Answer to Question 1
ANS: C
A second progress note method is the PIE format. The narrative note includes PProblem, IIntervention, and EEvaluation. The intervention is Demonstrated use of crutches. Patient went up and down stairs and Used crutches with no difficulties are examples of the E. Deficient knowledge regarding crutches is the P.
Answer to Question 2
ANS: A
The patient record is a valuable source of data for all members of the health care team. Its purposes include communication, legal documentation, financial billing, education, research, and auditing/monitoring. The auditing/monitoring purpose involves nurses auditing records throughout the year to determine the degree to which standards of care are met and to identify areas needing improvement and staff development. The legal documentation purpose involves the concept that even though nursing care may have been excellent, in a court of law, care not documented is care not provided. The financial billing or reimbursement purpose involves diagnosis-related groups (DRGs) as the basis for establishing reimbursement for patient care. For research purposes, the researcher compares the patient's recorded findings to determine whether the new method was more effective than the standard protocol. Analysis of data from research contributes to evidence-based nursing practice and quality health care.
NUrse
Nurse-patient interaction; nonveral communication
Patient learns to not be afraid
Helping maintain accurate patient records is a critical part of the medical assistant's work.
(A) PET scan of a healthy patient. (B) PET scan of a patient with schizophrenia. This patient will ...
Anatomy of the heart. Remember: It is labeled right and left based on the patient’s perspective.