If an agency is using computer-assisted charting, the nurse is responsible for:

Guarding the confidentiality of the patient record by not leaving the patient screen "on" if he leaves the terminal.

Learning the passwords of the staff nurses and primary care providers so that they can communicate with one another.

Choosing whether he will use the computer to help in documentation or continue to use traditional paper documentation.

Patient education to input information about herself, such as intake and output or symptoms the patient may experience.

Answer and Explanation

The Correct Answer is A

A. Guarding the confidentiality of the patient record by not leaving the patient screen "on" if he leaves the terminal. Protecting patient confidentiality is essential in electronic charting to prevent unauthorized access.

B. Learning the passwords of the staff nurses and primary care providers so that they can communicate with one another. Sharing or learning others' passwords violates security protocols and confidentiality rules.

C. Choosing whether he will use the computer to help in documentation or continue to use traditional paper documentation. In facilities using electronic charting, all staff are typically required to use the system to maintain consistent, accessible records.

D. Patient education to input information about herself, such as intake and output or symptoms the patient may experience. Patients typically do not have access to chart directly into their medical records.

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Correct Answer is ["A","B","C","D","E"]

Explanation

A. Asking probing questions. Probing questions can feel invasive, leading to discomfort or defensiveness from the patient.

B. Using nonjudgmental remarks. Nonjudgmental remarks foster open communication, so this is not a communication block.

C. Changing the subject. Changing the subject shows disregard for the patient’s thoughts or feelings, which can block effective communication.

D. Using clichés. Clichés can make patients feel as though their concerns are not truly heard or understood.

E. Giving advice. Giving advice without patient input can make the patient feel undervalued and less autonomous.

F. Offering hope. Offering realistic hope and encouragement can actually facilitate communication, as long as it’s not false reassurance.

A. write down the steps as she performs them. B. read the listed steps written on a poster board on the wall. C. verbalize each step until the steps are memorized. D. close her eyes and envision the process.

Correct Answer is C

Explanation

A. write down the steps as she performs them.
Writing down the steps may help the patient review later but does not actively engage the patient in learning during the procedure.

B. read the listed steps written on a poster board on the wall.
Reading steps on a poster board can provide visual support but doesn’t actively involve the patient in recalling or practicing the procedure.

C. verbalize each step until the steps are memorized.
Verbalizing each step is an active form of learning that reinforces memory and helps the patient feel more comfortable with the process, making it an effective teaching strategy.

D. close her eyes and envision the process.
Visualization can help with memory, but it may not be as effective as actively verbalizing each step for practical, hands-on tasks.

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If an agency is using computer-assisted charting, the nurse is responsible for:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During the initial interview of a patient, the nurse should: (Select all that apply.)

Correct Answer is ["A","B","C","D","E"]

Explanation

When a nurse is "talking through" a procedure or assisting the patient to learn, the nurse encourages the patient to:

Correct Answer is C

Explanation

When a patient states, "I don't feel like walking today," the nurse's most therapeutic verbal response would be:

The nurse will choose the best time to continue postoperative education regarding wound care and dressings, which would be:

When educating an older adult patient about changing his dressing, the nurse would most appropriately:

Which nursing assessment is an example of brevity and clarity while meeting legal guidelines?

The nurse is aware that the use of false reassurance is harmful to the nurse-patient relationship, because this communication block:

To convey the intervention of active listening, the nurse would:

When communicating with an adolescent, the nurse should be very sensitive to avoid:

When the nurse is giving direction to a nursing assistant who is being delegated part of the patient care, the nurse's most effective direction would be: