Review Ati lpn nursing leadership(chapter 5,6,7)

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Ati lpn nursing leadership(chapter 5,6,7)

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Total Questions : 50

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Question 1:

A patient asks how their information is kept safe in the EHR. What's the BEST response?

A. "We use security measures like passwords and encryption." B. "Anyone on staff can access it if needed." C. "The EHR system deletes your data after discharge." D. "Only your provider can see your chart."

Answer and Explanation

Choice A:

This is correct because EHR systems use security measures such as passwords, encryption, and access controls to protect patient information. It provides an accurate and reassuring explanation of privacy safeguards.

Choice B:

This is incorrect because not all staff have unrestricted access; access is limited based on role and need-to-know.

Choice C:

This is incorrect because EHR data is not automatically deleted after discharge; it is maintained according to legal and institutional policies.

Choice D:

This is incorrect because while access is limited, other authorized providers involved in care may also view the chart; stating only the primary provider can see it is inaccurate.

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Question 2:

The nurse delivers safer health care using electronic medical records because of what feature?

A. Lower cost of care delivery B. Improved accuracy in reading documentation C. Tighter control of data privacy D. Accessibility of the medical record by multiple people

Answer and Explanation

Choice A:

Lower cost of care delivery may be a long-term benefit, but it does not directly relate to safer care.

Choice B:

EMRs improve accuracy in reading documentation by reducing errors associated with handwritten notes, which directly contributes to safer patient care.

Choice C:

Tighter control of data privacy is important for confidentiality but does not directly improve clinical safety.

Choice D:

Accessibility by multiple people can improve care coordination, but the primary factor for safer care is accurate, legible documentation.

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Question 3:

The nurse is one of five nurses selected to brainstorm solutions to a problem on the unit. The group sits quietly to relax for 2 minutes, then sets a time. Which will the group do next?

A. Review all of the ideas generated by the group. B. Begin to prioritize workable solutions. C. Have someone write down all the ideas produced by the group. D. Eliminate ideas that are not usable.

Answer and Explanation

Choice A:

Reviewing ideas comes after all ideas have been collected, not immediately after setting a brainstorming time.

Choice B:

Prioritizing solutions occurs after ideas are documented and evaluated.

Choice C:

The next step in brainstorming is to have someone record all ideas as they are generated, ensuring nothing is missed before discussion or evaluation.

Choice D:

Eliminating ideas is premature at this stage; brainstorming encourages open generation of all ideas without judgment.

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Question 4:

Which advantages does the nurse identify in providing patient care using an electronic medical record? (Select all that apply.)

A. Faster reporting of diagnostic study results B. Accessibility of medical record by multiple people C. Easier readability of documentation D. Improved privacy of information E. Error reduction

Answer and Explanation

Choice A:

EMRs allow faster reporting and sharing of diagnostic results, which supports timely interventions.

Choice B:

Multiple authorized healthcare providers can access the medical record, improving care coordination.

Choice C:

Electronic documentation is easier to read than handwritten notes, reducing misinterpretation.

Choice D:

While EMRs have security measures, improved privacy is not inherently guaranteed; breaches can still occur.

Choice E:

EMRs help reduce errors, such as medication errors, through alerts and legible documentation.

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Question 5:

A nurse prints out lab results for teaching but leaves them at the nurse's station. What informatics principle is violated?

A. Integrity B. Data accuracy C. Accessibility D. Confidentiality

Answer and Explanation

Choice A:

Integrity refers to the reliability and trustworthiness of data, not the exposure of sensitive information.

Choice B:

Data accuracy involves correctness of information, which is not the issue in this scenario.

Choice C:

Accessibility refers to authorized users being able to access data, not leaving it unsecured.

Choice D:

Confidentiality is violated because leaving printed lab results unattended exposes private patient information to unauthorized individuals.

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Question 6:

A PN caring for a patient on fall precautions observes the call light on but finds the patient attempting to walk to the bathroom unassisted. What is the BEST immediate response?

A. Assist the patient safely to the bathroom and reinforce using the call light B. Tell the patient to return to bed and wait C. Report the incident as a fall D. Move the call light closer to the patient's bed

Answer and Explanation

Choice A:

The immediate priority is patient safety. Assisting the patient prevents a potential fall, and reinforcing the proper use of the call light promotes safe behavior.

Choice B:

Telling the patient to return to bed without assistance does not prevent a fall and could result in injury.

Choice C:

Reporting the incident is important but is secondary to immediately ensuring the patient’s safety.

Choice D:

Moving the call light may help in the future, but it does not address the immediate risk of a fall.

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Question 7:

During morning medication administration, a PN notices the provider ordered a higher-than-usual dose of a blood pressure medication. What is the MOST appropriate action?

A. Cut the dose in half without an order B. Hold the medication until clarifying with the provider C. Ask the patient if they usually take that much D. Administer the medication because it is on the MAR

Answer and Explanation

Choice A:

Altering the dose without provider approval is unsafe and violates nursing practice standards.

Choice B:

The nurse should hold the medication and clarify the order with the provider to ensure patient safety and prevent potential adverse effects.

Choice C:

Asking the patient is not a reliable way to verify medication orders and does not replace provider clarification.

Choice D:

Administering the medication solely because it is on the MAR ignores the nurse’s responsibility to question unsafe orders.

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Question 8:

The student nurse gains which type of knowledge in the pathophysiology classroom?

A. Aesthetic B. Empirical C. Ethical D. Personal

Answer and Explanation

Choice A:

Aesthetic knowledge relates to the art of nursing, such as intuition and empathy, not scientific facts.

Choice B:

Empirical knowledge is derived from scientific evidence, research, and factual information, which is the focus of pathophysiology education.

Choice C:

Ethical knowledge involves understanding moral principles and professional values, not classroom-based scientific learning.

Choice D:

Personal knowledge involves self-awareness and experience-based understanding, not classroom-acquired scientific knowledge.

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Question 9:

When teaching students about HIPAA, which example shows a violation?

A. Logging off before leaving a computer workstation B. Faxing labs to a consulting provider with a cover sheet C. Accessing a patient's chart to learn more for class D. Sharing patient details in a private handoff room

Answer and Explanation

Choice A:

Logging off before leaving a workstation protects patient privacy and complies with HIPAA.

Choice B:

Faxing labs to another provider with a cover sheet is appropriate and HIPAA-compliant.

Choice C:

Accessing a patient’s chart for classroom learning without a treatment-related reason is a HIPAA violation because it is unauthorized access.

Choice D:

Sharing patient details in a private handoff room is acceptable because it is a secure, professional setting for care communication.

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Question 10:

Why does the nurse manager prefer e-mail when communicating with multiple recipients?

A. The e-mail can be secretly sent to friends. B. E-mails are more private than letters sent through the mail system. C. The letter can be sent to multiple recipients at one time with no extra effort. D. It allows the sender to attach documents and resources for all recipients simultaneously

Answer and Explanation

Choice A:

Sending emails secretly to friends is inappropriate and unrelated to professional communication.

Choice B:

While emails can be private, privacy is not the primary reason for using email to communicate with multiple recipients.

Choice C:

Email allows a single message to be sent to multiple recipients at the same time, saving time and effort compared with sending individual letters.

Choice D:

Attaching documents is a benefit of email but does not directly explain why it is preferred for communicating with multiple recipients simultaneously.

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Ati lpn nursing leadership(chapter 5,6,7)

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