Documentation EAQ- Final
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Questions and Answers

Which item is a feature of charting by exception? SATA

  • documentation of deviations (correct)
  • use of shorthand method (correct)
  • documentation of significant findings (correct)
  • narrative description of exceptions (correct)
  • Which information would the nurse provide int he discharge summary for a patient discharged home? SATA

  • The contact information of the healthcare provider. (correct)
  • The instructions for self-administration of insulin. (correct)
  • The signs and symptoms that have to be reported to the healthcare provider. (correct)
  • Which type of documentation is based on the concept that all standards for normal assessment findings or for routine care activities are met unless otherwise documented?

  • charting by exception (correct)
  • Which action would the nurse take when documenting patient care? SATA

    <p>Record factual information</p> Signup and view all the answers

    Which standardized assessment tools are used for receiving health care funding from the Centers for Medicare and Medicaid Services? Select all that apply.

    <p>Resident Assessment Instrument.</p> Signup and view all the answers

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