Nokea
You are the Nurse Manager for the trauma unit. Which of these staff comments or statements do not indicate the need for you to provide an educational activity relating to confidentiality and information security?
- A. “A computer in the hallway was left unattended and a client's medical record was visible to me.â€
- B. “I j ust saw a nursing student looking at the medical record for a client that they are NOT caring for during this clinical experience.â€
- C. “As I was walking past the nursing station, I saw a dietician reading the progress notes written by members of the laboratory department in addition to other dieticians' progress notes.â€
- D. “I refused the nursing supervisor's request to share my electronic password for the new nurse on the unit.â€
Correct Answer: D
Rationale: These scenarios highlight breaches in confidentiality and security.
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- A. Self-concept
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- C. Self-assessment
- D. Self-esteem
Correct Answer: D
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- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Albert Bandura
Correct Answer: B
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Common Level 2 issues typically include...
- A. Triangles, alliances and boundaries
- B. Marital conflict, alcoholism, or gambling
- C. Inner conflicts, problems with intimacy
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Correct Answer: B
Rationale: Level 2 families typically struggle with relational dynamics such as marital conflict or substance abuse, which disrupt family functioning beyond basic survival needs.
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- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: C
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A patient prone to manic episodes is reevaluated and diagnosed with acute kidney injury. Which medication would the nurse anticipate holding? A. Xanax B. Carbamazepine (Tegretol) C. Nifedipine D. Lithium
- A. Xanax
- B. Carbamazepine (Tegretol)
- C. Nifedipine
- D. Lithium
Correct Answer: D
Rationale: The correct answer is D, Lithium. In a patient prone to manic episodes with acute kidney injury, Lithium should be held due to its potential to worsen renal function. Xanax (A) is not typically contraindicated in acute kidney injury. Carbamazepine (B) may be used cautiously but does not have the same risk as Lithium. Nifedipine (C) is a calcium channel blocker and does not directly impact kidney function in the same way Lithium does.