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Author Question: What part of the client's record is commonly used to document specific client variables, such as ... (Read 66 times)

jwb375

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on: Jul 23, 2018
What part of the client's record is commonly used to document specific client variables, such as vital signs?
 
  A) Progress notes
  B) Nursing notes
  C) Critical paths
  D) Graphic record

Question 2

A nurse is documenting information about a client in a long-term care facility. What is used in a Medicare-certified facility as a comprehensive assessment and as the foundation for the Resident Assessment Instrument (RAI)?
 
  A) PIE system
  B) Minimum data set
  C) OASIS
  D) Charting by exception


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yasmina

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Reply #1 on: Jul 23, 2018
Answer to Question 1

Ans: D

The graphic record is a form used to document specific client variables such as vital signs, weight, intake and output, and bowel movements.

Answer to Question 2

Ans: B

Long-term care documentation is specified by the RAI with the minimum data set forming the foundation for the assessment. This is required in all facilities certified to participate in Medicare or Medicaid. OASIS is used in the home health care industry.


jwb375

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Reply #2 on: Jul 23, 2018
TY


yasmina

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Reply #3 on: Jul 23, 2018
You're welcome


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