What is the relationship between nursing practice acts and ...

[joe]

What is the relationship between nursing practice acts and documentation?
 
  a. Nursing practice acts establish guidelines for practice and standards of care that are evidenced by documentation.
  b. Documentation ensures safe practice.
  c. Documentation and nursing practice requirements differ from state to state.
  d. Nursing practice acts are independent of documentation requirements.

Question 2

The legal aspects of documentation require which of the following?
 
  a. factual and time-sequenced descriptive entries
  b. legible printing
  c. proof or evidence of any form of malpractice or negligence that occurs during a client's stay
  d. lack of abbreviations

[recede]

Answer to Question 1

A
Compliance with standards of care, as outlined in state nursing practice acts, is also reflected in the client's health care record and are evidenced by documentation completed by the nurse.

Answer to Question 2

A
The health care record is a legal document that describes what happens to a client; in case of a lawsuit, the record provides proof of actions taken or not taken. Legal issues of documentation require that entries be legible, that correct spelling and grammar and authorized abbreviations be used, and that descriptive notations be factual and time-sequenced.