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Rationale 5: -Network infrastructure: cable installation, wiring, access points, technical standards
-Type of workstation or mobile device: networked personal computer (PC), thin client, wireless or handheld
device such as a personal digital assistant (PDA), mobile laptop PC that uses radiofrequency technology
-Workstation location strategy: plan for locating and using the hardware
-Hardware location requirements: adequate power sources, cabling capacity, reception and transmission
capabilities, privacy to protect health information from casual view
-Printer decisions: number of printers, locations of printers, features such as the number of paper trays and fonts,
security to ensure that printed output is handled with full regard for privacy of information
Global Rationale:
Cognitive Level: Understanding
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:
Question 20
Type: MCMA
Considerable planning must be done before the go-live event. Which of the following are specific examples of
planning elements?
Standard Text: Select all that apply.
1. Implementation strategy is determined
2. Decisions must be made regarding what information will be back loaded or preloaded
3. Support schedule is developed
4. Evaluation procedures are addressed
5. Procedure developed to request changes after the go-live event
Question 21
Type: MCSA
Which of the following statements is true about the test environment?
1. The findings of the system test always indicate how well the system will perform in the live environment.
2. The test environment is not exactly the same as the live environment, because the live environment is much
larger and more complex.
3. The test environment is unnecessary with the progress made in technology.
4. The test environment is done for training purposes.
Question 22
Type: FIB
_________________ creep is the unexpected and uncontrolled growth of user expectations as the project
progresses.
Standard Text:
Correct Answer: Scope
Rationale : Scope creep is the unexpected and uncontrolled growth of user expectations as the project progresses
whereas feature creep is the uncontrolled addition of features or functions without regard to timelines or budget.
Global Rationale:
Cognitive Level: Understanding
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:
Question 23
Type: MCSA
Which of the following best defines data dictionaries?
1. Data dictionaries contain lists and definitions of all terms used.
2. Data dictionaries contain actual data.
3. Data dictionaries have nothing to do with data quality.
4. Data dictionaries can be found in the nursing office.
Question 24
Type: MCSA
Although an information system may be replaced, which of the following answer best describes the impact on the
information system's life cycle?
1. The life cycle is an ongoing process that never ends.
2. The life cycle and information system are unrelated.
3. The life cycle stops to upgrade the system.
4. The life cycle is altered with any upgrade.
Question 25
Type: MCSA
Which of the following is not an example of a function?
1. Upgrading
2. Order entry
3. Results reporting
4. Documentation
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
Question 26
Type: MCSA
To change the culture of any work environment, the nurse as a leader can promote innovation and minimize
resistance through which of the following?
1. Demanding staff listen to rationale behind the changes
2. Planning a strategy to support people and process changes
3. Asking staff to trust their colleagues
4. Understanding that the change is for their benefit
Question 27
Type: MCSA
Any significant change in the workplace can lead to discomfort and resistance. Which of the following statements
can decrease staff resistance to the implementation of a new system?
1. "Give it time, you will like it."
2. "Perhaps you need more staff development programs."
3. "We know what we are doing. The committee has worked on this project for months."
4. "If you find that its functions are not user-friendly, the committee can make the appropriate changes."
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
Question 28
Type: MCSA
A group of staff nurses working on the hospice unit have notoriously been opposed to technology use. They assert
technology is not essential for the care of people who are actively dying and have decided not to participate in the
training process. What can be done by committee members to decrease resistance in this setting?
1. Data can be collected and stored electronically to develop evidence-based practice models which would be
useful in alleviating the suffering of the dying.
2. Have the head nurse document the resistance in each person's file.
3. Have the director of human resources attend the next staff meeting to review position descriptions.
4. Terminate staff that refuse to participate in training.
Question 29
Type: MCSA
Successful implementation of a system can be facilitated by addressing significant barriers presented by staff.
Which aspect of resistance should be addressed by committee members during the planning phase?
1. Staff members need to control the workflow and do not want changes imposed on them.
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
2. The impact of the change on off shift personnel
3. The nurse to patient ratio
4. Emotions of staff
Question 30
Type: MCSA
Clinical operation disruption is can be minimized through which of the following?
1. Identification of the processes and their changes are included in training.
2. Following the IT liaison's demands for perfection
3. Making the changes during the night shift
4. Spending money on a consultant.
