The nurse is attending an in-service education program that ...

[dbose]

The nurse is attending an in-service education program that identifies the Joint Commission's requirements of documentation. Which of the following would be one of these requirements?
 
  a. A traditional nursing care plan
  b. Documentation of all steps of the nursing process
  c. Interdisciplinary planning and implementation of all aspects of care
  d. Client signature on nursing records

Question 2

The nurse who forgets to document an element of clinical significance and recalls it later should:
 
  a. not add this information to the chart as it will be out of sequence.
  b. add this information to the original entry and initial it.
  c. rewrite the original entry.
  d. include this information, dating and signing the additional material.

[Ashley I]

Answer to Question 1

ANS: C

Answer to Question 2

ANS: D

[dbose]

Excellent

[kjohnson]

Thanks for the timely response, appreciate it