As PHRs become the established norm, health care providers are aware of issues that can emerge from patient self-disclosure. Which of the following is a key concern associated with the patient-self entered data?
1. Electronic medication refills
2. Automated appointment schedules
3. Data review responsibility
4. Downloading accurate data
3
Rationale: While patient-centered care is the goal, concerns arise about patients as accurate suppliers of data and responsibility of data review.
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A nurse had 5 years of experience in a community health clinic when she accepted a position in occupational health. Which of the following best explains how the nurse will know what to do in this new setting?
a. On the basis of past experience, she can focus on relevant aspects and adapt protocols as deemed necessary b. By focusing immediately on critical aspects and determining priorities in the setting c. By following company procedures and relying on assessment checklists and clinical protocols d. By using extensive previous experience, the nurse can grasp situations quickly and initiate appropriate action(s)
A group of nurses is discussing various types of psychotherapy. What do they identify as universal practice principles among the different theories and methodologies? Select all that apply
1. Establishing goals 2. Using effective medications 3. Establishing a treatment time frame 4. Determining behavioral objectives 5. Establishing a therapeutic alliance
The nurse tells a client that the regular insulin the client has taken this morning will begin to act in
a. a few minutes. b. 30 minutes to 1 hour. c. 2 to 4 hours. d. 6 to 8 hours.
When the nurse is monitoring a patient who is undergoing exercise (stress) testing on a treadmill, which assessment finding requires the most rapid action by the nurse?
a. Patient complaint of feeling tired b. Pulse change from 87 to 101 beats/minute c. Blood pressure (BP) increase from 134/68 to 150/80 mm Hg d. Newly inverted T waves on the electro-cardiogram