24 Questions
What is the purpose of data validation in nursing?
To confirm the reliability and accuracy of collected data
When should a nurse identify areas for which more data are needed?
After establishing an initial database
What is one of the methods used for data validation?
Rechecking data through a repeat assessment
Under what conditions should data be rechecked and validated?
When the findings are highly abnormal or inconsistent with other findings
What should a nurse do to validate the data with another health care professional?
Discuss the findings with other professionals during a meeting
What is the purpose of examining data in a grouped format?
To identify discrepancies in the collected data
What is one of the purposes of documentation in nursing?
To promote effective communication among multidisciplinary health team members
What is the importance of documenting information immediately upon completion of a patient encounter?
To provide a legal record of the patient encounter
What should nurses avoid when documenting data?
Avoid wordiness that creates redundancy
Why is it important to use correct grammar and spelling in documentation?
To ensure accuracy in documentation
What should be the focus when writing entries in documentation?
To record data findings, not how they were obtained
What does the use of electronic health records (EHRs) increase the likelihood of?
Lower risk of hospital acquired infections
What should nurses do to ensure the accuracy of documentation?
Follow the institution’s system for documentation
Why should nurses avoid recording the word “normal” for normal findings?
To avoid making premature judgments or diagnoses
What is the purpose of recording the client’s understanding and perception of problems?
To plan immediate and ongoing interventions
What is one of the guidelines for documentation?
Document legibly or print neatly in nonerasable ink
What is the purpose of promoting effective communication among multidisciplinary health team members?
To facilitate safe and efficient client care
Why should nurses avoid wordiness that creates redundancy when documenting data?
To ensure clarity and conciseness in the documentation
What should nurses do to ensure the accuracy of documentation?
Date and time each entry
Why should nurses avoid recording the word 'normal' for normal findings?
To encourage critical thinking and analysis of findings
What is the purpose of documenting the client's understanding and perception of problems?
To develop a plan of care for the client
When should nurses record data findings instead of how they were obtained?
Record data findings when applicable
What is one of the purposes of electronic health records (EHRs) in nursing?
To decrease the risk of hospital acquired infections
Why is it important to support objective data with specific observations obtained during the physical examination?
To ensure credibility and validity of the documented information
Learn about the purpose of validating data in nursing, and the steps involved in the validation process. Validate the reliability and accuracy of subjective and objective data collected by nurses.
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