A student nurse is assigned to a clinical unit on which one of the patients is a nationally known celebrity. The student reads the chart to find out why the celebrity is being treated. The student who is not the assigned caregiver is:
motivated to learn about the health problem of this patient and is appropriately seeking knowledge during his clinical experience.
doing appropriate research about nursing care as long as information is not divulged.
violating the confidentiality of the patient's record.
neglecting the assigned patient load and should read the unassigned patient's medical record only after his assigned work is completed.
The Correct Answer is C
A. Motivated to learn about the health problem of this patient and is appropriately seeking knowledge during his clinical experience.
Accessing information without being the assigned caregiver is inappropriate, regardless of motivation, as it breaches confidentiality and privacy protocols.
B. Doing appropriate research about nursing care as long as information is not divulged. Even without sharing information, accessing a patient’s chart without need-to-know status is a privacy violation and does not constitute appropriate research.
C. Violating the confidentiality of the patient's record.
This choice is correct as the student is breaching confidentiality by accessing patient records without a care-related need to know. Only those involved in the patient's care should access their chart.
D. Neglecting the assigned patient load and should read the unassigned patient’s medical record only after his assigned work is completed.
Reading an unassigned patient’s record, even after finishing other duties, is still a breach of confidentiality.
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Correct Answer is C
Explanation
A. Scheduling admissions, discharges, and nurse staffing to keep the unit at the best occupancy and utilization. Scheduling and unit staffing are typically tasks for administrative staff rather than the direct responsibilities of an LPN.
B. Educating patients on how to use hospital computers to access information such as discharge instructions or information relative to specific medications. LPNs may be involved in patient education, including showing patients how to access relevant health information, making this a potential area of proficiency.
C. Input of data such as requests for radiographs or laboratory services. LPNs may be responsible for entering basic patient care data and service requests, making this a relevant skill in many clinical settings.
D. Programming the computer to record data from primary care providers and other healthcare workers. Programming tasks are typically not within the scope of LPN duties, as these require advanced computer skills beyond general data input.
Correct Answer is C
Explanation
A. "Severe pain around umbilicus, unable to sleep because of pain. Started approximately 2 hours after lunch."
This documentation provides details but lacks specific information on the pain’s nature and duration.
B. "Abdominal pain, unrelieved by antacids. Had spaghetti, salad, coffee, and ice cream cake for lunch."
This statement includes diet details but lacks a pain intensity rating and specific location.
C. "Periumbilical sharp pain at pain level of 7 to 8 for last 3 hours, started 2 hours after lunch. No relief from antacids." This statement is the most thorough, including location, nature, intensity, duration, and lack of relief from interventions.
D. "Pain at level of 7 to 8. Nothing has relieved or lessened pain, it just keeps getting worse."
This is incomplete, as it lacks a specific location and description of the pain’s onset.