2023-2024 WGU D220 Management Information System Practice Exam With Answers (226 Solved Questions)

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WGU D220 Exam (Latest 2023/ 2024 Update) InformationTechnology in Nursing Practice | 245Questions and VerifiedAnswers| 100% Correct| Grade A+Informatics -CORRECT ANSWERSAn interdisciplinary field that draws from, aswell as contributes to "computer, decision, information, management, cognitivescience, and organizational theory. Its broad scope encompasses natural languageprocessing, data mining, research, decision support, and genomics.Nursing informatics -CORRECT ANSWERSthe use of technology and informationto help support all aspects of THE NURSING PRACTICE.Information literacy -CORRECT ANSWERSThe ability to read and understand thewritten word and numbers as well as the ability to recognize when information isneeded.Beginning nurse -CORRECT ANSWERSExpected to have fundamental informationmanagement and computer technology skills and use existing information systemsand establish information management practicesExperienced nurse -CORRECT ANSWERSBe skilled in using informationmanagement and computer technology; have strong analytic skills to learn fromrelationships between different data elements, and be able to collaborate withthe informatics nurse specialist to suggest improvement to systems. Specific areaof expertise.Informatics specialist -CORRECT ANSWERSA nurse with advanced skills specificto health information management and computer technology. Focus oninformation needs for practice of nursing, including, education, administration,research, clinical practice, and use critical thinking.

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Informatics innovator -CORRECT ANSWERSExpected to be educationallyprepared to conduct informatics research and generate informatics theory.Advanced understanding and skills in information management and computertechnology.Evidence based practice (EBP) -CORRECT ANSWERSUse current best evidencefor patient decisions to improve the consistency and quality of patient outcomes.Foundation of clinical guidelines and clinical decision support tools.The American Recovery and Reinvestment act (ARRA) -CORRECT ANSWERSIn2009, along with HITECH provided economic stimuli and incentives for theadoption of EHRs and the goal that each person in the US would have a certifieddigital health record by 2014.Health Information Technology for Economic and Clinical Health (HITECH) -CORRECT ANSWERSStrongly recommends that hospitals and healthcareproviders increase the meaningful use of health information technology (HIT). Todecrease overall health costs and IMPROVE POPULATION HEALTH OUTCOMES.Joint Commission -CORRECT ANSWERSAn independent non for profitorganization that accredits and certifies approx. 21,000 hospitals and other HCorganizations. A symbol of quality and means organizations are exceedingstandards.

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TIGER -CORRECT ANSWERSFormed to advance nursing competencies related toinformatics. The primary objective was to develop a US nursing workforce capableof using EHR to improve delivery of care. Improving nurse education, practice anddelivery of patient care using HIT.Information system -CORRECT ANSWERSA COMBINATION of computerhardware and software that can process data into information to solve a problem.Clinical Decision Support -CORRECT ANSWERSSupports decision making andefficiency. Decreases pt. safety risks and increasing positive pt. outcomes. Usesalerts, clinical pathways, order sets, dashboards, diagnostic support, and drug-drug interaction tools.Expert system -CORRECT ANSWERSA type of decision support system thatimplements the knowledge of one or more human experts without humaninterventionAlert fatigue -CORRECT ANSWERSThe phenomenon where too many CDSSwarnings, or recommendations are presented and providers begin to dismissthem regardless of the importanceAdmission, transfer, discharge system -CORRECT ANSWERSsystem integratedwith other admit and clinical systems and tracks a patients activities and lookingfrom hospital or clinic

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The relationship of standardized terms to financial reward r/t meaningful use -CORRECT ANSWERSThe implementation of standardized terminology within anEHRS is essential for health-care organizations to met the criteria of meaningfuluse.The goal of meaningful use -CORRECT ANSWERSTo exchange clinical structureddata in a manner that is accurate and complete to improve care in a cost effectiveway.Classification system -CORRECT ANSWERSUsed to categorize the details of aclinical encounter. Ex: NANDA, CPT, NIC, ICD-10, CCC, LONICreference terminology -CORRECT ANSWERSA set of concepts with definitionalrelationships. Necessary to analyze data, develop EBP, and improve quality of care.Ex: SNOWMED-CT, ICNPSNOWMED-CT -CORRECT ANSWERSGlobally recognized, controlled healthcarevocabulary, that provides a common language for electronic health applications toexchange data. Sharing data across health specialties and site of care."EPIC-to-Cemer" -CORRECT ANSWERSInterface exist?ICNP (International Classification for Nursing Practice) -CORRECT ANSWERSPointof care reference terminology. Related specifically to nursing diagnosis, outcomes,intervention statments.

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NANDA -CORRECT ANSWERSThe first terminology to be recognized by the ANAStandardized terminology supports the development of? -CORRECT ANSWERSDecision support softwaredata mining -CORRECT ANSWERSThe process uses software to look for hiddenpatterns and relationships in large data sets.Health Level 7 (HL7) -CORRECT ANSWERSStandards for the exchange of clinicaldata and how the data are coded.SWOT analysis -CORRECT ANSWERSStrengths, weaknesses, opportunities andthreats. Helps identify gaps in the current system.SWOT is used in what phase of the information system life cycle? -CORRECTANSWERSEvaluation1)Needs Assessment phase of the systems development life cycle (SDLC) -CORRECT ANSWERSDetermines needs and wants in a information system AKAgap analysis.2)System selection phase in the system development life cycle (SDLC) -CORRECTANSWERSThe organization seeks out a vendor company that provides a system

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the best fit needs. 3 documents used (Request for information (RFI), request forproposal (RFP), request for quote (RFQ) documents.3)System implementation phase in the sytem development life cycle (SDLC) -CORRECT ANSWERSGo live planning, TRAIN STAFF, analyst builds screens andtemplates according to organization and policies, apply changes to thatorganization, GO LIVE4)Maintenance Phase of the systems development life cycle (SDLC) -CORRECTANSWERSProblem solving, debugging, files back up routinely and install andsystem upgrades, make sure it's working as intended.Integration -CORRECT ANSWERSDifferent information systems are able toexchange data in a fashion that is seamless to the end user.Interoperability -CORRECT ANSWERSAbility of 2 entities human or computer toexchange and predictably use data or info while retaining the original meaning ofthat dataInterface (user) -CORRECT ANSWERSComputer programs that tells two differentsystems how to exchange data.Phases of the project management life cycle (PMLC) -CORRECT ANSWERS1.Design/plan2.implementation

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3. monitor and control4. evaluation5. lessons learned with knowledge transferPhase one of the project management cycle DESIGN -CORRECT ANSWERSincludes the creation and development of tools needed to manage the project:scope and charter documents guide how system will be implemented.Scope Creep -CORRECT ANSWERSUnapproved change in a project, which cancause serious delays or even project failureGap analysis -CORRECT ANSWERSused to identify needed changes in the currentworkflow once moving to the new system.With change, many feelings can be observed including resistance, and feelings ofloss similar to what theory? -CORRECT ANSWERSKubler ross's theory of griefLewin's Change Theory -CORRECT ANSWERSunfreezing, changing, refreezingProject implementation team/committee -CORRECT ANSWERSInterdisciplinaryteam that plans, tests, and trains. The project team needs to be actively involvedas end users.

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The implementation committee tasks -CORRECT ANSWERSDevelop plan (WBS),Committee should represent ALL disciplines.Super User -CORRECT ANSWERSMembers of the implementation committee,who's sole purpose is to support end users.Nurses role in informatics -CORRECT ANSWERSProject manager, providesoversight of the 5 phases of EHRS implementation, facilitates communicationpersonal health record (PHR) -CORRECT ANSWERSCan follow a person acrosstheir life longitudinal. Is a collection of patient data controlled by the patient andaccessible by the patient and providers. The consumer enters and maintains allinfo.The use of EHRS results in -CORRECT ANSWERSimproved quality, safety, andefficiency while reducing inconsistencies in healthcare, increase pt, and familyactive involvement in their care, advances the health of the public, safeguardspersonal health data and information.Stage 1 requirements for meaningful use -CORRECT ANSWERS1. recorddemographic info.2. computerized provider order entry3. Clinical decision support and ability to track compliance4. Automatic, real-time drug-drug and drug-allergy interaction checks5. Maintain an active medication list

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6. Maintain active medication allergy list7. Record and retrieve VS8. Record smoking status for patients 13 yrs and older9. Mechanisms to protect information created or maintained by certified EHRtechnology include access control10. Electronically exchange key clinical information among providers and parentauthorized entities11. Supply patients with an electronic copy of their health info upon request12. Supply an electronic copy of DC instructions upon request'13. Report required clinical quality measures to CMS14. Maintain up to date problem lists of current and active diagnoseMU stage 2 requirments -CORRECT ANSWERSCalled for patients to view,download, or transmit their health information online and for the capability forsecure messaging between providers and patients and reporting public healthmeasures.Meaningful use -CORRECT ANSWERSImprove population health, requiresstandardized nursing terminology, geared to spur the adoption and use ofelectronic health records for the purpose of gathering and reporting data that canbe used to improve population health.Incentive program to assure EHRSs are used according to standards that achievequality, safety, and efficiency measures.

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All states have implemented HIEs with the oversight of -CORRECT ANSWERSONC-HITAudit trial -CORRECT ANSWERSSoftware used for detecting problems, and flawsin apps by recording activity by users and systemsprivacy -CORRECT ANSWERSThe right to control access and disclosure ornondisclosure of information pertaining to oneself and to control thecircumstances, timing, and extent to which information may be disclosed.Confidentiality -CORRECT ANSWERSRefers to a situation in which a relationshiphas been established, and private information is shared but not disclosed.Trojan Horses -CORRECT ANSWERSAppear to do one function while performinganother undesired action. They do not self replicate and are easily confined oncediscovered. Ex. A regular system login but records usernames and passwords foranother program for illicit use.HIPAA -CORRECT ANSWERSACT that contains penalties for breach ofconfidentiality within the healthcare environment. Can result in disciplinaryaction, fines, civil and criminal action, and even termination.HITECH ACT -CORRECT ANSWERSAuthorized incentive payments for earlyadopters and lead to the development of MU criteria.

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Security Rule -CORRECT ANSWERSEstablishes a national set of securitystandards for protecting a certain set of health information that is held ortransferred in electronic form. Protect the privacy of individuals healthinformation while allowing covered entities to adopt new technologies to improvethe quality and efficiency of patient care.Information Security -CORRECT ANSWERSOccurs when realized that informationhas value and requires protection. Determines the survivability of the system.Security measures -CORRECT ANSWERS1.Levels of access as appropriate, on aneed to know basis2.Automatic sign off- in case a HCP has to leave computer abruptly.3.Firewalls4. physical restrictionsFirewalls -CORRECT ANSWERSA barrier created from software and hardwaredesigned to block unauthorized access while permitting authorizedcommunicationsPhysical restrictions -CORRECT ANSWERS1.*Lock up in server room2. surveillance3. keeping cumputers, files, routers, etc behind locked doors4. disable the drives5. protect printers

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6. daily backupsHIPAA introduces new threats including -CORRECT ANSWERSEmail and instantmessaging may cary PHI that can be interceptedMobile computing should require: -CORRECT ANSWERSAuthenticationencryption to safeguard informationPhishing -CORRECT ANSWERSAttempt to steal sensitive information via theinternetMerit-based Incentive Payment System (MIPS) -CORRECT ANSWERSCombinesphysician quality reporting system (PQrS) and medicare EHRS that will measurebased on quality, resource use, clinical practice improvement and MU of EHRStechnology.QSEN Institue -CORRECT ANSWERSIdentified quality and safety competenciesfor nurses that fit well with an informatics culture. Patient centered care,teamwork, EBP, quality improvement, safety and informatics.Value -CORRECT ANSWERSdiagnostics and treatment options were based onvalue of those test and treatments to patient and organizational outcomes.Knowledge workflow -CORRECT ANSWERSA primary reason nursingparticipation is essential on the implementaiton team

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At risk pt. safety factors -CORRECT ANSWERSMedication accuracy, Critical labvaluesWhich act mandated the barcode medication Administration -CORRECTANSWERSFDAWho do you call for a medication reschedule -CORRECT ANSWERSPharmacyInformatics Advantages -CORRECT ANSWERSImproved recordsimproved data collectionPrompts to improve documentationimproved safety with better pt. identification, decision support, and trackingImproved communication and access to informationTelemedicine -CORRECT ANSWERSuse of medical information exchanged fromone site to another via electronic communications to improve health status. EX:videoconferencingTelehealth -CORRECT ANSWERSThe use of telecommunication technologies andcomputers to provide healthcare info and services to patients at another location.Telenursing -CORRECT ANSWERSEvaluates the outcomes of NURSING CAREusing technology

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Synchronous connected health -CORRECT ANSWERSBidirectionalcommunication between patients and healcare providers. VIDEOCONFERENCING,TELESTROKE, TELEPSYCH, ROBOTICAsynchronous apps -CORRECT ANSWERSSTORE AND FORWARD-radiographicimages, photos, videos!Non clinical telehealth -CORRECT ANSWERSEX: research/data mining, grandrounds, remote education, and expert in situation.legal challenges -CORRECT ANSWERS1. Credentialing and privileging2. online prescribing3. malpractice liability4. licensing of drs5. Informed consent and privacy6. Internet bandwidthEmerging trends -CORRECT ANSWERSDigital hospital front doors, Amazonhosted EHRs, Artificial intelligence, voice assistants.Culture of safety -CORRECT ANSWERS1. Being a commitment of resources2. Cross collaboration

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3. BLAME FREE ENVIRONMENTblame free environment -CORRECT ANSWERSEncourages reporting of errors ornear misses. Focuses on systematic view of errors rather than individual causation.With which act in 2009 did MU originate? -CORRECT ANSWERSARRAData governance -CORRECT ANSWERSThe term used to refer to the collection ofpolicies, standards, processes, and controls applied to an organizations data toensure that it is available to appropriate persons when and where it is needed, inthe format that is needed, and is otherwise properly secured.An informatics nurse and ER nurse are conducting an analysis of a patientadmission from the ER. Which tool should these nurses use for a process analysis?-CORRECT ANSWERSSWOTWhen developing a new clinical workflow, what is one of the first steps? -CORRECT ANSWERSrecruitContinutity of Care -CORRECT ANSWERSIntended to improve continuity andquality of care, including reduction of errors. Provides a snapshot of a personscurrent health and healthcare to a provider who does no have direct access tothat persons EHR.What can a nurse informaticist do to enhance the reporting of quality data?

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