Informatics Nurse Test Introduction to Informatics Nurse 4 — Questions and Answers
Question 1: Which nursing theorist's work is most closely associated with the foundational informatics model that includes the concept of 'wisdom'?
- Patricia Benner
- Virginia Henderson
- June Kaminski
- Virginia Saba (Correct answer)
Correct answer: Virginia Saba
Virginia Saba contributed significantly to nursing informatics theory, including the Clinical Care Classification system and foundational informatics frameworks.
Question 2: A 'workaround' in clinical informatics is BEST described as:
- An approved shortcut built into the EHR
- An informal practice that bypasses a system's intended workflow (Correct answer)
- A software patch applied by IT
- A documented exception approved by administration
Correct answer: An informal practice that bypasses a system's intended workflow
Workarounds are informal, unapproved practices staff develop to circumvent system barriers, often creating safety risks.
Question 3: Which type of clinical decision support (CDS) tool alerts a prescriber when an ordered drug dose exceeds a safe threshold?
- Drug-drug interaction alert
- Dosing alert (Correct answer)
- Allergy alert
- Duplicate order alert
Correct answer: Dosing alert
Dosing alerts fire when an ordered dose falls outside safe parameters for a patient's weight, age, or renal function.
Question 4: Governance of an EHR system typically includes:
- Only the IT department making all configuration decisions
- A multidisciplinary committee with clinical, operational, and IT representation (Correct answer)
- The EHR vendor controlling all system updates
- Nursing staff voting on all software changes
Correct answer: A multidisciplinary committee with clinical, operational, and IT representation
Effective EHR governance requires a multidisciplinary committee to balance clinical, operational, and technical needs in decision-making.
Question 5: In an EHR, a 'problem list' serves what primary clinical purpose?
- Listing all medications a patient is allergic to
- Providing a longitudinal record of active and resolved patient diagnoses (Correct answer)
- Tracking staff scheduling issues
- Documenting billing codes only
Correct answer: Providing a longitudinal record of active and resolved patient diagnoses
The problem list provides a continuously updated summary of a patient's active and historical medical conditions to support care coordination.
Question 6: Which term describes the ability of an EHR to prompt a nurse with the next recommended action based on evidence-based guidelines?
- Passive documentation
- Active clinical decision support (Correct answer)
- Retrospective auditing
- Data warehousing
Correct answer: Active clinical decision support
Active CDS proactively delivers evidence-based prompts and recommendations at the point of care to guide clinical decisions.
Question 7: When implementing a new clinical system, the 'go-live' phase refers to:
- The initial contract signing with the vendor
- The transition from the old system to the new live production system (Correct answer)
- Staff training on the new system
- The system's final testing phase before approval
Correct answer: The transition from the old system to the new live production system
Go-live is the planned cutover date when the new system becomes the operational, live system replacing the previous one.
Informatics Nurse Test Introduction to Informatics Nurse 4
Which nursing theorist's work is most closely associated with the foundational informatics model that includes the concept of 'wisdom'?