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Consumers are concerned with security issues related to their confidential health information being placed in an electronic health record (EHR). However, when the security of the EHR is compared with that of paper-and-pencil records, the EHR is:
- A. more secure.
- B. less secure.
- C. equivalent.
- D. not comparable with the paper-and-pencil record.
Correct Answer: A
Rationale: The correct answer is A: more secure. Electronic Health Records (EHR) typically have built-in security features such as encryption, access controls, and audit trails, making it more secure than paper-and-pencil records. EHRs offer better protection against unauthorized access, tampering, and loss compared to traditional paper records. This is due to the ability to restrict access to specific users, track changes made to the records, and implement authentication measures. Therefore, the security of EHRs surpasses that of paper-and-pencil records. Choices B, C, and D are incorrect because they do not acknowledge the enhanced security measures and advantages that EHRs provide over traditional paper records.
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When working with the family of a patient receiving palliative care, what is the nurse's initial intervention?
- A. Determining who will be the patient's durable power of attorney
- B. Identifying what types of help the family will need to care for the patient
- C. Completely an assessment of the family's strengths and weaknesses
- D. Discuss the dynamics of the family with the patient
Correct Answer: B
Rationale: The correct initial intervention for the nurse when working with the family of a patient receiving palliative care is to identify what types of help the family will need to care for the patient (Choice B). This is because understanding the family's needs and resources is essential for providing effective support. By identifying the specific types of assistance required, the nurse can tailor the care plan to meet the family's needs, enhancing the quality of care provided to the patient.
Determining the patient's durable power of attorney (Choice A) is important but usually comes later in the process after understanding the family's needs. Completing an assessment of the family's strengths and weaknesses (Choice C) is valuable but not the initial step. Discussing the dynamics of the family with the patient (Choice D) may be relevant but is not the priority when initiating support for the family.
The use of herbs has become a popular alternative to prescription drugs in today's health care milieu. During which other historical periods did health practices focus on the use of herbs?
- A. Prehistoric times and the Middle Ages
- B. Civil War period and World War I
- C. Renaissance and Reformation periods and the Colonial American period
- D. Crimean War and Civil War periods
Correct Answer: A
Rationale: The correct answer is A: Prehistoric times and the Middle Ages. In prehistoric times, herbs were used as the primary form of medicine. During the Middle Ages, herbal medicine continued to be prevalent due to limited medical knowledge. Other choices are incorrect because B, C, and D do not align with historical periods where herbal medicine was a dominant health practice.
Which item below correctly describes the U.S. Bureau of Labor Statistics predictions by 2020?
- A. Positions that historically required registered nurses will be filled by unlicensed personnel.
- B. The job growth rate for RNs will surpass job growth in all other occupations.
- C. The need for hospital nurses will dramatically decrease.
- D. Hospitals will finally achieve the required RN workforce.
Correct Answer: B
Rationale: The correct answer is B because the U.S. Bureau of Labor Statistics predicts that the job growth rate for RNs will surpass job growth in all other occupations by 2020. This is supported by the increasing demand for healthcare services due to an aging population and advancements in medical technology. Choice A is incorrect as the need for registered nurses is expected to continue due to the complexity of patient care. Choice C is incorrect as the need for hospital nurses is projected to increase, not decrease. Choice D is incorrect as many hospitals still struggle to achieve the required RN workforce due to various factors like turnover and retention issues.
A nurse is interested in locating reliable information concerning noninvasive blood glucose monitoring. Information is located, and the author is a scientist who conducted studies within the last year on the effectiveness of a particular noninvasive blood glucose monitor. The scientist received funding from a pharmaceutical company to support the studies. The URL indicates the pharmaceutical company site.com. The nurse is concerned about this information's:
- A. authority.
- B. objectivity.
- C. accuracy.
- D. currency.
Correct Answer: B
Rationale: The correct answer is B: objectivity. The nurse should be concerned about the objectivity of the information due to the potential bias introduced by the funding received from a pharmaceutical company. This could influence the scientist's findings and conclusions to favor the interests of the company, affecting the accuracy of the information. Authority (choice A) refers to the expertise of the author, not the potential bias. Accuracy (choice C) is impacted by objectivity and the potential conflict of interest. Currency (choice D) relates to how up-to-date the information is, which is not the main concern in this scenario.
Which factors would be considered in the first steps in developing an effective patient classification system? (select all that apply)
- A. Planned procedures
- B. Ethnic diversity of patients
- C. Clinical competency of staff
- D. Educational level of nurses
Correct Answer: A
Rationale: In developing a patient classification system, planned procedures are crucial as they determine resource allocation, staffing needs, and patient acuity. Understanding the procedures aids in categorizing patients accurately based on care requirements. Ethnic diversity, clinical competency, and educational level are not primary factors in this initial step as they do not directly impact patient classification. Ethnicity does not determine care needs, staff competency should already be ensured, and nurse education level is not the sole determinant of patient classification. Hence, A is the correct choice for developing an effective patient classification system.