The clinic nurse has just accessed a client's chart on the computer. The resident comes over and asks her to stay logged on because he needs to add a note to that client's chart. She should say:

"No problem. Just log me off when you're done."

"I'm sorry, but you will have to enter the information using your own password."

"Just make sure that you sign your note because it's under my password."

"I'll put the note in for you. What do you want to say?"

Answer and Explanation

The Correct Answer is B

A. Allowing someone else to use your login credentials compromises patient confidentiality and violates privacy policies.
B. This response correctly emphasizes the importance of maintaining security and confidentiality in electronic health records. Each user must access the system using their credentials to ensure accountability.
C. Signing a note under someone else's password is not acceptable and could lead to misattribution of documentation.
D. Entering information on behalf of another person also violates policies regarding documentation and accountability.

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Correct Answer is A

Explanation

A. Charges refer to the fees billed for services rendered, which in this case is the administration of each vaccination according to the insurance company's guidelines.
B. Contractual allowance refers to the difference between the billed amount and the amount agreed upon in the contract with the insurance company, which is not the primary focus here.
C. Prospective reimbursement is based on predetermined rates rather than charges billed after services are provided.
D. Cost-based reimbursement is determined by the actual costs incurred in providing services, which does not apply in this context as the billing is based on set charges for vaccinations.

A. A decrease in the actual nursing staffing hours compared to the planned hours. B. A surplus of available nurses on a particular day. C. A decrease in the cost of medical supplies. D. An increase in patient satisfaction scores.

Correct Answer is A

Explanation

A. A decrease in actual nursing staffing hours compared to planned hours indicates a negative variance, as it suggests that staffing was not at the desired levels, potentially impacting patient care.
B. A surplus of available nurses could suggest efficient staffing; thus, it does not represent a negative variance.
C. A decrease in the cost of medical supplies would typically indicate a positive variance, reflecting better financial management.
D. An increase in patient satisfaction scores is a positive outcome and does not relate to negative variances in budgetary terms.

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The clinic nurse has just accessed a client's chart on the computer. The resident comes over and asks her to stay logged on because he needs to add a note to that client's chart. She should say:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After a major flu vaccination campaign, an agency bills a private insurance company for the administration of each vaccination according to the insurance company's reimbursement guidelines. This is an example of which major payment method?

Correct Answer is A

Explanation

After reviewing her monthly budget report, the nurse manager sees that she has a negative variance, which prompts her to change the staffing schedule. Which of the following data is an example of a negative variance?

Correct Answer is A

Explanation

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