Which nursing diagnosis is the highest priority for a patient with pneumonia?

Choice A rationale

Incorrect organization of health assessment findings relates to how the nurse collects and structures patient data, which may impact the accuracy of diagnosis and care planning but is less likely to be the primary cause of frustration with a patient's cultural health practices.

Choice B rationale

While a patient's insistence on alternative remedies and spiritual practices might indicate coping mechanisms, it doesn't directly explain the nurse's frustration. The frustration likely stems from a conflict in beliefs or approaches to healthcare rather than the patient's ability to cope.

Choice C rationale

Cultural differences encompass the values, beliefs, and practices that influence a person's perception of health, illness, and healthcare. A patient's preference for herbal remedies, prayer, and a spiritual healer over conventional medical treatment reflects cultural health-related practices that may differ significantly from the nurse's professional training and beliefs, potentially leading to frustration.

Choice D rationale

Delay in psychosocial development refers to a lag in achieving expected developmental milestones related to social and emotional functioning. While it can influence a patient's health behaviors, it is less directly related to the nurse's frustration with culturally based healthcare choices. .

Choice A rationale

While electronic medical records (EMRs) improve legibility by using standardized digital text, they do not entirely eliminate the need to interpret physician notes or potential data entry errors. Clinicians still input information, and nuances in terminology or abbreviations can require careful review. EMRs primarily address the issue of illegible handwriting associated with paper-based records.

Choice B rationale

Electronic medical record systems streamline documentation processes by offering templates, drop-down menus, and the ability to copy forward information. This reduces the need for repetitive manual charting, freeing up nurses' time for direct patient care and other essential tasks. Efficient data entry and retrieval contribute significantly to time savings in documentation.

Choice C rationale

Password management is a security feature of computer systems, including EMRs, and often requires periodic changes to protect patient data. Implementing a new EMR system does not typically eliminate the need for password changes; in fact, it might introduce new password protocols. Security protocols necessitate regular password updates to maintain data integrity and confidentiality.

Choice D rationale

Accessing a family member's medical record violates patient privacy and confidentiality regulations, such as HIPAA. Nurses should only access records of patients for whom they are directly providing care. Viewing a son's medical record without a professional need is an ethical and legal breach of patient confidentiality.