the patients medical record can work as a double edged sword when can the medical record become the doctorsnurses worst enemy
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Nursing Elites

ATI RN

ATI Nutrition Practice Test A 2019

1. When can a patient's medical record become a potential issue for the doctor or nurse?

Correct answer: D

Rationale: The correct answer is D. A medical record becomes a potential issue for a doctor or a nurse when it is inaccurate, incomplete, or inadequate. This is because a medical record is a key tool for healthcare professionals to track a patient's history, treatment, and progress. If the record is not accurate or complete, it can lead to misdiagnosis, incorrect treatment, or other potential problems in patient care. While missing records (Choice C) could be a problem, they do not directly implicate the doctor or nurse in the same way that inaccurate or inadequate records do. An extensive record (Choice A) or a record being subpoenaed in court (Choice B) are not inherently problematic for healthcare professionals and do not necessarily reflect negatively on their work.

2. Miss CEE is admitted for treatment of major depression. She appears withdrawn, disheveled, and states 'Nobody wants me'. What does the nurse most likely expect that Miss CEE is to be placed on?

Correct answer: C

Rationale: Given Miss CEE's state of major depression and her expressed feelings of worthlessness ('Nobody wants me'), the nurse would most likely expect her to be placed on suicide precaution. This means that measures would be taken to ensure her safety and to prevent her from harming herself. While medications like neuroleptics (Choice A) and anxiolytics (Choice D) might be employed as part of her overall treatment, these medicines are primarily used for conditions like psychosis and anxiety respectively, not specifically for depression or suicidal ideation. A special diet (Choice B) may be part of a comprehensive treatment plan, but it is not as immediate or as directly related to her current emotional and psychological state as suicide precaution is.

3. By force of law, therefore, the PRC-Board of Nursing released Resolution No. 14 Series of 1999 entitled: "Adoption of a Nursing Specialty Certification Program and Creation of Nursing Specialty Certification Council." This rule-making power is called:

Correct answer: B

Rationale: The correct answer is B: Regulatory Power. Regulatory power involves the authority to create rules and regulations that govern a specific area. In this case, the PRC-Board of Nursing's release of Resolution No. 14 Series of 1999 for the Nursing Specialty Certification Program falls under regulatory power as it establishes guidelines and standards for nursing specialty certification. Choices A, C, and D are incorrect. Quasi-judicial power involves making decisions on rights and obligations, quasi-legislative power involves creating regulations with the force of law, and executive/promulgating power involves enforcing and implementing laws and regulations.

4. Milk and other dairy products are preferred sources of calcium because lactose enhances calcium absorption.

Correct answer: A

Rationale: Both the statement and the reason are correct and related. Milk and other dairy products are indeed preferred sources of calcium because they supply most of the available calcium. Additionally, lactose present in dairy products enhances calcium absorption, making them even more efficient sources of this essential mineral. The statement correctly identifies dairy products as preferred sources of calcium, and the reason explains how lactose contributes to better calcium absorption. The other choices are incorrect as they do not accurately assess the relationship between lactose, calcium absorption, and the preference for dairy products as sources of calcium.

5. Prevention of work related accidents in factories and industries are responsibilities of which field of nursing?

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

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