Deck 9: Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making

Question 1

Reflect on the SDLC in relation to the quality of the organizational decision making throughout the project. What are some of the major stumbling blocks faced by healthcare organizations?

Answer 1

No Answer

Question 2

Why is it important for all nurses and healthcare professionals to understand the basics of how information systems are selected and implemented?

Answer 2

No Answer

Question 3

Rapid application development is:

A) a fast way to add functionality through prototyping and user testing.
B) committed to spending a lot of time in the requirements-gathering phase using focus groups and workshops.
C) sequential and linear in its approach.
D) All of these are correct.

Answer 3

A

Question 4

Object-oriented systems development (OOSD) uses object-oriented modeling to represent real:

A) institutional objects.
B) world objects.
C) systems objects.
D) user objects.

Question 5

The dynamic system development method (DSDM) is:

A) a four-phase approach.
B) highly user oriented during phase 3.
C) highly iterative.
D) detail oriented with minimal user involvement.

Question 6

Which of the following focuses on the look and feel and verifies the data that are required or essential?

A) Feasibility
B) Analysis
C) Design
D) Testing

Question 7

What term refers to teasing out the requirements for the system after studying the business needs of the organization in detail?

A) Feasibility
B) Analysis
C) Design
D) Testing

Question 8

The object-oriented systems development model is a highly linear approach.

Question 9

During beta testing, users put the new system through its paces to make sure it does what they need it to do to perform their jobs.

Question 10

Interoperability is the ability to share information across organizations.

Question 11

The rapid application development approach uses informal communication, repurposes components, and typically follows a fast-paced schedule.

Question 12

To transform health care, it is necessary for clinicians to use information systems that can share patient data.

Question 13

Class hierarchy allows objects to inherit characteristics or attributes from parent classes, which fosters object reuse resulting in less coding.

Question 14

The systems development life cycle can occur only within an organization and should not be outsourced.

Question 15

Technological and systems feasibility addresses the issues of technological capabilities, including the expertise and infrastructure to complete the project.

Question 16

MoSCoW stands for "Must have, Should have, Could have, and Would have." The "must have" requirements are needed to meet the business needs and are critical to the success of the project.

Question 17

Developing systems that truly meet business needs is an easy task and quite simple when the correct approach is chosen.

Question 18

The systems development life cycle can be a blend of two approaches.

Question 19

MoSCoW stands for "Must have, Should have, Could have, and Would have". The "should have" requirements are those that would be great to have if possible, but the success of the project does not depend on them being addressed.

Question 20

A nurse is presenting an idea on the incorporation of health information technology into a clinical setting. The initial step is to perform a feasibility study, which is used for what purpose?

A) To determine if a project should be started and supported
B) To determine if a project can be conducted with the resources at hand
C) To determine if a project should be discontinued
D) To determine when a project should be evaluated for success

Question 21

An informatics nurse is assessing a healthcare system to see what expertise and infrastructure are needed to complete the integration of an electronic health record system. This is which type of feasibility study?

A) Technological and systems feasibility
B) Operational feasibility
C) Economic feasibility
D) Schedule feasibility

Question 22

An informatics nurse is showing a group of nurses a prototype of an electronic health record. The nurse is soliciting feedback from the group. This is part of which phase of rapid action development?

A) A rapid requirements-gathering phase
B) A rapid requirements-implementation phase
C) A rapid requirements-evaluation phase
D) A rapid requirements-feasibility phase

Question 23

An informatics nurse is educating healthcare professionals on a new electronic health record. In the dynamic system development method, the informatics nurse is facilitating which step of the project life cycle?

A) Implementation
B) Introduction
C) Feasiblity
D) Final review

Question 24

An informatics nurse is introducing a new health information technology and is using programming that supports the interactions of objects. The nurse has selected which type of systems development?

A) Object-oriented systems development
B) Dynamic system development
C) Rapid system development
D) Computer-aided system development

Question 25

A nurse is using a computer-aided software engineering tool in the implementation phase of a new health information technology system. The nurse is using which type of tool?

A) Lower-CASE tool
B) Upper-CASE tool
C) Open source software
D) Free source software

Question 26

A computer-aided software engineering tool is being used to assist in the design of a new health technology, and the informatics team uses this tool for which of the following reasons?

A) Reduction of cost and development time
B) Support of implementation
C) Reduction of standardization across systems
D) Moderation of code libraries

Question 27

A nurse is explaining the challenges of health information technology across health systems to share patient information with a nursing student. Which statement is correct?

A) "There has historically been a lack of buy-in and support from stakeholders about health information technology."
B) "There is not a sense of urgency in the integration of health information technology."
C) "Patient information does not need to be shared across healthcare systems."
D) "Technology in health care is advanced far beyond health care."

Question 28

A nurse is sharing patient information with another healthcare system using a health information technology. The nurse is facilitating which of the following by sharing this information?

A) Quality of patient care
B) Probability of medical error
C) Increased financial cost to the healthcare system
D) Healthcare provider access to knowledge

Question 29

A physician is using an electronic health record in a clinic that can be accessed by a partnering healthcare provider in another facility. This is an example of which of the following?

A) Interoperability
B) Open source access
C) Repository
D) Integration

Question 30

An informatics nurse is performing a cost-benefit analysis on the implementation of a health information technology. Which phase of the waterfall model is the project in?

A) Feasibility
B) Design
C) Implementation
D) Maintenance

Question 31

An informatics nurse is developing a plan to integrate an elaborate electronic health record that will require modifications over time. The informatics nurse chooses to not use the waterfall model because:

A) there is no way to address necessary changes to the system once it has been developed using the waterfall model.
B) the waterfall model is used for the most complex projects only.
C) the waterfall model is highly effective in projects that require changes over time.
D) each stage of the waterfall model does not have to be completed before the next, which is required in the implementation of technology.

Question 32

An informatics nurse is consulting on a prototype electronic health record. The nurse will use which of the following to assess its functionality?

A) User testing on the prototypes
B) Modeling in clinical setting
C) Modifying object modeling
D) Timeboxing the project

Question 33

A health informatics team is developing a high-quality telehealth technology that needs to be implemented in 3 months. Which development approach is most appropriate?

A) Rapid application development
B) Object-oriented systems development
C) Dynamic system development
D) The waterfall model

Question 34

An informatics nurse is working with end users who are testing a new electronic health record by using it on a daily basis. Which of the following will the informatics nurse gather?

A) Feedback from the end users
B) Computer data on documentation times
C) Qualitative data on the end users
D) Cost-benefit analysis

Question 35

An informatics nurse is using a computer-aided engineering tool that helps design and analyze an object-oriented system. Which type of computer-aided engineering tool is the nurse using?

A) Upper-CASE tool
B) Lower-CASE tool
C) Open source software
D) Free source software

Question 36

A nurse is educating a nursing student on open source software. Which statement by the nurse is correct?

A) "Open source software is being integrated into healthcare so we can share patient data between healthcare systems."
B) "Advances in healthcare have not kept up with technology, and this has caused a lag in communications among healthcare providers."
C) "Healthcare administrators have fully supported integration of technology, no matter the cost."
D) "There is no sense of urgency in the adoption of healthcare technologies; we have what we need."

Question 37

A healthcare provider in a medical clinic enters patient data into the electronic record. The patient is admitted into an inpatient facility, and another healthcare provider reviews the patient record from the clinical. This is an example of which of the following?

A) Interoperability
B) Collaborative networks
C) Open source software
D) Computer-aided engineering

Question 38

With open source software, any programmer can implement but cannot reconstruct or restructure source codes.

Question 39

There needs to be united efforts to create systems that are integrated and interoperable to improve the future of health care.