A charge nurse is providing teaching to a newly licensed nurse on the advantages of electronic documentation. Which of the following information should the nurse include in the teaching?
Decrease in coordination of client care
Increase of duplicate tests performed on client
Portal that allows clients to interact with providers
Same day access to client health record
The Correct Answer is C
A. Decrease in coordination of client care. Electronic documentation improves, rather than decreases, coordination of care by allowing multiple healthcare providers to access real-time patient information, reducing communication errors and delays.
B. Increase of duplicate tests performed on client. Electronic health records (EHRs) help minimize duplicate testing by providing a comprehensive view of a client’s medical history, including previous tests and results, thereby reducing unnecessary procedures.
C. Portal that allows clients to interact with providers. Many electronic documentation systems include patient portals, enabling clients to schedule appointments, view test results, communicate with providers, and access educational resources, which enhances patient engagement and healthcare transparency.
D. Same-day access to client health record. While EHRs improve accessibility, updates to a client’s health record may depend on documentation workflow and provider input. Some results, such as lab tests, may not be immediately available, making this statement less universally accurate.
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Related Questions
Correct Answer is B
Explanation
A. Advocacy. Advocacy involves protecting a client’s rights, ensuring informed decision-making, and speaking up for patient safety. While advocating for patient well-being is crucial, this scenario primarily reflects the nurse’s responsibility for their own actions rather than advocating for the client.
B. Accountability. Accountability means taking responsibility for one’s actions, including errors, and following appropriate steps to address them. By assessing the client, informing the provider, and completing an incident report, the nurse demonstrates professional integrity and commitment to ethical practice.
C. Fairness. Fairness involves treating all patients equitably and ensuring unbiased care. While important in nursing, fairness does not directly apply to this situation, which centers on taking responsibility for an error rather than distributing care impartially.
D. Confidence. Confidence refers to the nurse’s self-assurance in clinical decision-making and skills. While confidence is essential in nursing practice, admitting and reporting an error requires integrity and accountability rather than confidence.
Correct Answer is B
Explanation
A. Asking for explanations. Asking for explanations, such as "Why did you do that?" can make a client feel defensive or judged. This approach is not therapeutic, as it may discourage open communication and trust.
B. Asking open-ended questions. Open-ended questions encourage clients to express their thoughts and feelings freely. This technique fosters meaningful dialogue and allows the nurse to gain a deeper understanding of the client’s concerns. Examples include, "Can you tell me more about how you're feeling?"
C. Offering approval or disapproval. Expressing approval or disapproval can create a sense of judgment, potentially influencing the client’s willingness to share. Therapeutic communication focuses on neutrality and support rather than personal opinions.
D. Offering sympathy. Sympathy involves expressing pity or sorrow for a client, which can create emotional distance. Instead, empathy—understanding and validating the client’s feelings—is a more effective therapeutic communication technique.
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