The nurse uses a syringe and vial of insulin to show how to draw up the correct dose while she explains the procedure to the patient. To best promote learning, her next step should be to:
have the patient explain the procedure to the nurse to assess understanding
give the patient a day to allow him to process and absorb the information.
have the patient practice the procedure with the nurse helping.
give the patient written materials to study and learn the procedure.
The Correct Answer is C
A. Have the patient explain the procedure to the nurse to assess understanding.
This could be a helpful way to assess knowledge, but it doesn’t provide practical, hands-on experience immediately after the demonstration.
B. Give the patient a day to allow him to process and absorb the information.
Delaying practice may reduce the effectiveness of learning by increasing the chance of forgetting details.
C. Have the patient practice the procedure with the nurse helping.
Practicing the skill right away reinforces learning and allows the nurse to provide guidance and feedback.
D. Give the patient written materials to study and learn the procedure.
Written materials can be helpful but should complement, not replace, hands-on practice.
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Correct Answer is A
Explanation
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.
Correct Answer is C
Explanation
A. Share information with the patient about other patients and why they are hospitalized. Sharing information about other patients violates confidentiality and does not help establish trust. This is unprofessional and goes against HIPAA guidelines.
B. Share his own personal experiences so that the patient gets to know him as a friend. Although occasional sharing of personal experiences may enhance rapport, extensive sharing can shift focus from the patient to the nurse, which is unprofessional and can create boundary issues.
C. Act in a trustworthy and reliable manner; respect the individuality of the patient. Acting in a trustworthy, reliable manner and respecting the patient's individuality establishes rapport by building trust, ensuring the patient feels valued and respected. This is the most professional approach.
D. Identify himself by name and title each time he introduces himself. Introducing oneself by name and title is essential, but it alone does not fully establish rapport. It is part of a courteous approach, but rapport-building requires deeper engagement.