The documentation that reflects implementation is:

Choice A rationale

Increased technology awareness might be a consequence of EHR implementation, but it is not a primary advantage in terms of direct impact on patient care or healthcare delivery efficiency. The focus is on leveraging technology for improved outcomes.

Choice B rationale

EHRs facilitate seamless information sharing among healthcare providers, reducing reliance on paper-based records and improving coordination of care. This enhanced communication can lead to better-informed decision-making, reduced errors, and improved patient safety and outcomes.

Choice C rationale

The need for frequent technology updates can be a challenge associated with EHRs, requiring ongoing investment of time and resources for maintenance and training. This is a potential drawback rather than an advantage of electronic systems.

Choice D rationale

Required system changes, such as upgrades or modifications, can be disruptive and demand significant effort from healthcare organizations. While necessary for maintaining system functionality, they are not considered an inherent advantage of using EHRs.

Choice A rationale

Performing a focused patient assessment at the beginning of the shift is the priority action as it allows the nurse to gather current data about the patient's condition. This assessment provides the foundation for identifying the patient's immediate needs, establishing priorities, and planning appropriate care for the shift. It ensures that any changes in the patient's status since the last shift are promptly identified and addressed.

Choice B rationale

Administering prescribed medication is an important nursing responsibility, but it should occur after the initial assessment. The assessment may reveal changes in the patient's condition that could affect the timing or appropriateness of medication administration. Prioritizing assessment ensures medication administration is safe and based on the most current patient data.

Choice C rationale

Creating the nursing plan of care is an ongoing process that is informed by the initial and subsequent patient assessments. While a plan of care guides nursing interventions, the immediate need at the start of the shift is to assess the patient's current status to ensure the plan remains relevant and addresses any new or changing needs.

Choice D rationale

Determining the patient's family history is typically part of the comprehensive admission assessment. While relevant for understanding the patient's overall health risks, it is not the priority action at the beginning of each shift. The immediate focus should be on the patient's current physical and emotional status to guide immediate care.