Nursing NEA-BC Q&A - in .pdf

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NEW QUESTION: 1
Which of the following is a problem regarding computer investigation issues?
A. In many instances, an expert or specialist is not required.
B. Information is tangible.
C. Evidence is easy to gather.
D. Computer-generated records are only considered secondary evidence, thus are not as reliable as best evidence.
Answer: D
Explanation:
Because computer-generated records normally fall under the category of hearsay evidence because they cannot be proven accurate and reliable this can be a problem.
Under the U.S. Federal Rules of Evidence, hearsay evidence is generally not admissible in court. This inadmissibility is known as the hearsay rule, although there are some exceptions for how, when, by whom and in what circumstances data was collected.
Source: KRUTZ, Ronald L. & VINES, Russel D., The CISSP Prep Guide: Mastering the Ten Domains of Computer Security, John Wiley & Sons, 2001, Chapter 9: Law, Investigation, and Ethics (page 310).
IMPORTANT NOTE: For the purpose of the exam it is very important to remember the Business Record exemption to the Hearsay Rule. For example: if you create log files and review them on a regular basis as part of a business process, such files would be admissable in court and they would not be considered hearsay because they were made in the course of regular business and it is part of regular course of business to create such record.
Here is another quote from the HISM book: Business Record Exemption to the Hearsay Rule
Federal Rules of Evidence 803(6) allow a court to admit a report or other business document made at or near the time by or from information transmitted by a person with knowledge, if kept in the course of regularly conducted business activity, and if it was the regular practice of that business activity to make the [report or document], all as shown by testimony of the custodian or other qualified witness, unless the source of information or the method or circumstances of preparation indicate lack of trustworthiness.
To meet Rule 803(6) the witness must:
Have custody of the records in question on a regular basis.
Rely on those records in the regular course of business.
Know that they were prepared in the regular course of business.
Audit trails meet the criteria if they are produced in the normal course of business. The process to produce the output will have to be proven to be reliable. If computer-generated evidence is used and admissible, the court may order disclosure of the details of the computer, logs, and maintenance records in respect to the system generating the printout, and then the defense may use that material to attack the reliability of the evidence. If the audit trails are not used or reviewed
- at least the exceptions (e.g., failed log-on attempts) - in the regular course of business, they do not meet the criteria for admissibility.
Federal Rules of Evidence 1001(3) provide another exception to the hearsay rule. This rule allows a memory or disk dump to be admitted as evidence, even though it is not done in the regular course of business. This dump merely acts as statement of fact. System dumps (in binary or hexadecimal) are not hearsay because they are not being offered to prove the truth of the contents, but only the state of the computer.
BUSINESS RECORDS LAW EXAMPLE: The business records law was enacted in 1931 (PA No. 56). For a document to be admissible under the statute, the proponent must show: (1) the document was made in the regular course of business; (2) it was the regular course of business to make the record; and (3) the record was made when the act, transaction, or event occurred, or shortly thereafter (State v. Vennard, 159 Conn. 385, 397 (1970); Mucci v. LeMonte, 157 Conn. 566, 570 (1969). The failure to establish any one of these essential elements renders the document inadmissible under the statute (McCahill v. Town and Country Associates, Ltd. , 185 Conn. 37 (1981); State v. Peary, 176 Conn. 170 (1978); Welles v. Fish Transport Co. , , 123 Conn. 49 (1937).
The statute expressly provides that the person who made the business entry does not have to be unavailable as a witness and the proponent does not have to call as a witness the person who made the record or show the person to be unavailable (State v. Jeustiniano, 172 Conn. 275 (1977).
The person offering the business records as evidence does not have to independently prove the trustworthiness of the record. But, there is no presumption that the record is accurate; the record's accuracy and weight are issues for the trier of fact (State v. Waterman, 7 Conn. App. 326 (1986); Handbook of Connecticut Evidence, Second Edition, $ 11. 14. 3).
Reference: http://search.cga.state.ct.us/dtsearch_lpa.asp?cmd=getdoc&DocId=16833&Index=I%3A%5Czinde x%5C1995&HitCount=0&hits=&hc=0&req=&Item=712

NEW QUESTION: 2
Assessment of parturient reveals the following: cervical dilation 6 cm and station 22; no progress in the last
4 hours. Uterine contractions decreasing in frequency and intensity. Marked molding of the presenting fetal head is described. The physician orders, "Begin oxytocin induction at 1 mU/min." The nurse should:
A. Maintain the dosage when duration of contractions is 40-60 seconds and frequency is at 21⁄2-4 minute intervals
B. Increase the dosage by 2 mU/min increments at15-minute intervals
C. Begin the oxytocin induction as ordered
D. Question the order
Answer: D
Explanation:
Explanation/Reference:
Explanation:
(A) Oxytocin stimulates labor but should not be used until CPD (cephalopelvic disproportion) is ruled out in a dysfunctional labor. (B) This answer is the correct protocol for oxytocin administration, but the medication should not be used until CPD is ruled out. (C) This answer is the correct manner to interpret effective stimulation, but oxytocin should not be used until CPD is ruled out. (D) This answer is the appropriate nursing action because the scenario presents adysfunctional labor pattern that may be caused by CPD.
Oxytocin administration is contraindicated in CPD.

NEW QUESTION: 3
When designing changes to an existing network which tow options are documented to understand environmental
constraints? (Choose two)
A. heating and air conditioning
B. host naming conventions
C. floor and rack space availability
D. utilization of network resources
E. location of existing document
Answer: A,D

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