RNSG 1125 EXAM 3 STUDY GUIDE
(11/10) WITH CORRECT SOLUTIONS
Strategies or things to do to maintain security when using computers on patient units -
ANSWER-Make sure display screens do not face public areas. For portable device,
install encryption software that makes info unreadable or inaccessible.
Use encryption software when sending email over public networks
Request that your unit have a separate printer not shared with another unit.
Strategies to prevent errors in medication administration - ANSWER-task that involves
the prescriber, the pharmacist, the nurse administering the drugs, and the patient. The
nurse needs to check TRAMPED
T-time
R- route
A-amount
M-medication
P-patient
E-education
D-documentation
Transfer of information from one nurse to another i.e. change of shift report, transfer of
patient report - ANSWER-bedside report include the oncoming and outgoing nurse
seeing the patient together, reviewing medication records and the physician's and
nursing orders, and establishing patient goals for the shift
•Basic identifying information about each patient—name, room number, bed
designation, diagnosis, and attending and consulting physicians
•Current appraisal of each patient's health status
•Current orders (especially any newly changed orders):
•Abnormal occurrences during your shift
•Any unfilled orders that need to be continued onto the next shift
•Patient/family questions, concerns, needs
•Reports on patients who have been transferred or discharged
Know abbreviations - ANSWER-b.i.d- 2 times daily
t.i.d - 3 times daily
q.i.d- 4 times daily
NPO- not by moth
PRN- as needed
STAT- immediately
Daily- always write out daily
Advantages of computerized charting - ANSWER-•Improve quality and convenience of
patient care
, •Increase patient participation in their care.
•Improve accuracy of diagnoses and health outcomes
•Improve care coordination
•Increase practice efficiencies and cost savings.
•Service elements (such as admission and discharge dates and expected payer for
services)
Health habits - ANSWER-Smoking increases the probability of lung cancer.
Poor nutrition can lead to a variety of health problems.
Lifestyle - ANSWER-Multiple sexual relationships increase the risk for sexually
transmitted infections (e.g., gonorrhea or AIDS).
Events that increase stress (e.g., divorce, retirement, work-related pressure) may
precipitate accidents or illness.
Environment - ANSWER-Working and living environments (such as hazardous
materials and poor sanitation) may contribute to disease.
Primary prevention measures - ANSWER-Promoting health/ preventing the
development of disease or injury
Weight loss, Diet, Exercise, Smoking cessation, Reduced alcohol consumption,
Avoidance of illicit drugs, Farm safety, Seat belts and child safety seats, Immunizations,
Water treatment, Safer sex practices, Effective parenting
Breaches of security - ANSWER-•Discussing patient info in any public area
•Leaving patient medical info public area
•Leaving a computer unattended in a public area with medical record info unsecured
•Failing to log off computer
•Sharing or exposing passwords
•Copying or providing data, either in paper or machine-readable form, for one's self,
coworkers, or any other party
•Improperly accessing, reviewing, and/or releasing birth dates and addresses of friends
or relatives, or requesting another person to do so
•Improperly accessing, reviewing, and/or releasing the record of a patient out of concern
or curiosity, or requesting another person to do so
•Improperly accessing, reviewing, and/or releasing a patient record to use information in
a personal relationship
•Improperly accessing, reviewing, and/or releasing the patient record of a public
personality for the intent of giving or selling information to the media
•Improperly accessing, reviewing, and/or releasing confidential information of another
member of the workforce who is also a patient
•Improperly accessing, reviewing, and/or releasing confidential information that may
bring harm to the organization or people associated with it
Correction of errors on patient record - ANSWER-Do not use dittos, erasures, or
correcting fluids. Draw a single line through an incorrect entry, and write the words
(11/10) WITH CORRECT SOLUTIONS
Strategies or things to do to maintain security when using computers on patient units -
ANSWER-Make sure display screens do not face public areas. For portable device,
install encryption software that makes info unreadable or inaccessible.
Use encryption software when sending email over public networks
Request that your unit have a separate printer not shared with another unit.
Strategies to prevent errors in medication administration - ANSWER-task that involves
the prescriber, the pharmacist, the nurse administering the drugs, and the patient. The
nurse needs to check TRAMPED
T-time
R- route
A-amount
M-medication
P-patient
E-education
D-documentation
Transfer of information from one nurse to another i.e. change of shift report, transfer of
patient report - ANSWER-bedside report include the oncoming and outgoing nurse
seeing the patient together, reviewing medication records and the physician's and
nursing orders, and establishing patient goals for the shift
•Basic identifying information about each patient—name, room number, bed
designation, diagnosis, and attending and consulting physicians
•Current appraisal of each patient's health status
•Current orders (especially any newly changed orders):
•Abnormal occurrences during your shift
•Any unfilled orders that need to be continued onto the next shift
•Patient/family questions, concerns, needs
•Reports on patients who have been transferred or discharged
Know abbreviations - ANSWER-b.i.d- 2 times daily
t.i.d - 3 times daily
q.i.d- 4 times daily
NPO- not by moth
PRN- as needed
STAT- immediately
Daily- always write out daily
Advantages of computerized charting - ANSWER-•Improve quality and convenience of
patient care
, •Increase patient participation in their care.
•Improve accuracy of diagnoses and health outcomes
•Improve care coordination
•Increase practice efficiencies and cost savings.
•Service elements (such as admission and discharge dates and expected payer for
services)
Health habits - ANSWER-Smoking increases the probability of lung cancer.
Poor nutrition can lead to a variety of health problems.
Lifestyle - ANSWER-Multiple sexual relationships increase the risk for sexually
transmitted infections (e.g., gonorrhea or AIDS).
Events that increase stress (e.g., divorce, retirement, work-related pressure) may
precipitate accidents or illness.
Environment - ANSWER-Working and living environments (such as hazardous
materials and poor sanitation) may contribute to disease.
Primary prevention measures - ANSWER-Promoting health/ preventing the
development of disease or injury
Weight loss, Diet, Exercise, Smoking cessation, Reduced alcohol consumption,
Avoidance of illicit drugs, Farm safety, Seat belts and child safety seats, Immunizations,
Water treatment, Safer sex practices, Effective parenting
Breaches of security - ANSWER-•Discussing patient info in any public area
•Leaving patient medical info public area
•Leaving a computer unattended in a public area with medical record info unsecured
•Failing to log off computer
•Sharing or exposing passwords
•Copying or providing data, either in paper or machine-readable form, for one's self,
coworkers, or any other party
•Improperly accessing, reviewing, and/or releasing birth dates and addresses of friends
or relatives, or requesting another person to do so
•Improperly accessing, reviewing, and/or releasing the record of a patient out of concern
or curiosity, or requesting another person to do so
•Improperly accessing, reviewing, and/or releasing a patient record to use information in
a personal relationship
•Improperly accessing, reviewing, and/or releasing the patient record of a public
personality for the intent of giving or selling information to the media
•Improperly accessing, reviewing, and/or releasing confidential information of another
member of the workforce who is also a patient
•Improperly accessing, reviewing, and/or releasing confidential information that may
bring harm to the organization or people associated with it
Correction of errors on patient record - ANSWER-Do not use dittos, erasures, or
correcting fluids. Draw a single line through an incorrect entry, and write the words
