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When paper-and-pencil medical records are compared with computer-based records:
- A. paper-and-pencil records provide controls to determine who has viewed the health information.
- B. information contained in a paper-and-pencil record has the capability of being more in-depth than that found in computer-based records.
- C. patients have the right to know that the confidentiality of their records is strictly maintained, regardless of the type of medical record used.
- D. patients must sign for each item of information released on the computer record.
Correct Answer: A
Rationale: Rationale:
A is correct as paper-and-pencil records can physically track who accessed them, ensuring privacy and security. B is incorrect as computer-based records can also be detailed. C is irrelevant to the comparison. D is incorrect as signing for each item is not a standard practice in computer-based records.
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If a nurse practicing in a mental health agency could only belong to one professional organization, what criteria could be used to select the organization with the biggest impact?
- A. The American Nurses Association has a strong voice representing the nation's entire RN population.
- B. Specialty organizations such as the American Psychiatric Nurses Association lobby for higher education requirements for nurses.
- C. State nursing associations have limited power because they can lobby only state representatives.
- D. Professional organizations such as The American Association for the History of Nursing (AAHN) record the history of mental health nursing.
Correct Answer: B
Rationale: The correct answer is B: Specialty organizations such as the American Psychiatric Nurses Association lobby for higher education requirements for nurses.
Rationale:
1. Specialty organizations like the American Psychiatric Nurses Association focus specifically on mental health nursing, ensuring targeted advocacy and support.
2. Lobbying for higher education requirements demonstrates a commitment to advancing the profession and improving the quality of care.
3. Higher education requirements can lead to better outcomes for patients and enhance the credibility and expertise of mental health nurses.
Summary:
A: The American Nurses Association may have a broad reach, but it may not prioritize mental health nursing specifically.
C: State nursing associations may have limitations in lobbying power, focusing more on state-level issues.
D: Professional organizations like AAHN, while valuable for preserving history, may not actively advocate for current professional development and standards.
A nurse who functions in the role of team leader can be held negligent for matters involving:
- A. inadequate training.
- B. lack of development of proper policies and procedures.
- C. failure to discipline unsafe workers.
- D. delegation of client care tasks.
Correct Answer: D
Rationale: The correct answer is D: delegation of client care tasks. A team leader nurse can be held negligent for improper delegation as they are responsible for assigning tasks to appropriate staff ensuring safe and effective care. This is crucial for patient safety. Choices A, B, and C are incorrect because inadequate training, lack of policies, and failure to discipline unsafe workers are not directly related to the nurse's role in delegation and immediate patient care responsibilities.
In an attempt to persuade employees to bargain for another type of health insurance, a handout is circulated that describes the present employees' health care insurance as being insensitive, limiting choices of care providers, and providing inferior care. This reflects which aspect of Lewin's planned change?
- A. Unfreeze
- B. Move
- C. Refreeze
- D. Acceptance
Correct Answer: A
Rationale: The correct answer is A: Unfreeze. In this scenario, the handout is aimed at creating dissatisfaction with the current state of health insurance among employees, which aligns with the unfreezing stage of Lewin's planned change model. Unfreezing involves creating awareness of the need for change by highlighting deficiencies in the current state. The handout is triggering employees to reevaluate their current health insurance and consider alternative options. Choices B, C, and D are incorrect because they do not capture the initial stage of creating dissatisfaction and readiness for change, as seen in the unfreezing phase.
A patient with complicated diabetes is scheduled for a below the knee amputation at 7 AM. The surgical team adheres to the 2012 National Patient Safety Goals by implementing which protocols? (select all that apply)
- A. The surgical team asks the patient to verify his or her name, type of surgery, and limb to be removed.
- B. Ask each member of the surgical team to provide a copy of licensure and, if applicable, certification to patient and family.
- C. The surgical team uses the chart number and name/hospital number to ensure they have the correct patient.
- D. Mark the procedure site with "X" and again ask the patient to verify correct site.
Correct Answer: A
Rationale: The correct answer is A because it aligns with the 2012 National Patient Safety Goals, specifically the goal of improving the accuracy of patient identification. By asking the patient to confirm their name, type of surgery, and limb to be removed, the surgical team is ensuring that they have the correct patient and are performing the correct procedure. This protocol helps prevent errors and ensures patient safety.
Option B is incorrect because asking for licensure and certification does not directly relate to patient safety or accurate patient identification.
Option C is incorrect because relying solely on chart numbers or hospital numbers may not be sufficient to prevent errors in patient identification.
Option D is incorrect because while marking the procedure site is important, relying solely on the patient to verify the correct site may not be as effective as having the healthcare team confirm this information with the patient.
The primary focus of the care provider role for the nurse involves:
- A. using the nursing process to provide guidance to the patient in recovery.
- B. encouraging consumer self-responsibility and emphasizing health promotion/maintenance.
- C. focusing on increasing satisfaction among professional nurses.
- D. advancing nursing practice through research.
Correct Answer: B
Rationale: The correct answer is B because the primary focus of the care provider role for a nurse is to encourage consumer self-responsibility and emphasize health promotion/maintenance. This involves empowering patients to take control of their own health, promoting wellness, and preventing illness. The other choices are incorrect because: A) using the nursing process is essential but not the primary focus, C) increasing satisfaction among professional nurses is important but not the primary role of a care provider, and D) advancing nursing practice through research is valuable but not the primary responsibility of a care provider.