A new graduate is working at her first job. Which statement is ...

[frankwu]

A new graduate is working at her first job. Which statement is most important for the new nurse to follow?
 
  A) Use abbreviations approved by the facility.
  B) Document lengthy entries using complete sentences.
  C) Use PIE charting even if it is not the institution's charting method.
  D) Only document changes in the client's status.

Question 2

Besides being an instrument of continuous client care, the client's medical record also serves as a(an):
 
  A) assessment tool.
  B) legal document.
  C) Kardex.
  D) incident report.

[lolol]

Answer to Question 1

Ans: A
Feedback:
Use abbreviations, but only those that are commonly accepted and approved by the facility.

Answer to Question 2

Ans: B
Feedback:
The client record serves as a legal document of the client's health status and care received.

[frankwu]

Thanks for the timely response, appreciate it

[Jossy]

TYSM