Author Question: Which option is not a primary reason that documentation is important? a. Documentation enables ... (Read 39 times)

DyllonKazuo · **on:** Jul 11, 2018

Which option is not a primary reason that documentation is important?

a. Documentation enables the team to pro-vide care to meet a resident's individual needs.
b. Documentation helps defend the nurse in the event of a possible lawsuit.
c. Documentation enables a patient to re-ceive consistent care from one shift to the next.
d. Documentation is the basis for reim-bursement to the facility.

Question 2

Which statement is not true about cognitive impairments in older adults?

a. Heart attack, applying restraints, and sudden loss can lead to delirium in elders.
b. Confusion is a normal and unavoidable consequence of aging for older adults.
c. A patient sitting quietly can have a lower cognitive status than an agitated and shouting patient.
d. The Mini-Mental State Examination (MMSE) should be administered on admis-sion to detect delirium.

anyusername12131 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

B
Although providing a defense in the event of a possible lawsuit should not be the primary motive for the nurse to keep accurate and thorough documentation, doing so is the best defense in the event of legal action against anyone involved in a patient's care. Enabling the team to provide care that meets individual needs is a primary reason; documentation is necessary to ensure that the team has accurate and complete information about the resident's specific conditions. Enabl-ing the patient to receive consistent care is a primary reason; documentation enables nurses on later shifts to be aware of conditions that have developed and the actions that have been taken on previous shifts. Providing the basis for reimbursement is a primary reason; the use of standard documentation in applying for reimbursement is a matter of law.

Answer to Question 2

B

Feedback
A Incorrect. This is a true statement. Each of these conditions, as well as many other stressors, can place an older person at risk for delirium.
B Correct. This statement is not true. Confusion or delirium is not a normal con-sequence of aging but an indicator of a potentially underlying problem.
C Incorrect. This is a true statement. The hypoactive subtype of delirium can be associated with a worse prognosis than the hyperactive subtype, because it is easily overlooked.
D Incorrect. This is a true statement. The MMSE or similar instrument should be administered to a patient on admission to ascertain the patient's baseline cogni-tive status.