Practice Quiz

NCLEX-RN

Category - Care Management

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Rick Rescue, RN is conducting an in-service on the computerized charting system the hospital is installing. The nurses are uneasy about the upcoming changes. A veteran-nurse with years of experience asks, “How are we supposed to maintain confidentiality? I wish they wouldn’t fix what isn’t broken!” Another nurse agrees, “Computers are always getting hacked; they don’t provide the necessary security for client records!” Rick Rescue, RN’s best response is:
  1. “Maintaining confidentiality of client records has always posed challenges for nurses; using the computerized charting system will resolve some of the manual charting system challenges, yet create other issues.”
  2. “No need to worry, the system we are using is a fail-safe, tamper-proof, modern wonder!”
  3. “The concerns you mention are the same concerns for manual charting. There is no difference between manual and computerized charting.”
  4. “Personally, I agree with everything said; computers of today are not capable of providing secured client-record storage.
Explanation
Answer: A - Computerized charting does create confidentiality versus. technology challenges, while solving some manual charting issues. Password issues, access levels, and user training are some issues computerized charting may create. Other challenges include providing an area large enough to house enough secure terminal areas in existing nursing units, and managing time limits per nurse.
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