A nurse is creating a list of challenges that nurses experience when using electronic charting. Which of the following should the nurse include?
Decreased amount of paperwork
Increased number of medication errors
Less time for direct client care
Provides evidence of care provided
The Correct Answer is C
The correct answer is: c. Less time for direct client care
Choice A: Decreased amount of paperwork
Reason: One of the advantages of electronic charting is that it significantly reduces the amount of paperwork. Traditional paper records require extensive manual documentation, which can be time-consuming and prone to errors. Electronic systems streamline this process, making it easier to input and retrieve patient information. Therefore, decreased paperwork is a benefit, not a challenge.
Choice B: Increased number of medication errors
Reason: Electronic charting systems are designed to reduce medication errors by providing features such as electronic prescribing, automated alerts for potential drug interactions, and barcode scanning for medication administration. These systems help ensure that the right medication is given to the right patient at the right time, thereby decreasing the likelihood of errors. Hence, increased medication errors are not typically associated with electronic charting.
Choice C: Less time for direct client care
Reason: One of the significant challenges of electronic charting is that it can be time-consuming, requiring nurses to spend a considerable amount of time on documentation. This can reduce the time available for direct patient care. Nurses often report that the demands of electronic documentation can detract from their ability to engage with patients, perform assessments, and provide hands-on care.
Choice D: Provides evidence of care provided
Reason: Providing evidence of care is a benefit of electronic charting, not a challenge. Electronic health records (EHRs) create a detailed and accurate record of the care provided, which can be easily accessed and reviewed. This documentation is crucial for legal, regulatory, and quality improvement purposes. Therefore, this option does not represent a challenge.
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Related Questions
Correct Answer is A
Explanation
Choice A reason: Planning time for disruptions is a time management strategy, as it allows the nurse to anticipate and cope with unexpected events that may interfere with their schedule. By allocating some buffer time for potential delays, emergencies, or interruptions, the nurse can avoid stress and maintain their productivity.
Choice B reason: Offering to complete another nurse’s task is not a time management strategy, but rather a sign of poor boundary setting. While helping others is commendable, the nurse should not take on more responsibilities than they can handle, as this may compromise their own work quality and wellbeing. The nurse should learn to say no politely and focus on their own priorities.
Choice C reason: Skipping a meal break to catch up on charting is not a time management strategy, but rather a counterproductive habit. Taking regular breaks is essential for the nurse to replenish their energy, reduce fatigue, and prevent burnout. Skipping breaks may impair the nurse’s concentration, memory, and decision-making, and increase the risk of errors.
Choice D reason: Completing the easiest tasks first is not a time management strategy, but rather a form of procrastination. The nurse should prioritize their tasks based on their importance and urgency, not their difficulty or preference. Completing the easiest tasks first may create a false sense of accomplishment, while leaving the most critical or challenging tasks for later, when the nurse may have less time or motivation.
Correct Answer is C
Explanation
Choice A reason: This statement is incorrect because a nurse’s personal values can and do influence ethical decisions. The nurse should be aware of their own values and how they affect their judgment and actions. The nurse should also respect the values of others and avoid imposing their own values on the clients or colleagues.
Choice B reason: This statement is incorrect because value clarification is not related to maintaining clinical competency. Value clarification is a process of identifying, examining, and prioritizing one’s values. It can help the nurse to understand their own values and beliefs, as well as those of the clients and the profession.
Choice C reason: This statement is correct because it is important that the nurse is aware of the client’s values. The nurse should assess the client’s values and preferences, and incorporate them into the plan of care. The nurse should also respect the client’s right to self-determination and autonomy, and support the client in making informed decisions.
Choice D reason: This statement is incorrect because a nurse's behaviors and actions are not called values. Values are the beliefs and principles that guide one’s decisions and actions. A nurse's behaviors and actions are the expressions of their values, as well as their knowledge, skills, and attitudes.
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