Expected nursing documentation includes: (Select all that apply.)
a. nursing assessment.
b. the care plan.
c. critique of the physician's care.
d. interventions.
e. patient responses to care.
ANS: A, B, D, E
Expected nursing documentation includes a nursing assessment, the care plan, interventions, the patient's outcomes or response to care, and assessment of the patient's ability to manage after discharge. Documentation should be factual and nonjudgmental.
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