A healthcare professional walks into the nurse's station and sees several staff members looking at the electronic medical record for a celebrity client on another unit. Which of the following actions should the healthcare professional take first?

Correct Answer: A

Rationale: The correct action is A: remind the staff members that this is a breach of confidentiality. This is the first step because addressing the immediate breach is crucial to prevent further unauthorized access to the client's information. It directly addresses the unethical behavior and educates staff on the importance of patient confidentiality. Choice B (discussing with the unit manager) is not the first step as it may delay addressing the breach directly. Choice C (requesting an administrative restriction) is not immediate and may not prevent the current unauthorized access. Choice D (preparing a report for the ethics committee) is not the first step as it involves a formal process and may not address the immediate breach.

Correct Answer: B

Rationale: The correct answers are B and C. The NDMS is designed to provide medical response during disasters, assist in patient movement, and offer definitive care to disaster victims. This includes organizing teams of healthcare providers with specialized skills and equipment to respond effectively to emergencies. Patient evacuation from disaster areas to safer locations is also a key function of the NDMS to ensure the well-being of those affected by the disaster. Options A and D are incorrect because the NDMS does not provide bomb disposal services and is primarily focused on medical response rather than mental health care.

Correct Answer: A

Rationale: A primary provider is typically a doctor, nurse practitioner, or physician's assistant who is responsible for overseeing and coordinating the patient's comprehensive healthcare needs. This healthcare professional serves as the main point of contact for the patient, managing preventive care, treatments, referrals to specialists, and overall health management. Choice B, a staff nurse, is incorrect as a primary provider is usually a more advanced healthcare professional managing comprehensive care. Choice C, one insurance provider, is incorrect as a primary provider refers to a healthcare professional, not an insurance company. Choice D, a hospital, is incorrect as the primary provider is an individual healthcare professional responsible for coordinating the patient's care, not a healthcare facility.

Correct Answer: A

Rationale: The increasing cost of providing healthcare to all citizens is a major source of stress on the current U.S. healthcare system. This rise in costs impacts various aspects of the system, including accessibility, quality of care, and financial sustainability. It affects healthcare providers, patients, insurance companies, and the government, making it a critical issue that needs to be addressed to ensure a more efficient and effective healthcare system. Choices B, C, and D are incorrect because although lack of education for healthcare professionals, inadequate number of hospital beds, and increasing malpractice insurance costs can be challenges within the healthcare system, they are not the primary source of stress that affects the system as a whole.

Correct Answer: A

Rationale: The correct answer is A because it involves collaboration and shared decision-making between the nurse, patient, and family to achieve the best outcome. This aligns with the coparticipative approach in nursing care, where all parties work together towards a common goal. Choice B focuses on individual encouragement, not coparticipation. Choice C highlights empathy but lacks the collaboration aspect. Choice D emphasizes acceptance but doesn't explicitly involve active participation and collaboration as in choice A. Thus, choice A best exemplifies coparticipative nursing care.

Correct Answer: A

Rationale: The correct answer is A: National Association for Practical Nurse Education and Services (NAPNES). NAPNES was the first organization to focus specifically on licensed practical nurses (LPNs) when it was established in 1941. This organization was founded with the primary goal of promoting and supporting practical nursing education and services. The other choices are incorrect because: B (NFLPN) primarily focuses on advocating for LPNs but was not the first organization; C (NLN) focuses on nursing education in general, not specifically on LPNs; and D (ANA) is a broader organization representing all nurses, not solely LPNs. Therefore, based on the historical context and focus of the organization, A is the correct answer.

Correct Answer: A

Rationale: The correct action is A: remind the staff members that this is a breach of confidentiality. This is the first step because addressing the immediate breach is crucial to prevent further unauthorized access to the client's information. It directly addresses the unethical behavior and educates staff on the importance of patient confidentiality. Choice B (discussing with the unit manager) is not the first step as it may delay addressing the breach directly. Choice C (requesting an administrative restriction) is not immediate and may not prevent the current unauthorized access. Choice D (preparing a report for the ethics committee) is not the first step as it involves a formal process and may not address the immediate breach.

Correct Answer: C

Rationale: The correct answer is C: Care map / clinical practice guideline. In this scenario, the healthcare professional is using a Care Map or clinical practice guideline to review the plan of care for the client post total hip arthroplasty. Care maps provide a structured, step-by-step approach to care delivery based on evidence-based practices, ensuring consistency and quality of care. Choice A, patient classification categories, does not involve a specific plan of care but rather categorizes patients based on acuity levels. Choice B, diagnostic related groups, is a payment classification system that groups patients with similar diagnoses and treatments for reimbursement purposes, not for developing care plans. Choice D, functional nursing, is a care delivery system where tasks are divided among staff based on their function, which is not the same as following a procedural plan like a care map.

Correct Answer: D

Rationale: The correct answer is D: State and federal. Medicaid is jointly funded by both state and federal governments. States administer the program but receive matching funds from the federal government. This dual funding structure allows for flexibility in program design and implementation while ensuring a baseline level of coverage across states. County funding (choice C) is not a primary source of Medicaid financing. While both state (choice A) and federal (choice B) governments contribute to funding Medicaid, the correct answer is D because it specifies the two entities that jointly fund the program.