A nurse manager is discussing electronic medical records with a newly licensed nurse. Which of the following actions should the nurse take to maintain client confidentiality? (Select all that apply.)

Log out of the computer terminal before leaving.

Share passwords for computer access with colleagues.

Change computer access passwords on a regular basis.

Avoid accessing information about clients admitted to other units.

Shred computer-generated client worksheets after use.

Answer and Explanation

Correct Answer : A,C,D,E

A. Log out of the computer terminal before leaving: Logging out of the computer terminal is a crucial step in maintaining client confidentiality. It prevents unauthorized individuals from accessing sensitive client information when the nurse is away from the terminal.

B. Share passwords for computer access with colleagues: Sharing passwords compromises the security of client information and violates confidentiality protocols. Each nurse should use their unique login credentials to ensure accountability and protect client data.

C. Change computer access passwords on a regular basis: Regularly changing passwords enhances security and helps protect client confidentiality. This practice reduces the risk of unauthorized access to electronic medical records.

D. Avoid accessing information about clients admitted to other units: Avoiding access to information about clients in other units is an essential practice for maintaining confidentiality. Nurses should only access information relevant to their assigned clients to ensure compliance with privacy regulations.

E. Shred computer-generated client worksheets after use: Shredding printed materials containing client information is vital for protecting confidentiality. Proper disposal of sensitive documents prevents unauthorized access to client data and ensures compliance with privacy policies.

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Correct Answer is A

Explanation

A. Crowded living conditions: The epidemiological triangle consists of the agent, host, and environment. Environmental factors include external conditions that influence the likelihood of violence, such as overcrowding, lack of resources, and social instability. High-density living situations can increase stress levels, competition for basic needs, and exposure to conflict, all of which may contribute to violent behavior.

B. Traumatic brain injury: This is a host factor, as it directly affects an individual’s neurological function, potentially contributing to aggressive behavior. Damage to specific brain regions, such as the frontal lobe, can impair impulse control and increase the risk of violent actions, but it does not originate from the external environment.

C. Alzheimer's disease: As a condition affecting the individual, this is also a host factor. Cognitive decline may increase impulsivity or aggression, particularly in later stages, as judgment and emotional regulation deteriorate. However, the disease itself is an internal factor and not an external environmental influence.

D. Impaired coping abilities: This is a host factor because it pertains to an individual's psychological and emotional regulation, affecting how they respond to stress or conflict. Poor coping mechanisms can increase vulnerability to engaging in violent behavior, but they arise from personal experiences and mental health conditions rather than external environmental influences.

A. The advice of an expert nephrology nurse B. Retrospective chart reviews C. Facility critical pathway D. A recent peer-reviewed nursing research article

Correct Answer is D

Explanation

A. The advice of an expert nephrology nurse. While experienced nurses provide valuable clinical insights, their knowledge may be based on personal experience rather than the latest evidence-based research. Best practices should be supported by scientific studies rather than anecdotal expertise.

B. Retrospective chart reviews. Chart reviews can offer useful data on past interventions and outcomes, but they do not always reflect the most current evidence-based practices. Additionally, they may contain inconsistencies or lack standardized guidelines necessary for broad application.

C. Facility critical pathway. Critical pathways are developed based on evidence-based guidelines, but they may not always reflect the most up-to-date research. These protocols are useful for standardizing care within a specific institution but should be supplemented with current peer-reviewed research to ensure best practices.

D. A recent peer-reviewed nursing research article. Peer-reviewed nursing research articles provide the most current and scientifically validated evidence. These sources undergo rigorous evaluation before publication, ensuring that recommendations are based on high-quality research rather than opinion or outdated protocols.

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A nurse manager is discussing electronic medical records with a newly licensed nurse. Which of the following actions should the nurse take to maintain client confidentiality? (Select all that apply.)

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