When communicating with a preschooler, the nurse should:
use unfamiliar language.
use abstract explanations.
use long, complex sentences.
consider the developmental level, using familiar words.
The Correct Answer is D
A. Use unfamiliar language.
Unfamiliar language can confuse or intimidate young children, making it harder for them to understand and communicate effectively.
B. Use abstract explanations. Preschoolers are concrete thinkers and may not grasp abstract ideas, so explanations should be simple and direct.
C. Use long, complex sentences. Long, complex sentences may overwhelm a preschooler, who benefits more from short and clear sentences.
D. Consider the developmental level, using familiar words.
This approach is ideal as it aligns with the child’s cognitive abilities, helping the child feel comfortable and understand the nurse’s communication.
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Correct Answer is A
Explanation
A. Follows agency policy for correcting the error.
Following agency policy is the best approach, as it ensures compliance with legal and procedural standards for correcting documentation errors.
B. Whites out the wrong entry and writes the note in the chart of the correct patient. Whiting out errors is not permissible, as it can appear as an attempt to alter records and compromises the integrity of documentation.
C. Removes the page on which the error is located and documents the other correct notes. Removing pages from a medical record is improper and could be considered tampering with documentation.
D. Blacks out the note to protect the confidentiality of the patient about whom it was written and writes in the margin "wrong patient," his signature, and the date and time.
Blacking out notes is not allowed, as it destroys information that should remain legible, even if it was written in error.
Correct Answer is C
Explanation
A. “The information in your medical record is confidential, and you cannot leave this facility with it." While confidentiality is true, this response may seem dismissive and doesn’t address the patient’s right to access their health information.
B. "Because you are leaving against the medical advice of your primary care provider, you may not have the medical record." Leaving AMA does not negate the patient’s rights to access their medical information.
C. "You are entitled to the information in your medical record, but the medical record is the property of the hospital. I will see about having a copy made for you." This response respects the patient’s rights and explains that while the original record is hospital property, a copy can be made.
D. "Certainly. This hospital doesn't need to keep it if you are leaving and will not be returning here." This response is inaccurate as the original medical record must remain with the hospital per legal guidelines.