Author Question: PIE, APIE, SOAP, and SOAPIE are: a. chronologic. b. examples of problem-oriented charting. c. ... (Read 32 times)

OSWALD · **on:** Jul 23, 2018

PIE, APIE, SOAP, and SOAPIE are:

a. chronologic.
b. examples of problem-oriented charting.
c. narrative charting.
d. forms of charting by exception.

Question 2

Nursing documentation is guided by:

a. the Nursing process
b. the North American Nursing Diagnosis Association (NANDA) diagnoses.
c. Nursing Interventions Classification.
d. Nursing Outcomes Classification

dajones82 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
The nurse's notes may be in a narrative format or in a problem-oriented structure such as the PIE, APIE, SOAP, SOAPIE, SOAPIER, DAR, or CBE format. Narrative charting is chronologic, Charting by exception (CBE) is documentation that records only abnormal or significant data.

Answer to Question 2

ANS: A
Nursing documentation is guided by the five steps of the nursing process: assessment, diagnosis, planning, implementation, and evaluation. Standardized nursing terminologies such as the North American Nursing Diagnosis Association-International (NANDA-I) nursing diagnoses, Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC) may be used in the documentation process.