object (RLO). An RLO is believed to enhance learning by chunking down complex material into smaller packets.

Rationale 4: A learning object is an entity or learning event that can stand alone without losing meaning, usually addressing only one or two learning objectives (Jesse, Taleff, Payne, Cox, & Steele, 2006). A teacher can select from a collection of learning objects, organize them into unique learning tools or lessons, and reuse them in the same or different constructions. Thus, a learning object also is known as a reusable learning object (RLO). An RLO is believed to enhance learning by chunking down complex material into smaller packets.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Teaching and Learning

Learning Outcome:

 

Question 9

Type: MCSA

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.

Correct Answer: 4

Rationale 1: A teacher can select from a collection of learning objects, organize them into unique learning tools or lessons, and reuse them in the same or different constructions. Thus, a learning object is also known as an RLO. An RLO is believed to enhance learning by chunking down complex material into smaller packets.

Rationale 2: A teacher can select from a collection of learning objects, organize them into unique learning tools or lessons, and reuse them in the same or different constructions. Thus, a learning object is also known as an RLO. An RLO is believed to enhance learning by chunking down complex material into smaller packets.

Rationale 3: A teacher can select from a collection of learning objects, organize them into unique learning tools or lessons, and reuse them in the same or different constructions. Thus, a learning object is also known as an RLO. An RLO is believed to enhance learning by chunking down complex material into smaller packets.

Rationale 4: A teacher can select from a collection of learning objects, organize them into unique learning tools or lessons, and reuse them in the same or different constructions. Thus, a learning object is also known as an RLO. An RLO is believed to enhance learning by chunking down complex material into smaller packets.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Teaching and Learning

Learning Outcome:

 

Question 10

Type: MCMA

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.

Correct Answer: 1,2,4

Rationale 1: Virtual worlds can simulate real world settings and situations. The virtual world is useful as a teaching tool, preparing students for hands on practical experiences.

Rationale 2: Virtual worlds can simulate real world settings and situations. The virtual world is useful as a teaching tool, preparing students for hands on practical experiences.

Rationale 3: Virtual worlds began as part of the gaming experience.

Rationale 4: Virtual worlds can simulate real world settings and situations. The virtual world is useful as a teaching tool, preparing students for hands on practical experiences.

Rationale 5: Virtual worlds can simulate real world settings and situations. The virtual world is useful as a teaching tool preparing students for hands on practical experiences.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Teaching and Learning

Learning Outcome:

 

Question 11

Type: MCSA

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.

Correct Answer: 4

Rationale 1: Second Life is useful in education and provides an immersive environment; is dependent on content generated by the users, fostering creativity and a sense of contribution to the world; and it fosters social interaction.

Rationale 2: Second Life is useful in education and provides an immersive environment; is dependent on content generated by the users, fostering creativity and a sense of contribution to the world; and it fosters social interaction.

Rationale 3: Second Life is useful in education and provides an immersive environment; is dependent on content generated by the users, fostering creativity and a sense of contribution to the world; and it fosters social interaction.

Rationale 4: Second Life is useful in education and provides an immersive environment; is dependent on content generated by the users, fostering creativity and a sense of contribution to the world; and it fosters social interaction.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 12

Type: FIB

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

Standard Text:

Correct Answer: fully online

Rationale : A fully online journal is one that is not printed on paper.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Teaching and Learning

Learning Outcome:

 

Question 13

Type: MCSA

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.

Correct Answer: 1

Rationale 1: State professional licensing agencies now allow many professionals to manage their licenses online. Professionals can submit an application for initial licensure, renew a current license, check on the status of the application or renewal, and explore additional services. Many licensing agencies now offer licensees, employers, and the general public the opportunity to conduct searches of licensed professionals via a secure website.

Rationale 2: State professional licensing agencies now allow many professionals to manage their licenses online. Professionals can submit an application for initial licensure, renew a current license, check on the status of the application or renewal, and explore additional services. Many licensing agencies now offer licensees, employers, and the general public the opportunity to conduct searches of licensed professionals via a secure website.

Rationale 3: State professional licensing agencies now allow many professionals to manage their licenses online. Professionals can submit an application for initial licensure, renew a current license, check on the status of the application or renewal, and explore additional services. Many licensing agencies now offer licensees, employers, and the general public the opportunity to conduct searches of licensed professionals via a secure website.

Rationale 4: State professional licensing agencies now allow many professionals to manage their licenses online. Professionals can submit an application for initial licensure, renew a current license, check on the status of the application or renewal, and explore additional services. Many licensing agencies now offer licensees, employers, and the general public the opportunity to conduct searches of licensed professionals via a secure website.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 14

Type: FIB

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

Standard Text:

Correct Answer: Online Journal of Issues in Nursing (OJIN)

Rationale : Launched in June 1996, the Online Journal of Issues in Nursing (OJIN) is the first totally electronic journal in nursing.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Teaching and Learning

Learning Outcome:

 

Question 15

Type: MCSA

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

Correct Answer: 1

Rationale 1: Questia is an online library that provides 24/7 access to the world’s largest online collection of books and journal articles in the humanities and social sciences, plus magazine and newspaper articles. Users can search by individual words, phrases, titles, authors, or subjects through the entire online collection of books and articles. Every title can be read online.

Rationale 2: Questia is an online library that provides 24/7 access to the world’s largest online collection of books and journal articles in the humanities and social sciences, plus magazine and newspaper articles. Users can search by individual words, phrases, titles, authors, or subjects through the entire online collection of books and articles. Every title can be read online.

Rationale 3: Questia is an online library that provides 24/7 access to the world’s largest online collection of books and journal articles in the humanities and social sciences, plus magazine and newspaper articles. Users can search by individual words, phrases, titles, authors, or subjects through the entire online collection of books and articles. Every title can be read online.

Rationale 4: Questia is an online library that provides 24/7 access to the world’s largest online collection of books and journal articles in the humanities and social sciences, plus magazine and newspaper articles. Users can search by individual words, phrases, titles, authors, or subjects through the entire online collection of books and articles. Every title can be read online.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Teaching and Learning

Learning Outcome:

 

Question 16

Type: MCSA

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

Correct Answer: 1

Rationale 1: The Internet is a good tool to share services with the user. Additional marketing considerations include: job postings, advertisements, and product information.

Rationale 2: The Internet is a good tool to share services with the user. Additional marketing considerations include: job postings, advertisements, and product information.

Rationale 3: The Internet is a good tool to share services with the user. Additional marketing considerations include: job postings, advertisements, and product information.

Rationale 4: The Internet is a good tool to share services with the user. Additional marketing considerations include: job postings, advertisements, and product information.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 17

Type: MCSA

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.

Correct Answer: 1

Rationale 1: Social media has become the norm in marketing services. Social media such as Facebook and Twitter are two examples of how organizations can key into technology to spread their message.

Rationale 2: Social media has become the norm in marketing services. Social media such as Facebook and Twitter are two examples of how organizations can key into technology to spread their message.

Rationale 3: Social media has become the norm in marketing services. Social media such as Facebook and Twitter are two examples of how organizations can key into technology to spread their message.

Rationale 4: Social media has become the norm in marketing services. Social media such as Facebook and Twitter are two examples of how organizations can key into technology to spread their message.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 18

Type: MCSA

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?”

Correct Answer: 2

Rationale 1: It is inappropriate for former patients and their health care providers to be “Facebook friends.” This blurs the line of distinction between a professional and a client.

Rationale 2: It is inappropriate for former patients and their health care providers to be “Facebook friends.” This blurs the line of distinction between a professional and a client.

Rationale 3: It is inappropriate for former patients and their health care providers to be “Facebook friends.” This blurs the line of distinction between a professional and a client.

Rationale 4: It is inappropriate for former patients and their health care providers to be “Facebook friends.” This blurs the line of distinction between a professional and a client.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 19

Type: FIB

______________________ feeds allow the individual to subscribe to content eliminating the need to manually search for new information.

Standard Text:

Correct Answer: RSS (Really Simple Syndication)

Rationale : RSS (Really Simple Syndication) feeds allow you to subscribe to content eliminating the need to manually search for new information on sites that offer the RSS option.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 20

Type: MCMA

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)

Correct Answer: 1,2,3,4,5

Rationale 1: -Food and Drug Administration (FDA)

Rationale 2: -Food and Drug Administration (FDA)

Rationale 3: -Food and Drug Administration (FDA)

Rationale 4: -Food and Drug Administration (FDA)

Rationale 5: -Food and Drug Administration (FDA)

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Teaching and Learning

Learning Outcome:

 

Question 21

Type: MCMA

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

Correct Answer: 1,2,3,4,5

Rationale 1: Typically, a professional organization’s website will have information about the organization; membership; educational opportunities; certification, past, present, and future conferences; resources; purchase of organizational memorabilia and attire; policy work; and a career center for assistance in finding employment. Often, a news feed or news center is available for updates on current organizational and/or health care issues. A website can also publish current research and evidence-based practice.

Rationale 2: Typically, a professional organization’s website will have information about the organization; membership; educational opportunities; certification, past, present, and future conferences; resources; purchase of organizational memorabilia and attire; policy work; and a career center for assistance in finding employment. Often, a news feed or news center is available for updates on current organizational and/or health care issues. A website can also publish current research and evidence-based practice.

Rationale 3: Typically, a professional organization’s website will have information about the organization; membership; educational opportunities; certification, past, present, and future conferences; resources; purchase of organizational memorabilia and attire; policy work; and a career center for assistance in finding employment. Often, a news feed or news center is available for updates on current organizational and/or health care issues. A website can also publish current research and evidence-based practice.

Rationale 4: Typically, a professional organization’s website will have information about the organization; membership; educational opportunities; certification, past, present, and future conferences; resources; purchase of organizational memorabilia and attire; policy work; and a career center for assistance in finding employment. Often, a news feed or news center is available for updates on current organizational and/or health care issues. A website can also publish current research and evidence-based practice.

Rationale 5: Typically, a professional organization’s website will have information about the organization; membership; educational opportunities; certification, past, present, and future conferences; resources; purchase of organizational memorabilia and attire; policy work; and a career center for assistance in finding employment. Often, a news feed or news center is available for updates on current organizational and/or health care issues. A website can also publish current research and evidence-based practice.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Teaching and Learning

Learning Outcome:

 

Question 22

Type: MCMA

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

Correct Answer: 1,3,4,5

Rationale 1: Twitter, YouTube, Facebook, and Linked In are available online as communication conduits. Individuals join the sites to begin the process.

Rationale 2: A publishing company may offer an online supplement to a textbook. The site’s intention is to offer additional information for the student and not a means of social interaction.

Rationale 3: Twitter, YouTube, Facebook, and Linked In are available online as communication conduits. Individuals join the sites to begin the process.

Rationale 4: Twitter, YouTube, Facebook, and Linked In are available online as communication conduits. Individuals join the sites to begin the process.

Rationale 5: Twitter, YouTube, Facebook, and Linked In are available online as communication conduits. Individuals join the sites to begin the process.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 23

Type: MCMA

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

Correct Answer: 1,3,5

Rationale 1: Asynchronous teaching-learning enables learners and teachers to connect to virtual classrooms at different times; this flexibility supports a work environment where learners have different shifts and work days. Further, time is not spent commuting to and from a physical classroom. Online library resources are available when needed and when the seeker has time to search the literature. Learners acquire skills and confidence in using information technology.

Rationale 2: Asynchronous teaching-learning enables learners and teachers to connect to virtual classrooms at different times; this flexibility supports a work environment where learners have different shifts and work days. Further, time is not spent commuting to and from a physical classroom. Online library resources are available when needed and when the seeker has time to search the literature. Learners acquire skills and confidence in using information technology.

Rationale 3: Asynchronous teaching-learning enables learners and teachers to connect to virtual classrooms at different times; this flexibility supports a work environment where learners have different shifts and work days. Further, time is not spent commuting to and from a physical classroom. Online library resources are available when needed and when the seeker has time to search the literature. Learners acquire skills and confidence in using information technology.

Rationale 4: Asynchronous teaching-learning enables learners and teachers to connect to virtual classrooms at different times; this flexibility supports a work environment where learners have different shifts and work days. Further, time is not spent commuting to and from a physical classroom. Online library resources are available when needed and when the seeker has time to search the literature. Learners acquire skills and confidence in using information technology.

Rationale 5: Asynchronous teaching-learning enables learners and teachers to connect to virtual classrooms at different times; this flexibility supports a work environment where learners have different shifts and work days. Further, time is not spent commuting to and from a physical classroom. Online library resources are available when needed and when the seeker has time to search the literature. Learners acquire skills and confidence in using information technology.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Teaching and Learning

Learning Outcome:

 

Question 24

Type: MCMA

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.

Correct Answer: 1,2,3,4,5

Rationale 1: Wikis used in education can foster and facilitate collaboration among learners. With geographically distributed learner populations working in different time zones and different shifts, an asynchronous method for collaborative learning is essential. Wikis can be used to disseminate learning resources and provide links to other resources, such as emerging clinical practices. Students can use wikis to share learning experiences. A class project may include compilation of one or more wiki books. (A wiki book, logically, is a collection of writings (documents) brought together by one or more writers for a specific purpose.) A wiki may serve as content-management system for one online course or an entire program, such as a MSN-degree program).

Rationale 2: Wikis used in education can foster and facilitate collaboration among learners. With geographically distributed learner populations working in different time zones and different shifts, an asynchronous method for collaborative learning is essential. Wikis can be used to disseminate learning resources and provide links to other resources, such as emerging clinical practices. Students can use wikis to share learning experiences. A class project may include compilation of one or more wiki books. (A wiki book, logically, is a collection of writings (documents) brought together by one or more writers for a specific purpose.) A wiki may serve as content-management system for one online course or an entire program, such as a MSN-degree program).

Rationale 3: Wikis used in education can foster and facilitate collaboration among learners. With geographically distributed learner populations working in different time zones and different shifts, an asynchronous method for collaborative learning is essential. Wikis can be used to disseminate learning resources and provide links to other resources, such as emerging clinical practices. Students can use wikis to share learning experiences. A class project may include compilation of one or more wiki books. (A wiki book, logically, is a collection of writings (documents) brought together by one or more writers for a specific purpose.) A wiki may serve as content-management system for one online course or an entire program, such as a MSN-degree program).

Rationale 4: Wikis used in education can foster and facilitate collaboration among learners. With geographically distributed learner populations working in different time zones and different shifts, an asynchronous method for collaborative learning is essential. Wikis can be used to disseminate learning resources and provide links to other resources, such as emerging clinical practices. Students can use wikis to share learning experiences. A class project may include compilation of one or more wiki books. (A wiki book, logically, is a collection of writings (documents) brought together by one or more writers for a specific purpose.) A wiki may serve as content-management system for one online course or an entire program, such as a MSN-degree program).

Rationale 5: Wikis used in education can foster and facilitate collaboration among learners. With geographically distributed learner populations working in different time zones and different shifts, an asynchronous method for collaborative learning is essential. Wikis can be used to disseminate learning resources and provide links to other resources, such as emerging clinical practices. Students can use wikis to share learning experiences. A class project may include compilation of one or more wiki books. (A wiki book, logically, is a collection of writings (documents) brought together by one or more writers for a specific purpose.) A wiki may serve as content-management system for one online course or an entire program, such as a MSN-degree program).

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Teaching and Learning

Learning Outcome:

 

Question 25

Type: MCMA

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

Correct Answer: 1,3,4,5

Rationale 1: The World Wide Web enhances the development and use of RLOs by increasing the possible levels of interactivity and supporting the embedding of learning materials such as video and audio clips, text, applications, or animations.

Rationale 2: Cryptic usernames and passwords are essential for the protection of data and information, but are not considered learning objects.

Rationale 3: The World Wide Web enhances the development and use of RLOs by increasing the possible levels of interactivity and supporting the embedding of learning materials such as video and audio clips, text, applications, or animations.

Rationale 4: The World Wide Web enhances the development and use of RLOs by increasing the possible levels of interactivity and supporting the embedding of learning materials such as video and audio clips, text, applications, or animations.

Rationale 5: The World Wide Web enhances the development and use of RLOs by increasing the possible levels of interactivity and supporting the embedding of learning materials such as video and audio clips, text, applications, or animations.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Teaching and Learning

Learning Outcome:

 

Question 26

Type: MCSA

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.

Correct Answer: 1

Rationale 1: Virtual worlds are online simulated environments in which multiple users interact. The simulated environment may reflect contemporary life, a setting found in works of fiction, or a setting unique to a world-developer’s imagination.

Rationale 2: Virtual worlds are online simulated environments in which multiple users interact. The simulated environment may reflect contemporary life, a setting found in works of fiction, or a setting unique to a world-developer’s imagination.

Rationale 3: Virtual worlds are online simulated environments in which multiple users interact. The simulated environment may reflect contemporary life, a setting found in works of fiction, or a setting unique to a world-developer’s imagination.

Rationale 4: Virtual worlds are online simulated environments in which multiple users interact. The simulated environment may reflect contemporary life, a setting found in works of fiction, or a setting unique to a world-developer’s imagination.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Teaching and Learning

Learning Outcome:

 

Question 27

Type: MCMA

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.

Correct Answer: 1,2

Rationale 1: Among the plethora of resources and services provided by the Health Resources and Services Administration (HRSA) is a section on cultural competence (www.hrsa.gov/culturalcompetence/). In this section, nurses and others may take advantage of assessment tools for cultural and linguistic competence. Educational content on general aspects of cultural competence as well as content on specific groups is available.

Rationale 2: HealthLink is a free website for health care professionals and consumers. The primary focus of this site is assisting users to medical and health care information, products, resources, services, and practitioners on the World Wide Web (WWW).

Rationale 3: HPSO is a division of Affinity Insurance Services, Inc. The core service from HPSO is insurance, especially professional liability insurance and risk-management information.

Rationale 4: State Boards of Nursing offer nurses an opportunity to renew licenses online.

Rationale 5: Second Life provides an immersive environment; is dependent on content generated by the users, fostering creativity and a sense of contribution to the world; and it fosters social interaction (Skiba, 2007).

Global Rationale:

 

Cognitive Level: Evaluating

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Teaching and Learning

Learning Outcome:

 

Question 28

Type: MCSA

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

Correct Answer: 2

Rationale 1: Emerald Insight is a collection of peer reviewed management journals and online support for librarians, students, faculty, researchers, and deans.

Rationale 2: Articles in most professional publications are now available in full-text when retrieved from a bibliographic database such as the CINAHL.

Rationale 3: Google Books is an excellent resource for old books and not considered a nursing periodical database.

Rationale 4: ProQuest contains dissertations and theses.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Teaching and Learning

Learning Outcome:

 

Question 29

Type: MCMA

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

Correct Answer: 1,2,3,4

Rationale 1: Internet-related services may include securing domain names for a business, arranging for e-mail addresses, establishing the ability to conduct electronic commerce, hosting one or more websites, designing and maintaining company websites, content management systems (CMS), and customer relationship management (CRM).

Rationale 2: Internet-related services may include securing domain names for a business, arranging for e-mail addresses, establishing the ability to conduct electronic commerce, hosting one or more websites, designing and maintaining company websites, content management systems (CMS), and customer relationship management (CRM).

Rationale 3: Internet-related services may include securing domain names for a business, arranging for e-mail addresses, establishing the ability to conduct electronic commerce, hosting one or more websites, designing and maintaining company websites, content management systems (CMS), and customer relationship management (CRM).

Rationale 4: Internet-related services may include securing domain names for a business, arranging for e-mail addresses, establishing the ability to conduct electronic commerce, hosting one or more websites, designing and maintaining company websites, content management systems (CMS), and customer relationship management (CRM).

Rationale 5: Applications for smart phones can be useful in a number of ways but are not considered marketing tools.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 30

Type: MCSA

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

Correct Answer: 4

Rationale 1: The impact of electronic mail in the health care system can affect patient privacy. Strict measures and guidelines must be followed to assure confidentiality.

Rationale 2: The impact of electronic mail in the health care system can affect patient privacy. Strict measures and guidelines must be followed to assure confidentiality.

Rationale 3: The impact of electronic mail in the health care system can affect patient privacy. Strict measures and guidelines must be followed to assure confidentiality.

Rationale 4: The impact of electronic mail in the health care system can affect patient privacy. Strict measures and guidelines must be followed to assure confidentiality.

Global Rationale:

 

Cognitive Level: Evaluating

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

Hebda, Handbook of Informatics, 5/e Test Bank
Chapter 7

Question 1

Type: MCSA

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.

Correct Answer: 2

Rationale 1: Strategic planning is a long-term process that begins by identifying the long-range mission, goals, and strategies of an organization. Ideally, this is done in the beginning when a new institution opens, or before the facility opens. The development or revision of policies, advertising campaigns, mission statements, etc., by themselves, is incomplete.

Rationale 2: Strategic planning is a long-term process that begins by identifying the long-range mission, goals, and strategies of an organization. Ideally, this is done in the beginning when a new institution opens, or before the facility opens. The development or revision of policies, advertising campaigns, mission statements, etc., by themselves, is incomplete.

Rationale 3: Strategic planning is a long-term process that begins by identifying the long-range mission, goals, and strategies of an organization. Ideally, this is done in the beginning when a new institution opens, or before the facility opens. The development or revision of policies, advertising campaigns, mission statements, etc., by themselves, is incomplete.

Rationale 4: Strategic planning is a long-term process that begins by identifying the long-range mission, goals, and strategies of an organization. Ideally, this is done in the beginning when a new institution opens, or before the facility opens. The development or revision of policies, advertising campaigns, mission statements, etc., by themselves, is incomplete.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:

 

Question 2

Type: MCSA

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.

Correct Answer: 4

Rationale 1: Benchmarking compares similar institutions, locations, and populations of patients. Dissimilar populations make it difficult to make good comparisons.

Rationale 2: Benchmarking compares similar institutions, locations, and populations of patients. Dissimilar populations make it difficult to make good comparisons.

Rationale 3: Benchmarking compares similar institutions, locations, and populations of patients. Dissimilar populations make it difficult to make good comparisons.

Rationale 4: Benchmarking compares similar institutions, locations, and populations of patients. Dissimilar populations make it difficult to make good comparisons.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:

 

Question 3

Type: MCSA

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.

Correct Answer: 4

Rationale 1: An advantage includes access to qualified resource personnel, often 24/7. However, there is less control over implementation, security of data and customization may not be possible.

Rationale 2: An advantage includes access to qualified resource personnel, often 24/7. However, there is less control over implementation, security of data and customization may not be possible.

Rationale 3: An advantage includes access to qualified resource personnel, often 24/7. However, there is less control over implementation, security of data and customization may not be possible.

Rationale 4: An advantage includes access to qualified resource personnel, often 24/7. However, there is less control over implementation, security of data and customization may not be possible.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:

 

Question 4

Type: MCSA

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.

Correct Answer: 4

Rationale 1: The example of a goal for strategic planning is: Expand e-health services to include consumer online pre-registration capability. This meets the definition of a goal: an open-ended statement that describes in general terms what is to be accomplished. The other responses are objectives; that is, stating how and when a goal will be met. An objective is more specific than a goal.

Rationale 2: The example of a goal for strategic planning is: Expand e-health services to include consumer online pre-registration capability. This meets the definition of a goal: an open-ended statement that describes in general terms what is to be accomplished. The other responses are objectives; that is, stating how and when a goal will be met. An objective is more specific than a goal.

Rationale 3: The example of a goal for strategic planning is: Expand e-health services to include consumer online pre-registration capability. This meets the definition of a goal: an open-ended statement that describes in general terms what is to be accomplished. The other responses are objectives; that is, stating how and when a goal will be met. An objective is more specific than a goal.

Rationale 4: The example of a goal for strategic planning is: Expand e-health services to include consumer online pre-registration capability. This meets the definition of a goal: an open-ended statement that describes in general terms what is to be accomplished. The other responses are objectives; that is, stating how and when a goal will be met. An objective is more specific than a goal.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:

 

Question 5

Type: MCSA

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

Correct Answer: 3

Rationale 1: Those in upper-level management, such as a vice president of nursing and patient care services, are appropriate team leaders for strategic planning because they have authority over relevant personnel. Those in lower-level management, such as supervisors, nurse managers, or resident physicians, may support the team effort but typically do not take as much of a leadership role.

Rationale 2: Those in upper-level management, such as a vice president of nursing and patient care services, are appropriate team leaders for strategic planning because they have authority over relevant personnel. Those in lower-level management, such as supervisors, nurse managers, or resident physicians, may support the team effort but typically do not take as much of a leadership role.

Rationale 3: Those in upper-level management, such as a vice president of nursing and patient care services, are appropriate team leaders for strategic planning because they have authority over relevant personnel. Those in lower-level management, such as supervisors, nurse managers, or resident physicians, may support the team effort but typically do not take as much of a leadership role.

Rationale 4: Those in upper-level management, such as a vice president of nursing and patient care services, are appropriate team leaders for strategic planning because they have authority over relevant personnel. Those in lower-level management, such as supervisors, nurse managers, or resident physicians, may support the team effort but typically do not take as much of a leadership role.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:

 

Question 6

Type: MCSA

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

Correct Answer: 4

Rationale 1: Most valuable would be interviews with administrators and representative employees from all of the outpatient services. Although interviews with administrators provide valuable information, they may be unacquainted with daily workflow and information needs. For this reason it is important to interview both populations to determine needs, how work is presently performed, and how processes may be improved. Regulations and guidelines from federal and accrediting bodies must be followed but do not reflect the work process and needs in specific settings.

Rationale 2: Most valuable would be interviews with administrators and representative employees from all of the outpatient services. Although interviews with administrators provide valuable information, they may be unacquainted with daily workflow and information needs. For this reason it is important to interview both populations to determine needs, how work is presently performed, and how processes may be improved. Regulations and guidelines from federal and accrediting bodies must be followed but do not reflect the work process and needs in specific settings.

Rationale 3: Most valuable would be interviews with administrators and representative employees from all of the outpatient services. Although interviews with administrators provide valuable information, they may be unacquainted with daily workflow and information needs. For this reason it is important to interview both populations to determine needs, how work is presently performed, and how processes may be improved. Regulations and guidelines from federal and accrediting bodies must be followed but do not reflect the work process and needs in specific settings.

Rationale 4: Most valuable would be interviews with administrators and representative employees from all of the outpatient services. Although interviews with administrators provide valuable information, they may be unacquainted with daily workflow and information needs. For this reason it is important to interview both populations to determine needs, how work is presently performed, and how processes may be improved. Regulations and guidelines from federal and accrediting bodies must be followed but do not reflect the work process and needs in specific settings.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:

 

Question 7

Type: MCSA

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

Correct Answer: 1

Rationale 1: An institution using a mainframe legacy system would most benefit from a complete computer system upgrade. These legacy systems are often individualized to the specific institution; these may be difficult, if not impossible, to interface with other systems. As it is necessary to upgrade or replace these systems, the institution must weigh the advantages and disadvantages of alternatives that may better meet the needs of the organization. These might include retaining current systems, providing a new look and easier access to legacy software via a Web interface, new versions of vendor software, client/server or thin client technologies, outsourcing services, or using an application service provider (ASP).

Rationale 2: An institution using a mainframe legacy system would most benefit from a complete computer system upgrade. These legacy systems are often individualized to the specific institution; these may be difficult, if not impossible, to interface with other systems. As it is necessary to upgrade or replace these systems, the institution must weigh the advantages and disadvantages of alternatives that may better meet the needs of the organization. These might include retaining current systems, providing a new look and easier access to legacy software via a Web interface, new versions of vendor software, client/server or thin client technologies, outsourcing services, or using an application service provider (ASP).

Rationale 3: An institution using a mainframe legacy system would most benefit from a complete computer system upgrade. These legacy systems are often individualized to the specific institution; these may be difficult, if not impossible, to interface with other systems. As it is necessary to upgrade or replace these systems, the institution must weigh the advantages and disadvantages of alternatives that may better meet the needs of the organization. These might include retaining current systems, providing a new look and easier access to legacy software via a Web interface, new versions of vendor software, client/server or thin client technologies, outsourcing services, or using an application service provider (ASP).

Rationale 4: An institution using a mainframe legacy system would most benefit from a complete computer system upgrade. These legacy systems are often individualized to the specific institution; these may be difficult, if not impossible, to interface with other systems. As it is necessary to upgrade or replace these systems, the institution must weigh the advantages and disadvantages of alternatives that may better meet the needs of the organization. These might include retaining current systems, providing a new look and easier access to legacy software via a Web interface, new versions of vendor software, client/server or thin client technologies, outsourcing services, or using an application service provider (ASP).

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:

 

Question 8

Type: MCSA

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

Correct Answer: 2

Rationale 1: Best fitting an organization’s mission statement is: To promote educational activities related to caring for the sick and injured. The mission statement is the purpose or reason for the existence of the institution. It is often broad, representing the fundamental and unique aspirations that differentiate the organization from others. The other answers are too narrow, best fitting an organization’s objectives, including information on when and how care will be delivered.

Rationale 2: Best fitting an organization’s mission statement is: To promote educational activities related to caring for the sick and injured. The mission statement is the purpose or reason for the existence of the institution. It is often broad, representing the fundamental and unique aspirations that differentiate the organization from others. The other answers are too narrow, best fitting an organization’s objectives, including information on when and how care will be delivered.

Rationale 3: Best fitting an organization’s mission statement is: To promote educational activities related to caring for the sick and injured. The mission statement is the purpose or reason for the existence of the institution. It is often broad, representing the fundamental and unique aspirations that differentiate the organization from others. The other answers are too narrow, best fitting an organization’s objectives, including information on when and how care will be delivered.

Rationale 4: Best fitting an organization’s mission statement is: To promote educational activities related to caring for the sick and injured. The mission statement is the purpose or reason for the existence of the institution. It is often broad, representing the fundamental and unique aspirations that differentiate the organization from others. The other answers are too narrow, best fitting an organization’s objectives, including information on when and how care will be delivered.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 9

Type: MCSA

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

Correct Answer: 3

Rationale 1: The group in which decisions would best be made is: Staff nurses and management from each unit meet with admitting physicians and upper-level management team members. A representation of all involved parties should meet to build consensus and make important decisions for the group. When crucial members such as staff are omitted, valuable input is missed and resistance may ensue.

Rationale 2: The group in which decisions would best be made is: Staff nurses and management from each unit meet with admitting physicians and upper-level management team members. A representation of all involved parties should meet to build consensus and make important decisions for the group. When crucial members such as staff are omitted, valuable input is missed and resistance may ensue.

Rationale 3: The group in which decisions would best be made is: Staff nurses and management from each unit meet with admitting physicians and upper-level management team members. A representation of all involved parties should meet to build consensus and make important decisions for the group. When crucial members such as staff are omitted, valuable input is missed and resistance may ensue.

Rationale 4: The group in which decisions would best be made is: Staff nurses and management from each unit meet with admitting physicians and upper-level management team members. A representation of all involved parties should meet to build consensus and make important decisions for the group. When crucial members such as staff are omitted, valuable input is missed and resistance may ensue.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:

 

Question 10

Type: MCSA

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.

Correct Answer: 4

Rationale 1: Strategic planning is simply the process of determining what an organization wants to be in the future and planning how it will get there. Strategic planning is a management tool that allows an organization to consciously move towards a desired future while responding to dynamic internal and external environments. It is a process, not a one time event that is both creative and interactive. Strategic planning requires that choices be made about the organization’s future which will be driven by the organization’s mission and vision, long term goals, services to be offered, populations to be served, and the resources to be acquired. Strategic planning is the development of a comprehensive long-range plan for guiding the activities and operations of an organization (Brunke, 2006; Crane, 2007; Kaleba, 2006).

Rationale 2: Strategic planning is simply the process of determining what an organization wants to be in the future and planning how it will get there. Strategic planning is a management tool that allows an organization to consciously move towards a desired future while responding to dynamic internal and external environments. It is a process, not a one time event that is both creative and interactive. Strategic planning requires that choices be made about the organization’s future which will be driven by the organization’s mission and vision, long term goals, services to be offered, populations to be served, and the resources to be acquired. Strategic planning is the development of a comprehensive long-range plan for guiding the activities and operations of an organization (Brunke, 2006; Crane, 2007; Kaleba, 2006).

Rationale 3: Strategic planning is simply the process of determining what an organization wants to be in the future and planning how it will get there. Strategic planning is a management tool that allows an organization to consciously move towards a desired future while responding to dynamic internal and external environments. It is a process, not a one time event that is both creative and interactive. Strategic planning requires that choices be made about the organization’s future which will be driven by the organization’s mission and vision, long term goals, services to be offered, populations to be served, and the resources to be acquired. Strategic planning is the development of a comprehensive long-range plan for guiding the activities and operations of an organization (Brunke, 2006; Crane, 2007; Kaleba, 2006).

Rationale 4: Strategic planning is simply the process of determining what an organization wants to be in the future and planning how it will get there. Strategic planning is a management tool that allows an organization to consciously move towards a desired future while responding to dynamic internal and external environments. It is a process, not a one time event that is both creative and interactive. Strategic planning requires that choices be made about the organization’s future which will be driven by the organization’s mission and vision, long term goals, services to be offered, populations to be served, and the resources to be acquired. Strategic planning is the development of a comprehensive long-range plan for guiding the activities and operations of an organization (Brunke, 2006; Crane, 2007; Kaleba, 2006).

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:

 

Question 11

Type: MCMA

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

Correct Answer: 1,2,3,4,5

Rationale 1: Strategic planning is led by members of the organization’s upper management, including the board of directors and chief executive officer (CEO), who is ultimately responsible for the organization’s strategic management (Breene, Nunes, & Shill, 2007; Strategy Officers, 2007). Day-to-day responsibilities faced by CEOs often prohibit them from managing the incremental progress of the strategic plan giving rise to the emergence of the role of chief strategy officer (CSO). The CSO must clarify the vision created by the CEO and leadership team for his or her own benefit and for all managers and employees. This should include the chief information officer (CIO), the chief medical informatics officer (CMIO), and/or the chief nursing informatics officer (CNIO). The CIO is generally the senior team member guiding technology acquisition while the CMIO and CNIO guide the acquisition and use of information technology for those large groups of providers. Many organizations choose to bring in a dedicated project leader or manager instead particularly when there is no margin for error, success is critical, and time constraints exist (Clark, 2006; Kodjababian & Petty, 2007). The nurse informatics specialist has expertise in nursing and informatics and is a key individual in the strategic planning process.

Rationale 2: Strategic planning is led by members of the organization’s upper management, including the board of directors and chief executive officer (CEO), who is ultimately responsible for the organization’s strategic management (Breene, Nunes, & Shill, 2007; Strategy Officers, 2007). Day-to-day responsibilities faced by CEOs often prohibit them from managing the incremental progress of the strategic plan giving rise to the emergence of the role of chief strategy officer (CSO). The CSO must clarify the vision created by the CEO and leadership team for his or her own benefit and for all managers and employees. This should include the chief information officer (CIO), the chief medical informatics officer (CMIO), and/or the chief nursing informatics officer (CNIO). The CIO is generally the senior team member guiding technology acquisition while the CMIO and CNIO guide the acquisition and use of information technology for those large groups of providers. Many organizations choose to bring in a dedicated project leader or manager instead particularly when there is no margin for error, success is critical, and time constraints exist (Clark, 2006; Kodjababian & Petty, 2007). The nurse informatics specialist has expertise in nursing and informatics and is a key individual in the strategic planning process.

Rationale 3: Strategic planning is led by members of the organization’s upper management, including the board of directors and chief executive officer (CEO), who is ultimately responsible for the organization’s strategic management (Breene, Nunes, & Shill, 2007; Strategy Officers, 2007). Day-to-day responsibilities faced by CEOs often prohibit them from managing the incremental progress of the strategic plan giving rise to the emergence of the role of chief strategy officer (CSO). The CSO must clarify the vision created by the CEO and leadership team for his or her own benefit and for all managers and employees. This should include the chief information officer (CIO), the chief medical informatics officer (CMIO), and/or the chief nursing informatics officer (CNIO). The CIO is generally the senior team member guiding technology acquisition while the CMIO and CNIO guide the acquisition and use of information technology for those large groups of providers. Many organizations choose to bring in a dedicated project leader or manager instead particularly when there is no margin for error, success is critical, and time constraints exist (Clark, 2006; Kodjababian & Petty, 2007). The nurse informatics specialist has expertise in nursing and informatics and is a key individual in the strategic planning process.

Rationale 4: Strategic planning is led by members of the organization’s upper management, including the board of directors and chief executive officer (CEO), who is ultimately responsible for the organization’s strategic management (Breene, Nunes, & Shill, 2007; Strategy Officers, 2007). Day-to-day responsibilities faced by CEOs often prohibit them from managing the incremental progress of the strategic plan giving rise to the emergence of the role of chief strategy officer (CSO). The CSO must clarify the vision created by the CEO and leadership team for his or her own benefit and for all managers and employees. This should include the chief information officer (CIO), the chief medical informatics officer (CMIO), and/or the chief nursing informatics officer (CNIO). The CIO is generally the senior team member guiding technology acquisition while the CMIO and CNIO guide the acquisition and use of information technology for those large groups of providers. Many organizations choose to bring in a dedicated project leader or manager instead particularly when there is no margin for error, success is critical, and time constraints exist (Clark, 2006; Kodjababian & Petty, 2007). The nurse informatics specialist has expertise in nursing and informatics and is a key individual in the strategic planning process.

Rationale 5: Strategic planning is led by members of the organization’s upper management, including the board of directors and chief executive officer (CEO), who is ultimately responsible for the organization’s strategic management (Breene, Nunes, & Shill, 2007; Strategy Officers, 2007). Day-to-day responsibilities faced by CEOs often prohibit them from managing the incremental progress of the strategic plan giving rise to the emergence of the role of chief strategy officer (CSO). The CSO must clarify the vision created by the CEO and leadership team for his or her own benefit and for all managers and employees. This should include the chief information officer (CIO), the chief medical informatics officer (CMIO), and/or the chief nursing informatics officer (CNIO). The CIO is generally the senior team member guiding technology acquisition while the CMIO and CNIO guide the acquisition and use of information technology for those large groups of providers. Many organizations choose to bring in a dedicated project leader or manager instead particularly when there is no margin for error, success is critical, and time constraints exist (Clark, 2006; Kodjababian & Petty, 2007). The nurse informatics specialist has expertise in nursing and informatics and is a key individual in the strategic planning process.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:

 

Question 12

Type: MCMA

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

Correct Answer: 1,3,4,5

Rationale 1: The stakeholders are those internal or external individual customers, organizations, community members, and governing bodies that have a direct or indirect stake in the organization mission, scope, and goals. Stakeholders should be involved in strategic planning and all subsequent activities to reach goals through direct involvement, survey, or focus group in order ensure responsiveness and relevancy of the plan.

Rationale 2: The stakeholders are those internal or external individual customers, organizations, community members, and governing bodies that have a direct or indirect stake in the organization mission, scope, and goals. Stakeholders should be involved in strategic planning and all subsequent activities to reach goals through direct involvement, survey, or focus group in order ensure responsiveness and relevancy of the plan. Unions are not considered stakeholders.

Rationale 3: The stakeholders are those internal or external individual customers, organizations, community members, and governing bodies that have a direct or indirect stake in the organization mission, scope, and goals. Stakeholders should be involved in strategic planning and all subsequent activities to reach goals through direct involvement, survey, or focus group in order ensure responsiveness and relevancy of the plan.

Rationale 4: The stakeholders are those internal or external individual customers, organizations, community members, and governing bodies that have a direct or indirect stake in the organization mission, scope, and goals. Stakeholders should be involved in strategic planning and all subsequent activities to reach goals through direct involvement, survey, or focus group in order ensure responsiveness and relevancy of the plan.

Rationale 5: The stakeholders are those internal or external individual customers, organizations, community members, and governing bodies that have a direct or indirect stake in the organization mission, scope, and goals. Stakeholders should be involved in strategic planning and all subsequent activities to reach goals through direct involvement, survey, or focus group in order ensure responsiveness and relevancy of the plan.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:

 

Question 13

Type: MCMA

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

Correct Answer: 1,2,3,4

Rationale 1: -Define the scope and results of the project
-Identify the tasks within the project, when they must occur, and any interdependencies
-Define who will be responsible for each task
-Establish timelines for task and project completion
-Establish how project decisions will be made
-Ensure that stakeholders receive appropriate communication about the status of the project

Rationale 2: -Define the scope and results of the project
-Identify the tasks within the project, when they must occur, and any interdependencies
-Define who will be responsible for each task
-Establish timelines for task and project completion
-Establish how project decisions will be made
-Ensure that stakeholders receive appropriate communication about the status of the project

Rationale 3: -Define the scope and results of the project
-Identify the tasks within the project, when they must occur, and any interdependencies
-Define who will be responsible for each task
-Establish timelines for task and project completion
-Establish how project decisions will be made
-Ensure that stakeholders receive appropriate communication about the status of the project

Rationale 4: -Define the scope and results of the project
-Identify the tasks within the project, when they must occur, and any interdependencies
-Define who will be responsible for each task
-Establish timelines for task and project completion
-Establish how project decisions will be made
-Ensure that stakeholders receive appropriate communication about the status of the project

Rationale 5: -Define the scope and results of the project
-Identify the tasks within the project, when they must occur, and any interdependencies
-Define who will be responsible for each task
-Establish timelines for task and project completion
-Establish how project decisions will be made
-Ensure that stakeholders receive appropriate communication about the status of the project

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:

 

Question 14

Type: MCSA

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

Correct Answer: 4

Rationale 1: Development of a timeline is the first task of the committee. Other subsequent tasks during this phase include budgeting, procedure development, and execution of the plan.

Rationale 2: Development of a timeline is the first task of the committee. Other subsequent tasks during this phase include budgeting, procedure development, and execution of the plan.

Rationale 3: Development of a timeline is the first task of the committee. Other subsequent tasks during this phase include budgeting, procedure development, and execution of the plan.

Rationale 4: Development of a timeline is the first task of the committee. Other subsequent tasks during this phase include budgeting, procedure development, and execution of the plan.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:

 

Question 15

Type: MCSA

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

Correct Answer: 2

Rationale 1: -Implementation of the electronic health record
-Bar code medication administration
-Development of customer portals
-Development of customer directed initiatives

Rationale 2: -Implementation of the electronic health record
-Bar code medication administration
-Development of customer portals
-Development of customer directed initiatives

Rationale 3: -Implementation of the electronic health record
-Bar code medication administration
-Development of customer portals
-Development of customer directed initiatives

Rationale 4: -Implementation of the electronic health record
-Bar code medication administration
-Development of customer portals
-Development of customer directed initiatives

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:

 

Question 16

Type: MCMA

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

Correct Answer: 1,2,3,5

Rationale 1: -To support business and clinical decisions
-To make effective use of emerging technologies
-To enhance the organization’s image
-To promote satisfaction of market and regulatory requirements
-To be cost-effective
-To provide a safer environment for clients

Rationale 2: -To support business and clinical decisions
-To make effective use of emerging technologies
-To enhance the organization’s image
-To promote satisfaction of market and regulatory requirements
-To be cost-effective
-To provide a safer environment for clients

Rationale 3: -To support business and clinical decisions
-To make effective use of emerging technologies
-To enhance the organization’s image
-To promote satisfaction of market and regulatory requirements
-To be cost-effective
-To provide a safer environment for clients

Rationale 4: -To support business and clinical decisions
-To make effective use of emerging technologies
-To enhance the organization’s image
-To promote satisfaction of market and regulatory requirements
-To be cost-effective
-To provide a safer environment for clients

Rationale 5: -To support business and clinical decisions
-To make effective use of emerging technologies
-To enhance the organization’s image
-To promote satisfaction of market and regulatory requirements
-To be cost-effective
-To provide a safer environment for clients

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:

 

Question 17

Type: MCSA

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

Correct Answer: 1

Rationale 1: The purpose of scanning the environment is to define the current situation and identify areas of need.
-Sources of external environment data include published literature and reports, information from vendors, regulatory and accreditation requirements, and information related to market trends.
-Sources of internal environment data include interviews from managers and end users, questionnaires from managers and end users, observations of current technology.

Rationale 2: The purpose of scanning the environment is to define the current situation and identify areas of need.
-Sources of external environment data include published literature and reports, information from vendors, regulatory and accreditation requirements, and information related to market trends.
-Sources of internal environment data include interviews from managers and end users, questionnaires from managers and end users, observations of current technology.

Rationale 3: The purpose of scanning the environment is to define the current situation and identify areas of need.
-Sources of external environment data include published literature and reports, information from vendors, regulatory and accreditation requirements, and information related to market trends.
-Sources of internal environment data include interviews from managers and end users, questionnaires from managers and end users, observations of current technology.

Rationale 4: The purpose of scanning the environment is to define the current situation and identify areas of need.
-Sources of external environment data include published literature and reports, information from vendors, regulatory and accreditation requirements, and information related to market trends.
-Sources of internal environment data include interviews from managers and end users, questionnaires from managers and end users, observations of current technology.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:

 

Question 18

Type: MCSA

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

Correct Answer: 3

Rationale 1: With healthcare reform legislatively mandated, there is a great need for both strategic planning to achieve organization and population health care goals of accountable organizations and patient centered care and for information technology strategic planning to accomplish the meaningful use of systems. For the next few years, organizations will be focusing on increasing the infiltration of health information technology within the infrastructure.

Rationale 2: With healthcare reform legislatively mandated, there is a great need for both strategic planning to achieve organization and population health care goals of accountable organizations and patient centered care and for information technology strategic planning to accomplish the meaningful use of systems. For the next few years, organizations will be focusing on increasing the infiltration of health information technology within the infrastructure.

Rationale 3: With healthcare reform legislatively mandated, there is a great need for both strategic planning to achieve organization and population health care goals of accountable organizations and patient centered care and for information technology strategic planning to accomplish the meaningful use of systems. For the next few years, organizations will be focusing on increasing the infiltration of health information technology within the infrastructure.

Rationale 4: With healthcare reform legislatively mandated, there is a great need for both strategic planning to achieve organization and population health care goals of accountable organizations and patient centered care and for information technology strategic planning to accomplish the meaningful use of systems. For the next few years, organizations will be focusing on increasing the infiltration of health information technology within the infrastructure.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:

 

Question 19

Type: MCMA

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.

Correct Answer: 1,2,3,5

Rationale 1: All answers are true except for “The IS strategic plan must be revised much more frequently than the organization’s strategic plan.” The fast pace of evolving technology requires periodic review and revisions of both the organization’s strategic plan and the information systems department’s strategic plan.

Rationale 2: All answers are true except for “The IS strategic plan must be revised much more frequently than the organization’s strategic plan.” The fast pace of evolving technology requires periodic review and revisions of both the organization’s strategic plan and the information systems department’s strategic plan.

Rationale 3: All answers are true except for “The IS strategic plan must be revised much more frequently than the organization’s strategic plan.” The fast pace of evolving technology requires periodic review and revisions of both the organization’s strategic plan and the information systems department’s strategic plan.

Rationale 4: All answers are true except for this one. The fast pace of evolving technology actually requires periodic review and revisions of both the organization’s strategic plan and the information systems department’s strategic plan.

Rationale 5: All answers are true except for “The IS strategic plan must be revised much more frequently than the organization’s strategic plan.” The fast pace of evolving technology requires periodic review and revisions of both the organization’s strategic plan and the information systems department’s strategic plan.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:

 

Question 20

Type: MCSA

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.

Correct Answer: 2

Rationale 1: A goal is an open-ended statement that describes in general terms what is to be accomplished. Objectives state how and when an organization will meet its goals.

Rationale 2: A goal is an open-ended statement that describes in general terms what is to be accomplished. In contrast, objectives state how and when an organization will meet its goals.

Rationale 3: A goal is an open-ended statement that describes in general terms what is to be accomplished. In contrast, objectives state how and when an organization will meet its goals.

Rationale 4: A goal is an open-ended statement that describes in general terms what is to be accomplished. In contrast, objectives state how and when an organization will meet its goals.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:

 

Question 21

Type: MCSA

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

Correct Answer: 1

Rationale 1: The first step of the strategic planning process is the realization that there is a need for change.

Rationale 2: The first step of the strategic planning process is the realization that there is a need for change.

Rationale 3: The first step of the strategic planning process is the realization that there is a need for change.

Rationale 4: The first step of the strategic planning process is the realization that there is a need for change.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:

 

Question 22

Type: MCSA

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

Correct Answer: 4

Rationale 1: The creation of a weighted criteria can facilitate decision making as items are weighed in terms of importance. For example, essential features may be given a weighting factor of 5, and desirable but not essential features may be given a weighting factor of 3. Weighting of each desirable system feature should be completed before the various systems are scored.

Rationale 2: The creation of a weighted criteria can facilitate decision making as items are weighed in terms of importance. For example, essential features may be given a weighting factor of 5, and desirable but not essential features may be given a weighting factor of 3. Weighting of each desirable system feature should be completed before the various systems are scored. If the process includes a weighted scoring tool, the committee and administrators make the final decisions.

Rationale 3: The creation of a weighted criteria can facilitate decision making as items are weighed in terms of importance. For example, essential features may be given a weighting factor of 5, and desirable but not essential features may be given a weighting factor of 3. Weighting of each desirable system feature should be completed before the various systems are scored. Using a tool enhances the decision making process and talking time to reflect on decisions will be minimized.

Rationale 4: The creation of a weighted criteria can facilitate decision making as items are weighed in terms of importance. For example, essential features may be given a weighting factor of 5, and desirable but not essential features may be given a weighting factor of 3. Weighting of each desirable system feature should be completed before the various systems are scored.

Global Rationale:

 

Cognitive Level: Evaluating

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:

 

Question 23

Type: MCSA

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

Correct Answer: 2

Rationale 1: After data have been collected during the internal and external environmental scans, the project implementation team must perform analysis, identifying trends in the current operations as well as future needs and expectations, and determine feasibility from technical, financial, time, and resource perspectives. Current trends in health care should be identified when considering future needs and may be related to topics such as consumer-driven healthcare, managed care and other financial health care coverage and reimbursement considerations.

Rationale 2: After data have been collected during the internal and external environmental scans, the project implementation team must perform analysis, identifying trends in the current operations as well as future needs and expectations, and determine feasibility from technical, financial, time, and resource perspectives. Current trends in health care should be identified when considering future needs and may be related to topics such as consumer-driven healthcare, managed care and other financial health care coverage and reimbursement considerations.

Rationale 3: After data have been collected during the internal and external environmental scans, the project implementation team must perform analysis, identifying trends in the current operations as well as future needs and expectations, and determine feasibility from technical, financial, time, and resource perspectives. Current trends in health care should be identified when considering future needs and may be related to topics such as consumer-driven healthcare, managed care and other financial health care coverage and reimbursement considerations.

Rationale 4: After data have been collected during the internal and external environmental scans, the project implementation team must perform analysis, identifying trends in the current operations as well as future needs and expectations, and determine feasibility from technical, financial, time, and resource perspectives. Current trends in health care should be identified when considering future needs and may be related to topics such as consumer-driven healthcare, managed care and other financial health care coverage and reimbursement considerations.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:

 

Question 24

Type: MCSA

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

Correct Answer: 1

Rationale 1: A weighting of each desirable system feature should be completed before the various systems are scored. The use of a weighted scoring tool allows for a quantitative analysis of collected data.

Rationale 2: Weighting of each desirable system feature should be completed before the various systems are scored.

Rationale 3: A weighting of each desirable system feature should be completed before the various systems are scored. The use of a weighted scoring tool allows for a quantitative analysis of collected data.

Rationale 4: A weighting of each desirable system feature should be completed before the various systems are scored. The use of a weighted scoring tool allows for a quantitative analysis of collected data.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:

 

Question 25

Type: MCSA

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

Correct Answer: 2

Rationale 1: Development of a timeline is one of the initial tasks the committee will perform. Once all of the individual components of the timeline have been identified, the tasks can be assigned and initiated.

Rationale 2: Development of a timeline is one of the initial tasks the committee will perform. Once all of the individual components of the timeline have been identified, the tasks can be assigned and initiated.

Rationale 3: Development of a timeline is one of the initial tasks the committee will perform. Once all of the individual components of the timeline have been identified, the tasks can be assigned and initiated.

Rationale 4: Development of a timeline is one of the initial tasks the committee will perform. Once all of the individual components of the timeline have been identified, the tasks can be assigned and initiated.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:

 

Question 26

Type: MCSA

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

Correct Answer: 2

Rationale 1: Internal and external data are relevant to the strategic planning process. Internal data is derived from investigating agency related information whereas external data defines benchmark information. Both internal and external data sources are essential for successful strategic planning.

Rationale 2: Internal and external data sources and comparisons offer benchmarking information for strategic planners to consider when setting goals.

Rationale 3: Internal and external data are relevant to the strategic planning process. Internal data is derived from investigating agency related information whereas external data defines benchmark information. Both internal and external data sources are essential for successful strategic planning.

Rationale 4: Internal and external data are relevant to the strategic planning process. Internal data is derived from investigating agency related information whereas external data defines benchmark information. Both internal and external data sources are essential for successful strategic planning.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:

 

Question 27

Type: MCSA

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

Correct Answer: 2

Rationale 1: After data have been collected during the internal and external environmental scans, the project implementation team must perform analysis, identifying trends in the current operations as well as future needs and expectations, and determine feasibility from technical, financial, time, and resource perspectives.

Rationale 2: After data have been collected during the internal and external environmental scans, the project implementation team must perform analysis, identifying trends in the current operations as well as future needs and expectations, and determine feasibility from technical, financial, time, and resource perspectives.

Rationale 3: After data have been collected during the internal and external environmental scans, the project implementation team must perform analysis, identifying trends in the current operations as well as future needs and expectations, and determine feasibility from technical, financial, time, and resource perspectives.

Rationale 4: After data have been collected during the internal and external environmental scans, the project implementation team must perform analysis, identifying trends in the current operations as well as future needs and expectations, and determine feasibility from technical, financial, time, and resource perspectives.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:

 

Question 28

Type: MCSA

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

Correct Answer: 1

Rationale 1: If the organization decides to purchase a vendor built system, then a request for proposal (RFP) is developed that incorporates the detailed list of end user requirements. Vendors are then asked to reply and to identify their ability to meet the specific identified current and future end user requirements using a scale that represents the functions currently present and in use in the system up to and including an acknowledgement of those functions which will not be developed in the near future—perhaps on a zero to four scale. The organization then can create weighting criteria which takes into account importance to organization process.

Rationale 2: If the organization decides to purchase a vendor built system, then a request for proposal (RFP) is developed that incorporates the detailed list of end user requirements. Vendors are then asked to reply and to identify their ability to meet the specific identified current and future end user requirements using a scale that represents the functions currently present and in use in the system up to and including an acknowledgement of those functions which will not be developed in the near future—perhaps on a zero to four scale. The organization then can create weighting criteria which takes into account importance to organization process.

Rationale 3: If the organization decides to purchase a vendor built system, then a request for proposal (RFP) is developed that incorporates the detailed list of end user requirements. Vendors are then asked to reply and to identify their ability to meet the specific identified current and future end user requirements using a scale that represents the functions currently present and in use in the system up to and including an acknowledgement of those functions which will not be developed in the near future—perhaps on a zero to four scale. The organization then can create weighting criteria which takes into account importance to organization process.

Rationale 4: If the organization decides to purchase a vendor built system, then a request for proposal (RFP) is developed that incorporates the detailed list of end user requirements. Vendors are then asked to reply and to identify their ability to meet the specific identified current and future end user requirements using a scale that represents the functions currently present and in use in the system up to and including an acknowledgement of those functions which will not be developed in the near future—perhaps on a zero to four scale. The organization then can create weighting criteria which takes into account importance to organization process.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:

 

Question 29

Type: MCSA

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.

Correct Answer: 2

Rationale 1: The strategic planning process continues with evaluation of timeline, achievement of goals, and problem solving issues emerging from the initiatives. Strategic planning involves the following steps: Identification of the need for change, definition of goals and scope, scanning of external and internal environments, data analysis, identification of potential solutions, selection of a course of action, implementation, evaluation, and feedback.

Rationale 2: Frequent evaluation of the current processes as well as the current and future needs must be performed. These plans need to be monitored continually and updated annually due to the rapidly changing health care environment.

Rationale 3: The strategic planning process continues with evaluation of timeline, achievement of goals, and problem solving issues emerging from the initiatives.

Rationale 4: The strategic planning process continues with evaluation of timeline, achievement of goals, and problem solving issues emerging from the initiatives.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome:

 

Question 30

Type: MCSA

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.

Correct Answer: 1

Rationale 1: Benchmarking is the continual process of measuring services and practices against the toughest competitors in the health care industry. Plans are developed based on how information services might facilitate a task via the use of benchmarking.

Rationale 2: Benchmarking is one of the tools that identifies competitors’ services and practices.

Rationale 3: Benchmarking is the continual process of measuring services and practices against the toughest competitors in the health care industry. Plans are developed based on how information services might facilitate a task via the use of benchmarking.

Rationale 4: Benchmarking is the continual process of measuring services and practices against the toughest competitors in the health care industry. Plans are developed based on how information services might facilitate a task via the use of benchmarking.

Global Rationale:

 

Cognitive Level: Evaluating

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome:

 

Question 31

Type: FIB

_______________________ 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:

Correct Answer: Benchmarking

Rationale : Benchmarking is the continual process of measuring services and practices against the toughest competitors in the health care industry. An example of benchmarking is to compare the number of IS staff required to support the clinical applications for the enterprise to that of other health care providers with similar demographic and volume statistics. When needs are no longer met, or the organization falls far below the benchmark, the process of identifying potential solutions and selecting the best option is begun again.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:

Hebda, Handbook of Informatics, 5/e Test Bank
Chapter 9

Question 1

Type: MCSA

The scientific study of the interaction between people, machines, and their work environments is which of the following?

  1. Ergonomics
  2. Human–computer interaction (HCI)
  3. Human factors
  4. Usability

Correct Answer: 3

Rationale 1: Ergonomics focuses on the physical design and implementation of equipment, tools and machines related to human safety, comfort, and convenience.

Rationale 2: HCI is the study of how people design, implement, evaluate, and use interactive computer systems.

Rationale 3: Human factors is the scientific study of the interaction between people, machines, and their work environments.

Rationale 4: Usability addresses specific issues of human performance in achieving specific goals during computer interactions within a particular context.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 2

Type: MCSA

Ergonomics focuses on which of the following?

  1. The ability of the nurse to complete computer processing
  2. Correct posture while keyboarding
  3. Establishing protocols for benchmarking
  4. The physical design for safety, comfort, and convenience

Correct Answer: 4

Rationale 1: Ergonomics is concerned with human performance as it relates to the physical characteristics of tools, systems and machines. Ergonomics focuses on designs for safety, comfort, and convenience.

Rationale 2: Ergonomics is concerned with human performance as it relates to the physical characteristics of tools, systems and machines. Ergonomics focuses on designs for safety, comfort, and convenience.

Rationale 3: Ergonomics is concerned with human performance as it relates to the physical characteristics of tools, systems and machines. Ergonomics focuses on designs for safety, comfort, and convenience.

Rationale 4: Ergonomics is concerned with human performance as it relates to the physical characteristics of tools, systems and machines. Ergonomics focuses on designs for safety, comfort, and convenience.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 3

Type: FIB

_____________________________ is the study of how people design, implement, evaluate and use interactive computer systems

Standard Text:

Correct Answer: Human-computer interaction

Rationale : Human-computer interaction or HCI is the study of how people design, implement, evaluate and use interactive computer systems

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 4

Type: MCMA

Usability is a subset of HCI and one of its major components. Which of the following are usability topics?

Standard Text: Select all that apply.

  1. Using an application
  2. Learning to use a system
  3. User satisfaction
  4. Efficiency
  5. Error-free/error-forgiving interactions

Correct Answer: 1,2,3,4,5

Rationale 1: •Seamless fit of an information system to the task(s) at hand

Rationale 2: •Seamless fit of an information system to the task(s) at hand

Rationale 3: •Seamless fit of an information system to the task(s) at hand

Rationale 4: •Seamless fit of an information system to the task(s) at hand

Rationale 5: •Seamless fit of an information system to the task(s) at hand

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 5

Type: MCSA

The broad goals of usability are to promote acceptance and use of systems through improved interactive systems, software, developing new kinds of applications to support specific work, and promoting job optimization with the use of information systems. A user interface can effectively disappear if which of the following is correct?

  1. The system is designed well.
  2. The system has multiple partners.
  3. The system has a comprehensive set of instructions.
  4. The system has little to no downtime.

Correct Answer: 1

Rationale 1: A user interface can effectively disappear if a system is designed well. This allows users to focus only on the task at hand rather than tending to the technology itself.

Rationale 2: A user interface can effectively disappear if a system is designed well. This allows users to focus only on the task at hand rather than tending to the technology itself.

Rationale 3: A user interface can effectively disappear if a system is designed well. This allows users to focus only on the task at hand rather than tending to the technology itself.

Rationale 4: A user interface can effectively disappear if a system is designed well. This allows users to focus only on the task at hand rather than tending to the technology itself.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 6

Type: MCSA

Usability experts cite three main goals of HCI and usability. Which of the following is not a usability goal?

  1. Effectiveness
  2. Efficiency
  3. Replication
  4. User satisfaction

Correct Answer: 3

Rationale 1: Effectiveness is related to the usefulness of technology in completing desired goals. The efficiency of systems deals with the expenditures of resources, where resources are time, productivity, error rates of users or the costs of the system to the organization in terms of value of the product compared to the purchase price, little used options or redesign of applications. User satisfaction can be assessed by measuring perceptions about the efficiency or effectiveness of interactions with the system.

Rationale 2: Effectiveness is related to the usefulness of technology in completing desired goals. The efficiency of systems deals with the expenditures of resources, where resources are time, productivity, error rates of users or the costs of the system to the organization in terms of value of the product compared to the purchase price, little used options or redesign of applications. User satisfaction can be assessed by measuring perceptions about the efficiency or effectiveness of interactions with the system.

Rationale 3: Effectiveness is related to the usefulness of technology in completing desired goals. The efficiency of systems deals with the expenditures of resources, where resources are time, productivity, error rates of users or the costs of the system to the organization in terms of value of the product compared to the purchase price, little used options or redesign of applications. User satisfaction can be assessed by measuring perceptions about the efficiency or effectiveness of interactions with the system.

Rationale 4: Effectiveness is related to the usefulness of technology in completing desired goals. The efficiency of systems deals with the expenditures of resources, where resources are time, productivity, error rates of users or the costs of the system to the organization in terms of value of the product compared to the purchase price, little used options or redesign of applications. User satisfaction can be assessed by measuring perceptions about the efficiency or effectiveness of interactions with the system.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 7

Type: FIB

____________________________ guide health informaticists in completing user-centered design processes, usability tests, IT adoption evaluations and usability research.

Standard Text:

Correct Answer: Human-Computer interaction frameworks

Rationale : Human-Computer interaction frameworks guide health informaticists in completing user-centered design processes, usability tests, IT adoption evaluations and usability research.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 8

Type: MCSA

Which of the following frameworks is based on work-centered research and distributed cognition?

  1. The FITT framework
  2. UFuRT (User, Function, Representation, and Task analysis) framework
  3. Human, Organization, Technology-fit (HOT-fit)
  4. The Staggers Human–Computer Interaction Framework

Correct Answer: 2

Rationale 1: The FITT framework describes the fit between an individual, tasks, and technology and having these three elements connected by “interactions and influences.”

Rationale 2: The UFuRT (User, Function, Representation, and Task analysis) framework is based on work-centered research and distributed cognition. This framework also combines both elements and usability processes.

Rationale 3: The Human, Organization, Technology-fit (HOT-fit) describes IT adoption with central elements of system ease of use, user satisfaction and system usefulness.

Rationale 4: The Staggers Human–Computer Interaction Framework outlines the interaction between the computer and the individual.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 9

Type: FIB

_________________________ is the study of how people design, implement, and evaluate interactive computer systems in the context of users’ tasks and work.

Standard Text:

Correct Answer: Human-computer interaction (HCI)

Rationale : HCI blends psychology and/or cognitive science, applied work in computer science, sociology and information science into the design, development, purchase, implementation and evaluation of applications.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 10

Type: MCSA

Usability tests are systematic and structured examinations of the effectiveness, efficiency or satisfaction of any component or interactions in the human–computer interaction framework(s). Which of the following is an example of a usability test?

  1. Identifying appropriate hours to offer patients sleep medication
  2. Completing a longitudinal study of nursing effectiveness during lunch hours
  3. Exploring time management strategies in central supply
  4. Describing the satisfaction with a new computerized provider order entry (CPOE) application.

Correct Answer: 4

Rationale 1: Usability studies can be simple or complex. Usability studies can be done at any point in the expanded systems life cycle, 28 from clarifying users’ requirements, to initial design or redesign using paper prototypes or simple computerized applications, to iterative prototype development, system selection, product customization or evaluating the impact of a system during and after installation.

Rationale 2: Usability studies can be simple or complex. Usability studies can be done at any point in the expanded systems life cycle, 28 from clarifying users’ requirements, to initial design or redesign using paper prototypes or simple computerized applications, to iterative prototype development, system selection, product customization or evaluating the impact of a system during and after installation.

Rationale 3: Usability studies can be simple or complex. Usability studies can be done at any point in the expanded systems life cycle, 28 from clarifying users’ requirements, to initial design or redesign using paper prototypes or simple computerized applications, to iterative prototype development, system selection, product customization or evaluating the impact of a system during and after installation.

Rationale 4: Usability studies are considered methods to identify efficiency and effectiveness of the system.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 11

Type: MCSA

Which of the following types of usability studies consists of a detailed review of a sequence of real or proposed actions to complete a task in a system?

  1. Simplified usability tests using early prototypes
  2. Cognitive walkthrough
  3. Heuristic evaluations or heuristic inspection methods
  4. Exploratory test

Correct Answer: 2

Rationale 1: Simplified usability tests using early prototypes includes the use of small numbers of users, typically an early prototype (even paper), and a specific method called “think aloud” protocols.

Rationale 2: Cognitive walkthrough method is a type of usability inspection method or task analysis. It consists of a detailed review of a sequence of real or proposed actions to complete a task in a system.

Rationale 3: Heuristic evaluations or heuristic inspection methods compare applications against accepted guidelines or published usability principles.

Rationale 4: An exploratory test is conducted early during development or redesign after very basic or preliminary designs are created.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 12

Type: MCMA

Usability studies can be used to support IT in a number of ways. Which of the following are reasons to complete these studies in a health care setting?

Standard Text: Select all that apply.

  1. Assesses the adequacy of a design or redesign early in the systems life cycle
  2. Helps determine or clarify users’ requirements determination
  3. Creates an interest in learning the new system
  4. Determines the actual price of the system
  5. Supports infrastructure

Correct Answer: 1,2

Rationale 1: 2. Assesses the adequacy of a design or redesign early in the systems life cycle

Rationale 2: 2. Assesses the adequacy of a design or redesign early in the systems life cycle

Rationale 3: Creating an interest in the new system is not a reason for completing a usability study.

Rationale 4: The price of the system is not linked to usability studies.

Rationale 5: The usability study does not have anything to do with supporting the infrastructure.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 13

Type: MCSA

Which of the following entities does not support a role for informaticians in the future?

  1. Informaticians require a graduate education.
  2. The recent interest in usability will provide interesting work for health informaticists in the future.
  3. Informaticians support the training of new systems.
  4. Informaticians are key members of the life cycle discussions.

Correct Answer: 1

Rationale 1: As systems become more complex and strategic planners attempt to create an environment where technology is the norm and understood by all stakeholders and point-of-care professionals, informaticians will have clear roles in the health care setting. Informaticians are essential members of the health care team with unique skills that facilitate the acceptance and understanding of the technology.

Rationale 2: As systems become more complex and strategic planners attempt to create an environment where technology is the norm and understood by all stakeholders and point-of-care professionals, informaticians will have clear roles in the health care setting. Informaticians are essential members of the health care team with unique skills that facilitate the acceptance and understanding of the technology.

Rationale 3: As systems become more complex and strategic planners attempt to create an environment where technology is the norm and understood by all stakeholders and point-of-care professionals, informaticians will have clear roles in the health care setting. Informaticians are essential members of the health care team with unique skills that facilitate the acceptance and understanding of the technology.

Rationale 4: As systems become more complex and strategic planners attempt to create an environment where technology is the norm and understood by all stakeholders and point-of-care professionals, informaticians will have clear roles in the health care setting. Informaticians are essential members of the health care team with unique skills that facilitate the acceptance and understanding of the technology.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

 

Question 14

Type: MCSA

Ethnographic studies have been incorporated within health care settings by informaticians to glean data at the point of care. Which of the following statements about ethnography is true?

  1. Ethnography is a quantitative method from anthropology and sociology that includes fieldwork and analysis of people in cultural, social settings.
  2. In ethnography researchers describe the person of interest’s point of view focusing on experience and interactions in social settings rather than the actions themselves.
  3. Ethnography is an outdated method of inquiry.
  4. The use of ethnography is criticized as a method to determine HCI effectiveness.

Correct Answer: 2

Rationale 1: Ethnography is a qualitative method from anthropology and sociology that includes fieldwork and analysis of people in cultural, social settings.

Rationale 2: In ethnography researchers describe the person of interest’s point of view focusing on experience and interactions in social settings rather than the actions themselves. Data are extrapolated in a systematic manner to determine the effectiveness of an initiative from the person’s perspective.

Rationale 3: Ethnographers review data from the participants perspective in a nonbiased manner and is an acceptable research methodology.

Rationale 4: In ethnography researchers describe the person of interest’s point of view focusing on experience and interactions in social settings rather than the actions themselves.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome: