Directions: This is a comprehensive final examination covering material from lectures, readings, web sites handouts and class notes. It is open-book, open-note. You may work in groups if you wish. The only rule, everyone's name must be on the exam. Answer all questions directly on the examination. There are no trick questions. Every multiple-choice question has ONLY one correct answer. This examination is worth 250 points. Each multiple choice/true-false question is worth 3.5 points. The single essay question is worth 5 points. Part I: Multiple Choice Questions 1. Why is it difficult to integrate information from all hospital departments into a single hospital information system? a. Individual departments want to obtain & maintain specialized systems b. Hospital departments are organized along vertical lines while the continuum of care for patients flows along horizontal lines c. Patient care systems & financial management systems are incompatible with each other d. Each department is required by law & the Joint Commission on Accreditation of Hospitals & Health Care Organizations to maintain specific information for billing & accreditation purposes e. Individual departments do not see the value in comprehensive patient records 2. Which of the following groups of activities represent challenges to the technologist when building an integrated hospital information system? a. Synthesizing different types of information into a cohesive whole, getting all departments to agree to a single billing procedure, realigning traditional departments into a case management model b. Synthesizing different types of information into a cohesive whole, getting all departments to agree to a single care model, realigning traditional departments into a case management model c. Allowing specific departments to retain their individualized information systems, getting all departments to agree to a single billing procedure, realigning traditional departments into a case management model d. Synthesizing different types of information into a cohesive whole, getting all departments to agree to a single billing procedure, keeping all hospital departments within the traditional vertical structure e. Allowing all departments to retain their individual information systems, allowing all departments to have their own billing system, keeping all hospital departments separate but equal 3. The conceptual components of informatics are: 1 a. Management, processing, & transformation b. Data, information, & paradigms c. Data, information, & knowledge d. Management, processing, & data e. Management, processing, & knowledge 4. Several colleges have suggested that Wikipedia™ be banned as a resource for academic papers. Which of the following statements support that ban? a. Wikipedia™ cannot be considered a primary source of information b. Wikipedia™ cannot be considered an authoritative source of information c. Wikipedia™ is sometimes unreliable d. Wikipedia™ allows almost anyone to edit most of its articles e. All of the above 5. When would you use the word “and” in a literature search? a. When you want to eliminate citations with a certain term in the title b. When only one of multiple search terms must be in the title of the citation c. When all of multiple search terms must be in the title of the citation d. When you want to index a particular article e. When you want the abstract of the citations to be included in the literature search 6. What is a refereed journal? a. Any scholarly journal b. Any journal with a title that begins with “The Journal of…” c. A journal that uses a blind review process to determine the suitability and worth of articles received for publication d. Any journal that can be found on Ohio Link or through Kelvin Smith Library e. Any journal edited by someone with a Ph.D. 7. Several indexes to scholarly literature can be found in the library. Which one of these indexes has the most applicability to the profession of Nursing? a. MEDLARS b. MEDLINE c. ERIC d. CINAHL e. Social SciSearch 8. Why are informatics nurse specialists and nurse scholars so interested in nursing nomenclatures, taxonomies, and classification? a. It gives them something to do b. The information is used to capture, store, and manipulate data in electronic health records c. It enhances the credibility of the profession 2 d. It allows nurses to clearly define the profession for physicians e. All of the above 9. How many classification systems are recognized by the American Nurses Association? a. Six b. Four c. Thirteen d. Seven e. None