Of the following hospital situations, which one demonstrates the need for further action and improved policies to maintain the confidentiality of patient medical information?
1. Employees are issued individual passwords to access computerized records.
2. A physician logs off a computer after accessing computerized patient records.
3. The nurse logs off the computer after accessing the laboratory record of a patient.
4. Reports of patient tests are faxed to a machine that is shared by the payroll department.
4
Rationale: Issuing individual passwords to access computerized records would maintain the confidentiality of patient medical information.
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The clinic nurse is caring for a 42-year-old male oncology patient. He complains of extreme fatigue and weakness after his first week of radiation therapy. Which response by the nurse would best reassure this patient?
A) "These symptoms usually result from radiation therapy; however, we will continue to monitor your laboratory and X-ray studies." B) "These symptoms are part of your disease and can't be helped." C) "Don't be concerned about these symptoms. Everybody feels this way after having radiation therapy." D) "This is a good sign. It means that only the cancer cells are dying."
Grounded theory methodology is an interpretivist research approach that generates theory that is ‘grounded' in the data. Qualitative research methodologies do not usually result in generalisable findings—to a wider population. How then can the outcomes of studies such as Hoare et al's study (2013—see previous ‘Research in brief' box) ‘widely' inform the disciplines of nursing and
midwifery? What will be an ideal response?
Pregnancy and birthrates declined among teens of all ages and ethnicity in recent years. These decreases are attributed to stabilization of the numbers of teens
1. Becoming sexually active 2. Using complementary alternative methods of birth control 3. Having tighter parental control at home 4. Adjusting to a new moral paradigm in the United States
A 7-year-old conscious boy presents with marked respiratory distress. Your assessment reveals the presence of intercostal and supraclavicular retractions and nasal flaring. His oxygen saturation is 93% on room air, and his heart rate is rapid. The MOST appropriate initial treatment for this child involves:
A) administering high-flow oxygen as tolerated, auscultating his lung sounds, and being prepared to assist his ventilations. B) conducting a focused history and physical exam and allowing him to breathe room air to see if his oxygen saturation falls. C) recognizing that the child is in respiratory failure and making immediate preparations to perform endotracheal intubation. D) assisting his ventilations with a bag-mask device and determining if his tachycardia is ventricular or supraventricular in origin.