NURSING INFORMATICS AND THE FOUNDATION OF KNOWLEDGE 4TH
EDITION MCGONIGLE TEST BANK
Contents
Chapter 1 Nursing Science and the Foundation of Knowledge ....................................................... 1
Chapter 2 Introduction to Information, Information Science, and Information Systems .................. 20
Chapter 3 Computer Science and the Foundation of Knowledge Model ....................................... 40
Chapter 4 Introduction to Cognitive Science and Cognitive Informatics ........................................ 60
Chapter 5 Ethical Applications of Informatics................................................................................ 79
Chapter 6 History and Evolution of Nursing Informatics ................................................................ 82
Chapter 7 Nursing Informatics as a Specialty ............................................................................... 86
Chapter 8 Legislative Aspects of Nursing Informatics: HITECH and HIPAA.................................. 89
Chapter 9 Systems Development Life Cycle: Nursing Informatics and Organizational Decision
Making ....................................................................................................................................... 107
Chapter 10 Administrative Information Systems ......................................................................... 110
Chapter 11 The Human-Technology Interface Dee .................................................................... 114
Chapter 12 Electronic Security ................................................................................................... 117
Chapter 13 Worldlow and Beyond Meaningful Use..................................................................... 137
Chapter 14 The Electronic Health Record and Clinical Informatics ............................................. 140
Chapter 15 Informatics Tools to Promote Patient Safety and Quality Outcomes ......................... 143
Chapter 16 Patient Engagement and Connected Health ............................................................ 168
Chapter 17 Using Informatics to Promote Community/Population Health ................................... 191
Chapter 18 Telenursing and Remote Access Telehealth: Original contribution ........................... 202
Chapter 19 Nursing Informatics and Nursing Education ............................................................. 212
Chapter 20 Simulation, Game Mechanics, and Virtual Worlds in Nursing Education................... 226
Chapter 21 Nursing Research: Data Collection, Processing, and Analysis ................................. 230
Chapter 22 Data Mining as a Research Tool .............................................................................. 256
Chapter 23 Translational Research: Generating Evidence for Practice ....................................... 260
Chapter 24 Bioinformatics, Biomedical Informatics, and Computational ..................................... 288
Chapter 25 The Art of Caring in Technology-Laden Environments ............................................. 306
Chapter 26 Nursing Informatics and the Foundation of Knowledge ............................................ 322
Chapter 1 Nursing Science and the Foundation of Knowledge
The nurse understands that nursing informatics is recognized as a specialty area of practice
bywhich statement?
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, 1. Research priorities for nursing informatics include the development of a standard
nursinglanguage and the development of databases for clinical information.
2. A formal educational program at the master's level must be completed before a nurse
iseligible to sit for the credentialing examination.
3. As a differentiated practice, nursing informatics is focused upon the client, the
environment,health, and the nurse.
4. There is a need for nursing informatics interests to gain representation by work groups
andorganizations within the United States.
Correct Answer: 1
Rationale 1: The development of research priorities is a key point in a specialty practice.
Although degrees at the master's level are available, the degree required for credentialing is
typically at the bachelor's level and includes experience in the field. Current demands for
safer,cost-effective, quality care require evidence of the best practices supported by research.
Rationale 2: Such a formal educational program does not necessarily mean a specialty area
ofpractice. Although degrees at the master's level are available, the degree required for
credentialing is typically at the bachelor's level and includes experience in the field. The
development of research priorities is a key point in a specialty practice.
Rationale 3: Your chosen response refers to the entire discipline of nursing. The specialty of
nursing informatics integrates nursing science, computer science, and information science to
manage and communicate data, information, knowledge, and wisdom into nursing practice.
Thedevelopment of research priorities is a key point in a specialty practice.
Rationale 4: There are many work groups in the United States related to informatics that focus
on the specialty of informatics practice. One example is the Nursing Informatics Special
InterestGroup of the International Medical Informatics Association. The development of
research priorities is a key point in a specialty practice.
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 2
Type: MCSA
Which statement by the nurse verifies that the nurse is "information literate"?
1. "I understand how to search for a website and evaluate its usefulness for health care needs."
2. "I utilize databases in the health care setting to input client information such as
skincondition."
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,3. "I use email over the Internet to correspond with clients and provide information."
4. "I can use software applications such as word processing, spreadsheets, and presentations."
Correct Answer: 1
Rationale 1: Information literacy necessitates that nurses have the ability to find, evaluate, and
effectively use information. The other answers are examples of computer literacy but do not
havethe higher functions of information literacy.
Rationale 2: Your chosen response is an example of computer literacy, but it does not have
thehigher functions of information literacy. Information literacy necessitates that nurses have
the ability to find, evaluate, and effectively use information.
Rationale 3: Your chosen response is an example of computer literacy but, it does not have
thehigher functions of information literacy. Information literacy necessitates that nurses have
the ability to find, evaluate, and effectively use information.
Rationale 4: This answer is an example of computer literacy but, it does not have the higher
functions of information literacy. Information literacy necessitates that nurses have the ability to
find, evaluate, and effectively use information.
Global Rationale:
Cognitive Level: Understanding
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process:
PlanningLearning Outcome:
Question 3
Type: MCSA
The nurse gathers much data when caring for clients. Which is an example of the higher-
level"information" useful in caring for clients?
1. The vital signs are BP of 130/70, HR of 88, RR of 24, temperature of 98.8 degrees F.,
andoxygen saturation of 98%.
2. Lab work results include an electrolyte panel and complete blood count with differential.
3. The client is a widowed 64-year-old black male admitted with prostatitis.
4. After receiving Rocephin (ceftriaxone sodium) 1.0 gram IV yesterday, the client reported
feeling better today.
Correct Answer: 4
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, Rationale 1: Your chosen response is an example of having pieces of data without
interpretation."Information" necessitates that the nurse interpret and structure the results of
clinical data into information.
Rationale 2: Your chosen response is an example of having pieces of data without
interpretation."Information" necessitates that the nurse interpret and structure the results of
clinical data into information.
Rationale 3: Your chosen response is an example of having pieces of data without
interpretation."Information" necessitates that the nurse interpret and structure the results of
clinical data into information.
Rationale 4: "Information" necessitates that the nurse interpret and structure clinical data into
information. It can then be used to aid clinical decision making and client monitoring. All other
responses included pieces of data without interpretation.
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 statement best distinguishes the difference between information literacy and
computerliteracy?
1. Information literacy is unnecessary in health care whereas computer literacy provides the
basisfor computer order entry.
2. Information literacy is the foundation of the EHR whereas computer literacy helps the nurse to
access data.
3. A nurse can extrapolate data with computer literacy and not information skills.
4. Information literacy forms the basis for ongoing learning whereas computer literacy refers to a
familiarity with the use of personal computers.
Correct Answer: 4
Rationale 1: Computer literacy is a popular term used to refer to a familiarity with the use of
personal computers, including the use of software tools such as word processing,
spreadsheets,databases, presentation graphics, and e-mail. The majority of students
admitted to nursing schools now enter with some level of computer literacy.
Rationale 2: Computer literacy is a popular term used to refer to a familiarity with the use of
personal computers, including the use of software tools such as word processing,
spreadsheets,databases, presentation graphics, and e-mail. The majority of students
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