A patient requests that records of her hospitalization for treatment of an infection following an abortion be destroyed. What is the likely outcome of this request?
1. The record will be destroyed.
2. The request will be denied.
3. The record will be sealed.
4. The record will be given to the patient's attorney.
3
Rationale: Even though the patient has requested that the record be destroyed, medical records departments are generally unwilling to do so. In most cases, the record will be sealed, rather than destroyed.
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The nurse administers an analgesic to a patient with a headache. What is the best way for the nurse to assess the patient's response to the medication?
a. Ask the patient to describe the pain. b. Observe the patient's behavior. c. Monitor the patient's blood pressure and pulse. d. Have the patient rate the pain on a scale of 0 to 10.
The nurse observes the unit clerk providing the hospital chaplain with clients' religious affiliations. The nurse's priority action is to:
1. Do nothing. 2. Stop the unit clerk and reprimand her privately for sharing privileged information. 3. Inform the chaplain that signed permission will be required to provide that information. 4. Do nothing, but speak to the unit clerk later about HIPAA privacy laws.
A family member tells the nurse that she is worried about her grandmother driving. Which of the following would be most appropriate for the nurse to suggest? (Select all that apply.)
a. Avoid rush hour traffic. b. Buy and drive a very large heavy car. c. Do not converse with any passengers. d. Drive more slowly. e. Drive only during daylight. f. Leave the radio turned off.
What is the one phase of the nursing process that may be delegated to the NAP?
a. assessment c. implementation b. planning d. evaluation