A nurse is educating a student nurse about the purpose of written documentation. The nurse recognizes that additional teaching is warranted when the student nurse states:
1. The purpose of written documentation is to communicate pertinent data to the health-care team.
2. The purpose of written documentation is to serve as a record of accountability for accreditation.
3. The purpose of written documentation is to serve as a legal record for the health-care provider only.
4. The purpose of written documentation is to serve as a record of accountability for quality assurance.
Question 2
While documenting in a patient's chart, a nurse recognizes that
1. Documentation serves as a temporary part of the medical record.
2. Documentation is one of the least important tasks performed in nursing.
3. Documentation is the act of charting only abnormal information related to a patient.
4. Documentation is evidence of what transpired during an event requiring medical care.
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