VNSG 1304 Foundations of Nursing Chapter 7 & 8 NCLEX Questions with Correct Answers
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Course
VNSG
Institution
VNSG
VNSG 1304 Foundations of Nursing
Chapter 7 & 8 NCLEX Questions with
Correct Answers
The nurse has misplaced her computer password. She asks if she can borrow your "just for a moment"
to view patient data and promises she will not document anything. You best course of action is: -
Answer-Inform...
obtaining these. (The medical record is the property of the health facility or agency, not of the patient or
primary care provider. Only those health professionals caring directly for the patient, or those involved in
research or teaching, should have access to the medical record.)
When documenting, it is wise to always: - Answer✔✔-Ensure you are on the right medical record.
(Making certain you are in the correct medical record (or screen and date) is critical for accurate
documentation. Visitor names need not be documented, and be careful to use only acronyms approved
by your facility. Sign and date any paper documentation as per facility policy; full name, date, and time
are not necessary on every sheet.)
When a patient's medical record is needed as evidence for a legal action, you are aware that the record
is the property of: - Answer✔✔-The health care agency (The medical record is the property of the health
facility or agency, not of the patient or primary care provider.)
The assumption in charting by exception is that: - Answer✔✔-Unless otherwise documented, all
standards have been met. (Charting by exception is based on the assumption that all standards of
practice are carried out and met with a normal or expected response unless otherwise documented.)
An advantage of electronic medical records is that: - Answer✔✔-It can save nursing time compared with
writing out notes. (Once an EHR system is up and running smoothly, documentation time by nurses can
be minimized, thus saving nurse time and agency money. Computers can break down, however, which is
why choice 1 is incorrect. Security issues do exist with computers (choice 2), and facilities must go to
great lengths to ensure patient privacy. Others may be able to see what a nurse is documenting if the
nurse is not careful (choice 3), but this is a disadvantage, not an advantage.)
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