The clinic nurse has just accessed a client's chart on the computer. The resident comes over and asks her to stay logged on because he needs to add a note to that client's chart. She should say:

"No problem. Just log me off when you're done."

"I'm sorry, but you will have to enter the information using your own password."

"Just make sure that you sign your note because it's under my password."

"I'll put the note in for you. What do you want to say?"

Answer and Explanation

The Correct Answer is B

A. Allowing someone else to use your login credentials compromises patient confidentiality and violates privacy policies.
B. This response correctly emphasizes the importance of maintaining security and confidentiality in electronic health records. Each user must access the system using their credentials to ensure accountability.
C. Signing a note under someone else's password is not acceptable and could lead to misattribution of documentation.
D. Entering information on behalf of another person also violates policies regarding documentation and accountability.

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Correct Answer is A

Explanation

A. Waiting until the end of the week to document incidents can lead to inaccuracies and missed details, making it ineffective for timely documentation.
B. Keeping a log or summary sheet of errors and incidents is an effective way to track personnel problems and provide accurate records.
C. Advising the recipient to keep personal notes can support documentation but should not replace the manager's responsibility to document the incident.
D. Including a date, time, and brief description in documentation is crucial for maintaining clarity and accuracy in records.

A. human error is significant in contributing to adverse events. B. data systems provide backup documentation with adverse events that staff cannot provide. C. documentation of patient data is often illegible and therefore, misinterpreted. D. physiologic monitoring systems enable detection of early changes before an adverse event occurs.

Correct Answer is D

Explanation

A. While human error contributes to adverse events, the focus of selecting surveillance systems is on prevention through technology rather than just acknowledging errors.
B. Although data systems can provide documentation, the primary goal of surveillance systems is to monitor and prevent events rather than serve as a backup.
C. Illegibility in documentation can lead to errors, but this option does not specifically address the role of surveillance technology in preventing adverse events.
D. Physiologic monitoring systems are designed to detect early physiological changes, which can help prevent adverse events before they occur, aligning with the aim of using technology effectively.

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The clinic nurse has just accessed a client's chart on the computer. The resident comes over and asks her to stay logged on because he needs to add a note to that client's chart. She should say:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager understands that the second step in handling an employee with a disciplinary problem is to document the incident. Which of the following features IS NOT descriptive of effective documentation of personnel problems?

Correct Answer is A

Explanation

As the head nurse involved in selecting which patient surveillance systems to acquire for your unit, one of your aims is to avoid adverse events through the implementation of appropriate technology. This particular aim recognizes that:

Correct Answer is D

Explanation

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