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A physician has installed a computer-based patient records system. An outside care provider who requests medical information must obtain the patient's signed consent and then is assigned a password to gain access to the medical information. A monthly audit is conducted to determine for whom and for what purpose patient records have been accessed. This protection is referred to as:
- A. privacy.
- B. confidentiality.
- C. security.
- D. data capture.
Correct Answer: C
Rationale: The correct answer is C: security. The scenario describes measures to protect the patient records system from unauthorized access, such as requiring consent, assigning passwords, and conducting audits. Security specifically refers to safeguarding information from unauthorized access, ensuring data integrity and availability. Privacy (A) is about controlling access to personal information, while confidentiality (B) is about keeping information private. Data capture (D) refers to the process of collecting data, not protecting it from unauthorized access. In this case, the focus is on security measures implemented to protect patient records, making it the most appropriate choice.
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A novice nurse is unsure of his ability to insert a nasogastric tube for one of the assigned patients who is vomiting coffee ground emesis. The novice nurse waits, hoping that someone with more experience will volunteer to do the job, or he just waits until the end of the shift. This nurse is practicing:
- A. energy management.
- B. priority setting.
- C. procrastination.
- D. introspection.
Correct Answer: C
Rationale: The correct answer is C: procrastination. Procrastination is the act of delaying or avoiding a task that needs to be accomplished. In this scenario, the novice nurse is avoiding the task of inserting a nasogastric tube for a patient who needs it due to uncertainty and fear. Waiting for someone else to volunteer or delaying the task until the end of the shift are clear examples of procrastination. Energy management (A) involves efficiently allocating time and resources, which is not demonstrated here. Priority setting (B) would involve recognizing the urgency of the situation and taking appropriate action. Introspection (D) refers to self-reflection and analyzing one's thoughts and feelings, which is not the primary issue at hand in this scenario.
A nurse is very interested in learning more about health care economics and how she can use that knowledge to become a better patient advocate. She comments, "Nurses should not only deliver care one day at a time in one facility but should coordinate patient care as they move from acute care to rehabilitation to home care." This nurse would be a candidate for which nursing role?
- A. Disease management program (DMP) for chronic illnesses
- B. A hospital-based utilization management nurse who reviews medical records to determine the most appropriate DRG for patients
- C. Case management
- D. Reviewer for Managed Care Organization
Correct Answer: C
Rationale: Rationale:
1. The nurse's interest in coordinating patient care across different settings aligns with the role of a case manager.
2. Case managers focus on ensuring continuity of care and coordinating services for patients transitioning between different healthcare settings.
3. This role involves advocating for patients' needs and optimizing their health outcomes through seamless care transitions.
Summary:
A: DMP focuses on managing chronic illnesses, not coordinating care across settings.
B: Utilization management nurses focus on determining appropriate reimbursement levels, not on care coordination.
D: Reviewers for Managed Care Organizations focus on assessing medical necessity and cost-effectiveness, not on care coordination.
The Affordable Care Act of 2011:
- A. requires that by 2020 all newly licensed nurses have a bachelor's degree at minimum.
- B. would provide health care benefits to millions who were previously uninsurable or unable to afford insurance.
- C. caps the amount that hospitals and physicians can charge for procedures.
- D. subsidizes private insurance companies, thereby reducing health care costs for individuals who have chronic or catastrophic illness such as cancer.
Correct Answer: B
Rationale: The correct answer is B because the Affordable Care Act of 2011 aimed to provide health care benefits to millions who were previously uninsurable or unable to afford insurance. This is in line with the main goal of the act, which was to increase access to affordable health care for Americans. Choice A is incorrect as the act does not mandate educational requirements for nurses. Choice C is incorrect as the act does not specifically cap the amount that hospitals and physicians can charge for procedures. Choice D is incorrect as the act focuses on expanding access to health insurance rather than directly subsidizing private insurance companies to reduce costs for individuals with chronic illnesses.
Studies conducted to determine enrollment trends in nursing schools have found that in the last years:
- A. a greater number of individuals chose nursing as a career but could not meet entrance requirements.
- B. more young people chose to enter the profession of nursing.
- C. fewer career opportunities exist in the profession of nursing and fewer opportunities are projected to exist for women.
- D. men have dominated the profession, and women feel that they have experienced discrimination.
Correct Answer: A
Rationale: The correct answer is A because it directly addresses the enrollment trends in nursing schools. The statement indicates that a greater number of individuals have chosen nursing as a career but could not meet entrance requirements, implying an increase in interest but a barrier to entry.
Explanation:
- Choice A directly relates to enrollment trends by highlighting an increase in interest but a challenge in meeting requirements.
- Choice B is incorrect as the question focuses on enrollment trends, not the age of individuals entering nursing.
- Choice C is incorrect as it suggests a decrease in career opportunities and projects a negative outlook for women, which is not supported by the question.
- Choice D is incorrect as it introduces a gender dynamic not mentioned in the question and does not address enrollment trends.
A nurse hopes to improve time management skills using the ABC prioritization approach. Which tasks would be prioritized as "B"? (select all that apply)
- A. Turn in time sheet due in 3 days.
- B. Review dress code policy to give feedback before appointment in the morning.
- C. Perform blood glucose test on a patient admitted with Kussmaul respirations and change in level of consciousness.
- D. Complete patient teaching prior to discharge in 2 hours.
Correct Answer: B
Rationale: The correct answer is B because reviewing the dress code policy to give feedback before an appointment in the morning is time-sensitive and directly impacts the nurse's professional responsibilities. This task falls under the "B" category in the ABC prioritization approach, which prioritizes tasks that are important but not urgent. This task requires attention before the morning appointment to ensure professionalism and compliance.
Tasks A, C, and D are not prioritized as "B" because they are either more urgent or less important compared to reviewing the dress code policy before the morning appointment. Task A is important but not urgent as the time sheet is not due immediately. Task C is categorized as "A" as it involves a critical patient situation that requires immediate attention. Task D is categorized as "C" as it is important and time-sensitive, needing completion before discharge in 2 hours.