Proper documentation

What will be an ideal response?


Medical record is used to prove that the standards of care were met or not met.

Nursing

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Understanding the nursing process is essential to which of the following types of documentation methods? Standard Text: Select all that apply

1. PIE charting 2. APIE charting 3. CORE DAE documentation system 4. SOAP charting 5. CBE

Nursing

Health plan administrators are designing methods to assure that consumers have appropriate access to emergency services. Which standard should guide the development of these methods?

1. That of a reasonable physician 2. That of a prudent layperson 3. That of an ethical insurance provider 4. That of a prudent and reasonable nurse

Nursing

Which patient would the nurse determine to be the most likely a candidate for involuntary commitment?

A) The client who refuses to take the prescribed medication B) The client who is screaming in the street disturbing neighbors C) The client who refuses to participate in the planned therapy D) The client with a mental disorder who is homeless

Nursing

The nurse is caring for a patient who has been trying to quit smoking. The patient has been smoke free for 2 weeks but had two cigarettes last night and at least two this morning. What should the nurse anticipate?

a. The patient does not want to and will never quit smoking. b. The patient must pick up the attempt right where the patient left off. c. The patient will return to the contemplation or precontemplation phase. d. The patient will need to adopt a new lifestyle for change to be effective.

Nursing