Author Question: A nurse shows the best understanding of the legal importance of the patient's chart when stating: ... (Read 62 times)

jlmhmf · **on:** Jul 19, 2018

A nurse shows the best understanding of the legal importance of the patient's chart when stating:

a. You always document in ink and never erase or use white out in the nursing notes.
b. It's a document that shows proof that the patient received care that met the ex-pected standards.
c. Patient charts are carefully protected from unlawful access by inappropriate in-dividuals or institutions.
d. The patient has a legal right to the information contained in the chart but not the original documentation itself.

Question 2

The nurse best fulfills the obligation to be accountable for providing care that meets the expected standards of care when:

a. Developing a therapeutic relations with the patient
b. Applying evidence-based nursing practice to the plan of care
c. Providing appropriate discharge planning to meet the patient's needs
d. Evaluating the effectiveness of interventions through achievement of outcomes

sarajane1989 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: B
The patient's chart is a legal document that effectively communicates patient outcomes, medications, treatments, responses, and unusual incidents reflecting the healthcare systems attempts at meet the standard of care appropriate for this patient. The other options are not as inclusive in describing the legal status of the chart.

Answer to Question 2

ANS: D
Evaluation of the patient's progress and the nursing activities involved are critical because nurses are accountable for the standards of care in each discipline. Although the other options reflect appropriate and expected nursing interventions, they are not the primary means of as-suring that standard of care has been met.