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.
The nurse assists the patient in reflecting on his feelings
The nurse needs to note the source of the patient health history
Life of a Medical School Student
A nurse administers an intermittent bolus feeding.
Nurse Sandy
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