Hebda, Handbook of Informatics, 5/e Test Bank Chapter 7
Question 1
Type: MCSA
Which is the best example of strategic planning in an acute care facility?
1. Team members of an organization take on a project to develop policies and procedures one year prior to the Joint Commission accreditation visit.
2. Upon acquiring a new facility, team members are selected to identify goals and strategies to develop policies fitting the newly revised mission statement.
3. A project team from a marketing firm is hired to develop an advertising campaign for the specialized health-promotion services of the acute-care facility.
4. Team members from administration meet as a group to rewrite their one-year-old acute care institution's mission statement.
Correct Answer: 2
Rationale 1: Strategic planning is a long-term process that begins by identifying the long-range mission, goals, and strategies of an organization. Ideally, this is done in the beginning when a new institution opens, or before the facility opens. The development or revision of policies, advertising campaigns, mission statements, etc., by themselves, is incomplete.
Rationale 2: Strategic planning is a long-term process that begins by identifying the long-range mission, goals, and strategies of an organization. Ideally, this is done in the beginning when a new institution opens, or before the facility opens. The development or revision of policies, advertising campaigns, mission statements, etc., by themselves, is incomplete.
Rationale 3: Strategic planning is a long-term process that begins by identifying the long-range mission, goals, and strategies of an organization. Ideally, this is done in the beginning when a new institution opens, or before the facility opens. The development or revision of policies, advertising campaigns, mission statements, etc., by themselves, is incomplete.
Rationale 4: Strategic planning is a long-term process that begins by identifying the long-range mission, goals, and strategies of an organization. Ideally, this is done in the beginning when a new institution opens, or before the facility opens. The development or revision of policies, advertising campaigns, mission statements, etc., by themselves, is incomplete.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome:
Question 2
Type: MCSA
Which of the following is the best example of benchmarking?
1. The length of stay in a 712-bed acute-care facility with a 12-bed open-heart unit is three days, compared to a four-day length of stay at a 256-bed acute-care facility with a six-bed general surgical unit.
2. The cost of a cardiac catheterization procedure at an acute-care institution specializing in cardiovascular disorders is equal to that of a generalized acute-care institution.
3. A six-bed coronary care unit has 0.2% incidence of infection post cardiac catheterization as compared to a six-bed intensive care unit with a 1.5% infection rate post open-heart surgery.
4. The cost of one day's stay in a private room in a 42-bed medical telemetry unit in a 256-bed acute-care institution is equivalent to that of a 46-bed medical telemetry unit in a 248-bed acute-care institution.
Correct Answer: 4
Rationale 1: Benchmarking compares similar institutions, locations, and populations of patients. Dissimilar populations make it difficult to make good comparisons.
Rationale 2: Benchmarking compares similar institutions, locations, and populations of patients. Dissimilar populations make it difficult to make good comparisons.
Rationale 3: Benchmarking compares similar institutions, locations, and populations of patients. Dissimilar populations make it difficult to make good comparisons.
Rationale 4: Benchmarking compares similar institutions, locations, and populations of patients. Dissimilar populations make it difficult to make good comparisons.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome:
Question 3
Type: MCSA
The management of a busy tertiary acute-care institution is weighing the decision to outsource information-management services. Which of the following factors is critical to that decision?
1. Data security will be enhanced because the agency specializes in information technology.
2. The agency will provide customization of services to fulfill the acute-care institution's needs.
3. Management can control the implementation of system updates, maintenance, and system downtimes.
4. Access to resource personnel available for assistance will be improved when technical problems arise.
Correct Answer: 4
Rationale 1: An advantage includes access to qualified resource personnel, often 24/7. However, there is less control over implementation, security of data and customization may not be possible.
Rationale 2: An advantage includes access to qualified resource personnel, often 24/7. However, there is less control over implementation, security of data and customization may not be possible.
Rationale 3: An advantage includes access to qualified resource personnel, often 24/7. However, there is less control over implementation, security of data and customization may not be possible.
Rationale 4: An advantage includes access to qualified resource personnel, often 24/7. However, there is less control over implementation, security of data and customization may not be possible.
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 of the following is an example of a goal for strategic planning?
1. Enhance the organization's website image within six months.
2. Clinical decision-making in the emergency department will be supported by additional funds for personnel training during the fall.
3. The scope of home care services will be maintained with the same budget for the next fiscal year, during which an audit will be conducted.
4. Expand services to include e-health capability for consumers.
Correct Answer: 4
Rationale 1: The example of a goal for strategic planning is: Expand e-health services to include consumer online pre-registration capability. This meets the definition of a goal: an open-ended statement that describes in general terms what is to be accomplished. The other responses are objectives; that is, stating how and when a goal will be met. An objective is more specific than a goal.
Rationale 2: The example of a goal for strategic planning is: Expand e-health services to include consumer online pre-registration capability. This meets the definition of a goal: an open-ended statement that describes in general terms what is to be accomplished. The other responses are objectives; that is, stating how and when a goal will be met. An objective is more specific than a goal.
Rationale 3: The example of a goal for strategic planning is: Expand e-health services to include consumer online pre-registration capability. This meets the definition of a goal: an open-ended statement that describes in general terms what is to be accomplished. The other responses are objectives; that is, stating how and when a goal will be met. An objective is more specific than a goal.
Rationale 4: The example of a goal for strategic planning is: Expand e-health services to include consumer online pre-registration capability. This meets the definition of a goal: an open-ended statement that describes in general terms what is to be accomplished. The other responses are objectives; that is, stating how and when a goal will be met. An objective is more specific than a goal.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome:
Question 5
Type: MCSA
Which of the following is the most appropriate team leader for a strategic planning team for an acute-care institution?
1. Resident emergency department physician who was recently hired
2. Nurse manager of a 16-bed coronary-care unit who has been employed at the institution for one year
3. Vice president of Nursing and Patient Care Services, appointed two years ago
4. Nurse supervisor of the medical-surgical units, encompassing 130 beds
Correct Answer: 3
Rationale 1: Those in upper-level management, such as a vice president of nursing and patient care services, are appropriate team leaders for strategic planning because they have authority over relevant personnel. Those in lower-level management, such as supervisors, nurse managers, or resident physicians, may support the team effort but typically do not take as much of a leadership role.
Rationale 2: Those in upper-level management, such as a vice president of nursing and patient care services, are appropriate team leaders for strategic planning because they have authority over relevant personnel. Those in lower-level management, such as supervisors, nurse managers, or resident physicians, may support the team effort but typically do not take as much of a leadership role.
Rationale 3: Those in upper-level management, such as a vice president of nursing and patient care services, are appropriate team leaders for strategic planning because they have authority over relevant personnel. Those in lower-level management, such as supervisors, nurse managers, or resident physicians, may support the team effort but typically do not take as much of a leadership role.
Rationale 4: Those in upper-level management, such as a vice president of nursing and patient care services, are appropriate team leaders for strategic planning because they have authority over relevant personnel. Those in lower-level management, such as supervisors, nurse managers, or resident physicians, may support the team effort but typically do not take as much of a leadership role.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome:
Question 6
Type: MCSA
An outpatient center is planning to implement wireless technology to enhance their computer system. The project planning committee plans to conduct a needs assessment. Which of the following sources would be most valuable?
1. Interviews with the director and unit managers of outpatient services and the chief executive officer
2. Guidelines provided by the Joint Commission
3. Health Insurance Portability and Accountability Act (HIPPA) regulations
4. Interviews with administrators and representative employees from all of the outpatient services
Correct Answer: 4
Rationale 1: Most valuable would be interviews with administrators and representative employees from all of the outpatient services. Although interviews with administrators provide valuable information, they may be unacquainted with daily workflow and information needs. For this reason it is important to interview both populations to determine needs, how work is presently performed, and how processes may be improved. Regulations and guidelines from federal and accrediting bodies must be followed but do not reflect the work process and needs in specific settings.
Rationale 2: Most valuable would be interviews with administrators and representative employees from all of the outpatient services. Although interviews with administrators provide valuable information, they may be unacquainted with daily workflow and information needs. For this reason it is important to interview both populations to determine needs, how work is presently performed, and how processes may be improved. Regulations and guidelines from federal and accrediting bodies must be followed but do not reflect the work process and needs in specific settings.
Rationale 3: Most valuable would be interviews with administrators and representative employees from all of the outpatient services. Although interviews with administrators provide valuable information, they may be unacquainted with daily workflow and information needs. For this reason it is important to interview both populations to determine needs, how work is presently performed, and how processes may be improved. Regulations and guidelines from federal and accrediting bodies must be followed but do not reflect the work process and needs in specific settings.
Rationale 4: Most valuable would be interviews with administrators and representative employees from all of the outpatient services. Although interviews with administrators provide valuable information, they may be unacquainted with daily workflow and information needs. For this reason it is important to interview both populations to determine needs, how work is presently performed, and how processes may be improved. Regulations and guidelines from federal and accrediting bodies must be followed but do not reflect the work process and needs in specific settings.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome:
Question 7
Type: MCSA
Which of the following would most benefit from a complete computer system upgrade?
1. An institution using a mainframe legacy system
2. A small clinic that has an electronic record system in place
3. Two institutions that use similar mainframe systems merge
4. Three institutions that use similar Windows-based operating systems merge
Correct Answer: 1
Rationale 1: An institution using a mainframe legacy system would most benefit from a complete computer system upgrade. These legacy systems are often individualized to the specific institution; these may be difficult, if not impossible, to interface with other systems. As it is necessary to upgrade or replace these systems, the institution must weigh the advantages and disadvantages of alternatives that may better meet the needs of the organization. These might include retaining current systems, providing a new look and easier access to legacy software via a Web interface, new versions of vendor software, client/server or thin client technologies, outsourcing services, or using an application service provider (ASP).
Rationale 2: An institution using a mainframe legacy system would most benefit from a complete computer system upgrade. These legacy systems are often individualized to the specific institution; these may be difficult, if not impossible, to interface with other systems. As it is necessary to upgrade or replace these systems, the institution must weigh the advantages and disadvantages of alternatives that may better meet the needs of the organization. These might include retaining current systems, providing a new look and easier access to legacy software via a Web interface, new versions of vendor software, client/server or thin client technologies, outsourcing services, or using an application service provider (ASP).
Rationale 3: An institution using a mainframe legacy system would most benefit from a complete computer system upgrade. These legacy systems are often individualized to the specific institution; these may be difficult, if not impossible, to interface with other systems. As it is necessary to upgrade or replace these systems, the institution must weigh the advantages and disadvantages of alternatives that may better meet the needs of the organization. These might include retaining current systems, providing a new look and easier access to legacy software via a Web interface, new versions of vendor software, client/server or thin client technologies, outsourcing services, or using an application service provider (ASP).