The major difference between the nursing diagnoses "inadequate nutritional intake related to vomiting as manifested by 3-pound weight loss" and "risk for impaired skin integrity related to inadequate nutrition" is that the second diagnosis:

Choice A rationale

While electronic medical record (EMR) systems aim to improve legibility by using standardized digital documentation, they do not entirely eliminate the need to interpret physician notes or other entries. There may still be instances where clarification or interpretation is required.

Choice B rationale

A significant benefit of implementing an EMR system is the potential to streamline documentation processes. Electronic charting can reduce the time nurses spend on manual tasks such as handwriting notes, transcribing orders, and locating paper records, thereby improving efficiency.

Choice C rationale

Password management and security protocols are often a necessary component of electronic systems to protect patient privacy and data integrity. Implementing a new EMR system may involve changes to password policies and frequency of updates, which could be a source of frustration rather than a benefit.

Choice D rationale

Access to a family member's medical record, even a child's, raises significant privacy and security concerns. Healthcare systems have strict regulations (e.g., HIPAA) to protect patient confidentiality, and nurses typically do not have unrestricted access to family members' records.

Choice A rationale

Centralized management involves top-down decision-making, where the nurse manager holds authority for policies, reviews, and disciplinary actions. This structure concentrates power and control at the managerial level, limiting staff input and autonomy in shaping unit operations and standards of practice.

Choice B rationale

Regularly monitoring patient care by making rounds is a supervisory function, ensuring adherence to established protocols and identifying immediate issues. While important for quality assurance, it doesn't inherently decentralize decision-making or empower staff in a collaborative manner.

Choice C rationale

Decentralized management empowers staff at lower levels to participate in decision-making processes. When staff nurses collaborate with the manager to review care options and implement preventive strategies, it distributes authority and fosters a sense of ownership and shared responsibility for patient outcomes.

Choice D rationale

Conducting regular staff meetings to disseminate information about new equipment and policies is a communication strategy that ensures staff are informed. However, it does not necessarily involve staff in the formulation or decision-making processes related to these changes, maintaining a more centralized approach.