If an agency is using computer-assisted charting, the nurse is responsible for:
Guarding the confidentiality of the patient record by not leaving the patient screen "on" if he leaves the terminal.
Learning the passwords of the staff nurses and primary care providers so that they can communicate with one another.
Choosing whether he will use the computer to help in documentation or continue to use traditional paper documentation.
Patient education to input information about herself, such as intake and output or symptoms the patient may experience.
The Correct Answer is A
A. Guarding the confidentiality of the patient record by not leaving the patient screen "on" if he leaves the terminal. Protecting patient confidentiality is essential in electronic charting to prevent unauthorized access.
B. Learning the passwords of the staff nurses and primary care providers so that they can communicate with one another. Sharing or learning others' passwords violates security protocols and confidentiality rules.
C. Choosing whether he will use the computer to help in documentation or continue to use traditional paper documentation. In facilities using electronic charting, all staff are typically required to use the system to maintain consistent, accessible records.
D. Patient education to input information about herself, such as intake and output or symptoms the patient may experience. Patients typically do not have access to chart directly into their medical records.
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Correct Answer is A
Explanation
A. The nurse-patient relationship ends when the patient is discharged.
The nurse-patient relationship is time-limited and often ends when the patient is discharged, which aligns with its structured, goal-oriented nature.
B. A social relationship does not have goals or needs to be met. While social relationships may not have structured goals, they can still have mutual needs or goals. In contrast, the nurse-patient relationship has specific health-related goals and objectives focused on patient care.
C. The focus is mainly on the nurse in the nurse-patient relationship. This is incorrect, as the primary focus of the therapeutic relationship is on the patient's needs and well-being, not the nurse’s.
D. A social relationship does not require trust or sharing of life experiences. Social relationships do require trust and sharing of experiences; however, they are typically not bound by the professional boundaries, goals, and time limitations that define the nurse-patient relationship.
Correct Answer is A
Explanation
A. Silence. Silence can be challenging for nursing students as it requires them to resist the urge to fill quiet moments, allowing the patient time to think or express emotions.
B. Closed questions. Closed questions are relatively straightforward and easy to use, often requiring only simple responses.
C. Using general leads. General leads encourage patients to continue sharing and are easier for most students than silence.
D. Restating. Restating is often easier for students, as it involves repeating back what the patient has said for clarity.