A medical nurse has obtained a new patient's health history and completed the admission assessment. The nurse has followed this by documenting the results and creating a care plan for the patient
Which of the following is the most important rationale for documenting the patient's care?
A) It provides continuity of care.
B) It creates a teaching log for the family.
C) It verifies appropriate staffing levels.
D) It keeps the patient fully informed.
Ans: A
Feedback:
This record provides a means of communication among members of the health care team and facilitates coordinated planning and continuity of care. It serves as the legal and business record for a health care agency and for the professional staff members who are responsible for the patient's care. Documentation is not primarily a teaching log; it does not verify staffing; and it is not intended to provide the patient with information about treatments.
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