NUR 155 Exam 1 (Units 1 & 2)

Which action by a nurse ensures confidentiality of a client's computer record? 1. The nurse logs on to the client's file and leaves the computer to answer the client's call light. 2. The nurse shares her computer password. 3. The nurse closes a client's computer file and logs off. 4. The nurse leaves client computer worksheets at the computer workstation. - Answer: 3 Rationale: All of the other answers endanger the client's confidentiality. The case management model using critical pathways would be appropriate for a client with which diagnosis? 1. Myocardial infarction (heart attack) 2. Diabetes, hypertension 3. Myocardial infarction, diabetes, hypertension 4. Diabetes, hypertension, an infected foot ulcer, senile dementia - Answer: 1 Rationale: Critical pathways work best for clients with one diagnosis. After making a documentation error, which action should the nurse take? 1. Use correcting liquid to cover the mistake and make a new entry. 2. Draw a line through it and write error above the entry. 3. Draw a line through it and write mistaken entry above it. 4. Draw a line through the mistake and write mistaken entry with initials above it - Answer: 4 Rationale: It is the most complete answer. The client's record is a legal record and should not be altered with correcting liquid. You may see "error" written above a mistake even though many authors suggest not writing it. It is important to also put your name or initials next to the words of the mistaken entry.