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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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To form a core support group of nurses, where should the nurse organizer conduct meetings to gather initial information?
- A. Away from the work site with a group of managers to learn both sides of the situation
- B. In homes or local businesses with staff nurses
- C. At the facility to discuss nursing concerns
- D. At the work site with staff nurses who are respected leaders
Correct Answer: B
Rationale: The correct answer is B because conducting meetings in homes or local businesses with staff nurses creates a comfortable and informal setting for open communication. This environment fosters trust and encourages honest sharing of perspectives and concerns. It also allows for a more personal connection among the nurses, promoting collaboration and unity. Choices A and D may not provide a conducive atmosphere for open dialogue, as meetings with managers or at the work site could lead to power dynamics and inhibitions. Choice C, while at the facility, may not offer the same level of comfort and privacy as meeting outside the workplace.
During preoperative teaching for a client scheduled for a total knee arthroplasty who speaks a different language than the nurse, which interprofessional team member should the nurse include in the discussion?
- A. Interpreter
- B. Social worker
- C. Occupational therapist
- D. Spiritual advisor
Correct Answer: A
Rationale: The correct answer is A: Interpreter. The nurse should include an interpreter in the discussion to ensure effective communication with the client. Clear communication is crucial for informed consent and understanding preoperative instructions. Social worker (B) may provide emotional support, not language translation. Occupational therapist (C) focuses on rehabilitation post-surgery. Spiritual advisor (D) addresses religious or spiritual needs, not language translation.
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.
A healthcare provider is caring for a patient who is to receive an antibiotic drug that causes severe skin damage when infiltrated. The order reads 'Infuse over one hour by port-a-cath.' When the healthcare provider assesses the personal digital assistant that lists the steps to access a port-a-cath, which type of computer software is being used?
- A. Data management
- B. Electronic health records
- C. Point-of-care technology
- D. Telehealth
Correct Answer: C
Rationale: The correct answer is C: Point-of-care technology. Point-of-care technology is used at the bedside to access information quickly for immediate patient care, such as procedures like accessing a port-a-cath. In this scenario, the healthcare provider is using a personal digital assistant to follow steps for accessing the port-a-cath, which is a point-of-care technology.
A: Data management software focuses on organizing and storing data, not specifically on accessing information at the bedside.
B: Electronic health records (EHR) are used for documenting patient information and medical history, not for accessing procedural steps in real-time at the bedside.
D: Telehealth involves using technology for remote healthcare services, not for accessing procedural information at the bedside.
In summary, the other choices are incorrect because they do not directly relate to accessing information at the bedside for immediate patient care, unlike point-of-care technology.
Which action demonstrates a coparticipative manner in the nursing model of care?
- A. Working with the patient and family to achieve the best outcome.
- B. Encouraging the shy student to participate in class discussions, demonstrating transpersonal caring.
- C. Finding a way for a patient to see a dog, understanding the patient's needs.
- D. Accepting individuals for who they are, maintaining a nonjudgmental attitude.
Correct Answer: A
Rationale: The correct answer is A because it involves collaboration and shared decision-making between the nurse, patient, and family to achieve the best outcome. This aligns with the coparticipative approach in nursing care, where all parties work together towards a common goal. Choice B focuses on individual encouragement, not coparticipation. Choice C highlights empathy but lacks the collaboration aspect. Choice D emphasizes acceptance but doesn't explicitly involve active participation and collaboration as in choice A. Thus, choice A best exemplifies coparticipative nursing care.