Standardized nursing terminologies such as the North American ...

[strangeaffliction]

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. Use of standardized language: (Select all that apply.)
  a.
  provides consistency.
  b.
  improves communication among nurses while excluding non-nurses.
  c.
  increases the visibility of nursing interventions.
  d.
  enhances data collection.
  e.
  supports adherence to care standards.

Question 2

Nurses must be aware of the danger of using abbreviations that may be misunderstood and compromise patient safety. The Joint
 
  Commission has compiled a list of do-not-use abbreviations, acronyms, and symbols to avoid the possibility of errors that may be life threatening. Of the following, which are acceptable? (Select all that apply.)
  a.
  Daily
  b.
  QD
  c.
  qod
  d.
  0.X mg
  e.
  X mg

[Jadwiga9]

Answer to Question 1

ANS: A, C, D, E
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. Use of standardized language provides consistency, improves communication among nurses and with other health care providers, increases the visibility of nursing interventions, improves patient care, enhances data collection to evaluate nursing care outcomes, and supports adherence to care standards.

Answer to Question 2

ANS: A, D, E
Nurses must be aware of the danger of using abbreviations that may be misunderstood and compromise patient safety. The Joint Commission (2013) has compiled a list of do-not-use abbreviations, acronyms, and symbols to avoid the possibility of errors that may be life threatening. QD, Q.D., qd, q.d. (daily), QOD, Q.O.D., qod, and q.o.d. (every other day) can be mistaken for each other. Periods after Q can be mistaken for I, and the O mistaken for I. Write daily or every other day. Trailing zero (X.0 mg) or a lack of leading zero (.X mg) can be confusing. Write as X mg or 0.X mg.