The patient demands to see the actual medical record of a hospitalization that occurred 1 year ago. How should the hospital handle this request?

1. Deny the demand; the patient has no legal right to this record.
2. Have the patient come to the hospital to review the original record.
3. Send the patient a copy of the medical record by registered mail.
4. Do not comply with this demand unless the patient provides a subpoena for the record.


2
Rationale: The patient does have a legal right to view the record.

Nursing

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The client is diagnosed with rheumatoid arthritis. The client voices questions about the disorder. Which of the following should be included in the information provided to the client?

A) Rheumatoid arthritis is one of a group of noninflammatory joint diseases. B) Rheumatoid arthritis is common in weight-bearing joints. C) Crepitus is often heard in joints infected by rheumatic arthritis. D) The morning stiffness associated with rheumatoid arthritis may be disabling.

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The nursing instructor is teaching the junior nursing students about aortic regurgitation. What classification of drugs are used to treat aortic regurgitation?

A) Antihypertensives B) Anticoagulants C) Cardiac glycosides D) Antiarrhythmics

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The nurse caring for a client infected with methicillin-resistant Staphylococcus aureus (MRSA) should

a. discourage transfer to a long-term care facility. b. encourage the client to increase fluid consumption. c. place the client in protective isolation. d. use standard precautions plus transmission-based precautions.

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A nurse who is considering retirement has been asked to develop a quality improvement initiative as part of a late career initiative in order to improve quality in her practice setting (the emergency room)

She has decided to improve quality by promoting a culture of safety. Which one of following ideas is best suited for her plan? a. One person should be assigned the task of completing all documentation required for accreditation. b. The nurse manager should now inform the charge nurses that they are responsible for safety in the department. c. When incident reports are completed, a team of front-line care providers should review them and a root cause analysis should be completed. d. When incident reports are completed, the nurse manager should review them and meet with the staff involved.

Nursing