A mentoring nurse tells a new nurse that Documentation is a ...

[piesebel]

A mentoring nurse tells a new nurse that Documentation is a critically important skill for you to
  develop.. The rationale for this advice is that documentation (more than one answer may be correct)
 
  A. ensures that clients receive necessary care.
  B. justifies payment for the client's care.
  C. keeps evaluators from giving deficiencies.
  D. makes risk management more effective.

Question 2

A client who recently attempted suicide talks with the nurse about wanting a day pass to go home.
  The nurse responds by telling the client that he will talk with the psychiatrist on her behalf. An
  accurate analysis of this interaction is that
 
  a. the nurse is modeling healthy behaviors for the client.
  b. the client has manipulated the nurse into acting on her behalf.
  c. role boundary blurring is occurring because the nurse behaves in an overly helpful
  way.
  d. The nurse is demonstrating both positive regard for the client and clinical
  competence in the nursing role.

[Kdiggy]

Answer to Question 1

ANS: A, B
Rationale: Progress notes written on a daily basis document behavior, behavioral outcomes, and
daily interventions. Client change necessitates revised planning. Only when documentation is
relevant, accurate, and timely will the client receive optimal care. Payors are unwilling to pay for
care that is not justified or not received; thus documentation is the foundation on which payment is
based. The other options bear no relevance to the importance of documentation.

Answer to Question 2

ANS: C
Being overly helpful is a classic example of role boundary blurring. Option A does not reflect the
modeling of healthy behavior. Option B suggests the client is manipulative but is without supportive
assessment data. Option D is false because clinical competence does not embrace role boundary
violations.

[piesebel]

Excellent

[samiel-sayed]

TYSM