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A nurse openly and genuinely discusses thoughts and feelings about sexually transmitted infections with a group of college students. Which benefit(s) may occur for these college students? (Select all that apply)
- A. The college students are reluctant to continue discussions with the nurse.
- B. The college students develop a trusting relationship with the nurse.
- C. The college students question the nurse's credibility.
- D. The college students believe the information is reliable and accurate.
Correct Answer: B
Rationale: The correct answer is B because openly discussing thoughts and feelings about sexually transmitted infections can help build trust between the nurse and college students. This trust can lead to the students feeling more comfortable seeking information and support from the nurse. Choice A is incorrect because open communication typically fosters ongoing discussions, not reluctance. Choice C is incorrect because open discussions can enhance credibility by showing transparency and expertise. Choice D is incorrect because open dialogue does not guarantee the accuracy of information, but it can facilitate a more informed discussion.
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In order to safeguard patient information when using a computer, the nurse should:
- A. only use the computer located in the nurse's station.
- B. wait until the end of the shift and document all information at one time.
- C. use personal code words and abbreviations to disguise information.
- D. change the computer password frequently. Computerized patient information requires extra vigilance by the nurse to safeguard confidentiality. Changing personal passwords frequently helps safeguard information. When using the computer at a health care facility, the nurse must remember not to leave a computer screen open when he or she is finished. The nurse should always log out so that someone else cannot access information using his or her password and must not share his or her password with others. Computers in the nurse's station are not as convenient as those at the bedside or in the hall. Personal codes and abbreviations are not useful.
Correct Answer: D
Rationale: The correct answer is D: change the computer password frequently. This is essential to safeguard patient information on a computer. Changing passwords regularly enhances security by reducing the risk of unauthorized access. By doing so, the nurse ensures that even if someone gains access to their password, it will soon be outdated. This practice aligns with best practices for maintaining confidentiality and data security.
Now, let's analyze the other choices:
A: Using only the computer at the nurse's station limits flexibility and convenience for accessing patient information.
B: Waiting until the end of the shift to document information increases the risk of errors and delays in updating patient records.
C: Using personal code words and abbreviations may lead to misinterpretation of information and compromise patient confidentiality.
In summary, changing the computer password frequently is the most effective measure to safeguard patient information on a computer, while the other options do not provide the same level of security and confidentiality.
A client has high blood pressure and needs to learn about a low-sodium diet. Which question if asked by the client would be an indirect request for information?
- A. "How should I prepare food without adding salt?=
- B. "What will I do to make food taste better?=
- C. "What diet changes are needed to control my blood pressure?=
- D. "What foods should I avoid that are high in sodium?=
Correct Answer: B
Rationale: The correct answer is B because the client is indirectly asking for information on how to make food taste better without explicitly mentioning the need for low-sodium options. By inquiring about making food taste better, the client is seeking alternative ways to enhance flavor without salt, which aligns with the goal of following a low-sodium diet. Choices A, C, and D are more direct in addressing specific aspects of a low-sodium diet, such as food preparation without salt, dietary changes for blood pressure control, and identifying high-sodium foods to avoid, respectively.
A patient reports to the nurse, "My doctor is not doing anything about my pain." Which response by the nurse is assertive and expresses warmth?
- A. "If I were you, I would see a different doctor."
- B. "What you really mean is you do not like your doctor."
- C. "It is wrong for you to blame your doctor."
- D. "You seem frustrated with your doctor."
Correct Answer: D
Rationale: The correct answer is D because it acknowledges the patient's feelings without judgment and expresses empathy. The nurse reflects the patient's emotions by stating, "You seem frustrated with your doctor," showing understanding. Option A is dismissive, suggesting the patient change doctors. Option B assumes the patient's feelings and could come off as confrontational. Option C is accusatory and could make the patient defensive. Overall, option D is assertive, warm, and empathetic, making it the best response in this situation.
An aspect of computer use in patient care in which the LPN may need to be proficient includes:
- A. input of data such as requests for radiographs or laboratory services.
- B. programming the computer to record data from primary care provider and other health care workers.
- C. educating patients how to use hospital computers to access information such as discharge instructions or information relative to specific medications.
- D. scheduling admissions, discharges, and nurse staffing to keep the unit at the best occupancy and utilization.
Correct Answer: A
Rationale: The correct answer is A because LPNs are often responsible for inputting patient data such as requests for radiographs or lab services into the computer system. This task requires proficiency in navigating electronic health records to accurately document patient information. Option B is incorrect as LPNs typically do not program computers but rather use pre-existing systems. Option C is incorrect because educating patients on computer use is usually the responsibility of other healthcare professionals. Option D is also incorrect as scheduling admissions and nurse staffing is typically managed by unit coordinators or nurse managers, not LPNs. In summary, the LPN's role in computer use for patient care primarily involves inputting data accurately and efficiently.
The nurse makes a home visit to a client with chronic kidney disease. The client asks the nurse to make the decision about whether or not to start dialysis. Which action by the nurse is most appropriate?
- A. Encourage the client to appoint a durable power of attorney.
- B. Invite the client to make a decision after reviewing options.
- C. Direct the client to have the physician make a decision.
- D. Have the client visit with an individual receiving dialysis.
Correct Answer: B
Rationale: Step 1: The nurse should respect the client's autonomy and involve them in decision-making.
Step 2: By inviting the client to make a decision after reviewing options, the nurse promotes client-centered care.
Step 3: This approach empowers the client to participate actively in their healthcare decisions.
Step 4: It aligns with ethical principles of beneficence and nonmaleficence.
Summary:
Choice B is correct as it respects the client's autonomy and promotes shared decision-making. Choice A is not appropriate as it bypasses the client's involvement. Choice C is not ideal as the client should be actively involved. Choice D may provide information but doesn't involve the client in decision-making.