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A healthcare professional walks into the nurse's station and sees several staff members looking at the electronic medical record for a celebrity client on another unit. Which of the following actions should the healthcare professional take first?
- A. remind the staff members that this is a breach of confidentiality
- B. discuss the issue with the unit manager
- C. request that an administrative restriction be placed on the client's medical access
- D. prepare a report for the facility ethics committee
Correct Answer: A
Rationale: The correct action is A: remind the staff members that this is a breach of confidentiality. This is the first step because addressing the immediate breach is crucial to prevent further unauthorized access to the client's information. It directly addresses the unethical behavior and educates staff on the importance of patient confidentiality.
Choice B (discussing with the unit manager) is not the first step as it may delay addressing the breach directly. Choice C (requesting an administrative restriction) is not immediate and may not prevent the current unauthorized access. Choice D (preparing a report for the ethics committee) is not the first step as it involves a formal process and may not address the immediate breach.
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A patient is admitted with pneumonia. My case manager refers to a plan of care that specifically identifies dates when supplemental oxygen should be discontinued, positive pressure ventilation with bronchodilators should be changed to self-administer inhalers, and antibiotics should be changed from intravenous to oral treatment, based on assessment findings. This plan of care is referred to by what term?
- A. patient classification system
- B. patient-centered plan of care
- C. diagnosis-related group
- D. clinical pathway
Correct Answer: D
Rationale: The correct answer is D: clinical pathway. A clinical pathway is a detailed plan of care that outlines specific interventions and timelines based on assessment findings. In this scenario, the plan includes specific dates for discontinuing supplemental oxygen, changing ventilation methods, and transitioning antibiotics. This structured approach ensures consistent and efficient care delivery.
A: Patient classification system categorizes patients based on their clinical needs, not specific care plans.
B: Patient-centered plan of care focuses on individual preferences and goals, not necessarily specific interventions and timelines.
C: Diagnosis-related group is a classification system for reimbursement based on diagnoses, not specific care plans.
In summary, the other choices are incorrect because they do not accurately describe a detailed plan of care with specific interventions and timelines like a clinical pathway does.
When teaching about community preparedness for a community group, the nurse should explain that the components of the national disaster medical system (NDMS) provide assistance in what form?
- A. making available a nationwide bomb disposal squad team for the rapid removal of explosive devices
- B. Facilitating patient evacuation from the disaster area to a non-affected area
- C. organizing ground for detonation of bombs by bomb squad
- D. providing mental health care for victims and healthcare providers in the community
Correct Answer: B
Rationale: The correct answers are B and C. The NDMS is designed to provide medical response during disasters, assist in patient movement, and offer definitive care to disaster victims. This includes organizing teams of healthcare providers with specialized skills and equipment to respond effectively to emergencies. Patient evacuation from disaster areas to safer locations is also a key function of the NDMS to ensure the well-being of those affected by the disaster. Options A and D are incorrect because the NDMS does not provide bomb disposal services and is primarily focused on medical response rather than mental health care.
When the domain .edu is noted during the search for the term informatics, what should the individual determine about the site's affiliation?
- A. It's an internet service provider
- B. It's a commercial site
- C. It's a government agency
- D. It's an educational institution
Correct Answer: D
Rationale: Step 1: ".edu" domains are reserved for educational institutions.
Step 2: Informatics is a field related to information and computer science.
Step 3: Therefore, an educational institution would likely provide accurate and in-depth information on informatics.
Step 4: The individual can trust the credibility and reliability of the information provided.
Summary:
- Option A is incorrect because an internet service provider would not be affiliated with an educational topic like informatics.
- Option B is incorrect as commercial sites aim for profit, not education.
- Option C is incorrect as government agencies typically have different domain extensions.
If a nurse accepts the role of charge nurse on the evening shift, what effect will unionization have on the nurse's new position?
- A. The nurse can file a grievance that will be arbitrated automatically by the Union
- B. Charge nurse is part of the management team, so Union participation would be a conflict of interest
- C. The nurse is not eligible for collective bargaining activities dealing with unfair labor practices
- D. The nurse can be represented by the union because charge nurses are not considered part of the management team
Correct Answer: B
Rationale: The correct answer is B because the charge nurse is considered part of the management team. As a member of the management team, participating in union activities would create a conflict of interest since the charge nurse is responsible for overseeing and directing other nurses. The charge nurse's role involves making decisions that impact the work environment and staffing, which aligns more closely with management responsibilities. Therefore, union participation would be inappropriate for the charge nurse as it could compromise their ability to effectively carry out their managerial duties.
Choices A, C, and D are incorrect because they do not accurately reflect the relationship between the charge nurse role and unionization. Choice A suggests automatic arbitration of grievances by the Union, which may not be the case for a charge nurse. Choice C states the nurse is not eligible for collective bargaining activities, which is not specifically tied to the charge nurse role. Choice D suggests that the nurse can be represented by the union, which is inaccurate for a charge nurse who is typically considered part of the management team
Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient's choice without condemning or frightening them.
- A. Finding a way for the patient to see the dog, even if they can only look out a window, shows caring by understanding this patient's needs.
- B. The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.
- C. This statement includes the patient in planning care, demonstrating care for the patient's needs and preferences.
- D. Curative nursing care is high-tech, or nursing care that is based on the medical model of care, which often is based on the use of technology.
Correct Answer: C
Rationale: The correct answer is C because it aligns with the definition of caring provided in the question stem. By including the patient in planning care, the nurse demonstrates a genuine concern for the patient's needs and preferences, which is a key aspect of caring. This approach acknowledges the patient as a unique individual and respects their autonomy.
Choice A is incorrect because while finding a way for the patient to see the dog may be a kind gesture, it does not directly relate to the core concept of caring as described in the question.
Choice B is incorrect as it mentions the importance of a nonjudgmental attitude, which is indeed a part of transpersonal caring but does not directly address the specific aspect of including the patient in planning care.
Choice D is incorrect as it introduces a different concept of curative nursing care, which is not relevant to the definition of caring provided in the question.