Stack 1 Flashcards
When designing clinical Systems, the nurse informaticist must consider the availability and reliability because:
- Most systems crash for no reason
- Stakeholders demand 24 hour access
- Most systems are in use 24 hours a day but need some planned down time
- There are legal penalties for downtime
Most systems are in use 24 hours a day but need some planned down time
The nurse realizes that client server architecture has four benefits: scalability, can support many types of clients, can use Internet standards to separate the logical components, and:
- Creates a more reliable network
- Provides cloud computing opportunities
- Is easier to secure
- Allows more techniques to support the system
Creates a more reliable network
While conducting a requirement analysis, the nurse informaticist (NI) will follow a process of understanding the existing situation identifying improvements, and:
- Defining requirements for a new system
- Developing a consensus agreement
- Conducting a needs assessment
- Determining alternate approaches
Defining requirements for a new system
In developing the requirements list, the nurse informatician interacts with the network administrator and the hardware manager to determine:
- The risk list
- The functional requirements
- The technical requirements
- The usability requirements
The technical requirements
Some of the most common techniques used by the nurse informatician to gather requirements include interview, survey, and;
- Focus group
- Discussion
- Filming
- Observation
Observation
As information technology becomes more pervasive in healthcare settings and the need for access increases, the Informatics Nurse Specialist must advocate for:
- System optimization
- Generic user ID’s at all times
- Reliability and availability
- Paper-intensive systems
Reliability and availability
The Informatics Nurse is evaluating the usability of a new system. This nurse will evaluate:
- The speed of the processor
- The size of the screen
- The ease of learning the system
- The coverage of the data elements
The ease of learning the system
Lee County Public Health Clinic is implementing an electronic health record (EHR). During the implementation process, clinic managers are also streamlining several care processes. How do the changes in process impact training?
- Training staff should direct staff member complaints about EHR procedures to clinic managers.
- Trainers should gather staff feedback about the proposed changes in care processes.
- The training should promote how to use the EHR in support of care tasks.
- Including process change into the training plan will distract students from mastering the EHR.
The training should promote how to use the EHR in support of care tasks.
The computerized provider order entry (CPOE) system that the nurse informatician (NI) is designing will be used by the majority Of end users between 10 a.m. and 2 p.m. every workday. It is necessary that the NI conduct:
- Simulation modeling
- Capacity requirements testing
- End user training
- Speed requirements testing
Capacity requirements testing
During the planning phase of the Systems Development Life Cycle, the nurse informaticist may contribute to the development Of the project charter, which helps to establish:
- The norms and ground rules
- The results of feasibility studies
- The staffing levels
- The reason the project is occurring
The norms and ground rules
As a part of implementing an electronic health record system, the implementation team is setting up user accounts. How does knowing a user’s role (e.g., nurse, physician, coder) help the hospital remain HIPAA compliant?
- The role prevents a staff member from documenting in the wrong area Of the chart.
- Access to electronic health information can be limited based on a user’s role.
- The role allows managers to ensure staff members work within their scope of practice.
- User roles can be tracked through the audit log.
Access to electronic health information can be limited based on a user’s role.
The Informatics Nurse is evaluating the human-computer interaction (HCI) factors related to a new system. This nurse will evaluate:
- The accuracy of the data entered
- The implementation involvement Of the user
- The speed of the processor
- The cognitive processing of the user
The cognitive processing of the user
Human Resources would like to hire an Informatics Nurse Specialist (INS). They will look for a nurse who:
- Has worked in informatics for 5 years and has a BSN
- Has a certificate and has worked for six months
- Has worked as an analyst for one year and has a MSN
- Has an aptitude for technology and many years of clinical management experience
Has worked as an analyst for one year and has a MSN
A research coordinator requests access to the electronic health record to look for potential candidates for a study. The nurse informaticist must assess the:
- Ethical use of data and application of security standards
- Beneficence of the research
- Patient waivers allowing universal access
- Validity of the study to the population
Ethical use of data and application of security standards
Periodically, a hospital should examine existing vulnerabilities in regard to how patient health information is stored, accessed, and transmitted within and Outside the Organization. What is this process called?
- Risk assessment
- Security screening
- Personal health information concurrence
- Audit trail validation
Risk assessment
After reviewing all information available on a patient within an electronic health record and performing an assessment, the nurse chooses an intervention based on:
- Preference
- Education
- Knowledge
- Wisdom “
Wisdom
The nurse informatician (NI) is working on the beginning tasks of Implementation. The NI should be engaged in:
- Supporting
- Building
- Testing
- Training
Training
The nurse informaticist is aware that the analysis phase answers the question of what the System will do, while the design phase addresses:
- When will this happen?
- How will it work?
- What changes will it bring?
- What will it look like?
How will it work?
Server-based architecture has an advantage in that:
- It is easy to monitor
- It is easier to develop
- It provides a single location for all data
- It costs less
It provides a single location for all data
In an effort to execute a project management plan with a lengthy time frame more efficiently, the nurse informatician may use this method:
- The Waterfall Method
- The V Method
- The Parallel Development Method
- The Case Method
The Parallel Development Method
The Informatics Nurse is concerned with ergonomics as part of Human Factors. One assessment made will be:
- That the placement of a keyboard can be raised to the correct height for each user
- That the cart can be used for 12 hours without charging
- That the design follows the flow of thought
- That the vital signs graph aligns all measurements in a row
That the placement of a keyboard can be raised to the correct height for each user
The nurse informatician is engaged in security testing, which affects how all the modules work together because it impacts what a user is permitted to do. This would be a/an:
- Unit test
- Systems test
- Integration test
- Acceptance test
Systems test
Madison Health System is implementing an electronic health record (EHR) across its inpatient areas. All healthcare professions (physician, nurse, nutritionist, physical therapist, etc.) are expected to use the EHR. As an implementation team prepares to customize the EHR, how
would a model such as the Fit between Individuals, Tasks, and Technology (FITT) aid in its design effort?
- Models direct attention to the many factors that impact the user experience.
- Models show the implementation team how to arrange the data input fields.
- Models help the implementation team capture its experiences for a future publication.
- Models provide a guide with which to develop interfaces to peripheral devices.
Models direct attention to the many factors that impact the user experience.
Physicians at Clarion Hospital note that vital signs data collected during morning rounds may not be present in the electronic health record until late in the afternoon. The hospital undertakes a project to improve nurses’ point-of-care documentation and is considering various mobile computing devices including computers on wheels, laptops, and tablets. What will the hospital learn from an ergonomic assessment?
- How many electrical outlets will need to be added to patient care its.
- The maximum distance at which the hospital can distribute wireless access points.
- Where mobile equipment will need to be stored.
- The safety risk imposed by pushing or carrying mobile devices.
The safety risk imposed by pushing or carrying mobile devices.
Due to competing demands for new system requests, the nurse informatician is aware that it will be very important to demonstrate:
- How the system can be supported
- How the System will meet the strategic planning needs of the organization
- How the system will benefit the community
- How the system will be easy to use for the end users
How the System will meet the strategic planning needs of the organization
The nurse reviews all information related to a specific patient and formulates a plan to address the issues. However, because of patient-specific circumstances, the nurse must make adjustments to the plan. This nurse is utilizing:
- Knowledge
- Information
- Data
- Wisdom
Wisdom
A requirement is a key component of the System Development Life Cycle in that it describes:
- How the database is to be managed
- The sections of the use case
- What the system must do
- The Human Resource needs of the project
What the system must do
One of the primary tasks of the nurse informaticist in the planning phase, which contributes to control Of the project, is to develop a:
- Tight PERT chart
- Detailed business case
- Team-development diagram
- Clear scope statement
Clear scope statement
During implementation of an electronic health record, Tanger Hospital will need to identify the types of patient information needed for oncology care. Why does the nursing informaticist ask for oncology staff nurse participation for this implementation task?
- Nurses will identify the ideal placement of computers.
- Nurses will know how best to improve adoption among their colleagues.
- Nurses gather, use, and make decisions based on patient data.
- Nurses will identify which doctors will have difficulty with the system.
Nurses gather, use, and make decisions based on patient data.
The chief nursing officer is considering an upgrade to the electronic health record system used within the hospital. She asks the nursing informaticist to give an opinion about this proposal. What is one of the first things the informaticist should consider?
- How will the upgrade support the hospital’s strategic plan?
- How will the training team manage the increased demand for user training?
- Who will manage contract negotiations to ensure the hospital received the best pricing?
- Will the upgrade fit within the organization’s other technology implementation plans?
How will the upgrade support the hospital’s strategic plan?
The analogous focus of the Informatics Nurse Specialist compared to the nurse when considering the nurse, patient, health, and environment continuum is:
- Information source, information goal, and information store
- Information user, information recipient, and information exchange
- Information user, information goal, and information exchange
- Information source, information label, and information store
Information user, information recipient, and information exchange
The nurse informaticist in an executive or chief information officer role may be:
- Building coalitions of users
- Communicating with end users
- Managing phases of the lifecycle
- Developing national strategic policy
Developing national strategic policy
The nurse informatician has gathered a group of end users who will test scenarios in a clear test region of the system. In the Systems Development Life Cycle process, this is known as:
- Alpha testing
- Gamma testing
- Delta testing
- Beta testing
Alpha testing
The scope of a project has been developed and the feasibility has been approved. One of the first activities that the nurse informaticist will do is to conduct a:
- Walkthrough of the system
- A risk mitigation plan
- An ““as is”” workflow
- An analysis of needs
An “as is” workflow
Hope Hospital purchased and installed a new software application designed to provide best practice evidence to nurses. Following implementation and an aggressive marketing campaign, fewer than 6% of nurses who have access to the system have logged in to use the system. In this situation, the nurse informaticist suggests a short, intensive training program. What is the primary objective of the training program?
- Trainers can assess nurses’ attitudes about the software.
- Training is an opportunity for nurses to point out system deficiencies.
- Training sessions give the hospital an opportunity to discuss why the system was implemented.
- Training may improve nurses’ software skills and positively impact system use.
Training may improve nurses’ software skills and positively impact System use.
One of the key attributes of an Informatics Nurse Specialist in the role of project manager is:
- Management experience
- Technical skill
- Budgetary oversight
- Effective communication
Effective communication
The nurse informatician (NI) realizes that the end users need a system that is ““fast””. This will require the NI to carry Out:
- Capacity requirements testing
- Vendor examinations for response time
- Speed requirements testing that meets or exceeds the limit
- Surveys of Other companies using the software
Speed requirements testing that meets or exceeds the limit
The nurse informatician (NI) is managing a project that is considered high risk. The NI is advocating a conversion of only one unit and a time period of observation before moving forward. This is known as a:
- Rollout approach
- Pilot conversion approach
- Delayed go-live approach
- Phased-in approach
Pilot conversion approach
The nurse informaticist in a midlevel leadership position may be:
- Wiring a network and testing for breaches of security
- Repairing hardware and networks
- Supervising and gathering end user requirements
- Caring for patients using technology
Supervising and gathering end user requirements
The nurse informatician (NI) is responsible for managing the tasks of a direct conversion and must prepare support tactics. The NI realizes that this means a:
- Quick, abrupt change for the end users
- Gradual change for the end use rs
- Phased-in change for the end users
- Rolled-out change for the end users
Quick, abrupt change for the end users
