Author Question: Among the following computer-related policies, which of the following are appropriate? Select all ... (Read 14 times)

dalyningkenk · **on:** Jul 7, 2018

Among the following computer-related policies, which of the following are appropriate? Select all that apply.

1. A nursing student shared confidential lab results obtained from the system at the request of one of the student's relatives. The policy is to dismiss the student from the clinical site.
2. Both students and employees sign documents that explain the consequence of termination for misuse of the system.
3. Access codes are assigned to authenticate each individual user's identity and may not be shared with anyone.
4. A radiology student makes a copy of a client's MRI report to prepare for the next days clinical. The copy is accidentally left in the waiting room and found by a staff member. The policy is to dismiss the student from the clinical site.
5. Once trained and entered into the system, employees may sign other users in under their access code for documentation purposes when necessary.

Question 2

Monica is a 55-year-old woman who has suffered from diabetes mellitus for 30 years. The nurse enters the room to check routine vital signs and sees that both Monica and her husband appear upset; they tell the nurse to leave.

Which of the following responses by the nurse reflect an accurate understanding of family-focused chronic illness care? 1. I need to take Monica's vital signs. You (husband) can return when I am done.
2. I'm so pleased you understand your disease, Monica.
3. Has your doctor talked with you about your future?
4. I will give you some more time to be alone. Let me know if you have questions.

Toya9913 · **Reply #1 on:** Jul 7, 2018

Answer to Question 1

1,2,3,4
Rationale: Appropriate policies are: Access codes are assigned to authenticate each individual user's identity and may not be shared with anyone (not even staff members or administrators); both students and employees sign documents that explain the consequence of termination for misuse of the system; two students are dismissed from the site for breaches of confidentiality and the inappropriate use of data within the information/paper system. It is also possible that legal action may follow. Each student's faculty should be notified and each school will review its own penalties. Students should never share confidential PHI with any unauthorized person and documents such as the MRI report should be properly disposed of. An inappropriate policy is: Allowing employees to sign other users in under their access code; this is never acceptable for any reason.

Answer to Question 2

4

Feedback
1 Routine vital signs can be postponed for a while if the family is upset.
2 By focusing on Monica, the nurse fails to acknowledge the husband.
3 Family-focused chronic illness care recognizes that their current emotions take priority over the future.
4 By giving the family time to be alone, the nurse shows willingness to answer questions and allow privacy.