Rationale 2: From a health information technology perspective, health care research has been impeded by all of
these except a rapid adoption of data exchange standards. Slow adoption of data exchange standards and uniform
languages, a failure to realize a birth-to-death electronic health record, limited interoperability, limited health
information exchange, concerns over the confidentiality of private health information, and limited funding all
hinder research. Many technical issues also still need to be resolved.
Rationale 3: From a health information technology perspective, health care research has been impeded by all of
these except a rapid adoption of data exchange standards. Slow adoption of data exchange standards and uniform
languages, a failure to realize a birth-to-death electronic health record, limited interoperability, limited health
information exchange, concerns over the confidentiality of private health information, and limited funding all
hinder research. Many technical issues also still need to be resolved.
Rationale 4: From a health information technology perspective, health care research has been impeded by all of
these except a rapid adoption of data exchange standards. Slow adoption of data exchange standards and uniform
languages, a failure to realize a birth-to-death electronic health record, limited interoperability, limited health
information exchange, concerns over the confidentiality of private health information, and limited funding all
hinder research. Many technical issues also still need to be resolved.
Rationale 5: From a health information technology perspective, health care research has been impeded by all of
these except a rapid adoption of data exchange standards. Slow adoption of data exchange standards and uniform
languages, a failure to realize a birth-to-death electronic health record, limited interoperability, limited health
information exchange, concerns over the confidentiality of private health information, and limited funding all
hinder research. Many technical issues also still need to be resolved.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:
Question 12
Type: MCSA
The Health Insurance Portability and Accountability Act (HIPPA) requires health care providers and insurers to
obtain additional documentation from researchers related to assurances of patient safety and confidentiality.
Which of the following is the key concern about human subjects in health care research?
1. That all subjects are protected from the researcher getting access to their confidential information before
disclosing their health information
2. That authorization is still required even if an institutional review board grants a waiver or alteration of
authorization requirements
3. That authorization is still required even if information has been de-identified according to Privacy Rule
standards
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4. That one signed authorization form for research is valid for a current research study and covers any future
research projects
Question 13
Type: MCMA
Constant changes in health care and its delivery creates challenges for clinicians to keep abreast of the latest
evidence-based practice (EBP) findings and recommendations. What can health care professionals do in order to
narrow the time in synthesizing research from the “bench” to the client‘s “bedside”?
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Standard Text: Select all that apply.
1. Use available toolkits to locate existing guidelines and develop EBP guidelines.
2. Locate nursing research Web links.
3. Enroll in a doctoral program.
4. Foster health care informatics skills.
5. Join a focused online discussion group to help identify specific areas for EBP or original research.
Question 14
Type: MCSA
Which of the following statements about evidence-based practice (EBP) is true?
1. Hospitals have not yet begun to build EBP into their clinical ladders.
2. The standards of practice are not currently established with evidence-based competencies.
3. Staff nurses indicate higher levels of familiarity with EBP than advanced practice nurses.
4. A number of facilities now consider EBP to be part of everyday clinical practice.
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
Question 15
Type: MCSA
A program outcome essential for health care students is that they be skilled in which of the following?
1. Electronic spreadsheet applications
2. Electronic database management applications
3. Applications that facilitate electronic literature searches
4. Electronic slide presentation applications
Question 16
Type: MCMA
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Copyright 2012 by Pearson Education, Inc.
The lack of a common language to facilitate data collection and decision making was recognized as a problem in
health care and nursing several years ago. Which of the following are recognized nursing languages?
Standard Text: Select all that apply.
1. CCC
2. UMLS
3. NOC
4. PNDS
5. ICNP
Question 17
Type: MCSA
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
Knowledge discovery in databases (KDD) is a term used in other industries that is now seen in health care circles.
Which of the following statements about KDD is accurate?
1. It is a powerful tool suitable for the analysis of large or small amounts of data.
2. It is not available commercially, but platforms can be custom built to suit the facility.
3. The confidentiality of individual records may be protected through the use of data perturbation.
4. The lack of bias is guaranteed by the vendor related to the complex patterns in collected data.
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
Question 18
Type: MCSA
Sigma Theta Tau International completed a landmark EBP study in 2006. Which of the following was included in
the findings?
1. Nurses are comfortable seeking information to provide EBP patient care and had sufficient access to
appropriate materials to personally engage in EBP.
2. Nurses who entered practice less than two years earlier were least comfortable with providing EBP patient care.
3. Nurses who entered practice five or more years earlier were most comfortable with providing EBP patient care.
4. Nurses lacked access to appropriate materials to personally engage in EBP.
Question 19
Type: MCSA
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
Clinical researchers have experienced barriers due to HIPPA. These researchers need to be aware of HIPAA’s
Privacy Rule because it establishes the conditions under which covered entities can use or disclose PHI. Which of
the following statements about HIPPA covered entities is accurate?
1. Researchers are not covered entities unless they are also health care providers or employed by a covered entity
or engage in any of the electronic transactions covered under HIPAA.
2. Researchers are always considered to be covered entities for transactions covered under HIPAA so long as they
are conducting a valid study.
3. When difficulties arise with small sample size, covered entities are not allowed to disclose PHI to researchers to
aid in study recruitment.
4. Covered entities do not include providers that transmit health information electronically for HIPAA
transactions, health plans, and clearinghouses unless they are certified via a national examination.
Question 20
Type: MCSA
Standardized languages provide a mechanism to ensure common meanings to terms, facilitate data collection, and
aid research. Which of the following languages includes all nursing specialties and demonstrates the ability to
encompass other standardized nursing languages?
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1. ICNP
2. NANDA
3. NIC
4. NOC
Question 21
Type: MCSA
Which of the following best supports the need for translational research in health care?
1. More emphasis will be placed on interdisciplinary translation of research in the coming decade.
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.