The major reasons for accurate and thorough documentation of nursing care rendered and the patient's response to interventions include which of the following?
a. Documentation is required for accreditation and reimbursement.
b. Documentation prevents lawsuits.
c. Documentation is required if the patient sues.
d. Documentation is a long-held custom.
A
Professional responsibility and accountability are two primary reasons why practitioners document. Other reasons to document include communication, education, research, meeting legal and practice standards, and reimbursement.
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A child with a day-old fever is admitted to a health care facility. Which of the following baths will be most appropriate for the client?
A) Tub bath B) Medicated bath C) Dry bath D) Towel bath
The nurse manager is concerned that a staff nurse provides client care with a cultural prejudice. Which situation did the manager observe to come to this conclusion?
1. Making an assumption that all members of each culture are alike 2. Believing that all culture members will have the same beliefs 3. Bringing previous negative information and experiences into this situation 4. Taking general knowledge from literature and applying it to the situation
When caring for a child who has been admitted after being sexually abused, which intervention should be included in the child's plan of care?
A) Observe for enuresis B) Weigh on the same scale each day C) Encourage frequent family visits D) Test the urine for glucose upon admission
A nursing care assistant fails to report in a timely manner a request for pain medication from an African-American male client who is recovering from a stab wound. The nurse's initial action is to evaluate the care assistant's:
1. Feelings regarding this particular client 2. Need for administrative disciplinary action 3. Understanding of the need for prompt reporting 4. Employment files for documentation of similar behavior