A nurse is educating a student nurse about the purpose of written documentation. The nurse recognizes that additional teaching is warranted when the student nurse states:
1. The purpose of written documentation is to communicate pertinent data to the health-care team.
2. The purpose of written documentation is to serve as a record of accountability for accreditation.
3. The purpose of written documentation is to serve as a legal record for the health-care provider only.
4. The purpose of written documentation is to serve as a record of accountability for quality assurance.
Question 2
While documenting in a patient's chart, a nurse recognizes that
1. Documentation serves as a temporary part of the medical record.
2. Documentation is one of the least important tasks performed in nursing.
3. Documentation is the act of charting only abnormal information related to a patient.
4. Documentation is evidence of what transpired during an event requiring medical care.
Intimate partner violence documentation form. (
nurse
how a nursing student thinks
Example of variance documentation
Nurse's hand over patients abdomen
Collage of Student Faces