Nursing Documentation
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Questions and Answers

Which of the following is NOT an objective of documentation discussed in the text?

  • Define the purpose of patient records
  • Recognize legal abbreviations used by health care providers
  • Discuss the role of the nurse in documenting nursing care
  • Identify ways to maintain confidentiality of patient records according to HIPPA (correct)

    • What is the purpose of patient records according to the text?

  • To discuss the role of the nurse in documenting nursing care
  • To recognize legal abbreviations used by health care providers
  • To define the purpose of patient records (correct)
  • To maintain confidentiality of patient records according to HIPPA

    • Which method of documenting care is NOT mentioned in the text?

  • Focus charting (correct)
  • Pie charting
  • Narrative
  • Charting by exception

    • What is the definition of documentation according to the text?

    <p>The written or electronic legal record of all pertinent interactions with the patient</p> Signup and view all the answers

    What is the purpose of a change of shift report according to the text?

    <p>To provide a handover of patient information between shifts</p> Signup and view all the answers

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