Podcast
Questions and Answers
What is the reason for avoiding writing the word 'error' when recording a mistake?
What is the reason for avoiding writing the word 'error' when recording a mistake?
- To ensure all assessments are accurately documented.
- To make the recording process faster and more efficient.
- To avoid using correction fluid in documentation.
- To prevent clients from assuming a clinical error has caused injury. (correct)
Why is it important to document what care was omitted due to client condition or refusal of treatment?
Why is it important to document what care was omitted due to client condition or refusal of treatment?
- To protect the nurse from liability.
- To maintain a complete and accurate record of client care. (correct)
- To ensure accurate billing for services provided.
- To inform the client about the omissions.
What is the most appropriate way to end each thought when documenting client information?
What is the most appropriate way to end each thought when documenting client information?
- With a question mark.
- With a comma.
- With an exclamation point.
- With a period. (correct)
Why is it advised to follow agency protocol for computerized data entry?
Why is it advised to follow agency protocol for computerized data entry?
What should be the focus when recording information according to the text?
What should be the focus when recording information according to the text?
Why is it essential to record all dependent and independent nursing interventions in client documentation?
Why is it essential to record all dependent and independent nursing interventions in client documentation?
What is the significance of avoiding restating or paraphrasing client's subjective data in documentation?
What is the significance of avoiding restating or paraphrasing client's subjective data in documentation?
Why should nurses avoid judgments or conclusions in documentation?
Why should nurses avoid judgments or conclusions in documentation?
What is the purpose of accurately documenting all data collected about a client's health status?
What is the purpose of accurately documenting all data collected about a client's health status?
Why is it important to document date and time for each recording in client care?
Why is it important to document date and time for each recording in client care?
What does recording data in a factual manner entail?
What does recording data in a factual manner entail?
How does documenting verbatim client's subjective data contribute to effective communication with other healthcare professionals?
How does documenting verbatim client's subjective data contribute to effective communication with other healthcare professionals?
What is the main purpose of accurate and complete documentation in nursing?
What is the main purpose of accurate and complete documentation in nursing?
Why is documentation usually viewed as the best evidence of what really happened to the client?
Why is documentation usually viewed as the best evidence of what really happened to the client?
What should nurses do regarding their personal password for computer records?
What should nurses do regarding their personal password for computer records?
What should nurses do after logging on to a computer terminal?
What should nurses do after logging on to a computer terminal?
Why should nurses shred all unneeded computer-generated worksheets?
Why should nurses shred all unneeded computer-generated worksheets?
What should IT personnel do to protect the server from unauthorized access?
What should IT personnel do to protect the server from unauthorized access?
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