A nurse receives a login and password to access an electronic medical record.
Where should the nurse store this information?
Place it in the pocket protector used for care.
Place it in a wallet that is locked up during the shift.
Tape it to the underside of the keyboard.
Tape it to the inside of the locker door.
The Correct Answer is B
Choice A rationale
Placing the login and password in a pocket protector is unsafe and unsecured, as it is easily visible and accessible to others and could be lost or inadvertently exposed during patient care activities. Healthcare facilities mandate strict confidentiality and require passwords to be stored in a private, locked location to maintain the security and integrity of the electronic health record (EHR).
Choice B rationale
Storing the login and password in a wallet that is locked up during the shift ensures the highest level of physical security and privacy for the credentials. This practice aligns with HIPAA guidelines and organizational policies for safeguarding protected health information (PHI) by preventing unauthorized access to the EHR system and maintaining accountability for system usage.
Choice C rationale
Taping the credentials to the underside of the keyboard makes the information accessible to anyone using or near the computer, which is a severe security violation. This practice circumvents essential authentication and security protocols designed to protect patient data, leading to a direct breach of confidentiality and making the nurse liable for any unauthorized system use.
Choice D rationale
Taping the credentials to the inside of the locker door is an improvement over leaving them out, but a locker door may not always be locked and is still accessible to others who might share or have access to that area. The most secure method is keeping the information on one's person in a locked container, minimizing the risk of exposure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Elderly is a demographic qualifier, not an official NANDA-I modifier, which are used to refine the meaning of the nursing diagnosis label. NANDA-I utilizes specific, scientifically derived modifiers (e.g., Deficient, Imbalanced, Ineffective) to precisely describe the state of the human response and its related factors in a standardized way.
Choice B rationale
The phrase Potential for is an older, non-NANDA-I term. Current NANDA-I uses the standardized label Risk for to denote a high vulnerability to an undesired human response. Risk for is a diagnostic concept, not a modifier itself, and indicates a diagnostic type that requires specific risk factors.
Choice C rationale
Deficient is a scientifically appropriate, officially approved NANDA-I modifier used to specify the extent or magnitude of the problem in a two-part diagnostic statement (e.g., Deficient Knowledge). It objectively describes an inadequate quantity, quality, or amount of a specific attribute, thereby standardizing the description of the patient's human response.
Choice D rationale
Room number is a logistical and administrative data point that has no scientific relevance to the patient's human response to health conditions, which is the focus of a nursing diagnosis. NANDA-I modifiers must refine the clinical meaning of the diagnostic concept, not provide a physical location.
Correct Answer is C
Explanation
Choice A rationale
A critical pathway primarily coordinates interdisciplinary interventions and anticipated patient outcomes, not solely nursing problems. It outlines the expected sequence of care activities for a specific diagnosis or procedure across different healthcare disciplines over a projected timeframe to standardize care.
Choice B rationale
Critical pathways typically use outcomes statements (or goals) to measure progress, whereas nursing interventions are the specific actions performed to help the patient achieve those outcomes, meaning interventions are used to achieve the outcomes, not used for outcomes statements.
Choice C rationale
A critical pathway is a multidisciplinary plan that outlines the optimal sequence and timing of interventions and anticipated patient outcomes over a predicted length of stay, meaning care is based on the day of hospitalization (or phase of recovery) to track expected progress and identify variances.
Choice D rationale
While patient safety is paramount, critical pathways are standardized management tools focused on expected care and outcomes. Allergies are typically documented in the electronic medical record (EMR) or on admission forms, not as a core structural element of the critical pathway itself.
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