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Chapter 23
Question 1
Which is the most likely reason for a college of nursing to offer distance learning courses?
1. To decrease faculty workload by automating course content and lectures
2. To facilitate computer literacy in students who are unfamiliar with computers
3. To minimize student contact with faculty by using e-mail and the Internet
4. To extend geographic boundaries and reach increased numbers of students
Correct Answer: 4
Rationale 1:
There is a strong push among nursing colleges to offer distance education in order to increase
geographical boundaries. Distance education also allows nursing programs to improve
student access, meet student demands, remain viable, and keep students on the cutting edge
of technology. Workload, however, is not decreased; faculty must vigorously initiate contact
with students to maintain interaction and students must have fundamental computer skills to
take the courses.
Rationale 2:
Distance education also allows nursing programs to improve student access, meet student
demands, remain viable, and keep students on the cutting edge of technology. Workload,
however, is not decreased; faculty must vigorously initiate contact with students to maintain
interaction and students must have fundamental computer skills to take the courses.
Rationale 3:
Education also allows nursing programs to improve student access, meet student demands,
remain viable, and keep students on the cutting edge of technology. Workload, however, is
not decreased; faculty must vigorously initiate contact with students to maintain interaction
and students must have fundamental computer skills to take the courses.
Rationale 4:
Workload, however, is not decreased; faculty must vigorously initiate contact with students to
maintain interaction and students must have fundamental computer skills to take the courses.

Question 2
Which student may be least suited for a distance learning class?
1. A 20-year-old professional nursing student in the last semester of the program
2. A 38-year-old RN to BSN student returning to school after a 14-year absence
3. A 24-year-old graduate nursing student in a nurse practitioner program
4. A 48-year-old RN who has just completed one year of master's level courses
Correct Answer: 2
Rationale 1:
Students in current programs are exposed to computers and technology through their courses;
older students who are returning to school may lack certain skills. However, each student
must be individually considered.
Rationale 2:
Programs are exposed to computers and technology through their courses; older students who
are returning to school may lack certain skills. However, each student must be individually
considered.
Rationale 3:
Technology through their courses; older students who are returning to school may lack
certain skills. However, each student must be individually considered.
Rationale 4:
However, each student must be individually considered.
Question 3
Web-based instruction (WBI) makes use of the hypertext capabilities of the Web. Which
principle would best guide faculty who are teaching a Web-based course?
1. Assign group projects for students to encourage interaction and discussion among students
2. Use the latest version of software to encourage efficient and timely student response
3. Make detailed, lengthy documents for students to download and peruse at their leisure

4. On the class website, load multimedia presentations that utilize plug-ins to enhance
instruction
Correct Answer: 1
Rationale 1:
Group projects stimulate student interaction; this is important when students do not meet
physically. Simple, short materials should be posted; because student equipment is variable,
faculty should provide materials that can be accessed by older software programs without
plug-ins.
Rationale 2:
Simple, short materials should be posted; because student equipment is variable, faculty
should provide materials that can be accessed by older software programs without plug-ins.
Rationale 3:
Faculty should provide materials that can be accessed by older software programs without
plug-ins.
Rationale 4:
Group projects stimulate student interaction; this is important when students do not meet
physically.
Question 4
Which of the following is a potential disadvantage of Web-based instruction (WBI) for
nursing students?
1. Learning time is prolonged due to the downloading of large learning modules.
2. The locus of control for learning lies with the student.
3. Online access is limited to those students who have a computer with Internet service.
4. Socializing students to their chosen profession is difficult.
Correct Answer: 4
Rationale 1:

WBI poses difficulties about the ability to socialize students to their chosen profession. This
is because there are usually no regular, face-to-face meetings between the faculty and the
student and among the students themselves. Downloading large learning modules does not
prolong learning time. Large files are usually compressed for easy download within a short
period of time.
Rationale 2:
The locus of control for learning does lie with the student; however, that is not a potential
disadvantage.
Rationale 3:
WBI poses difficulties about the ability to socialize students to their chosen profession. This
is because there are usually no regular, face-to-face meetings between the faculty and the
student and among the students themselves. Some students may not have a computer with
Internet service at home but there are libraries that provide them.
Rationale 4:
WBI poses difficulties about the ability to socialize students to their chosen profession. This
is because there are usually no regular, face-to-face meetings between the faculty and the
student and among the students themselves.
Question 5
A virtual learning environment (VLE) is a system that uses the Internet to assist faculty in
developing, managing, and administering educational materials for students. Which type of
continuing nursing education content is least suited for a VLE alone?
1. A program reviewing assessment of heart and lung sounds
2. A refresher program on various types of injection administration skills
3. A program reviewing drug calculations and dosages for medication administration
4. A program reviewing documentation for an electronic medical record
Correct Answer: 2
Rationale 1:

Continuing nursing education using VLE is useful for a variety of subjects. However, content
with heavy skill components should be paired with some actual time in a nursing skills
laboratory.
Rationale 2:
Continuing nursing education using a Virtual Learning Environment (VLE) is indeed
effective for a wide range of subjects. However, when it comes to content heavily reliant on
hands-on skill development, such as various types of injection administration skills, simply
utilizing a VLE may not suffice.
Rationale 3:
While theoretical knowledge and conceptual understanding can be effectively conveyed
through online platforms, mastering injection administration often requires practical
experience and direct supervision.
Rationale 4:
Therefore, pairing such content with actual time in a nursing skills laboratory ensures that
learners not only understand the concepts but also gain proficiency in performing the skills
accurately and safely. This blended approach optimizes the learning experience, making it
more comprehensive and applicable in real-world nursing practice.
Question 6
Three emergency room nurses are planning community education offerings that will use the
American Heart Association's "Heartsaver CPR" training. Which of these would be a
disadvantage to using manikin simulation technology for CPR skills practice and testing?
1. More instructors would be needed to oversee the training and testing.
2. Instruction time may be increased for training and testing purposes.
3. Participants may need to perform the skills several times to pass the test.
4. Initial costs for program implementation may be increased.
Correct Answer: 4
Rationale 1:

Initial costs for implementation of a simulation program would be high. However, in the long
run, costs are reduced, as participants may need fewer instructors and less instruction time.
Participants may practice under a variety of conditions and contexts to test their skills, which
may improve their confidence.
Rationale 2:
Participants may practice under a variety of conditions and contexts to test their skills, which
may improve their confidence.
Rationale 3:
However, in the long run, costs are reduced, as participants may need fewer instructors and
less instruction time. Participants may practice under a variety of conditions and contexts to
test their skills, which may improve their confidence.
Rationale 4:
Implementation of a simulation program would be high. However, in the long run, costs are
reduced, as participants may need fewer instructors and less instruction time. Participants
may practice under a variety of conditions and contexts to test their skills.
Question 7
Schools of nursing are employing the use of virtual learning environments (VLEs) to teach
students. Which of the following are considered advantages to VLEs?
1. Learners can proceed at a pace conducive to comprehension.
2. Learning offered at any site that has computer access
3. Learners can skim through familiar content and focus on weak areas.
4. 24-hour access
5. Consistent instruction in a safe environment
Correct Answer: 1,2,3,4,5
Rationale 1:
One of the key advantages of Virtual Learning Environments (VLEs) is the flexibility they
offer to learners. With VLEs, students can proceed through the material at a pace that suits

their individual comprehension levels. This personalized learning approach ensures that each
student has the opportunity to fully grasp the concepts before moving on to the next topic,
enhancing overall understanding and retention.
Rationale 2:
VLEs provide the convenience of accessing educational resources from any location with
computer access and an internet connection. This accessibility eliminates geographical
barriers, allowing students to engage in learning regardless of their physical location.
Whether at home, in a library, or at a coffee shop, learners can conveniently access course
materials and participate in online discussions, enhancing the accessibility and convenience
of education.
Rationale 3:
Another advantage of VLEs is the ability for learners to navigate through course content
according to their individual needs. Students can quickly review familiar concepts and spend
more time focusing on areas where they require additional clarification or practice. This
flexibility empowers learners to tailor their learning experience to address their specific
strengths and weaknesses, thereby maximizing the effectiveness of the educational process.
Rationale 4:
VLEs typically offer 24-hour access to learning materials, allowing students to engage with
course content at any time that suits their schedule. This around-the-clock availability
accommodates diverse learning preferences and lifestyles, enabling individuals to balance
their educational pursuits with work, family commitments, and other responsibilities. The
flexibility of accessing materials at any hour enhances the convenience and inclusivity of
education, catering to the needs of a diverse student population.
Rationale 5:
Virtual Learning Environments provide a consistent instructional experience within a safe
and controlled online environment. Unlike traditional classrooms where factors like
classroom disruptions or varying teaching styles may impact consistency, VLEs offer a
standardized platform for delivering course content and instructions. This consistency ensures
that all students receive uniform access to educational resources and instructional materials,
fostering a conducive learning environment conducive to academic success.

Question 8
Virtual Learning Environments (VLEs) are used more in the classroom as a learning tool for
nurses. Which of the following statements is accurate about the use of VLEs?
1. VLEs allow learners to practice new skills without fear of harm to themselves or others.
2. VLEs are difficult to navigate in a classroom setting.
3. Faculty members have difficulty creating measurable objectives for its use.
4. VLEs technology intimidates contemporary student nurses.
Correct Answer: 1
Rationale 1:
VLEs provide consistent instruction in a safe environment, thereby, allowing learners to
practice new skills without fear of harm to themselves or others.
Rationale 2:
VLEs are becoming more user-friendly with the benefits outweighing the time spent learning
how to incorporate the simulation in a classroom setting.
Rationale 3:
Faculty can create measurable objectives for any learning activity.
Rationale 4:
Today's student nurses have been working with computers and simulation since preschool.
The students are comfortable with this technology.
Question 9
Which of these would best prepare a nursing student for the National Council Licensure
Examination for Registered Nurses (NCLEX-RN®)?
1. Purchase a review text with a companion compact disc that has links to study sites on the
Internet.
2. Purchase a review text with companion compact disc containing NCLEX-RN® types of
questions.

3. Purchase a review text that has practice questions and drills on a compact disc, including
test answers.
4. Form a study group to review subject content and surf the Internet for review sites and
links.
Correct Answer: 2
Rationale 1:
NCLEX-RN® uses computer-adaptive testing (CAT) that tailors the examination to the
individual student. The student should practice under similar conditions to the actual
NCLEX-RN®.
Rationale 2:
The student should practice under similar conditions to the actual NCLEX-RN®.
Rationale 3:
Purchase a review text that has practice questions and drills on a compact disc, including test
answers. It uses computer-adaptive testing (CAT) that tailors the examination to the
individual student. The student should practice under similar conditions to the actual
NCLEX-RN®.
Rationale 4:
Form a study group to review subject content and surf the Internet for review sites and links.
NCLEX-RN® uses computer-adaptive testing (CAT) that tailors the examination to the
individual student. The student should practice under similar conditions to the actual
NCLEX-RN®.
Question 10
Which statement is true concerning health care professional continuing education taken over
the Internet?
1. Feedback may be delayed while data are collected for the continuing education certificate.
2. Instruction is too generalized to meet the needs of specific targeted populations.
3. Personnel may attend continuing education programs at any time convenient for the
participant.

4. Where continuing education is mandatory, utilizing the Internet causes documentation
concerns.
Correct Answer: 3
Rationale 1:
Feedback delay due to data collection for continuing education certificates is not a common
characteristic of online continuing education programs. In fact, many online platforms
provide immediate feedback through automated systems, quizzes, and assessments,
enhancing the learning experience for participants. Therefore, this statement is not true
concerning health care professional continuing education taken over the Internet.
Rationale 2:
Online continuing education programs can be tailored to meet the specific needs of targeted
populations through various means such as customizable modules, specialized courses, and
interactive content. Providers of online education often have the flexibility to adapt their
materials to cater to the diverse requirements of different healthcare professionals and
specialties. Thus, the assertion that instruction is too generalized is not necessarily true for
internet-based continuing education in healthcare.
Rationale 3:
One of the significant advantages of online continuing education for healthcare professionals
is the flexibility it offers regarding scheduling. Participants can attend virtual classes,
complete modules, or engage in learning activities at their convenience, irrespective of their
location or time zone. This flexibility accommodates busy schedules, shift work, and other
professional commitments, making it easier for personnel to fulfill their continuing education
requirements without disrupting their work or personal life.
Rationale 4:
Utilizing the internet for continuing education does not inherently cause documentation
concerns, especially where it is mandatory. Online platforms often provide robust
documentation systems that track participation, completion of courses, and issuance of
certificates. These systems are designed to meet regulatory requirements and ensure
compliance with mandatory continuing education standards. Therefore, the assertion that the

internet causes documentation concerns is not necessarily true in the context of healthcare
professional continuing education.
Question 11
Which of the following is an advantage to computer generated discharge instructions for
postoperative clients?
1. The physician only provides clients with information necessary for each case.
2. Repetition of the information helps clients to remember pertinent details.
3. Consistent instructions may be generated very quickly for each client.
4. Nurses include what they feel is most important for each client.
Correct Answer: 3
Rationale 1:
While computer-generated discharge instructions can tailor information to each case, this
statement does not specifically address an advantage of such instructions. It merely states a
function of the system without highlighting its benefits.
Rationale 2:
Repetition of information may aid clients in remembering details, but this statement does not
directly relate to the advantage of computer-generated discharge instructions. The advantage
lies more in the consistency and efficiency of generating instructions rather than repetition for
memory retention.
Rationale 3:
Computer-generated discharge instructions can quickly generate consistent instructions for
each client. This efficiency saves time for healthcare providers and ensures that all patients
receive the necessary information without delays or inconsistencies.
Rationale 4:
In contrast to the advantages of computer-generated instructions, this statement suggests a
potential issue where nurses might prioritize information differently for each client. However,
it does not address the specific advantage of computer-generated instructions in providing
consistent and quickly generated instructions for postoperative clients.

Question 12
Web 2.0 is a second phase of the World Wide Web development. Which of the following
technologies are included in Web 2.0?
1. Podcasts
2. Blogs
3. Wikis
4. YouTube
5. Vodcasts
Correct Answer: 1,2,3,4,5
Rationale 1:
Podcasts are part of Web 2.0 technologies as they allow users to create, share, and distribute
audio content over the internet. Users can subscribe to podcasts and listen to them on various
devices, making them a significant component of the interactive and participatory nature of
Web 2.0.
Rationale 2:
Blogs are a key component of Web 2.0, enabling individuals to publish content, express
opinions, and engage in discussions online. They facilitate user-generated content and
collaboration, embodying the principles of openness, participation, and sharing characteristic
of Web 2.0.
Rationale 3:
Wikis are collaborative platforms that allow users to create, edit, and share content
collectively. They enable decentralized content creation and editing, promoting collaboration
and knowledge sharing among users. Wikis exemplify the principles of user participation and
collective intelligence inherent in Web 2.0.
Rationale 4:
YouTube, a video-sharing platform, is considered a Web 2.0 technology. It enables users to
upload, share, and view videos, fostering user-generated content and interaction. YouTube's

accessibility and social features align with the principles of participation and sharing
characteristic of Web 2.0.
Rationale 5:
Vodcasts, or video podcasts, are multimedia files distributed over the internet for playback on
mobile devices and personal computers. Vodcasts share similarities with podcasts but include
video content. They represent a form of user-generated media that aligns with the
participatory nature of Web 2.0, making them an integral part of the technological landscape
associated with this phase of the World Wide Web.
Question 13
Which of the following devices are increasingly being deployed to facilitate learning?
1. Personal Digital Assistants
2. Cell phones
3. Classroom response systems (CRS)
4. Laptop computers
Correct Answer: 3
Rationale 1:
Personal Digital Assistants or PDAs are an increasingly popular choice for nurses and other
health care professionals. You may find a PDA to be a big help in your work. PDAs are a
convenient way to store and access health care information. They are small (fit in a pocket or
small pouch), are inexpensive, and can be frequently updated (unlike traditional reference
books).
However, classroom response systems (CRS) are increasingly being deployed to facilitate
learning via the use of handheld transmitters.
Rationale 2:
Smart phone technology has become increasingly more sophisticated; however, instructors
are using the clickers to identify student knowledge base during classroom activities.
Rationale 3:

Classroom response systems (CRS) are increasingly being deployed to facilitate learning via
the use of handheld transmitters. This hardware and software makes use of a “clicker” that
beams information showing the response to specific, real time questions projected overhead
to a group of students to a receiver on the instructor’s computer which transforms the data
into a chart detailing the responses. Some CRS systems work via other mobile devices such
as student cell phones, PDAs, or laptops (Turning Technologies, 2010).
Rationale 4:
Laptops are considered part of the learning process. However, clickers are more interactive in
a classroom and help the instructor to identify successful learning.
Question 14
The community health nurse is designing a four week e-learning program for rural diabetic
clients. One concern is that some of these clients may feel isolated. Which of the following
could the nurse employ to prevent feelings of isolation?
1. Additional written assignments
2. Audio narrated lecture assignments
3. Message board assignments
4. Video enabled Skype assignments
5. Synchronous online chats
Correct Answer: 3,4,5
Rationale 1:
Message boards and video enabled Skype create an interactive environment. Other
technologies that would also help include whiteboards and instant messaging. Additional
written assignments and lectures to watch and listen to may be good for some of the elearning but would not help those who feel isolated.
Rationale 2:
The technologies that would also help include whiteboards and instant messaging. Additional
written assignments and lectures to watch and listen to may be good for some of the elearning but would not help those who feel isolated.

Rationale 3:
Additional written assignments and lectures to watch and listen to may be good for some of
the e-learning but would not help those who feel isolated.
Rationale 4:
Other technologies that would also help include whiteboards and instant messaging.
Additional written assignments and lectures to watch and listen to may be good for some of
the e-learning but would not help those who feel isolated.
Rationale 5:
Synchronous online chats enable the student and faculty to have real time interaction.
Question 15
When comparing various uses of computing, which of these works well for corporate
training?
1. Chat room
2. Wiki
3. E-mail
4. E-learning
Correct Answer: 4
Rationale 1:
E-learning works well for corporate training because it allows users to skip material that they
already know. It is considered to be efficient for corporate purposes. A chat room would be
too limiting for training purposes.
Rationale 2:
E-learning works well for corporate training because it allows users to skip material that they
already know. It is considered to be efficient for corporate purposes. Wikis would be too
limiting for training purposes.
Rationale 3:

E-learning works well for corporate training because it allows users to skip material that they
already know. It is considered to be efficient for corporate purposes. E-mail would be too
limiting for training purposes.
Rationale 4:
E-learning works well for corporate training because it allows users to skip material that they
already know. It is considered to be efficient for corporate purposes.
Question 16
Web-based instruction (WBI) uses the attributes and resources of the Internet to deliver and
support education. Which of the following ways may effectively be used to teach health care
content via WBI?
1. Teleconferencing mode
2. Stand-alone course
3. Supplement traditional, face-to-face courses
4. Wiki mode
5. Connectivity with hospital information systems
Correct Answer: 2,3
Rationale 1:
Teleconferencing mode typically involves live interactions between instructors and students,
which may not necessarily be considered Web-based instruction (WBI). While
teleconferencing can be facilitated through the internet, it often requires synchronous
communication and may not fully utilize the asynchronous and self-paced nature of WBI.
Rationale 2:
Stand-alone courses delivered via the internet are a common and effective way to teach
healthcare content through Web-based instruction (WBI). These courses can provide
comprehensive learning experiences independently of traditional face-to-face instruction,
allowing students to access content at their convenience and pace.
Rationale 3:

Supplementing traditional, face-to-face courses with online components is a popular
approach to integrating Web-based instruction (WBI) into healthcare education. By providing
supplementary materials, resources, and activities online, instructors can enhance traditional
classroom learning, promote student engagement, and provide additional opportunities for
practice and review.
Rationale 4:
While wikis can be valuable tools for collaborative content creation and sharing, they may
not be the most effective or suitable mode for teaching health care content via Web-based
instruction (WBI). Wikis are more commonly used for collaborative projects or knowledgesharing among users, rather than structured instruction.
Rationale 5:
Connectivity with hospital information systems is relevant to healthcare education but may
not necessarily represent a direct method of teaching health care content via Web-based
instruction (WBI). While integrating with hospital information systems can provide access to
real-world data and scenarios, it may not constitute a primary mode of delivering educational
content through WBI.
Question 17
Which of the following computer related technology tools may be used in a variety of ways
to support and enrich education?
1. Word-processing software allows the instructor to prepare student handouts.
2. Slide presentation software offers the ability to create presentations and audio-visual aids.
3. Spreadsheets or course management tools assist in the maintenance of attendance records
and grades.
4. Course management system (CMS) tools offer tools to develop, administer, and score
examinations and provide formative evaluation tools.
5. Communication tools such as Weblogs (blogs) answer student questions and provide
feedback to students on their progress.
Correct Answer: 1,2,3,4
Rationale 1:

Word-processing software is a versatile tool that allows instructors to prepare various
educational materials, including student handouts, lecture notes, assignments, and
assessments. Its flexibility and features make it indispensable for creating and formatting
documents to support and enrich education.
Rationale 2:
Slide presentation software, such as Microsoft PowerPoint or Google Slides, provides
instructors with the capability to develop visually engaging presentations and audio-visual
aids to enhance teaching and learning. These tools facilitate the organization of content,
incorporation of multimedia elements, and delivery of dynamic presentations in classrooms
or online environments.
Rationale 3:
Spreadsheets and course management tools offer valuable assistance in managing
administrative tasks related to education, such as maintaining attendance records, tracking
grades, and organizing course materials. These tools streamline data management processes,
improve organization, and provide instructors with insights into student performance and
progress.
Rationale 4:
Course management system (CMS) tools are comprehensive platforms designed to support
various aspects of education, including course development, administration, assessment, and
communication. These systems offer a range of features, including examination development
and administration, scoring mechanisms, and formative evaluation tools, to support
instructors in delivering effective instruction and evaluating student learning outcomes.
Rationale 5:
While communication tools like weblogs (blogs) can be valuable for facilitating discussions,
answering student questions, and providing feedback, they are not typically used for
examination development, administration, or scoring. Therefore, they are not directly related
to supporting and enriching education in the same way as word-processing software, slide
presentation software, spreadsheets, and course management system tools.
Question 18

Formal applications for using computers to support nursing education include which one of
the following?
1. Podcasts
2. Blogs
3. Continuing nursing education
4. Instant messaging
Correct Answer: 3
Rationale 1:
Continuing nursing education refers to formal programs designed to support the ongoing
professional development of nurses. These programs often utilize computer-based
technologies, including online courses, webinars, and virtual learning environments, to
deliver educational content and facilitate learning. Continuing nursing education is a
structured and systematic approach to enhancing nursing knowledge, skills, and
competencies, making it a formal application for using computers to support nursing
education.
Rationale 2:
Podcasts can be used as a supplemental educational resource in nursing education, providing
access to audio content on various topics. While podcasts can support learning, they are not
necessarily a formal application for using computers to support nursing education.
Rationale 3:
Blogs can serve as platforms for sharing information, experiences, and insights in nursing
education. Nursing educators or students may use blogs to document their learning journeys,
discuss nursing-related topics, or share resources. However, while blogs can contribute to
nursing education, they are not inherently a formal application for using computers to support
it.
Rationale 4:
Instant messaging tools can facilitate communication and collaboration among nursing
students, educators, and professionals. While instant messaging may be used in educational

settings to exchange information and provide support, it is not specifically a formal
application for utilizing computers to support nursing education.
Question 19
Virtual Learning Environments (VLEs) benefit education by using the Internet to facilitate elearning. Which of the following are other terms used for VLEs?
1. Learning management systems (LMS)
2. Competency-based training (CBT)
3. Course management system (CMS)
4. Managed learning environment (MLE)
5. Interactive multimedia systems (IMS)
Correct Answer: 1,3,4
Rationale 1:
Learning management systems (LMS) are often synonymous with Virtual Learning
Environments (VLEs). LMS platforms provide tools for creating, managing, and delivering
educational content, as well as tracking student progress and performance. Both terms refer to
digital platforms designed to support online learning and education.
Rationale 2:
Competency-based training (CBT) refers to an instructional approach focused on developing
specific skills and competencies required for a particular job or task. While CBT may involve
digital technologies, it is not necessarily synonymous with Virtual Learning Environments
(VLEs). CBT can be delivered through various methods, including traditional classroom
instruction, hands-on training, and online modules.
Rationale 3:
Course management systems (CMS) are similar to Virtual Learning Environments (VLEs) in
that they provide tools for managing and delivering educational content, as well as facilitating
communication and collaboration among students and instructors. CMS platforms may
include features such as content authoring, course enrollment, assessment management, and
discussion forums, aligning with the functionalities of VLEs.

Rationale 4:
Managed learning environment (MLE) is another term used interchangeably with Virtual
Learning Environments (VLEs) to describe digital platforms that support online learning and
education. MLEs encompass a range of features and tools for managing educational
resources, delivering instruction, and monitoring student progress. Like VLEs, MLEs provide
a centralized environment for organizing and facilitating e-learning activities.
Rationale 5:
Interactive multimedia systems (IMS) refer to digital technologies that incorporate various
forms of media, such as text, graphics, audio, and video, to create engaging and interactive
learning experiences. While IMS may complement Virtual Learning Environments (VLEs) by
enhancing content delivery and interactivity, IMS itself is not typically used as a synonym for
VLEs.
Question 20
The term Web 2.0 has yet to be defined; however, it has been described as consisting of a set
of “core characteristics." Which of the following are considered core characteristics?
1. User-centered design
2. Web as platform
3. Collaboration
4. Power decentralization
5. Dynamic content
Correct Answer: 1,2,3,4,5
Rationale 1:
User-centered design is indeed a core characteristic of Web 2.0. It emphasizes designing
websites and applications with the user's needs, preferences, and experiences in mind,
fostering usability, accessibility, and user engagement.
Rationale 2:

The concept of the web as a platform is central to Web 2.0. It refers to the shift from static,
read-only web pages to interactive and dynamic web applications that facilitate user
participation, collaboration, and content creation.
Rationale 3:
Collaboration is a fundamental aspect of Web 2.0, enabling users to interact, share
information, and co-create content online. Web 2.0 platforms provide tools and features that
facilitate collaboration among users, fostering a sense of community and collective
intelligence.
Rationale 4:
Power decentralization is a core characteristic of Web 2.0, representing the democratization
of content creation, distribution, and control. In Web 2.0 environments, users have the ability
to publish, share, and access content without relying solely on traditional media gatekeepers
or centralized authorities.
Rationale 5:
Dynamic content is a defining feature of Web 2.0, referring to web pages and applications
that are generated and updated dynamically in response to user actions, input, or external data
sources. Dynamic content enhances user engagement, interactivity, and personalization,
contributing to the dynamic and participatory nature of Web 2.0 platforms.
Question 21
Which of the following answers is not an advantage of Web 2.0 technologies?
1. Minimizes communication
2. Manages information
3. Enriches health care professional collaboration
4. Can employ podcasts as a learning strategy
Correct Answer: 1
Rationale 1:
Web 2.0 technologies are known for maximizing communication rather than minimizing it.
These technologies facilitate communication and collaboration among users through various

means such as social networking platforms, online forums, and instant messaging. They
promote interaction, sharing of information, and engagement, leading to enhanced
connectivity and collaboration.
Rationale 2:
Web 2.0 technologies excel in managing information by providing tools and platforms for
organizing, storing, accessing, and sharing data and content. Users can leverage these
technologies to manage vast amounts of information efficiently, retrieve relevant resources,
and collaborate on knowledge creation and dissemination.
Rationale 3:
Enriching healthcare professional collaboration is one of the significant advantages of Web
2.0 technologies. These technologies enable healthcare professionals to connect,
communicate, and collaborate effectively, regardless of geographical boundaries or
organizational affiliations. By facilitating information sharing, interdisciplinary
communication, and collaborative decision-making, Web 2.0 technologies enhance teamwork
and improve patient care outcomes.
Rationale 4:
Employing podcasts as a learning strategy is a legitimate advantage of Web 2.0 technologies.
Podcasts offer a flexible and accessible means of delivering educational content to healthcare
professionals, allowing them to engage with learning materials at their convenience. By
incorporating podcasts into their educational programs, healthcare institutions can enhance
learning effectiveness, reach a broader audience, and accommodate diverse learning
preferences.
Question 22
Which of the following is an accurate statement of YouTube's usefulness in the classroom
setting?
1. Digital natives desire multimedia educational experiences.
2. Students are uncomfortable accessing videos on YouTube.
3. Most instructors do not see the usefulness of YouTube.
4. YouTube videos are not relevant for classroom learning activities.

Correct Answer: 1
Rationale 1:
YouTube is an appropriate e-learning (Web 2.0) technology for nursing students. An
important aspect is the ability to network with fellow students who may be anywhere around
the globe. In addition, nursing students can use different senses to understand content. Digital
natives are characterized by their understanding of multimedia and sophisticated skill with
computer technologies. They prefer multimedia and the “multi-tasking” it requires and are
quite comfortable using technology. In light of the needs and preferences of this twenty-first
century student, engaging these students and new employees requires the nurse educator to
begin exploring the use of strategies like YouTube and Second life. YouTube “is a place for
people to engage in new ways with video by sharing, commenting on, and viewing videos”
(YouTube, 2007).
Rationale 2:
Digital natives are characterized by their understanding of multimedia and sophisticated skill
with computer technologies. They prefer multimedia and the “multi-tasking” it requires and
are quite comfortable using technology. In light of the needs and preferences of this twentyfirst century student, engaging these students and new employees requires the nurse educator
to begin exploring the use of strategies like YouTube and Second life. YouTube “is a place for
people to engage in new ways with video by sharing, commenting on, and viewing videos”
(YouTube, 2007).
Rationale 3:
They prefer multimedia and the “multi-tasking” it requires and are quite comfortable using
technology. In light of the needs and preferences of this twenty-first century student,
engaging these students and new employees requires the nurse educator to begin exploring
the use of strategies like YouTube and Second life. YouTube “is a place for people to engage
in new ways with video by sharing, commenting on, and viewing videos” (YouTube, 2007).
Rationale 4:
In light of the needs and preferences of this twenty-first century student, engaging these
students and new employees requires the nurse educator to begin exploring the use of

strategies like YouTube and Second life. YouTube “is a place for people to engage in new
ways with video by sharing, commenting on, and viewing videos” (YouTube, 2007).
Question 23
Mobile technology can be found in health care organizations and useful in teaching nursing
students. Which of the following devices are not currently used in the educational setting?
1. Moodle
2. PDA
3. Clicker
4. MP3 player
Correct Answer: 1
Rationale 1:
Moodle is a learning management system (LMS) rather than a mobile device. It is a webbased platform used for delivering educational content, managing courses, and facilitating
online learning activities. While Moodle can be accessed through mobile devices with
internet connectivity, it is not itself a mobile device used in educational settings.
Rationale 2:
Personal Digital Assistants (PDAs) have been used in educational settings, including nursing
education, for various purposes such as accessing medical reference materials, managing
schedules, and taking notes. While their popularity has decreased with the advent of
smartphones, PDAs were prevalent in healthcare education during their prime.
Rationale 3:
Clickers, also known as audience response systems, are handheld devices used in educational
settings to gather real-time feedback from students during lectures or presentations. They
allow students to respond to questions or polls, facilitating interactive learning experiences.
Clickers have been widely adopted in classrooms, including nursing education, to promote
engagement and participation.
Rationale 4:

MP3 players, such as iPods, have been utilized in educational settings for delivering audiobased educational content, including lectures, podcasts, and language learning materials.
While smartphones and other multifunctional devices have largely replaced dedicated MP3
players, they were once commonly used in educational contexts, including nursing education.
Question 24
Distance education allows faculty and students connectivity to telecommunications via
sophisticated phone systems. Which of the following is considered a component of distance
learning?
1. Story board
2. Computer
3. Flash drive
4. Notebook
Correct Answer: 2
Rationale 1:
Distance education is the use of print, audio, video, computer, teleconferencing capability, or
the World Wide Web (WWW) to connect faculty and students who are located at a minimum
of two different locations.
Rationale 2:
World Wide Web (WWW) to connect faculty and students who are located at a minimum of
two different locations.
Rationale 3:
Education is the use of print, audio, video, computer, teleconferencing capability, or the
World Wide Web (WWW) to connect faculty and students who are located at a minimum of
two different locations.
Rationale 4:
Faculty is distance education is the use of print, audio, video, computer, teleconferencing
capability, or the World Wide Web (WWW) to connect faculty and students who are located
at a minimum of two different locations.

Question 25
Which of the following statements best describes the use of a clicker?
1. A clicker is a handheld device that beams information showing the response to specific,
real time questions projected overhead to a group of students to a receiver on the instructor’s
computer which transforms the data into a chart detailing the responses.
2. A clicker beams information to the class about a current event.
3. A clicker is not useful in measuring knowledge.
4. A clicker is not a valuable educational tool.
Correct Answer: 1
Rationale 1:
This statement accurately describes the use of a clicker in an educational setting. A clicker is
indeed a handheld device that allows students to respond to specific, real-time questions or
prompts projected overhead during lectures or presentations. The responses are transmitted to
a receiver connected to the instructor's computer, which collects and processes the data. The
instructor can then use the data to generate charts or graphs detailing the responses, providing
immediate feedback and facilitating interactive learning experiences.
Rationale 2:
While clickers can be used to gather responses from students during lectures or presentations,
they are typically used for educational purposes rather than disseminating information about
current events. Clickers are primarily employed to engage students in active learning and
assess their understanding of course material.
Rationale 3:
Contrary to this statement, clickers are indeed useful in measuring knowledge and assessing
student understanding. By collecting real-time responses from students, clickers allow
instructors to gauge comprehension, identify misconceptions, and adjust their teaching
accordingly. Clicker-based assessments provide valuable insights into student learning
outcomes and can inform instructional decisions.
Rationale 4:

This statement is inaccurate. Clickers are widely recognized as valuable educational tools that
promote active learning, student engagement, and formative assessment. Research has shown
that clicker use can enhance student participation, comprehension, and retention of course
material. Additionally, clickers provide instructors with valuable data on student
performance, enabling evidence-based teaching practices and facilitating continuous
improvement in instruction.
Question 26
With the adoption of the electronic health record and importance of technology, there is a
need for nurses with technology experience. What are the two ways nurses can specialize in
informatics?
1. Complete a BSN
2. RN with experience as a super user
3. A nurse with a graduate degree in informatics
4. Operating room nurse who is on the technology committee
5. A BSN nurse who completes a certificate in web based design
Correct Answer: 3
Rationale 1:
The BSN is an important credential but the curriculum does not focus on an informatics
specialist. The graduate is considered a generalist.
Rationale 2:
A RN with vast technology experience in house can be considered an informatician.
Rationale 3:
A nurse with a master’s degree in informatics can be considered a specialist or informatician.
Rationale 4:
An operating room nurse who is on the technology committee does not necessarily have
enough experience in informatics to be considered an informatician.
Rationale 5:

Web based design is a skill but does not offer enough education and experience for an
individual to specialize in informatics.
Question 27
Nurses with information technology experience are in greater demand as more organizations
incorporate the use of the electronic health record and computerized order entry. Which of the
following are considered skills and/or competencies for nurses to develop to prepare for the
changes in health care?
1. Collaboration and communication
2. Organizational and interpersonal skills
3. Ability to review, critique, and evaluate evidence available through clinical practice
guidelines and research
4. Aptitude for translating clinical practice recommendations into algorithms
5. Proficiency to disseminate research findings
Correct Answer: 1,3,4,5
Rationale 1:
Collaboration and communication skills are essential for nurses working in environments
where electronic health records (EHR) and computerized order entry systems are used.
Nurses need to effectively communicate with interdisciplinary teams, IT personnel, and
patients to ensure the accurate and efficient use of these technologies in healthcare delivery.
Rationale 2:
Organizational and interpersonal skills are important in nursing practice overall, but they are
not specifically tied to preparing for changes related to the adoption of electronic health
records and computerized order entry systems. While these skills contribute to a nurse's
effectiveness in various contexts, other skills are more directly relevant to navigating the
technological changes in healthcare.
Rationale 3:
The ability to review, critique, and evaluate evidence available through clinical practice
guidelines and research is crucial for nurses working with electronic health records and

computerized order entry systems. Nurses must be able to assess the validity and reliability of
information presented in these systems to make informed decisions and provide safe and
evidence-based care.
Rationale 4:
Aptitude for translating clinical practice recommendations into algorithms is a valuable skill
for nurses adapting to electronic health records and computerized order entry systems. Nurses
may need to develop or utilize algorithms within these systems to streamline clinical
workflows, automate processes, and ensure adherence to best practices and guidelines.
Rationale 5:
Proficiency in disseminating research findings is important for nurses to stay updated on
evidence-based practices and contribute to the improvement of healthcare delivery. Nurses
who are adept at disseminating research findings can effectively integrate new knowledge
into their practice and advocate for the use of evidence-based interventions within electronic
health record systems and computerized order entry processes.
Question 28
Distance education incorporates more than the World Wide Web (WWW) to connect educator
and students who are located at a minimum of two different locations. Which of the following
tools are also used to facilitate the teaching learning process?
1. Audio
2. Video
3. Teleconferencing
4. Television
5. Computer
Correct Answer: 1,2,3,4,5
Rationale 1:
Audio-based tools, such as teleconferencing or audio lectures, are commonly used in distance
education to deliver instructional content and facilitate communication between educators

and students. Audio recordings can convey lectures, discussions, or presentations, allowing
learners to access course materials remotely and engage in auditory learning experiences.
Rationale 2:
Video-based tools play a significant role in distance education by providing visual and
auditory cues to enhance learning experiences. Video lectures, demonstrations, simulations,
and tutorials enable educators to convey complex concepts, demonstrate procedures, and
engage students in immersive learning activities, regardless of geographical distance.
Rationale 3:
Teleconferencing technologies enable real-time communication and interaction between
educators and students located in different geographical locations. Through teleconferencing
platforms, such as video conferencing software or virtual classrooms, educators can conduct
live lectures, discussions, or collaborative activities, fostering engagement and facilitating
synchronous learning experiences.
Rationale 4:
Television has historically been utilized as a distance education tool, particularly in scenarios
where internet connectivity may be limited. Educational television programs, broadcasts, or
channels can deliver instructional content to a wide audience, allowing learners to access
educational materials from remote locations without relying solely on internet-based
technologies.
Rationale 5:
Computers are essential tools in distance education, serving multiple purposes such as
accessing online course materials, participating in virtual classrooms, submitting
assignments, and engaging in collaborative activities. With internet connectivity, computers
enable students to interact with educational resources, communicate with instructors and
peers, and engage in asynchronous or synchronous learning activities from virtually
anywhere.
Question 29
Web-based instruction (WBI) has become an important facet of the educational experience.
Which of the following are considered advantages of WBI?

1. Comprehensive instructional design
2. Minimal communication
3. Lack of control
4. Lack of intellectual stimulation
5. Ability to work in an asynchronous environment
Correct Answer: 1,5
Rationale 1:
Comprehensive instructional design is indeed an advantage of web-based instruction (WBI).
WBI allows educators to develop and deliver well-structured, organized, and engaging
instructional materials that cater to diverse learning styles and preferences. Through
thoughtful instructional design, educators can create interactive multimedia content,
assessments, and activities that promote effective learning outcomes.
Rationale 2:
Minimal communication is not an advantage of web-based instruction (WBI). In fact,
effective communication is crucial in WBI to facilitate interaction between instructors and
students, as well as among students themselves. Communication tools such as discussion
forums, email, chat, and video conferencing are often utilized to foster collaboration, clarify
concepts, provide feedback, and address questions or concerns in WBI environments.
Rationale 3:
Lack of control is not an advantage of web-based instruction (WBI). In WBI, instructors have
control over the design, delivery, and management of educational content, assessments, and
learning activities. While students may have flexibility in pacing and accessing course
materials, instructors maintain oversight and guidance to ensure learning objectives are met
and educational standards are upheld.
Rationale 4:
Lack of intellectual stimulation is not an advantage of web-based instruction (WBI). On the
contrary, WBI offers opportunities for intellectual engagement, critical thinking, and active
learning through interactive multimedia content, discussions, collaborative projects, and

problem-solving activities. WBI environments can stimulate intellectual curiosity, creativity,
and exploration, enhancing the overall educational experience.
Rationale 5:
Ability to work in an asynchronous environment is indeed an advantage of web-based
instruction (WBI). Asynchronous learning allows students to access course materials,
participate in discussions, complete assignments, and engage in learning activities at their
own pace and convenience, regardless of time or geographical constraints. This flexibility
accommodates diverse learning preferences, schedules, and lifestyles, enabling greater
accessibility and inclusivity in education.

Test Bank for Handbook of Informatics for Nurses and Healthcare Professionals
Toni Lee Hebda, Patricia Czar, Theresa Calderone
9780132574952, 9780132959544, 9780134711010, 9780131512627, 9780130311023, 9780805373264, 9780135205433, 9780135043943

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