A nurse is working with an RN to admit a new client. Which of the following steps of the nursing process is the nurse using when assisting to formulate goals for a positive outcome?

Choice A: This is the correct answer. An electronic health record (EHR) is a digital version of a client's medical history and other health information that can be accessed by authorized providers and the client. A personal health record (PHR) is a subset of an EHR that allows the client to view and manage their own health information, such as medications, allergies, test results, and appointments. A PHR can enhance the client's satisfaction, engagement, and empowerment in their health care.
Choice B: This is incorrect. Provides providers client information to track for research studies is not a benefit of an electronic health record, but a potential use of it. EHRs can facilitate health research by providing large and diverse data sets that can be analyzed for various purposes, such as clinical trials, epidemiology, and quality improvement. However, this use of EHRs must comply with ethical and legal standards, such as informed consent, privacy, and confidentiality.
Choice C: This is incorrect. Grants significant other access to client information is not a benefit of an electronic health record, but a matter of the client's preference and consent. EHRs must protect the client's privacy and confidentiality rights, and only disclose their information to authorized parties, such as health care providers, insurers, or public health agencies. The client can choose to share their information with their significant other or anyone else, but they must give explicit permission to do so.
Choice D: This is incorrect. Coordinates all healthcare client has received into one platform is not a benefit of an electronic health record, but a goal of it. EHRs aim to improve the coordination and continuity of care by allowing multiple providers to access and update the same information, enabling real-time collaboration, and providing decision support tools. However, this goal is not fully achieved yet, as there are still challenges and barriers to the interoperability and integration of EHRs across different settings and systems.

Choice A reason: Use of restraints is not included in the outcome category, but in the process category. The process category measures the nursing interventions and activities that affect the client's health outcomes. Use of restraints is a nursing intervention that can have negative effects on the client's physical and psychological wellbeing, such as injuries, infections, agitation, and depression.
Choice B reason: Client admissions is not included in the outcome category, but in the structure category. The structure category measures the characteristics and resources of the health care setting that affect the quality of care. Client admissions is a characteristic that reflects the volume and complexity of the client population and the demand for nursing services.
Choice C reason: Hospital readmissions is included in the outcome category. The outcome category measures the results and consequences of the nursing care provided to the clients. Hospital readmissions is a result that indicates the effectiveness and continuity of the nursing care. A high rate of hospital readmissions can suggest poor quality of care, inadequate discharge planning, or lack of follow-up care.
Choice D reason: Staffing is not included in the outcome category, but in the structure category. The structure category measures the characteristics and resources of the health care setting that affect the quality of care. Staffing is a resource that reflects the quantity and quality of the nursing staff, such as the number, education, experience, and skill mix of the nurses.