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    RN Comprehensive Predictor 2026 Proctored Exam

    A charge nurse is teaching a newly licensed nurse about the facility's computerized documentation system. Which of the following information should the nurse include?

    Explanation & Rationale

    Rationale: A. A firewall is a critical cybersecurity measure used in health care settings to protect electronic health records (EHRs) from unauthorized access, cyberattacks, and data breaches. Facilities use firewalls along with encryption, secure networks, and audit trails to ensure client confidentiality and compliance with privacy regulations (such as HIPAA principles in general practice). This statement correctly reflects an institutional-level safeguard in computerized documentation systems. B. Nurses are granted role-based access, meaning they can only view records of clients they are directly caring for or are assigned to. Accessing all client records would violate confidentiality standards and the principle of minimum necessary access. C. All licensed nurses are responsible for documenting their own assessments, interventions, and client care. Delegating documentation of “sensitive material” to the charge nurse is inappropriate and could compromise accuracy, accountability, and legal integrity of the medical record. D. Password policies in health care systems typically require more frequent changes than once per year (often every 60–90 days, depending on facility policy). Annual changes are generally not considered sufficient to maintain cybersecurity standards.

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