The nurse who works in a facility that is changing from a ...

[KWilfred]

The nurse who works in a facility that is changing from a source-oriented system of documentation to the FACT system of documentation will discover that the main difference between the two is:
 
  1. The FACT system duplicates information.
  2. The source-oriented system duplicates information.
  3. The FACT system documents progress in DAE format.
  4. The FACT system is similar to CBE, and is designed to eliminate redundant and irrelevant data.

Question 2

The nurse working in a clinic is approached by the mother of four children who are all overweight.
 
  The mother, from a culture different from the nurse's, says she knows the children's health is negatively impacted by their obesity, and asks for help in changing their diet. Which of the following statements would demonstrate cultural competence in helping this mother? 1. Here is the diet plan your children should be on.
  2. Because your children are overweight, I'd like to work with you and explain some of the problems they could develop.
  3. We are going to change your family's eating and exercise habits to improve the health of your children.
  4. In order to improve the health of the children, it will be important to reduce caloric intake and increase exercise. What kinds of foods do your children like?

[chereeb]

Answer to Question 1

4
Rationale: The FACT system consists of flow sheets that are individualized, an assessment sheet that is standardized, concise integrated progress notes and flow sheets, and timely entries, and is computer-ready. It is efficient and time-saving.

Answer to Question 2

4
Rationale 1: Answer option 4 is correct because the likes and dislikes of the family are important considerations when changing diet. If the nurse promotes a low-calorie diet filled with foreign foods the family dislikes, compliance is unlikely to occur. Option 1, 2, and 3 do not seek input from the family, and take control over decision making from the family and place it with the nurse.