Answer to Question 1
ANS: A
Record all entries legibly. Do not write personal opinions (belligerent). Enter only objective and factual observations of patient's behavior; quote all patient comments. Do not erase, apply correction fluid, or scratch out errors made while recording. Chart only for yourself.
Answer to Question 2
ANS: A
The auditing and monitoring of patients' health records involve nurses periodically auditing records to determine the degree to which standards of care are met and identifying areas needing improvement and staff development. The mistakes in documentation that commonly result in malpractice include failing to record nursing actions; this is the aspect of legal documentation. The financial billing or reimbursement purpose involves diagnosis-related groups (DRGs) as the basis for establishing reimbursement for patient care. For research purposes, the researcher compares the patient's recorded findings to determine whether the new method was more effective than the standard protocol. Data analysis contributes to evidence-based nursing practice and quality health care.
Cirrhosis. Cirrhosis is characterized by a chronic deterioration of the liver, replacing healthy cel
Helping maintain accurate patient records is a critical part of the medical assistant's work.
Gating of sodium and potassium channels during an action potential.
The two mechanisms for terminating neurotransmitter action in the synapse: reuptake and enzymatic ...
The nurse conveys attentive listening through a posture of involvement