The friend of a nurse who works in an acute care hospital asks the nurse to review the adult daughter's electronic medical record (EMR) to determine if she is honestly disclosing her medical condition. The nurse's reply should include which information? Select all that apply.
EMR tracking alerts the hospital information systems of the nurse's attempts to access the record.
Encourage the friend to share her concerns with her daughter and other family members.
EMR safeguards prohibit access to medical records for personnel not involved in direct care of the client.
The daughter's permission needs to be obtained before the information can be shared by the nurse.
Review of the EMR violates client confidentiality and is not permitted legally or ethically.
Correct Answer : A,C,D,E
Choice A reason: EMR tracking systems monitor and alert for unauthorized access attempts, ensuring compliance with privacy regulations.
Choice B reason: While encouraging the friend to discuss concerns is good advice, it is not directly related to the legal and ethical aspects of accessing the EMR.
Choice C reason: EMR safeguards ensure that only authorized personnel involved in direct care can access a client's medical records.
Choice D reason: Obtaining the client's permission is a prerequisite for sharing medical information, ensuring respect for client privacy and autonomy.
Choice E reason: Reviewing the EMR without proper authorization violates client confidentiality and is both legally and ethically prohibited.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Intubation is not the first step in managing COPD exacerbation unless the client is in severe respiratory failure (e.g., unresponsive, unable to protect airway, pH severely low). This client is alert, able to maintain vitals, so less invasive interventions should be tried first.
Choice B reason: High-flow oxygen at 100% can eliminate the hypoxic drive to breathe in COPD patients, leading to CO₂ retention and respiratory acidosis. Controlled oxygen therapy (e.g., nasal cannula or Venturi mask at 1–2 L/min or FiO₂ 24–28%) is preferred.
Choice C reason: This "tripod" position reduces work of breathing by optimizing diaphragmatic expansion and helping accessory muscles function more effectively. It is an evidence-based immediate nursing intervention for acute dyspnea in COPD.
Choice D reason: Obtaining a sputum sample for culture and sensitivity is important for identifying the cause of the infection but is not the immediate priority.
Correct Answer is A
Explanation
Choice A reason: Focusing on small achievable tasks helps the client experience a sense of accomplishment and reduce anxiety. It provides structure and manageable goals, which can improve concentration and reduce overwhelming feelings.
Choice B reason: Relaxing and reducing the effort to solve the problem may help to some extent, but it is not a comprehensive coping strategy and does not address the client's avoidance behaviors and concentration difficulties.
Choice C reason: Analyzing past hurts and resentments is more aligned with psychotherapy rather than an immediate coping strategy for generalized anxiety disorder.
Choice D reason: Concentrating on and ventilating emotions when distressed might provide temporary relief but does not address the broader issue of managing anxiety and improving function.
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