Hospitals beginning to use the electronic health record (EHR) for documentation of patient care are sometimes faced with many obstacles. What may be seen when the EHR system is first initiated?

a. Limited storage for records
b. Resistance from staff
c. Many "crashes" of the system
d. Many disruptions from the access of multiple users


B

Feedback
A This is not true.
B The steep learning curve can lead to staff resistance to its implementation.
C This is not true.
D This is not true.

Nursing

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A couple has undergone prenatal testing and their fetus has an identified congenital anomaly. What action by the nurse is best?

A. "I know how you feel; my daughter has a cleft lip." B. "I'm sure you will come to love your baby anyway." C. "It is normal for both of you to be afraid, sad, or angry." D. "You are lucky you found out now and can prepare."

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What is the best choice of diagnosis for this adnexal swelling?

An 18-year-old college freshman comes to your clinic, complaining of severe left-sided lower abdominal pain and a foul yellow discharge. The pain began last night while she was having intercourse with her boyfriend. Afterward the pain became more severe and the discharge started. By this morning she had a fever of 101 degrees and walking was making the pain worse. Only lying very still makes the pain better. She has tried ibuprofen and acetaminophen without any improvement. She denies any nausea, vomiting, diarrhea, or constipation. Her past medical history is unremarkable. She has had two past sexual partners. She uses the birth control patch instead of condoms. She smokes a half pack of cigarettes a day and drinks four to five beers per weekend night. She denies any illegal drug use. Her parents are both healthy. On examination you find a young woman who appears ill. Her temperature is 102 degrees and her pulse is elevated at 110. She is tender in the left lower quadrant but has no guarding or rebound. Speculum examination reveals yellow purulent drainage from the os. On palpation there is cervical motion tenderness and the left adnexa is swollen and tender. A urine analysis is unremarkable and the urine pregnancy test is pending. A) Ovarian cyst B) Tubal pregnancy C) Pelvic inflammatory disease

Nursing

The key concepts of the psychodynamic approach all look at hidden dynamics of organizations in order to decipher the motives for why people behave the way they do

a. True b. False

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Muscles usually become

Select the phrase that will correctly identify significant changes one can expect to occur in the normal aging process. a. stronger b. weaker c. tighter d.looser

Nursing