1. The informatics nurse is concerned that staff members will develop health-related issues from computer work. What should the nurse explain about ergonomics to the staff?

   		It establishes protocols for benchmarking.
   		It is the physical design for safety, comfort, and convenience.
   		It focuses on correct posture while keyboarding.
   		It is the ability of the nurse to complete computer processing.

2. A healthcare organization is considering implementing an electronic health record system (EHRS). Which software should be included within this system? Select all that apply.

   		Practitioner order entry (POE)
   		Online medical and nursing journals
   		Electronic health record (EHR) database
   		Evidence-based practice guidelines
   		Clinical decision support (CDS)

3. The informatics nurse is explaining smart technology to a group of staff nurses. Which statement suggests that the use of mobile devices in the healthcare setting can enhance patient care?

   		A finite amount of space on portable devices to receive instantaneous lab results
   		The elimination of a unit secretary position because all data are housed on the mobile device
   		Personal access to patient's home address
   		The elimination of paper copies of lab reports

4. The informatics nurse is reviewing potential clinical information systems. Which is the best example of a monitoring system?

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

5. The leadership team of a large healthcare organization is designing a new strategic plan for an electronic health record system. Which has been most instrumental in mandating strategic planning to achieve organization and population healthcare goals?

   		Healthcare reform
   		Nursing informatics specialist
   		Internal stakeholders
   		Community members

6. The leadership team is reviewing a computer application that will send a text message to the healthcare provider when a laboratory or diagnostic test result is available to review. Which is this application demonstrating?

   		Usability test
   		Ergonomic enhancement
   		Information technology-initiated interaction
   		User interface programming

7. A multisystem healthcare organization is implementing an electronic health record (EHR). Which situation could affect the integrity of the data?

   		Data mining
   		Data downloading
   		Data analysis
   		System failure

8. The informatics nurse is reviewing how ethnographic studies have been incorporated within healthcare settings to glean data at the point of care. On which statement about ethnography should the nurse focus?

   		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.
   		The use of ethnography is criticized as a method to determine HCI effectiveness.
   		Ethnography is a quantitative method from anthropology and sociology that includes fieldwork and analysis of people in cultural, social settings.
   		Ethnography is an outdated method of inquiry.

9. A group of nurse managers are brainstorming ways to ensure staff buy-in with the implementation of a new health information system. Which principle should the managers focus on first?

   		Suggest disciplinary actions for resisters.
   		Identify those who might voluntarily terminate.
   		Assess computer skills of the staff.
   		Determine where the resistance is.

10. Scanning the environment is part of the planning process. Which should the informatics nurse consider as part of the external environment?

    		Interviews from managers
    		Observations of current technology
    		Published reports
    		Questionnaires from managers and end users

11. A patient asks why all information is being entered into a computer instead of the paper chart. Which response should the nurse make about the electronic health record (EHR)? Select all that apply.

    		Record available when and where needed.
    		Access by more than one person at any given time.
    		Increased control over personal health information
    		Reduced amount of co-pays for office visits.
    		Improved billing processes

12. The project planning committee for an outpatient center is planning to conduct a needs assessment prior to implementing wireless technology to enhance their computer system. Which source should the committee identify as most valuable to assess?

    		Guidelines provided by the Joint Commission
    		Interviews with the director and unit managers of outpatient services and the chief executive officer
    		Health Insurance Portability and Accountability Act (HIPAA) regulations
    		Interviews with administrators and representative employees from all of the outpatient services

13. The informatics nurse is preparing a presentation on clinical information systems. Which should the nurse explain as a characteristic of an automated radiology information system (RIS)?

    		Once a test is completed, the film is scanned to an optical imaging disc.
    		As each test is ordered, the user is prompted to answer patient-focused information.
    		Images may be faxed to other institutions for timely consultations.
    		As soon as the test is performed, the system interprets the results and sends an electronic report.

14. The leadership team is in the request for proposal phase of the information system planning process. Which would enhance the decision making process at this time?

    		Hiring a consultant to make the decision
    		Use of a lottery system
    		Time off to reflect on decisions
    		Weighted scoring tool

15. The leadership team is updating the mission statement for a large healthcare organization. Which phrase should the team consider?

    		Expand home care services in the rural area in the Southeast.
    		Promote educational activities related to caring for the sick and injured.
    		Build a unit for clients with chronic obstructive pulmonary disease.
    		Develop wellness service clinics in an urban area in the Midwest.

16. The informatics nurse is seeking information about humancomputer interaction (HCI) frameworks that are based on work-centered research and distributed cognition. On which framework should the nurse focus?

    		SEIPS 2.0 (Systems Engineering Initiative for Patient Safety)
    		UFuRT (User, Function, Representation, and Task analysis) framework
    		The Staggers HumanComputer Interaction Framework
    		CoCom (Contextual Control Model)

17. The informatics nurse is working with a group of family practice healthcare providers on achieving meaningful use with an electronic health record system (EHRS). Which of the following should the nurse emphasize as outcomes of using the system? Select all that apply.

    		Improving scheduling of tests
    		Decreasing spending
    		Improving efficacy
    		Improving the quality of care
    		Increasing communication with patients