Author Question: The nurse is reviewing the categories of information that are included in the health record with a ... (Read 74 times)

bobypop

  • Hero Member
  • *****
  • Posts: 539
The nurse is reviewing the categories of information that are included in the health record with a group of nursing students. What would be the best response by a nursing student about the purpose of progress records?
 
  A) Records all client information
  B) Guides nurses to develop individualized care plans
  C) Includes the physician's orders and the nursing care plan
  D) Describes the treatment and responses of the client

Question 2

A nurse has been caring for a client in a healthcare facility. Which document would be most helpful in determining the client's ability to perform activities of daily living?
 
  A) Medical information systems (MIS)
  B) Medical administration record (MAR)
  C) Resident assessment protocol (RAP)
  D) Charting by exception (CBE)



canderson530

  • Sr. Member
  • ****
  • Posts: 317
Answer to Question 1

D
Feedback:
Progress records describe the treatment and responses of the client. Assessment documents record all client information. Minimum data sets and resident assessment protocols guide nurses to develop individualized care plans, especially in long-term and home care. Plans for treatment of the client include the physician's orders and the nursing care plan.

Answer to Question 2

C
Feedback:
A resident assessment protocol, or RAP, will help the nurse in identifying functional losses affecting the client's ability to perform activities of daily living. An MIS or medical information system is used for storing, processing, and transmitting client data, treatment strategies, and outcomes over a computer network. It is a method for keeping electronic records. A medication administration record, or MAR, is a progress record that lists all medications that the physician has ordered for the client, with spaces for the caregiver to mark when medications are given. Charting by exception, or CBE, is a system that uses a flow sheet that identifies excepted assessments, and a progress note to identify abnormalities or unexpected findings.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

The B-complex vitamins and vitamin C are not stored in the body and must be replaced each day.

Did you know?

In 1835 it was discovered that a disease of silkworms known as muscardine could be transferred from one silkworm to another, and was caused by a fungus.

Did you know?

In 1864, the first barbiturate (barbituric acid) was synthesized.

Did you know?

Coca-Cola originally used coca leaves and caffeine from the African kola nut. It was advertised as a therapeutic agent and "pickerupper." Eventually, its formulation was changed, and the coca leaves were removed because of the effects of regulation on cocaine-related products.

Did you know?

Cyanide works by making the human body unable to use oxygen.

For a complete list of videos, visit our video library