Leadership: Q6

A charge nurse allows two nurses who are arguing about who gets to go to lunch first to go together. The charge nurse agrees to take care of both of the nurses' clients while they are at lunch. The charge nurse is demonstrating which of the following types of conflict management? a. Cooperating b. Compromising c. Competing d. Avoiding

A

A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? a. "Information about a client can be disclosed to family members at any time." b. "HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form." c. "A client's address would be an example of personally identifiable information." d. "HIPAA is a federal law, not a state law."

A

A charge nurse has access to the facility's electronic client records. It is appropriate for the charge nurse to share her personal password with whom? a. The nurse manager b. No one c. A nursing student who is completing a preceptorship on the unit d. The unit clerk

B

A patient is changing health-care providers and wants to take his medical record with him. He has a significant medical history with several comorbidities and frequent hospitalizations at several hospitals in his geographic area. What would the patient do based on this circumstance? a. Access his electronic medical record (EMR) and print out copies to take with him when he has his initial meeting with his new health-care provider. b. Provide information from his personal health record (PHR). c. Attempt to directly access his electronic health record (EHR) to obtain information. d. Gather information from his EMR that will provide information about all of his hospitalizations in different health-care settings as it provides a comprehensive overview of his medical history.

B

The nurse has just come on shift after receiving initial report and one of the patients is requesting pain medication. In order for a nurse to administer this medication to a patient using the electronic medication administration record (eMAR), which application must be in place? a. Completion of full shift nursing assessment in patient's medical record b. Computerized provider order entry (CPOE) noted in chart for pain medication c. Using one patient identifier for confirmation d. Access to the patient portal

B

A nurse has received morning report on the following four clients. Which of the following clients should the nurse assess first? a. A client who was administered acyclovir for cellulitis reports pain in the affected leg b. A client who was administered erythromycin for acute glomerulonephritis and reports reddish-brown urinary output c. A client who was administered glipizide for type 2 diabetes mellitus & has blood glucose of 68 mg d. A client who was administered adalimumab for Crohn's disease, has a serum calcium level of 10 mg/dL, and reports a headache

C

A nurse is assisting a patient with reviewing an explanation of benefits (EOMB) in relationship to insurance reimbursement. The patient has a history of Diabetes, Type 1 and went to the physician for an office visit. In order to determine which code reflects the office visit, what would the nurse examine? a. Discrete data b. ICD (International Classification of Diseases) c. CPT (Current Procedural Terminology) d. Data sets

C

Who is a key stakeholder that is a critical part of the informatics team when attempting to implement an electronic documentation system? a. Physician or health-care provider b. A super user who is an expert c. A super user who is a shift expert d. IT support

C

A nurse is caring for a client who has fallen while getting out of bed and states, "I'm okay! I guess I should have called for help to the bathroom." After assessing the client, the nurse notifies the provider. Which of the following documentation should the nurse include in the client's medical record? a. "There were no injuries sustained." b. "An incident report was completed." c. "An incident report was forwarded to risk management." d. "The provider was notified."

D

At the beginning of the shift, an RN is preparing assignments for a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN? a. Providing postmortem care for a client b. Measuring a client's I&O c. Obtaining a client's weight d. Inserting a nasogastric tube for a client

D