A patient comes to the emergency room complaining of a rapid heart rate. The nurse wants to use an online journal to research abnormally rapid heart rates. What is a downside of using an online journal as a clinical data source?
Online journals require extra storage space.
Online journals generally require a subscription to access content.
Online journals offer limited access to graphic images and diagrams.
Online journals are not up-to-date, due to publishing delays.
The Correct Answer is B
A. Online journals require extra storage space – This is generally not true, as online journals are stored digitally and accessed via the internet.
B. Online journals generally require a subscription to access content – Many reputable online medical journals require a subscription or payment to access full articles, which can limit availability.
C. Online journals offer limited access to graphic images and diagrams – This is generally incorrect, as many online journals include graphics and diagrams in articles.
D. Online journals are not up-to-date due to publishing delays – Most reputable online journals strive to publish current studies, though there may be some delay in publication, this is not a primary downside compared to subscription requirements.
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Correct Answer is C
Explanation
A. Alternatively, it is possible to use mobile texting for such exchanges. – Mobile texting can facilitate communication but may not be integrated into the formal care plan or records.
B. Patient portals accessible from kiosks at the local hospital can be used to keep track of their progress. – This option is less convenient for ongoing communication as it requires physical presence at a hospital rather than facilitating remote communication.
C. It is best to enable their portal to allow them to receive notifications on their mobile device so that they become aware of them in real time. – Notifications through the patient portal can provide timely updates and reminders, enhancing communication and access to information between visits.
D. Patient portals should be used with the patient present. – This is not practical for ongoing communication and does not facilitate frequent interactions outside of appointments.
Correct Answer is C
Explanation
A. Query-based exchange. – Query-based exchange allows providers to search for and retrieve patient information but is typically provider-centered, not allowing patients direct control.
B. Clinical decision support. – Clinical decision support is a tool for improving provider decisions and does not give patients direct access to correct or control their records.
C. Consumer-mediated exchange. – Consumer-mediated exchange empowers patients to manage their own health information, including reviewing and correcting their billing and health records.
D. Evidence-based practice (EBP). – EBP is related to healthcare decision-making based on evidence but does not involve patient-controlled access to health records.
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