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 D
Explanation
A. "I think you should live with your family." This is too directive and imposes the nurse’s opinion rather than allowing the patient to explore their own options.
B. "Why don't you live with your family?" This response may come across as judgmental or dismissive, potentially making the patient feel defensive.
C. "If you were my mom, I'd have you live with me." This statement is not helpful and shifts the focus to the nurse’s feelings rather than exploring the patient’s concerns.
D. "Where have you considered living?" This is an open-ended question that invites the patient to discuss their thoughts and feelings, facilitating a more patient-centered response.
Correct Answer is A
Explanation
A. "What bothers you most about the idea of giving yourself an injection?" This open-ended question allows the patient to express specific fears or concerns, facilitating a deeper conversation to address the patient’s worries.
B. "Everyone feels like that at first. You'll get over it." This response is dismissive and may invalidate the patient’s feelings by suggesting that their concern is typical rather than unique.
C. “I know just how you feel. I would have trouble giving myself an injection." While empathetic, this response shifts focus to the nurse’s feelings rather than exploring the patient’s specific concerns.
D. "Don't be afraid. It's an easy skill for anyone to learn." This response minimizes the patient’s fear and could make them feel dismissed rather than supported.