A nurse is preparing to document a client's care in the electronic health record. Which action should the nurse take to ensure confidentiality and security of the client's information?

Use a personal identification number (PIN) to access the system.

Share the PIN with another nurse who needs to update the record.

Log out of the system after completing the documentation.

Leave the computer screen on while attending to another client.

Answer and Explanation

The Correct Answer is C

Correct answer: C) Log out of the system after completing the documentation.

Rationale: The nurse should log out of the system after completing the documentation, as this prevents unauthorized access to the client's information by other users. Logging out also ensures that the nurse's name and time stamp are accurate for each entry.

Incorrect options:

A) Use a personal identification number (PIN) to access the system. - This is a correct action, but not the best answer, as using a PIN alone does not ensure confidentiality and security of the client's information. The nurse should also log out of the system after completing the documentation.

B) Share the PIN with another nurse who needs to update the record. - This is an incorrect action, as sharing the PIN with another nurse violates the client's privacy and compromises the security of the system. The nurse should never share the PIN with anyone, and each nurse should use their own PIN to access and document in the record.

D) Leave the computer screen on while attending to another client. - This is an incorrect action, as leaving the computer screen on while attending to another client exposes the client's information to anyone who can view the screen. The nurse should log out of the system or lock the screen before leaving the computer.

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Correct Answer is D

Explanation

Correct answer: D) The client's current condition, changes, interventions, and outcomes.

Rationale: The nurse should prioritize the client's current condition, changes, interventions, and outcomes when receiving

the report, as this provides essential information about the client's status, progress, response to treatment, and plan of care. This information also helps to identify any potential problems or issues that need immediate attention or follow-up.

Incorrect options:

A) The client's name, age, diagnosis, and allergies. - This is important information, but not the most important when receiving

the report, as this provides basic demographic and background information about the client that can be easily accessed from

the chart or other sources. This information does not reflect the client's current condition or needs.

B) The client's vital signs, laboratory results, and medications. - This is important information, but not the most important when receiving

the report, as this provides objective data about the client's physiological status that can be easily accessed from

the chart or other sources. This information does not reflect the client's subjective experience or response to treatment.

C) The client's goals, preferences, values, and expectations. - This is important information,

but not the most important when receiving

the report, as this provides subjective data about

the client's psychosocial status that can be easily accessed

A. Speak loudly and slowly to the client. B. Use gestures and pictures to supplement verbal communication. C. Ask open-ended questions to elicit more information from the client. D. Finish the client's sentences when they have difficulty expressing themselves.

Correct Answer is B

Explanation

Correct answer: B) Use gestures and pictures to supplement verbal communication.

Rationale: The nurse should use gestures and pictures to supplement verbal communication, as this helps to convey meaning and clarify messages for clients who have difficulty understanding or producing speech due to aphasia. Gestures and pictures can also help to reduce frustration and anxiety for both parties.

Incorrect options:

A) Speak loudly and slowly to the client. - This is an inappropriate strategy, as speaking loudly and slowly to the client may imply that they are hard of hearing or cognitively impaired, which can be insulting and demeaning. The nurse should speak clearly and at a normal volume and pace, unless there is evidence of hearing loss or cognitive impairment.

C) Ask open-ended questions to elicit more information from the client. - This is an ineffective strategy, as asking open-ended questions may overwhelm or confuse clients who have difficulty expressing themselves due to aphasia. The nurse should ask simple, yes-or-no questions or offer choices that require minimal verbal responses from the client.

D) Finish the client's sentences when they have difficulty expressing themselves. - This is a disrespectful strategy, as finishing

the client's sentences may interrupt their thoughts or impose words that they do not intend to say. The nurse should allow adequate time for the client to communicate and encourage them to use alternative methods, such as writing or pointing, if needed.

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